Doctaverse

Clinical guides

Evidence-based, clinician-facing notes on the calculators, criteria and quick-references in Doctaverse. Decision support only.

Calculator guides

Anion Gap in Metabolic Acidosis: Albumin Correction and the Delta-Delta

Serum anion gap done properly — HAGMA vs NAGMA, why hypoalbuminemia masks a raised gap (correct +2.5 per g/dL below normal), and using the delta ratio to unmask a hidden second acid-base disorder.

Calculator guides

Absolute Neutrophil Count (ANC): Calculation, Grading, and Febrile Neutropenia

How to calculate the ANC from the WBC, neutrophils and bands, the CTCAE severity grades, and why fever with an ANC <500 is a treat-now emergency.

Calculator guides

Pediatric BMI-for-Age: Z-Scores and WHO Cutoffs Explained

Why pediatric BMI must be read as BMI-for-age z-scores, not adult thresholds — WHO cutoffs for thinness, overweight and obesity, a worked example, and caveats.

Calculator guides

Centor / McIsaac Score: Pretest Probability of Strep Pharyngitis

How to use the McIsaac-modified Centor score to estimate group A strep pharyngitis risk, apply the age adjustment, and decide when to test rather than treat empirically.

Calculator guides

FENa vs FEUrea: Prerenal vs ATN When the Patient Is on Diuretics

Fractional excretion of sodium vs urea in pediatric AKI — the <1% prerenal cutoff, why FEUrea (<35%) is needed on diuretics, and the neonatal caveat.

Calculator guides

Mentzer Index: Screening Thalassemia Trait vs Iron Deficiency in Microcytic Anemia

MCV ÷ RBC count — the <13 thalassemia-trait / >13 iron-deficiency rule for microcytic anemia, the physiology behind it, sensitivity/specificity, and why it never replaces electrophoresis or iron studies.

Calculator guides

Holliday-Segar Maintenance Fluids: The 100/50/20 and 4/2/1 Rules

How to calculate pediatric maintenance IV fluids with the Holliday-Segar method — daily 100/50/20 and hourly 4/2/1 rules, worked example, and key caveats.

Calculator guides

Neonatal Bilirubin Thresholds (AAP 2022): Phototherapy and Exchange by Hour and Gestation

The 2022 AAP hyperbilirubinemia thresholds for infants ≥35 weeks — how gestational age, postnatal hour, and neurotoxicity risk factors move the phototherapy and exchange lines, plus the escalation-of-care zone. BETA digitized curves.

Calculator guides

Pediatric Glasgow Coma Scale: Scoring Consciousness in Infants and Children

GCS for pediatrics — the eye/verbal/motor breakdown, the infant-modified verbal and motor responses, the mild/moderate/severe bands, and why motor matters most in the intubated or preverbal child.

Calculator guides

Pediatric QTc: Bazett vs Fridericia, and When Bazett Misleads

How to correct the QT interval in children — Bazett vs Fridericia, the >460 ms paediatric threshold, false positives at high heart rates, and a worked example.

Calculator guides

Westley Croup Score: Grading Severity and Guiding Dexamethasone vs Adrenaline

The Westley croup score — its five components, the 0–17 scale, mild/moderate/severe cutoffs, and how it guides dexamethasone and nebulised adrenaline.

Calculator guides

Corrected Sodium for Hyperglycaemia: 1.6 vs 2.4 in DKA

How to correct measured serum sodium for hyperglycaemia in diabetic ketoacidosis, when to use the 1.6 versus 2.4 factor, and how it differs from pseudohyponatraemia.

Calculator guides

Bedside Schwartz eGFR in Children: The k × Height / Creatinine Formula

Estimating pediatric GFR with the updated 2009 bedside Schwartz equation (k=0.413), assay caveats, a worked example, and when the formula breaks down.

Cheat sheets

Febrile Neutropenia: Pediatric Quick Reference

A clinician quick reference for pediatric febrile neutropenia — ANC definition, when it is an emergency, and the door-to-antibiotic-within-one-hour rule.

Cheat sheets

Pediatric Dehydration Assessment: Signs, Deficit, and Rehydration

A clinician cheat-sheet for grading pediatric dehydration by clinical signs, estimating the fluid deficit, and choosing oral versus IV rehydration.

Cheat sheets

Pediatric DKA Management: Cheat-Sheet

Diagnosis, fluids and insulin for pediatric diabetic ketoacidosis — 0.05–0.1 U/kg/hr insulin, no bolus insulin, corrected sodium, and cerebral oedema red flags, per ISPAD 2022.

Cheat sheets

Pediatric IV Fluids: Bolus and Maintenance Quick Reference

Cheat-sheet for pediatric IV fluid resuscitation boluses and Holliday-Segar maintenance rates, with isotonic fluid choice and a maintenance fluid calculator.

Cheat sheets

Pediatric Resuscitation Drug Doses: PALS Cheat-Sheet

Weight-based pediatric resuscitation drug doses — adrenaline, amiodarone, atropine, adenosine, calcium and more — for cardiac arrest and peri-arrest.

Cheat sheets

Pediatric Normal Vital Signs by Age: A Quick Reference Cheat-Sheet

Bedside table of normal pediatric heart rate, respiratory rate and blood pressure by age band, plus fever and shock red flags for clinicians.

