Presentation
Each full-color case begins with a patient presentation and proceeds through differential diagnosis, diagnosis and treatment, surgical procedures, postoperative management, and a case conclusion. [books.google.de]
Peroperatively, 800 mL straw colored ascites was present. Right ovarian 5 Χ 5 cm and left ovarian 4 Χ 4 cm masses were present with the presence of variegated consistency and necrotic areas on cut sections. Omental caking was present. [onlinejets.org]
In the neonate, TGA is the most common condition presenting with profound cyanosis. [brainscape.com]
Clinical Presentation NB: Although clinical presentation can be quite variable, early NEC presents with feeding intolerance. A progressive ileus may also be present, resulting in abdominal distension, tachypnea, lethargy and gastric distension. [elearning.sumdu.edu.ua]
Hematological
- Hemophilia A
Of the following, the MOST likely cause of the bleeding is A. disseminated intravascular coagulation B. factor VIII deficiency hemophilia C. liver disease D. vitamin K deficiency E. von Willebrand disease 20- A newborn whose estimated gestational age [prep4usmle.com]
Entire Body System
- Falling
Review of these cases and of 32 reported cases falling within the pediatric age range discloses that the disease occurs most frequently in patients whose general condition is poor, that it is very often associated with congenital or acquired disease of [pediatrics.aappublications.org]
Preterm babies are proportionately small & their weights fall in the normal range for the GA -use Ballard scoring system to determine GA What are 5 complications of SGA babies? 1. Fetal death 2. [cram.com]
[…] also called intestinal pneumatosis pneumatosis seasoned brown rice recipe reviews citrus pectin cystoides intestinalis or pneumatosis coli) is pneumatosis of Lyrics to ‘Heart Attack’ by Demi Lovato: So I’m putting my defenses up ‘Cause I don’t wanna fall [ediempoli.eu]
Tack both ends to the fascia so they don’t fall back into the abdomen. The distal end almost always sloughs off, so leave a little length to avoid it receding behind the fascia. It is not necessary to mature the stoma. Dr. [videolibrary.globalcastmd.com]
- Chills
A 10-yo child presents w/ a 3-day history of acute onset fever, vomiting, headache, pharyngitis, & chills. [flashcardmachine.com]
A 48- year-old woman comes to the emergency department because of increasing abdominal pain, chills, and fever for the past 36 hours. [quizlet.com]
Bilateral emphysematous pyelonephritis in a 72-year-old man who presented with fever, chills, and near syncope. Abdominal radiograph reveals extensive, radially oriented air within and surrounding the kidneys (black arrows). [pubs.rsna.org]
- Epilepsy
[…] b PMBPost-menopausal bleeding pmbnpolymyxin b nonapeptide pmcpseudomembranous colitis PMDPelizaeus-Merzbacher disease pmdprivate medical doctor pmdprogressive muscular dystrophy pmdntpasteurella multocida dermonecrotic toxin pmeprogressive myoclonic epilepsy [medabb.com]
The diagnosis of epilepsy is made by Definition b. Hx of the event & abnormal EEG finding Term 5. Which of the following refers to slow, writhing, continuous movements in the extremities? Definition Term 6. [flashcardmachine.com]
- Enuresis
Enuresis c. Both d. neither Definition Term 6. School phobia can result from: a. A learning disability b. Overprotective parents c. A death in the family d. All of the above e. None of the above Definition Term 7. [flashcardmachine.com]
- Low Fever
The most common clinical features of pulmonary TB in young children are non productive cough, low fever and, in rare cases, weight loss. [bmcinfectdis.biomedcentral.com]
Skin
- Eruptions
[…] pelpermissible exposure level pelprimary effusion lymphoma pempolymorphic epithelial mucin pemprotein energy malnutrition pemtphosphatidylethanolamine methyltransferase penpenicillin pepparietal epithelial cell pepphosphoenolpyruvate peppolymorphic eruption [medabb.com]
