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Pediatric Auditory Screening

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81. Spot the Diagnosis! The Case of the Bloody Man

to. Therefore, the emergency physician must have a strong and sensitive approach to assessing suicide risk in a fast-paced environment. “People expect the emergency department to help someone in crisis with active suicidal thoughts. But most emergency rooms are ill-equipped to support someone who is actively suicidal. They are busy, chaotic places, often with no quiet or calming spaces.” -Dr. Jennifer Brasch, psychiatrist and former pediatric emergency services director 3 When to assess patients (...) for this concern? In addition to anyone who discloses that they are actively suicidal or who have just attempted suicide, there are many other patient scenarios where we should screen for suicide risk. Anyone presenting to the emergency department with an emotional or behavioral complaint must be assessed for suicidality, including those in acute psychosis. Patients who come in with suspected toxic ingestion, drug overdoses, or suspicious injuries also warrant a suicide assessment. 4 What are the risk factors

2018 CandiEM

82. Practice Guidelines for Moderate Procedural Sedation and Analgesia

tomography), oral and maxillofacial surgery suites, cardiac catheterization laboratories, oncology clinics, electrophysiology laboratories, interventional radiology laboratories, neurointerventional laboratories, echocardiography laboratories, and evoked auditory testing laboratories. They are intended to serve as a resource for other physicians and patient care personnel who are involved in the care of these patients, including those involved in local policy development. Task Force Members (...) ) ; and (2) obstructive sleep apnea, respiratory distress syndrome, obesity, allergies, psychotropic drug use, history of gastric bypass surgery, pediatric patients who are precooperative or who have behavior or attention disorders, cardiovascular disorders, history of gastric bypass, and history of long-term benzodiazepine use (category B3-H evidence). Case reports indicate similar adverse outcomes for newborns, a patient with mitochondrial disease, a patient with grand mal epilepsy, and a patient

2018 American Society of Anesthesiologists

83. Practice Guideline Update Systematic Review Summary: Disorders of Consciousness

, Boston, MA 2. Department of Neurology, Boston University School of Medicine, Boston, MA, Braintree Rehabilitation Hospital, Braintree, MA 3. Department of Neurology and Neuroscience, Weill Cornell Medical College, New York, NY 4. Moss Rehabilitation Research Institute, Elkins Park, PA 5. Bronson Neuroscience Center, Bronson Methodist Hospital, Kalamazoo, MI 6. Department of Pediatrics, Division of Child Neurology, Loma Linda University School of Medicine, Loma Linda, CA 7. Department of Neurology (...) ) to attend Guideline Development, Dissemination, and Implementation Subcommittee meetings as a subcommittee member and as an ex officio member through January 2018; and has been selected to serve on the editorial board of Neurology: Clinical Practice starting April 2018. S. Ashwal served on a medical advisory board for the Tuberous Sclerosis Association; serves as chief of the Division of Child Neurology, Department of Pediatrics, Loma Linda University School of Medicine; receives royalties for Pediatric

2018 American Academy of Neurology

84. Neonatal jaundice

normalised ratio; LFT Liver function tests; MCS Microscopy, culture and sensitivity; NST Neonatal screening test; Rh Rhesus; TcB Transcutaneous bilirubin; TFT Thyroid function tests; TSB Total serum bilirubin; USS Ultrasound scan; Greater than Refer to online version, destroy printed copies after use Page 3 of 40 Queensland Clinical Guideline: Neonatal jaundice Abbreviations ABR Auditory brainstem-evoked response ANSD Auditory neuropathy spectrum disorder BIND Bilirubin induced neurologic dysfunction CMV (...) management plan with parents · Provide parents with information brochure · If conjugated bilirubin elevated: o Urgent LFT/BGL/INR o Refer to paediatric surgeon/ gastroenterologist Baby 14 days Baby >24 hours · Check maternal ABO and RhD type and red cell antibody screening · Blood tests: o ABO and RhD type, DAT o Other tests as indicated Yes No · Usually BF related · History and clinical examination · Blood tests: o TSB including conjugated and unconjugated o FBC and reticulocytes o TFT /LFT · Check

