Podcasts about Kawasaki disease

On episode #79 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 4/10/25 – 4/23/25. Hosts: Daniel Griffin and Sara Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral An ancient Epstein-Barr virus genome recovered from a museum penis gourd from Papua (JID) Patterns of Decline in Measles, Mumps, and Rubella Neutralizing Antibodies and Protection Levels Through 10 Years After a Second and Third Dose of MMR Vaccine (OFID) Tecovirimat for Clade I MPXV Infection in the Democratic Republic of Congo(NEJM) Bacterial Rapid tuberculosis diagnosis from respiratory or blood samples by a low cost, portable lab-in-tube assay(Science Translational Medicine) New handheld device can diagnose TB without a lab in under an hour, its developers say(CIDRAP) Maternal mastitis and streptococcal toxic shock syndrome risk from breastfeeding children with scarlet fever (LANCET: Infectious Diseases) Risk Factors for Mortality Among Older Adults with Hospital-Acquired Bloodstream Infections in the Intensive Care Unit(Infectious Diseases and Therapy) Bacteremia in Pediatric Solid Organ Transplant Recipients within 1 Year of Transplant(Transplant Infectious Disease) Oral gepotidacin for the treatment of uncomplicated urogenital gonorrhoea (EAGLE-1) (LANCET) Consequences of Climate Change on the Emergence of Pathogenic, Environmentally Acquired Nontuberculous Mycobacteria (OFID) Addition of Macrolide Antibiotics for Hospital Treatment of Community-Acquired Pneumonia (JID) Point-of-Care Testingby Multiplex-PCR in Different Compartments in Suspected Lower Respiratory Tract Infection After Lung Transplantation(Transplant Infectious Disease) Fungal The Last of US Season 2 (YouTube) Pathway-instructed therapeutic selection of ruxolitinib reduces neuroinflammation in fungal postinfectious inflammatory syndrome (Science Advances) Use of Dog Serologic Data for Improved Understanding of Coccidioidomycosis (JID) Parasitic Uganda launches largest malaria vaccine introduction to date(WHO: Uganda) Long-term follow-up of individuals with Chagas disease treated with posaconazole and benznidazole in a non-endemic region(CMI: Clinical Microbiology and Infection) Miscellaneous Monoclonal Antibodies From Children With Acute Kawasaki Disease Identify a Common Antigenic Target in Fatal Cases Over 5 Decades (Laboratory Investigation) Screwworm Cochliomyia hominivorax (Facebook) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.

Julien Dreyfus, MD, PhD, JACC: Case Reports Associate Editor, is joined by author Khalid Shakfeh, MD, discussing this study from Shakfeh et al presented at ACC.25 and published in JACC: Case Reports. A 56 year old man with chronic chest pain syndrome presented with sudden onset of weakness. Evaluation for a stroke revealed a large mass in the right atrium measuring approximately 2.2 x 2.0 cm immediately above the tricuspid valve annulus and adjacent to the atrio-ventricular groove on TTE. Cardiac MRI ruled out intracardiac mass, but rather demonstrated an RCA fusiform aneurysm. Coronary CTA characterized this as two fusiform RCA aneurysms. A LHC confirmed this. Giant coronary aneurysms appearing as a large space-occupying intracavitary cardiac mass are rarely diagnosed. Escalating multimodal imaging is essential for accurate diagnosis and surgical planning. Kawasaki disease can have a late presentation and should be considered in the differential diagnosis of coronary aneurysms. A multimodal imaging approach is essential for accurate diagnosis and management of giant coronary aneurysms.

Event Objectives:Identify key pitfalls that lead to the missed diagnosis of KD.Discuss changes in AHA recommendations for treatment.Understand current initiatives to create a diagnostic test for KD.Claim CME Credit Here!https://www.eeds.com/em/10126

IG Living's patient advocate, Abbie Cornett, hosts Nick Burrus, a Kawasaki disease patient, to discuss his journey with the disease that due to a delayed diagnosis led to complications and the need for a heart transplant.Support the show

Today's Episode Charlee reviews chapter 18 from the Pediatric Morning Report book. A 4-year-old fully immunized male presents with 2 days of fever and irritability. His examination is normal. He is presumed to have a viral syndrome and discharged with reassurance and instruc- tions to bring him back if his fever continues or if any other symptoms of concern develop. Three days later, the patient is brought back. His fevers have persisted, rising as high as 103°F. He has been particularly irritable, and new symptoms include red eyes and a rash. There has been no recent travel or known animal exposures. He has been on no medications other than intermit- tent acetaminophen and ibuprofen for the fever. Today's Host Charlee Quarless is a 3rd year medical student at Ross University. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

Commentary by Dr. Candice Silversides

Thanks for listening!

This month, host Paul Wirkus, MD, FAAP and Karen James, MD will discuss Kawasaki Disease. In week one, the less common symptoms of Kawasaki Disease will be covered.Have a question? Email questions@vcurb.com. You questions will be answered in week four.For more information about available credit visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In this week's episode of Take a Pain Check, Carin Lin joins as a guest to share her journey as a parent of a child with Kawasaki Disease (KD), focusing on her son Isaiah's experience. Carin recounts Isaiah's diagnosis story, shedding light on the symptoms that led them to seek medical attention and the challenges they faced during the diagnosis process. The discussion delves into what Kawasaki Disease is, its symptoms, and how it presents itself in children like Isaiah. Carin shares her advocacy journey, emphasizing the importance of pushing for a diagnosis and educating oneself about the disease after diagnosis. Isaiah's treatment journey, including medications and major surgeries like double bypass surgery, is explored. Carin discusses preparation, the recovery process, and her role in supporting Isaiah. The lifestyle adjustments Isaiah has made and the accommodations needed, especially in school and extracurricular activities, are discussed, highlighting the importance of family support. Carin talks about her involvement in founding Kawasaki Disease Canada is explored, along with the organization's mission and the changes observed in KD recognition over time. Don't forget to like, comment, and subscribe for more insightful episodes. Join our peer support group here for this month's session in April: https://us02web.zoom.us/meeting/regis... Our socials: Website: ⁠https://www.takeapaincheck.com/⁠ Instagram: ⁠  / takeapaincheck_   Tiktok: ⁠https://www.tiktok.com/@takeapainchec... Facebook:   / takeapaincheck   LinkedIn:   / take-a-pain-check   Carin's socials Facebook:   / kawasakidiseasecanada     / isaiahskdjourney   Twitter: @kawasakidiscan @IsaiahsJourney Instagram: @kawasakidiseasecanada @carinlin17 LinkedIn: Carin Lin, Kawasaki Disease Canada Youtube: @kawasakidiseasecanada345 Growing Pains, Copyright, 2018, Alessia Cara

