(no subject)
I am going to log things I learn. That way when I feel like I don't learn things I can see that indeed I do. Maybe I'll collect resources I like. More for me than anyone else.
Today.
I knew:
Definition of failure to thrive, kid crosses 2 lines on standard growth curve, is below 5%lie for height or weight. New info: give calories 150% of energy expenditure based on expected size. http://www.aafp.org/afp/20030901/879.html
Hep B new info: the specific amount of Etoh that aggravates Hep B is 40 gm/day. Less than that, apparently, OK. Few people seroconvert with treatment, like 20%. Hep B mandatory vaccination in 1991 dropped prevalence to less than 0.3 per 100,000 in kids. Vaccinations work. Consider testing for chronic carriers in older immigrant populations, kids endemic areas, renal liver diseases. Treatment works better when ALT/AST >2x normal values
No real new information about ALTEs apparent life threatening events in babies, a heterogeneous collection of diagnoses emerge from this chief complaint, H & P should guide lab testing & reflux --> laryngospasm is a pretty big cause. Home monitors go off falsely 90% of time.
Cool resources: http://sites.google.com/site/thesabanfreeclinic/clinical-calculators-2
Today.
I knew:
Definition of failure to thrive, kid crosses 2 lines on standard growth curve, is below 5%lie for height or weight. New info: give calories 150% of energy expenditure based on expected size. http://www.aafp.org/afp/20030901/879.html
Hep B new info: the specific amount of Etoh that aggravates Hep B is 40 gm/day. Less than that, apparently, OK. Few people seroconvert with treatment, like 20%. Hep B mandatory vaccination in 1991 dropped prevalence to less than 0.3 per 100,000 in kids. Vaccinations work. Consider testing for chronic carriers in older immigrant populations, kids endemic areas, renal liver diseases. Treatment works better when ALT/AST >2x normal values
No real new information about ALTEs apparent life threatening events in babies, a heterogeneous collection of diagnoses emerge from this chief complaint, H & P should guide lab testing & reflux --> laryngospasm is a pretty big cause. Home monitors go off falsely 90% of time.
Cool resources: http://sites.google.com/site/thesabanfreeclinic/clinical-calculators-2