Primary Care and Urgent Care Pediatricians need easy-to-use tools and resources to help provide best and safest care for common, acute ambulatory conditions. Tools You Can Use for Pediatricians reviews evidence-based clinical guidelines, workflows, EPIC tools, patient education, and new research to provide actionable insights for practicing pediatricians in just 15 minutes. This podcast is for general information and educational purposes only and is not to be considered as medical advice for ...
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This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2016 by Children's Hospital of Philadelphia, all rights reserved.
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Primary Care Perspectives: Clinician Well-being: The Buzz Around Burnout - Episode 159
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With their diverse work experience and unique skill sets, advanced practice providers (APPs) are able to contribute to not only the wellbeing of patients but also that of other providers. Bridget Sullivan Garmisa, MSN, MS, CRNP, RD, nurse practitioner at Children’s Hospital of Philadelphia, shares her perspective as an APP and gives insight into cl…
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Primary Care Perspectives: Magnesium: Pros and Cons of Supplementation - Episode 158
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As the fourth most abundant mineral in the body, magnesium is essential for regulating many bodily functions. But as a supplement — especially over the counter — it could do more harm than good. Neil Patel, PharmD, BCOP, Director of Retail and Specialty Pharmacy and Investigational Drug Service at Children's Hospital of Philadelphia, reviews differ…
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Primary Care Perspectives: Counseling for Pre-Diabetes - Episode 157
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Unlike diabetes, the first line of treatment for prediabetes isn’t medication — but rather lifestyle modifications. Rachana D. Shah, MD, MsTR, Medical Director of the Healthy Weight Program at Children’s Hospital of Philadelphia, reminds primary care physicians about therapeutic options, reviews the American Academy of Pediatrics’ most recent scree…
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Primary Care Perspectives: Lipid Screening - Episode 156
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“To fast or not to fast?” When it comes to cholesterol screening, that is the question. Rachel Shustak, MD, and Jordy Martino, MSN, CRNP, an attending cardiologist and a nurse practitioner with the Lipid Heart Clinic at Children's Hospital of Philadelphia, respectively, provide answers to that age-old question plus non-pharmacologic approaches prov…
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Primary Care Perspectives: Vaccine Hesitancy - Episode 155
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If there’s one lesson the COVID pandemic taught us, it is that public health lives on a local level — and in order to learn from the community, we must listen to the individual. Angela K. Shen, ScD, MPH, Visiting Research Scientist at the Vaccine Education Center at Children’s Hospital of Philadelphia, addresses growing concerns over vaccines and h…
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Primary Care Perspectives: Nirsevimab (Beyfortus) - Episode 154
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For the first time, a preventative medicine is available to protect infants and high-risk toddlers from respiratory syncytial virus (RSV). Lori Handy, MD, MSCE, attending physician in the Division of Infectious Diseases at Children's Hospital of Philadelphia, details the science behind the monoclonal antibody, nirsevimab (Beyfortus) and its importa…
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Primary Care Perspectives: Fatal Poisonings - Episode 153
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It’s hard to call an opioid overdose an accident when it happens to a young child — at home and under supervision. Some fatal poisonings are deliberate or even malicious. But such is the opioid epidemic. Christopher E. Gaw, MD, MBE, assistant professor at Nationwide Children’s Hospital, shares the latest findings from his recent study on fatal pois…
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Primary Care Perspectives: Torticollis: 3 Types and Takeaways - Episode 152
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When thinking about physical therapy, babies may not necessarily come to mind. But in the case of congenital muscular torticollis patients, PT can have a profound impact on their motor development into early childhood. Meredith Caverow, PT, DPT, and Kristen Kouvel, PT, DPT, PCS, physical therapists at Children’s Hospital of Philadelphia, offer prim…
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Primary Care Perspectives: Syphilis: Prevalence and Prevention - Episode 151
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Snuffles, Hutchinson teeth and saber shins — what do these things all have in common? They are symptoms of syphilis. Also known as the “great mimicker,” syphilis can present itself in many ways. Ericka Hayes, MD, attending physician in the Division of Infectious Diseases at Children's Hospital of Philadelphia, addresses the growing problem of conge…
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Primary Care Perspectives: ADHD Medication Management - Episode 150