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: 6 ways to LOWER LDL on Keto! Tom Bilyeu Visibly Scared by Jordan Peterson's Warning of What's Next Tomas Pueyo on SO2 injection to stop global warming Show Notes: Coach Cinnamon Prime - Mindset Mastery Course Uniquely human evolution of sialic acid genetics and biology A Simple Method for Assessment of Human Anti-Neu5Gc Antibodies Applied to Kawasaki Disease https://www.foundmyfitness.com/topics/neu5gc Questions:    Testosterone levels and fasting insulin Kevin writes: Hey Robb and Nikki, I am 65 1/2 years young. The last couple of years my sex drive has not been like it had been (it comes and goes, but mostly goes). I did a self referred testosterone level test thinking my levels were low ( also was feeling sluggish and just not feeling quite like myself, but I was thinking that was from my age). To my surprise, my level came back at 1150! I have been taking a prostate supplement the last 6 months called Prostagenix. Before that I was taking flow-max for about 5 years and it just seemed to not be helping my symptoms (taking a lot longer to empty bladder and when I had the urge to go, I had to go, if you know what I mean!) so I switched to this natural supplement. It has a sterol blend on the supplement so I am thinking that maybe that is causing my elevated levels? I also googled it and seen that adrenal gland problems can also cause the high level. I had never had a testosterone level done before so I have nothing to compare this high level with. What are your thoughts on that? Also I did a self referred fasting insulin test and it came back at 5.2. My last 2 fasting glucose test were at 112 and 117. I did a fasting A1C and it was 5.1. Just want to know if 5.2 is high and will lead to insulin resistance or am I there already? The test shows I am in the “normal” range between 2.4 and 26 something! I don't trust what they think normal is. I have been listening to you guys for a while now. I first heard of you when you were in the Tom Woods show and been following you since then! Keep up the great work!   Neu5 GC Teresa writes: Hi Robb and Niki I love your show and listen to it all of the time. I recently listened to Dr. Gundry speaking on Gabby Reese‘s podcast about Neu5 GC, which we get when we consume red meat. He says it causes inflammation and cancer, and that we should only eat it sparingly or only naturally fermented. Not exactly what I want to hear and I find it kind of hard to believe. I have cut out high fodmap vegetables, nightshades,high oxalate vegetables and I've adopted a higher protein diet, 1 g of protein per pound of desired body weight. Chicken is not my favorite and I find it hard to digest. Can you shed light on how much truth there is to this claim . Thank you!   Am I Eating Too Much or Not Enough? Jessica writes, Hi Robb and Nicki, Been listening to the podcast for a few years, and appreciate the content! Also love the way you interact with each other--the love and respect in your relationship comes through--it's encouraging! My question is: Am I eating too much, or not enough? For context, I'm 43 years old, 5'7, 211lbs, and while I am feeling better than I have in probably the last 5 years, I cannot get the scale to budge. My goal would be about 155 (I felt my best at this weight about 8 years ago) I've spent the last 2 years working with a functional medicine practitioner who has helped me clear up some gut infections, mold, and sort out some other digestive concerns (constipation) I've had all the tests: Dutch, GI Map, HTMA, OAT, full thyroid panel (not just TSH), and bloodwork. I'll mention that I'm MTHFR heterozygous, and FNP says based on HTMA, also a "slow oxidizer". Not sure how relevant those two things are to the question. We redid the Dutch recently, and I do seem to be on the low side of progesterone, so she's having me supplement on days 14-28 of my cycle (I'll note my cycle has always been very regular). I sleep 8+ hours a night (actual sleep according to tracker) average 9300 steps/day according to my garmin watch, and lift heavy 30 to 45 minutes 3x/week. I do have a desk job, but I have a walking pad I use daily at the office. I've been working with a nutrition coach at my gym since about August of last year, and while we are seeing some slight body comp changes based on pics and measurements...I'm still carrying more body fat than I would like, and it absolutely seems like it's NOT going anywhere. We started at 1880 calories. (160 grams protein, 175 grams carbs, 60 grams fats), and have adjusted all of those levers to a degree over these 6 months (sometimes up, sometimes down). I'm still basically exactly where I started with my weight. My gym has an InBody Machine, and according to that, my skeletal muscle mass is 76.5 lbs, with a 35.6% body fat. I hear you guys recommend the keto gains calculator, and when I've input my data there, I get the following recommendation: 1489 cals (143 P, 20 C, 93 F) for rest days, and 1679 cals (168 P, 20 C, 103 F). The overall calories seem low, and I do tend to have issues with fat digestion. I hear and read so many things that say women shouldn't be eating less than 2000 calories because of stress on the body, etc....but then some other macro calculators I use put me anywhere between 1800 and 2500 calories. I lost 25 pounds in 3 months about 4 years ago, but didn't keep it off. At that time I was eating 1400 cals, lifting heavy (oly) 3x a week, and training for a 10k 3x a week. It was unsustainable, and I also think may have contributed to some of my other issues. Would really appreciate your all's input as to whether my current macros really are "too much", or if it's not enough. Thanks so much. Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don't. Click here to get your LMNT electrolytes Transcript: Coming soon...    

This week, please join author Jan Vincent Beltran and Associate Editor Charles Lowenstein as they discuss the article "Single-Cell Meta-Analysis of Neutrophil Activation in Kawasaki Disease and Multisystem Inflammatory Syndrome in Children Reveals Potential Shared Immunological Drivers." For episode transcript, visit: https://www.ahajournals.org/do/10.1161/podcast.20231127.335747

This podcast on Kawasaki disease (KD) is an update to our 2009 podcast and further discusses the definition of KD, its differential diagnosis including Multi-system Inflammatory Syndrome (MIS-C), and how to manage KD. It was created by 4th year Imperial College London medical student Annie Cheung and Dr. Mercedes Chan a pediatric rheumatologist at BC Children's Hospital.

This week we discuss the role of the stress echo in the evaluation and follow-up of the patient with Kawasaki disease. What are the present recommendations on the role of this form of imaging in this patient group? What are its benefits and limitations? Can this form of testing provide actionable data beyond imaging such as CT angiography? What is the possible role of CMR in the management and follow-up of the KD patient? Dr. Kirstin Dummer of Rady Children's Hospital shares her deep insights into this endlessly fascinating topic. DOI: 10.1007/s00246-022-03037-1The AHA Scientific Statement On KD:DOI: 10.1161/CIR.0000000000000484

Look for the cardinal signs of Kawasaki disease in kids with persisting fever.    Check out the Starship page -  https://starship.org.nz/guidelines/kawasaki-disease/  Check out the Dermnet page https://dermnetnz.org/topics/kawasaki-disease    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

A High-yield fully question-based review of childhood vasculitides

Kawasaki disease is a common childhood vasculitis and its global incidence appears to be increasing. Although this disease is self-limiting, the associated vasculopathy can cause cardiovascular complications.In this episode of Pediapod, we meet Early Career Investigator Cal Robinson at the Hospital for Sick Children, Toronto, Canada who performed a population-based cohort study using Ontario health administrative databases to determine the risk of cardiovascular events and mortality after Kawasaki disease.Read the full study here: Cardiovascular outcomes in children with Kawasaki disease: a population-based cohort study | Pediatric Research (nature.com) Hosted on Acast. See acast.com/privacy for more information.

