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Severe Delayed Reactions Resource Page
Acute Generalized Exanthematous Pustulosis (AGEP) VisualDx Images in Children (CMH users) AGEP is a severe cutaneous adverse reaction that appears rapidly, often within 2-3 days of exposure. The reaction...
Red Flag Signs
RED FLAGS to consider: Meconium not passed in first 48 hours as a newborn Onset before 1 month of age Family history of Hirschsprung disease Blood in the stools with fever Failure to thrive Abnormal lower...
Wise Use of Antibiotics: Incorporating Quality Improvement into a Busy Clinic
Quality improvement (QI) is essential for all health care providers and staff, as it fosters a culture of excellence and ensures the highest standards of patient care. The American Academy of Pediatrics...
Dr. Kai Ling Kong Receives NEA Grant to Test Music-Based Program for Low-Income Families
The funding is to support a randomized-controlled feasibility study to test a music-based program for parents and children from low-income families in the U.S., looking at how it affects behavior...
Children’s Mercy Kansas Expansion Plan
The $152 million expansion plan for Children’s Mercy Kansas will expand capacity, consolidate services and introduce new clinical programs.
Severity of Asthma Exacerbation
<!--StartFragment--> Mild Moderate Severe Respiratory Rate 2-3 yrs: <34/min 4-5 yrs: <30/min 6-12 yrs: <...
Dr. Tomoo Iwakuma Receives Over $2.7 Million NIH Grant to Study New Compound to Kill Cancer Cells Lacking p53 Gene
Dr. Iwakuma's study aims to find new ways and compounds to kill cancer cells that don’t have a normal p53 gene, which is found in about 50 percent of human cancers.
22q11.2 ERAS: Discharge Recommendations
For children who had calcium values less than 8 mg/dL or ionized calcium less than 1.1 mmol/L following the procedure, continue the same dose of calcium and Calcitriol (if needed) at discharge. Educate...
22q11.2 ERAS: Initial Calcium/Calcitriol Dose to Treat Hypocalcemia
Initial Dose Recommendations Calcitriol 0.025 mcg/kg/day PO/IV in 2 divided doses Calcium* Neonates: Ca++ (elemental) 75 mg/kg/day PO in 3 - 4 divided doses; not to exceed...
Dosing Options
Inpatient Metronidazole < 45 kg: 10 - 13 mg/kg (max 500 mg/dose) PO or IV q 8 hrs Inpatient, transition to oral therapies Metronidazole < 45 kg: 10 - 13 mg/kg (max 500 mg/dose) PO q 8 hrs Outpatient...
PCR by First Catch Urine
No void during the previous hour No genital cleaning 20 - 30 mL sample: do not overfill DO NOT order as an add-on unless an appropriate sample is confirmed by the lab These pathways do not establish a...
Patient/household Infection Control Instructions
Patient/household members should immediately quarantine at home (or continue quarantine if admitted) until contacted by the health dept. with further instruction (quarantine of 21 - 28 days is generally...
State of the Art Pediatrics: Not Just Another Picky Eater: Looking Out for Pediatric Eosinophilic Esophagitis
Column Author: Rachel Chevalier, MD| Director of CMH Fellow's Grant Writing Curriculum, Department of Peds/GME; Medical Director of Eosinophilic Gastrointestinal Diseases Program...
Measles Postexposure Prophylaxis (PEP)
For Individuals who are NOT pregnant or immunocompromised <!--StartFragment--> Age Group Immune Status Time Since Exposure Recommended PEP Home Quarantine Recommendations All ages (≥ 6...
Planned Giving Council Spotlights
Discover more about the members of the Donald H. Chisholm Planned Giving Council (PGC) and the reasons behind their decision to join the council on this spotlight page.
Wise Use of Antibiotics: Management Strategies for Common Animal Bites
Column Author: Marsha A. Dannenberg, MD | Clinical Assistant Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Clinical Assistant Professor of Pediatrics, University...
Pediatric Bioethics: Rethinking Disability in Pediatrics: Historical, Conceptual and Ethical Reflections to Improve Clinical Practice
Column Author: Jeremy R. Garrett, PhD | Program Director, Pediatric Bioethics Fellowship, Professor of Pediatrics, University of Missouri-Kansas City School of Medicine Column Editor: Brian...
Vaccine Update: Measles Vaccine Recommendations During Outbreaks
Column Author: Maria Martinez, RN, BSN, MSN, MBA, CPN | Immunization Program Manager Column Editor: Angela L. Myers, MD, MPH | Chief Wellbeing Officer We have now seen two deaths...
What’s the Diagnosis?: Dermatology
Column Author and Editor: Sean Reynolds, MBBCH | Associate Program Director, Pediatric Dermatology Fellowship A 3-week-old infant presents to the dermatology clinic for evaluation of a rash.
Vaccine Update: Alternative Vaccination Strategies Being Explored for Malaria
Column Author: Yvonne M Carter, MSN, APRN II, FNP-C Column Editor: Angela L. Myers, MD, MPH | Chief Wellbeing Officer Could a new vaccine for malaria be in the future? A multi-stage...