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Through no fault of their own, ADHD medications often bear the misconception of being ineffective — or worse, unsafe — yet they are the first line of treatment used by many physicians, including primary care pediatricians. Katrina A. Fletcher, MD, attending psychiatrist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences at…
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Primary Care Perspectives: The Future of Pediatrics - Episode 149
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Did you know that in the late 19th and early 20th centuries, there were “milk stations” that provided supervision of infant feeding and growth? The roots of pediatric care can be traced back to those early days, and there have been considerable changes since. With no signs of slowing down, pediatric care continues to evolve at a rapid pace. Katie K…
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Primary Care Perspectives: Managing Sinus Infections - Episode 148
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Have you heard that babies can’t get sinusitis because they don’t have sinuses? Not true! Mark Rizzi, MD, attending physician in the Division of Otolaryngology (ENT) at Children’s Hospital of Philadelphia, provides a useful review for primary care, including: an overview of sinus formation by age; allergic rhinitis and other pre-disposing factors; …
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Primary Care Perspectives: Somatic Symptom and Related Disorder - Episode 147
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Somatic symptoms are real; we all experience them. One Canadian study found that somatic complaints account for more than 25% of all primary care visits. Samuel Neher, MD, pediatric hospitalist at the Children’s Hospital of Philadelphia, introduces a new clinical pathway for Somatic Symptom and Related Disorder (SSRD) that suggests a standard of ca…
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Primary Care Perspectives: Considerations in Caring for Children in Foster Care - Episode 146
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Each year in the U.S., more than 400,000 children are in foster care. Jennifer Keim, MD, MPH, primary care pediatrician at the Nicholas and Athena Karabots Pediatric Care Center of Children’s Hospital of Philadelphia, provides a review of important considerations in primary care for these vulnerable children, including: explanations of common terms…
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Primary Care Perspectives: Intellectual Disabilities Clinical Pathway Review - Episode 145
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CHOP has a new primary care clinical pathway for the diagnostic evaluation of development delay and intellectual disability. Its co-authors, Elana Huang, MD, primary care pediatrician, CHOP Care Network, and Hana Alharbi, MBBS, MS, pediatric geneticist, University of Tabuk, Saudi Arabia (who did a fellowship at CHOP), review the pathway and how it …
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Primary Care Perspectives: Neighborhoods and Children’s Health - Episode 144
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It’s estimated that 20 percent of variation in health outcomes is due to medical and healthcare system factors. Environment makes up a significant portion of the other 80 percent. Stephanie Mayne, PhD, MHS, epidemiologist and research scientist at PolicyLab at Children’s Hospital of Philadelphia, provides information to help primary care clinicians…
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Primary Care Perspectives: Anxiety with Food Allergies - Episode 143
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Lunch at school. A birthday party. Dinner out. For kids with food allergies, everyday activities can be fraught. Megan Lewis, MSN, RN, CRNP, nurse practitioner and program manager, Food Allergy Center at Children’s Hospital of Philadelphia, and James (JP) Senter, MD, a third-year resident at CHOP, review: the extent to which food allergies affect q…
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Primary Care Perspectives: Mental Health and Congenital Heart Disease: A Review - Episode 142
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Children born with congenital heart disease (CHD), the most common birth defect in the U.S., are at greater risk for emotional and behavioral health concerns. Lyla El-Messidi Hampton, PhD, ABPP-CN, pediatric neuropsychologist and co-director of the Cardiac Kids Developmental Follow-up Program at CHOP, and Nicholas Seivert, PhD, psychologist in the …
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Primary Care Perspectives: Managing Pediatric Migraine Headaches in Primary Care - Episode 141
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Are occipital headaches always cause for alarm? What if the headache is always on the right side or the left side? What is a thunderclap headache? Ishani Kumar, MD, pediatric headache fellow, Division of Neurology, Children’s Hospital of Philadelphia, provides a review to help primary care providers manage migraine headaches, including: tips for ta…
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Primary Care Perspectives: Preventing Weight-based Harm in the Primary Care Setting - Episode 140
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How can pediatricians move away from "diet culture" and encourage children and teenagers to have healthy relationships with food, exercise and their bodies? Two experts from the Eating Disorder Assessment and Treatment Program at Children’s Hospital, Eleanor Benner, PsyD, MA, psychologist, and Kerri Heckert, MS, RD, LDN, clinical dietician, discuss…
