Presentation
An approach to evaluation and management is presented. [ncbi.nlm.nih.gov]
In this edition, the Pain and Pain Management section is now at the front of the book, since a large percentage of emergency department patients present with pain-related complaints. [books.google.it]
Multiple linear regression analysis determined that smokers tended to be younger and have lower birth weight infants who presented earlier with apnea than infants of nonsmokers. [pediatrics.aappublications.org]
Presently, the 21-month old boy is kept on a milk-free diet and has no more symptoms. [nutritionfacts.org]
ORPHA:70590 Classification level: Disorder Synonym(s): Apnea of infancy Prevalence: - Inheritance: - Age of onset: Neonatal, Infancy ICD-10: P28.4 OMIM: - UMLS: - MeSH: - GARD: 6779 MedDRA: - The documents contained in this web site are presented for [orpha.net]
Entire Body System
- Fatigue
The relationship of this fatigue syndrome to EBV is unclear; further studies are needed to determine its etiology. [ncbi.nlm.nih.gov]
If they experience poor sleep quality, daytime fatigue or sleepiness, snoring, or breathing issues in sleep, they should talk with their health care provider. [epilepsy.com]
More specifically, cytokines and C-reactive protein are elevated in OSAHS patients and those molecules have been found to be linked to sleepiness, fatigue and the development of cardiovascular and metabolic disorders [5]. [physio-pedia.com]
Parents who use home apnea monitoring for their infants have been shown to have higher stress scores, greater levels of fatigue, and poorer health than parents of infants without home apnea monitors. 4-8 As a family physician, you are likely to encounter [mdedge.com]
- Inflammation
It looks like inflammation is present locally in the mucosa of OSAHS patients, but also systemically. [physio-pedia.com]
Surgical follow up In the short term, these patients require frequent follow up to monitor for infection or excessive inflammation. [eyewiki.aao.org]
During an EGD, the doctor looks for signs of chronic inflammation from acid irritation that can occur in the stomach or the esophagus. [cincinnatichildrens.org]
Inflammation in the carotid body during development and its contribution to apnea of prematurity. Respir Physiol Neurobiol. 2013 Jan 1. 185(1):120-31. [Medline]. Rasch DK, Huber PA, Richardson CJ, et al. [emedicine.medscape.com]
- Dentist
Shefali Kaul (Pediatric Dentist) for Space Maintainers I recommend the doctor Happy with: Doctor friendlinessExplanation of the health issueTreatment satisfactionValue for moneyWait time Sweetest doctor near my house. [practo.com]
Dentists work closely with physicians to determine if an oral appliance is appropriate for the severity of the diagnosis. [fda.gov]
- Nightmare
Delayed Sleep-Wake Phase Irregular Sleep-Wake Rhythm Jet Lag Non-24-Hour Sleep-Wake Rhythm Shift Work Idiopathic Hypersomnia Insufficient Sleep Syndrome Kleine-Levin Syndrome Long Sleeper Narcolepsy Bedwetting Confusional Arousals Exploding Head Syndrome Nightmares [sleepeducation.org]
Respiratoric
- Pharyngitis
The reason why men are more affected than women is not yet fully understood, but it has been suggested that there is a higher pharyngeal resistance in men with deficient activity of pharyngeal dilator muscles. [physio-pedia.com]
Several craniofacial characteristics related to the morphology of the facial skeleton or the pharyngeal soft tissues can predispose to the collapse of the upper airways. [elsevier.es]
[…] en The trias of fever, pharyngitis and lymphadenopathy in an acute infection with Epstein-Barr virus (EBV) is called morbus Pfeiffer (infectious mononucleosis). en Infectious diseases: tuberculosis, mononucleosis, viral pneumonia, hepatitis, and influenza [nl.glosbe.com]
상기도 외압도 기도 개존성 유지에 중요한 것으로 두개안면구조물에 의한 중력과 상기도를 둘러 쌓고 있는 섬유지방조직 등에 의해 기도가 좁아질 수 있다.21)22) 인두 탄성(pharyngeal compliance) 인두벽의 탄성은 경벽압의 효과에 중요한 결정 요소로 작용한다. [kjorl.org]
This reflex apnea can be induced by gavage feeds, aggressive pharyngeal suctioning and gastroesophageal reflux. [uichildrens.org]
- Nasal Voice
May also speak with a nasal voice. Restlessness during sleep. This occurs with or without periods of being awake. Excessive daytime sleepiness or irritability. [childrensnational.org]
