Clerkship Ready: Pediatrics is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Pediatrics. It covers topics including Your Pediatric Survival Guide - Tips and Tricks, Before Your First Well-Child Check, Peds GI Clinic, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation!
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In this episode, we will discuss everything you need to know before seeing your first pediatric patient with eczema. We will review its pathogenesis, who gets eczema, what to look for on exam, and potential differential diagnoses. We will also elaborate upon the most recent AAP guidelines for treatment of eczema, which focuses on skin care maintenance, topical steroids, and avoidance of triggers. Show Outline: Introduction to Eczema Description of dermatologic terms Defining eczema and atopic dermatitis Pathogenesis Immune dysfunction Histological differences Involvement of filaggrin Racial disparities Who gets eczema? Age of onset Demographics of patients with eczema Atopic disease & “The Atopic March” Clinical Presentation / Diagnosis Characterization of eczematous lesions What to look for in people of color Most likely locations of eczema based on patient age Differential diagnoses Sleep disturbances Utilizing the Patient-Oriented Eczema Measure (POEM) Treatment AAP recently updated treatment guidelines The basic triad for eczema treatment Skin care maintenance Topical anti-inflammatory medications The 5-10-15 Plan Avoidance of triggers Side-effects of topical steroids (very rare) Skin atrophy Steroid withdrawal Complications Secondary infections Tinea Impetigo Eczema herpeticum Closing statements Resources/Links: POEM Eczema Questionnaire: https://www.rchsd.org/documents/2020/08/madp-poem.pdf/ Roduit C, et al. (the PASTURE study group). Phenotypes of Atopic Dermatitis Depending on the Timing of Onset and Progression in Childhood. JAMA Pediatr. 2017 Jul 1;171(7):655-662. doi: 10.1001/jamapediatrics.2017.0556. PMID: 28531273; PMCID: PMC5710337. Schoch JJ, Anderson KR, Jones AE, Tollefson MM; Section on Dermatology. Atopic Dermatitis: Update on Skin-Directed Management: Clinical Report. Pediatrics. 2025 Jun 1;155(6):e2025071812. doi: 10.1542/peds.2025-071812. PMID: 40383540.
Links:
https://www.rchsd.org/documents/2020/08/madp-poem.pdf/
About the Speaker:
Host: Carly Pierson, MD – Carly Pierson, MD is a pediatric resident in the Primary Care Track at UVA Health. She graduated from the University of the Incarnate Word School of Osteopathic Medicine and has interests in allergy and immunology.
Clerkship Ready: Pediatrics is a podcast aimed at medical students doing their clinical clerkship in Pediatrics. The views expressed are the speakers' own and do not constitute medical advice.
23 Sept 2025TRANSCRIPT
Before You Counsel About Food Allergy Testing
This episode explores food allergies, including IgE and non-IgE mediated reactions, clinical manifestations, history taking, testing options, and treatment, offering insights into managing pediatric food allergies.
13 Jun 2025TRANSCRIPT
Before You Counsel on Introducing Complementary Foods, Including Potentially High Allergen Foods
This episode explores the latest recommendations for pediatricians on when and how to counsel parents about introducing complementary and potentially allergenic foods to infants, emphasizing the importance of early introduction to reduce allergy risks.
Inside a recent episode
Before You Counsel About Food Allergy Testing
Published 23 Sept 2025 · Transcript excerpt
[…] How common are food allergies? Well, according to multiple studies, food allergies are only on the rise, as data over the past few decades suggests that food allergies are becoming increasingly prevalent, with some studies showing up to 10 % of the population is affected by food allergies. These food allergies are more common in children than adults. Like all chronic disease processes, the expression of food allergy can be influenced by several factors, such as environment, genetics, and genetic environmental interactions. There are several different hypotheses as to what the underlying pathophysiology to food allergies comprises, but currently the underlying etiology is unknown and likely multifactorial. […]
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