AAP Iron Deficiency Clinical Report
Iron deficiency affects this percentage of female adolescents in the US
What is 11%?
Metformin, Semaglutide, Liraglutide, Phentermine/topiramate
What are medications for treating pediatric obesity?
Infants 6-23 months of age, children with asthma, children with a BMI >95%, children with intellectual disability, children with diabetes, and children who have never been vaccinated against this disease are recommended to receive this vaccine
What is the COVID vaccine?
Child: What are their strengths?
Content: What content are they interacting with?
Calm: Are children using media for calming?
Crowding out: What is digital media getting in the way of?
Communication: How is your family having conversations about media?
What are the 5 C's of media use?
This socially conscious ice cream company was founded in a gas station in Vermont
What is Ben and Jerry's?
The American Academy of Pediatrics recommends screening for iron deficiency with these tests
What are a CBC and ferritin?
(Follow up should use CBC and reticulocyte)
Breast milk
What is the preferred source of liquid nutrition for a 15 month old?
This immunization should be given to all children under 8 months of age from October 1 to March 31 if they are not protected by passive immunity.
What is nirsevimab or clesrovimab?
Encourages critical thinking and prosocial themes; gives a sense of agency in moving on to other activities after engaging with digital content; lack of commercialized, highly filtered or violent content; relaxing pace of content; free of unwanted contact or negative interpersonal experiences
What are indicators of high-quality digital content?
This is where the Sound of Music family found their American hills
What is Stowe, Vermont?
9-12 months, 15-18 months, and once at least one year after menarche or by age 14 years
What are the ages at which a patient should be screened for iron deficiency?
Assess caloric intake and access to adequate nutrition, Do biopsies if endoscopy is indicated, Refer for feeding support (OT, Lactation consultant), Increase calories with whole foods and high calorie formulas/oral supplements
What are recommendations for addressing a child with faltering weight?
This respiratory virus level is elevated and increasing in activity nationally
What is SARS-CoV-2?
Streaks
Creepy Content
Rewards
Escape is hard
Excessive ads
Nagging (for subscriptions or engagement)
Over the top challenges or attention grabbing tactics
Unwanted contact from strangers
Toys (highlighting excessive toys or consumption)
What is SCREEN OUT, an acronym for identifying low quality digital content?
This Dartmouth alum took the Road less traveled, and that has made all the difference
Who is Robert Frost?
These levels of serum ferritin and hemoglobin are indicative of iron deficiency in an adolescent
What are <31 ng/mL and <11.4 g/dL?
(For school age children, <21 ng/mL and <11 g/dL)
Avoid inhaled substances, Avoid highly potent forms, Only purchase from licensed dispensaries, Prescribe Zofran
What are harm reduction strategies for cannabis use disorder?
American Indian or Alaska Native children, infants born preterm, at <32 weeks, 0 days’ gestation, regardless of the need for medication or other support, children with Down syndrome or other chromosomal differences that increase risk for severe RSV disease, Severe immunocompromise, Anatomic pulmonary abnormalities or neuromuscular disorders that increase risk for severe RSV disease, Chronic lung disease of prematurity or other significant neonatal conditions (meconium aspiration or congenital diaphragmatic hernia) who required medical support (chronic corticosteroids, diuretics, or oxygen) at any time during the 6-month period before RSV season begins, Cystic Fibrosis with either weight-for-length <10th percentile or severe lung disease manifestations (previously hospitalized for pulmonary exacerbation in the 1st year of life or chest imaging abnormalities that persist when stable), Hemodynamically signifcant congenital heart disease
What are indications for a 2nd season of nirsevimab for children 8-19 months of age?
Communicate
Assess and Address
Listen and Learn
Monitor and Manage
Educate and Encourage
Report and use Resources
What is the CALMER technique for parents to use to discuss their children's media use?
Characterized by continuity, being the first connection of patients with the health care system, coordinating care that comprehensively addresses all of the health care needs of individual patients, developing a sustained partnership with patients, and practicing in the context of family and community, addressing the social drivers of health and behavioral health needs of patients via in person and digital means, this team-based medical practice can save up to $6 for every dollar spent, improves life expectancy, improves obesity prevention, reduces infant mortality and results in improved self-rated health scores.
What is Advanced Primary Care?
This dose and frequency of therapy for iron deficiency should be reassessed after a month of treatment for efficacy
What is 3 mg/kg of elemental iron (generally given as Ferrous sulfate) up to 65 mg of elemental iron once daily on an empty stomach?
Double leg stance, Single leg stance, Tandem stance,
Dual task tandem gait
This single dose treatment is indicated for treatment of uncomplicated influenza within 48 hours of symptom onset in children 5 years and older
What is Baloxavir?
Fund prosocial third spaces like libraries, parks and community centers; fund child centered media like PBS kids and Sesame street; protect learning with school phone policies and limits on electronic use; develop "effective age assurance" and universal erasure laws
What are policy recommendations for addressing children's digital ecosystems?
This founder of the Institute for Healthcare Improvement told the story of escaping a Montana wildfire in his 1999 speech, Escape Fire, to demonstrate that "only by abandoning many of the traditional tools of health care delivery, only by opening up the system to the patients it serves and instituting a standard of excellence...will the health care system be transformed."
Who is Dr. Donald Berwick?