Elective Director: Greg Redding, MD
206-987-2174, option 8 | greg.redding@seattlechildrens.org
Elective Contact: Amanda Jamieson
206-987-1274 | amanda.jamieson@seattlechildrens.org
Objectives for Residents:
- Recognize abnormal physical findings and understand the pathophysiologic significance of these abnormal signs.
- Know the compartments of the respiratory system and how to identify abnormalities in each compartment that can lead to respiratory failure.
- Know the clinical features of common pediatric pulmonary diseases, including asthma, cystic fibrosis (CF), bronchopulmonary dysplasia, apnea syndromes, pulmonary edema, ARDS, lung diseases resulting from neuromuscular weakness, scoliosis, aspiration and inhalation syndromes, upper respiratory infections such as sinusitis, pharyngitis, croup, and epiglottitis; lower respiratory infections such as bronchitis, bronchiolitis, pneumonia, lung abscess and empyema; common neonatal lung disorders such as hyaline membrane disease, meconium aspiration syndrome, persistent pulmonary hypertension, transient tachypnea, and pneumonia; and interstitial lung disease in infants and children, pulmonary hypertension and cor pulmonale.
- Understand patterns of arterial blood gas abnormalities reflecting acute and chronic respiratory failure.
- Understand the patterns of abnormal spirometry using the volume-time tracing and flow-volume curves.
- Know the normal and abnormal features of a chest radiograph and the significance of these features.
- Know the preventive measures to reduce the incidence and severity of lung disease in children, e.g. impact of passive smoking, immunizations, day care, common environmental irritants and allergens.
- Know the indications, side effects, and pharmacology of commonly used therapeutic agents for the treatment of pediatric lung disease.
- Know the disorders of breathing that occur during sleep and how to identify them.
- Know the indications for invasive and non-invasive diagnostic procedures for children with lung diseases, e.g. bronchoscopy, bronchoalveolar lavage, thoracentesis, lung biopsy, cilia biopsy, electrocardiogram, sweat testing, polysomnogram, spirometry, bronchoprovocation studies, diffusion capacity, and imaging techniques such as ventilation-perfusion scans, thoracic CT scans, MRI studies.
- Know the clinical and laboratory features of pulmonary hypertension and cor pulmonale in children.
- Know the indications for commonly prescribed respiratory care techniques, e.g. nebulizers, metered dose inhalers, chest physiotherapy, supplemental oxygen, and tracheostomies.
- Know the conceptual approaches to different modes of mechanical ventilation and when to apply them to children with various respiratory conditions.
Website(s): http://depts.washington.edu/pedspulm/residents/residents.htm
username and password are both “pulmonary”
Documents: On SharePoint