Portable Peds

Newborn- Necrotizing Enterocolitis (NEC)

Today we’ll be covering Necrotizing Enterocolitis (NEC), 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:

 

An infant was born weighing 1,250g at 30 weeks gestation due to premature rupture of membranes.  Pregnancy complications included maternal cocaine use and intrauterine growth restriction.  As feeds were introduced with donor breast milk, the infant appeared to have increased discomfort with feeds.  The baby went on to develop necrotizing enterocolitis, also known as NEC, at 20 days of life.  Which of the following is NOT a risk factor for the development of NEC?

 

1. Pre-term birth
2. Very low birth weight (defined as < 1,500g)
3. Intrauterine growth restriction
4. Maternal cocaine use
5. Feeding with donor breast milk

 

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- Indirect Hyperbilirubinemia

Today we’ll be covering Indirect Hyperbilirubinemia, 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 child presents to your primary care clinic, who is a three-day old exclusively breast-fed female of European descent born at 36 weeks gestation.  Pregnancy, labor, delivery, and post-natal course were uncomplicated.  Mom’s blood type was A+, and this is her first child.  The infant was discharged at 24 hours of life, and her bilirubin level at that time was 6mg/dL, all indirect, which corresponded to a low intermediate risk level for developing severe hyperbilirubinemia.  She appears jaundiced on exam, and you note that she has lost approximately 8% of her birth weight.  Her current total serum bilirubin is 12mg/dL, all indirect.  You continue to trend bilirubin levels in your office throughout the week.  Her total bilirubin level peaks on day of life four and is down-trending by day of life six. What is the most likely etiology of her jaundice?

 

1. Breast milk jaundice
2. Breastfeeding jaundice
3. ABO incompatibility
4. Biliary atresia
5. G6PD 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!

Newborn- Direct Hyperbilirubinemia

Today we’ll be covering Direct Hyperbilirubinemia, 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 four week old infant is brought into your primary care office.  She was born at 39w6d via uncomplicated home delivery and missed her newborn appointment.  Mom received appropriate prenatal care, and the pregnancy was uncomplicated.  The child’s birth weight was appropriate for age.  She has been breast feeding well and has continued to gain weight along the 30^th percentile.  She has had no fevers or other signs of illness. On exam the child is markedly jaundiced with prominent icteric sclera.  You note that she has a firm, palpable liver edge.  She has no dysmorphic features or murmurs on exam.  She has a stool in the office which is a pasty white color.  You check a total serum bilirubin which is notable for direct hyperbilirubinemia.  You also obtain an abdominal ultrasound, which is notable for a triangular fibrous mass at the porta hepatis.  What is the most likely diagnosis?  

 

1. Choledochal cyst 
2. Physiologic jaundice
3. Alagille syndrome
4. Biliary atresia
5. Galactosemia

 

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- Infectious Disease: CNS Infections

Today we’re reviewing the high-yield points from this month’s cases about Infectious Disease- CNS Infections. 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 4- Infectious Disease- Febrile Neonate

Episode 5- Infectious Disease- TORCH Infections

Episode 6- Infectious Disease- Meningitis

 

 

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!

 

Infectious Disease- Meningitis

Today we’ll be covering Meningitis, going along with this month’s theme, Infectious Disease- CNS 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 10 year old previously healthy male presents after 24 hours of non-remitting headache, intractable vomiting, and fevers to 104.1F at home. Mother brought the patient to the ED after symptoms continued to worsen, and she noticed him moving his neck less. No recent travel, but he did go to a sleepover recently and notes that one of the friends there had a “GI bug.” Given his symptoms, a lumbar puncture is performed, and the fluid obtained is noted to be clear and colorless with an opening pressure of 30 mmH20, WBC of 200, predominantly lymphocytes, protein low at 80 mg/dl, and glucose slightly elevated to 60 mg/dl. Serum glucose was 85. Given these results, what is the most likely etiology of this child’s symptomatology?

1. Bacterial meningitis
2. Subarachnoid hemorrhage
3. Fungal meningitis
4. Viral meningitis
5. Tuberculous meningitis

 

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!