Disease A–Z

Dengue in Children: A Clinician's Monograph

Clinician reference on paediatric dengue — WHO 2009 classification, warning signs, NS1/serology, fluid management of the critical phase, and red flags.

Cheat sheets

Pediatric Status Epilepticus: Algorithm Cheat-Sheet

Timed pediatric convulsive status epilepticus algorithm — benzodiazepine dosing (lorazepam 0.1 mg/kg, midazolam), second-line levetiracetam/phenytoin/valproate, and RSI, per APLS/NICE.

Disease A–Z

Febrile Seizures: A Clinician's Monograph

Clinician reference on febrile seizures — simple vs complex definitions, AAP neurodiagnostic evaluation, when to do an LP, recurrence risk, and red flags.

Disease A–Z

Henoch-Schönlein Purpura (IgA Vasculitis): A Clinician's Monograph

Concise clinician reference on HSP / IgA vasculitis — EULAR/PRINTO/PRES 2010 criteria, the tetrad of features, renal surveillance, and red flags.

Disease A–Z

Guillain-Barré Syndrome in Children: A Clinician's Monograph

Concise clinician reference on pediatric GBS — Brighton case definition, albuminocytologic dissociation, IVIG/plasma exchange, and respiratory red flags.

Disease A–Z

Kawasaki Disease: A Clinician's Monograph

Concise clinician reference on Kawasaki disease — AHA 2017 criteria for classic and incomplete KD, coronary risk, IVIG/aspirin therapy, and red flags.

Disease A–Z

Childhood Nephrotic Syndrome: A Clinician's Monograph

Concise clinician reference on pediatric nephrotic syndrome — ISKDC definition, steroid-sensitive vs resistant disease, IPNA management, and red flags.

Disease A–Z

Pediatric Urinary Tract Infection: A Clinician's Monograph

Concise clinician reference on childhood UTI — NICE NG224 diagnosis, atypical vs recurrent UTI, imaging strategy, antibiotics, and red flags.

Calculator guides

New Ballard Score: Estimating Gestational Age from Neuromuscular & Physical Maturity

How the New Ballard Score estimates gestational age from 12 maturity signs, the 24 + 0.4 × total formula, timing of the exam, and a worked example with pitfalls.

Calculator guides

Pediatric Body Surface Area (Mosteller): Why BSA, Not Weight, Drives Chemo & Fluid Dosing

The Mosteller BSA formula for children, why body surface area beats weight for chemotherapy and fluid dosing, a worked example, and the obesity-capping pitfall.

Calculator guides

Glucose Infusion Rate (GIR) in Neonates: Calculating mg/kg/min, TPN Loads & Dextrose Blends

How to calculate neonatal glucose infusion rate in mg/kg/min, target ranges for hypoglycemia, the 12.5% peripheral dextrose ceiling, and a worked TPN blend example.

Calculator guides

Pediatric Blood Pressure (AAP 2017): Percentiles, Elevated BP, and Stage 1 vs Stage 2 HTN

Classifying children's blood pressure by the AAP 2017 guideline — age/sex/height percentiles under 13, absolute thresholds at 13+, plus a worked example and pitfalls.

Cheat sheets

Pediatric Anaphylaxis Management: IM Adrenaline Dosing Cheat-Sheet

Pediatric anaphylaxis recognition and first-line IM adrenaline dosing by weight and age (0.01 mg/kg, 1:1000), plus positioning and adjuncts — a quick reference for clinicians.

Cheat sheets

Neonatal Resuscitation (NRP 8th Edition): Algorithm Cheat-Sheet

NRP 8th edition algorithm summary — initial steps, the Golden Minute, PPV, 3:1 chest compressions and adrenaline 0.01–0.03 mg/kg IV — as a quick bedside reference for clinicians.

Cheat sheets

Pediatric Glasgow Coma Scale (GCS): Chart & Infant Modifications

Glasgow Coma Scale with pediatric and infant modifications as a side-by-side chart — eye, verbal and motor scoring, totals and severity bands — for clinicians.

Cheat sheets

Pediatric Normal Lab Values: Reference Ranges by Age Cheat-Sheet

Bedside pediatric lab reference ranges by age — CBC (Hb, WBC, platelets), electrolytes, renal function and liver function tests — in quick-scan tables for clinicians.

Disease A–Z

Anaphylaxis in Children: An A-Z Clinical Monograph

Recognise and treat paediatric anaphylaxis — WAO/EAACI diagnostic criteria, red flags, and first-line IM adrenaline 0.01 mg/kg (max 0.3 mg in children), repeated every 5 minutes.

Disease A–Z

Cystic Fibrosis in Children: An A-Z Clinical Monograph

Diagnose paediatric cystic fibrosis — sweat chloride ≥60 mmol/L, CFTR genetics, newborn screening pathway, plus red flags and a multidisciplinary management overview.

Disease A–Z

Functional Constipation in Children: An A-Z Clinical Monograph

Diagnose and manage paediatric functional constipation by Rome IV criteria — disimpaction, maintenance osmotic laxatives (PEG), red flags for organic disease, and behavioural toileting.

Disease A–Z

Severe Malaria in Children: An A-Z Clinical Monograph

Recognise and treat paediatric severe falciparum malaria — WHO criteria (cerebral malaria, severe anaemia, hypoglycaemia, acidosis), red flags, and IV artesunate first-line.