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The focus of the MCG Pediatric Podcast is to produce educational material on pediatric general and subspecialty topics that will be helpful in everyday clinical practice. These discussions will be led by our pediatric residents with a general or subspecialty faculty member who is an expert in the field.
Episodes
Tuesday Dec 01, 2020
Tuesday Dec 01, 2020
Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine.
What exactly is Kawasaki disease and why is this topic so important?
How do you make the diagnosis and what other diagnoses should you consider?
How can you diagnosis incomplete Kawasaki when the classic features are not all present?
What is the first-line treatment?
When should you get an echocardiogram?
When should you get your referral center involved?
All of this and more from the Department of Pediatrics and the Medical College of Georgia.
Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php
Special thanks to Dr. Reda Bassali, Dr. Leizl Domingo and Dr. Julisa Patel for providing peer review for this episode.
Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu
Further Reading? Check out the clinical practice guideline from the American Heart Association with citation below.
McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association [published correction appears in Circulation. 2019 Jul 30;140(5):e181-e184]. Circulation. 2017;135(17):e927-e999. doi:10.1161/CIR.0000000000000484
Sunday Nov 15, 2020
Sunday Nov 15, 2020
Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine.
What exactly is bronchiolitis and why is this topic so important?
How do you make the diagnosis and what other diagnoses should you consider?
What treatments work, and more importantly, which treatments do not?
What patients can go home and who needs to be admitted?
All of this and more from the Department of Pediatrics and the Medical College of Georgia.
Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php
Special thanks to Dr. Kathryn McLeod for providing peer review for this episode.
Citation:
Hodges, Z. (Host). Bassali, R. (Host). Mendel, G. (Host). McLeod, K. (Contributor). (2020, Nov 15). Bronchiolitis. (S1:18) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.
Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu
Links:
NoseFrida-- https://www.nosefrida.com
References/further reading:
- Silver AH, Nazif JM. Bronchiolitis. Pediatr Rev. 2019;40(11):568-576. doi:10.1542/pir.2018-0260
- Ralston SL, Lieberthal AS, Meissner HC, et al. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis [published correction appears in Pediatrics. 2015 Oct;136(4):782]. Pediatrics. 2014;134(5):e1474-e1502. doi:10.1542/peds.2014-2742
- Florin TA, Plint AC, Zorc JJ. Viral bronchiolitis. Lancet. 2017;389(10065):211-224. doi:10.1016/S0140-6736(16)30951-5
- Cunningham S, Rodriguez A, Adams T, et al. Oxygen saturation targets in infants with bronchiolitis (BIDS): a double-blind, randomised, equivalence trial. Lancet. 2015;386(9998):1041-1048. doi:10.1016/S0140-6736(15)00163-4
- Franklin D, Babl FE, Schlapbach LJ, Oakley E, Craig S, Neutze J, Furyk J, Fraser JF, Jones M, Whitty JA, Dalziel SR, Schibler A. A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. N Engl J Med. 2018 Mar 22;378(12):1121-1131. doi: 10.1056/NEJMoa1714855. PMID: 29562151.
- Lin J, Zhang Y, Xiong L, Liu S, Gong C, Dai J. High-flow nasal cannula therapy for children with bronchiolitis: a systematic review and meta-analysis. Arch Dis Child. 2019 Jun;104(6):564-576. doi: 10.1136/archdischild-2018-315846. Epub 2019 Jan 17. PMID: 30655267.
Sunday Nov 01, 2020
Sunday Nov 01, 2020
Dr. Charles Scarborough joins the show to discuss the story of his son Jude, and his family's experience with his son's diagnosis with 22q11 deletion syndrome.
In addition to hearing about the Scarborough's personal experience, we talk about the genetic considerations and common clinical manifestations of 22q11.2 deletion syndrome.
How do you approach the general diagnostic testing and screening evaluation of a child with 22q11.2 deletion syndrome?
We also discuss the impact that genetic and chronic disease has on our pediatric patients and their families.
Thanks to Dr. Paul Mann, Dr. Liezl Domingo and Dr. Jacqueline Chan for providing guidance and peer review of the technical material in this episode.
Citation:
Hodges, Z. (Host). Scarborough, C. (Host). Mann, P. (Contributor). Chan, J. (Contributor). Domingo, L. (Contributor). (2020, Nov 1). Jude’s Story/22q11 Deletion Syndrome. (S1:17) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.
