Primary Care Perspectives

Pediatric endocrinologist Marissa Kilberg, MD, gives a refresher on the hypothalamic pituitary adrenal (HPA) axis and endocrine labs, including a breakdown of what is being looked at and how to best evaluate adrenal function of a pediatric patient. Published February 2020. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

Roy Wade Jr., MD, PhD, MPH, MSHP, a researcher and pediatrician at Primary Care, Cobbs Creek, discusses adverse childhood experiences (ACEs) and their life course impact on the health and well-being of kids. He talks about how primary care pediatricians can assess for ACEs and help address these experiences by collaborating with agencies in our community that are directly addressing these issues with patients and families, current research trends and advocacy efforts, and much more. Published January 2020. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

Lan Chi “Krysti” Vo, MD, an attending psychiatrist at Children’s Hospital of Philadelphia, discusses the current landscape of mental health care in the United States, the need for specialized child and adolescent psychiatrists, and how telepsychiatry has the potential to expand access to mental health services for more patients. Published January 2020. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Sara Fridinger, MD, a pediatric neurologist from the Children's Hospital of Philadelphia, discusses the nature of febrile seizures in young children. She highlights that while common between 18 and 24 months, they can be alarming for parents. Sara differentiates between simple and complex seizures, offering practical advice on managing them and knowing when to seek help. She also clarifies that febrile seizures are not linked to long-term epilepsy or developmental issues, reassuring families about safety and care protocols.

Sarah Fesnak, MD, an attending physician in the Emergency Department at Children’s Hospital of Philadelphia, discusses the evaluation and management of lacerations in primary care. Appropriate referrals to the Emergency Department and the wound follow-up after repair are reviewed. Published December 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Sabrina Gmuca, MD, MSCE, and David Sherry, MD, pediatric rheumatologists at Children’s Hospital of Philadelphia, explain the intense pain experienced by children with amplified musculoskeletal pain syndrome (AMPS), common causes and presentations of amplified pain, and evidence-based interventions that can help manage pain in these patients. Published November 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Pediatric neurologist Elizabeth Kichula, MD, PhD, discusses the pathophysiology and clinical presentation of spinal muscular atrophy (SMA), prenatal screening, diagnosis and treatment for this neurodegenerative disease. Published November 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Zachary McClain, MD, a pediatrician specializing in adolescent medicine and Medical Director of CHOP’s Young Men’s Clinic, talks about taking care of teenagers, in particular young men. He covers strategies for addressing common teen concerns, such as sexuality and sexual function, how to normalize topics that may be uncomfortable to discuss, common testicular pathology, importance of routine testicular exams, and more. Published October 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Children and infants have different needs than adults when it comes to anesthesia. Ronald Litman, DO, ML, talks about how anesthesia in children is different than anesthesia in adults, commonly used medications, recent research around maximizing comfort as well as risks associated with anesthesia, and how pediatric anesthesiologists are specially trained to help kids cope and prepare them for surgery. Published October 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Pediatric neurologist Sarah Hopkins, MD, MSPH, talks about the presentation, diagnosis, and management of acute flaccid myelitis (AFM), including how to distinguish it from other similar neurologic diseases. Published September 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.