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Clostridium Difficile (C. Diff)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

H&P performed. Risk Factors: Typical Presentation: Classifying C. diff Severity and Treatment. DDx reviewed. Diagnostic Tests: Treatment -Contact precautions: Put the patient in contact isolation with enteric precautions. Healthcare team to wash hands before and...

Car Safety / Car Seat Recommendations

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

Car Seat Recommendations “All infants and toddlers should ride in a rear-facing child safety seat until they are 2 years of age or until they reach the weight or height limit recommended by the seat’s manufacturer (SOR C). Children who reach the weight or height...

Pneumonia in Children, Community Acquired, (Outpatient)

Clinic A/P, Peds, Hospital A/P, Peds

The most likely etiologic agents and treatment of CAP in children are based on age. Diagnosis -History and physical consistent with CAP. -Diagnosis based mainly on H&P. -Fever + respiratory signs and symptoms (cough, tachypnea). -Vital signs: RR, Oxygen sats, and...

ADHD (Attention-Deficit Hyperactivity Disorder) in Children & Adults

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

Diagnosis in Children  -Vanderbilt ADHD Assessment Forms (Both teacher and parent forms). -Coexisting or mimicking conditions, considered. -Labs: CBC, CMP, TSH, 25 hydroxy Vit D level. Treatment -Preschool age ( < 6 years old, i.e 5 years and younger) –...

Constipation in newborns and infants

Clinic A/P, Peds

Dark Karo syrup for infants less than 6 months Prune juice for kids older than 6 months  

Lyme Disease

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Background Is the most common vector-borne infection in the United States and Europe. NE USA Campers/hikers Ixodes tick harbors Borrelia burgdorferi Stages: Stage I: erythema migrans (pathognomonic), viral-like syndrome Stage II: arthritis, myocarditis, bilateral...
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