Pediatric Commons

A community of pediatric learning, teaching, sharing and collaboration

Members

Photos

Loading…
  • Add Photos
  • View All

Forum

Is it safe to use asthma inhaler ou asthma medicine during pregnancy? Is it safe for mom and for baby! 1 Reply

It's very important to keep asthma under control during pregnancy because severe asthma attacks can be dangerous to the pregnancy.A commonly prescribed bronchodilatatato;salbutamol (ventolin) can be…Continue

Tags: pregnancy, asthma

Started by Dr Jalel BEN GHOZZIA. Last reply by Donna D'Alessandro May 8.

pediatric case 6 Replies

hello,young female 4y old with urinary tract  infection and her urine analysis show bus cells 100/HPFand her blood picture show :RBCes count:5.2 10^6/cmm , HB 9.4 g/dl ,HB% 58.8 % , haematocrete…Continue

Started by azza helal. Last reply by Donna D'Alessandro Mar 3.

brain death lecture 3 Replies

please add this lecture in the lectures section.Continue

Started by Ahmed A. Elkhirshy. Last reply by Ahmed A. Elkhirshy Feb 4.

 

Latest Activity

Donna D'Alessandro posted a blog post

What Are Risk Factors for Progression To Severe Disease with Bronchiolitis?

StoryA 14-month-old male came to clinic during the winter with a 2 day history of low grade fever to 100.6°F and rhinitis. The evening before he began to have more coughing that was not episodic nor barky and his parent noticed that he seemed to be breathing fast. He was drinking about half of his normal amounts and was still urinating. His parent denied cyanosis. The past medical history showed a healthy male who was fully immunized. He had never wheezed in the past nor had atopic dermatitis. The family history was positive for his mother who had asthma. The review of systems was otherwise normal.The pertinent physical exam showed a mildly ill appearing male with a respiratory rate of 35/minute, heart rate of 98 beats/minute and temperature of 99.4°. Pulse oximeter was 93%. His capillary refill was brisk and he had moderate secretions from his mouth and nose that were clear. HEENT was otherwise unremarkable. His lung examination had mild rhonchi that cleared with coughing. He also…See More
Monday
Donna D'Alessandro posted a blog post

What Are the Advantages of Human Donor Breastmilk?

StoryA 53-day-old former 32 week premature female came to clinic with her health supervision visit after discharge from the neonatal intensive care unit. She had been discharged 3 days ago and her parents reported that overall they were doing well. She had had a couple of spit-up episodes after feedings that were random and were only of breastmilk. She was bottle feeding 2 ounces every 3 hours of maternal and donor breast milk because of an insufficient maternal supply. The past medical history showed that she had been treated for hyperbilirubinemia for several days and ventilated for respiratory distress for 16 days. She had slow enteral feedings at first but once she would orally feed she had steady weight gain. She had all of her routine care including one set of immunizations prior to leaving the hospital. The family history was non-contributory.The pertinent physical exam showed a small, well-formed infant. Her weight was 3.136 kg (50%), length was 49.5 cm (50%) and head…See More
Dec 8
Donna D'Alessandro posted a blog post

Here’s an update to the Feb 20, 2012 case about disinfectants for warts

http://www.pediatriccommons.org/profiles/blogs/can-common-cleaners-kill-wartsA 2014 study of the susceptibility of HPV type 16 to clinical disinfectants found that HPV were susceptible to isopropanol, phenol and peracetic acid-silver disinfectant and hypochlorite after 45 minutes of exposure. Concentrations and viral types tested (native or quasivirions)  showed different patterns of susceptibility. Overall, the study found HPV is highly resistant to commonly used clinical disinfectants.Meyers J, Ryndock E, Conway MJ, Meyers C, Robison R. Susceptibility of high-risk human papillomavirus type 16 to clinical disinfectants. J Antimicrob Chemother. 2014 Jun;69(6):1546-50.See More
Dec 2
Donna D'Alessandro posted a blog post

Can I Use a Space Heater?

