Portable Peds

Review- Gastroenterology

Tue, 31 May 2022 09:23:29 -0500

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!

Gastroenterology- Wilson’s Disease Treatment

Tue, 31 May 2022 08:00:51 -0500

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:

Gastroenterology- Wilson’s Disease Diagnosis

Sat, 07 May 2022 18:00:00 -0500

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:

Gastroenterology- Inflammatory Bowel Disease (IBD)

Sat, 27 Nov 2021 18:00:00 -0500

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:

Gastroenterology- Infantile GERD

Sat, 20 Nov 2021 19:34:32 -0500

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:

Osteopathic Medicine

Sun, 14 Nov 2021 00:18:50 -0500

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:

Review- Endocrinology

Thu, 28 Oct 2021 20:03:48 -0500

Today we’re reviewing the high-yield points from this month’s cases about Endocrinology. 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.

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.

Our Cases from Earlier This Month:

Episode 41- Endocrinology- Diabetic Ketoacidosis (DKA)

Episode 42- Endocrinology- Adrenal Insufficiency

Episode 43- Endocrinology- Short Stature

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:

Endocrinology- Short Stature

Sat, 16 Oct 2021 18:00:00 -0500

Today we’ll be covering Short Stature, going along with this month’s theme, Endocrinology. 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 infant presents to your clinic for their 4 month well child check and to establish care. You note that her length measurement is >2 standard deviations below the mean. On exam, you appreciate hypotonia, dysmorphic features, including midfacial hypoplasia with relative macrocephaly and frontal bossing, along with short, broad hands with increased space between the middle 3 fingers. This patient also has more prominent shortening of their proximal limbs compared to the rest of their body. Which of the following genetic tests would you expect to be abnormal in this patient?

Genetic testing for SHOX mutation
Genetic testing for Chromosome 15q11-q13 deletions
Genetic testing for FGFR3 mutation
Karyotype
Genetic testing for PTPN11 mutation

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:

Endocrinology- Adrenal Insufficiency

Sun, 10 Oct 2021 22:19:23 -0500

Today we’ll be covering Adrenal Insufficiency, going along with this month’s theme, Endocrinology. 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 patient presents with vomiting, abdominal pain, and lightheadedness. On exam, they exhibit hypotension and hyperpigmentation of the gums and palmar creases. There is also a strong family history of autoimmune diseases. Serum electrolytes are abnormal, and during admission, a corticotropin stimulation test confirms the most likely diagnosis. What initial electrolyte abnormalities would you have expected in this patient?

Sodium Increased, Potassium Increased, Calcium Increased
Sodium Decreased, Potassium Increased, Calcium Increased
Sodium Decreased, Potassium Increased, Calcium Decreased
Sodium Increased, Potassium Decreased, Calcium Decreased
Sodium Decreased, Potassium Decreased, Calcium Decreased

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:

Endocrinology- Diabetic Ketoacidosis (DKA)

Tue, 05 Oct 2021 23:36:31 -0500

Today we’ll be covering Diabetic Ketoacidosis (DKA), going along with this month’s theme, Endocrinology. 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 ED for abdominal pain and vomiting, starting today. He also reports feeling increasingly thirsty after getting better from his recent URI. On exam, patient is noted to have rapid, deep breathing, and his serum labs show a pH of 7.0, blood glucose 700, and BUN 50. Bicarbonate was given due to an undetectable serum CO2 value. Additionally, this patient’s corrected serum sodium failed to improve with initial therapies in the ICU. Which of the following are NOT associated with increased risk for cerebral edema in this patient?

Initial serum glucose
Azotemia
Decreased partial pressure of arterial CO2
Treatment with bicarbonate
Lack of increase in serum sodium during therapy

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:

Stats Facts! Study Biases

Sat, 25 Sep 2021 18:00:00 -0500

Today we’re reviewing high-yield Stats Facts! about Study Biases. These episodes are not case-based, which differs from the episodes released in prior months. The content will be presented in a discussion/didactic format, and we hope you enjoy!

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:

Stats Facts! Study Design

Sat, 18 Sep 2021 22:30:36 -0500

Today we’re reviewing high-yield Stats Facts! about Study Design. These episodes are not case-based, which differs from the episodes released in prior months. The content will be presented in a discussion/didactic format, and we hope you enjoy!

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:

Stats Facts! Sensitivity, Specificity, PPV, & NPV

Sun, 12 Sep 2021 00:45:19 -0500

Today we’re reviewing high-yield Stats Facts! about Sensitivity, Specificity, PPV, & NPV based on the Bayesian Four-Square Model. 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.

