Primary Care Perspectives

Primary Care Perspectives: Episode 31 - Kidney Stones in Children

Over the past 20 years, the probability of having a kidney stone before the age of 18 has approximately doubled. In this episode, Gregory Tasian, MD, attending urologist at Children’s Hospital of Philadelphia, explores why, including factors like temperatures and medication, which have emerged in recent studies as contributing factors. He also discusses signs and symptoms, recurrence risks, and a collaborative approach to providing care for children and adolescents with stone disease. Published May 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 30 - Probiotics and Prebiotics

Maria Mascarenhas, MBBS, a pediatric gastroenterologist and nutrition pediatrician at Children’s Hospital of Philadelphia, defines the role of probiotics and prebiotics, how to increase them in your diet or through supplements, and the conditions for which they have been most studied. Published April 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 29 - PATTERNS Project: Predicting Missed Appointments

In this episode, Robert Grundmeier, MD, attending physician and Director of Clinical Informatics at Children’s Hospital of Philadelphia, discusses the multiple factors that contribute to missed patient appointments, the impact of this issue, and both current and future solutions to this problem. Using data from a recent pilot study, Dr. Grundmeier offers ideas for how our electronic health records can help prevent missed appointments and improve access to care. (PATTERNS: Predictive Analytic Technology to Eliminate Repeat No Shows) Published April 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 28 - The Anti-Inflammatory Diet

This episode explores the origins, health benefits, and uses of the anti-inflammatory diet with Maria Mascarenhas, MBBS, an attending physician and Medical Director of the Integrative Health Program at Children's Hospital of Philadelphia. She discusses the data-based origins of the diet; foods to focus on, including a sample menu for kids; and how the diet can help improve outcomes and health, especially for patients with chronic conditions attributed to inflammation. Published March 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 27 - Autism Screening and Management

Kate Wallis, MD, a fellow with the Division of Developmental and Behavioral Pediatrics at Children's Hospital of Philadelphia, talks about autism screening using the M-CHAT, signs of autism spectrum disorder, cultural and language considerations, management of common comorbidities like food selectivity, and more. She also discusses how pediatricians can support parents and siblings of children with autism spectrum disorder. Published March 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 26 - Lymphadenopathy Evaluation in Primary Care

Julie Stern, MD, attending physician with the Division of Oncology at Children's Hospital of Philadelphia, talks about the examination and evaluation of lymph nodes, and the diagnostic work-up for abnormal nodes. Also, how to approach difficult conversations with patients and families, when to refer to oncology services, and what resources are available to primary care physicians with diagnostic dilemmas. Published February 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 25 - Stridor

Ian Jacobs, MD, Medical Director of the Center for Pediatric Airway Disorders at Children's Hospital of Philadelphia, discusses common causes of stridor, including croup, foreign body aspiration, and laryngomalacia. He also talks about the most dangerous foreign body ingestions in young children and the latest clinical advances and research underway in the airway clinic at CHOP. Published February 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 24 - Constipation in Children

In this episode, Jennifer Webster, MD, a pediatric gastroenterology fellow at Children’s Hospital of Philadelphia, discusses childhood constipation. She covers things like diagnostic criteria, signs of constipation, treatment, tips for increasing dietary fiber intake in toddlers, related diagnoses, and more. Published January 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Primary Care Perspectives: Episode 23 - Pediatric Dermatology: Common Skin Problems in Kids

In this episode, pediatric dermatologist James Treat, MD, from Children’s Hospital of Philadelphia, talks about a variety of dermatology issues commonly seen in primary care. Topics discussed include eczema treatment, congenital skin lesions and hemangiomas, evaluating irregular moles, acne, molluscum, contact dermatitis, and when to refer to dermatology. Published December 2017.

Primary Care Perspectives: Episode 22 - Managing Peanut Allergies

In this episode, David Hill, MD, PhD, a fellow in the Division of Allergy at Children’s Hospital of Philadelphia, discusses the prevalence and incidence of peanut allergies, how to safely introduce peanuts to infants, and how to evaluate children for peanut allergy in context of new guidelines and recent research. Published November 2017.