The MCG Pediatric Podcast

Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine.

What exactly is bronchiolitis and why is this topic so important?

How do you make the diagnosis and what other diagnoses should you consider?

What treatments work, and more importantly, which treatments do not?

What patients can go home and who needs to be admitted?

All of this and more from the Department of Pediatrics and the Medical College of Georgia. 

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Kathryn McLeod for providing peer review for this episode.

Citation:

Hodges, Z. (Host). Bassali, R. (Host).  Mendel, G. (Host). McLeod, K. (Contributor). (2020, Nov 15). Bronchiolitis. (S1:18) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.

Questions, comments, or feedback? Please email us at [email protected] 

Links: 

NoseFrida-- https://www.nosefrida.com 

References/further reading:

1. Silver AH, Nazif JM. Bronchiolitis. Pediatr Rev. 2019;40(11):568-576. doi:10.1542/pir.2018-0260  

Dr. Charles Scarborough joins the show to discuss the story of his son Jude, and his family's experience with his son's diagnosis with 22q11 deletion syndrome. 

In addition to hearing about the Scarborough's personal experience, we talk about the genetic considerations and common clinical manifestations of 22q11.2 deletion syndrome.

How do you approach the general diagnostic testing and screening evaluation of a child with 22q11.2 deletion syndrome?

We also discuss the impact that genetic and chronic disease has on our pediatric patients and their families.

Thanks to Dr. Paul Mann, Dr. Liezl Domingo and Dr. Jacqueline Chan for providing guidance and peer review of the technical material in this episode. 

Citation:

Hodges, Z. (Host). Scarborough, C. (Host).  Mann, P. (Contributor). Chan, J. (Contributor). Domingo, L. (Contributor).  (2020, Nov 1). Jude’s Story/22q11 Deletion Syndrome. (S1:17) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.  

Links:

MCG Pediatric Podcast: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php 

Georgia Medicaid Katie Beckett: https://medicaid.georgia.gov/programs/all-programs/tefrakatie-beckett 

Clinica La fuente in Cusco, Peru http://www.lafuenteclinica.com/clinic-ingles/ 

If you would like to donate to Clinica La fuente https://www.mtw.org/projects/details/pe-la-fuente-centro-de-salud-integral 

Questions or comments? Contact us by email at [email protected] 

References:

Cohen JL, Crowley TB, McGinn DE, et al. 22q and two: 22q11.2 deletion syndrome and coexisting conditions. Am J Med Genet A. 2018;176(10):2203-2214. doi:10.1002/ajmg.a.40494

Campbell IM, Sheppard SE, Crowley TB, et al. What is new with 22q? An update from the 22q and You Center at the Children's Hospital of Philadelphia. Am J Med Genet A. 2018;176(10):2058-2069. doi:10.1002/ajmg.a.40637

Vorstman JA, Jalali GR, Rappaport EF, Hacker AM, Scott C, Emanuel BS. MLPA: a rapid, reliable, and sensitive method for detection and analysis of abnormalities of 22q. Hum Mutat. 2006;27(8):814-821. doi:10.1002/humu.20330

McDonald-McGinn DM, Sullivan KE. Chromosome 22q11.2 deletion syndrome (DiGeorge syndrome/velocardiofacial syndrome). Medicine (Baltimore). 2011;90(1):1-18. doi:10.1097/MD.0b013e3182060469

Bassett AS, McDonald-McGinn DM, Devriendt K, et al. Practical guidelines for managing patients with 22q11.2 deletion syndrome.J Pediatr. 2011;159(2):332-9.e1. doi:10.1016/j.jpeds.2011.02.039

Dr. April Hartman, Dr. Zachary Hodges, and MS4 Rachel Vaizer join the show to discuss adverse childhood experiences and screening for them in the pediatric clinic.

What are the key questions to ask?

What are adverse childhood experiences and how do they affect a child’s long-term health?

How do you bring up the concept of adverse childhood experiences with parents?

How do you screen for ACEs and what do we do with a positive screen at a clinic visit?

All of this and more from the Department of Pediatrics at the Medical College of Georgia.

Check out our website: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Lisa Leggio and Dr. Christopher Drescher for providing peer review for this episode.

Citation:

Hodges, Z. (Host). Hartman, A. (Host). Vazier, R. (Host). Leggio, L. (Contributor). Drescher, C. (Contributor). (2020, October 15). Adverse Childhood Events. (S1:16) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.  

