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Insurance billing notices threaten young adults’ confidentiality

Young adults can remain on their parents’ health insurance policies until they turn 26, but when they use it for counseling, pregnancy tests, addiction treatment or anything else, insurers frequently notify their parents. These routine billing notifications to parents of teens and young adults pose...

HPN Components

Energy, Fluid, Acid-Base & Electrolyte Management Dextrose Amino Acids Lipids Micronutrient monitoring & disorders Iron deficiency anemia (including intravenous iron)

Question 3

Patient is 13 year-old female unable to tolerate any enteral intake due to chronic small bowel obstruction and a history of heavy menses. For past 6 months, she complains of worsening fatigue and pallor. Hemaglobin is 8 (low), MCV 66 (low and previously normal). On exam, there is no tachycardia...

Question 4

2 year-old male had a recent adjustment in parenteral nutrition infusion cycle from 18 to 12 hours. There was no change in PN concentration. As a result, the glucose of infusion rate changed from 14 to 25 mg/kg/minute. Mother calls to complain that has symptoms of polydipsia and dehydration during...

Congenital Tufting Enteropathy

Pathophysiology: Mutations EPCAM Disordered fixation protein expression along the basolateral membrane of intestinal epithelium (especially in crypts), which leads to the consequence of tufts along villi. Salomon J, Espinosa-Parrilla Y, Goulet O, Al-Qabandi W, Guigue P, Canioni D, Bruneau J...

Answer 1

Parent of a 1 year-old female on home parenteral nutrition secondary to short bowel syndrome (necrotizing enterocolitis) calls with a 2-day history of fever 101 degrees Fahrenheit (38.3 degrees Celsius). There are no other clinical complaints besides from teething. What is the next step? A...