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Primary Care Perspectives: Disability Awareness: How to improve communication and care for patients with disabilities - Episode 139
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Approximately one-quarter of Americans have disabilities. How can primary care pediatricians better support the health and goals of patients with disabilities? Danielle Barber, MD, PhD, attending physician, Division of Neurology, Children’s Hospital of Philadelphia, discusses: the World Health Organization’s International Classification of Function…
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Primary Care Perspectives: Hyperbilirubinemia: A review of updated guidelines - Episode 138
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Updated clinical practice guidelines for management of hyperbilirubinemia – including revised phototherapy thresholds – were published in August, the first major change since 2004. Joanna Parga-Belinkie, MD, attending neonatologist, Division of Neonatology, Children’s Hospital of Philadelphia, provides a review for the nursery and primary care clin…
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Primary Care Perspectives: Sex-Trafficking and Sexual Exploitation of Youth: The CHOP Adolescent Protection Collaborative (APC) Clinic - Episode 137
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The Adolescent Protective Collaborative (APC) at Children’s Hospital of Philadelphia is dedicated to providing a specialized medical home for youth who have experienced or are at high risk for sex trafficking. Primary care physicians can be partners in identifying and helping children who are victims. Guests Kali Hackett, MSW, MPH, a public health …
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Primary Care Perspectives: Is That a Bull’s Eye? Is Tick-testing a Thing? And More!: Tips for Recognizing Lyme Disease - Episode 136
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Lyme disease can be challenging to distinguish from many common pediatric infections. Michael Russo, MD, attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, reviews: disease history and incidence; disease stages, including early localized, early disseminated, and late; tips for distinguishing the Lyme-…
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Primary Care Perspectives: SMART Therapy for Asthma: A Review and Practical Tips - Episode 135
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The new SMART guidelines for children whose asthma is not well controlled, including use of one inhaler for maintenance and rescue, was a significant change to which both caregivers and providers are still adjusting. Tyra Bryant-Stephens, MD, Medical Director of the Community Asthma Prevention Program and Chief Health Equity Officer of the Center f…
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Primary Care Perspectives: Reflux Redux: A Review of Primary Care Management of GERD - Episode 134
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More than half of infants experience gastroesophageal reflux (GER) and 10-20% have gastroesophageal reflux disease (GERD), and guidelines for this issue often change. Here to help clear up confusion is Jefferson Brownell, MD, pediatric gastroenterologist, Children’s Hospital of Philadelphia. He first provides a review of red flags for referral to G…
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Primary Care Perspectives: Giftedness with Thomas Flynn - Episode 133
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Primary care physicians can play a key role in helping patients who are intellectually and cognitively gifted get the resources they need, including children who may otherwise be missed. Thomas Flynn, PhD, a pediatric neuropsychologist at Children’s Hospital of Philadelphia, discusses: characteristics a primary care physician can look for that may …
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Primary Care Perspectives: Diagnosing Lupus: The Details of Symptoms, Clinical Evaluation and Labs - Episode 132
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Lupus is one of the most common diseases in pediatric rheumatology, but it is complicated to diagnose because its symptoms can be broad and nonspecific, creating overlap with other diagnoses. Sarah Bayefsky, MD, a pediatric and adult rheumatology fellow at Children's Hospital of Philadelphia and the Hospital of the University of Pennsylvania, and M…
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Primary Care Perspectives: Understanding Vaccine Hesitancy in Black Families: A Discussion - Episode 131
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In the U.S., Black women are 3 times more likely to experience infant mortality and previously healthy Black children are 3.4 times more likely to die within 30 days after a surgery. What do these statistics – and many others around healthcare, housing and other topics – have to do with vaccine hesitancy? Everything. Latasha Easter, MD, a pediatric…
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Primary Care Perspectives: Swimmer’s Ear or Something Worse?: A Review of Otorrhea for the Primary Care Physician - Episode 130
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Did you know that lack of canal swelling should be a red flag in physical exam of otorrhea? Ryan Ruiz, MD, MS, attending physician, Division of Otolaryngology, Children’s Hospital of Philadelphia, provides a broad review, covering: key physical exam findings that indicate otitis externa; using antibiotic ear drops and/or oral antibiotics; when to c…