Questions, comments, or feedback? Please email us at [email protected]

Resources from this episode:

• Screening Resources

• Bright Futures Questionnaire: https://brightfutures.aap.org/materials-and-tools/tool-and-resource-kit/Pages/Medical-Screening-Reference-Tables.aspx

• Community Resources

• Big Brother/Big Sister: https://www.bbbs.org/

• ACEs information

• ACEs Aware: https://www.acesaware.org/

References for this episode:

Bucci, M., Marques, S. S., Oh, D., & Harris, N. B. (2016). Toxic stress in children and adolescents. Advances in Pediatrics, 63(1), 403-428.

Felitti V.J. Anda R.F. Nordenberg D. et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. Am J Prev Med. 1998; 14: 245-258 

Garner AS, Shonkoff JP, Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn, L., Pascoe, J., & Wood, D. L; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics. 2012;129(1):e224-e231. doi:10.1542/peds.2011-2662 

Harris, N. B., Marques, S. S., Oh, D., Bucci, M., & Cloutier, M. (2017). Prevent, screen, heal: collective action to fight the toxic effects of early life adversity. Academic pediatrics, 17(7), S14-S15.  

Kerker B.D. Storfer-Isser A. Szilagyi M. et al. Do pediatricians ask about adverse childhood experiences in pediatric primary care?. Acad Pediatr. 2016; 16: 154-160 

Marie-Mitchell, A., Studer, K. R., & O'Connor, T. G. (2016). How knowledge of adverse childhood experiences can help pediatricians prevent mental health problems. Families, Systems, & Health, 34(2), 128. 

Oh, D. L., Jerman, P., Marques, S. S., Koita, K., Boparai, S. K. P., Harris, N. B., & Bucci, M. (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC pediatrics, 18(1), 83.  

Shonkoff JP, Garner AS; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232-e246. doi:10.1542/peds.2011-2663 

Vu, C., Rothman, E., Kistin, C. J., Barton, K., Bulman, B., Budzak-Garza, A., ... & Bair-Merritt, M. H. (2017). Adapting the patient-centered medical home to address psychosocial adversity: results of a qualitative study. Academic pediatrics, 17(7), S115-S122. 

Wolraich ML, Hagan JF Jr, Allan C, et al. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents [published correction appears in Pediatrics. 2020 Mar;145(3):]. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528 

National Center for Injury Prevention and Control, Division of Violence Prevention. (2020, April). Preventing Adverse Childhood Experiences. Retrieved from https://www.cdc.gov/violenceprevention/acestudy/fastfact.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fviolenceprevention%2Fchildabuseandneglect%2Faces%2Ffastfact.html

Dr. Katie McKie, a pediatric sleep specialist at the Children's Hospital of Georgia, joins pediatrician Dr. Rebecca Yang to continue their discussion on sleep disorders in the pediatric population.

• What are the clinical features of restless leg syndrome?

McKie, K. (Host). Yang, R. (Host). Leggio, L. (Contributor); Pendergrast, R. (Contributor). (2020, October 1). Pediatric Sleep Disorders Part 2. (S1:15) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. https://mcgpediatricpodcast.podbean.com/e/sleep-disorders-in-children-part-2/ 

1. Grand Rounds: “Pediatric Insomnia: A Nightmare for Parents and Providers.” Department of Pediatrics, Medical College of Georgia at Augusta University: Katie McKie, MD (Presented on January 10, 2020) 

McKie, K. (Host). Yang, R. (Host). Leggio, L. (Contributor); Pendergrast, R. (Contributor). (2020, Sept 15). Pediatric Sleep Disorders Part 1. (S1:14) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. https://mcgpediatricpodcast.podbean.com/e/sleep-disorders-in-children-part-1/ 

1. Grand Rounds: “Pediatric Insomnia: A Nightmare for Parents and Providers.” Department of Pediatrics, Medical College of Georgia at Augusta University: Katie McKie, MD (Presented on January 10, 2020) 

Dr. James Crownover, an assistant professor of Primary Care Sports Medicine and Physical Medicine and Rehabilitation at Augusta University, joins Drs. Brynn Ehlers and Lauren Lim to discuss the management of pediatric concussions.

What exactly is a concussion and when should you be concerned for something more?

What are the must-not-miss symptoms and exam findings?

What tools are available for the initial sideline assessment of sports-related concussions?

Finally, what is the best way to get our pediatric patients back to school and play after suffering a concussion?

All of this and more from the Department of Pediatrics at the Medical College of Georgia.

Special thanks to Dr. Rebecca Yang, Dr. George Hsu and Dr. Jacob Eichenberger who also contributed to this podcast episode.