Iggy Gilbert, @IDP_Iggy, of King Fantasy Sports, @kfantasy_sports, and the #FFIQCREW on Twitter Spaces, joins AJ, Colt, and Ryan, to spank Week 6 for its bad behavior, and prophesize Week 7. We've changed up our format a bit, but it will be alright. Deep breaths. Find out if the Giants and Jets are for real, if Ryan can stop chewing food into the microphone, and how to support the sufferers of Kawasaki Disease, like Iggy's daughter. Check out Iggy on Twitter for intense IDP (Individual Defensive Player) fantasy content and how to support those suffering from Kawasaki Disease. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/shallwefootball/message

In this episode, Dr Aswin Babu discusses key points from a recent case report published in EHJ – Case Reports. 

Recap and review the top pearls from episodes #16 Kawasaki Disease, #19 Concussion, and #20 Acute Otitis Media with a few members of our production team! It's Fables from the Cribside! (FFTC), our series providing a rapid review of recent Cribsiders episodes for your spaced learning.

Today, in this episode, we'll discuss the new “2021 Guideline for the Management of Kawasaki Disease”, the mysterious triggers that cause KD, the use of therapies such as IVIG, steroids, infliximab, anakinra, and compare multisystem inflammatory disease in children, or MIS-C (a condition very similar to Kawasaki Disease that is triggered by SARS COV-2). Joining us today is Dr. Mark Gorelik, lead Author of the “2021 Guideline for the Management of Kawasaki Disease”. He's an assistant professor of pediatrics at the Columbia University Vagelos College of Physicians and Surgeons, is a pediatric rheumatologist, an allergist and immunologist. His research focuses on vasculitis, including Kawasaki disease, and on immune dysregulation.   

Short, quick review of PANCE topics with associated printable cards to include for your board review prep

Ashley, mother of seven-year-old Tucker. He has spent 20+ days at the hospital with Kawasaki Disease with coronary artery dilation and aneurysms, epilepsy, asthma and allergies. See omnystudio.com/listener for privacy information.

Join Todd C. Villines, MD, MSCCT as he takes a deep dive into three featured articles in the January – February 2022 issue of the Journal of Cardiovascular Computed Tomography (JCCT). Dr. Villines will chat with: Laura Gellis , MD, MPH;  Nehal Mehta , MD and Jonathon Leipsic  , MD, MSCCT.This episode will explore:Comparison of coronary artery measurements between echocardiograms and cardiac CT in Kawasaki Disease patients with aneurysmsChronic Inflammatory Diseases and Coronary Heart Disease: Insights from Cardiovascular CTTrans-lesional Fractional Flow Reserve Gradient as Derived from Coronary CT Improves Patient Management: ADVANCE registrySupport the show (https://scct.org/donations/donate.asp?id=18823)

META PERFORMANCE SHOW | Three-time Paralympian David R. Brown talks with us about winning Gold in the 100 meter event at the 2016 Paralympic Games in Brazil and becoming the fastest blind sprinter in the world. After losing his sight at age 13, David overcame the subsequent fear and depression by focusing his energy on his incredible physical abilities, rather than disabilities, and giving himself motivational pep talks under his breath while competing. David shares why he feels good every time another blind runner beats his time and describes the fascinating mechanics of racing while tethered to a guide runner and synchronizing their steps at record-breaking speeds. While David continues his Track and Field training in preparation for the 2024 Paris Games, he also runs a motivational speaking business and has begun playing competing in blind soccer (a.k.a. 5-a-side Football). Learn more about David: www.iamdavidrbrown.com | contact@iamdavidrbrown.comREFERENCED IN THIS EPISODE• David's 100-meter Gold medal win• Syncronization with guide runner Jerome Avery• Google "Paralympic events," "Paralympics track and field," "5-a-Side Football" and similar phrases to sees the world's most talented para-athletes compete.Novus Global is a tribe of elite executive coaches who work with Fortune 500 Companies, Professional Athletes, World Renowned Artists and Business Leaders to create lives, teams and companies that go beyond high-performance.Book a free consultation with a Novus Global coach here: http://novus.global/now/ This podcast is produced by Rainbow Creative with Matthew Jones as Senior Producer and Jeremy Davidson as Editor and Audio engineer. Find out more about how to create a podcast for you or your business at rainbowcreative.co

 COVID & Vaccine Weekly Update- Hassan El Chebib, MD, FAAPReview current COVID-19 & vaccine data with regards to the uptick in CT casesUnraveling the MIS-teries of MIS-C- Heather Tory, MD, MPHExplain the risk factors for patients developing MIS-CIdentify the clinical and laboratory characteristics that comprise the case definition for MIS-C and differentiate MIS-C from other inflammatory diseases such as Kawasaki Disease and macrophage activation syndromeDescribe the treatment approach for MIS-C and list resources available to guide clinical care