2018 Queensland Health

85. Hearing Loss and/or Vertigo

and with IV contrast Usually Not Appropriate ??? CT head without IV contrast Usually Not Appropriate ??? CT temporal bone without and with IV contrast Usually Not Appropriate ??? CT temporal bone with IV contrast Usually Not Appropriate ??? CTA head with IV contrast Usually Not Appropriate ??? MR venography head without IV contrast Usually Not Appropriate O MRA head without and with IV contrast Usually Not Appropriate O MRA head without IV contrast Usually Not Appropriate O MRI head and internal auditory (...) canal without and with IV contrast Usually Not Appropriate O MRI head and internal auditory canal without IV contrast Usually Not Appropriate O Variant 2: Acquired conductive hearing loss secondary to cholesteatoma or neoplasm with suspected intracranial or inner ear extension. Surgical planning. Procedure Appropriateness Category Relative Radiation Level CT temporal bone without IV contrast Usually Appropriate ??? MRI head and internal auditory canal without and with IV contrast Usually Appropriate

2018 American College of Radiology

86. Contact Sports-related Concussion in Amateur Athletes, Primary Prevention of

, and Evaluation methodology, we performed a systematic review of the literature to answer seven population, intervention, comparator, and outcomes (PICO) questions regarding concussion education, head protective equipment, rules prohibiting high-risk activity and neck strengthening exercise for prevention of contact sports-related concussion in pediatric and adult amateur athletes. A query of MEDLINE, PubMed, Scopus, Cumulative Index of Nursing and Allied Health Literature, and Embase was performed. Letters (...) to the editor, case reports, book chapters, and review articles were excluded, and all articles reviewed were written in English. Results Thirty-one studies met the inclusion criteria and were applicable to our PICO questions. Conditional recommendations are made supporting preventive interventions concussion education and rules prohibiting high-risk activity for both pediatric and adult amateur athletes and neck strengthening exercise in adult amateur athletes. Strong recommendations are supported for head

2018 Eastern Association for the Surgery of Trauma

87. Urinary Incontinence

reagent strip in screening women with incontinence for urinary tract infection. Int Urogynecol J Pelvic Floor Dysfunct, 2004. 15: 391. 32. Arinzon, Z., et al. Clinical presentation of urinary tract infection (UTI) differs with aging in women. Arch Gerontol Geriatr, 2012. 55: 145. 33. Moore, E.E., et al. Urinary incontinence and urinary tract infection: temporal relationships in postmenopausal women. Obstet Gynecol, 2008. 111: 317. 34. Ouslander, J.G., et al. Does eradicating bacteriuria affect

2018 European Association of Urology

88. Assessment, diagnosis and interventions for autism spectrum disorders

with new evidence, to reflect new legislation, or to incorporate advice on adults with ASD. The remaining sections were not included in the selective update and are reproduced verbatim from SIGN 98. 2 Key recommendations New 3 Definitions and concepts Updated 4 Recognition, assessment and diagnosis 4.1.1 Introduction Updated 4.1.3 Surveillance Updated 4.1.4 Secondary screening Minor revision 4.1.6 Identifying adults for assessment New 4.1.7 Instruments to aid identification of adults with ASD New 4.1.8 (...) Interventions for social communication and interaction Updated 6.3.1 Intensive behavioural and developmental programmes Completely revised 6.3.2 Specific interventions for ASD New 6.3.3 Cognitive behavioural therapies New 6.3.4 Auditory integration training Updated 6.3.5 Occupational therapy and sensory integration therapy Completely revised 6.3.6 Music therapy Updated 6.3.7 Sleep management Updated 6.3.8 Facilitated communication No new evidence identified 6.3.9 Additional interventions to address

2016 SIGN

89. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting

of Molecular Medicine 3 Departments of Cardiology, Aarhus University Hospital, Aarhus, Denmark 4 Department of Women’s Health, University College London, London, UK 5 Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, The Netherlands 6 The Saban Research Institute, Children’s Hospital Los Angeles, Los Angeles, California, USA 7 Rady Children’s Hospital, University of California, San Diego, California, USA 8 Department of Pediatrics, Medical Genetics Unit, Mass General Hospital (...) for Children, Boston, Massachusetts, USA 9 Division of Endocrinology, Nemours Children’s Health System, Jacksonville, Florida, USA 10 St Hubert’s Island, New South Wales, Australia 11 Connecticut Children’s Medical Center, Hartford, Connecticut, USA 12 Division of Psychology, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan, USA 13 Department of Pediatric Endocrinology, Sophia Children’s Hospital, Rotterdam, The Netherlands 14 Department of Pediatrics, Dordrecht, The Netherlands 15