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Primary Care Perspectives: Mental, Emotional, Social and Physical Health: Benefits of Youth Sports Participation - Episode 129
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The Philadelphia Youth Sports Collaborative has more than 70 member organizations that help promote leadership, grit, and other important skills through sports. Beth DeVine, executive director, Philadelphia Youth Sports Collaborative, explains the term “sports-based youth development” and provides an overview of the organization’s goals and role, i…
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Primary Care Perspectives: Climate Change and Children’s Health: A Few Steps Pediatricians Can Take to Help - Episode 128
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Climate change has many health effects, yet doctors and patients don’t routinely discuss this topic. Harleen Marwah, MD, MS, a pediatric resident at Children’s Hospital of Philadelphia who is the founder of Medical Students for a Sustainable Future,provides an overview of the many ways climate changes affects children’s health, including prenatal h…
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Primary Care Perspectives: Of Fresh Fruit and Fuzzy Mouths: Managing Oral Allergy Syndrome in the Primary Care Setting - Episode 127
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How can a primary care physician be sure their patient’s oral allergy syndrome (OAS) is not another type of allergy that may require more aggressive management? Katie Kennedy, MD, attending physician, Division of Allergy and Clinical Immunology, Children’s Hospital of Philadelphia, discusses: how to get a history to distinguish between OAS and IgE-…
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Primary Care Perspectives: Sleep-related Death in Infants Is Common and Preventable - Episode 126
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In Philadelphia, sleep-related deaths (including SIDS, accidental suffocation, and unknown cause) are the second-highest cause of infant mortality, after prematurity. Two pediatricians, Roy Hoffman, MD, MPH, Medical Director, Fatality Review Program, Philadelphia Department of Public Health, who sees patients at a health department-run community he…
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Primary Care Perspectives: Emergency Room or Not? - Episode 125
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Parents worry when a child hits their head. This podcast will help inform the important decisions you need to make as a primary care provider, including whether to send them to the emergency room. Daniel Corwin, MD, MSCE, an emergency medicine physician and researcher at Children’s Hospital of Philadelphia, discusses acute (less than 24 hours) head…
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Primary Care Perspectives: Psychology-based Interventions Help Kids with Chronic Pain - Episode 124
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One in 4 children will have an episode of chronic pain before they reach adulthood, and kids with chronic pain are 3 times as likely to suffer anxiety or depression. How can primary care pediatricians help de-stigmatize the role of psychology in treatment for chronic pain? Jessica Collins, PsyD, and Christina Holbein, PhD, psychologists who run Com…
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Primary Care Perspectives: Inequities in Chlamydia Screening - Episode 123
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Chlamydia is the most commonly reported bacterial disease in the U.S., and half of the 1.8 million cases reported in 2019 were in youth. A recent publication by Kenisha Campbell, MD, MPH, and Sarah Wood, MD, MSHP, adolescent medicine physicians at Children’s Hospital of Philadelphia, showed providers are much more likely to screen Black adolescent …
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Primary Care Perspectives: Updated Developmental Milestones - Episode 122
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Less than a quarter of children with developmental disabilities receive early intervention services before age 3. The recent update to the “Learn the Signs: Act Early” guidelines is a step toward more children and families getting help sooner. Kate Wallis, MD, MPH, a developmental behavioral pediatrician at Children’s Hospital of Philadelphia, revi…
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Primary Care Perspectives: When Social Skills Are a Struggle: How the Primary Care Pediatrician Can Help - Episode 121
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Friendships and social bonds are integral to children’s health. How can a pediatrician help those struggling with social skills? Emily DePaul, BS, MPH, MA, who is a clinical research coordinator for the PriCARE Parenting Program and runs group social skills training for children with autism spectrum disorders (ASD), provides an overview of the impo…
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Primary Care Perspectives: Evaluating Neutropenia in Primary Care: CBC Basics, Red Flags and More - Episode 120
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How should a primary care physician evaluate neutropenia, and decide when it’s time to worry? Kandace Gollomp, MD, pediatric hematologist, Children’s Hospital of Philadelphia, discusses: tips for evaluating a CBC with differential; absolute neutrophil count (ANC) parameters for mild/moderate/severe neutropenia; when to worry about increased risk of…