Important Formulas:

Sensitivity: True Positive / Total # of diseased patients

Specificity: True Negative / Total # of non-diseased patients

Positive Predictive Value (PPV): True Positive / Total # of positive test results

Negative Predictive Value (NPV): True Negative / Total # of negative test results

Prevalence: Total # of diseased patients / Total # of patients in the studied population

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:

Review- Oncology

Sat, 04 Sep 2021 18:00:00 -0500

Today we’re reviewing the high-yield points from this month’s cases about Oncology. 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 34- Oncology- Leukemia

Episode 35- Oncology- Abdominal Masses

Episode 36- Oncology- Bony Tumors

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:

Oncology- Bony Tumors

Mon, 30 Aug 2021 00:39:28 -0500

Today we’ll be covering Bony Tumors, going along with this month’s theme, Oncology. 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 15 year old female presents to your office with swelling and pain in the middle of her shin. She originally thought someone kicked her leg in soccer, but it has only gotten worse over the past few weeks. She was brought to the office because she is now having fevers, fatigue, and difficulty catching her breath. On palpation, her leg is tender and swollen but without bruising or erythema. You elect to get an X-ray of the affected leg and visualize a large area of destructive confluent lesions and elevated periosteum in the tibial diaphysis, consistent with where she is having pain. What is the most likely diagnosis for this child?

Osteosarcoma
Ewing Sarcoma
Rhabdomyosarcoma
Osteochondroma
Osteomyelitis

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:

Oncology- Abdominal Masses

Sat, 21 Aug 2021 12:00:00 -0500

Today we’ll be covering Abdominal Masses, going along with this month’s theme, Oncology. 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:

An 18 month old male presents to urgent care with his mother. She is concerned about a head injury because he has two black eyes, and his eyes have been moving abnormally over the past week. No known trauma. Additionally, she feels he may have a “bigger belly than before” and looks thinner. Vital signs show temperature of 101°F, heart rate of 120 bpm, blood pressure of 110/70, and respiratory rate of 20 bpm. On physical exam, you note a protuberant, tender abdomen with a palpable, immobile mass on the right side that extends to the left, along with periorbital bruising on the right, and saccadic eye movements. What is the most likely diagnosis for this child?

Wilms Tumor
Non-accidental trauma
Leukemia
Neuroblastoma
Hepatoblastoma

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:

Oncology- Leukemia

Mon, 16 Aug 2021 19:24:57 -0500

Today we’ll be covering Leukemia, going along with this month’s theme, Oncology. 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 year old male is brought to his pediatrician due to concern for fevers and now refusal to walk. His mother has been checking his temperature for the past week since she noticed his energy levels were lower, and he was not wanting to eat. During the same time period, he has complained of pain in his legs, especially at night, leading to him refusing to walk this morning. On exam today, he is tachycardic, tachypneic and overall tired-appearing. You appreciate hepatosplenomegaly on exam, as well as ecchymoses and petechiae on his extremities, and he pushes you away repeatedly when you try to palpate his legs. Anticipating the most likely diagnosis for this patient, which clinical features would be consistent with a poor prognosis?

Male gender & Age >1 year old
WBC of 60,000 & Male gender
(+) Testicular disease involvement & Age >1 year old
(+) CNS disease involvement & WBC of 60,0000
WBC of 40,000 & (+) Testicular disease involvement

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:

Review- Infectious Disease: Chest Infections

Sun, 15 Aug 2021 21:11:57 -0500

Today we’re reviewing the high-yield points from this month’s cases about Infectious Disease- Chest Infections. 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 30- Infectious Disease: Chest- Infective Endocarditis

Episode 31- Infectious Disease: Chest- Community-Acquired Pneumonia (CAP)

Episode 32- Infectious Disease: Chest- Bronchiolitis

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:

Infectious Disease: Chest- Bronchiolitis

Mon, 09 Aug 2021 02:07:05 -0500

Today we’ll be covering Bronchiolitis, going along with this month’s theme, Infectious Disease- Chest Infections. 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 3 month old full term male infant presents to the Emergency Department in the winter with 3 days of worsening congestion, rhinorrhea, and difficulty breathing. On exam, the child is tachypneic with mild suprasternal and subcostal retractions and diffuse rhonchi. Oxygen saturations are 94% on room air. This child is subsequently admitted to the hospital for viral bronchiolitis. Which of the following interventions are recommended by the AAP?