Episode 75: Multisystem Inflammatory Syndrome in Children (MIS-C).  Dr Schlaerth explains the signs, symptoms, and basic management of MIS-C. Lam explain the role of anti-obesity medications in weight management. Introduction: The Role of Drugs in Weight Loss Management    By Lam Chau, MS3, Ross University School of Medicine     Today about 70% of adult Americans are overweight or obese. Obesity is associated with increased risk of heart disease, stroke, and diabetes, among many other diseases. Studies have shown losing 5-10% of your body weight can substantially reduce your risk of cardiovascular disease.  Traditional belief is that weight loss can only be attributed to diet and exercise. While there are certainly elements of truth to that statement, medication is a safe and proven method for weight management that is often overlooked. The fact of the matter is that weight loss is an ongoing field of study with constant new research and innovations.  In June of this year, a medication named Wegovy was approved for weight loss management by the FDA. This drug is indicated for chronic weight management in patients with a BMI of 27 or greater with an accompanying weight-related ailment or in a patient with a BMI of 30 or greater. Rachel Batterham, PhD, of the Centre for Obesity Research at University College London, shared: "The findings of this study represent a major breakthrough for improving the health of people with obesity. No other drug has come close to producing this level of weight loss — this really is a game changer.” Despite breakthroughs like these, the use of medication for weight loss is still relatively low. Dr. Erin Bohula, a cardiologist and assistant professor at Harvard Medical School, believes “there are probably a few reasons for this, including cost, if not covered by insurance, and a perception these agents are not safe in light of the history with weight loss agents.” A study from 2019 examined the medical records from eight geographically dispersed healthcare organizations. They found that out of 2.2 million patients who were eligible for weight loss medication, only 1.3% filled at least 1 prescription. Weight loss is a dynamic process with many different variables. While it may not necessarily be for everyone, medication can help tremendously and is an option you should consider if you are interested in weight loss[1,2]. This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home.  ___________________________Multisystem Inflammatory Syndrome in Children (MIS-C).   By Katherine Schlaerth, MD, and Hector Arreaza, MD. History and epidemiologyMost children who get COVID-19 have either no symptoms or very mild symptoms. However, about 18 months ago, a new pediatric complication of COVID-19, possibly postinfectious, was described.  The eight children who were initially described had a clinical presentation which was similar to either Kawasaki Disease or perhaps toxic shock syndrome, and since these children had signs of a hyperinflammatory state coupled with shock, the new syndrome was named Multisystem Inflammatory Syndrome in Children, or MIS-C for short. By midsummer of 2021, the United States had about two thousand cases and 30 deaths in children under 21.  Other name for this condition is Pediatric Hyperinflammatory Shock. DiagnosisWhat are the criteria for a diagnosis of Multisystem Inflammatory Syndrome? They include:Age below 21Fever above 100.4 degrees Fahrenheit or 38 degrees centigrade for 24 hours (a subjective fever for more than 24 hours counts too). Laboratory evidence of inflammation which should include at least two of the following tests: elevated CRP, elevated ESR, elevated fibrinogen level, procalcitonin, D-dimer, ferritin, lactic acid dehydrogenase (LDH), interleukin-6, and neutrophil counts, low lymphocyte count and low albumin.Severe disease necessitating hospitalization with multisystem organs affected. The systems affected include cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic, and neurologic (at least three systems need to be involved). No creditable other diagnosis. Other symptoms include:GI complaints (diarrhea, vomiting, abdominal pain)Skin rashConjunctivitisHeadacheLethargyConfusionRespiratory distressSore throatMyalgiasSwollen hands/feetLymphadenopathyCardiac signs and symptoms include troponin/BNP elevation and arrhythmia. Findings on ECHO may include depressed LVEF, coronary artery abnormalities, including dilation or aneurysm, mitral regurgitation, and pericardial effusion. There also must be a positive test for SARS-CoV-2 and this test can be either a reverse transcriptase polymerase chain reaction (RT-PCR), serologic, or antigen testing. Exposure to someone who has had or is suspected of having had COVID-19 within the last 4 weeks also counts.  Patients with MIS-C may have predominately gastrointestinal symptoms, mucocutaneous findings, and may be hypotensive or “shocky” on presentation. Up to 80% require ICU admission. Thrombocytopenia and /or elevated transaminase levels can also be seen.  MIS-C vs Kawasaki DiseaseThe big issue in diagnosing MIS-C is the overlap with Kawasaki's disease and with toxic shock syndrome. Patients with Kawasaki Disease in their second week of illness often will have thrombosis, not thrombocytopenia. Whereas MIS-C usually affects school age children or adolescents, Kawasaki Disease is more commonly a problem in younger children, who have an average age of 2 years.  Kawasaki Disease is also more common in Asian children and MIS-C disproportionately seems to affect Black and Hispanic children.  Obesity seems to be another risk factor for MIS-C.  Kawasaki's Disease also has different cardiac manifestations from MIS-C. Coronary artery dilatation is common in Kawasaki's disease and left ventricular dysfunction in MIS-C, although sometimes coronary artery dilatation and rarely aneurisms can be noted on echocardiogram in putative MIS-C, which is why differentiation from Kawasaki's Disease is an issue.  PathophysiologyThe cause of MIS-C is probably postinfectious immune dysregulation. Only a minority of MIS-C patients are identified as having COVID-19 by RT-PCR, but most have positive tests for immunoglobulin G.  Statistically, there is a lag of 4-6 weeks between peak community cases of COVID-19 and the time at which children present with MIS-C.   Although research is being done on MIS-C, and theories abound about etiology, there is no clear-cut answer to why some children get MIS-C and the vast majority do not. In a review of the literature on MIS-C using literature from December 2019 through May 2020, gastrointestinal symptoms such as diarrhea, and abdominal pain were 4-5 times more common than cough and respiratory distress.  There was a slight preponderance of male patients and mean age was 8 ½ years. ICU admission was common and 2/3 required inotropic support, over ¼ needed respiratory help with extracorporeal membrane oxygenation warranted in 31 children. The death rate was 1.5 % of these very sick children treated in hospital.  In another smaller study, 80% had mild, but 44% had moderate to severe EKG abnormalities including coronary involvement. The good news was that coronary arteries were normal in all children after a month, and at 4-9 months, only 2-4% had mild heart abnormalities. Unfortunately, mechanisms of MIS-C as well as universal treatment is still being worked out. Published articles may be delayed due to time constraints in publishing. Other immunologic interventions do not have sufficient data. TreatmentWhat about the treatment of children diagnosed with MIS-C?Usually, a variety of specialists become involved initially. These can include pediatric rheumatology, infectious disease, cardiology, and hematology. If children with MIS-C meet criteria for complete or incomplete Kawasaki disease as well, regardless of COVID-19 testing results, IVIG and aspirin are reasonable.  Corticosteroid use must be individualized, and if used it may require a taper.  An echocardiogram can be done initially looking for coronary aneurisms and repeated in a week.  In severe cases, shock may be a presenting factor needing urgent attention. Generally, the treatments used are decided by the aforementioned consults and may consist of immunomodulating therapy, including possibly IVIG (2g/kg), and/or corticosteroids methylprednisolone (30mg/kg).  AntiviralsThe role of antiviral therapy is unclear and remdesivir should be reserved for children with acute COVID-19.  COVID-19 vaccination-associated myocarditisAnother entity which needs further evaluation is COVID-19 vaccination-associated myocarditis in adolescents. This problem is more common in young males and may occur after the administration of mRNA based COVID-19 vaccines. The presentation occurs within 2 weeks of COVID-19 vaccination, and clinical presentation can include chest pressure, abnormal biomarkers (elevated troponins), and cardiac imaging findings. It is unknown if subclinical cases occur.  COVID-19 infection in children, while usually benign, has the potential to become serious, and the association between some mRNA vaccines and the occurrence of myocarditis has yet to be thoroughly studied. We look forward to more and better data to guide the care of children and young adults in these spheres. The risk of having myocarditis is still higher with the actual COVID-19 than the COVID-19 vaccine. The incidence of myocarditis after BioNtech/Pfizer vaccine was 2.13 cases per 100,000 persons in a large study done in a large health care organization in Israel where more than 2 million people were vaccinated (that represents 0.00213%). Another US study showed that there were 77 cases per million doses of vaccines in young male, in contrast, there were 450 cases of myocarditis per million COVID-19 cases in the same age group.____________________________Conclusion: Now we conclude our episode number 74 “Multisystem Inflammatory Syndrome in Children.” Dr. Schlaerth explained that MIS-C is a work in progress in terms of pathophysiology, diagnosis, treatment, and prognosis. MIS-C and Kawasaki Disease are very similar, but, for example, GI symptoms, cardiac dysfunction, shock and multisystem dysfunction are more prominent in MIS-C than Kawasaki Disease. Whereas coronary artery aneurysms are more common in Kawasaki disease than MIS-C. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Katherine Schlaerth, and Lam Chau. Audio edition: Suraj Amrutia. See you next week! _____________________References:FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014, June 04, 2021, U.S. Food and Drug Administration (FDA), https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014. Saxon DR, Iwamoto SJ, Mettenbrink CJ, et al. Antiobesity Medication Use in 2.2 Million Adults Across Eight Large Health Care Organizations: 2009-2015. Obesity (Silver Spring). 2019;27(12):1975-1981. doi:10.1002/oby.22581. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6868321/.  Carroll, Linda, Weight-loss pills can help. So why don't more people use them? NBC News Health Care, September 2, 2018.  https://www.nbcnews.com/health/health-care/weight-loss-pills-can-help-so-why-don-t-more-n905211 World Health Organization, WHO recommends groundbreaking malaria vaccine for children at risk, October 6, 2021. https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk Lee, Min-Sheng et. al, Similarities and Differences Between COVID-19-Related Multisystem Inflammatory Syndrome in Children and Kawasaki Disease, Front. Pediatr., 18 June 2021, https://doi.org/10.3389/fped.2021.640118.  Gail F. Shust, Vijaya L. Soma, Philip Kahn and Adam J. Ratner, Pediatrics in Review July 2021, 42 (7) 399-401; DOI: https://doi.org/10.1542/pir.2020-004770. Jain SS, Steele JM, Fonseca B, et al. COVID-19 vaccination-associated myocarditis in adolescents. Pediatrics. 2021; doi:10.1542/peds.2021-053427.  https://pediatrics.aappublications.org/content/pediatrics/early/2021/08/12/peds.2021-053427.full.pdf.  Wilson, Clare, Myocarditis is more common after covid-19 infection than vaccination,  New Scientist, 4 August 2021, https://www.newscientist.com/article/mg25133462-800-myocarditis-is-more-common-after-covid-19-infection-than-vaccination/#ixzz79JPn2E47. Son, Mary Beth F, MD, and Kevin Friedman, MD, COVID-19: Multisystem inflammatory syndrome in children (MIS-C) clinical features, evaluation, and diagnosis, Up to Date, September 2021, https://www.uptodate.com/contents/covid-19-multisystem-inflammatory-syndrome-in-children-mis-c-clinical-features-evaluation-and-diagnosis?search=kawasaki%20vs%20misc&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1  

