Lumbar Puncture
Indications Print Section Listen • Central nervous system (CNS) infection (viral, fungal, or bacterial) or malignancy. • Intracranial pressure or pseudotumor. • Metabolic studies. • Aminoacidopathies. • Neurotransmitter disorders. •…
PEDIATRICS
Vision Screening
Indications Print Section Listen • All newborn infants and all children at subsequent well-child health supervision visits. • All premature infants. • Children with significant developmental delay or neurologic disorders….
Foreign Body Removal: External Auditory Canal
Indications Print Section Listen • Foreign body lodged in the external auditory canal. Contraindications Print Section Listen Absolute • Perforated tympanic membrane. Relative • Inability to visualize the tympanic membrane….
Corneal Abrasion and Eye Patching
Indications Print Section Listen • Suspected corneal abrasion. • History of eye trauma, prolonged use of contact lenses, or irritability in a nonverbal patient. • Abnormal vision. • Decreased visual…
Anterior Nasal Packing
Indications Print Section Listen • Persistent epistaxis localized anteriorly on the nasal septum that does not respond to digital pressure, topical vasoconstrictive agents, or cautery. Equipment Print Section Listen •…
Tympanometry
Indications Print Section Listen • Tympanometry directly measures the compliance of the tympanic membrane and ossicular chain, estimating middle ear pressure. • Tympanometry is primarily used to detect the presence…
Myringotomy and Tympanostomy Tube Insertion
Indications Print Section Listen • Otitis media with effusion (OME) persisting longer than 3 months. • Hearing loss > 30 dB in patients with OME. • Recurrent episodes of acute…
Otoscopic Examination
Indications Print Section Listen • Examination of the tympanic membranes and ear canals is part of routine health maintenance. • Tympanic membranes should also be visualized with complaint of ear…
Superficial Abscess: Treatment
Indications Print Section Listen • Incision and drainage are indicated when a large, localized, and tender collection of pus occurs in the subcutaneous tissues beneath the skin surface. • When…
Molluscum Contagiosum: Cantharidin Therapy
Indications Print Section Listen • Parent’s or child’s desire for office-based treatment. Contraindications Print Section Listen Absolute • Molluscum in facial, genital, or perianal area. Relative • Previous cantharidin application…
