Pediculosis (Head Lice)

Clinic A/P, adults, Clinic A/P, Peds, DERMATOLOGY

Diagnosis H&P: Risk factors: Common presentation:- Pruritus is the most common presenting symptom in pediculosis. How a diagnosis is made: Head and pubic lice infestations diagnosed by visualization of live lice. Ddx and cause: Treatment -Permethrin 1% lotion or...

Bronchitis, peds patient

Clinic A/P, Peds

#Bronchitis 5yo with Cough x 2 weeks plus wheezing and Rhonchi on exam. Decreased breath sounds -Z-pack -Albuterol MDI + aerochamber + mask -Prednisone 15mg/5ml x 5 days.

Asthma, Cough Variant

Clinic A/P, adults, Clinic A/P, Peds

#Cough variant asthma Dry cough x 4 weeks. Trial of albuterol with aero-chamber + mask Every six hours.

Suicidal Ideation

Clinic A/P, adults, Clinic A/P, Peds, PSYCHIATRY

#Suicidal Ideation 16 yo M with suicidal ideation. Not actively planning to kill self. Not homicidal. Two days ago, thought of jumping off a bridge onto a truck. -Send straight as a walk-in to Riverside County Mental Health. They will start evaluation immediately...

Recurrent UTIs in a pediatric patient

Clinic A/P, Peds

#Recurrent UTIs in a pediatric patient. The following is how a pediatrician treated an 8 year old with recurrent UTIs. 8 yo old who has had about 2 UTIs per year since preschool, mum remembers. Culture always shows E. coli and sometimes with Proteus. This patient...

How to Remove an Umbilical Cord Clamp

Clinic A/P, Peds

Recently, I wanted to remove an umbilical clamp on a 7 day old baby and the instrument broke. I searched on youtube and found this great video on how to easily remove an umbilical cord clamp using a safety pin. I didn’t have a safety pin, so we used a forceps to...