In this episode, Drs. Head, Brigham, and Leyden discuss COVID-19 vaccine updates for children, Kawasaki disease, how to navigate the medicine aisle, and contraception options for adolescents. Topic Times COVID-19 Vaccine - 1:47 Kawasaki Disease - 4:29 Navigating the Medicine Aisle - 12:07 Contraception - 14:37 Trivia - 22:48 This episode was recorded on September 13, 2021.

This week we review a recent work from the team at University of Alabama in Birmingham about clinical outcome disparities amongst Black children with Kawasaki disease. What differences exist in outcomes between these groups and are these differences social or biological in origin? We speak with one of the authors of this work, Assistant Professor of Pediatrics Leslie Collins about this important work. doi: 10.1016/j.jpeds.2020.09.052

Welcome to Episode 8 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 8 of “The 2 View” – A Pediatric Special Bronchiolitis Chapman S. Bronchiolitis: evidence for practice? Evidentlycochrane.net. Published February 15, 2018. Accessed August 6, 2021. https://www.evidentlycochrane.net/bronchiolitis-evidence-practice/ Kirolos, A, Manti, S, Blacow, R, et.al. A Systematic Review of Clinical Practice Guidelines for the Diagnosis and Management of Bronchiolitis. Oxford Academic: The Journal of Infectious Diseases. Published November 1, 2020. Accessed August 6, 2021. https://academic.oup.com/jid/article/222/Supplement_7/S672/5549996?login=true R. Abaya, MD; K. Crescenzo, RN; E. Delgado, MD; et.al. Emergency Department Clinical Pathway for Evaluation/Treatment of Children with Bronchiolitis. The Children's Hospital of Philadelphia. Bronchiolitis Clinical Pathway — Emergency Department. Chop.edu. Published September 2005. Accessed August 6, 2021. https://www.chop.edu/clinical-pathway/bronchiolitis-emergent-evaluation-clinical-pathway Image on Following Page --> https://bit.ly/2VSKInN Rose, E, MD. Pediatric Fever and Infections. EM:RAP CorePendium. Emrap.org. Published July 6, 2021. Accessed August 6, 2021. https://www.emrap.org/corependium/chapter/recWjNx3zLXggj7co/Pediatric-Fever-and-Infections Schroeder AR MD, Marlow JA MD, Bonafide CP MD, MSCE. Improving Value in Bronchiolitis Care. JAMA Network Open. Published 2021. Accessed August 6, 2021. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2776436 Kawasaki's Kubota M, Usami I, Yamakawa M, Tomita Y, Haruta T. Kawasaki Disease With Lymphadenopathy And Fever As Sole Initial Manifestations. EMA September 2008. Emrap.org. Published September 2008. Accessed August 6, 2021. https://www.emrap.org/episode/ema-2008-9/abstract26 Mizuta M, Shimizu M, Inoue N, et al. Serum ferritin levels as a useful diagnostic marker for the distinction of systemic juvenile idiopathic arthritis and Kawasaki disease. Mod Rheumatol. PubMed.gov. Published July 19, 2016. Accessed August 6, 2021. https://pubmed.ncbi.nlm.nih.gov/27433933/ Saguil A MD, MPH, Fargo MV MD, MPH, Grogan SP MD, MBA. Diagnosis and Management of Kawasaki Disease. Am Family Physician. Published March 15, 2015. Accessed August 6, 2021. https://www.aafp.org/afp/2015/0315/p365.html Son MBF, Newburger JW. Kawasaki Disease. Pediatrics in Review: An Official Journal of the American Academy of Pediatrics. Published February 2018. Accessed August 6, 2021. https://pedsinreview.aappublications.org/content/39/2/78 Whitney, D MD; Dorland, K BSN; Beus, J MD; et.al. Emergency Department and Inpatient Clinical Pathway for Evaluation/Treatment of Children with Kawasaki Disease or Incomplete Kawasaki Disease. The Children's Hospital of Philadelphia. Kawasaki Disease or Incomplete Kawasaki Disease clinical pathway — Emergency Department and Inpatient. Chop.edu. Published January 2018. Accessed August 6, 2021. https://www.chop.edu/clinical-pathway/kawasaki-disease-incomplete-kawasaki-disease-clinical-pathway *Image on Following Page* --> https://bit.ly/2VSKInN Pediatric Fever Kaufman J, Fitzpatrick P, Tosif S, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ. Published 2017. Accessed August 6, 2021. https://www.bmj.com/content/357/bmj.j1341 Pantell RH, Roberts KB, Adams WG, et al. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 days old. Pediatrics: Official Journal of the American Academy of Pediatrics. Published August 2021. Accessed August 6, 2021. https://pediatrics.aappublications.org/content/148/2/e2021052228 Figure 1: https://bit.ly/2VSKInN Figure 2: https://bit.ly/2VSKInN Figure 3: https://bit.ly/2VSKInN Tran A, Fortier C, Giovannini-Chami L, et al. Evaluation of the Bladder Stimulation Technique to Collect Midstream Urine in Infants in a Pediatric Emergency Department. PLoS One. Published March 31, 2016. Accessed August 6, 2021. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0152598 COVID in Kids CDC. Information for Pediatric Healthcare Providers. Cdc.gov. Published July 14, 2021. Accessed August 6, 2021. https://www.cdc.gov/coronavirus/2019-ncov/hcp/pediatric-hcp.html Chiotos, K MD, Davis, D MD, Kerman, C MD, et.al. Clinical Pathway for Evaluation and Treatment of Patients with Active COVID-19 Infection. The Children's Hospital of Philadelphia. Acute COVID-19, clinical pathway — all settings. Chop.edu. Published June 2020. Accessed August 6, 2021. https://www.chop.edu/clinical-pathway/covid-disease-clinical-pathway Image on Following Page --> https://bit.ly/2VSKInN Coronavirus outbreak and kids. Harvard.edu. Published August 2, 2021. Accessed August 6, 2021. https://www.health.harvard.edu/diseases-and-conditions/coronavirus-outbreak-and-kids Dong Y, Mo X, Hu Y, et al. Epidemiology of COVID-19 Among Children in China. Pediatrics: Official Journal of the American Academy of Pediatrics. Published June 2020. Accessed August 6, 2021. https://pediatrics.aappublications.org/content/145/6/e20200702 Ives-Tallman, C MD, Guest, B DO. Novel Coronavirus 2019 (COVID-19). EM:RAP CorePendium. Emrap.org. Published July 30, 2021. Accessed August 6, 2021. https://www.emrap.org/corependium/chapter/rec906m1mD6SRH9np/Novel-Coronavirus-2019-COVID-19 Ouldali N MD, Pouletty M MD, Mariani P MD, et al. Emergence of Kawasaki disease related to SARS-CoV-2 infection in an epicentre of the French COVID-19 epidemic: a time-series analysis. Lancet Child & Adolescent Health. Published July 2, 2020. Accessed August 6, 2021. https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(20)30175-9/fulltext Parcha V, Booker KS, Kalra R, et al. A retrospective cohort study of 12,306 pediatric COVID-19 patients in the United States. Sci Rep. PubMed.gov. Published May 13, 2021. Accessed August 6, 2021. https://pubmed.ncbi.nlm.nih.gov/33986390/ Mike & Martha's Something Sweet Abbasi B, Kimiagar M, Sadeghniiat K, et.al. The effect of magnesium supplementation on primary insomnia in elderly: A double-blind placebo-controlled clinical trial. J Res Med Sci. PubMed.gov. Published December 2012. Accessed August 6, 2021. https://pubmed.ncbi.nlm.nih.gov/23853635/ Gottlieb, M MD, Riddell, J MD, Cooney, R MD, et.al. Maximizing the Morning Commute: A Randomized Trial Assessing the Effect of Driving on Podcast Knowledge Acquisition and Retention. Annals of Emergency Medicine: An International Journal. Annemergmed.com. Published April 28, 2021. Accessed August 6, 2021. https://www.annemergmed.com/article/S0196-0644(21)00162-1/fulltext Guerrera MP MD, Volpe SL PhD, Mao JJ MD. Therapeutic Uses of Magnesium. American Family Physician. Published July 15, 2009. Accessed August 6, 2021. https://www.aafp.org/afp/2009/0715/p157.html Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Last month we asked you a trivia question regarding Wellens syndrome. It was a 2-part question and we asked: Who is Wellens syndrome named after and in what year did he co-author the paper that describes what we now know as Wellens syndrome? The answer was: Cardiologist Dr. Henrich Wellens described, with his co-authors, what we now know as Wellens syndrome in 1982 in the American Heart Journal. The winner this month is Mike Sprosty, PA. Mike actually came to our live Original Emergency Medicine Boot Camp in July! It was great to meet him. Maybe he'll use the prize to check out another one of Center for Medical Education courses, or he'll give it to a friend. Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

