Videos

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

In this CHOC Children’s 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 Children’s Grand Rounds Video: Optic Neuritis in Pediatric Patients

In this CHOC Children’s 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 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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