Search Results for: children

AAP SOEn – Screening tests for chronic illness or endocrine cause

…of asymptomatic short children. J Pediatr. 2013 Oct;163(4):1045-51. field_54b3fb640c91b field_54beabaeb4a28 22 48 field_54b803304ba6a 59 88 field_54b803574ba6b 26 field_54b8037f4ba6c 28 field_54bd1b1564140 9172 The American Academy of Pediatrics advises against ordering screening tests looking for chronic illness or an endocrine cause in healthy children. Screening tests for chronic illness or endocrine cause…

AAP-ASPN – Outpatient HTN work-up prior to repeat blood pressure management in pediatric patients

…Hypertens Res. 2017 Jan 12. doi: 10.1038/hr.2016.179. NHLBI guidelines 2012 https://www.nhlbi.nih.gov/files/docs/peds_guidelines_sum.pdf The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents, National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. Pediatrics 14, 555-576, 2004. http://pediatrics.aappublications.org/content/114/Supplement_2/555.full.pdf+html field_54b3fb640c91b…

AAP SORh – Rheumatoid factor to evaluate rheumatologic disease

1572359125:3 3 August 6, 2019 field_54ad9e6ce06ff Do not order rheumatoid factor (RF) alone, or as part of a “panel” or “cascade” in children to evaluate for rheumatologic disease such as juvenile idiopathic arthritis (JIA) due to musculoskeletal complaints. Do not let laboratory results guide referral. field_54b3ece95c4b3 JIA is a clinical…

AAP SOSu – Reduce post-operative opioid requirements

1572889832:3 3 November 4, 2019 field_54ad9e6ce06ff Reduce post-operative opioid requirements in pediatric patients by administering acetaminophen and/or non-steroidal anti-inflammatory medications in the perioperative period.   field_54b3ece95c4b3 Multi-modal analgesia is recommended in the management of children for their perioperative pain. Significant decreases in opioid consumption can be achieved with the concurrent…

AAP SOSu – Avoid CT scan as first-line imaging in suspected appendicitis

1572889721:3 3 November 4, 2019 field_54ad9e6ce06ff Avoid using computed tomography (CT scan) as the first-line imaging modality in the evaluation of suspected appendicitis in children. Ultrasound should be done first with a CT scan or magnetic resonance imaging (MRI) considered in equivocal cases. field_54b3ece95c4b3 Although CT is the most accurate…

ASH-ASPHO – Avoid routine pre-operative hemostatic testing

…“abnormal” results. field_54b40ef6c2784 Alzahrani A, Othman N, Bin-Ali T, Elfaraidi H, Al Mussaed E, Alabbas F, Sedick Q, Albatniji F, Alshahrani Z, Asiri M, Alsuhaibani O, Elyamany G. Routine Preoperative Coagulation Tests in Children Undergoing Elective Surgery or Invasive Procedures: Are They Still Necessary? Clinical Medicine Insights: Blood Disorders. 2019…

AAP SOSu – Avoid routine use of whole-body CT scanning in trauma patients

…scans places children at a low, but real risk of developing potentially fatal malignancies later in life. Decision rules have been developed to guide the judicious use of CT scans for evaluating traumatic head, cervical spine, chest, and abdominal/pelvic injuries. Chest CTs, in particular, have limited value in the evaluation…

AAP SORh – ANA and other autoantibody testing without specific signs of autoimmune disease

…Outcome of Children Referred to a Pediatric Rheumatology Clinic With a Positive Antinuclear Antibody Test but Without an Autoimmune Disease. Pediatrics. 1995;95(6):892-895. Hilario MOE, Len CA, Roja SC, Terreri MT, Almeida G, Andrade LEC. Frequency of Antinuclear Antibodies in Healthy Children and Adolescents. Clinical Pediatrics. 2004;43:637-642. Malleson PN, Sailer M,…

AAP SORh – Periodic fever syndrome genetic panels

…by malignancy. Thorough history and physical exam in addition to diligent documentation of fever and accompanying symptoms can often help define underlying etiology, minimizing as well as targeting additional work-up. Of note, most children with a periodic fever syndrome do not have a genetic mutation, and the most common periodic…

Nursing – Avoid separating newborns from their mothers after birth

…months, appropriate complementary foods should be introduced, and the infant should continue to breastfeed for 1–2 years, or longer as desired. Worldwide, the lives of an estimated 1.5 million children less than the age of five would be saved annually if all children were fed according to this standard. field_54b40ef6c2784…

AAP SORh – Opioids for autoimmune disease chronic pain

…N. Non-steroidal anti-inflammatory drugs (NSAIDs) for chronic non-cancer pain in children and adolescents. Cochrane Database Syst Rev. 2017;2(8). Galinkin J, Koh J, Committee on Drugs, Section on Anesthegiology and Pain Medicine, American Academy of Pediatrics. Recognition and management of iatrogenically induced opioid dependence and withdrawal in children. Galinkin J, Koh…

AAP – CT scans to evaluate abdominal pain

1532376478:3 3 Released February 21, 2013; updated June 20, 2018 field_54ad9e6ce06ff Computed tomography (CT) scans are not always necessary in the routine evaluation of abdominal pain. field_54b3ece95c4b3 CT imaging in the emergency department evaluation of children with abdominal pain is frequent and can be inconsistently used, including overused. While radiation…

Dental Fillings that Contain Mercury

…tuna. Consumer Reports recommends these weekly limits of tuna: Children under 45 pounds (lbs): 4 ounces (oz) light tuna Or 1.5 oz white tuna Children over 45 Ibs: 12.5 oz light tuna Or 4 oz white tuna Women of childbearing age: 12.5 oz light tuna Or 4 oz white tuna—but…