Chest X-ray
Continuous pulse oximetry
Albuterol aerosol
Supplemental oxygen
None of the above

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:

Infectious Disease: Chest- Community-Acquired Pneumonia (CAP)

Mon, 19 Jul 2021 20:45:16 -0500

Today we’ll be covering Community-Acquired Pneumonia, going along with this month’s theme, Infectious Disease- Chest Infections. 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:

An 18 month old previously healthy male presents to your primary care clinic for cough. Father reports patient has had fever, cough, nasal congestion, rhinorrhea, and difficulty breathing for the past 24 hours. On physical exam, patient has nasal congestion, active cough, mild suprasternal retractions, and faint diffuse crackles. Pulse oximetry is 98% on room air. You suspect the patient has pneumonia, and you also obtain a rapid influenza test, which is positive. What is the next best step?

Send the patient to the Emergency Department now for likely admission
Obtain PA and Lateral Chest X-ray
Start Amoxicillin
Start Azithromycin
Start Oseltamivir

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:

Infectious Disease: Chest- Infective Endocarditis

Sun, 11 Jul 2021 21:06:49 -0500

Today we’ll be covering Infective Endocarditis, going along with this month’s theme, Infectious Disease- Chest Infections. 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 previously healthy 7 year old male was admitted to the ICU following a TBI. A PICC line was placed as part of his therapy. As he recovers, he develops persistent fevers, arthralgias, and malaise. On exam, a new heart murmur is noted. His blood cultures are positive, and due to the new heart murmur, an echocardiogram is obtained. The echocardiogram demonstrates a new endocardial vegetation confirming the diagnosis of infective endocarditis. Which organism is most likely growing in his blood cultures?

An Enterococcus species
Viridans group Streptococci
Staphylococcus aureus
Coagulase negative Staphylococci
A Salmonella species

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:

Review- Cardiology

Sat, 10 Jul 2021 22:20:42 -0500

Today we’re reviewing the high-yield points from this month’s cases about Cardiology. Our review episodes are normally 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 26- Cardiology- Dyslipidemia

Episode 27- Cardiology- Cyanotic Congenital Heart Disease (CHD)

Episode 28- Cardiology- Acyanotic Congenital Heart Disease (CHD)

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:

Cardiology- Acyanotic Congenital Heart Disease (CHD)

Sat, 19 Jun 2021 12:00:00 -0500

Today we’ll be covering Acyanotic Congenital Heart Disease (CHD), going along with this month’s theme, Cardiology. 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 two and a half week old infant presents to the emergency department with poor feeding and decreased urine output for the past 24 hours. She is tachycardic, tachypneic, and in acute distress. An ABG from her right wrist is obtained, and her PaO2 is > 100mmHg with signs of metabolic acidosis. She has had no fevers or other sick symptoms. You obtain four-extremity blood pressures, and there is a 25mmHg gradient between the right upper extremity and the lower extremities. Which murmur is associated with the most likely diagnosis?

A fixed split S2 loudest at the pulmonic region
A harsh pan-systolic murmur
No murmur
A continuous machine-like murmur over the left precordium
A harsh systolic murmur that is loudest on the back

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:

Cardiology- Cyanotic Congenital Heart Disease (CHD)

Sat, 12 Jun 2021 12:00:00 -0500

Today we’ll be covering Cyanotic Congenital Heart Disease (CHD), going along with this month’s theme, Cardiology. 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 mother with scant prenatal care gives birth. Almost immediately following delivery, the infant is cyanotic. An ABG is obtained, and the PaO2 is 35mmHg. The infant is exposed to 100% FiO2 for 10 minutes, and a repeat ABG is obtained. The PaO2 remains at 35mmHg. A chest x-ray is obtained and demonstrates an “egg on a string” appearance. An echocardiogram confirms the diagnosis, and the patient is taken emergently for an atrial balloon septostomy until definitive surgical correction can be prepared. What is the most likely underlying lesion/lesions?

A VSD, an overriding aorta, right ventricular outflow obstruction, and right ventricular hypertrophy
Parallel pulmonary and systemic circulation
A common truncal outflow tract and truncal valve
Abnormal return of the pulmonary veins
Absence of the tricuspid valve

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:

Cardiology- Dyslipidemia

Sun, 06 Jun 2021 11:00:00 -0500

Today we’ll be covering Dyslipidemia, going along with this month’s theme, Cardiology. 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:

An 11 year old presents to your office for a routine well child check. In discussing their diet, you find that they are eating foods high in saturated fat and low in fiber. Their BMI is 31, and they have not yet reached puberty. They have a family history of a myocardial infarction in their maternal grandfather at the age of 48. You perform a routine lipid screening profile, and their LDL level is 170mg/dL. You recommend dietary modifications, and six months later you repeat an LDL level, which is now 165mg/dL. What is the most appropriate next step?

