UNC Peds Chiefs

We are the UNC Pediatric Chiefs! Follow us for clinical pearls and residency news!

(All pics are from teaching sites/HIPAA compliant, not of our patients)

[UNC Peds Chiefs @unc_peds]

In neonates w/ persistent hypoglycemia, think hyperinsulinism, especially if the insulin level is inappropriately high when glucose is low!

[UNC Peds Chiefs @unc_peds]

In a kiddo with vague sx (N/V, weakness, fatigue), don't forget ADDISON's DZ -- look for hypo-Na, hyper-K, metab acidosis, and hypotension!!

[UNC Peds Chiefs @unc_peds]

With UTI, including infants, +LE is the most sensitive indicator of UTI (93%, does not replace a culture). Nitrates are most specific (98%).

[UNC Peds Chiefs @unc_peds]

Have a clinical question? Check out the TRIP (Turning Research Into Practice) database! https://t.co/Iz0CbPcgvd Happy EBMing!

[UNC Peds Chiefs @unc_peds]

Check out this post by one of our Chiefs! Four-Oh-Wunk - https://t.co/Y5dMwrpYms

[UNC Peds Chiefs @unc_peds]

Child w/recent URI p/w new annular itchy rash like this? Think Urticaria Multiforme #NEJM #imagechallenge

[UNC Peds Chiefs @unc_peds]

Intrapartum antibiotics decrease incidence of early BUT NOT late onset GBS disease

[UNC Peds Chiefs @unc_peds]

In a child with persistent hepatomegaly, think metabolic disease, even in an older child.

[UNC Peds Chiefs @unc_peds]

When it comes to adolescent sports participation, the only true contraindication is FEVER! Keep those kids active and healthy!

[UNC Peds Chiefs @unc_peds]

In a child having difficulty walking, don't forget to take a good diet history...they could have scurvy!! (or other deficiencies, eg Vit E)

[UNC Peds Chiefs @unc_peds]

For infants born to mothers with HSV - Get surface swabs 24 hrs after birth to avoid false positive results!

[UNC Peds Chiefs @unc_peds]

In kids in whom you have a high index of suspicion/worry about TB (immunocompromise or known exposure), you only need PPD of 5mm

[UNC Peds Chiefs @unc_peds]

For kids 1-10 years old, a quick cheat for "what's hypotension"= 70 + (age x 2). So go on, cheat and recognize Anaphylaxis! #epipen

[UNC Peds Chiefs @unc_peds]

Tonight is our annual Hello-Goodbye Party! Thanks seniors for everything you've done--We'll miss you. But WELCOME to the new tarHEALers!

[UNC Peds Chiefs @unc_peds]

DiGeorge can present with a myriad of phenotypes--often isolated conotruncal cardiac anomalies, like a vascular ring, Truncus, or Tet.

[UNC Peds Chiefs @unc_peds]

In a <5 yo with unilateral erythema, nontender lymphadenopathy and no fever/constitutional symptoms, think Nontuberculous Mycobacteria!

[UNC Peds Chiefs @unc_peds]

In an infant with hypotonia of unclear etiology, consider checking a CK to clue you into (inherited) dysfunction at the muscular level!

[UNC Peds Chiefs @unc_peds]

6yo p/w persistent erythema/pruritus of the eyelids, previously labeled "atopic dermatitis". Up close, EYELASH LICE!

[UNC Peds Chiefs @unc_peds]

In a child <5 yo with unilateral erythema, nontender lymphadenopathy and fever/constitutional symptoms, think Nontuberculous Mycobacteria!