Use of Nitrous Oxide for Minimal Sedation in Pediatric Outpatients: A Survey Analysis of Patient Experience and Parent-Guardian Satisfaction.

Introduction: The use of minimal and moderate sedation in the pediatric population allows for the successful completion of many procedures in both hospital and outpatient settings without the risks involved with general anesthesia. Sanford Children's outpatient sedation clinic had been using oral midazolam for minimal sedation but began using inhaled nitrous oxide in January 2019. The current study examines patient experience and parent/guardian satisfaction with use of inhaled nitrous oxide for minimal sedation.

When a Cyst is Not Just a Cyst.

In this article we report a series of cases with a cystic appearance clinically which were diagnosed as surprising entities histologically. The aim of presenting these cases is to demonstrate the importance of always sending clinically-appearing 'cysts' to pathology, because even the most experienced clinicians can be fooled by these lesions.

A Case-Based Review of Systemic Amyloidosis and its Cutaneous Findings.

Systemic amyloidosis is a disorder in which misfolded proteins deposit extracellularly, causing diverse clinical presentations depending on which organ systems are involved and to what degree they are involved. Delay in diagnosis is common and leads to increased mortality. In this article we report a case of systemic amyloidosis with the aim of increasing awareness of this entity.

Student Initiative Improves HIV Screening Rate in Student-Run Free Clinic.

Background The Center for Disease Control provides recommendations for preventative services and screenings including recommendations for a one-time HIV screening of all adult patients between the ages of 13-64. But not all clinics are fully compliant with these recommendations. We identified a need for increased screening at two clinics in a rural setting.