Pediagogy
Pedagogy is the art and science of teaching. In this same regard, Pediagogy was created with the goal of teaching on-the-go medical students, residents, and any other interested learners about bread-and-butter pediatrics. Pediagogy is an evidence-based podcast, reviewed by expert specialists, and made by UC Davis Children’s Hospital residents. Follow us on Twitter @Pediagogypod. Let’s learn about kids!
Learn about asthma management in the outpatient and acute setting including 2020 NIH guideline changes.
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Rory Kamerman-Kretzmer, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- Ask about common triggers for asthma like smoke or allergens as well as medication adherence
- Asthma is a clinical diagnosis but ancillary tests like PFTs may help
- Symptom frequency and severity can help you classify asthma as intermittent versus persistent
- Learn about controller/maintenance therapy, including the new SMART therapy
- Learn about steroid use for acute exacerbations as well as next line medications like magnesium, ipratropium, and epinephrine
Supplemental information:
- NIH 2020 guideline updates
- Peds in review 2019- Asthma
- Asthma control test
- GINA 2020 Pocket Guide
- NIH Asthma Guidelines 2007
- JAMA 2021 asthma guideline update summary
Listen to this episode’s topic on bronchiolitis and how we manage it in the hospital!
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Rory Kamerman-Kretzmer, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- Bronchiolitis is seen in kids under the age of 2 and most commonly caused by RSV
- Treatment is supportive including fluids, oxygen, and suction
- Learn about palivizumab and other new preventive therapies against bronchiolitis
Supplemental Information:
Today we talk about BRUE – brief, resolved, unexplained, events – and try to breakdown what it is and what we do for low-risk versus high-risk cases.
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Eunice Kim, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- Brief, resolved, unexplained events in patients <1 year of age with color change, tone change, abnormal breathing, or altered level of consciousness.
- BRUE can be classified as low versus high risk based on age of patient, frequency of events, and exam or history findings
- Only brief observation is needed in low risk BRUE.
- High risk BRUE requires more extensive workup.
Supplemental information:
Join us as we go through this “sweet” episode on diabetic ketoacidosis (DKA) causes, presentation, and management, while learning a fun UC Davis hospital historical fact!
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Nicole Glaser, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- DKA presents with hyperglycemia, ketosis, and anion gap metabolic acidosis, which if severe can cause cerebral edema and CNS dysfunction
- Initial management includes fluid resuscitation and IV insulin -Learn about the 2-bag IV fluid system for DKA
- Correct for hyponatremia in hyperglycemia
- Learn about how to manage potassium, bicarbonate, and phosphorus in DKA
Supplemental information:
In this episode, listeners will learn about the intricacies of how the AAP guidelines came to be on maintenance intravenous fluids for pediatric patients. Get ready to learn about the 4-2-1 rule and breakdown some misconceptions about fluids based on adult data!
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Alexis Toney, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- Remember the 4-2-1 rule for calculating maintenance fluids in children
- Use of hypotonic fluids is based on historical data in healthy children
- Data now supports use of isotonic fluids like NS or LR to reduce risk of hyponatremia and SIADH
- Newer data may support LR over NS
Supplemental information:
Learn how to be a mini-endocrinologist as we talk about how to differentiate Type 1 from Type 2 diabetes and how to create a starter insulin regimen, among other things in today's podcast!
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Nicole Glaser, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- There are specific clinical criteria for diabetes
- There are some differences to help distinguish between type 1 versus type 2 diabetes
- Learn about how to manage diabetes on the inpatient floor, including how to calculate total daily insulin dose, correction factors, and carbohydrate ratios.
Supplemental information:
Got diabetes? Well, which one? With rising childhood obesity rates, we’re getting more of a mix of both! Today we talk about type 2 diabetes and how management can include both medications and lifestyle management.
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Nicole Glaser, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- First line management is insulin when in DKA
- First line management is lifestyle modification and metformin when not in DKA
- Consider adding insulin and GLP-1 agonists if still in poor control
Supplemental Information:
Today we talk about the management of well-appearing febrile infants aged 8-60 days old including work-up algorithms and treatment. Pay close attention, you might even want to pull up the AAP guideline diagrams to follow along!
This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Nathan Kuppermann, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.
Key points:
- New strategies for management of febrile infants depending on age (1-3 weeks, 3-4 weeks, or 4-8 weeks)
- Inflammatory markers like CRP and procalcitonin help to determine if LP is needed in older patients.
- Learn about common bugs that cause infection in infants and the antibiotics we use to treat them
- Observation of febrile infants is now reduced from 48 hours to 24-36 hours
Supplemental information: