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Search Results for Pediatric
Abstract Number: 144
SHM Converge 2021
Background: Bronchiolitis is one of the most common reasons for hospitalizations in children with > 100,000 admissions each year. High-flow nasal cannula (HFNC) therapy has been widely adopted to treat bronchiolitis with increasing use outside of the pediatric intensive care unit (PICU). The use of oral feeding while on HFNC has been questioned due to […]
Abstract Number: 147
SHM Converge 2021
Background: Pediatric orbital cellulitis/abscess (OC) is a known complication of sinusitis that can have detrimental outcomes such as vision loss and intracranial extension if not diagnosed and treated promptly. In many patients with OC, the microbiologic data is not available to guide provider selection of targeted antibiotics, so variation in prescribing patterns exists. Many institutions […]
Abstract Number: 148
SHM Converge 2021
Background: The indications for lumbar puncture (LP) among febrile infants 29-60 days old continue to evolve. We studied febrile infants age 29-60 days with an ED visit and compared the characteristics and outcomes of those with and without an LP. We also describe the clinical course of infants receiving antibiotics before or after the LP. […]
Abstract Number: 154
SHM Converge 2021
Background: Maintenance intravenous fluids (IVFs) are a critical treatment utilized frequently in pediatric medicine to support children with impaired enteral intake suffering from a wide variety of illnesses. Traditional pediatric practice of utilizing hypotonic fluids is thought to derive from Holiday and Seger’s mathematical calculations on IVFs that concluded that the use of hypotonic fluids […]
Abstract Number: 243
SHM Converge 2021
Background: Food insecurity (FI) is “the limited or uncertain availability of nutritionally adequate and safe foods or…to acquire acceptable foods in socially acceptable ways.” FI, a social determinant of health (SDOH), is associated with worse health, education, and socioeconomic outcomes. A validated 2-question survey with high sensitivity and specificity in identifying food insecure families exists. […]
Abstract Number: 254
SHM Converge 2021
Background: As physicians, it is essential to improve time management skills to promote future career success. After medical school, a first-year resident is faced with balancing the multiple demands of their new profession. A previous survey showed that task prioritization and time management were considered a problematic area for new doctors. Unfortunately, these skills are […]
Abstract Number: 273
SHM Converge 2021
Background: Croup affects more than 1.4 million children under the age of six in the United States annually. Up to 6% of children with croup are hospitalized at an estimated annual cost of $56 million. Guidelines for Emergency Department (ED) and inpatient management of croup vary and generally rely on limited evidence. Specifically, admission and […]
Abstract Number: 297
SHM Converge 2021
Background: Access to pediatric subspecialty care is often challenging outside of large urban areas, especially in the field of pediatric dermatology. Overall, demand for pediatric dermatologic care outstrips the supply of pediatric dermatologists. As a result, the need for dermatology consultative services to hospitalized children is increasingly unmet. Teledermatology, or the use of telemedicine platforms […]
Abstract Number: 755
SHM Converge 2021
Case Presentation: A 16-year-old Caucasian male presented to the pediatric emergency department with 10 days of worsening lumbar back pain, myalgias, difficulty ambulating and fevers. His medical history was significant for severe nodulocystic acne vulgaris, and he was started on isotretinoin at 80mg/day (1.4mg/kg/day) three weeks prior to presentation. Approximately 10 days after starting the […]
Abstract Number: 774
SHM Converge 2021
Case Presentation: A 15-year-old female was referred to the hospital by her urologist for persisting urinary retention and bladder distention concern. The patient endorsed 5 months of increased urgency and decreased frequency of urination, as well as a decreased amount during each void. She denied dysuria, gross hematuria, incontinence, or history of UTI. She had […]