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2016 European Society of Human Reproduction and Embryology

90. Responding to children and adolescents who have been sexually abused

a non-judgmental and validating response; taking actions to enhance their safety and minimize harms, including those of disclosure and, where possible, the likelihood of the abuse continuing, this includes ensuring visual and auditory privacy; providing emotional and practical support by facilitating access to psychosocial services; providing age-appropriate information about what will be done to provide them with care, including whether their disclosure of abuse will need to be reported

2017 World Health Organisation Guidelines

91. Supplemental Project to Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media

of Phonologial Processing Disruptive Behavior Disorders Rating Scale Impairment Rating Scales McCarthy General Cognitive index McCarthy Verbal Subscale Mean Length of Utterance in Morphemes Nonword repetition test Number of Different Words Oral Reading Fluency Test Parenting Stress Index Peabody Picture Vocabulary Test–Revised Percentage of Consonants Correct–Revised Screening Test for Auditory Processing Disorders Social Skills Rating System Visual Continuous Performance Test Wechsler Intelligence Scale (...) , Evidence-based Practice Center Center for Evidence and Practice Improvement Program Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality iii Supplemental Project to Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media Structured Abstract Introduction. Despite efforts to spur pediatric research, there is a paucity of pediatric-specific research data available to guide clinical

2017 Effective Health Care Program (AHRQ)

92. Tympanostomy Tubes in Children with Otitis Media

be retained. The TOO and the EPC work to balance, manage, or mitigate any conflicts of interest. The list of Key Informants who provided input to this report follows: Margaretha Casselbrandt, M.D., Ph.D.* Department of Pediatric Otolaryngology Children's Hospital of Pittsburgh Pittsburgh, PA Alison Grimes, Au.D.* Audiology Department UCLA Medical Center Los Angeles, CA David Hoelting, M.D. Pender Medical Clinic Pender Community Hospital Pender, NE Alison Kelly, B.S.N., R.N., C.P.E.N. Hasbro Children’s (...) Hospital Providence, RI Josiah Morse, M.P.H. Washington State Health Technology Assessment Program Olympia, WA Richard Rosenfeld, M.D., M.P.H., FAAP* Department of Otolaryngology SUNY Downstate Medical Center Brooklyn, NY David E. Tunkel, M.D.* Director of Pediatric Otolaryngology Johns Hopkins University School of Medicine Baltimore, MD *Provided input on draft report. Technical Expert Panel In designing the study questions and methodology at the outset of this report, the EPC consulted several

2017 Effective Health Care Program (AHRQ)

93. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

Videofluoroscopy An x-ray that examines the ability to swallow Visi-pitch Software that records the voice and provides visual and auditory feedback in real time GLOSSSARY CONTINUEDClinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury 8 AAC Augmentative and alternative communication ABI Acquired brain injury CBR Consensus-based recommendation EBR Evidence-based recommendation GCS Glasgow Coma Scale TBI Traumatic brain injury NHMRC (...) of TBI • Cranial nerve involvement/palsy (speech and swallowing only) • Presence of seizures or other co-morbid medical conditions (e.g., loss of hearing or smell) • Extent of broader motor system involvement • Additional physical/facial injuries (speech and swallowing only) • Trajectory of recovery post-injury (i.e., rapid vs. slow recovery in early phases) • Cognition (including visual and auditory system integrity, memory, attention, initiation, level of insight) • Compliance to recommendations

