Primary Care Perspectives

Gil Binenbaum, MD, MSCE, reviews Children’s Hospital of Philadelphia’s new clinical pathway on the management of patients with suspected preseptal or orbital cellulitis, including the differential diagnosis, physical exam for orbital signs, reasons for admission, and outpatient management of preseptal cellulitis. Published May 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.

In this engaging discussion, Paul Offit, the Director of the Vaccine Education Center and an expert in infectious diseases, delves into the significance of fever in children. He highlights how fever aids in immune function and cautions against the prevalent use of antipyretic drugs, arguing they may hinder immune response and vaccine efficacy. Offit also clarifies misconceptions about fever's role and emphasizes supportive care over aggressive treatment. His insights encourage a reevaluation of pediatric fever management, advocating for a cultural shift in handling childhood illnesses.

Ashley Binkowski, an occupational therapist with a focus on pediatric care, shares valuable insights on supporting children's development. She discusses the importance of occupational therapy in addressing sensory sensitivities and developmental delays. Listeners learn practical strategies for managing sensory challenges, especially at home. Binkowski also highlights the benefits of early intervention and the diverse roles of occupational therapists in various settings, emphasizing the significant impact on children's success in daily activities.

Licensed social worker Sara Kurlansik, MSW, LSW, discusses how primary care providers can help children and families deal with divorce and separation. The episode covers custody issues that frequently come up in primary care and offers tips for physicians to share with parents to ease the transition for children when parents are separating. She also discusses the importance of keeping the focus on the child when issues arise in the office. Published April 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 dermatologist Patrick McMahon, MD, talks about when skin cultures may be indicated for various skin conditions in children. He talks through common examples seen by pediatricians, such as tinea corporis and tinea capitis, when to culture versus when to proceed with treatment following your clinical judgement, tips for obtaining a quality culture, and more. Published March 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.

Jesse Taylor, MD, Chief of Plastic and Reconstructive Surgery at Children’s Hospital of Philadelphia, talks about positional plagiocephaly, a common condition in infants. He discusses the Back to Sleep campaign's impact on its prevalence and differentiates it from craniosynostosis. Dr. Taylor highlights risk factors and management strategies, stressing the importance of early intervention and parental concerns about aesthetics. The conversation also covers critical assessment techniques to ensure effective monitoring in infants.

To maximize safe participation in sports, a pre-participation physical evaluation is recommended for all children and adolescents before the season begins. This cardiovascular evaluation should be routinely done at pre-adolescent and adolescent annual well visits, with the goal of identifying medical problems that could have life-threatening complications or require treatment before participation. Maully Shah, MBBS, an attending cardiologist at Children’s Hospital of Philadelphia, discusses what PCPs should know about the cardiovascular sports physical, symptoms and history to look for, and more. Published February 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. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Research shows that about 50 percent of children with a complex congenital heart defect requiring surgical or catheter intervention in the first year of life have some level of neurodevelopmental disability. Alisa Burnham, MD, Lyla Hampton, PhD, and Kate Wallis, MD, MPH, sit down to talk about the importance of routine neurodevelopmental assessments for children born with complex congenital heart disease, deficits to watch for at different ages, follow-ups and support services pediatricians should be aware of and more. Published February 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.

Rachana Shah, MD, attending physician and Director of the Polycystic Ovarian Syndrome (PCOS) Clinic at CHOP, discusses diagnostic criteria and screening for PCOS in adolescents, diseases that mimic PCOS, the first labs that should be considered by primary care providers, appropriate use of ultrasound, and more. Published January 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.

Joanna Parga-Belinkie, MD, a neonatologist at Children’s Hospital of Philadelphia, talks about the potential harmful effects of plastics, in particular BPA, phthalates, PFCs and perchlorates; new recommendations from the AAP in response to emerging child health concerns related to environmental toxins; and reasonable recommendations and substitutes pediatricians can suggest to parents to minimize the effects of plastics and other environmental toxins on children. Published January 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.