Urogenital
- Dysuria
A 4 year old boy presents with symptoms of dysuria and urinary frequency. A urine dipstick is positive for blood and nitrites. A UTI is suspected. Which of the following follow up strategies is most appropriate? A. Watchful waiting B. Cystoscopy C. [brainscape.com]
Similarly, irritative voiding symptoms (e.g., dysuria or frequency) can occur when an inflamed appendix is lying near the ureter or bladder. [elearning.sumdu.edu.ua]
Clinical symptoms of dysuria, increased urinary frequency, and hematuria are common. The presence of pneumaturia is a rare, although more specific, clinical finding. [pubs.rsna.org]
He denies dysuria, melena, hematochezia, or a history of similar symptoms. Yesterday, he reports he felt perfectly well. He has no significant past medical, surgical or family history. [quizlet.com]
- Dyspareunia
CASE REPORT A 43-yr-old woman presented with a 12-mo history of worsening menorrhagia and dyspareunia. She had no significant medical history and in particular no history of immunosuppression, diabetes, or hormonal therapy. [docksci.com]
Workup
Other associated anomalies such as congenital heart disease, genitourinary tract malformations, and musculoskeletal disorders are common in these infants, and appropriate preoperative workup is necessary. [basicmedicalkey.com]
[…] appreciable amount of fecal mate- rial that may continue to pass for some time.5,6 RADIOLOGIC EVALUATION OF BOWEL OBSTRUCTION Plain Abdominal Radiographs The plain radiograph of the abdomen has tradition- ally been used as the first radiologic study in the workup [docsity.com]
Emergent is when there are signs of end-organ damage (must admit and do workup). 32. [aippg.net]
Circumcised boys less than 6 months Lower threshold for prolonged fever or if accompanied by vomiting Term Indications for CXR Fever > 38°C Tachypnea 0-6 months RR ≥ 59 6-12 months RR ≥ 52 12-24 months RR ≥ 42 Definition Term Fever without source - Workup [flashcardmachine.com]
Headaches presenting in patients with a history of melanoma need to be further workup to role out brain metastasis. [quizlet.com]
Treatment
Treatment: primary abdominal wall closure, TPN; Silastic silo if unreducible Omphalocele (“good bowel, bad baby”) bowel hernia with peritoneal covering. [dailyabsitequestions.blogspot.com]
(a) Pre-treatment axial contrast-enhanced CT of the pelvis demonstrates the surgical anastomosis (arrows) prior to commencement of treatment, with mild pre-sacral soft tissue thickening (arrowhead). [ncbi.nlm.nih.gov]
Abstract The usual accepted mode of treatment of neonates with necrotizing enterocolitis (NEC) and pneumoperitoneum is surgical. However, in a select group of patients conservative treatment is feasible. [afrjpaedsurg.org]
Each full-color case begins with a patient presentation and proceeds through differential diagnosis, diagnosis and treatment, surgical procedures, postoperative management, and a case conclusion. [books.google.de]
Prognosis
This finding suggests that age at NEC onset may affect prognosis in full-term infants. [nature.com]
Uniformly, the prognosis has been grave with only 4 cases being diagnosed antemortem leading to surgical intervention and antifungal therapy and only 3 survived(3,5,9). [indianpediatrics.net]
Treatment and Prognosis Simple sliding hiatal hernias do not require treatment. Patients with symptomatic giant sliding hiatal hernias, paraesophageal, or mixed hernias should be offered surgery. [clinicalgate.com]
Clinical indicators of poor prognosis include development of acute renal failure and thrombocytopenia (, 39 ). [pubs.rsna.org]
Typhlitis, or inflammation of the cecum, is more frequently seen in immunocompromised patients and is characterized by marked thickening and hypervascularity; increased thickness of the wall may correlate with a worse prognosis[ 70, 71 ]. [wjgnet.com]
Etiology
