Case Study: Laryngomalacia (S2:E11)
In today’s episode, we’re examining a case that started in a primary care pediatrician’s office and ended in the Children’s Hospital Colorado Aerodigestive Program. Joining us are the three physicians involved in the patient’s care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD, a pediatricemergency room physician at Children’s Colorado; and Sven Streubel, MD, an otolaryngologist with Children's Colorado. In this episode: Our three guests examine their roles in the patient’s care and share their key takeaways to inform other medical professionals The origins of the case and how the patient, baby Rachel, first presented in the hospital Steps taken once Rachel’s respiratory struggles were evident and next steps to get her to the Emergency Department Importance of clear communication between departments and with patient families in complex, multidisciplinary cases Approaching a patient who presents with laryngomalacia from an ENT perspective Using a bedside scope to determine the severity of the laryngomalacia The various elements of Rachel’s multidisciplinary care, including: admission procedure, observation of feedings, continued oxygen support and plan for next steps Most common medical treatment plan for patients with laryngomalacia Designing a long-term management plan for a child with laryngomalacia that supports the patient as well as their family Accounting for comorbidities that come along with laryngomalacia Update from patient and key takeaways from the case
16 Okt 201831min
American Academy of Pediatrics Live Recording
Welcome back Charting Pediatrics listeners! Today we are excited to announce that with Season 2 of Charting Pediatrics, we are taking our show on the road. We are going to be live podcasting from Orlando next month at the American Academy of Pediatrics National Conference and Exhibition, which of course is the big general pediatrics conference of the year! Dr. David Brumbaugh and Dr. Alison Brent are thrilled to have the opportunity to sit down and record with some wonderful pediatric experts from around the US and discuss the timely topics they are covering in their specific conference presentations. Our guests will include Dr. Elissa Miller from Nemours/Alfred I. duPont Hospital for Children, and Dr. Sam Wang from our own Children’s Hospital Colorado. In addition, we have Dr. Leslie Walker-Harding from Penn State Children’s Hospital, as well as Dr. Rachel Moon from the University of Virginia School of Medicine. We’d love the opportunity to meet you, our listeners. So please stop by the exhibit hall where we will be live podcasting from Booth 1113. Stop in, say hello, and catch some of the live recordings that will be taking place on Saturday, November 3rd with this fantastic panel of guests. Until next time, keep on keeping kids safe out there!
12 Okt 20181min
Child Sexual Abuse (S2:E10)
Navigating the waters of child sexual abuse is difficult. This patient population necessitates a delicate approach. Andy Sirotnak, MD, Director of the Child ProtectionTeam and nurse practitionerDenise Abdoo, PhDdiscuss adolescent and child sexual abuse, its indicators and how to approach and care for these patients. In this episode: How providers can normalize conversations around sexual abuse with patients and families When concerns about child sexual abuse most commonly arise Most common indicators and signs of sexual abuse in children Why it is critical to teach children not to take photos of their bodies or keep secrets and good touch versus bad touch What a pediatrician should do when a parent calls with concerns of possible child sexual abuse Key components of a sexual abuse exam and the focus on external genitalia The bathing suit concept for talking to children about private parts Importance of building the family story and why having the parents’ history is crucial for treating patients of childhood sexual abuse The role of mental health issues in the spectrum of child sexual abuse Recommended follow-up care and resources to help families through child sexual abuse Resources for sexual abuse: Sirotnak recommends physicians: Be familiar with local child advocacy center and victim assistance programs Use local experts in their communities Call other pediatricians for insight or resources National Child Traumatic Stress Network International Society for the Prevention of Child Abuse & Neglect Child abuse and neglect resourcesfrom the American Academy of Pediatrics The Resilience Project Council on Child Abuse and Neglect
9 Okt 201844min
Scoliosis Diagnosis and Management (S2:E9)
Scoliosis management will vary according to each patient’s unique situation and presentation. Mark Erickson, MD, Rose Brown Chair of Pediatric Orthopedic Surgeryand Medical Director of the Children’s Colorado Spine Center, joins us to discuss the diagnosis and treatment of scoliosis. In this episode: The three primary types of scoliosis and their common presentations, symptoms, causes and treatments: Congenital scoliosis Neuromuscular scoliosis Idiopathic scoliosis The key components of a physical examination for scoliosis Recommended imaging to order for aiding a scoliosis diagnosis Red flags that may indicate more serious problems and non-idiopathic scoliosis Scoliosis surgeryand treatment and its evolution Risk factors for disease progression The long-term prognosis for a child with scoliosis