Do nothing; their LDL will continue to naturally decrease through puberty
Repeat a level in 6 months as their LDL level is below the treatment threshold
Continue dietary modifications only, as there are no FDA approved medications for adolescents with dyslipidemia
Start an HMG-CoA reductase inhibitor
Start a cholesterol absorption blocker

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:

Review- Adolescent Medicine

Sun, 06 Jun 2021 03:29:08 -0500

Today we’re reviewing the high-yield points from this month’s cases about Adolescent Medicine. 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.

This month we are also joined by our wonderful guest host, Dr. Nimisha Bajaj! She created all of the cases for this month, and we are so happy to have her join us! Feel free to check her social media for more thought-provoking and insightful content, @NimishaBajaj2 (https://mobile.twitter.com/NimishaBajaj2).

Our Cases from Earlier This Month:

Episode 21- Adolescent- Male Sexually Transmitted Infections (STIs)

Episode 22- Adolescent- Abnormal Uterine Bleeding (AUB)

Episode 23- Adolescent- Female Athlete Triad

Episode 24- Adolescent- Gender Dysphoria & Transgender Health

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:

Adolescent- Gender Dysphoria & Transgender Health

Sun, 23 May 2021 16:49:43 -0500

Today we’ll be covering Gender Dysphoria, going along with this month’s theme, Adolescent Medicine. 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 15 year-old transgender male comes to the clinic for a well visit and for referral to the transgender health clinic. While his mother is in the room for the first part of the visit, you noticed he is appropriate, but more quiet and subdued, and you can see he is not answering questions fully. His PHQ-9 is elevated, and he suffers from insomnia, both of which concern his mother. She also continually refers to him as “she” and by the name assigned at birth. When his mother leaves the room, his affect changes completely, and he is bubbly and engaging. He is interested in testosterone therapy and access to a binder, but he knows his mother would not approve; in fact, he acknowledges that this is causing his dysphoria and insomnia. He states he wants to fully be himself but does not want to ruin his relationship with his mother.

Transgender adolescents are likely to experience an increased risk of which of the following:

Suicide
Depression
Physical violence
Systemic oppression
All of the above

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:

Adolescent- Female Athlete Triad

Mon, 17 May 2021 21:15:28 -0500

Today we’ll be covering Female Athlete Triad, going along with this month’s theme, Adolescent Medicine. 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 14 year-old female presents to clinic to be evaluated for intermittent lightheadedness. You notice on her growth chart that she has been losing weight steadily for the past several months. When you probe further, you realize that despite a BMI of 16, she still feels that she needs to lose weight. She joined the cross country team at her high school, but has been running an extra several miles every day in addition to practice. She is also vegan and has been restricting her daily intake to 800 calories. The last menstrual period she had was 6 months ago.

Which of the following is the most important screening test in this patient?

Dual-energy X-ray absorptiometry scan
Vital signs
Electrolytes, especially K, Mg, and PO4
Thyroid stimulating hormone and Free thyroxine
Electrocardiogram

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:

Adolescent- Abnormal Uterine Bleeding (AUB)

Sat, 08 May 2021 14:53:48 -0500

Today we’ll be covering Abnormal Uterine Bleeding (AUB), going along with this month’s theme, Adolescent Medicine. 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 17 year-old female with a history of migraines with aura presents for a follow up appointment after completing treatment to abate menstrual bleeding that was ongoing for 3 weeks. She has a history of heavy periods that typically last at least 1 week, during which she has to change her tampon every 2-3 hours. She has no known underlying bleeding disorder. She would like to start a long-term medication that has the ability to manage her heavy menstrual bleeding and prevent pregnancy. She has never used any method of contraception before and has never been pregnant. Which of the following is the most effective and appropriate method of contraception for this patient?

