
Multimedia platform bringing you the latest in Medical Education. Created by: @tponsky Editors: @EmGooteeMD, Ramy Shaaban
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ALT An event flyer on a teal background with white text reads: "STACS 2026 • Southwest Trauma & Acute Care Symposium. New Technologies in Trauma Surgery. Which new technologies will change how we operate?" A circular headshot features Devin O'Connor, MD, from Banner – University Medical Center Tucson, AZ. He is a smiling man with brown hair and a short beard, wearing a white coat and blue tie. Event details read: "Friday, November 20 • 3:45 PM. Register today: arizonatrauma.org/symposium. Phoenix Convention Center • In person or live virtual." In the bottom right corner is the logo for the Arizona Trauma Association.

ALT An informational graphic with a blue gradient background, titled "Craniofacial Clinical Foundations" with a Cincinnati Children's logo. The main text asks a medical question: "A 3-week-old is referred because the anterior fontanelle cannot be palpated. The head shape is normal and the head circumference is tracking along its curve." Below, a prominent blue bar asks, "WHAT IS THE BEST NEXT STEP?" Three multiple-choice options are listed below: * **A.)** Head CT * **B.)** Reassurance and routine follow-up * **C.)** Urgent craniofacial referral An arrow points to the right in the bottom right corner above the page number "1/4".

ALT An educational graphic in shades of blue titled "Craniofacial Clinical Foundations" with a logo for Cincinnati Children's in the top right. The main text reads: "THE FIX B.) REASSURANCE AND ROUTINE FOLLOW-UP This is one of the most common referral reasons, and most of these infants do not have craniosynostosis. With a normal head shape and a tracking head circumference, an unpalpable fontanelle alone warrants neither imaging nor urgent referral. In the first days of life it may simply be sutural overlap: physiologic overriding from birth molding, a recognized benign variant distinct from the fixed bony ridge of true synostosis." At the bottom left, it says "2/4".

ALT An informational graphic with a blue-to-purple gradient background. At the top left, a teal badge reads "Craniofacial" above "Clinical Foundations". At the top right, a white box says "Made possible by Cincinnati Children’s." In large white font, a quote reads: "If there’s not an associated head shape abnormality, it’s not typically something we get very excited about." Below, a small portrait photo of Jesse Skoch, MD, FAANS, FACS, a faculty neurosurgeon in the Division of Pediatric Neurosurgery at Cincinnati Children’s. Underneath, the text reads: "Consistent with the American Academy of Pediatrics (AAP): single-suture synostosis and deformational plagiocephaly are both diagnosed clinically, so routine imaging of infant head shape is not recommended. 3/4" with a white arrow pointing to the right in the bottom corner.

ALT An informational graphic with a blue gradient background titled "THE HEAD SHAPE DECIDES THE REFERRAL." At the top, "Craniofacial Clinical Foundations" is on the left, and a logo for "Cincinnati Children's" is on the right. The main text asks two questions: 1. "Is there a shape abnormality:" followed by illustrations of four infant heads viewed from above to show distinct shapes, each labeled: - **Scaphocephaly**: A long, narrow head shape. - **Trigonocephaly**: A triangular-shaped forehead. - **Plagiocephaly**: An asymmetrical, flat shape on one side of the back of the head. - **Brachycephaly**: A wide head shape that is flat across the back. 2. "Is the head circumference crossing percentiles downward?" At the bottom, a paragraph reads: "Either one earns a craniofacial referral. Fontanelle closure on its own reflects bone apposition rather than suture fusion, and head growth continues normally afterward." The bottom left corner is marked "4/4".

ALT An informational graphic on a blue gradient background with a green sidebar on the left. At the top left, a green pill-shaped button reads "Intestinal Rehab" with "Fundamentals" and three dots underneath, the first of which is green. At the top right, a white card reads "Made possible by Cincinnati Children’s." The main text in the center reads, "A child with short bowel syndrome was weaned off parenteral support six weeks ago but has recently experienced a plateau in weight gain." Below, a green rectangular button contains the white text, "HAS THIS CHILD ACHIEVED ENTERAL AUTONOMY?" At the bottom left is the page number "1/4," and at the bottom right is a white double-headed arrow pointing right.

ALT Graphic with a blue gradient background and text. At the top left, a green pill-shaped label reads "Intestinal Rehab" with "Fundamentals" below it. At the top right, a white box says "Made possible by Cincinnati Children's." In large, white, bold uppercase letters, the main headline reads: "THE ANSWER IS NO." Below, the main text reads: "Per the American Society for Parenteral and Enteral Nutrition (ASPEN) pediatric intestinal failure definitions, enteral autonomy is defined as maintaining normal growth and hydration through enteral support alone, without any parenteral support, including IV fluids, for more than three consecutive months. At six weeks, with flat growth, this child meets neither criterion." At the bottom left, it says "2/4," and at the bottom right, there is a white double arrow pointing right.

