Portable Peds

Review- Immunology

Today we’re reviewing the high-yield points from this month’s cases about Immunology. 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.

 

Our Cases from Earlier This Month:

 

Episode 17- Immunology- Humoral Immunodeficiencies

 

Episode 18- Immunology- T-cell Immunodeficiencies

 

Episode 19- Immunology- Innate Immunodeficiencies

 

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!

Immunology- Innate Immunodeficiencies

Today we’ll be covering Innate Immunodeficiencies, going along with this month’s theme, Immunology. 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 12 year-old male presented to the ED for fever and appearing “very ill” according to his mother. On history, the mother states he has had multiple episodes of skin abscesses, sinusitis, and pneumonia since birth. This patient was subsequently admitted to the PICU and diagnosed with an immunodeficiency in the accelerated phase based on a blood smear showing giant azurophilic granules in neutrophils. Unfortunately, he passed away shortly after admission. Which of the following organisms was likely the cause of this child’s death?

 

1. Neisseria meningitidis
2. Staphylococcus aureus
3. Nocardia
4. Epstein-Barr Virus
5. Aspergillus

 

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!

Immunology- T-cell Immunodeficiencies

Today we’ll be covering T-cell Immunodeficiencies, going along with this month’s theme, Immunology. 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 5 year old male presents to the emergency room with 3 days of fever and decreased activity levels. On physical exam, there is cervical lymphadenopathy, evidence of pharyngitis with significant hyperemia, and hepatosplenomegaly present. Initial lab work showed leukopenia with a relative lymphopenia, thrombocytopenia, and significant transaminitis. He was admitted, and further work up revealed an elevated LDH and positive EBV acute infection with significant viral load. Throughout the following two weeks, he developed fulminant liver failure with significant coagulopathy and persistently increasing viremia and eventually passed away due to septicemia. Of the following, which diagnosis is most consistent with this presentation?

 

1. Wiskott-Aldrich syndrome
2. X-linked lymphoproliferative syndrome
3. Chronic mucocutaneous candidiasis
4. DiGeorge syndrome
5. Zeta-associated protein 70 (ZAP-70) deficiency

 

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!

Immunology- Humoral Immunodeficiencies

Today we’ll be covering Humoral Immunodeficiencies, going along with this month’s theme, Immunology. 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 2 year old male presents to your primary care office for a well child check.  He was lost to follow up since his 9 month well child check. The child’s mother would like a referral to ENT because she believes that the child needs to have ear tubes placed due to recurrent ear infections. Upon further questioning, the mother notes that he has had at least six ear infections in the past year.  She also reports that he has been treated twice for pneumonia.  He has been attending a home daycare since his first birthday.  Family history is notable for a maternal uncle who required frequent antibiotics for infections when he was younger, and mom notes that he now frequently receives an “IV medication” to help.  She also believes that one of her great uncles passed away from a lung infection when he was a young child.  What is the most likely underlying cause of this child’s diagnosis?

 

1. Frequent viral infections
2. An accentuation of a physiologic nadir of immunoglobulins
3. A block in the development from pre-B cell to mature B cell 
4. Failure of B cells to terminally differentiate into plasma cells that secrete IgA 
5. Impaired B cell differentiation with defective immunoglobulin production

 

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- Metabolic Disorders

Today we’re reviewing the high-yield points from this month’s cases about Metabolic Disorders. 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.

 

Our Cases from Earlier This Month:

 

Episode 13- Metabolic- Glycogen Storage Disorders

 

Episode 14- Metabolic- Lysosomal Storage Disorders

 

Episode 15- Metabolic- Amino Acidopathies

 

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!

