Portable Peds Ryan Flaherty, DO, Samantha DeMarsh, DO, and Elizabeth Grogan, MD

Today we’re reviewing the high-yield points from this month’s cases about Gastroenterology. Our review episodes are released the last week of every month and are not case-based, which differs from the episodes released earlier in the month.
 
Follow the podcast on social media:
Facebook- @portablepeds (www.facebook.com/portablepeds)
Twitter- @portablepeds (www.twitter.com/portablepeds)
 
We'd love to hear from you via email at portablepeds@gmail.com!
 
Also, feel free to visit our website, www.portablepeds.com, for more content.
 
Our Cases from Earlier This Month:
 
Episode 46- Gastroenterology- Infantile GERD
 
Episode 47- Gastroenterology- Inflammatory Bowel Disease (IBD)
 
Episode 48- Gastroenterology- Wilson’s Disease Diagnosis
 
Episode 49- Gastroenterology- Wilson’s Disease Treatment
 
We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.
 
The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.
 
Intro/Outro- Hotshot by Scott Holmes
 
Disclaimer:
This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.
 
The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.
 
Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Today we’ll be covering Wilson’s Disease Treatment, going along with this month’s theme, Gastroenterology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.
 
Follow the podcast on social media:
Facebook- @portablepeds (www.facebook.com/portablepeds)
Twitter- @portablepeds (www.twitter.com/portablepeds)
 
We'd love to hear from you via email at portablepeds@gmail.com!
 
Also, feel free to visit our website, www.portablepeds.com, for more content.
 
Today’s Case:
A 12 year old male presents to the Emergency Department for fatigue and lightheadedness. On exam, he is noted to have hepatomegaly, along with a corneal abnormality on slit-lamp examination. Initial labwork shows decreased hemoglobin and a negative Coombs test. The patient is admitted, and the diagnosis is eventually confirmed with 2 disease-causing mutations in the ATP7B gene. Which of the following is the best recommended treatment for this patient?
 
DMSA
DMPS
EDTA
D-Penicillamine
Dimercaprol
 
We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.
 
The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.
 
Intro/Outro- Hotshot by Scott Holmes
 
Disclaimer:
This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.
 
The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.
 
Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Today we’ll be covering Wilson’s Disease Diagnosis, going along with this month’s theme, Gastroenterology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.
 
Follow the podcast on social media:
Facebook- @portablepeds (www.facebook.com/portablepeds)
Twitter- @portablepeds (www.twitter.com/portablepeds)
 
We'd love to hear from you via email at portablepeds@gmail.com!
 
Also, feel free to visit our website, www.portablepeds.com, for more content.
 
Today’s Case:
 
A 12 year old male presents to the Emergency Department for fatigue and lightheadedness. On exam, he is noted to have hepatomegaly, along with a corneal abnormality on slit-lamp examination. Initial labwork shows decreased hemoglobin and a negative Coombs test. The patient is admitted, and the diagnosis is eventually confirmed with 2 disease-causing mutations in the ATP7B gene. Which of the following lab abnormalities would you expect with this disease?
Decreased serum alkaline phosphatase, serum ceruloplasmin, and 24-hour urinary copper excretion
Decreased serum alkaline phosphatase and serum ceruloplasmin, but increased 24-hour urinary copper excretion
Decreased serum alkaline phosphatase, but increased serum ceruloplasmin and 24-hour urinary copper excretion
Decreased serum ceruloplasmin, but increased serum alkaline phosphatase and 24-hour urinary copper excretion
Increased serum alkaline phosphatase, serum ceruloplasmin, and 24-hour urinary copper excretion
 
We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.
 
The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.
 
Intro/Outro- Hotshot by Scott Holmes
 
Disclaimer:
This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.
 
The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.
 
Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Today we’ll be covering Inflammatory Bowel Disease (IBD), going along with this month’s theme, Gastroenterology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.
 
Follow the podcast on social media:
Facebook- @portablepeds (www.facebook.com/portablepeds)
Twitter- @portablepeds (www.twitter.com/portablepeds)
 
We'd love to hear from you via email at portablepeds@gmail.com!
 
Also, feel free to visit our website, www.portablepeds.com, for more content.
 
Today’s Case:
 
A 13 year male presents to your clinic for a well child check.  On review of his growth chart, you note a lack of linear growth and weight loss.  He reports that for the past month he has had lower energy levels and a persistent, nagging, non-focal abdominal pain which he has been attributing to stress at school.  On further questioning, he has had frequent episodes of loose stools and intermittently noted some blood in his stools.  You order some basic screening labs which are notable for leukocytosis, anemia, thrombocytosis, hypoalbuminemia, and elevated inflammatory markers.  You refer the patient to a pediatric gastroenterologist for endoscopy.  Which of the following histologic features on biopsy is considered diagnostic for Crohn’s disease?
Crypt abscesses
Lymphoplasmacytic infiltrates
Fibrinogen debris with a neutrophilic inflammatory infiltrate
Noncaseating granulomas
Paneth cell metaplasia
 
We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.
 
The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.
 
Intro/Outro- Hotshot by Scott Holmes
 
Disclaimer:
This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.
 
The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.
 
Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Today we’ll be covering Infantile GERD, going along with this month’s theme, Gastroenterology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.
 
Follow the podcast on social media:
Facebook- @portablepeds (www.facebook.com/portablepeds)
Twitter- @portablepeds (www.twitter.com/portablepeds)
 
We'd love to hear from you via email at portablepeds@gmail.com!
 
Also, feel free to visit our website, www.portablepeds.com, for more content.
 
Today’s Case:
 
A 4 month old female presents for a well child check.  She has been otherwise healthy and is growing along her growth curve of approximately the 50th percentile.  Mom mentions concerns for frequent spit ups after nearly every breastfeed.  The infant is not distressed or bothered by these episodes.  The spit up resembles breast milk, and there is no bile or blood in the spit up.  Mom describes that the spit up dribbles down the infant’s chin and is not projectile.  What is the most appropriate first line intervention for this infant?
 
Thickening feeds (either with rice cereal or using a commercially available thickened formula)
Starting a histamine-2 receptor antagonist
Reassurance, along with modifying feeding practices and positioning
Changing to either a casein hydrolysate formula or an amino acid formula
Starting a proton pump inhibitor
 
We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.
 
The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.
 
Intro/Outro- Hotshot by Scott Holmes
 
Disclaimer:
This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.
 
The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.
 
Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

Today we’re discussing the basics of Osteopathic Medicine! We’ll cover plenty of topics, including:
-What is a D.O.?
-What is OMM?
-Basics of OMM billing and coding
-Evidence-based medicine for OMM
And more!
 
***We just launched a VERY short, anonymous survey to get YOUR listener preferences when it comes to medical education in the virtual space and podcasting. This survey shouldn’t take longer than a few minutes, and it would mean the WORLD to us. You can find the link below and on our social media. Thanks again for your feedback and contributions, and Happy Studying!
 
Active Survey Link: https://qfreeaccountssjc1.az1.qualtrics.com/jfe/form/SV_bdUIxM57dssT7Uy
 
Follow the podcast on social media:
Facebook- @portablepeds (www.facebook.com/portablepeds)
Twitter- @portablepeds (www.twitter.com/portablepeds)
 
We'd love to hear from you via email at portablepeds@gmail.com!
 
Also, feel free to visit our website, www.portablepeds.com, for more content.
 
We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.
 
The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.
 
Intro/Outro- Hotshot by Scott Holmes
 
Disclaimer:
This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.
 
The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.
 
Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!