Portable Peds

Infectious Disease: Chest- Infective Endocarditis

Today we’ll be covering Infective Endocarditis, going along with this month’s theme, Infectious Disease- Chest Infections. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

Today’s Case:

 

A previously healthy 7 year old male was admitted to the ICU following a TBI.  A PICC line was placed as part of his therapy.  As he recovers, he develops persistent fevers, arthralgias, and malaise.  On exam, a new heart murmur is noted.  His blood cultures are positive, and due to the new heart murmur, an echocardiogram is obtained.  The echocardiogram demonstrates a new endocardial vegetation confirming the diagnosis of infective endocarditis.  Which organism is most likely growing in his blood cultures?

 

1. An Enterococcus species
2. Viridans group Streptococci
3. Staphylococcus aureus
4. Coagulase negative Staphylococci
5. A Salmonella species

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Review- Cardiology

Today we’re reviewing the high-yield points from this month’s cases about Cardiology. Our review episodes are normally released the last week of every month and are not case-based, which differs from the episodes released earlier in the month.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

Our Cases from Earlier This Month:

 

Episode 26- Cardiology- Dyslipidemia

 

Episode 27- Cardiology- Cyanotic Congenital Heart Disease (CHD)

 

Episode 28- Cardiology- Acyanotic Congenital Heart Disease (CHD)

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Cardiology- Acyanotic Congenital Heart Disease (CHD)

Today we’ll be covering Acyanotic Congenital Heart Disease (CHD), going along with this month’s theme, Cardiology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

Today’s Case:

 

A two and a half week old infant presents to the emergency department with poor feeding and decreased urine output for the past 24 hours.  She is tachycardic, tachypneic, and in acute distress. An ABG from her right wrist is obtained, and her PaO2 is > 100mmHg with signs of metabolic acidosis.  She has had no fevers or other sick symptoms.  You obtain four-extremity blood pressures, and there is a 25mmHg gradient between the right upper extremity and the lower extremities. Which murmur is associated with the most likely diagnosis?

1. A fixed split S2 loudest at the pulmonic region
2. A harsh pan-systolic murmur
3. No murmur
4. A continuous machine-like murmur over the left precordium
5. A harsh systolic murmur that is loudest on the back

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Cardiology- Cyanotic Congenital Heart Disease (CHD)

Today we’ll be covering Cyanotic Congenital Heart Disease (CHD), going along with this month’s theme, Cardiology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

Today’s Case:

 

A mother with scant prenatal care gives birth.  Almost immediately following delivery, the infant is cyanotic.  An ABG is obtained, and the PaO2 is 35mmHg.  The infant is exposed to 100% FiO2 for 10 minutes, and a repeat ABG is obtained.  The PaO2 remains at 35mmHg.  A chest x-ray is obtained and demonstrates an “egg on a string” appearance.  An echocardiogram confirms the diagnosis, and the patient is taken emergently for an atrial balloon septostomy until definitive surgical correction can be prepared.  What is the most likely underlying lesion/lesions?

1. A VSD, an overriding aorta, right ventricular outflow obstruction, and right ventricular hypertrophy
2. Parallel pulmonary and systemic circulation
3. A common truncal outflow tract and truncal valve
4. Abnormal return of the pulmonary veins
5. Absence of the tricuspid valve

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Cardiology- Dyslipidemia

Today we’ll be covering Dyslipidemia, going along with this month’s theme, Cardiology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

Today’s Case:

 

An 11 year old presents to your office for a routine well child check.  In discussing their diet, you find that they are eating foods high in saturated fat and low in fiber.  Their BMI is 31, and they have not yet reached puberty.  They have a family history of a myocardial infarction in their maternal grandfather at the age of 48.  You perform a routine lipid screening profile, and their LDL level is 170mg/dL.  You recommend dietary modifications, and six months later you repeat an LDL level, which is now 165mg/dL. What is the most appropriate next step?

 

1. Do nothing; their LDL will continue to naturally decrease through puberty
2. Repeat a level in 6 months as their LDL level is below the treatment threshold
3. Continue dietary modifications only, as there are no FDA approved medications for adolescents with dyslipidemia 
4. Start an HMG-CoA reductase inhibitor
5. Start a cholesterol absorption blocker

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Review- Adolescent Medicine

Today we’re reviewing the high-yield points from this month’s cases about Adolescent Medicine. Our review episodes are released the last week of every month and are not case-based, which differs from the episodes released earlier in the month.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

This month we are also joined by our wonderful guest host, Dr. Nimisha Bajaj! She created all of the cases for this month, and we are so happy to have her join us! Feel free to check her social media for more thought-provoking and insightful content, @NimishaBajaj2 (https://mobile.twitter.com/NimishaBajaj2).

 

Our Cases from Earlier This Month:

 

Episode 21- Adolescent- Male Sexually Transmitted Infections (STIs)

 

Episode 22- Adolescent- Abnormal Uterine Bleeding (AUB)

 

Episode 23- Adolescent- Female Athlete Triad

 

Episode 24- Adolescent- Gender Dysphoria & Transgender Health

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Adolescent- Gender Dysphoria & Transgender Health

Today we’ll be covering Gender Dysphoria, going along with this month’s theme, Adolescent Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

This month we are also joined by our wonderful guest host, Dr. Nimisha Bajaj! She created all of the cases for this month, and we are so happy to have her join us! Feel free to check her social media for more thought-provoking and insightful content, @NimishaBajaj2 (https://mobile.twitter.com/NimishaBajaj2).

