Charting Pediatrics

Each year thousands of babies born neonatal abstinence syndrome and require specialized medical and psycho-social support. In this episode we discuss the care for newborns who have been exposed to substances, specifically how primary care providers can understand the child's needs and support their caregivers. We are joined by Stephen Patrick, MD from the Vanderbilt University School of Medicine a...

In this episode we were privileged to sit down with Megan Sandel, MD , at the 2019 American Academy of Pediatrics NCE in New Orleans to discuss the impact of housing on child health.  Dr. Sandel is an associate professor of pediatrics at the Boston University School of Medicine as well as an associate professor of environmental health at the Boston University School of Public Health. She has held...

In this episode we discuss the diagnosis and management of child abuse in primary care pediatrics. We are pleased to be joined by Andy Sirotnak, MD who recently released his new book at the 2019 AAP NCE, Child Abuse Medical Diagnosis and Management . Dr. Sirotnak is a Professor and Vice-Chair for Faculty Affairs in the Department of Pediatrics and the Director of the Child Protection Team at Child...

The development and deployment of childhood vaccines represents the most important life saving achievement in the last century, but the status of our protection against vaccine-preventable illness is as fragile as ever in the United States. In 2019 we have already seen the most cases of measles since 1992 —   over 1200 — this for a disease that was declared eliminated from the U.S. in 2000. Vaccin...

Pediatric patients, ages 13 to 18 years, with severe obesity should have greater access to bariatric surgery, according to a new American Academy of Pediatrics (AAP) policy statement. For pediatricians, that means seeking out high-quality multidisciplinary centers for patients who meet criteria; providing timely referrals; and facilitating care before and after surgery for adolescents with severe...

In this episode we talk with  Lewis First, MD and Alex Kemper, MD about studies published in the last year that could change the way you practice pediatrics. Dr. First ( @lewis_first ) is Professor and Chair of the Department of Pediatrics at the Larner College of Medicine at the University of Vermont and Chief of Pediatrics at the University of Vermont Children's Hospital. He serves as the Editor...

In young children, many of the symptoms of eosinophilic esophagitis resemble those of gastroesophageal reflux disease (GERD)—including feeding disorders and poor weight gain—so the child may be mistakenly diagnosed with GERD. In today's episode we talk to Glenn Furuta, MD about the importance of a proper diagnosis of esophagitis in children, signs/symptoms to look for and effective treatment optio...

Biliary atresia is a rare gastrointestinal disorder, occurring approximately 1 in 10,000 to 15,000 births in the United States, and is characterized by a destruction or absence of, all or a portion of the extrahepatic bile duct. Affected infants present with jaundice and fibrosis. In some cases, additional abnormalities may be present, including cardiac defects and intestinal, spleen and kidney ma...

Sepsis remains one of the leading causes of morbidity and mortality in children despite improved understanding of the pathophysiology leading to better clinical management and survival. Recent studies have identified several areas that must be addressed by the clinician in order to continue to impact the morbidity and mortality associated with sepsis. In today's episode we talk with Halden Scott,...

Join us as we podcast live from the American Academy of Pediatrics National Conference and Exhibition in New Orleans on October 26 & 27, 2019! Stop by Booth #632 in the Exhibit Hall to say hello – our host team of Dr. Alison Brent, Dr. David Brumbaugh and Dr. Dan Nicklas would love to meet you!

Functional abdominal pain disorders are the most common cause of chronic abdominal pain in children and adolescents. On today's episode we are talk with Jaime Belkind-Gerson, MD to unpack the presentation, diagnosis and management of functional abdominal pain from the primary care perspective. Dr. Belkind-Gerson is Director of the Neurogastroenterology and Motility Program at Children's Hospital C...

Things have changed over the last 20 years, with more hospitals using people with expertise in Hospital medicine, known as "Hospitalists," to care for patients who are admitted for an inpatient stay.  In the mid-1990s, as pressures to provide outpatient care to large populations increased for general pediatricians, it became less efficient for them to care for patients in the hospital simultaneous...

