Recent content by Freibi

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    NewBorn Nursery Tips

    Great advice in the previous posts ... at what degree of jiggling does it become shaking though? Just take care while handling babies. You're definitely allowed to rub their backs and to flick their feet if you need them to cry (see NRP), to turn them on their stomachs, to lift them up, etc...
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    is she worth it...

    Agree. Don't worry about un-aesthetics :lame:
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    Pediatric Hypothermia

    The point for the warm air method might have been that rewarming occurs from the core of the body to the periphery that way. Some of the other methods would cause peripheral vasodilation before rewarming the core, causing more of the cold blood to circulate at once and increase the risk of...
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    Caffeine

    :laugh:
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    Caffeine

    All of this discussion stirs up in me the vision of a simpler world - a world where you can be up and where you can sleep, drink water and milk, eat bread and vegetables and fruits, meat and fish, or any combination thereof, and worry about more important things in life. Sorry, I'm regressing...
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    Suggestion for a peds textbook??

    Please don't use Wikipedia to find medical information or even make decisions that affect patients! Wikipedia is made by general consensus of a self-recruited and variable bunch of people who can write whatever they want, and most of whom may not have an idea what they're talking about (in the...
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    Pediatric Oncology rotation

    If you aren't familiar with the SOAP note (and presentation!) style that is used in the U.S. (unlike in Europe - I don't know about the U.K. though), there is a little pocket reference called "Maxwell" that's also useful for common abbreviations, the way Americans jot down lab results, etc...
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    Caffeine

    I would add that all you need to do is to sleep enough before and after your call days (easier said than done, true). I would sometimes go to bed post-call at 2pm and sleep through 6am the next morning (if I didn't get any sleep during call). Sounds too much? Not if you have to make up for two...
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    why do 2 year-olds cry when you look them in the ear?

    Even in elementary school I remember being afraid of having to have my ears checked (my Mom used to threaten me with that when I didn´t seem to listen to what she wanted me to do), and that's because I thought that a) it hurts to have things being stuck in there and b) it's dangerous. Well, now...
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    siblings..a syndrome?

    You can look up any combination of symptoms on OMIM: http://www.ncbi.nlm.nih.gov/sites/entrez (One of the choices in the horizontal black menu on top of the page, next to All Databases, PubMed, Genome, Structure, etc.) I'm not getting any useful results for "meningocele dacryostenosis"...
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    15 month girl with respiratory distress

    I used to do some research involving BNP, and I agree. BNP levels are useful mainly as an adjunct to clinical findings, echo etc., and you have to interpret them according to the clinical circumstances. As almost always, there is a lot less data on the lab test in children than adults. For BNP...
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    15 month girl with respiratory distress

    I second moving the girl over to the PICU. Now, we still don't know the cause of her illness. While the low diastolic BP and tachycardia were present at the time she got to the ED, the gallop (assuming there truly is one) is a new finding. Something that happened (or more likely, that we...
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    15 month girl with respiratory distress

    Thanks for bringing up a case, this is fun! For starters, I would get a CBC (with differential, because you hinted that this might not be the most usual case - low lymphs and PCP?) and blood cultures (since bacterial pneumonia would be high on my list - doesn't usually have to be lobar in young...
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    placement of ECG-electrodes

    Typically, with a three-electrode system (which is appropriate for measurements of heart rate), you place one on each of the arms/shoulders, and the third on one side of the trunk (e.g. on the right side of the ribcage). I have never heard about placement of ECG electrodes on the nape of the...
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    Does anyone find pediatrics more contagious than other specialties???

    The reason you wash your hands is 1. to protect patients from whatever germs are sitting on your hands (maybe from the patient next door, or the ones that live in your own nose), and 2. to protect yourself from getting the germs in your eyes/mouth/etc as you mentioned. If you're being coughed...
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