Links:
MCG Pediatric Podcast: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php
Georgia Medicaid Katie Beckett: https://medicaid.georgia.gov/programs/all-programs/tefrakatie-beckett
Clinica La fuente in Cusco, Peru http://www.lafuenteclinica.com/clinic-ingles/
If you would like to donate to Clinica La fuente https://www.mtw.org/projects/details/pe-la-fuente-centro-de-salud-integral
Questions or comments? Contact us by email at mcgpediatricpodcast@augusta.edu
References:
Cohen JL, Crowley TB, McGinn DE, et al. 22q and two: 22q11.2 deletion syndrome and coexisting conditions. Am J Med Genet A. 2018;176(10):2203-2214. doi:10.1002/ajmg.a.40494
Campbell IM, Sheppard SE, Crowley TB, et al. What is new with 22q? An update from the 22q and You Center at the Children's Hospital of Philadelphia. Am J Med Genet A. 2018;176(10):2058-2069. doi:10.1002/ajmg.a.40637
Vorstman JA, Jalali GR, Rappaport EF, Hacker AM, Scott C, Emanuel BS. MLPA: a rapid, reliable, and sensitive method for detection and analysis of abnormalities of 22q. Hum Mutat. 2006;27(8):814-821. doi:10.1002/humu.20330
McDonald-McGinn DM, Sullivan KE. Chromosome 22q11.2 deletion syndrome (DiGeorge syndrome/velocardiofacial syndrome). Medicine (Baltimore). 2011;90(1):1-18. doi:10.1097/MD.0b013e3182060469
Bassett AS, McDonald-McGinn DM, Devriendt K, et al. Practical guidelines for managing patients with 22q11.2 deletion syndrome.J Pediatr. 2011;159(2):332-9.e1. doi:10.1016/j.jpeds.2011.02.039
Thursday Oct 15, 2020
Thursday Oct 15, 2020
Dr. April Hartman, Dr. Zachary Hodges, and MS4 Rachel Vaizer join the show to discuss adverse childhood experiences and screening for them in the pediatric clinic.
What are the key questions to ask?
What are adverse childhood experiences and how do they affect a child’s long-term health?
How do you bring up the concept of adverse childhood experiences with parents?
How do you screen for ACEs and what do we do with a positive screen at a clinic visit?
All of this and more from the Department of Pediatrics at the Medical College of Georgia.
Check out our website: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php
Special thanks to Dr. Lisa Leggio and Dr. Christopher Drescher for providing peer review for this episode.
Citation:
Hodges, Z. (Host). Hartman, A. (Host). Vazier, R. (Host). Leggio, L. (Contributor). Drescher, C. (Contributor). (2020, October 15). Adverse Childhood Events. (S1:16) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.
Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu
Resources from this episode:
- Screening Resources
- Bright Futures Questionnaire: https://brightfutures.aap.org/materials-and-tools/tool-and-resource-kit/Pages/Medical-Screening-Reference-Tables.aspx
- Pediatric ACEs and Related Life Events Screener (PEARLS) by Bay Area Research Consortium on Toxic Stress and Health: https://www.acesaware.org/screen/screening-tools/
- Community Resources
- Big Brother/Big Sister: https://www.bbbs.org/
- Boys and Girls Club: https://www.bgca.org/
- Georgia Family Connection Partnership: https://gafcp.org/
- ACEs information
- ACEs Aware: https://www.acesaware.org/
- ACEs Aware Training Module: https://training.acesaware.org/
- My GCAL: https://www.georgiacollaborative.com/providers/georgia-crisis-and-access-line-gcal/
- SafeCare: https://www.childwelfare.gov/topics/preventing/prevention-programs/homevisit/homevisitprog/safe-care/
References for this episode:
Bucci, M., Marques, S. S., Oh, D., & Harris, N. B. (2016). Toxic stress in children and adolescents. Advances in Pediatrics, 63(1), 403-428.
Felitti V.J. Anda R.F. Nordenberg D. et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. Am J Prev Med. 1998; 14: 245-258
Garner AS, Shonkoff JP, Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn, L., Pascoe, J., & Wood, D. L; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics. 2012;129(1):e224-e231. doi:10.1542/peds.2011-2662
Harris, N. B., Marques, S. S., Oh, D., Bucci, M., & Cloutier, M. (2017). Prevent, screen, heal: collective action to fight the toxic effects of early life adversity. Academic pediatrics, 17(7), S14-S15.
