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Curbside consultation in pediatric infectious disease : 49 clinical questions /
"Curbside Consultation in Pediatric Infectious Disease: 49 Clinical Questions provides quick answers to the tricky questions most commonly posed during a "curbside consultation" between pediatricians. Dr. Angela L. Myers has designed this unique reference which offers expert advice, p...
| Clasificación: | Libro Electrónico |
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| Otros Autores: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Thorofare, NJ :
Slack,
©2012.
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| Colección: | Curbside consultation in pediatrics series.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Question 1: Is it appropriate to treat a suspected urinary tract infection based on an in-office urine dipstick result or should the specimen be sent for culture? Does the age of the patient have anything to do with the decision?
- Question 2: When should you attempt to obtain a catheter specimen versus a clean catch specimen in the setting of a suspected urinary tract infection?
- Question 3: When is imagine, such as voiding cystourethrogram and renal ultrasound, necessary for children with a first urinary tract infection?
- Question 4: Is prophylazis recommended for all patients with vesicoureteral reflux?
- Question 5: When is oral antibiotic therapy necessary in the setting of recurrent methicillin-resistant staphylococcus aureus skin infection/boils?
- Question 6: Are bleach baths or chlorhexidine plus mupirocin ointment useful to decolonize patients with recurrent methicillin-resistant staphylococcus aureus infections? What topical recommendations are useful for patients with recurrent infections?
- Question 7: In what settings is methicillin-resistant staphylococcus aureus spread?
- Question 8: Are there environmental cleaning or personal hygiene interventions that can be used to reduce recurrences of methicillin-resistant staphylococcus aureus infections?
- Question 9: How long does tinea capitis need to be treated in order to be sure the infection has cleared?
- Question 10: What are the methods by which tinea capitis can be spread from person to person?
- Question 11: Do there need to be visible lesions to diagnose tinea capitis?
- Question 12
- What organisms are responsible for causing tinea capitis
- Question 13: What are the best prophylactic measures to tell families to use to prevent tick bites? At what age are agents such as DEET and Picaridin safe to use?
- Question 14: When are tick-borne infections typically seen in the United States, and when does the peak time occur?
- Question 15: What is the best empiric and/or prophylactic therapy for a child in whom you suspect a tick-borne infection?
- Question 16: In what parts of the United States is Lyme Disease seen, how is diagnosis confirmed, and what is the appropriate treatment?
- Question 17: Can you make a diagnosis of atypical pneumonia by clinical presentation or is laboratory evaluation required?
- Question 18: What are the most common ages, presenting symptoms, and common organisms associated with cases of atypical pneumonia?
- Question 19: What is the recommended specific treatment of ititis media due to multidrug-resistant pneumococcus?
- Question 20: When should middle ear effusion fluid be obtained?
- Question 21: What do you do for a patient who has ear tubes and has continuous ear drainage?
- Question 22: What is the recommended specific treatment of acute otitis media due to multidrug-resistant pneumococcus?
- Question 23: Is a throat culture necessary in the setting of a negative rapid streptococcal antigen test?
- Question 24: What is the best treatment option for Group A streptococcal pharyngitis? What if the patient is allergic to beta-lactam antibiotics?
- Question 25: Why do we treat streptococcal pharyngitis when it is a self-limited illness?
- Question 26: Should I treat the asymptomatic siblins of the patient who has a positive rapid streptococcal antigen test?
- Question 27: What are the best clinical indicators that my patient may have streptococcal pharyngitis?
- Question 28: How sensitive and specific are the office-based rapid respiratory syncytial virus and rapid influenza tests?
- Question 29: If I have a 3-month-old infant in the office with respiratory symptoms and negative viral testing, should I proceed with a sepsis evaluation?
- Question 30: If I have a 5-week-old infant with positive rapid viral testing who does not need hospital admission, is a sepsis evaluation necessary?
- Question 31: When are antibiotics indicated for a child with bacterial cause of diarrhea?
- Question 32: What are likely to be the most common viral pathogens causing diarrhea since the decrease in rotavirus cases with increase in vaccine uptake?
- Question 33: When should I be worried about immune deficiency in the setting of recurrent upper respiratory tract infections?
- Question 34: What are the most common viral respiratory pathogens in infants in the first year of life?
- Question 35: What antibiotics are recommended empirically for acute bacterial sinusitis in a patient who hgas not received antibiotics recently?
- Question 36: What antibiotics are recommended to treat acute bacterial sinusitis in the patient who had a course of amoxicillin within the last few weeks for otitis media?
- Question 37: What is the most common pathogen involved in community-acquired pneumonia, and the empiric therapy of choice in the preschool-aged child with fever to 102° F, rales, and a lobar infiltrate on chest radiograph?
- Question 38: When should concern arise about staphylococcus aureus in a patient with pneumonia?
- Question 39: When are steroids indicated in the setting of known acute Epstein-Barr virus infection?
- Question 40: What laboratory test(s) should be obtained in the setting of suspected congenital cytomegalovirus infection?
- Question 41: When should serologic testing be performed instead of a monospot, and how do I interpret results of Epstein-Barr virus serologies?
- Question 42: What should I tell a pregnant mother of a 2 year old who has recently been diagnosed with congenital cytomegalovirus infection about her risk for developing infection as well as prevention techniques?
- Question 43: A 13-year-old femal presents with symptoms of a cat scratch disease. What is the best approach to the diagnosis and the preferred management of a patient with cat scratch disease?
- Question 44: What are the most common pathogens and empiric treatment(s) of choice in a patient with suspected acute bacterials lymphadenitis?
- Question 45: What is the differential diagnosis in a 3-year-old female with a 7-day history of fever, red eyes and lips, rash, and swollen hands?
- Question 46: What imaging evaluation should I consider in an 11-year-old male with a 2-week history of fever and complaints of low back pain and a progressive limp?
- Question 47: A 5-week-old infant was recently diagnosed with thrush and treated with nystatin for 10 days without improvement. Should I obtain a culture of the infant's mucosa and change his therapy? What other problems should I be thinking about in this setting?
- Question 48: What diagnostic testing, if any, should be performed for a normally developing toddler who attends a day care center, develops frequent fevers, and commonly has respiratory tract symptoms? What is the most common reason for this presentation?
- Question 49: A 2-year-old patient has had recurrent fevers for the last year. He often has a red throat, adenopath, and stomatitis with his fevers. I am concerned about periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis syndrome. What are the treatment options for this diagnosis?