Copper intrauterine device
Progesterone-containing intrauterine device
Combined estrogen/progesterone vaginal ring
Combined estrogen/progesterone pill
Regular condom use

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:

Adolescent- Male Sexually Transmitted Infections (STIs)

Sat, 01 May 2021 18:00:00 -0500

Today we’ll be covering Male Sexually Transmitted Infections (STIs), going along with this month’s theme, Adolescent Medicine. 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 17 year old previously healthy male presents for an annual physical exam. When examining his genitals, you notice a small ulcer on his penis that he had not seen before. It is painless, and he denies other symptoms, including fever, dysuria, and penile discharge. It is a solitary ulcer with smooth, firm borders and no underlying erythema or skin color changes. He also has no inguinal lymphadenopathy. He reports unprotected penile-vaginal intercourse with 2 separate partners in the last few weeks, but he is unsure about their STI status. You send the appropriate diagnostic studies, which are pending. Given his symptoms and the most likely diagnosis, what is the next best step to treat this adolescent?

400 mg oral Acyclovir 3 times per day for 7 days
1g oral Azithromycin in a single dose
250 mg IM Ceftriaxone in a single dose with 1g oral Azithromycin in a single dose
4 million units IM Penicillin G
Initiate antiretroviral therapy

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:

Review- Immunology

Wed, 28 Apr 2021 21:20:26 -0500

Today we’re reviewing the high-yield points from this month’s cases about Immunology. 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 17- Immunology- Humoral Immunodeficiencies

Episode 18- Immunology- T-cell Immunodeficiencies

Episode 19- Immunology- Innate Immunodeficiencies

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:

Immunology- Innate Immunodeficiencies

Mon, 19 Apr 2021 18:14:36 -0500

Today we’ll be covering Innate Immunodeficiencies, going along with this month’s theme, Immunology. 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 presented to the ED for fever and appearing “very ill” according to his mother. On history, the mother states he has had multiple episodes of skin abscesses, sinusitis, and pneumonia since birth. This patient was subsequently admitted to the PICU and diagnosed with an immunodeficiency in the accelerated phase based on a blood smear showing giant azurophilic granules in neutrophils. Unfortunately, he passed away shortly after admission. Which of the following organisms was likely the cause of this child’s death?

Neisseria meningitidis
Staphylococcus aureus
Nocardia
Epstein-Barr Virus
Aspergillus

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:

Immunology- T-cell Immunodeficiencies

Thu, 08 Apr 2021 21:08:49 -0500

Today we’ll be covering T-cell Immunodeficiencies, going along with this month’s theme, Immunology. 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 previously healthy 5 year old male presents to the emergency room with 3 days of fever and decreased activity levels. On physical exam, there is cervical lymphadenopathy, evidence of pharyngitis with significant hyperemia, and hepatosplenomegaly present. Initial lab work showed leukopenia with a relative lymphopenia, thrombocytopenia, and significant transaminitis. He was admitted, and further work up revealed an elevated LDH and positive EBV acute infection with significant viral load. Throughout the following two weeks, he developed fulminant liver failure with significant coagulopathy and persistently increasing viremia and eventually passed away due to septicemia. Of the following, which diagnosis is most consistent with this presentation?

Wiskott-Aldrich syndrome
X-linked lymphoproliferative syndrome
Chronic mucocutaneous candidiasis
DiGeorge syndrome
Zeta-associated protein 70 (ZAP-70) deficiency

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:

Immunology- Humoral Immunodeficiencies

Sat, 03 Apr 2021 21:45:25 -0500

Today we’ll be covering Humoral Immunodeficiencies, going along with this month’s theme, Immunology. 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 2 year old male presents to your primary care office for a well child check. He was lost to follow up since his 9 month well child check. The child’s mother would like a referral to ENT because she believes that the child needs to have ear tubes placed due to recurrent ear infections. Upon further questioning, the mother notes that he has had at least six ear infections in the past year. She also reports that he has been treated twice for pneumonia. He has been attending a home daycare since his first birthday. Family history is notable for a maternal uncle who required frequent antibiotics for infections when he was younger, and mom notes that he now frequently receives an “IV medication” to help. She also believes that one of her great uncles passed away from a lung infection when he was a young child. What is the most likely underlying cause of this child’s diagnosis?

