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PHM Focus

Schedule at a Glance

Evidence Based Diagnostic Evaluation of Infants Presenting with an Apparant Life Threatening Event

Primary Leader:
Mythili Srinivasan

Co-Leaders:
Jon Chiles
David Gremse
Jamie Kondis

Objective 1:
1)Learn what are the diagnostic challenges for the evaluation of infants with an ALTE.

Objective 2:
2) Discuss the association of GER and ALTE, and the evidence for the diagnostic testing and treatment of GER in children with ALTE

Objective 3:
3) Understand that ALTE may be a presenting sign either for disease - neurological, cardiac, infectious - or for child abuse and identify the diagnostic criteria for appropriate screening tests.

Summary:
The differential diagnosis for a child presenting with an acute life threatening events (ALTE) is broad resulting in the ordering of many diagnostic studies and sub-specialty consults. In this interactive workshop, the participants will understand the diagnostic work up for evaluation of infants presenting with an ALTE. Group 1: Discuss the association of GER and ALTE, and the evidence for the diagnostic testing and treatment of GER in children with ALTE. Group 2: Discuss the indications for neurological and child abuse workup during evaluation of an ALTE. Group 3: Discuss the role of congenital cardiac diseases (structural and ion channel defects) in children presenting with ALTE. We will discuss the role of EKG, echo cardiogram and cardiology consultation in the diagnostic evaluation. Group 4: Discuss ALTE as it pertains to infectious etiologies such as serious bacterial infections, pertussis and RSV