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PHM15: Challenging Diagnoses, Ethical Dilemmas in Pediatric Immigrant, Refugee Patient Cases


 

Presenters: Nichole Chandler MD, Suresh Nagappan MD MSPH, Angela Hartsell MD MPH, and Emily Hodnett MD

This workshop focused on interactive cases to highlight healthcare issues specific to the population of refugee/immigrant children in the US. It was an interactive format with small groups to allow the participants to work through the diagnoses by discovery. The cases included a Burmese infant with macrocephaly due to congenital toxoplasmosis and a school-age Eritrean child with abdominal pain due to Plasmodium vivax malaria. In addition to discussing the clinical presentation and work up of the patients, there were accompanying ethical dilemmas that were a part of taking care these patients. The presenters emphasized the importance of culturally sensitive communication and seeking competent translation for key clinical discussions. At the end, they supplied a list of resources for more information on refugees in the US and refugee healthcare.

Bethany Hodge MD MPH

Just for Kids Pediatric Hospitalists, Kosair Children’s Hospital

Assistant professor, Department of Pediatrics

Director of the Distinction in Global Health Track

University of Louisville School of Medicine

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