2017 Clinical Practice Guidelines Portal

94. Tinnitus

. MRI may be considered as a noninvasive alternative to screen for a suspected intracranial vascular malformation. ? Given concern for retrocochlear process, MRI of the internal auditory canals is the most appropriate imaging test for subjective nonpulsatile unilateral tinnitus without a clinically evident cause or other associated symptoms. ? If there is concomitant asymmetric hearing loss, neurologic deficit, or head trauma, imaging should be guided by those respective ACR Appropriateness Criteria (...) Usually Appropriate ??? MRA head without and with IV contrast Usually Appropriate O MRI head and internal auditory canal without and with IV contrast Usually Appropriate O MRA head without IV contrast May Be Appropriate O MR venography head without and with IV contrast May Be Appropriate O Arteriography cervicocerebral May Be Appropriate ??? MR venography head without IV contrast May Be Appropriate O MRI head and internal auditory canal without IV contrast May Be Appropriate O US duplex Doppler

2017 American College of Radiology

95. Neonatal seizures

• Ammonia/LFTs • Metabolic screen o Acylcarnitines o Biotinidase o Copper, caeruloplasmin and hair analysis • Plasma amino acids • Congenital infection screen o Toxoplasma o Rubella o CMV o HSV o Syphilis o Enterovirus o Varicella zoster o Parovirus B19 CSF • CSF amino acids • Paired CSF and plasma glucose and lactate • Neurotransmitters • HSV,enterovirus • Lactate, pyruvate and amino acids Urine • Amino acids • Organic acids • Alpha aminoadipic semialdehyde • CMV Consider genetic tests Neurophysiology (...) and/or MRI Initial screen Initial screen positive? Queensland Clinical Guidelines Neonatal seizures: F17.23-2-V1-R22 Abbreviations: BGL Blood glucose level; CMV Cytomegalovirus; CSF Cerebrospinal fluid; EEG Electroencephalogram; EOGBSD Early onset Group B streptococcal disease; FBC Full blood count; HIE Hypoxic ischaemic encephalopathy; HSV Herpes simplex virus; LFTs Liver function tests; MRI Magnetic resonance imaging; QCG Queensland Clinical Guidelines; USS Ultrasound scan Queensland Clinical Guideline

2017 Queensland Health

96. AIUM Practice Parameter for the Performance of a Transcranial Doppler Ultrasound Examination for Adults and Children

. ? ??Ultrasound ? ?Q ? ??2008; ? ?24:167–171. 29. Bulas ? ?D. ? ?Screening ? ?children ? ?for ? ?sickle ? ?cell ? ?vasculopathy: ? ?guidelines ? ?for ? ?transcranial Doppler ? ?evaluation. ? ??Pediatr ? ?Radiol ? ??2005; ? ?35:235–241. 30. Brennan ? ?CM, ? ?Taylor ? ?GA. ? ?Sonographic ? ?imaging ? ?of ? ?the ? ?posterior ? ?fossa ? ?utilizing ? ?the ? ?foramen magnum. ? ??Pediatr ? ?Radiol ? ??2010; ? ?40:1411–1416. 31. Buckley ? ?KM, ? ?Taylor ? ?GA, ? ?Estroff ? ?JA, ? ?Barnewolt ? ?CE, ? ?Share ? ?JC (...) AIUM Practice Parameter for the Performance of a Transcranial Doppler Ultrasound Examination for Adults and Children 1 AIUM ? ?Practice ? ?Parameter ? ?for ? ?the ? ?Performance ? ?of ? ?a Transcranial ? ?Doppler ? ?Ultrasound ? ?Examination ? ?for Adults ? ?and ? ?Children Parameter ? ?developed ? ?in ? ?conjunction ? ?with ? ?the ? ?American ? ?College ? ?of ? ?Radiology ? ?(ACR), ? ?the ? ?Society for ? ?Pediatric ? ?Radiology ? ?(SPR), ? ?and ? ?the ? ?Society ? ?of ? ?Radiologists