Frequent viral infections
An accentuation of a physiologic nadir of immunoglobulins
A block in the development from pre-B cell to mature B cell
Failure of B cells to terminally differentiate into plasma cells that secrete IgA
Impaired B cell differentiation with defective immunoglobulin production

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:

Review- Metabolic Disorders

Sun, 28 Mar 2021 10:20:15 -0500

Today we’re reviewing the high-yield points from this month’s cases about Metabolic Disorders. 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 13- Metabolic- Glycogen Storage Disorders

Episode 14- Metabolic- Lysosomal Storage Disorders

Episode 15- Metabolic- Amino Acidopathies

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:

Metabolic- Amino Acidopathies

Sat, 20 Mar 2021 20:53:20 -0500

Today we’ll be covering Amino Acidopathies and Carbohydrate Disorders, going along with this month’s theme, Metabolic Disorders. 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 five-day old infant presents to the emergency department via ambulance. The mother is extremely worried because her infant has had progressively worsening sleepiness and has been feeding poorly. She was unable to wake the infant from their nap today, so EMS was called. She feels like the infant’s arms and legs are stiffer than normal. On exam, you note that the infant is difficult to arouse and is hypertonic. You are removing their diaper to complete your assessment and note a sweet odor. Which of the following has a high serum concentration in this infant leading to their current symptoms?

Galactose
Leucine
Tyrosine
Phenylalanine
Homocysteine

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:

Metabolic- Lysosomal Storage Disorders

Sun, 14 Mar 2021 00:58:42 -0500

Today we’ll be covering Lysosomal Storage Disorders, going along with this month’s theme, Metabolic Disorders. 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 worried mother presents to your outpatient pediatric office with her 2 and a half year old son after scrapbooking during her free time in the pandemic. She states that he has overall been healthy without concern and because of the pandemic, they have not been in to see you for over a year. She became concerned a few days ago when she noticed that compared to previous pictures, her son’s nose, tongue, lips, cheeks, and head have become bigger and he seems more “stiff” than before. On your exam, you note an inguinal hernia on the right, hepatomegaly, stiff joints, coarse facial features, and an unremarkable ophthalmologic exam. CBC in your lab is unremarkable. Which disease and appropriately paired genetic inheritance pattern are you most suspicious of?

Hurler syndrome, X-linked recessive inheritance
Hunter syndrome, X-linked recessive inheritance
Tay-Sachs disease, Autosomal recessive inheritance
Gaucher disease, Autosomal recessive inheritance
Niemann-Pick Disease, X-linked recessive inheritance

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:

Metabolic- Glycogen Storage Disorders

Sun, 07 Mar 2021 01:34:36 -0500

Today we’ll be covering Glycogen Storage Disorders, going along with this month’s theme, Metabolic Disorders. 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 2 month old male infant born at 39 weeks gestation via SVD as a home birth presents to the ED for respiratory distress. Pt is tachypneic and tachycardic with global retractions, head bobbing, and grunting. Pt was placed on BiPAP, and a chest X-ray was then obtained, which showed marked cardiomegaly. Subsequent EKG showed left ventricular hypertrophy. On further examination, pt was also noted to have hepatomegaly, macroglossia, and hypotonia. What enzyme is likely deficient in this patient?

Glucose-6-Phosphatase
Acid Alpha-Glucosidase
Glycogen Debranching Enzyme
Myophosphorylase
Phosphofructokinase

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:

Review- Newborn Medicine

Sat, 27 Feb 2021 23:10:56 -0500

Today we’re reviewing the high-yield points from this month’s cases about Newborn Medicine. 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 8- Newborn- Direct Hyperbilirubinemia

Episode 9- Newborn- Indirect Hyperbilirubinemia

Episode 10- Newborn- Necrotizing Enterocolitis (NEC)

Episode 11- Newborn- Respiratory Distress

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:

Newborn- Respiratory Distress

Sat, 20 Feb 2021 21:24:51 -0500

Today we’ll be covering Respiratory Distress of the Newborn, going along with this month’s theme, Newborn Medicine. 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 female infant is born at 38 weeks gestation to a G2P1 mother with known gestational diabetes via scheduled, repeat C-section. Initial Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. About an hour later, the child begins to develop tachypnea (RR 70), nasal flaring, and grunting, which improves with supplemental oxygen via nasal cannula. A chest X-ray is obtained, which showed findings consistent with the diagnosis of Transient Tachypnea of the Newborn. What findings would be expected on chest X-ray for this patient?

