ALT An educational medical graphic with a blue background asks: "A 2yo with cough and increased work of breathing. CT shows a 10 cm chest wall mass, ribs displaced rather than destroyed. Biopsy: embryonal rhabdomyosarcoma. WHO GETS GERMLINE TESTING?" A chest CT scan inset on the bottom right shows a large mass in the chest cavity indicated by three red arrows. Below the question, three multiple-choice options are listed in white text: * A.) Those with a family history of cancer * B.) Those with syndromic features on exam * C.) Every newly diagnosed solid tumor patient At the top left, an orange oval reads "Oncology Clinical Foundations." At the top right, a white box says "Made possible by Cincinnati Children’s." An arrow points to the right in the bottom right corner, and "1/4" is written on the bottom left.

ALT An informational graphic on a blue gradient background with the text: "Oncology Clinical Foundations" "Made possible by Cincinnati Children’s changing the outcome together" "THE ANSWER: C.) EVERY NEWLY DIAGNOSED SOLID TUMOR PATIENT" "15% of sarcoma patients may carry a significant hereditary predisposition" "Dr. Pressey’s team tests every new solid tumor patient. Rhabdomyosarcoma at this age is an indication for germline testing on its own." At the bottom is a portrait of Joseph G. Pressey, MD, Director, Solid Tumor and Sarcoma Programs, Co-Director, Young Adult Oncology Program, Cincinnati Children’s.

ALT An educational graphic on a blue-gradient background from Cincinnati Children's, titled "Oncology Clinical Foundations." At the top right, a white logo box reads: "Made possible by Cincinnati Children's, changing the outcome together." The main text asks: "HOW DOES THIS DIAGNOSIS AFFECT TREATMENT CHOICE?" This is followed by a quote in large white text: "[For] rhabdomyosarcoma, we would consider high dose alkylator with a 2.2 gram cyclophosphamide dose. But given the Li-Fraumeni and risk of AML [Acute Myeloid Leukemia], this patient was treated with VAC initially, and then VAC-BI." In the bottom left, there is a portrait of Dr. Joseph G. Pressey, a smiling older man with short graying hair, wearing a dark blue suit jacket, white shirt, and a green-and-white patterned tie. To the right of the photo, his credentials are listed: "Joseph G. Pressey, MD. Director, Solid Tumor and Sarcoma Programs, Co-Director, Young Adult Oncology Program, Cincinnati Children’s."

ALT An educational infographic with a blue gradient background and a yellow left border. At the top left, an orange capsule-shaped badge reads "Oncology" above the text "Clinical Foundations" and three small dots (two yellow, one grey). At the top right, a white card reads "Made possible by Cincinnati Children’s changing the outcome together" with their logo. The main content in white text reads: "THE TAKEAWAY WHY THE SOLID TUMOR PROGRAM TESTS EVERYONE A germline result can change the regimen. The change in treatment lowers the risk of a treatment related leukemia." The bottom left corner reads "4/4".

ALT An event flyer on a teal background with white text reads: "STACS 2026 • Southwest Trauma & Acute Care Symposium. New Technologies in Trauma Surgery. Which new technologies will change how we operate?" A circular headshot features Devin O'Connor, MD, from Banner – University Medical Center Tucson, AZ. He is a smiling man with brown hair and a short beard, wearing a white coat and blue tie. Event details read: "Friday, November 20 • 3:45 PM. Register today: arizonatrauma.org/symposium. Phoenix Convention Center • In person or live virtual." In the bottom right corner is the logo for the Arizona Trauma Association.

ALT An informational graphic with a blue gradient background, titled "Craniofacial Clinical Foundations" with a Cincinnati Children's logo. The main text asks a medical question: "A 3-week-old is referred because the anterior fontanelle cannot be palpated. The head shape is normal and the head circumference is tracking along its curve." Below, a prominent blue bar asks, "WHAT IS THE BEST NEXT STEP?" Three multiple-choice options are listed below: * **A.)** Head CT * **B.)** Reassurance and routine follow-up * **C.)** Urgent craniofacial referral An arrow points to the right in the bottom right corner above the page number "1/4".

ALT An educational graphic in shades of blue titled "Craniofacial Clinical Foundations" with a logo for Cincinnati Children's in the top right. The main text reads: "THE FIX B.) REASSURANCE AND ROUTINE FOLLOW-UP This is one of the most common referral reasons, and most of these infants do not have craniosynostosis. With a normal head shape and a tracking head circumference, an unpalpable fontanelle alone warrants neither imaging nor urgent referral. In the first days of life it may simply be sutural overlap: physiologic overriding from birth molding, a recognized benign variant distinct from the fixed bony ridge of true synostosis." At the bottom left, it says "2/4".

