Editorial Team. BLKPP – Pediatric Practice… Pearls for your Pediatric Office Practice

PEDIATRIC DRUG THERAPY…

Esomeprazole

18 Sep 202217 Sep 2022

Usage in Neonatal age group GERD Routine use is not recommended in preterm neonates Term and preterm neonates: Oral: 0.5 mg/kg/dose once daily. DURATION of therapy in symptomatic GERD : Guidelines…

INFECTIOUS DISEASES…

When it is NOT congenital syphilis

21 Aug 202220 Aug 2022

Congenital syphilis is unlikely in following scenario- Any neonate who has a normal physical examination and a serum quantitative nontreponemal serologic titer (VDRL) equal to or less than four-fold the…

The Fetus and the Neonatal Infant

APT Test For Swallowed Maternal Blood

18 Aug 202216 Aug 2022

In a newborn infant with rectal bleeding or a blood streaked gastric aspirate, we need to determine whether the blood originated from infant’s gut or whether it’s the swallowed maternal…

Antimicrobials…

Trimethoprim-Sulfamethoxazole

14 Aug 202214 Aug 2022

Always used as a fixed dose combination of Trimethoprim-Sulfamethoxazole in ratio of 1:5. Dose of Trimethoprim(TMP) is used for calculation purposes. Mild to Moderate Infections 4 mg TMP/kg/dose PO - 12…

Anti Parasitic Drugs…

Permethrin- Therapeutic uses

7 Aug 202212 Aug 2022

Scabies Infants ≥2 months, Children, and Adolescents: Topical Permethrin 5% cream : Apply and massage in cream from head to toe (average adult requires 30 g); leave on for 8 to 14…

Rheumatic, Connective Tissue and Collagen Vascular Diseases of Childhood

When To Suspect Vasculitis In Children

28 Jul 202226 Jul 2022

Vasculitis should be suspected in patients with unexplained fever, weight loss, skin rashes; especially when associated with high ESR and CRP. The most common primary vasculitides in children are Henoch-Schonlein purpura (HSP)…

Rheumatic, Connective Tissue and Collagen Vascular Diseases of Childhood

Neonatal Lupus- A Missed Diagnosis

24 Jul 202222 Jul 2022

Neonatal lupus is caused by autoantibodies crossing the placenta from the mother to the fetus. Mothers of the affected infants maybe asymptomatic at the time of delivery. Most common presentation…

Nebulized Epinephrine for Croup

14 Jul 20228 Jul 2022

The administration of nebulized epinephrine to patients with moderate to severe croup often results in rapid improvement of upper airway obstruction. Epinephrine constricts precapillary arterioles in the upper airway mucosa and decreases…

Mist Therapy in Croup

10 Jul 20228 Jul 2022

Humidified air is frequently used in the treatment of croup, although studies supporting its efficacy in reducing symptoms are limited. Although humidified air does not reduce subglottic edema, it may…

CROUP SCORING

3 Jul 20228 Jul 2022

Clinical Feature Degree - ScoreStridor None - 0At rest on auscultation 1At rest without auscultation 2Recessions None - 0 Mild 1Moderate 2Severe 3Cyanosis None - 0With agitation 4At rest 5Consciousness level Normal - 0Altered 5 CROUP SCORE 0-2 = Mild Croup3-5 = Moderate Croup6-11 = Severe croup Next Post: Mist therapy in Croup