CHOC Grand Rounds Video: Hypotonia in an Infant – A Case Review

In this CHOC grand rounds video presentation, Dr. Jenna Timboe, third-year pediatric resident at CHOC/UCI, highlights a case of a 4-month-old presenting with hypotonia, also known as “rag doll” syndrome.  Dr. Timboe explains how to evaluate an infant with hypotonia and how to differentiate between various etiologies.

In addition, she reviews the history of botulism and associated risk factors.  She also provides an overview of the diagnostic evaluation of botulism and explains who to contact if botulism is suspected.  Lastly, she reviews treatment and expected prognosis.

Understanding how to appropriately diagnose and treat botulism can impact the duration of the illness and the need for ICU support.

CHOC is proud to offer continuing medical education and grand rounds on topics of interest to medical and allied professionals.

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CHOC Grand Rounds Video: Optic Neuritis in Pediatric Patients

In this CHOC grand rounds video, Dr. Chantal Boisvert, neuro-ophthalmologist, addresses optic neuritis in pediatric patients.  Specifically, she discusses how the presentation and outcome can be different for children compared to adults. Pediatric optic neuritis is often bilateral and tends to occur within one to two weeks after a known or presumed viral infection/vaccination. Children with optic neuritis are also at lower risk of developing MS compared to the adult population.

Dr. Boisvert also shares some of the challenges associated with diagnosing and treating optic nerve problems.  Sudden inflammation of the nerve, which carries visual information from the eye to the brain, can cause acute vision loss. Most cases will improve after a few weeks, but injury to the nerve fibers can sometimes result in permanent loss of vision. Physicians need to know when to refer to neuro-ophthalmologists. Neuro-ophthalmologists are familiar with all aspects of both optic nerve and brain disorders, and will be able to provide up-to-date recommendations on complex treatment issues and follow-up.

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CHOC Grand Rounds Video: Drug Reaction/Rash with Eosinophilia and Systemic Symptoms (DRESS) vs. Steven Johnson (SJS) vs. Toxic Epidermal Necrolysis (TEN)

This CHOC grand rounds video, featuring Dr. Laura Pruitt, pediatric resident, PGY-3, provides an overview of the syndromes of DRESS, SJS and TEN to compare the similarities and highlight the differences of these distinct diseases. The presentation covers the common presenting symptoms, the underlying causes and current proposed treatments.

The goal of this presentation is to improve recognition of each of these syndromes by both general pediatricians and hospitalist physicians, allowing for earlier intervention and treatment.

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