A 9-month-old male came to clinic for his health supervision visit. He was developing and growing well. His mother was concerned that as winter was coming on that his room temperature was too cold. "We were thinking about buying a space heater to keep it warmer in there. What do you think?" she asked. The past medical history showed a previously full-term infant with no health issues.The pertinent physical exam revealed a smiley infant with growth parameters in the 50-90% and normal vital signs. He had some general dry skin on exam. The diagnosis of a healthy male with general dry skin was made. The pediatrician discussed a variety of winter safety and health issues with the family including the use of emollients for dry skin. The pediatrician told the mother that he was concerned about the space heater use because of the increased risk of fire and burns that space heaters could cause. He recommended that they use an infant sleep sack along with a sleeper for the child if they were…See More
Dec 1
Pediatric Commons Curators left a comment for Tesa Wit
"Hello Tesa and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Nov 25
Profile IconTesa Wit and Jorge E>Montes joined Pediatric Commons
Nov 25
Pediatric Commons Curators left a comment for Jorge E>Montes
"Hello Jorge and Welcome to the Pediatric Commons Team! First look at the Welcome page: http://www.pediatriccommons.org/notes/Welcome Then please enter an interesting case into your Learning Portfolio at…"
Nov 24
Donna D'Alessandro posted a blog post

What Types of Patients Can Be Referred for Palliative Care Services?

StoryA 26-year-old male came to the inpatient unit for increasing respiratory distress. He had cystic fibrosis and over the past year had had frequent hospitalizations for respiratory distress, pneumonia and "tune-ups" and his pulmonary function was diminishing rapidly over the time. Over the past week he had been more tired and somnolent. He had an increased oxygen requirement with increased coughing and secretions. The coughing and oxygen make it difficult for him to communicate and he had told his mother that he wanted to come to the hospital now. He was well known to the hospital staff and his parents were always very attentive to him during his hospitalizations. The social history was that he was an only child. His mother was a homemaker and his father was a businessman.The pertinent physical exam showed a very thin male in moderate respiratory distress. He was breathing deeply 24 times/minute with frequent coughing. His saturation was only 88% on 2 liters of oxygen/minute by…See More
Nov 24
Olena left a comment for Olena
"Thank you!"
Nov 23
Pediatric Commons Curators left a comment for Dr. Md. Mahbub Hossain Sardar
"Hello and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a picture of…"
Nov 23
Dr. Md. Mahbub Hossain Sardar is now a member of Pediatric Commons
Nov 23
Pediatric Commons Curators left a comment for Olena
"Hello Olena and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Nov 20
Olena is now a member of Pediatric Commons
Nov 20
Pediatric Commons Curators left a comment for Syeda Nazish Azim
"Hello Syeda and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Nov 18
Syeda Nazish Azim is now a member of Pediatric Commons
Nov 18
Donna D'Alessandro posted a blog post

"I'm Just In the Band"

StoryA 13-year-old female came to clinic for her health supervision visit. She had no concerns except for a dry red rash on her chin. She said that she had it off and on but it had worsened in the past two weeks. She denied any new soaps, lotions, or cosmetics. The past medical history was non-contributory. The social history showed that she was doing well academically in 8th grade. She played the clarinet and was in a church-organization that performed community service.The pertinent physical exam revealed a healthy female with growth parameters in the 10-25%. Her skin examination showed some dry irritated skin about 2 cm wide that extended linerally from her lip to her chin. It did not appear infected. Her left index finger and right thumb also showed some irritated skin. She denied any changes in skin sensation or pain.The diagnosis of a healthy female with dermatitis was made. The physician asked more questions about her skin and the girl offered that she had been practicing her…See More
Nov 17
Donna D'Alessandro posted a blog post

"Which is More Accurate, the Hemoglobin or the Hematocrit?"