Citation:

Crownover, J. (Host). Ehlers, B. (Host). Lim, L. (Host); Eichenberger, J. (Contributor); Hsu, G. (Contributor) Yang, R. (Contributor).  (2020, Aug 20). Pediatric Sports Related Concussions. (S1:13) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. https://mcgpediatricpodcast.podbean.com/e/concussion-1597794205/ 

Please subscribe, rate and review.

Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Want further reading on this topic? Check out this article published in Pediatrics on sports related concussions in children https://pediatrics.aappublications.org/content/142/6/e20183074

References: 

Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure.

What is the structure of the initial evaluation of a critically-ill child? 

What is exactly is respiratory failure? 

What is the role of non-invasive respiratory support in pediatric patients? 

What are the indications for emergency intubation? 

What are the general concepts that learners need to understand about invasive mechanical ventilation? 

All of this and more from the Department of Pediatrics from the Medical College of Georgia.

Thanks to Dr. Smitha Mathew and Dr. Kathryn McLeod who also contributed to this discussion.

Please subscribe, rate and review.

Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Want further reading on this topic? Check out this Pediatrics in Review article on respiratory failure https://pedsinreview.aappublications.org/content/35/11/476 

Dr. Aaron Worth and Dr. Havilah Sthole join the show to discuss the essentials of evaluating the child with abdominal pain in the pediatric clinic.

What are the key questions to ask?

How do we get a good physical exam with an anxious child?

They describe an approach to care for children suffering from common disorders in the pediatric primary care clinic but also include the must not miss findings and diagnoses associated with this very non-specific complaint.

All of this and more from the Department of Pediatrics at the Medical College of Georgia.

Check out our website: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Please subscribe, rate and review.

Questions, comments or feedback? Please email us at [email protected]

References for this episode:

Baker, Robert D. “Acute Abdominal Pain.” Pediatrics in Review, vol. 39, no. 3, 2018, pp. 130–139., doi:10.1542/pir.2017-0089. 

Hyman, P. E. “Chronic and Recurrent Abdominal Pain.” Pediatrics in Review, vol. 37, no. 9, 2016, pp. 377–390., doi:10.1542/pir.2015-0169. 

Balighian, E. and Burke, M. “Urinary Tract Infections in Children”. Pediatrics in Review, vol. 39, no. 3, 2018, pp 377-390 

Pediatric appendicitis: state of the art review. Pediatr Surg Int (2017) 33:269–283 

Granado-Villar, D., et al. “Acute Gastroenteritis.” Pediatrics in Review, vol. 33, no. 11, 2012, pp. 487–495., doi:10.1542/pir.33-11-487. 

Michail, S. “Gastroesophageal Reflux.” Pediatrics in Review, vol. 28, no. 3, 2007, pp. 101–110., doi:10.1542/pir.28-3-101 

Rosen R, Vandenplas Y, Singendonk M, et al. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2018;66(3):516‐554. doi:10.1097/MPG.0000000000001889 

In Kliegman, R., In Stanton, B., In St, G. J. W., In Schor, N. F., In Behrman, R. E., & Nelson, W. E. (2020). Nelson textbook of pediatrics. 

Join pediatricians Lisa Leggio, Kathryn McLeod and Zac Hodges as they discuss the essentials of teaching in the healthcare setting.

What do you need to know before hosting a learner in the clinic?

What about the inpatient setting?

How can you work meaningful teaching points into a busy day?

Finish up with the basics on giving feedback and evaluating your learner.

All this and more on this episode from the Department of Pediatrics at the Medical College of Georgia

Thanks for listening!

https://www.augusta.edu/mcg/pediatrics/residency/podcast.php 

Pediatric intensivist Smitha Mathew, PICU fellow Katie Verdone and emergency physician Dan McCollum join Zac Hodges on this episode to discuss pediatric sepsis.

How do you effectively screen for sepsis and systematically evaluate septic children?

What are the initial steps to treat children diagnosed with sepsis and septic shock?

What do we we need to know from the Surviving Sepsis Campaign 2019 Pediatric Guidelines?

All this and more on this episode from the Department of Pediatrics at Augusta University

https://www.augusta.edu/mcg/pediatrics/residency/podcast.php 

Special thanks to Dr. Mary Lynn Sheram and Dr. Eric Ring for providing peer review for this episode.

References:

See the SCCM 2019 sepsis guidelines for more information:

https://journals.lww.com/pccmjournal/Fulltext/2020/02000/Surviving_Sepsis_Campaign_International_Guidelines.20.aspx

SCCM simplified sepsis algorithm https://www.sccm.org/getattachment/SurvivingSepsisCampaign/Guidelines/Pediatric-Patients/Initial-Resuscitation-Algorithm-for-Children.pdf?lang=en-US