Portable Peds

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 [email protected]!   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!

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 [email protected]!   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: 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!

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 [email protected]!   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: 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!

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 [email protected]!   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: 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!

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 [email protected]!   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: 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!

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 [email protected]!   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: 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!

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.   ***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 [email protected]!   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: 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!

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 [email protected]!   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: 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!

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 [email protected]!   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: 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!

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 [email protected]!   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: 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!