Acute asthma

Pathophysiology Asthma involves the triad of: Airway edema/inflammation that leads to mucosal swelling. Excess mucus production and subsequent mucous plugging. Bronchospasm/bronchoconstriction that leads to: Increased airways resistance: Causes increased work of breathing. Atelectasis and ventilation: Perfusion (V:Q). Mismatch: Causes hypoxemia. Image credit: Encyclopedia Britannica. Symptoms Occur after trigger exposure and resolve with trigger avoidance or […]

Bioterrorism and other zoonoses

Learning goals Describe the typical clinical presentations of anthrax, tularemia, botulism, plague, and smallpox Describe what makes a microbial agent a good candidate for a bioterrorism weapon and list clues that a bioterrorism incident has occurred in your community Identify the most common zoonotic exposures linked to infections with Bacillus anthracis, Francicella tularensis, Yersinia pestis, […]

Infectious arthritis

Optional resources Core EM Podcasts: Septic arthritis Estimated time: 20 min. This podcast reviews the essentials of septic arthritis, an orthopedic emergency that requires rapid recognition and treatment to prevent irreversible joint damage and systemic complications. It explains how bacteria reach the joint—most commonly through hematogenous spread—and how the resulting inflammatory cascade can destroy cartilage […]

Fungal infections

Learning goals Describe the basic structural features of yeasts, molds, and dimorphic fungi and the pathogenesis of fungal infections Compare and contrast the diagnostic methods for various opportunistic fungi, including serologic, histologic, and culture methods Describe the morphology and mycology of Candida and compare and contrast the anatomic sites, clinical manifestations, and approach to management […]

Antibiotics: Ribosomal/protein synthesis

Learning goals Compare and contrast the mechanism of action, spectrum of activity, and mechanisms of resistance of the various antibiotics that effect protein synthesis List common clinical uses and key adverse effects of the tetracyclines, macrolides, lincosamide (clindamycin), and oxazolidinones (linezolid) List common clinical uses, and describe the monitoring and key adverse effects of the […]

Tuberculosis

Learning goals Described the unique microbiologic features of mycobacteria their role in infection and pathogenesis and the immunologic response Describe the epidemiology and clinical spectrums associated with the non-tuberculosis mycobacteria, M. avium complex and M. leprae Describe the epidemiology, pathophysiology, natural history, and clinical manifestations of Mycobacterium tuberculosis infections Compare and contrast the pros and […]

Guide to systems-based assessments and plans for inpatient pediatric clerkship

On the pediatric ward and in ICU environments, having a systems-based approach to the assessment and plan ensures comprehensive patient care by systematically evaluating each organ system, and other important domains of care that may otherwise be overlooked.  In working through the encounter of a newly admitted patient, we use our clinical reasoning to collate […]

Pediatrics style guide

These are in alphabetical order since every page doesn’t have every header. Assessing severity (set as sidebar, but keep in TOC) Clinical features/symptoms Differential diagnosis Diagnosis Imaging Monitoring Potential complications Prognosis and long-term follow-up References Treatment/Management Clinical implications and key takeaways Conclusion Definitions (set as sidebar but keep in TOC) Epidemiology Etiology Important components of […]

Failure to thrive and growth faltering in pediatric patients: A comprehensive overview

Failure to thrive (FTT), also known as growth faltering, is a clinical condition in which an infant or child fails to achieve expected growth milestones based on established growth parameters (e.g., weight, height, and head circumference). It is a nonspecific but concerning finding that often indicates underlying issues of inadequate nutritional intake, inadequate absorption, and/or  […]

Navigating the IRB

In this session, you will look at a few situations involving human subject research and decide what type of IRB approval will be needed. You will also be introduced to other regulatory processes if you work in a laboratory setting or work with animals.  Learning Goals Describe how to navigate the Washington State University’s Institutional […]