“The Lymphatic Circulation: Understanding and Treating Pediatric Lymphatic Flow Disorders” Presented by: Gregory Adamson, MD Clinical Associate Professor Pediatric Cardiology Lucile Packard Children's Hospital Stanford Planners expect learners to: 1. Describe the anatomy and physiology of the lymphatic circulation and explain how disrupted flow produces chylothorax, PLE, plastic bronchitis, and chylous ascites. 2. Identify infants and children with suspected lymphatic flow disorders and initiate appropriate workup, including referral for MR lymphangiogram. 3. Identify clinical scenarios where lymphatic disease is misattributed to common diagnoses and examine how diagnostic anchoring may delay recognition and treatment. UCSF Benioff Children’s Hospital Oakland is accredited by the California Medical Association to provide continuing medical education for physicians. UCSF Benioff Children’s Hospital Oakland designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ABP MOC Part 2 Points Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. Contact Cristina.Fernandez@ucsf.edu for further details. ABS Continuous Certification (CC) Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn 1 credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery's Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. Contact Cristina.Fernandez@ucsf.edu for further details. Zoom Participants: Please contact Cristina.Fernandez@ucsf.edu for webinar information. For CME credit, evaluations must be completed by 12pm on the Friday after Grand Rounds. Requests for the link to the current evaluation must be sent to Cristina.Fernandez@ucsf.edu by NOON on the day of Grand Rounds. Dr. Adamson has no relevant financial relationships with ineligible companies to disclose. As planning peers without relationships with ineligible companies, CME committee members reviewed Dr. Kittams’ financial relationship with Merck and Pfizer; Dr. Venturelli's financial relationship with Moderna; and Dr. Kevin Yen's financial relationship with MannKind Corporation and Eli Lily & Co. and found that these relationships were not relevant to this presentation. The following planners for this educational activity do not have relevant financial relationships to disclose: Allison Coleman, MD; RoseEllen Morrell, MD; Michelle Nakaishi, CPNP; Javay Ross MD; and Prachi Singh, DO.