Pediatric M&M - Dr. Mofield

ALCAPA

• The key to diagnosis of ALCAPA is the ECG.
  
• ECG findings that should make you think of ALCAPA....1) Deep Q waves in lead I and aVL. 2) T wave inversion in I, aVL, V5,V6
  
• ALCAPA is most common a cause of cardiac ischemia in children.
  
• It has a 90% mortality rate in the 1st year if not surgically repaired. 
  

Pediatric Sinusitis

• Must have >10 days of persistent cough, congestion or both, WITHOUT ANY IMPROVEMENT to diagnose acute bacterial sinusitis.
  
• Have a high index of suspicion for CNS complications of sinusitis. Most common presenting complaints of fever and headache. 
  
• Staph intermedius causes abscesses! If this bug is isolated...FIND the abscess.