Diffuse parenchymal infiltrates with fluid in the interlobar fissure
Diffuse parenchymal infiltrates with air bronchograms or lobar consolidation
Diffuse, bilateral ground-glass opacities with air bronchograms
Diffuse, patchy infiltrates with areas of hyperinflation
Left-sided intrathoracic stomach bubble with shift of the mediastinum and cardiac silhouette to the right

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:

Newborn- Necrotizing Enterocolitis (NEC)

Sat, 13 Feb 2021 08:09:06 -0500

Today we’ll be covering Necrotizing Enterocolitis (NEC), going along with this month’s theme, Newborn Medicine. 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:

An infant was born weighing 1,250g at 30 weeks gestation due to premature rupture of membranes. Pregnancy complications included maternal cocaine use and intrauterine growth restriction. As feeds were introduced with donor breast milk, the infant appeared to have increased discomfort with feeds. The baby went on to develop necrotizing enterocolitis, also known as NEC, at 20 days of life. Which of the following is NOT a risk factor for the development of NEC?

Pre-term birth
Very low birth weight (defined as < 1,500g)
Intrauterine growth restriction
Maternal cocaine use
Feeding with donor breast milk

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:

Newborn- Indirect Hyperbilirubinemia

Sat, 06 Feb 2021 14:23:04 -0500

Today we’ll be covering Indirect Hyperbilirubinemia, going along with this month’s theme, Newborn Medicine. 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 child presents to your primary care clinic, who is a three-day old exclusively breast-fed female of European descent born at 36 weeks gestation. Pregnancy, labor, delivery, and post-natal course were uncomplicated. Mom’s blood type was A+, and this is her first child. The infant was discharged at 24 hours of life, and her bilirubin level at that time was 6mg/dL, all indirect, which corresponded to a low intermediate risk level for developing severe hyperbilirubinemia. She appears jaundiced on exam, and you note that she has lost approximately 8% of her birth weight. Her current total serum bilirubin is 12mg/dL, all indirect. You continue to trend bilirubin levels in your office throughout the week. Her total bilirubin level peaks on day of life four and is down-trending by day of life six. What is the most likely etiology of her jaundice?

Breast milk jaundice
Breastfeeding jaundice
ABO incompatibility
Biliary atresia
G6PD deficiency

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:

Newborn- Direct Hyperbilirubinemia

Sat, 06 Feb 2021 13:50:13 -0500

Today we’ll be covering Direct Hyperbilirubinemia, going along with this month’s theme, Newborn Medicine. 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 four week old infant is brought into your primary care office. She was born at 39w6d via uncomplicated home delivery and missed her newborn appointment. Mom received appropriate prenatal care, and the pregnancy was uncomplicated. The child’s birth weight was appropriate for age. She has been breast feeding well and has continued to gain weight along the 30th percentile. She has had no fevers or other signs of illness. On exam the child is markedly jaundiced with prominent icteric sclera. You note that she has a firm, palpable liver edge. She has no dysmorphic features or murmurs on exam. She has a stool in the office which is a pasty white color. You check a total serum bilirubin which is notable for direct hyperbilirubinemia. You also obtain an abdominal ultrasound, which is notable for a triangular fibrous mass at the porta hepatis. What is the most likely diagnosis?

Choledochal cyst
Physiologic jaundice
Alagille syndrome
Biliary atresia
Galactosemia

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:

Review- Infectious Disease: CNS Infections

Sat, 30 Jan 2021 23:27:35 -0500

Today we’re reviewing the high-yield points from this month’s cases about Infectious Disease- CNS Infections. 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 4- Infectious Disease- Febrile Neonate

Episode 5- Infectious Disease- TORCH Infections

Episode 6- Infectious Disease- Meningitis

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:

Infectious Disease- Meningitis

Sat, 23 Jan 2021 15:45:57 -0500

Today we’ll be covering Meningitis, going along with this month’s theme, Infectious Disease- CNS Infections. 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 10 year old previously healthy male presents after 24 hours of non-remitting headache, intractable vomiting, and fevers to 104.1F at home. Mother brought the patient to the ED after symptoms continued to worsen, and she noticed him moving his neck less. No recent travel, but he did go to a sleepover recently and notes that one of the friends there had a “GI bug.” Given his symptoms, a lumbar puncture is performed, and the fluid obtained is noted to be clear and colorless with an opening pressure of 30 mmH20, WBC of 200, predominantly lymphocytes, protein low at 80 mg/dl, and glucose slightly elevated to 60 mg/dl. Serum glucose was 85. Given these results, what is the most likely etiology of this child’s symptomatology?

