15 results
Bronchiolitis Management

When to admit: 
- Any history of apnoea 
- Persistant sats < 92% 
- Inadequate
(<50% normal) Signs ... Grunting - Marked chest ... Management #diagnosis #Peds ... Admission #Discharge #Criteria
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... EKGS in pts are crucial ... #Wellens #Sign #
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
breathing is often a sign ... It causes the chest ... includes flail chest ... video #pulmonary #peds
Total Anomalous Pulmonary Venous Return (TAPVR)
 • Introduction
 • Classification
 • Pathophysiology of TAPVR
 • Presentation
Diagnosis • Chest ... Classic “snowman sign ... management #cardiology #peds
Standardized Physical Abuse Guideline
<6 months of age
 • Social work consult
 • Skeletal survey
 • Head
AST or ALT> 80, signs ... of chest trauma ... Guidelines #Workup #Peds
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... accompanied by chest ... pain • Wellens sign ... V6 • Sgarbossa criterion ... • Sgarbossa criterion
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Monitors, ECG, Pads ... worsening brady, Signs ... SOB from CHF, Chest ... 2) Give Meds • ... Pads in AP position
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
have no clinical criteria ... Supplemental lab criteria ... Ministry of Health criteria ... clinical and lab signs ... #Diagnosis #Peds
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
Scarf Sign (Normal ... Exam The scarf sign ... laterally across the chest ... #Scarf #Sign #PhysicalExam ... hypotonia #hypotonic #peds
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
test - Cogan sign ... - Peek sign ... Imaging - CT Chest ... immunosuppressants - Meds