ALT An informational graphic with a blue-to-purple gradient background. At the top left, a teal badge reads "Craniofacial" above "Clinical Foundations". At the top right, a white box says "Made possible by Cincinnati Children’s." In large white font, a quote reads: "If there’s not an associated head shape abnormality, it’s not typically something we get very excited about." Below, a small portrait photo of Jesse Skoch, MD, FAANS, FACS, a faculty neurosurgeon in the Division of Pediatric Neurosurgery at Cincinnati Children’s. Underneath, the text reads: "Consistent with the American Academy of Pediatrics (AAP): single-suture synostosis and deformational plagiocephaly are both diagnosed clinically, so routine imaging of infant head shape is not recommended. 3/4" with a white arrow pointing to the right in the bottom corner.

ALT An informational graphic with a blue gradient background titled "THE HEAD SHAPE DECIDES THE REFERRAL." At the top, "Craniofacial Clinical Foundations" is on the left, and a logo for "Cincinnati Children's" is on the right. The main text asks two questions: 1. "Is there a shape abnormality:" followed by illustrations of four infant heads viewed from above to show distinct shapes, each labeled: - **Scaphocephaly**: A long, narrow head shape. - **Trigonocephaly**: A triangular-shaped forehead. - **Plagiocephaly**: An asymmetrical, flat shape on one side of the back of the head. - **Brachycephaly**: A wide head shape that is flat across the back. 2. "Is the head circumference crossing percentiles downward?" At the bottom, a paragraph reads: "Either one earns a craniofacial referral. Fontanelle closure on its own reflects bone apposition rather than suture fusion, and head growth continues normally afterward." The bottom left corner is marked "4/4".

ALT An informational graphic on a blue gradient background with a green sidebar on the left. At the top left, a green pill-shaped button reads "Intestinal Rehab" with "Fundamentals" and three dots underneath, the first of which is green. At the top right, a white card reads "Made possible by Cincinnati Children’s." The main text in the center reads, "A child with short bowel syndrome was weaned off parenteral support six weeks ago but has recently experienced a plateau in weight gain." Below, a green rectangular button contains the white text, "HAS THIS CHILD ACHIEVED ENTERAL AUTONOMY?" At the bottom left is the page number "1/4," and at the bottom right is a white double-headed arrow pointing right.

ALT Graphic with a blue gradient background and text. At the top left, a green pill-shaped label reads "Intestinal Rehab" with "Fundamentals" below it. At the top right, a white box says "Made possible by Cincinnati Children's." In large, white, bold uppercase letters, the main headline reads: "THE ANSWER IS NO." Below, the main text reads: "Per the American Society for Parenteral and Enteral Nutrition (ASPEN) pediatric intestinal failure definitions, enteral autonomy is defined as maintaining normal growth and hydration through enteral support alone, without any parenteral support, including IV fluids, for more than three consecutive months. At six weeks, with flat growth, this child meets neither criterion." At the bottom left, it says "2/4," and at the bottom right, there is a white double arrow pointing right.

ALT An informational graphic with a blue-to-purple gradient background, titled "WHY FLUID AND SODIUM COME OFF LAST." At the top left, a green pill-shaped badge reads "Intestinal Rehab" above "Fundamentals" in white text. In the top right corner, a white box displays "Made possible by Cincinnati Children’s." The main text is structured in white bullet points: * Enteral intake covers **calories and macronutrients** first. * **Fluid, sodium and electrolytes** are the last requirements it can meet. * A volume- or sodium-depleted child will not grow, even on adequate calories. Below, a closing paragraph reads: "So when growth stalls after the wean, reassess hydration and **sodium** and optimize it, preferably enterally, before calling the wean a failure." In the bottom-left corner, it reads "3/4" with a white right-facing arrow in the bottom-right corner.

ALT An educational graphic with a blue background and a quote about intestinal rehabilitation. At the top left, a green pill-shaped badge reads "Intestinal Rehab" above the word "Fundamentals" and three small dots. At the top right is a logo reading "Made possible by Cincinnati Children's, changing the outcome together." In the center is a large white quote between quotation marks: "The last thing you need to come off of TPN is fluid. Without hydration, the baby won't grow." In the bottom left corner is a headshot of Paul Wales, MD, MSc, a middle-aged man with short brown hair, wearing a dark suit jacket and a blue-and-white striped dress shirt. To his right, white text reads: "Paul Wales, MD, MSc, Surgical Director, Intestinal Rehabilitation, Cincinnati Children's." In the very bottom left corner, it reads "4/4".