Iggy breaks down almost every angle possible for Game 5 of the NBA Finals. Suns favored to win the series, Giannis favored to be MVP, SAY WHAT?!?! Also explanation of the MOOSE/MOUSE. Sign up for the Kawasaki Disease charity league, only a few spots left. Iggysfantasyandbetting.com on the home page. #IggysFnB #bravekids #stronghearts Disclaimer: Personal opinions, not financial advice

Should Kids Get a COVID-19 Vaccine? with Pediatrician | This episode is brought to you by Cozy Earth and BiOptimizers.COVID-19 has challenged us like never before. The past year has been full of uncertainties and we continue to face decisions around vaccines, a changing social landscape, and how to protect our families and maintain our quality of life. The best we can do is stay informed on the constantly evolving research and take into account our family's unique needs. Parents of young children have the added responsibility of making decisions for them, with limited data. No one can tell you what the right choice is when it comes to getting your child vaccinated. Dhru and Dr. Song have a grounded conversation about what we know and what we still need to find out. They hash out what can be a pretty overwhelming topic into digestible information to help you feel empowered.Dr. Song is an integrative pediatrician, pediatric Functional Medicine expert, and mama. In her integrative pediatric practice, Whole Family Wellness, she's helped 1,000s of kids get to the root causes of their health concerns and helped their parents understand how to help their children thrive in body, mind, and spirit by integrating conventional pediatrics with Functional Medicine, homeopathy, acupuncture, herbal medicine, and essential oils. Dr. Song created Healthy Kids Happy Kids, an online holistic pediatric resource to help practitioners and parents bridge the gap between conventional and integrative pediatrics with an evidence-based, pediatrician-backed approach.In this episode, we dive into:-Dr. Song and her family's experience of being infected with COVID (9:57) -Confirmation bias and COVID recommendations (12:49) -Pregnant women and COVID-19 vaccine safety (16:31) -What the FDA Emergency Use Authorization for the vaccines means (20:08) -Helping our kids build immune resilience (36:54)-What role children really play in herd immunity (45:33) -Is COVID-19 vaccination in previously infected individuals necessary? (47:45)-Why there is so much pressure to vaccinate children right now (52:47) -What you can do to mitigate any inflammatory response after getting the vaccine (1:10:11) -Natural immunity if you've previously been infected from COVID (1:25:47) -Antibody testing to determine if you've previously been infected with COVID (1:30:08) For more on Dr. Elisa Song you can follow her on Instagram @healthykids_happykids, on Facebook @DrElisaSongMD, and through her website https://healthykidshappykids.com/. Also mentioned in this episode:-Should Kids Get a COVID-19 Vaccine? - https://healthykidshappykids.com/2021/06/14/should-kids-get-a-covid-19-vaccine/-Kawasaki Disease, ACE-2 & COVID-19: What a Pediatrician Wants You to Know - https://healthykidshappykids.com/2020/04/29/kawasaki-ace2-covid-19/-Necessity of COVID-19 Vaccination in Previously Infected Individuals - https://www.medrxiv.org/content/10.1101/2021.06.01.21258176v2For more on Dhru Purohit, be sure to follow him on Instagram @dhrupurohit, on Facebook @dhruxpurohit, on Twitter @dhrupurohit, and on YouTube @dhrupurohit. You can also text Dhru at (302) 200-5643 or click here https://my.community.com/dhrupurohit.Sign up for Dhru's Try This Newsletter - https://dhrupurohit.com/newsletter.Interested in joining The Dhru Purohit Podcast Facebook Community? Submit your request to join here: https://www.facebook.com/groups/2819627591487473/.This episode is brought to you by Cozy Earth and BiOptimizers.I recently started using bamboo sheets from Cozy Earth, and it's a game changer. For one, these sheets help regulate temperature. One of the biggest tips all of the top sleep experts will give you is to make sure your sleep environment is cool. Studies actually show that sleeping in cooler temperatures leads to deeper and more restorative sleep. They are also the most comfortable sheets I've ever used. Right now, Cozy Earth is offering my audience 40% off. Just head over to https://cozyearth.com/ and use the discount code DHRU40. If I had to pick one supplement that has made the biggest difference in my overall health, it would be magnesium. I personally started taking magnesium to help with my sleep, especially when I travel, and it's been super helpful. But I don't take just any old magnesium, I take BiOptimizers Magnesium Breakthrough. It contains 7 different forms of magnesium, which all have different functions in the body. I haven't found anything else like it on the market. Right now, BiOptimizers is offering my community a few special bundles, just head over to https://magbreakthrough.com/dhru with code DHRU10. See acast.com/privacy for privacy and opt-out information.