 

Today’s Case:

 

A 15 year-old transgender male comes to the clinic for a well visit and for referral to the transgender health clinic. While his mother is in the room for the first part of the visit, you noticed he is appropriate, but more quiet and subdued, and you can see he is not answering questions fully.  His PHQ-9 is elevated, and he suffers from insomnia, both of which concern his mother. She also continually refers to him as “she” and by the name assigned at birth.  When his mother leaves the room, his affect changes completely, and he is bubbly and engaging.  He is interested in testosterone therapy and access to a binder, but he knows his mother would not approve; in fact, he acknowledges that this is causing his dysphoria and insomnia. He states he wants to fully be himself but does not want to ruin his relationship with his mother.

 

Transgender adolescents are likely to experience an increased risk of which of the following:

1. Suicide
2. Depression
3. Physical violence
4. Systemic oppression
5. All of the above

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Adolescent- Female Athlete Triad

Today we’ll be covering Female Athlete Triad, going along with this month’s theme, Adolescent Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

This month we are also joined by our wonderful guest host, Dr. Nimisha Bajaj! She created all of the cases for this month, and we are so happy to have her join us! Feel free to check her social media for more thought-provoking and insightful content, @NimishaBajaj2 (https://mobile.twitter.com/NimishaBajaj2).

 

Today’s Case:

 

A 14 year-old female presents to clinic to be evaluated for intermittent lightheadedness.  You notice on her growth chart that she has been losing weight steadily for the past several months.  When you probe further, you realize that despite a BMI of 16, she still feels that she needs to lose weight.  She joined the cross country team at her high school, but has been running an extra several miles every day in addition to practice.  She is also vegan and has been restricting her daily intake to 800 calories.  The last menstrual period she had was 6 months ago.

Which of the following is the most important screening test in this patient?

 

1. Dual-energy X-ray absorptiometry scan
2. Vital signs
3. Electrolytes, especially K, Mg, and PO4
4. Thyroid stimulating hormone and Free thyroxine
5. Electrocardiogram

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Adolescent- Abnormal Uterine Bleeding (AUB)

Today we’ll be covering Abnormal Uterine Bleeding (AUB), going along with this month’s theme, Adolescent Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

Today’s Case:

 

A 17 year-old female with a history of migraines with aura presents for a follow up appointment after completing treatment to abate menstrual bleeding that was ongoing for 3 weeks.  She has a history of heavy periods that typically last at least 1 week, during which she has to change her tampon every 2-3 hours.  She has no known underlying bleeding disorder.  She would like to start a long-term medication that has the ability to manage her heavy menstrual bleeding and prevent pregnancy.  She has never used any method of contraception before and has never been pregnant. Which of the following is the most effective and appropriate method of contraception for this patient?

 

1. Copper intrauterine device
2. Progesterone-containing intrauterine device
3. Combined estrogen/progesterone vaginal ring
4. Combined estrogen/progesterone pill
5. Regular condom use

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Adolescent- Male Sexually Transmitted Infections (STIs)

Today we’ll be covering Male Sexually Transmitted Infections (STIs), going along with this month’s theme, Adolescent Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

 

Follow the podcast on social media:

Facebook- @portablepeds (www.facebook.com/portablepeds)

Twitter- @portablepeds (www.twitter.com/portablepeds)

 

We'd love to hear from you via email at portablepeds@gmail.com!

 

Also, feel free to visit our website, www.portablepeds.com, for more content.

 

This month we are also joined by our wonderful guest host, Dr. Nimisha Bajaj! She created all of the cases for this month, and we are so happy to have her join us! Feel free to check her social media for more thought-provoking and insightful content, @NimishaBajaj2 (https://mobile.twitter.com/NimishaBajaj2).

 

Today’s Case:

 

A 17 year old previously healthy male presents for an annual physical exam. When examining his genitals, you notice a small ulcer on his penis that he had not seen before. It is painless, and he denies other symptoms, including fever, dysuria, and penile discharge. It is a solitary ulcer with smooth, firm borders and no underlying erythema or skin color changes. He also has no inguinal lymphadenopathy. He reports unprotected penile-vaginal intercourse with 2 separate partners in the last few weeks, but he is unsure about their STI status. You send the appropriate diagnostic studies, which are pending. Given his symptoms and the most likely diagnosis, what is the next best step to treat this adolescent?

1. 400 mg oral Acyclovir 3 times per day for 7 days
2. 1g oral Azithromycin in a single dose
3. 250 mg IM Ceftriaxone in a single dose with 1g oral Azithromycin in a single dose
4. 4 million units IM Penicillin G
5. Initiate antiretroviral therapy

 

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

 

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

 

Intro/Outro- Hotshot by Scott Holmes

 

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

 

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

 

Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!