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

This CHOC Children’s 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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CHOC Children’s Grand Rounds Video: Cognitive Side to Mental Health and the Psychology Behind Concussions

A concussion or mild traumatic brain injury is defined as a transient neurologic change resulting from a biomechanical impact to the head. Given this broad definition, it is not surprising that concussion represents the most common type of traumatic brain injury (TBI). Concussions can be complicated and multifaceted, as patients usually present with various combinations of neurologic, cognitive and psychiatric symptoms, Drs. Sharief Taraman and Jonathan Romain said in a recent grand rounds presentation at CHOC Children’s.

Adolescents represent a commonly seen subgroup within the concussion population, most notably because of their frequent involvement in sports and higher-risk activities. Additionally, when injuries do occur at the high school and college level, the impact velocities tend to be at a higher rate than is seen in younger athletes, potentially resulting in more pronounced concussions. Further complicating the situation is that adolescents tend to have busy schedules and multiple responsibilities throughout the school year (when most concussions occur). Thus, when a concussion is sustained, the student athlete not only needs to deal with the immediate symptoms of the injury, but also the potential for academic and social derailment during the recovery process. Combine these issues with a strong body of literature suggesting adolescents tend to have slower resolution than do adults, and you have the recipe for a very bumpy recovery.

The doctors explain that cognitive symptoms manifest as slower processing speed, feeling foggy, and occasional forgetting or transient confusion.  Psychiatric symptoms often include irritability, liability and sadness. A child may have one or many of these symptoms, although more often these symptoms overlap. The patient and their family may not recognize how persistent symptoms of headache and dizziness, for example, can contribute to memory problems and difficulty concentrating, irritability, and feelings of depression and hopelessness. Children with prolonged symptoms also can feel isolated from their peers while they are sitting out of play and school.

Learn more about CHOC’s Concussion Program.

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CHOC Children’s Grand Rounds Video: Bringing Palliative Care to Your Pediatric Practice

Palliative care in infants and children is a critical and evolving field. In this grand rounds video presentation, Dr. Sirisha Perugu, CHOC Children’s neonatologist, and Meg Mohr, FNP-BC, MSN, coordinator of CHOC’s pediatric advanced care team, provide valuable insight. More specifically, they:

  • define palliative care and provide a brief history of its development;
  • highlight the ways palliative care adds value to culturally sensitive and family- centered care;
  • examine the health care provider’s role in end-of- life care and patient management decisions;
  • and suggest how the health care provider can assist a family whose child requires the added layer of support of palliative care.

Learn more about CHOC’s palliative care services.

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CHOC Children’s Grand Rounds Video: Insufficient Sleep is a Public Health Concern

The Centers for Disease Control and Prevention has recognized insufficient sleep as a public health concern, says CHOC Children’s pulmonologist Dr. John Saito.

In this grand rounds video, Dr. Saito addresses the problem, which is often rooted in childhood. Disorders and disruptions of sleep in a developing brain may have short- term neurocognitive effects, as well as long- term consequences, especially in children who are medically fragile.

Healthcare providers, educators and parents all need to update their level of understanding sleep and sleep disorders in children in order to identify, diagnose, and reduce the negative health consequences of sleep disruption to the child, to the family and to society.

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CHOC Children’s Grand Rounds Video – How we can end hunger in Orange County: Waste Not OC – Dr. Eric Handler

In this CHOC Children’s grand rounds video, Dr. Eric Handler, Orange County public health officer, highlights a unique public-private partnership focused on eliminating hunger and reducing food waste.

The Waste Not OC Coalition uses a three-pronged approach: educate the community about food donations; identify “food insecure” individuals; and connect those individuals to sources of food.  The coalition facilitates the donation of wholesome surplus food from various facilities, including restaurants and hospitals, to local pantries that serve individuals in need.

Since the coalition was formed in 2012, it has increased the visibility of food pantries, raised awareness among business owners of the need for food donations, and empowered clinicians to refer patients to food sources.

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