The Cribsiders

Get ready for an influx of practice-changing pearls as the Cribsiders team shares what we learned at the AAP 2024 conference in Orlando, FL. Learn how to diagnose and manage GERD, common gynecologic disorders, murmurs, and hypertriglyceridemia. Find out what’s new in the newborn nursery and how to counsel on marijuana use. 

Dr. Kelsey Klaas, a pediatrician from the Mayo Clinic specializing in adolescent autonomic disorders, unpacks the challenges of Postural Orthostatic Tachycardia Syndrome (POTS). She shares insights on diagnosing POTS, the significance of teamwork in treatment, and managing symptoms through practical strategies. The conversation also addresses the stigma surrounding dysautonomia, the role of hydration and exercise, and the complexities of coexisting conditions like Ehlers-Danlos Syndrome. It's an enlightening discussion packed with expert advice for families navigating this condition.

Join us for our latest episode - a conversation on newborn care essentials that can sometimes become a tricky topic: the hepatitis B vaccine and vitamin K injection. With the expertise of Dr. Ha Nguyen, we’ll explore why these tiny treatments pack a big punch, and how you can ease parental fears with facts. We’ll break down the concerns so you can build up confidence in your conversations with new parents.

In this engaging discussion, Dr. Julie Leonard, a pediatric care specialist from Nationwide Children’s, and Dr. Dan Corwin, an expert in pediatric trauma from CHOP, delve into managing cervical spine injuries in children. They shed light on the innovative PECARN clinical decision rule, emphasizing its relevance in trauma assessment. The duo also shares invaluable insights on physical examinations, minimizing radiation exposure, and adapting protocols for young patients. With a blend of personal stories and clinical expertise, they offer a refreshing take on pediatric emergency care.

Join us for a fantastic conversation with an expert in the field of neuromuscular disorders, Dr. Kevin Flanigan. Dr. Flanigan is the director of the Center for Gene Therapy at Nationwide Children's Hospitals, which developed the first FDA-approved gene therapy to treat Duchenne Muscular Dystrophy. He teaches us when to include muscular dystrophy in the differential, how BiPAP extends the lives of patients with Duchenne, and what the latest gene replacement therapies have to offer. 

In this insightful discussion, Dr. IJ Anosike, an assistant professor of pediatrics and director of Pediatric Antibiotic Stewardship at Montefiore, unpacks the complexities of Epstein-Barr virus (EBV). She sheds light on tricky symptoms and essential diagnostic tests, making it clear how to differentiate EBV from other infections. Dr. Anosike highlights the importance of mindful lab monitoring and addresses health equity in EBV treatment, particularly for underserved communities. Expect to learn about the nuances of management and the significance of thoughtful healthcare practices.

Dr. Jordan Symons, a nephrologist with expertise in kidney health, dives deep into the complex management of hyperkalemia in patients with chronic kidney disease. He discusses why a potassium level of 5.9 may not be alarming for some and emphasizes careful monitoring. Insights into dietary adjustments, the role of medications, and the importance of collaboration among healthcare providers are key highlights. The conversation also sheds light on challenges in pediatric nephrology and addresses social determinants like food insecurity in managing chronic conditions.

Dr. Jordan Symons, a physician from Seattle specializing in hyperkalemia, discusses the critical implications of elevated potassium levels in acute scenarios. He clarifies the difference between true and pseudo hyperkalemia and emphasizes the importance of monitoring potassium for cardiac health. The conversation covers effective treatment strategies, including the role of calcium and diuretics, in managing this potentially life-threatening condition. Listeners can expect insights into rapid decision-making for acute hyperkalemia management.

In this discussion, Dr. Myda Khalid, a pediatric nephrologist from Indiana specializing in hemolytic uremic syndrome (HUS), sheds light on this serious condition often triggered by E. coli infections. She discusses the critical importance of recognizing HUS in pediatric emergencies, especially in cases with bloody diarrhea. Dr. Khalid explains the nuances of stool testing and the pivotal role of timely interventions like fluids and transfusions. Insightful case studies and current research trends further highlight the complexities of managing HUS in young patients.

Recap and review the top pearls from episodes #1 (AND #100) Cystic Fibrosis, #11 Pneumonia, and #104 Obstructive Sleep Apnea with a few members of our production team! It’s Fables from the Cribside! (FFTC), our series providing a rapid review of recent Cribsiders episodes for your spaced learning.