Pediatric Oncall最新文献_第10页

Accidental Esophageal Perforation in an extremely premature neonate 极早产儿意外食道穿孔一例

Pediatric Oncall Pub Date : 2021-01-23 DOI: 10.7199/PED.ONCALL.2021.18

J. Mistri, Ankur Patel, R. Parikh, A. Grover

引用次数: 0

Hepatic Encephalopathy due to Hepatitis A - Can age predict need for liver transplant? 甲型肝炎引起的肝性脑病——年龄能否预测肝移植的需要?

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/ped.oncall.2021.5

K. Gandhi, I. Shah

引用次数: 0

Unilateral Erythema in a Premature Neonate 早产新生儿单侧红斑

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/PED.ONCALL.2021.33

Teresa Almeida, A. Guerra, C. Correia, M. Tuna

引用次数: 0

Recurrent Vomiting 复发性呕吐

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/ped.oncall.2021.43

Himali Meshram

引用次数: 3

Growth Failure with Hemihypertrophy 生长衰竭伴半肥厚

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/PED.ONCALL.2021.52

Komal Bijarniya, S. Soni, D. Ambike

引用次数: 0

Newborns with a Positive SARS-Cov-2 test in the Peripartum Period. Are they Really Infected? 围生期新生儿SARS-Cov-2检测阳性他们真的被感染了吗?

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/ped.oncall.2021.51

A.L.C. Almeida, M. Vieira

引用次数: 0

A case of false hematuria and an unexpected diagnosis 假性血尿1例及意外诊断

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/ped.oncall.2023.2

Rita Maia Condecas de Oliveira Sousa, J. Martins, Rita Marques, A. Fraga, L. Rocha

{"title":"A case of false hematuria and an unexpected diagnosis","authors":"Rita Maia Condecas de Oliveira Sousa, J. Martins, Rita Marques, A. Fraga, L. Rocha","doi":"10.7199/ped.oncall.2023.2","DOIUrl":"https://doi.org/10.7199/ped.oncall.2023.2","url":null,"abstract":"Waterpipe tobacco smoking is becoming frequent worldwide with the prevalence increasing among youth. Glucose-6-phosphate dehydrogenase deficiency is the most common enzymatic disorder of red blood cells, predisposing patients to decreased resistance to oxidative stress, when exposed to certain toxic substances. The authors present a case of a 17-year-old male patient, with no relevant past medical history, who presents to the pediatric emergency department complaining of “hematuria”. Icteric sclera was identified on physical examination. Hemolytic anemia due to glucose6-phosphate dehydrogenase deficiency was found and a false hematuria was identified. The present case report is intended as an alert to the waterpipe smoking as a possible cause of false hematuria. Given its prevalence, the diagnosis of G6PD deficiency should be considered in the presence of non-immune hemolytic anemia. Introduction Adolescence is defined by World Health Organization (WHO) as people between 10 and 19 years and can now be understood as a dynamic period of brain development, with the remodeling of the brain reward system taking part in this period. Psychologically it is characterized by low resistance to peer influences and low risk perception, leading to an increase in risk taking behavior, including smoking, drugs, and alcohol consumption.1 Waterpipe tobacco smoking (WTS) is becoming prevalent worldwide and its prevalence is increasing dramatically among youth. In the past decade WTS has been associated with many chronic health effects such as lung cancer, chronic obstructive pulmonary disease, cardiovascular disease, and asthma. Waterpipe smoke contain toxic chemicals such as carbon monoxide, polycyclic aromatic hydrocarbons, volatile aldehydes, and addictive chemical nicotine.2 Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common enzymatic disorder of red blood cells (RBC), caused by a genetic defect in the G6PD enzyme, which generates NADPH and protects RBCs from oxidative injury.3 Consequently, G6PD deficiency patients have decreased resistance to oxidative stress, when exposed to certain toxic substances.3 The authors present a case of acute hemolysis in a 17-year-old male, without previous history of anemia or jaundice, who presents to the pediatric emergency department complaining of “hematuria”. Case Report A 17-year-old male patient, with no relevant past medical or family history, presented to the pediatric emergency department complaining of hematuria the past 12 hours. He denied dysuria, urgency, frequent urination, fever, or recent history of respiratory or gastrointestinal infections. A history of waterpipe smoking with red pigmentation tobacco (figure 1), the day before, was reported. He denied any other toxic consumptions. Physical examination revealed icteric sclera and was otherwise unremarkable. The urine analysis showed a red-orange pigmentation (figure 2), with no leukocytes, erythrocytes, nitrites, or bilirubin detection. Urin","PeriodicalId":19949,"journal":{"name":"Pediatric Oncall","volume":" 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91514908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing Resident Diagnostic Skills Using a Modified Bronchiolitis Score. 使用改良的细支气管炎评分评估住院医师的诊断技能。

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/ped.oncall.2021.10

Andrea Rivera-Sepulveda, Muguette Isona

{"title":"Assessing Resident Diagnostic Skills Using a Modified Bronchiolitis Score.","authors":"Andrea Rivera-Sepulveda, Muguette Isona","doi":"10.7199/ped.oncall.2021.10","DOIUrl":"https://doi.org/10.7199/ped.oncall.2021.10","url":null,"abstract":"Background: Resident milestones are objective instruments that assess the resident's growth, progression in knowledge, and clinical diagnostic reasoning; but they rely on the subjective appraisal of the supervising attending. Little is known about the use of standardized instruments that may complement the evaluation of resident diagnostic skills in the academic setting.Objectives: Evaluate a modified bronchiolitis severity assessment tool by appraising the inter-rater variability and reliability between pediatric attendings and pediatric residents.Methods: Cross-sectional study of children under 24 months of age who presented to a Community Hospital's Emergency Department with bronchiolitis between January-June 2014. A paired pediatric attending and resident evaluated each patient. Evaluation included age-based respiratory rate (RR), retractions, peripheral saturation, and auscultation. Cohen's kappa (K) measured inter-rater agreement. Inter-rater reliability (IRR) was assessed using a one-way random, average measures intra-class correlation (ICC) to evaluate the degree of consistency and magnitude of disagreement between inter-raters. Value of >0.6 was considered substantial for kappa and good internal consistency for ICC.Results: Twenty patients were evaluated. Analysis showed fair agreement for the presence of retractions (K=0.31), auscultation (K=0.33), and total score (K=0.3). The RR (ICC=0.97), SpO2 (ICC=1.0), auscultation (ICC=0.77), and total score (ICC=0.84) were scored similarly across both raters, indicating excellent IRR. Identification of retractions had the least agreement across all statistical analysis.Conclusion: The use of a standardized instrument, in conjunction with a trained resident-teaching staff, can help identify deficiencies in clinical competencies among residents and facilitate the learning process for the identification of pertinent clinical findings.","PeriodicalId":19949,"journal":{"name":"Pediatric Oncall","volume":"18 1","pages":"11-16"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7935038/pdf/nihms-1664219.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25443966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peritoneal Calcifications in a Newborn 新生儿腹膜钙化

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/ped.oncall.2021.2

Iskandar Bouazid, Yasmine Ladjal

引用次数: 0

Colonic Perforation in an Infant Following Inadvertent Use of Phosphate Enema 婴儿误用磷酸盐灌肠致结肠穿孔1例

Pediatric Oncall Pub Date : 2021-01-01 DOI: 10.7199/ped.oncall.2021.9

Soumyodhriti Ghosh, Kumar Mitrabhanu, S. Nath, Priya Amitabh

引用次数: 0