Link For CME Credit Coming Soon!

Drs. Ruby Patel and Rajdeep Pooni present Grand Rounds using a 12-year-old case to illustrate pediatric systemic lupus erythematosus and class IV lupus nephritis, covering presentation, biopsy findings, and pathology. The talk explains diagnostic criteria and typical lab features.

They summarize current management including 2024 ACR guidance on induction therapies (steroids, mycophenolate, cyclophosphamide, and biologics), monitoring for complications and medication side effects, vaccination precautions for immunocompromised patients, and the pediatrician’s role in long-term coordination of care.

Link for CME Credit Coming Soon!

Host and Executive Producer Holly Wayment interviews Jacklynn Ware , MPH, CHES about Project YES, a free anonymous online mental health program that’s back, redesigned and improved for 13–17-year-olds to offer short, teen-focused modules to boost mood, reframe negative thoughts, and provide safety resources. And, yes, that includes an adorable video of a porcupine chomping on a pumpkin.

The episode explains who can benefit, how the program is youth-informed and evidence-based, and how it can be used immediately as a low-pressure, much needed resource.

Seizures in Kids — Practical Diagnosis, Treatments, and When to Refer

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101013

Host Holly Wayment brings us this wonderful grand rounds talk for the general pediatrician by pediatric neurologist Dr. Natasha Varughese, where she reviews childhood epilepsy syndromes (ages ~3–15), covering self-limited epilepsies, focal and generalized epilepsies, and developmental epileptic encephalopathies. Key diagnostic tools include EEG, MRI, and genetic testing; prognosis varies widely by syndrome.

The talk highlights practical management: appropriate antiseizure medications (and which to avoid), indications for ketogenic diet, when to consider surgery or neuromodulation (VNS, RNS), and warning signs for referral to neurology or epilepsy specialists.

Toxicology Pearls

Link for CME Credit:

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100932

Host Holly Wayment talks to the Poison Center's Robert S. Miller about common pediatric toxic exposures — acetaminophen, ibuprofen, THC edibles, nicotine pouches (Zyn), and kratom — and offers practical advice for clinicians and parents. Learn why calling the Poison Center (1-800-222-1222) helps with case documentation, reassurance, disposition planning, and when to use antidotes like acetylcysteine. Emphasis on prevention (lockboxes, safe storage), recognizing occult acetaminophen ingestions, symptomatic management, and differences between children and adults.

Link for CME Credit

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100931

Mosquitoes, Fleas & Outbreaks — Pediatric ID Updates with Dr. Deena Sutter

Host Holly Wayment interviews pediatric infectious disease specialist Dr. Deena Sutter chikungunya outbreak in China, flea‑borne typhus in South Texas, and a rise in hand‑foot‑and‑mouth cases.

The episode covers transmission, clinical signs, prevention tips (mosquito control, repellents, pet flea prevention), travel vaccine guidance, and practical advice for pediatric practitioners on diagnosis and management.

Link for free credit:

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100930

In this episode, Rachel Vandermeer, MD, reviews pain assessment and treatment for children with medical fragility, focusing on altered pain pathways, common pain sources, and the need for multimodal, individualized plans.

Practical recommendations include careful opioid use, gabapentinoids, clonidine for dysautonomia, prevention strategies around procedures, bowel regimens, and close outpatient follow-up to manage chronic neuro-agitation safely.

Link for CME Credit:

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100244

Pediatrics Now, hosted by Holly Wayment and the Department of Pediatrics, brings you this grand rounds talk by:

Melissa Delbello, MD, MS is a Professor of Psychiatry and Pediatrics and Dr. Stanley and Mickey Kaplan Chair of Psychiatry and Behavioral Neurosciences at the University of Cincinnati College of Medicine (UCCOM).

OVERVIEW:

Bipolar Disorder in Youth: An Update on Diagnosis and Treatment

Dr. Dellbello delves into the complex topic of bipolar disorder in children. The presentation covers critical aspects of the disorder, including diagnostic criteria, neurobiological insights, and treatment strategies. Listeners will gain an understanding of the phenomenology of bipolar disorder, how to differentiate between manic, hypomanic, and depressive episodes, and the significance of early intervention.

The episode also explores the impact of bipolar disorder on children, emphasizing the importance of accurate diagnosis and the challenges posed by the DSM-5 criteria. Discussion highlights include the role of family history, the high rates of comorbidity with ADHD, and the specific challenges in treating pediatric patients.

Treatment options are outlined, with a focus on FDA-approved medications for different phases of bipolar disorder and non-pharmacological interventions. The conversation extends to the adverse effects of antipsychotics and the use of metformin for weight management in children on medication.

Throughout the episode, the critical importance of family involvement and therapy is emphasized, providing a holistic view of managing this complex condition in young patients.

Like for MOC Credit Coming Soon

Welcome to another insightful episode of Grand Rounds, brought to you by the Department of Pediatrics at UT Health San Antonio and University Health's Women's and Children's Hospital and host Holly Wayment. In today's episode, we delve into pediatric concussions with Dr. Mayur Patel, a seasoned neurologist with a specialty in brain injury medicine.

Dr. Patel shares his expertise on the diagnosis and management of mild traumatic brain injuries (TBI) in children, often synonymous with concussions. He discusses the differentiation between mild, moderate, and severe TBIs, highlighting that children generally recover faster than adults. Dr. Patel emphasizes recognizing symptoms like persistent headaches, sleep disturbances, and cognitive impairments, as well as the role pre-existing conditions play in recovery duration.

Explore the emerging research on biomarkers for concussions and innovative approaches to treat symptoms, including the importance of sleep hygiene and targeted therapies like amitriptyline. This episode is a must-listen for understanding the complexities of pediatric concussion management in the outpatient setting. Plus, get insights into sports-related concussion and the evolving landscape of concussion assessment.