StoryPatient Presentation A 14-month-old female came to clinic for her health supervision visit and was found to be healthy and developmentally appropriate. She was drinking 16 ounces of whole milk/day and eating table foods. The family received assistance through federal food programs. Her screening laboratories showed a normal lead test, and a hemoglobin of 11.0 g/dl and hematocrit of 31%. The pediatrician decided to treat her with iron because of the low hematocrit despite the normal hemoglobin because of her social risk factors for iron deficiency anemia. The patient was seen back 6 weeks later by another pediatrician in the practice who obtained additional laboratories including a complete blood count and iron studies which were consistent with iron deficiency anemia. A discussion about when to begin empiric iron therapy and how much iron to treat with occurred with both pediatricians discussing the merits of different options. During the conversation, one asked the other,…See More
Nov 10
Donna D'Alessandro posted a blog post

Is This Bursitis?

StoryA 16-year-old male came to clinic as 5 hours earlier while in school he noted that his right elbow was swollen. He watched it for about an hour and thought that it was enlarging so he saw the school nurse. The nurse was concerned and called his parents who took him to a local urgent care center. Over that time, the elbow continued to swell. The family was not happy with the care provided at the urgent care center so they brought him to the pediatric clinic. He denied any trauma, pain or decreased motion. He denied any recent insect bites, minor scratches or pruritis. The past medical history showed a healthy male. The review of systems was negative for fever, rash, sore throat, cough, upper respiratory tract infection symptoms, genitourinary symptoms, emesis, diarrhea, nausea or headache.The pertinent physical exam showed a healthy male with normal vital signs and he was afebrile. His elbow was markedly swollen posteriorly with no external landmarks visible. There was a 5 cm…See More
Nov 3
Donna D'Alessandro posted a blog post

What Immunizations Can Pregnant and Postpartum Women Receive?

StoryPatient Presentation A 4-day-old male came to clinic for his followup newborn appointment. He was a full-term male, born by vaginal delivery without complications. His mother was a 26 year old female, G1P1, who had no prenatal or natal complications and received obstetrical care throughout her pregnancy. He was breastfeeding every 2-3 hours for 10-15 minutes and was having many wet diapers. He was stooling 4-5 times/day and the stools were starting to transition. His mother had received Tdap during pregnancy and his father received it in the nursery, but influenza vaccine was not available at the hospital. The pertinent physical exam revealed a vigorous infant, with a decrease in weight of 6% and other vital signs were normal. He was mildly jaundiced on the face but not the body. His examination was otherwise normal.The diagnosis of a healthy male infant was made. The pediatrician's office in a multispeciality group practice had just begun vaccinating patients for seasonal…See More
Oct 27
Pediatric Commons Curators left a comment for Jim Wischmeier
"Hello Jim and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Oct 24
 
 
 

Learning Portfolio Posts

What Are Risk Factors for Progression To Severe Disease with Bronchiolitis?

Posted by Donna D'Alessandro on December 15, 2014 at 12:30am 0 Comments

Story

A 14-month-old male came to clinic during the winter with a 2 day history of low grade fever to 100.6°F and rhinitis. The evening before he began to have more coughing that was not episodic nor barky and his parent noticed that he seemed to be breathing fast. He was drinking about half of his normal amounts and was still urinating. His parent denied cyanosis. The past medical history showed a healthy male who was fully immunized. He had never wheezed in the…

Continue

What Are the Advantages of Human Donor Breastmilk?

Posted by Donna D'Alessandro on December 8, 2014 at 12:30am 0 Comments

Story

A 53-day-old former 32 week premature female came to clinic with her health supervision visit after discharge from the neonatal intensive care unit. She had been discharged 3 days ago and her parents reported that overall they were doing well. She had had a couple of spit-up episodes after feedings that were random and were only of breastmilk. She was bottle feeding 2 ounces every 3 hours of maternal and donor breast milk because of an insufficient maternal supply.…

Continue

Here’s an update to the Feb 20, 2012 case about disinfectants for warts

Posted by Donna D'Alessandro on December 2, 2014 at 3:00pm 0 Comments

http://www.pediatriccommons.org/profiles/blogs/can-common-cleaners-kill-warts

A 2014 study of the susceptibility of HPV type 16 to clinical disinfectants found that HPV were susceptible to isopropanol, phenol and peracetic acid-silver disinfectant and hypochlorite after 45 minutes of exposure. Concentrations and viral types tested (native or quasivirions)  showed different patterns of…

Continue

Can I Use a Space Heater?

