- Email: [email protected]
NAPNAP's 23nd Annual Conference on Pediatric Primary Care Reno, Nevada April 10-13, 2002
PH CLINICAL INSIGHTS C
Peterson
(normal is 8.0 to 10.5 mg/dL), a significantly elevated alkaline phosphate level at 1218 IU/L (normal, 150 to 400 IU/L), and a total phosphorus level at the high end of normal at 5.9 mg/dL (3.8-6.2 mg/dL). Her hypocalcemia was evaluated by testing her ionized calcium level, which was 3.3 mg/dL (normal, 4.0 to 4.7 mg/dL). Because of
the low ionized calcium level, radiographs of her long bones were obtained to search for radiographic evidence of rickets. The long bone radiograph revealed widening, cupping, and fraying of her metaphyses consistent with the diagnosis of rickets. A chest radiograph revealed mild cardiomegaly, and an echocardiogram
showed a structurally normal heart with a small plural effusion. Ann underwent upper gastrointestinal (UGI) radiography because of her history of spitting up after being fed and poor oral intake. Results of the UGI series were negative, and an esophageal pH probe revealed minimal gastroesophageal reflux.
NAPNAP’s 23nd Annual Conference on Pediatric Primary Care Reno, Nevada April 10-13, 2002 Roundtable Discussions—Friday, April 12, 2002 Please consider serving as a discussion leader at the luncheon roundtable session. You do not need to be an expert in the topic to participate; you just need to have an interest in learning and sharing information with your colleagues. If you are interested, please send a note indicating your choice of topic and a brief (1- to 2page maximum) resumé to NAPNAP’s National Office (Attention: Kathy Drescher). Topics: • Handling Office Emergencies • Children with Special Needs • Toddler Nutrition: The Picky Eater • Contract Negotiation
• • • •
Child Care Consulting School Violence Issues in Breastfeeding Specialty Practice
NAPNAP National Office 1101 Kings Highway, North, Suite 206 Cherry Hill, NJ 08034 Phone: (856) 667-1773 Fax: (856) 667-7187 Submission Deadline: February 1, 2002
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Volume 15 Number 5
JOURNAL OF PEDIATRIC HEALTH CARE
Peterson
(normal is 8.0 to 10.5 mg/dL), a significantly elevated alkaline phosphate level at 1218 IU/L (normal, 150 to 400 IU/L), and a total phosphorus level at the high end of normal at 5.9 mg/dL (3.8-6.2 mg/dL). Her hypocalcemia was evaluated by testing her ionized calcium level, which was 3.3 mg/dL (normal, 4.0 to 4.7 mg/dL). Because of
the low ionized calcium level, radiographs of her long bones were obtained to search for radiographic evidence of rickets. The long bone radiograph revealed widening, cupping, and fraying of her metaphyses consistent with the diagnosis of rickets. A chest radiograph revealed mild cardiomegaly, and an echocardiogram
showed a structurally normal heart with a small plural effusion. Ann underwent upper gastrointestinal (UGI) radiography because of her history of spitting up after being fed and poor oral intake. Results of the UGI series were negative, and an esophageal pH probe revealed minimal gastroesophageal reflux.
NAPNAP’s 23nd Annual Conference on Pediatric Primary Care Reno, Nevada April 10-13, 2002 Roundtable Discussions—Friday, April 12, 2002 Please consider serving as a discussion leader at the luncheon roundtable session. You do not need to be an expert in the topic to participate; you just need to have an interest in learning and sharing information with your colleagues. If you are interested, please send a note indicating your choice of topic and a brief (1- to 2page maximum) resumé to NAPNAP’s National Office (Attention: Kathy Drescher). Topics: • Handling Office Emergencies • Children with Special Needs • Toddler Nutrition: The Picky Eater • Contract Negotiation
• • • •
Child Care Consulting School Violence Issues in Breastfeeding Specialty Practice
NAPNAP National Office 1101 Kings Highway, North, Suite 206 Cherry Hill, NJ 08034 Phone: (856) 667-1773 Fax: (856) 667-7187 Submission Deadline: February 1, 2002
264
Volume 15 Number 5
JOURNAL OF PEDIATRIC HEALTH CARE