2 Okt 201823min
Telephone Triage in Pediatric Primary Care (S2:E8)
Bart Schmitt, MD, pioneer and father of telephone triage pediatric protocols, discusses the role of telephone triage in the pediatrician’s office. Dr. Schmittis the Medical Director of General Pediatric Consultations at Children’s Colorado. In this episode: Introduction to telephone triage and pediatric telephone protocols for nurses The benefits and importance of having protocols for a call center and medical practice caring for pediatric patients Why pediatricians offer telephone care and telehealth more often than other specialists Why electronic protocols are better than a book The importance of second-level physician triage for after-hours calls How pediatric telephone triage protocols and resources like the symptom checker support patient-centered care Telephone triage resources: ChildrensMD, the pediatric symptom checker app for parents (iTunes,Google Play) “Pediatric Telephone Protocols” ParentSmart HealthlineTM, Children’s Hospital Colorado’s 24/7 telephone triage
25 Sep 201822min
STDs in Teens: Testing and Treatment (S2:E7)
Treating STDs in adolescent patients can be a challenge for today’s busy pediatrician. Eliza Buyers, MD, of the Pediatric and Adolescent Gynecology team at Children’s Colorado returns to our pediatric podcast to provide practical tools for preventing and treating sexually transmitted infections in teens. In this episode: Why STD rates are higher in adolescents and young adults How PCPs can address teen reproductive health challenges Why we need to consider age as the primary risk factor for STDs Examining the issue of STD rates as a health disparity Importance of conducting universal screening in sexually active adolescents Expedited partner therapy (EPT) and its importance Recommended STD and HIV screening periods for different populations Screening guidelines for STD examinations in the absence of symptoms. Approaching one-to-one time with teen patients Importance of promoting condom use to prevent STDs in teens When to consider screening for less common STDs Why it’s crucial to know confidential screening clinics you can send your patients STD management resources: The CDC STD treatment guidelines mobile app CDC STD treatment guidelines for special populations
18 Sep 201825min
Infant Feeding and Swallowing Problems (S2:E6)
Feeding an infant brings about joys and challenges for every family. In this episode, we discuss the identification and treatment of feeding and swallowing problems in infants with Laura Pickler, MD, and Nancy Creskoff Maune. Dr. Pickler is the Chair of Family Medicine and Medical Director of the Feeding and Swallowing Program at Children’s Colorado. Nancy is an occupational therapist in the program with an extensive background in the evaluation and treatment of infants and children with feeding and swallowing problems. In this episode: Recognizing the signs of pediatric feeding and swallowing problems The most common presentations of feeding difficulties that primary care pediatricians encounter Differentiating between feeding problems versus swallowing problems The visual and auditory signs of swallowing problems Referral criteria for a videofluoroscopic swallowing study (VFSS) Different approaches to feeding and swallowing issues for breast-fed versus bottle-fed babies Approaching feeding and swallowing problems in a breast-fed baby whose mom is returning to work Questions to ask and what to look for to avoid missing the big problems The importance of observing a feeding to evaluate meal-time behavior, stressors and physical findings A primary care physician’s toolbox of questions surrounding feedings Recommended resources on feeding and swallowing for pediatricians
11 Sep 201832min
Caring for Children with Down Syndrome (S2:E4)
Caring for children with Down syndrome can be complicated. Francis Hickey, MD, Medical Director of the Sie Center for Down Syndrome, joins us to discuss primary care for kids and adolescents with Down syndrome (trisomy 21 syndrome). In this episode: Recommendations for making an initial Down syndrome diagnosis The importance of congratulating parents on the birth of their child Helpful tips for siblings of children with Down syndrome What pediatricians should expect for growth and developmental milestones The importance of early visual stimulation for children with Down syndrome Why it’s more important to focus on progress rather than on hitting specific goals Common Down syndrome-related GI, ENT, pulmonary and orthopedic problems to watch for The three most important screenings for Down syndrome patients: thyroid, vision and hearing Endocrine challenges and the autoimmune cluster How to recognize the onset of autism in children with Down syndrome Significant concerns to watch out for when adolescents with Down syndrome move into puberty Practical references available for primary care providers Special accommodations and educational advocacy for children with Down syndrome in the public school system Browse our Down syndrome resources to share with patient families.
28 Aug 201838min