Posted by Donna D'Alessandro on December 1, 2014 at 12:30am 0 Comments

A 9-month-old male came to clinic for his health supervision visit. He was developing and growing well. His mother was concerned that as winter was coming on that his room temperature was too cold. "We were thinking about buying a space heater to keep it warmer in there. What do you think?" she asked. The past medical history showed a previously full-term infant with no health issues.

The pertinent physical exam revealed a smiley infant with growth parameters in…

Continue

What Types of Patients Can Be Referred for Palliative Care Services?

Posted by Donna D'Alessandro on November 24, 2014 at 12:30am 0 Comments

Story

A 26-year-old male came to the inpatient unit for increasing respiratory distress. He had cystic fibrosis and over the past year had had frequent hospitalizations for respiratory distress, pneumonia and "tune-ups" and his pulmonary function was diminishing rapidly over the time. Over the past week he had been more tired and somnolent. He had an increased oxygen requirement with increased coughing and secretions. The coughing and oxygen make it difficult for him to…

Continue

"I'm Just In the Band"

Posted by Donna D'Alessandro on November 17, 2014 at 12:30pm 0 Comments

Story

A 13-year-old female came to clinic for her health supervision visit. She had no concerns except for a dry red rash on her chin. She said that she had it off and on but it had worsened in the past two weeks. She denied any new soaps, lotions, or cosmetics. The past medical history was non-contributory. The social history showed that she was doing well academically in 8th grade. She played the clarinet and was in a church-organization that performed…

Continue

"Which is More Accurate, the Hemoglobin or the Hematocrit?"

Posted by Donna D'Alessandro on November 10, 2014 at 12:30am 0 Comments

Story

Patient Presentation

A 14-month-old female came to clinic for her health supervision visit and was found to be healthy and developmentally appropriate. She was drinking 16 ounces of whole milk/day and eating table foods. The family received assistance through federal food programs. Her screening laboratories showed a normal lead test, and a hemoglobin of 11.0 g/dl and hematocrit of 31%. The pediatrician decided to treat her with iron because of the low…

Continue

Is This Bursitis?

Posted by Donna D'Alessandro on November 3, 2014 at 12:30am 0 Comments

Story

A 16-year-old male came to clinic as 5 hours earlier while in school he noted that his right elbow was swollen. He watched it for about an hour and thought that it was enlarging so he saw the school nurse. The nurse was concerned and called his parents who took him to a local urgent care center. Over that time, the elbow continued to swell. The family was not happy with the care provided at the urgent care center so they brought him to the pediatric clinic. He…

Continue

What Immunizations Can Pregnant and Postpartum Women Receive?

Posted by Donna D'Alessandro on October 27, 2014 at 12:30am 0 Comments

Story

Patient Presentation

A 4-day-old male came to clinic for his followup newborn appointment. He was a full-term male, born by vaginal delivery without complications. His mother was a 26 year old female, G1P1, who had no prenatal or natal complications and received obstetrical care throughout her pregnancy. He was breastfeeding every 2-3 hours for 10-15 minutes and was having many wet diapers. He was stooling 4-5 times/day and the stools were starting to…

Continue

Is Enterovirus D68 A New Virus?

Posted by Donna D'Alessandro on October 20, 2014 at 12:30am 0 Comments

Story

A 3-year-old male came to clinic with fever, runny nose and cough for 36 hours. His parents had treated him with ibuprofen which helped but they felt he was now wheezing. He had no history of asthma or other respiratory problems. He did attend day care and there had been several other children with similar illnesses, and enteroviruses were circulating in the community. He was drinking and urinating well. The past medical history showed upper respiratory…

Continue

© 2014   Created by Pediatric Commons Curators.

Badges  |  Report an Issue  |  Terms of Service

Pediatric Commons is curated by Donna M. D'Alessandro, M.D. [Google+ Profile] and by Michael P. D'Alessandro, M.D.

Copyright (©) 2008-2014 Pediatric Commons. All rights reserved.

URL: http://www.pediatriccommons.org/