In neonates w/ persistent hypoglycemia, think hyperinsulinism, especially if the insulin level is inappropriately high when glucose is low!
English
UNC Peds Chiefs
19 posts
UNC Peds Chiefs
@unc_peds
We are the UNC Pediatric Chiefs! Follow us for clinical pearls and residency news! (All pics are from teaching sites/HIPAA compliant, not of our patients)
Chapel Hill, NC Katılım Mayıs 2016
17 Takip Edilen63 Takipçiler
In a kiddo with vague sx (N/V, weakness, fatigue), don't forget ADDISON's DZ -- look for hypo-Na, hyper-K, metab acidosis, and hypotension!!
English
With UTI, including infants, +LE is the most sensitive indicator of UTI (93%, does not replace a culture). Nitrates are most specific (98%).
English
Have a clinical question? Check out the TRIP (Turning Research Into Practice) database! tripdatabase.com Happy EBMing!
English
Check out this post by one of our Chiefs! Four-Oh-Wunk - blogs.jwatch.org/general-medici…
English
Child w/recent URI p/w new annular itchy rash like this? Think Urticaria Multiforme #NEJM #imagechallenge
English
Intrapartum antibiotics decrease incidence of early BUT NOT late onset GBS disease
English
In a child with persistent hepatomegaly, think metabolic disease, even in an older child.
English
When it comes to adolescent sports participation, the only true contraindication is FEVER! Keep those kids active and healthy!
English
In a child having difficulty walking, don't forget to take a good diet history...they could have scurvy!! (or other deficiencies, eg Vit E)
English
For infants born to mothers with HSV - Get surface swabs 24 hrs after birth to avoid false positive results!
English
In kids in whom you have a high index of suspicion/worry about TB (immunocompromise or known exposure), you only need PPD of 5mm
English
For kids 1-10 years old, a quick cheat for "what's hypotension"= 70 + (age x 2). So go on, cheat and recognize Anaphylaxis! #epipen
English
Tonight is our annual Hello-Goodbye Party! Thanks seniors for everything you've done--We'll miss you. But WELCOME to the new tarHEALers!
English
DiGeorge can present with a myriad of phenotypes--often isolated conotruncal cardiac anomalies, like a vascular ring, Truncus, or Tet.
English
In a <5 yo with unilateral erythema, nontender lymphadenopathy and no fever/constitutional symptoms, think Nontuberculous Mycobacteria!
English
In an infant with hypotonia of unclear etiology, consider checking a CK to clue you into (inherited) dysfunction at the muscular level!
English
6yo p/w persistent erythema/pruritus of the eyelids, previously labeled "atopic dermatitis". Up close, EYELASH LICE!
English
In a child <5 yo with unilateral erythema, nontender lymphadenopathy and fever/constitutional symptoms, think Nontuberculous Mycobacteria!
English