Infectious Disease- TORCH Infections

Today we’ll be covering TORCH Infections, going along with this month’s theme, Infectious Disease- CNS 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 2 week old neonate presents to the outpatient office for a weight check after recently moving from out-of-state. No newborn records have been sent from the previous hospital, and the mother is unsure of her prenatal testing, although she states delivery was uneventful. She is concerned because of a rash that has developed over the past day, and he seems smaller compared to his older brother when he was the same age. On exam, you note a murmur, a petechial rash over his entire body, and his weight is below the first percentile. What is the most likely cause of this infant’s symptoms?

1. Congenital Parvovirus B19
2. Congenital Cytomegalovirus
3. Congenital Rubella
4. Congenital Syphilis
5. Congenital Toxoplasmosis

 

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!

 

Infectious Disease- Febrile Neonate

Today we’ll be covering Febrile Neonate Diagnosis and Management, going along with this month’s theme, Infectious Disease- CNS 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 9 day old male, born at 36 weeks gestation via normal spontaneous vaginal delivery presents to a pediatric emergency room due to increased fussiness, fever, and decreased oral intake. Maternal perinatal history is unremarkable aside from a mild flu-like illness in her first trimester and pre-term labor. Mother had negative serologies at delivery and no history of sexually transmitted infections. Delivery was uncomplicated, although placenta was noted to have presence of white nodules, and the infant did not require NICU admission. A full septic evaluation was performed with serum glucose 80, serum WBC 18.1 with neutrophilic predominance, and CSF analysis showing WBC 20,000, glucose 25, and protein 125. Blood, CSF, and urine cultures pending. What is the most likely diagnosis and the recommended empiric treatment?

 

1. Herpes simplex meningitis; acyclovir, ampicillin, and gentamicin
2. Group B strep meningitis; ampicillin, ceftriaxone, and gentamicin
3. Listeria Monocytogenes meningitis; ampicillin and gentamicin
4. Escherichia coli meningitis; ampicillin and gentamicin
5. Neisseria meningitidis meningitis; ampicillin, ceftriaxone, and gentamicin

 

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!

 

Immunizations- Influenza Part 2

Today we’ll be covering Influenza Live Vaccine Contraindications, going along with the theme for our premiere episodes, Immunizations.

 

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 3 year old female with history of asthma and cochlear implant was recently diagnosed with Kawasaki Disease and was treated appropriately at her local pediatric hospital. The patient also received a dose of Tamiflu (Oseltamivir) yesterday. The parents are requesting the patient receive a live attenuated influenza vaccine, but you counsel them that she should avoid a live influenza vaccine. Which of the following is NOT a reason to avoid the live attenuated influenza vaccine in this patient?

 

1. History of asthma
2. Recent administration of Tamiflu (Oseltamivir)
3. Cochlear implant
4. Age
5. Receiving aspirin or salicylate-containing medications

 

Link to one of the resources cited in this episode:

2013 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for Vaccination of the Immunocompromised Host

https://academic.oup.com/cid/article/58/3/e44/336537

 

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!

Immunizations- Influenza Part 1

Today we’ll be covering Influenza Vaccine Dosing, going along with the theme for our premiere episodes, Immunizations.

 

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 4 month-old full term Female with history of eczema and egg allergy presents for her 4 month well child visit in October. Mother is requesting an influenza vaccine be given with her scheduled 4 month vaccines. When questioned about the egg allergy, mom states that she had hives and respiratory distress after eating eggs previously. Should this patient receive the influenza vaccine at this visit?

 

1. No, her severe egg allergy is a contraindication to giving the vaccine.
2. No, she is not old enough to receive the vaccine at this visit.
3. Yes, she can receive the vaccine if monitored closely in clinic for signs of anaphylaxis.
4. Yes, she can receive the vaccine without additional monitoring.
5. Yes, she can receive the vaccine, but she will need a second vaccine dose.

 

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!

 

Immunizations- Tetanus

Today we’ll be covering Tetanus post-exposure prophylaxis, going along with the theme for our premiere episodes, Immunizations.

 

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 previously healthy male presents to the ED after stepping barefoot on a broken bottle on the beach. He has a jagged, deep laceration to his Right foot approximately 4cm in length. His immunization history is unknown. What tetanus post-exposure prophylaxis should this patient receive?

 

1. Tdap AND Tetanus Immunoglobulin
2. Tdap ONLY
3. Td ONLY
4. Neither Tdap or Tetanus Immunoglobulin
5. Tetanus Immunoglobulin ONLY

 

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!