Pediatric Clerkship

Traci Barnes
Pediatric Clerkship

Pediatric Clerkship is a podcast made for medical, PA, and NP students who are entering their clinical rotation in pediatrics. This podcast is meant to supplement textbooks, clinical experiences, and lectures. We will provide tips and tricks for how to stand out during your rotation.

Episodes

  1. 11/12/2022

    Work Up: Respiratory Distress

    In this episode, we discuss respiratory distress with Dr. Melanie Rudnick What is respiratory distress? Respiratory distress is all-encompassing for symptoms related to breathing problems. In children, causes can be broken up into the general categories of upper airway, lower airway, cardiac, and metabolic. What are the symptoms and signs? Vital signs: tachypnea (unless neurologic or muscular impairment), tachycardia, normal to low oxygen saturation Nasal flaring Retractions Cyanosis (rare) Infants: Head bobbing, belly breathing History-taking: General:Preceding symptoms (fever, hx of asthma, happened before) Impacted ADLs PO and urine output Gestational age Sick contacts Body positions that make symptoms better/worse Airway (laryngomalacia, FBA):Noises from airway: stridor? barking cough? Acute onset - think foreign body aspiration or allergy to new food Cardiac (see cardiac episode):Sweating, fatigue with feeds, FTT Metabolic:Tachycardia, tachypnea, sweating Significant FTT Dysmorphic features Organomegaly PE: Lung:Expiratory = obstructive Rhonchi = general inflammation Crackles = fluid overload (cardiac) Wheezing = larger airway (asthma, FBA) Concerns by age group: Neonates:Full term: Transient tachypnea of newborn, MAS, RDS of newborn PPV at birth: pneumothorax Infants:Infectious (bronchiolitis, GBS) Cardiac/metabolic Toddlers/school age:Infectious (croup, viral/bac pneumonia) Age 5+: atypical pneumonia FBA Anaphylaxis Adolescents:DKA Ask HEEADSSS questions: smoking and vaping hxHome environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety from injury and violence COVID-19 pneumonia For questions or suggestions, please email us at pediclerkshippod@gmail.com Intro/Outro Music: Inspirational  by Rafael Krux Link: https://filmmusic.io/song/5454-inspirational- License: http://creativecommons.org/licenses/by/4.0/

    34 min

About

Pediatric Clerkship is a podcast made for medical, PA, and NP students who are entering their clinical rotation in pediatrics. This podcast is meant to supplement textbooks, clinical experiences, and lectures. We will provide tips and tricks for how to stand out during your rotation.

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