Kerker B.D. Storfer-Isser A. Szilagyi M. et al. Do pediatricians ask about adverse childhood experiences in pediatric primary care?. Acad Pediatr. 2016; 16: 154-160
Marie-Mitchell, A., Studer, K. R., & O'Connor, T. G. (2016). How knowledge of adverse childhood experiences can help pediatricians prevent mental health problems. Families, Systems, & Health, 34(2), 128.
Oh, D. L., Jerman, P., Marques, S. S., Koita, K., Boparai, S. K. P., Harris, N. B., & Bucci, M. (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC pediatrics, 18(1), 83.
Shonkoff JP, Garner AS; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232-e246. doi:10.1542/peds.2011-2663
Vu, C., Rothman, E., Kistin, C. J., Barton, K., Bulman, B., Budzak-Garza, A., ... & Bair-Merritt, M. H. (2017). Adapting the patient-centered medical home to address psychosocial adversity: results of a qualitative study. Academic pediatrics, 17(7), S115-S122.
Wolraich ML, Hagan JF Jr, Allan C, et al. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents [published correction appears in Pediatrics. 2020 Mar;145(3):]. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528
National Center for Injury Prevention and Control, Division of Violence Prevention. (2020, April). Preventing Adverse Childhood Experiences. Retrieved from https://www.cdc.gov/violenceprevention/acestudy/fastfact.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fviolenceprevention%2Fchildabuseandneglect%2Faces%2Ffastfact.html
Thursday Oct 01, 2020
Thursday Oct 01, 2020
Dr. Katie McKie, a pediatric sleep specialist at the Children's Hospital of Georgia, joins pediatrician Dr. Rebecca Yang to continue their discussion on sleep disorders in the pediatric population.
- What are the clinical features of restless leg syndrome?
- What are pharmacologic and alternative options for treatment?
- When should a patient be referred to a speech specialist?
- What is a sleep study and what information does it provide?
McKie, K. (Host). Yang, R. (Host). Leggio, L. (Contributor); Pendergrast, R. (Contributor). (2020, October 1). Pediatric Sleep Disorders Part 2. (S1:15) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. https://mcgpediatricpodcast.podbean.com/e/sleep-disorders-in-children-part-2/
- Grand Rounds: “Pediatric Insomnia: A Nightmare for Parents and Providers.” Department of Pediatrics, Medical College of Georgia at Augusta University: Katie McKie, MD (Presented on January 10, 2020)
- https://www.sleepfoundation.org/
- https://www.sleep.org/
- Moturi S, Avis K. Assessment and treatment of common pediatric sleep disorders. Psychiatry (Edgmont). 2010;7(6):24–37.
- Sumit Bhargava. Diagnosis and Management of Common Sleep Problems in Children. Pediatrics in Review. Mar 2011, 32 (3) 91-99
Tuesday Sep 15, 2020
Tuesday Sep 15, 2020
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What is the prevalence of sleep disorders in children?
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How much sleep does a child need based on developmental stage?
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How does the general pediatrician screen for sleep disorders?
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What are clinical features of poor sleep hygiene, behavioral insomnia of childhood, delayed sleep phase syndrome, and chronic insomnia of childhood?
McKie, K. (Host). Yang, R. (Host). Leggio, L. (Contributor); Pendergrast, R. (Contributor). (2020, Sept 15). Pediatric Sleep Disorders Part 1. (S1:14) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. https://mcgpediatricpodcast.podbean.com/e/sleep-disorders-in-children-part-1/
- Grand Rounds: “Pediatric Insomnia: A Nightmare for Parents and Providers.” Department of Pediatrics, Medical College of Georgia at Augusta University: Katie McKie, MD (Presented on January 10, 2020)
- https://www.sleepfoundation.org/
- https://www.sleep.org/
- Moturi S, Avis K. Assessment and treatment of common pediatric sleep disorders. Psychiatry (Edgmont). 2010;7(6):24–37.
- Sumit Bhargava. Diagnosis and Management of Common Sleep Problems in Children. Pediatrics in Review. Mar 2011, 32 (3) 91-99
Thursday Aug 20, 2020
Thursday Aug 20, 2020
Dr. James Crownover, an assistant professor of Primary Care Sports Medicine and Physical Medicine and Rehabilitation at Augusta University, joins Drs. Brynn Ehlers and Lauren Lim to discuss the management of pediatric concussions.