2017 American Institute of Ultrasound in Medicine

97. Cerumen Impaction

, Brooklyn, New York, USA by this author for this author , , PhD 4 4Premier Hearing Center, Albuquerque, New Mexico, USA4Premier Hearing Center, Albuquerque, New Mexico, USA by this author for this author , , MD 5 5Pomona Pediatrics, Pomona, New York, USA5Pomona Pediatrics, Pomona, New York, USA by this author for this author , , PhD, RN 6 6College of Nursing, Wayne State University, Detroit, Michigan, USA6College of Nursing, Wayne State University, Detroit, Michigan, USA by this author for this author (...) , MPH 3 , , PhD 4 , , MD 5 , , PhD, RN 6 , , MD 7 , , MD, MPH 8 , , MD, PhD 9 , , MD 10 , 11 , , MD 12 , , MD 13 , , MS 14 1 Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA 2 Division of Otolaryngology, Rady Children’s Hospital–San Diego, San Diego, California, USA 3 Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA 4 Premier Hearing Center, Albuquerque, New Mexico, USA 5 Pomona Pediatrics, Pomona, New York, USA 6 College

2017 American Academy of Otolaryngology - Head and Neck Surgery

98. Evaluation of the Neck Mass in Adults

] OR evaluation[tiab] OR diagnosis[tiab] OR “Delayed Diagnosis”[mh] OR “delayed diagnosis”[tiab] OR “diagnostic delay”[tiab] OR misdiagnosis[tiab] OR misdiagnosed[tiab] OR “missed diagnosis”[tiab] OR workup[tiab] OR “work-up”[tiab] OR “Referral and Consultation”[mh] OR referral[tiab] OR referrals[tiab] OR identification[tiab]) AND (“1980/01/ 01”[PDAT] : “2016/12/31”[PDAT]) NOT (“child”[mh] OR child[tiab] OR childhood[tiab] OR children[tiab] OR “pediatrics”[Mh] OR pediatric[tiab] OR paediatric[tiab] OR “infant (...) ] OR “HPV-related”[tiab]) AND (“1980/01/01”[PDAT] : “2016/12/31”[PDAT]) NOT (“child”[mh] OR child[tiab] OR childhood[tiab] OR children[tiab] OR “pediatrics”[Mh] OR pediatric[tiab] OR paediatric[tiab] OR “infant”[Mh] OR infant[tiab] OR infants[tiab] OR infantile[tiab] OR prenatal[tiab] OR perinatal[tiab] OR fetal[tiab]) AND “Practice Guideline”[ptyp] AND systematic[sb] (Randomized Controlled Trial[ptyp] OR randomized[tiab] OR randomised[tiab]) AND (Comparative Study[ptyp] OR comparative[tiab

2017 American Academy of Otolaryngology - Head and Neck Surgery

99. Benign Paroxysmal Positional Vertigo (BPPV)

imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. The guideline is intended for all clinicians who are likely to diagnose and manage patients with BPPV, and it applies to any setting in which BPPV would be identified, monitored, or managed. The target patient for the guideline is aged ≥18 years with a suspected or potential diagnosis of BPPV. The pediatric population was not included in the target population, in part due to a substantially smaller body of evidence (...) on pediatric BPPV. No specific recommendations are made concerning surgical therapy for BPPV. The guideline focuses on BPPV, recognizing that BPPV may arise in conjunction with other neurologic or otologic conditions and that the treatment of the symptom components specifically related to BPPV may still be managed according to the guideline. This guideline does not discuss BPPV affecting the anterior semicircular canal, as this diagnosis is quite rare and its pathophysiology is poorly understood. , It also

2017 American Academy of Otolaryngology - Head and Neck Surgery

100. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

of Cardiology, Aarhus University Hospital, Aarhus, Denmark 4 Department of Women’s Health, University College London, London, UK 5 Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, The Netherlands 6 The Saban Research Institute, Children’s Hospital Los Angeles, Los Angeles, California, USA 7 Rady Children’s Hospital, University of California, San Diego, California, USA 8 Department of Pediatrics, Medical Genetics Unit, Mass General Hospital for Children, Boston, Massachusetts (...) , USA 9 Division of Endocrinology, Nemours Children’s Health System, Jacksonville, Florida, USA 10 St Hubert’s Island, New South Wales, Australia 11 Connecticut Children’s Medical Center, Hartford, Connecticut, USA 12 Division of Psychology, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan, USA 13 Department of Pediatric Endocrinology, Sophia Children’s Hospital, Rotterdam, The Netherlands 14 Department of Pediatrics, Dordrecht, The Netherlands 15 Department of Pediatrics

2017 European Society of Endocrinology

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