Metabolic- Amino Acidopathies

Today we’ll be covering Amino Acidopathies and Carbohydrate Disorders, going along with this month’s theme, Metabolic Disorders. 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 five-day old infant presents to the emergency department via ambulance.  The mother is extremely worried because her infant has had progressively worsening sleepiness and has been feeding poorly.  She was unable to wake the infant from their nap today, so EMS was called.  She feels like the infant’s arms and legs are stiffer than normal.  On exam, you note that the infant is difficult to arouse and is hypertonic.  You are removing their diaper to complete your assessment and note a sweet odor.  Which of the following has a high serum concentration in this infant leading to their current symptoms?

 

1. Galactose
2. Leucine 
3. Tyrosine
4. Phenylalanine
5. Homocysteine 

 

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!

Metabolic- Lysosomal Storage Disorders

Today we’ll be covering Lysosomal Storage Disorders, going along with this month’s theme, Metabolic Disorders. 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 worried mother presents to your outpatient pediatric office with her 2 and a half year old son after scrapbooking during her free time in the pandemic. She states that he has overall been healthy without concern and because of the pandemic, they have not been in to see you for over a year. She became concerned a few days ago when she noticed that compared to previous pictures, her son’s nose, tongue, lips, cheeks, and head have become bigger and he seems more “stiff” than before. On your exam, you note an inguinal hernia on the right, hepatomegaly, stiff joints, coarse facial features, and an unremarkable ophthalmologic exam. CBC in your lab is unremarkable. Which disease and appropriately paired genetic inheritance pattern are you most suspicious of?

 

1.   Hurler syndrome, X-linked recessive inheritance
2.   Hunter syndrome, X-linked recessive inheritance
3.   Tay-Sachs disease, Autosomal recessive inheritance
4.   Gaucher disease, Autosomal recessive inheritance
5.   Niemann-Pick Disease, X-linked recessive inheritance

 

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!

 

Metabolic- Glycogen Storage Disorders

Today we’ll be covering Glycogen Storage Disorders, going along with this month’s theme, Metabolic Disorders. 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 2 month old male infant born at 39 weeks gestation via SVD as a home birth presents to the ED for respiratory distress. Pt is tachypneic and tachycardic with global retractions, head bobbing, and grunting. Pt was placed on BiPAP, and a chest X-ray was then obtained, which showed marked cardiomegaly. Subsequent EKG showed left ventricular hypertrophy. On further examination, pt was also noted to have hepatomegaly, macroglossia, and hypotonia. What enzyme is likely deficient in this patient?

 

1. Glucose-6-Phosphatase 
2. Acid Alpha-Glucosidase
3. Glycogen Debranching Enzyme
4. Myophosphorylase
5. Phosphofructokinase

 

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- Newborn Medicine

Today we’re reviewing the high-yield points from this month’s cases about Newborn 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.

 

Our Cases from Earlier This Month:

 

Episode 8- Newborn- Direct Hyperbilirubinemia

 

Episode 9- Newborn- Indirect Hyperbilirubinemia

 

Episode 10- Newborn- Necrotizing Enterocolitis (NEC)

 

Episode 11- Newborn- Respiratory Distress

 

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!

Newborn- Respiratory Distress

Today we’ll be covering Respiratory Distress of the Newborn, going along with this month’s theme, Newborn 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 female infant is born at 38 weeks gestation to a G2P1 mother with known gestational diabetes via scheduled, repeat C-section. Initial Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. About an hour later, the child begins to develop tachypnea (RR 70), nasal flaring, and grunting, which improves with supplemental oxygen via nasal cannula. A chest X-ray is obtained, which showed findings consistent with the diagnosis of Transient Tachypnea of the Newborn. What findings would be expected on chest X-ray for this patient?

 

1. Diffuse parenchymal infiltrates with fluid in the interlobar fissure
2. Diffuse parenchymal infiltrates with air bronchograms or lobar consolidation
3. Diffuse, bilateral ground-glass opacities with air bronchograms
4. Diffuse, patchy infiltrates with areas of hyperinflation
5. Left-sided intrathoracic stomach bubble with shift of the mediastinum and cardiac silhouette to the right

 

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!