What exactly is a concussion and when should you be concerned for something more?
What are the must-not-miss symptoms and exam findings?
What tools are available for the initial sideline assessment of sports-related concussions?
Finally, what is the best way to get our pediatric patients back to school and play after suffering a concussion?
All of this and more from the Department of Pediatrics at the Medical College of Georgia.
Special thanks to Dr. Rebecca Yang, Dr. George Hsu and Dr. Jacob Eichenberger who also contributed to this podcast episode.
Citation:
Crownover, J. (Host). Ehlers, B. (Host). Lim, L. (Host); Eichenberger, J. (Contributor); Hsu, G. (Contributor) Yang, R. (Contributor). (2020, Aug 20). Pediatric Sports Related Concussions. (S1:13) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta. https://mcgpediatricpodcast.podbean.com/e/concussion-1597794205/
Please subscribe, rate and review.
Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php
Want further reading on this topic? Check out this article published in Pediatrics on sports related concussions in children https://pediatrics.aappublications.org/content/142/6/e20183074
References:
Monday Aug 10, 2020
Monday Aug 10, 2020
Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure.
What is the structure of the initial evaluation of a critically-ill child?
What is exactly is respiratory failure?
What is the role of non-invasive respiratory support in pediatric patients?
What are the indications for emergency intubation?
What are the general concepts that learners need to understand about invasive mechanical ventilation?
All of this and more from the Department of Pediatrics from the Medical College of Georgia.
Thanks to Dr. Smitha Mathew and Dr. Kathryn McLeod who also contributed to this discussion.
Please subscribe, rate and review.
Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php
Want further reading on this topic? Check out this Pediatrics in Review article on respiratory failure https://pedsinreview.aappublications.org/content/35/11/476
Saturday Aug 01, 2020
Saturday Aug 01, 2020
Dr. Aaron Worth and Dr. Havilah Sthole join the show to discuss the essentials of evaluating the child with abdominal pain in the pediatric clinic.
What are the key questions to ask?
How do we get a good physical exam with an anxious child?
They describe an approach to care for children suffering from common disorders in the pediatric primary care clinic but also include the must not miss findings and diagnoses associated with this very non-specific complaint.
All of this and more from the Department of Pediatrics at the Medical College of Georgia.
Check out our website: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php
Please subscribe, rate and review.
Questions, comments or feedback? Please email us at mcgpediatricpodcast@augusta.edu
References for this episode:
Baker, Robert D. “Acute Abdominal Pain.” Pediatrics in Review, vol. 39, no. 3, 2018, pp. 130–139., doi:10.1542/pir.2017-0089.
Hyman, P. E. “Chronic and Recurrent Abdominal Pain.” Pediatrics in Review, vol. 37, no. 9, 2016, pp. 377–390., doi:10.1542/pir.2015-0169.
Balighian, E. and Burke, M. “Urinary Tract Infections in Children”. Pediatrics in Review, vol. 39, no. 3, 2018, pp 377-390
Pediatric appendicitis: state of the art review. Pediatr Surg Int (2017) 33:269–283
Granado-Villar, D., et al. “Acute Gastroenteritis.” Pediatrics in Review, vol. 33, no. 11, 2012, pp. 487–495., doi:10.1542/pir.33-11-487.
Michail, S. “Gastroesophageal Reflux.” Pediatrics in Review, vol. 28, no. 3, 2007, pp. 101–110., doi:10.1542/pir.28-3-101
Rosen R, Vandenplas Y, Singendonk M, et al. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2018;66(3):516‐554. doi:10.1097/MPG.0000000000001889
In Kliegman, R., In Stanton, B., In St, G. J. W., In Schor, N. F., In Behrman, R. E., & Nelson, W. E. (2020). Nelson textbook of pediatrics.
Wednesday Jul 15, 2020
Wednesday Jul 15, 2020
Join pediatricians Lisa Leggio, Kathryn McLeod and Zac Hodges as they discuss the essentials of teaching in the healthcare setting.
What do you need to know before hosting a learner in the clinic?
What about the inpatient setting?
How can you work meaningful teaching points into a busy day?
Finish up with the basics on giving feedback and evaluating your learner.
All this and more on this episode from the Department of Pediatrics at the Medical College of Georgia
Thanks for listening!
https://www.augusta.edu/mcg/pediatrics/residency/podcast.php