ALT An informational graphic with a blue-to-purple gradient background, titled "WHY FLUID AND SODIUM COME OFF LAST." At the top left, a green pill-shaped badge reads "Intestinal Rehab" above "Fundamentals" in white text. In the top right corner, a white box displays "Made possible by Cincinnati Children’s." The main text is structured in white bullet points: * Enteral intake covers **calories and macronutrients** first. * **Fluid, sodium and electrolytes** are the last requirements it can meet. * A volume- or sodium-depleted child will not grow, even on adequate calories. Below, a closing paragraph reads: "So when growth stalls after the wean, reassess hydration and **sodium** and optimize it, preferably enterally, before calling the wean a failure." In the bottom-left corner, it reads "3/4" with a white right-facing arrow in the bottom-right corner.

ALT An educational graphic with a blue background and a quote about intestinal rehabilitation. At the top left, a green pill-shaped badge reads "Intestinal Rehab" above the word "Fundamentals" and three small dots. At the top right is a logo reading "Made possible by Cincinnati Children's, changing the outcome together." In the center is a large white quote between quotation marks: "The last thing you need to come off of TPN is fluid. Without hydration, the baby won't grow." In the bottom left corner is a headshot of Paul Wales, MD, MSc, a middle-aged man with short brown hair, wearing a dark suit jacket and a blue-and-white striped dress shirt. To his right, white text reads: "Paul Wales, MD, MSc, Surgical Director, Intestinal Rehabilitation, Cincinnati Children's." In the very bottom left corner, it reads "4/4".

ALT An infographic on a purple-to-blue gradient background from Cincinnati Children’s. At the top left, a pink rounded badge reads "Pancreas" with "Fundamentals" and three dots underneath. At the top right, a logo reads "Made possible by Cincinnati Children’s, changing the outcome together." In the center, large white text reads: "A child with ALL is on PEG-asparaginase and presents with abdominal pain and ileus. The primary team diagnosed as constipation." Below this, a large pink box contains white text reading: "WHAT IS THE BEST NEXT STEP?" At the bottom left, the text "1/4" is displayed, and at the bottom right, a white arrow points to the right.

ALT An educational infographic on a blue background. At the top left, a pink badge reads "Pancreas Fundamentals." At the top right is a logo for Cincinnati Children's. Large bold text reads: "THE ANSWER: TRANSABDOMINAL ULTRASOUND TO CHECK THE PANCREAS" Below, body text states: "Asparaginase is a leading cause of drug-induced pancreatitis in children with ALL, typically 3-10 days after the last dose. It isn't the only one: Valproic acid, steroids, thiopurines, mesalamine, and methotrexate and other antineoplastics are all commonly implicated." To the right is a cartoon illustration of a grey medical ultrasound machine with a blue wave diagram on its screen and attached wand probes. In the bottom left corner is the page indicator "2/4" and in the bottom right corner is a white arrow pointing right.

ALT An informational graphic on a blue-gradient background titled "Pancreas Fundamentals: WHY IT GETS MISSED." In the top right corner, a white box reads, "Made possible by Cincinnati Children's" with their logo. The main text is a quote in large, bold white lettering: "A big component of pediatric pancreas injury is also medications that we sometimes forget." In the bottom left, a square headshot shows Juan Pablo Gurria, MD, MSc, a smiling man with short dark hair in a suit jacket and tie. To the right of his photo, text reads: "Juan Pablo Gurria, MD, MSc, Surgical Director, Pancreas Care Center, Cincinnati Children's." In the bottom left corner, it reads "3/4" and a white arrow points to the right in the bottom right corner.

ALT Educational infographic titled "Pancreas Fundamentals: How the Diagnosis is Confirmed." On a blue and purple gradient background, the text reads: "ANY 2 OF THESE 3 1. Abdominal pain compatible with acute pancreatitis 2. Serum lipase and/or amylase ≥3× the upper limit of normal 3. Imaging consistent with acute pancreatitis: ultrasound, CT or MRI If confirmed: hold asparaginase for grade 2, discontinue for grade 3–4, with fluids, analgesia and early nutrition throughout." A logo in the top right corner reads "Made possible by Cincinnati Children's, changing the outcome together." The bottom left corner shows "4/4".