Endometrial pneumatosis remains an enigmatic condition of uncertain etiology but it appears to be self-limited with no known pathologic sequelae. Departments of Histopathology (Y.J.C., C.J.R.S.) [dev-journals2013.lww.com]
The etiology of pneumatosis is not completely understood but 2 broad categories, infective and noninfective, are recognized. [docksci.com]
Definition / general Submucosal gas filled cysts within gastrointestinal tract Sites Entire gastrointestinal tract can be affected Etiology In infants, fulminant form is associated with necrotizing enterocolitis and may be fatal Also associated with cystic [pathologyoutlines.com]
Etiologies in humans may include bowel necrosis due to bowel ischemia, infarction, necrotizing enterocolitis, neutropenic colitis, volvulus, and sepsis. [vin.com]
The etiology of pneumatosis cystoides-like structures in ovarian teratomas is not clear. The first case of ovarian mature cystic teratoma with pneumatosis cystoides-like struc- tures was published in 1989 by Maudsley and Zakhour(9). [newslab.sk]
Epidemiology
Further understanding of the epidemiology of these infections and their sequelae are needed to formulate public health strategies. ( 2 )( 3 ) Objectives After completing the article, the reader should be able to: Appreciate the epidemiology and risk factors [pedsinreview.aappublications.org]
Balbaa Enzymes Characterization in Diabetes mellitus PPT Version | PDF Version Borzenko Berta Georgiyevna Disoders of Purine and Pyrimidine Nucleotides Metabolism in Human Gastrointestinal Tract Cancer PPT Version | PDF Version Tarek Mohmmed Tawfik Amin Epidemiology [omicsonline.org]
Google Scholar European Center for Disease Control and Prevention: Annual epidemiological report 2012. [bmcinfectdis.biomedcentral.com]
The epidemiology of perinatal mortality in multiple births. Bull N Y Acad Med 1990 ;66: 618 - 637 4. Ghai V, Vidyasagar D. Morbidity and mortality factors in twins: an epidemiologic approach. Clin Perinatol 1988 ;15: 123 - 140 5. [nejm.org]
The epidemiology and pathogenesis of necrotizing enterocolitis. Semin Neonatol 1997;2:231-8. [afrjpaedsurg.org]
Pathophysiology
Prematurity and low birthweight ( NEC is a multifactorial disease with an unclear pathophysiology. [hawaii.edu]
Draw your own conclusions, or at least think about the ramifications of our ability to salvage patients from what had historically been death sentences with advances in critical care and increased understanding of the pathophysiology of SIRS/multiple [buckeyesurgeon.com]
Current clinical and experimental data support the concept that the pathophysiology of NEC remains enigmatic and multifactorial. [basicmedicalkey.com]
PATHOPHYSIOLOGY Bowel obstruction causes distention of the gut through the accumulation of both gas and fluid. [docsity.com]
Prognostic value and pathophysiologic significance of the rim sign in cholescintigraphy. J Nucl Med 1987 ; 28:1679-1682. Medline, Google Scholar 14 Vingan HL, Wohlgemuth SD, Bell JS, III. [pubs.rsna.org]
Prevention
[…] a lack of clinical awareness and optimal diagnostic tests and limited means for therapy and prevention. [pedsinreview.aappublications.org]
[…] minus' sign Virchow -triad Use Parentheses water AND (cup OR glass) Add an asterisk (*) at end of a word to include word stems Neuro* will search for Neurology, Neuroscientist, Neurological, and so on Use quotes to search for an exact phrase "primary prevention [read.qxmd.com]
Localised abdominal compartment syndrome: bladder-over-gastric pressure ration (B/G ratio) as a clue to diagnosis MALBRAIN MLNG, DE LAET IE, WILLEMS A et al. abstract details 107 - 114 - Are ACE-inhibitors or ARB's still needed for cardiovascular prevention [poj.peeters-leuven.be]
The elusiveness of the etiology of NEC has made it difficult to establish effective preventive measures. [hawaii.edu]
Identifying cases in which laparotomy can be avoided is important to prevent unnecessary surgery and its associated morbidity and financial costs. [signavitae.com]