Cardiovascular
- Hypertension
Pack CRC Press, 21 mag 2002 - 736 pagine Considers the relationship between obstructive sleep apnea (OSA) and cardiovascular disease, right and left ventricular dysfunction, and hypertension. [books.google.it]
[…] movements. apnea 1. temporary cessation of breathing. 2. asphyxia. sleep apnea transient attacks of failure of autonomic control of respiration, becoming more pronounced during sleep and resulting in acidosis and pulmonary arteriolar vasoconstriction and hypertension [medical-dictionary.thefreedictionary.com]
OSA is associated with stroke, heart disease, hypertension, diabetes, obesity, and sudden death. It can negatively impact school or work performance. Sleep disorders are highly common among people living with epilepsy and grossly underdiagnosed. [epilepsy.com]
Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 2000;342:1378-1834. ↑ 5.0 5.1 5.2 5.3 Thorpy MJ. Handbook of sleep disorders. Marcel Dekker. [physio-pedia.com]
Cardiovascular: Anaemia, hypotension, hypertension, patent ductus arteriosus, cardiac failure, hypovolaemia. Pain: Acute and chronic. [rch.org.au]
Jaw & Teeth
- Bruxism
CONCLUSION: some possible speech pathologies found in these patients are: enlarged tongue presenting hypotonia, soft palate with increased volume, difficulty in feeding due to insufficient intake of air and bruxism, possibly caused by tension and anxiety [scielo.br]
Head Syndrome Nightmares REM Sleep Behavior Disorder Sleep Eating Disorder Sleep Hallucinations Sleep Paralysis Sleep Talking Sleep Terrors Sleepwalking Central Sleep Apnea Child Sleep Apnea Groaning Infant Sleep Apnea Obstructive Sleep Apnea Snoring Bruxism [sleepeducation.org]
Skin
- Night Sweats
Other symptoms may include headaches, irritability, night sweats, attention deficit, memory loss, decreased libido, and depression [7]. [physio-pedia.com]
Musculoskeletal
- Osteoporosis
147 Diabetes mellitus is usually avoided if obesity is avoided; calcium and vitamin D supplementation might aid in prevention of osteoporosis. [et.sarlpromotech.com]
Neurologic
- Headache
If left untreated, sleep apnea can increase the risk of health problems, including: High blood pressure Stroke Heart failure, irregular heart beats, and heart attacks Diabetes Depression Worsening of ADHD Headaches In addition, untreated sleep apnea may [webmd.com]
Patients may awaken in the morning with a headache. [epilepsy.com]
Other effects are more flu-like, including a fever, headache and nausea. About 1 in 20 people who are infected with dengue will suffer a severe form of the disease, according to the CDC. [aspenpublicradio.org]
Other symptoms may include headaches, irritability, night sweats, attention deficit, memory loss, decreased libido, and depression [7]. [physio-pedia.com]
- Infantile Paralysis
‡Research fellow, Department of Pediatrics, Harvard Medical School; fellow, National Foundation for Infantile Paralysis. §Instructor in pediatrics, Harvard Medical School. [nejm.org]
- Lethargy
Side affects include weight loss, lethargy, and metabolic acidosis. Topical carbonic anhydrase inhibitors include dorzolamide 2% (Trusopt) and brinzolamde 1% (Azopt) drops TID. [eyewiki.aao.org]
The infant is observed for lethargy, poor skin perfusion, and tachypnea. A rectal temperature greater than 38°C (100.4°F) or poor weight gain suggests infection, a gastrointestinal disorder, or nervous system disorder, and requires further work-up. [aafp.org]
A number of inborn errors of metabolism also may present with hypotonia with or without lethargy as their only finding in infancy. Pompe disease should particularly be considered. [et.sarlpromotech.com]
- Grunting
Snoring is a grunting sound emitted during sleep. It is often associated with sleep apnea, a blocked airway. The most common cause of this, in children, is an enlargement of the tonsils and adenoids. [columbiadoctors.org]
- Somnambulism
Jerking movements of the limbs, waking at night, and, occasionally, somnambulism are common. Patients may awaken in the morning with a headache. [epilepsy.com]
Workup