In this episode, Dr Jennie Han discusses key points from a recent case report published in EHJ – Case Reports.

This episode covers Kawasaki disease.Written notes can be found at https://zerotofinals.com/paediatrics/rheumatology/kawasakidisease/ or in the rheumatology section of the Zero to Finals paediatrics book.The audio in the episode was expertly edited by Harry Watchman.

In Part 2, we discuss what Dr. Lantis refers to as "the pediatric hospitalist Super Bowl" - the treatment and management of Kawasaki Disease. 

If you struggle to keep the criteria for KD straight, this is the episode for you.  There is a LOT to know about Kawasaki disease, so this episode will be split into two parts: Diagnosis and Management.  Join us next week as we discuss management with the wonderful Dr. Patricia Lantis.

Kawasaki Disease A small vessel vasculitis that affects children, usually

Today we'll be covering Influenza Live Vaccine Contraindications, going along with the theme for our premiere episodes, Immunizations.   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 portablepeds@gmail.com!   Also, feel free to visit our website, www.portablepeds.com, for more content.   Today's Case:   A 3 year old female with history of asthma and cochlear implant was recently diagnosed with Kawasaki Disease and was treated appropriately at her local pediatric hospital. The patient also received a dose of Tamiflu (Oseltamivir) yesterday. The parents are requesting the patient receive a live attenuated influenza vaccine, but you counsel them that she should avoid a live influenza vaccine. Which of the following is NOT a reason to avoid the live attenuated influenza vaccine in this patient?   History of asthma Recent administration of Tamiflu (Oseltamivir) Cochlear implant Age Receiving aspirin or salicylate-containing medications   Link to one of the resources cited in this episode: 2013 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for Vaccination of the Immunocompromised Host https://academic.oup.com/cid/article/58/3/e44/336537   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!

This episode covers kawasaki disease!

Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine. What exactly is Kawasaki disease and why is this topic so important? How do you make the diagnosis and what other diagnoses should you consider? How can you diagnosis incomplete Kawasaki when the classic features are not all present? What is the first-line treatment? When should you get an echocardiogram? When should you get your referral center involved? All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Reda Bassali, Dr. Leizl Domingo and Dr. Julisa Patel for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu  Further Reading? Check out the clinical practice guideline from the American Heart Association with citation below. McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association [published correction appears in Circulation. 2019 Jul 30;140(5):e181-e184]. Circulation. 2017;135(17):e927-e999. doi:10.1161/CIR.0000000000000484      

Kawasaki: http://kidshealth.org/en/parents/kawaski.html http://www.healthychildren.org/english/health-issues/conditions/heart/pages/kawasaki-disease.aspx Recommended: CDC, Seattle Childrens' Hospital, NIH Chiropractic: Ernst. (2007). Adverse effects of spinal manipulation: a systematic review. J R Soc Med 100(7). Jones, Jones, & Nugent. (2015). Vertebral artery dissections after chiropractic neck manipulation. Proc (Baylor UMC) 28(1). Kwan-Woong Park, et. al. (2008). Vertebral artery dissection: natural history, clinical features, and therpeutic considerations. J. Korean Neurosurg Soc 44(3). Wheeler, et. al. (2015). Risk of traumatic injury associated with clinical spinal manipulation in Medicare part B beneficiaries aged 66-99. Spine 40(4). This podcast is hosted by ZenCast.fm

Kawasaki disease expert talks possible link to COVID-19; Spotting child abuse in your community; Honolulu avoids penalties for lack of trash for H-Power; Historian on Queen Liliuokalani's diaries during the overthrow

Dr. Andrew Rochford joined Jonesy & Amanda to answer YOUR questions!See omnystudio.com/listener for privacy information.

In this episode I cover vasculitis.If you want to follow along with written notes on vasculitis go to https://zerotofinals.com/medicine/rheumatology/vasculitis/ or the rheumatology section in the Zero to Finals medicine book.This episode cover pathophysiology, presentation, investigations and management of various types of vasculitis, including Henoch-Schonlein purpura, Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss syndrome), Microscopic polyangiitis, Granulomatosis with polyangiitis (Wegener's granulomatosis), Polyarteritis nodosa, Kawasaki Disease, Giant cell arteritis, Takayasu's arteritis. The audio in the episode was expertly edited by Harry Watchman.

This podcast will cover Kawasaki Disease with etiology, diagnosis, and management! High yield for boards as well as clinical rotations. Disclaimer: The information presented in this blog is is for educational and informational purposes only. It should not be construed as medical advice; this is general information and is not patient specific. The information is not guaranteed to be correct, complete, or current. Credit to bensound.com for intro/exit music! I referred to pediatric care online and UpToDate for content.

Born With... Ankyloglossia is also known as a tongue tie.  It is a result of a short frenulum.  This issue is easily corrected if it interferes with eating and talking. Macroglossia is a large tongue.  This is one of the identifiable characteristics of Down's Syndrome.  It is described as the tongue appears to be bigger than space in the mouth. Infected With... Strawberry tongue The tongue can appear extremely red and papillae are swollen to look like seeds on a strawberry.  This is a symptom of several conditions. Kawasaki Disease is a rare but serious childhood inflammatory disease.  Because this involves the blood vessels becoming inflamed, the blood vessels in the tongue are also affected. Scarlet Fever is caused by the same bacteria is strep throat.  The infection goes from just being strep throat to being scarlet fever when the bacteria toxins spread in the bloodstream and cause widespread symptoms. Toxic Shock Syndrome is when the bacteria called as Staph aureus (yes, this is the staph that lives on your skin and can cause wound infections) gets into the bloodstream.  This is a medical emergency and needs to be treated immediately. Hairy Tongue White hairy tongue appears as patches on the sides of the tongue.  It can happen when someone who is immunocompromised gets the Epstein-Barr Virus. (Epstein-Barr is a virus that causes mild childhood illness or a disease we know as Mono when teens and adults.) Black hairy tongue is a little more obscure with a few possibilities of causes. Smoking, excessive coffee or tea consumption, excessive alcohol consumption, or soft diet - inability to shed dead skin cells Antibiotic overuse - overgrowth of fungus or bacteria Overuse of peroxide-based mouthwash - oxidation Function Lost Motor Neuron Disease occurs in the later stages of ALS or Lou Gerig's Disease, when the nerves and muscles of the tongue for speech and swallowing become affected. Connect with me Support us on Patreon Give us your Feedback Join the Pharmacist Answers Podcast Community on Facebook Subscribe: iTunes, Stitcher, GooglePlay, TuneIn Radio Like the Facebook page Music Credits: Up In My Jam (All Of A Sudden) by - Kubbi https://soundcloud.com/kubbiCreative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 http://creativecommons.org/licenses/b...Music provided by Audio Library https://youtu.be/tDexBj46oNI