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Primary Care Perspectives: Primary Care in the Opioid Epidemic: Supporting NAS and NOWS Babies and Their Moms - Episode 119
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Neonatal abstinence syndrome (NAS) and neonatal opioid withdrawal syndrome (NOWS) have skyrocketed as a result of the ongoing opioid epidemic. Celina C.S. Migone, MD, attending neonatologist, CHOP at Einstein Montgomery, discusses inpatient management of NAS and NOWS, including a new scoring system (replacing the Finnegan) and a move away from phar…
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Primary Care Perspectives: Infant Nutrition: Are Your Newborn and Infant Patients Getting Enough Vitamin D and Iron? - Episode 118
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The AAP recommends that infants get 400 IUs of vitamin D per day; fewer than 40% meet this guideline. Erica Schwab, RD, LDN, a clinical dietitian who supports the Division of Gastroenterology, Hepatology and Nutrition at Children’s Hospital of Philadelphia, discusses: why most babies, whether breast- or formula-fed, need vitamin D supplementation; …
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Primary Care Perspectives: Managing Anxiety in the Primary Care Setting - Episode 117
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Anxiety disorders collectively are the third most common psychiatric condition in children. Katrina Fletcher, MD, psychiatrist, and Jason Lewis, PhD, psychologist, Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, review: tools to screen and assess anxiety disorders; other diagnoses to consi…
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Primary Care Perspectives: Creative Approaches to Connection: About "Chalkin' Your Walkin'" - Episode 116
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Chalkin’ Your Walkin’ is a pandemic-era project to chalk inspirational messages on the South Street Bridge in Philadelphia, over which many healthcare workers walk and bike to work. The messages are created by Katie Woo Castelo, MSN, CRNP, a nurse practitioner in the Emergency Department at Children’s Hospital of Philadelphia, with help from her ki…
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Primary Care Perspectives: FPIES: A Complex Allergy with Serious Health Effects in Babies - Episode 115
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Food protein-induced enterocolitis syndrome, or FPIES, is a rare and different food allergy – non IgE-mediated, perhaps driven by T cells. About 20% of babies with acute FPIES present in shock to the CHOP ER. There isn’t a diagnostic test for FPIES. Amy Dean, MPH, RD, CSP, LDN, clinical dietitian, Gayle Diamond, MD, attending gastroenterologist, Te…
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Primary Care Perspectives: Grief in Children: How to Recognize Its Effects and Help Patients in the Primary Care Setting - Episode 114
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One in 5 children will experience the death of a loved one before age 18. Consuelo Cagande, MD, Division Chief, Community Care and Wellness Program, Children’s Hospital of Philadelphia, reviews the difference between grief and mourning; how children may grieve differently and the William Worden stages, which may be more applicable than the Kubler-R…
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Primary Care Perspectives: A Review of Juvenile Idiopathic Arthritis - Episode 113
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Symptoms tend to be worse in the morning. Approximately a quarter of cases present without pain. And erythema is not generally a sign. Jay Mehta, MD, MS, attending physician, Division of Rheumatology, Children’s Hospital of Philadelphia, reviews juvenile idiopathic arthritis (JIA), one of the most common chronic diseases of childhood. He discusses:…
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Primary Care Perspectives: Pizza Is OK for Breakfast – Sometimes!: Real-world Nutrition Tips for the Primary Care Setting - Episode 112
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Bridget Sullivan Garmisa, MSN, MS,CRNP, RD, a nurse practitioner and registered dietitian at a Children’s Hospital of Philadelphia primary care practice, discusses: tips for helping parents deal with picky eaters; importance of role-modeling by parents; how to help parents with common household challenges, such as having time to prepare a healthful…
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Primary Care Perspectives: Acupuncture in Pediatrics: A Review - Episode 111
16:24
16:24
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التشغيل لاحقا
قوائم
إعجاب
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16:24
More and more pediatric healthcare systems are incorporating acupuncture for pain management and other purposes. Dr. Winona Chua, attending physician, Division of General Pediatrics, and Douglas McDaniel, licensed acupuncturist, Cancer Center, Children’s Hospital of Philadelphia, discuss: a review of what acupuncture is, its history, and theories a…
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Primary Care Perspectives: Sleep Disordered Breathing - Episode 110
23:37
23:37
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23:37
Sleep-disordered breathing, including snoring and sleep apnea, affects up to 17 percent of youth, and the AAP recommends screening for it at every visit. Ariel Williamson, PhD, DBSM, psychologist, and Ignacio Tapia, MD, attending pulmonologist, of the Sleep Center at Children’s Hospital of Philadelphia, provide a review of high-risk populations for…
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