Apnea referrals Remote alarm respiratory control respiratory effort Secondary Apnea sepsis short apnea sibling significant apnea Sl DS STATEWIDE Sudden lnfant Death Symptomatic unexplained Wisconsin Association Wisconsin Division Wisconsin SlDS Center workup [books.google.it]
Diagnostic workup before diagnosing colic. Arch Fam Med. 2000;9:282–3. 14. Weissbluth M. Colic. In: Burg FD, Gellis SS, Kagan BM. Gellis & Kagan’s Current pediatric therapy. 16th ed. Philadelphia: Saunders, 1999:674–8. 15. Levitzky S, Cooper R. [aafp.org]
BP2– BP3) deletions. 131, 132 Two other studies found much less clinically significant differences between individuals with these two deletion types. 133, 134 Diagnostic Testing DNA methylation analysis is the most efficient way to start the genetic workup [et.sarlpromotech.com]
Treatment
This extensively revised and expanded fourth edition covers causes, diagnosis, treatment, and surgical techniques as well as the pros and cons of specific therapies. [books.google.it]
Last updated: 2/1/2012 FDA-Approved Treatments The medication(s) listed below have been approved by the Food and Drug Administration (FDA) as orphan products for treatment of this condition. Learn more orphan products. [rarediseases.info.nih.gov]
The median age of our patients at initial propranolol treatment was 19 days. Thus, the majority of our patients began treatment before or during the most rapid growth phase of IH. [nature.com]
The entire duration of the treatment she was extremely understanding and very committed to get the best possible results with an appropriate treatment plan. Verified Patient 4 months ago Consulted Dr. [practo.com]
Prognosis
Part I explores basic techniques to researching infantile apnea (e.g. finding guidelines on diagnosis, treatments, and prognosis), followed by a number of topics, including information on how to get in touch with organizations, associations, or other [amazon.com]
Prognosis The prognosis for primary congenital glaucoma depends on the age of onset. Glaucoma that presents at birth is more difficult to treat, with at least half of the affected eyes becoming legally blind. [eyewiki.aao.org]
PROGNOSIS • Apnea of prematurity does not alter an infant’s prognosis unless it is severe, recurrent, and refractory to therapy. • The associated problems of intraventricular hemorrhage (IVH), BPD, and retinopathy of prematurity are critical in determining [slideshare.net]
One analysis found that children who die from SIDS and those who experience ALTE have very similar histories and clinical factors. 25 Approximately 7% of infants who die from SIDS have had an ALTE. 2 Overall, the long-term prognosis for infants who have [mdedge.com]
Etiology
APNEA and later respiratory distress of unknown etiology are the two types of respiratory problems that are most important in the newborn period. Their physiologic background is the subject of the first part of this review. [nejm.org]
The relationship of this fatigue syndrome to EBV is unclear; further studies are needed to determine its etiology. [ncbi.nlm.nih.gov]
Epidemiology
[…] for infants weighing less than 5.5 pounds (2.5 kg).[3] Studies have found that almost 2% of the pediatric population experience obstructive sleep apnea.[1] References[edit] ^ a b c d e f g h i j k l m n "Pediatric Apnea: Background, Pathophysiology, Epidemiology [en.wikipedia.org]
Many studies that reported an increased risk for siblings were performed before the current understanding of the epidemiology evolved. [pediatrics.aappublications.org]
Epidemiology The true prevalence and incidence of apnea in infants in unknown. [ncbi.nlm.nih.gov]
Pathophysiology
Introduction Apnea in infants is the term used to describe episodes of cessation of breathing and may be due to many physiological and pathophysiological processes. [ncbi.nlm.nih.gov]
Prevention
Home monitoring limits asphyxia and may prevent death in infants thought to be at risk for recurrent apnea. [ncbi.nlm.nih.gov]
Tomashek, MD Centers for Disease Control and Prevention Linda L. [pediatrics.aappublications.org]
[…] of Infant Death), the International Conference on Prevention of Infantile Apnea and Sudden Infant Death on the Verge of the Millenium. [malacards.org]