Kawasaki Disease presents as fever and rash, which makes diagnosis difficult. In this podcast, Anthony Harnden, professor of primary care at the University of Oxford, describes what to watch out for to ensure you don't miss the diagnosis. Read the full article: http://www.bmj.com/content/349/bmj.g5336

Have you ever heard of Kawasaki Disease?  Chris and Monisha Lozier's daughter Mae was a healthy and happy 4 year old until she got swollen glands and a fever. They found themselves living in a hospital for the next 9 days and eventually discovered their daughter had Kawasaki Disease. This is is an immune disease in which the medium-sized blood vessels throughout the body become inflamed. It's cause is unknown, and it's largely seen in children under five years of age. It affects many organ systems, and it's rarest and most serious effects are on the heart - it can cause fatal coronary artery aneurysms in untreated children. Chris and Monisha takes us through their experience with Mae and how they eventually arrived at this diagnosis.  They talk about advocating for your child in a hospital, misdiagnoses, and the blessings that can arise from such a challenging experience. No worries listeners, the story ends well (Mae just received a completely clear heart scan, she's doing great!), but it is an important and interesting story that will keep us better informed. We hope you enjoy.   Other resources: Come see us @ Green Fair on the Fox in Batavia, IL on Saturday, August 9th from 9:00-3:00 @ Peg Bond Center 151 N Island Ave Click the following links to purchase Cathy's books The Self-Aware Parent Part 1  & and Part 2 Click here to find her blog, and click here to find her Chicago Parent column. Todd has a few spots opening for his Men's Group.  Email me @ comments@zenparentingradio.com Tree of Life Chiropractic Care have some interesting workshops planned.  An outline can be found here. If you shop Amazon by going through our website first (there is an amazon link on the bottom right hand of our home page), a portion of your sale will help fund our Be U program.  Thanks for supporting us! Check out our new website & be sure to sign up to get all new podcast sent direct to your inbox @ ZPR. We would love to hear any comments from the show by sending us an email @ comments@zenparentingradio.com You can be sure to hear more by liking our Facebook page @ https://www.facebook.com/ZenParenting How important is a good smile?  Just ask our new partner John J Kelly DDS.  They are located on the northwest side of Chicago and will meet all of your family's dental needs. Painting or remodeling?  Don't forget about our parnter Avid Co.

Have you ever heard of Kawasaki Disease?  Chris and Monisha Lozier's daughter Mae was a healthy and happy 4 year old until she got swollen glands and a fever. They found themselves living in a hospital for the next 9 days and eventually discovered their daughter had Kawasaki Disease. This is is an immune disease in which the medium-sized blood vessels throughout the body become inflamed. It's cause is unknown, and it's largely seen in children under five years of age. It affects many organ systems, and it's rarest and most serious effects are on the heart - it can cause fatal coronary artery aneurysms in untreated children. Chris and Monisha takes us through their experience with Mae and how they eventually arrived at this diagnosis.  They talk about advocating for your child in a hospital, misdiagnoses, and the blessings that can arise from such a challenging experience. No worries listeners, the story ends well (Mae just received a completely clear heart scan, she's doing great!), but it is an important and interesting story that will keep us better informed. We hope you enjoy.   Other resources: Come see us @ Green Fair on the Fox in Batavia, IL on Saturday, August 9th from 9:00-3:00 @ Peg Bond Center 151 N Island Ave Click the following links to purchase Cathy's books The Self-Aware Parent Part 1  & and Part 2 Click here to find her blog, and click here to find her Chicago Parent column. Todd has a few spots opening for his Men's Group.  Email me @ comments@zenparentingradio.com Tree of Life Chiropractic Care have some interesting workshops planned.  An outline can be found here. If you shop Amazon by going through our website first (there is an amazon link on the bottom right hand of our home page), a portion of your sale will help fund our Be U program.  Thanks for supporting us! Check out our new website & be sure to sign up to get all new podcast sent direct to your inbox @ ZPR. We would love to hear any comments from the show by sending us an email @ comments@zenparentingradio.com You can be sure to hear more by liking our Facebook page @ https://www.facebook.com/ZenParenting How important is a good smile?  Just ask our new partner John J Kelly DDS.  They are located on the northwest side of Chicago and will meet all of your family's dental needs. Painting or remodeling?  Don't forget about our parnter Avid Co.

Have you ever heard of Kawasaki Disease?  Chris and Monisha Lozier's daughter Mae was a healthy and happy 4 year old until she got swollen glands and a fever. They found themselves living in a hospital for the next 9 days and eventually discovered their daughter had Kawasaki Disease. This is is an immune disease in which the medium-sized blood vessels throughout the body become inflamed. It's cause is unknown, and it's largely seen in children under five years of age. It affects many organ systems, and it's rarest and most serious effects are on the heart - it can cause fatal coronary artery aneurysms in untreated children. Chris and Monisha takes us through their experience with Mae and how they eventually arrived at this diagnosis.  They talk about advocating for your child in a hospital, misdiagnoses, and the blessings that can arise from such a challenging experience. No worries listeners, the story ends well (Mae just received a completely clear heart scan, she's doing great!), but it is an important and interesting story that will keep us better informed. We hope you enjoy.   Other resources: Come see us @ Green Fair on the Fox in Batavia, IL on Saturday, August 9th from 9:00-3:00 @ Peg Bond Center 151 N Island Ave Click the following links to purchase Cathy's books The Self-Aware Parent Part 1  & and Part 2 Click here to find her blog, and click here to find her Chicago Parent column. Todd has a few spots opening for his Men's Group.  Email me @ comments@zenparentingradio.com Tree of Life Chiropractic Care have some interesting workshops planned.  An outline can be found here. If you shop Amazon by going through our website first (there is an amazon link on the bottom right hand of our home page), a portion of your sale will help fund our Be U program.  Thanks for supporting us! Check out our new website & be sure to sign up to get all new podcast sent direct to your inbox @ ZPR. We would love to hear any comments from the show by sending us an email @ comments@zenparentingradio.com You can be sure to hear more by liking our Facebook page @ https://www.facebook.com/ZenParenting How important is a good smile?  Just ask our new partner John J Kelly DDS.  They are located on the northwest side of Chicago and will meet all of your family's dental needs. Painting or remodeling?  Don't forget about our parnter Avid Co.