Hemodynamically-stable, newborn. Resuscitated at birth. Where is the air? What would you do about it?
2/22/2013
2/08/2013
LQTS - Type Recognition by T wave Morphology
Zhang et al. Circulation 2000;102:2849-55
LQTS1 - Broadbased T wave
LQTS2 - Bifid T wave
LQTS3 - Late-onset T with Peaked/Biphasic T wave
Link to Criteria for diagnosis of Long QT syndrome
12/19/2012
Secondary hyperlipidemia - Causes
From Pediatrics 2011;128:S213-S256
Causes of Secondary Hyperlipidemia
(i) Exogenous:
Alcohol
Drug therapy: Steroids, Isotretinoin, Beta-blockers, some OCPs, select chemotherapy agents, select anti-retroviral agents.
(ii) Endocrine/metabolic:
Hypothyroidism/Hypopituitarism
Type 1 and 2, DM
Pregnancy
Polycystic ovarian syndrome
Lipodystrophy
Acute intermittent porphyria
(iii) Renal:
Chronic renal disease
HUS
Nephrotic syndrome
(iv) Infectious:
Acute viral/bacterial infections
HIV
Hepatitis
(v) Hepatic:
Obstructive liver disease
Biliary cirrhosis
Alagile syndrome
(vi) Inflammatory diseases:
SLE
JRA
(vii) Storage diseases:
Glycogen Storage disease
Gaucher disease
Cystine-storage disease
Juvenile Tay-Sachs disease
Nieman-Pick disease
(viii) Other causes:
Kawasaki
Anorexia nervosa
Post-solid organ transplant
Childhood cancer survivors
Progeria
Idiopathic hypercalcemia
Klinefelter syndrome
Werner syndrome
Lipid - Elevated Triglyceride Treatment Algorithm
From Pediatrics 2011;128:S213-S256
(Click on the image to enlarge)
Lipid - Elevated LDL treatment algorithm
From Pediatrics 2011;128:S213-S256.
(Click on the image to enlarge)
12/11/2012
Ectopy: Atrial vs. Ventricular?
(Click on the image to enlarge)
EKG Quiz: Pacemaker
(Click on the image to enlarge)
Assuming the pacemaker is working appropriately, guess the pacemaker mode and set-rate.
Comparison of atrial rate to paced rate holds a clue to the answer.
What could be the indication for pacemaker?
What are the reasons for a 17-yr old to have this mode of pacing?
12/09/2012
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