Bacterial meningitis
Subarachnoid hemorrhage
Fungal meningitis
Viral meningitis
Tuberculous meningitis

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:

Infectious Disease- TORCH Infections

Sat, 16 Jan 2021 21:11:45 -0500

Today we’ll be covering TORCH Infections, going along with this month’s theme, Infectious Disease- CNS Infections. 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 2 week old neonate presents to the outpatient office for a weight check after recently moving from out-of-state. No newborn records have been sent from the previous hospital, and the mother is unsure of her prenatal testing, although she states delivery was uneventful. She is concerned because of a rash that has developed over the past day, and he seems smaller compared to his older brother when he was the same age. On exam, you note a murmur, a petechial rash over his entire body, and his weight is below the first percentile. What is the most likely cause of this infant’s symptoms?

Congenital Parvovirus B19
Congenital Cytomegalovirus
Congenital Rubella
Congenital Syphilis
Congenital Toxoplasmosis

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:

Infectious Disease- Febrile Neonate

Sun, 10 Jan 2021 00:30:44 -0500

Today we’ll be covering Febrile Neonate Diagnosis and Management, going along with this month’s theme, Infectious Disease- CNS Infections.

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 9 day old male, born at 36 weeks gestation via normal spontaneous vaginal delivery presents to a pediatric emergency room due to increased fussiness, fever, and decreased oral intake. Maternal perinatal history is unremarkable aside from a mild flu-like illness in her first trimester and pre-term labor. Mother had negative serologies at delivery and no history of sexually transmitted infections. Delivery was uncomplicated, although placenta was noted to have presence of white nodules, and the infant did not require NICU admission. A full septic evaluation was performed with serum glucose 80, serum WBC 18.1 with neutrophilic predominance, and CSF analysis showing WBC 20,000, glucose 25, and protein 125. Blood, CSF, and urine cultures pending. What is the most likely diagnosis and the recommended empiric treatment?

Herpes simplex meningitis; acyclovir, ampicillin, and gentamicin
Group B strep meningitis; ampicillin, ceftriaxone, and gentamicin
Listeria Monocytogenes meningitis; ampicillin and gentamicin
Escherichia coli meningitis; ampicillin and gentamicin
Neisseria meningitidis meningitis; ampicillin, ceftriaxone, and gentamicin

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:

Immunizations- Influenza Part 2

Sat, 09 Jan 2021 21:20:11 -0500

Today we’ll be covering Influenza Live Vaccine Contraindications, going along with the theme for our premiere episodes, Immunizations.

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 3 year old female with history of asthma and cochlear implant was recently diagnosed with Kawasaki Disease and was treated appropriately at her local pediatric hospital. The patient also received a dose of Tamiflu (Oseltamivir) yesterday. The parents are requesting the patient receive a live attenuated influenza vaccine, but you counsel them that she should avoid a live influenza vaccine. Which of the following is NOT a reason to avoid the live attenuated influenza vaccine in this patient?

History of asthma
Recent administration of Tamiflu (Oseltamivir)
Cochlear implant
Age
Receiving aspirin or salicylate-containing medications

Link to one of the resources cited in this episode:

2013 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for Vaccination of the Immunocompromised Host

https://academic.oup.com/cid/article/58/3/e44/336537

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:

Immunizations- Influenza Part 1

Sat, 09 Jan 2021 18:31:10 -0500

Today we’ll be covering Influenza Vaccine Dosing, going along with the theme for our premiere episodes, Immunizations.

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 full term Female with history of eczema and egg allergy presents for her 4 month well child visit in October. Mother is requesting an influenza vaccine be given with her scheduled 4 month vaccines. When questioned about the egg allergy, mom states that she had hives and respiratory distress after eating eggs previously. Should this patient receive the influenza vaccine at this visit?

No, her severe egg allergy is a contraindication to giving the vaccine.
No, she is not old enough to receive the vaccine at this visit.
Yes, she can receive the vaccine if monitored closely in clinic for signs of anaphylaxis.
Yes, she can receive the vaccine without additional monitoring.
Yes, she can receive the vaccine, but she will need a second vaccine dose.

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:

Immunizations- Tetanus

Tue, 22 Dec 2020 11:06:08 -0500

Today we’ll be covering Tetanus post-exposure prophylaxis, going along with the theme for our premiere episodes, Immunizations.

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 previously healthy male presents to the ED after stepping barefoot on a broken bottle on the beach. He has a jagged, deep laceration to his Right foot approximately 4cm in length. His immunization history is unknown. What tetanus post-exposure prophylaxis should this patient receive?

Tdap AND Tetanus Immunoglobulin
Tdap ONLY
Td ONLY
Neither Tdap or Tetanus Immunoglobulin
Tetanus Immunoglobulin ONLY

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: