Pierre Loredo's Pediatric Board Review
Pediatric Board Review
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Questions/Answers and Reviews.
Top Pediatric Literature
Revised UTI guidelines, VCUG after first UTI not required in all cases. Also, compared with parenteral therapy, oral antimicrobial therapy is as effective in treating UTI. Finally, voiding cystourethrography (VCUG) shows vesicoureteral reflux (VUR), antimicrobial prophylaxis is not recommended to prevent febrile UTI.
Methicillin-resistant Staphylococcus aureus (MRSA) guidelines. Drainage alone of abscesses less than 5 centimeters (cm) is as effective as drainage plus antibiotics. Drain, culture and use antibiotics if 1. Abscesses greater than 5 cm 2. ill appearing child (as evidenced by fever, etc.) 3. abscess site that is difficult to drain (e.g., genitalia, face, hands) 4. children with co-morbidities (e.g., chronic underlying disease, immunosuppressed) 5. rapidly advancing disease 6. failure of simple drainage.
ACIP recommends Meningitis booster be given at 16 years of age.
Cephalexin and Clindamycin showed no significant difference in the treatment of uncomplicated (Exclusion-immune deficent, hospitalization on initial visit, surgical wound/hard ware from surgery, currently on antibiotics) skin and soft tissue infection (Abscess with/without surrounding cellulitis, furuncle, or carbuncle). Yes, even if bug was CA-MRSA. Note: Wound care (including drainage) and follow up still very important.
Intranasal Midazolam and rectal diazepam have no difference in efficacy for terminating seizures at home.
Probiotics reduce severity of diarrhea (infectious), also reduces length of hospital stay.
ACOG changes guidelines. First cervical cancer screen (and pelvic exam) now delayed until age 21, even if sexually active earlier.
Revised UTI guidelines, VCUG after first UTI not required in all cases. Also, compared with parenteral therapy, oral antimicrobial therapy is as effective in treating UTI. Finally, voiding cystourethrography (VCUG) shows vesicoureteral reflux (VUR), antimicrobial prophylaxis is not recommended to prevent febrile UTI.
Methicillin-resistant Staphylococcus aureus (MRSA) guidelines. Drainage alone of abscesses less than 5 centimeters (cm) is as effective as drainage plus antibiotics. Drain, culture and use antibiotics if 1. Abscesses greater than 5 cm 2. ill appearing child (as evidenced by fever, etc.) 3. abscess site that is difficult to drain (e.g., genitalia, face, hands) 4. children with co-morbidities (e.g., chronic underlying disease, immunosuppressed) 5. rapidly advancing disease 6. failure of simple drainage.
ACIP recommends Meningitis booster be given at 16 years of age.
Cephalexin and Clindamycin showed no significant difference in the treatment of uncomplicated (Exclusion-immune deficent, hospitalization on initial visit, surgical wound/hard ware from surgery, currently on antibiotics) skin and soft tissue infection (Abscess with/without surrounding cellulitis, furuncle, or carbuncle). Yes, even if bug was CA-MRSA. Note: Wound care (including drainage) and follow up still very important.
Intranasal Midazolam and rectal diazepam have no difference in efficacy for terminating seizures at home.
Probiotics reduce severity of diarrhea (infectious), also reduces length of hospital stay.
ACOG changes guidelines. First cervical cancer screen (and pelvic exam) now delayed until age 21, even if sexually active earlier.
Donate $17.23 and Get Full Access to Questions/Answers and Reviews.
This site is dedicated to the Love of my life.
Thank you Elizabeth for everything you do.
Pierre Loredo, M.D, was born and raised in Miami, Florida.
He graduated from Cornell University during which time he interned with the Children’s Health Fund and assisted with research on the Yale school of medicine mobile medical van.
Following college he taught anatomy and physiology for one year before finishing medical school and residency in Florida.
Today, he practices in Fort Myers, Fl where he is happily married to Elizabeth Layton Loredo. Dr. Loredo is board certified in Pediatrics.