According to the American Academy of Pediatrics, studies show that up to 9% of teenagers meet criteria for depression at any one time, with as many as 1 in 5 teenagers having a history of depression at some point during adolescence.  In primary care settings, point prevalence rates are likely higher, with rates up to 28%. Because adolescents face barriers to receive specialty mental health service...

In today's episode we talk with Nicholas Cost, MD about the diagnosis and management of pediatric urologic cancer in children and adolescents, including initial presentations and ongoing and follow-up management for primary care providers. Dr. Cost is a Pediatric Urologist at Children's Hospital Colorado and Associate Professor of Pediatrics of Surgery and Urology at the University of Colorado Sch...

Vision problems are common among school-age kids and there are many eye diseases and conditions that can affect a child's vision. According to Prevent Blindness America, one in four school-age children have vision problems that, if left untreated, can affect learning ability, personality and adjustment in school. In today's episode we are going to talk with Dr. Emily McCourt to unpack the most com...

Providers may have seen the reports from around the country of growing associations between vaping and more acute, severe lung injury; this is being called Vaping Associated Pulmonary Injury (VAPI). The CDC is involved and many states are now reporting vaping-associated pulmonary cases. In today's special episode we are discussing VAPI and how to diagnosis, report and treat; our expert guest is  R...

Nearly 60 percent of children report having headaches; by the age of 18, that number increases to 90 percent. Recurrent, severe headaches also are common in this population. In the United States, one study reported that approximately 20 percent of children aged 4 to 18 years report having had notable recurrent headaches (including migraine) in the past 12 months. In today's episode we are talk wit...

Renal tubular acidosis , or RTA, refers to a group of disorders characterized by defective renal acid-base regulation. The capacity for normal urinary acidification is impaired, resulting in net acid retention and hyperchloremic metabolic acidosis. In this episode, Danielle Soranno, MD reviews basic mechanisms of the disease that are important for diagnosis and management of RTA in your patients....

Hirschsprung disease occurs in approximately one in 5,000 newborns. Despite advances in the diagnosis and management of the disease, patients remain at risk for long-term gastrointestinal morbidity, including obstructive symptoms, fecal incontinence, and enterocolitis, with negative implications on quality of life. In today's episode we are talking with Luis De la Torre, MD , to unpack the diagnos...

Cryptorchidism or undescended testis (UDT) is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include increased risks of impairment of fertility potential, testicular malignancy, torsion and/or associated inguinal hernia. In today's episode we will talk with Brian Cald...

Welcome to Season 3 of Charting Pediatrics! In today's season kick-off show we discuss the most common bleeding disorders in pediatrics through the lens of the CBC with Tazio Nakano, MD .  Dr. Nakano is Medical Director of the Vascular Malformation and Tumor Center at Children's Hospital Colorado and is Assistant Professor of Pediatrics of Hematology/Oncology and Bone Marrow Transplant at the Univ...

Charting Pediatrics Podcast has received initial nomination eligibility for the 14th Annual People's Choice Podcast Award in the Science and Medicine category! Now we need your support – visit https://www.podcastawards.com/app/signup to help Charting Pediatrics move to the next stage of listener voting! You will have to create an account to vote – then visit the nomination page and scroll to the S...

Our guest for this episode is Jessica Malmberg, PhD , the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine. Dr. Malmberg talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavi...

Welcome back Charting Pediatrics listeners! We are so excited to announce the third season of the podcast which will release on August 6th. With the success of Season 2, going from under 500 to almost 20,000 listeners per month, we are expectant to see what Season 3 will have in store. In this new season, we will explore case studies in the nuanced art of practicing pediatric medicine, covering to...

In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD , returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14) . Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children's Hospital Colorado and the University of Colorado School of Medicine.  Let u...