Real  Pa'ent  Video  Visual  Diagnosis

David  Spiro,  MD,  MPH  Associate  Professor  

Department  of  Pediatrics    

Learning Objectives

•  Determine sick vs. not sick •  Understand use of video as a teaching tool •  5 Key Points

•  This activity will be INTERACTIVE

Case 1: 9-month-old with fussiness and

decreased po intake

T  36.7    HR  129    RR  20    Pox  100%  

Right  Otoscopic  Exam    

LeL  Otoscopic  Exam    

AOM

•  See the TM •  Dx AOM = Pus + fever •  Consider Wait and See Prescription •  Treat the pain with topical drops

Case 2: 8-year-old with chronic cough

T 37 HR 82 RR 16 Pox 100%

Psychogenic or Habit Cough

•  Diagnosis of exclusion •  Tourette disorder may need to be excluded •  Pharmacotherapy often not effective •  Behavioral therapy can be effective