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Is it safe to use asthma inhaler ou asthma medicine during pregnancy? Is it safe for mom and for baby! 1 Reply

It's very important to keep asthma under control during pregnancy because severe asthma attacks can be dangerous to the pregnancy.A commonly prescribed bronchodilatatato;salbutamol (ventolin) can be…Continue

Tags: pregnancy, asthma

Started by Dr Jalel BEN GHOZZIA. Last reply by Donna D'Alessandro May 8.

pediatric case 6 Replies

hello,young female 4y old with urinary tract  infection and her urine analysis show bus cells 100/HPFand her blood picture show :RBCes count:5.2 10^6/cmm , HB 9.4 g/dl ,HB% 58.8 % , haematocrete…Continue

Started by azza helal. Last reply by Donna D'Alessandro Mar 3.

brain death lecture 3 Replies

please add this lecture in the lectures section.Continue

Started by Ahmed A. Elkhirshy. Last reply by Ahmed A. Elkhirshy Feb 4.

 

Latest Activity

Pediatric Commons Curators left a comment for Jim Wischmeier
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Jim Wischmeier is now a member of Pediatric Commons
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Pediatric Commons Curators left a comment for Vicente Winston Billena III
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Pediatric Commons Curators left a comment for Vicente Winston Billena III
Wednesday
Vicente Winston Billena III is now a member of Pediatric Commons
Wednesday
Donna D'Alessandro posted a blog post

Is Enterovirus D68 A New Virus?

StoryA 3-year-old male came to clinic with fever, runny nose and cough for 36 hours. His parents had treated him with ibuprofen which helped but they felt he was now wheezing. He had no history of asthma or other respiratory problems. He did attend day care and there had been several other children with similar illnesses, and enteroviruses were circulating in the community. He was drinking and urinating well. The past medical history showed upper respiratory tract infections and some otitis media. The family history was negative for asthma, but there was an elderly uncle with chronic obstructive pulmonary disease. The review of systems was negative including for rashes.The pertinent physical exam showed he was mildly ill-appearing with a fever of 38.2°C., respiratory rate of 28/minute, pulse of 104 beats/minute and growth parameters that were 75-90% for age. HEENT showed clear rhinorrhea, mildly erythematous pharynx, and clear tympanic membranes. His lungs had some transmitted upper…See More
Monday
Donna D'Alessandro posted a blog post

What Factors Decide Urolithiasis Treatment?

StoryA pediatrician saw two patients with urolithiasis over two weeks that had been managed differently and she wondered what were the factors that had been used for their treatment decisions. The first was a 17-year-old female who was traveling by car and had exquisite abdominal and flank pain that became worse and caused the family to seek care at the nearest hospital along the road. The diagnosis was made by computed tomographic scan and the patient was taken to the operating room for removal of the stone "just above my bladder" and placement of a stent. Her medical records showed that it was a 7 mm calcium oxalate stone causing mild hydronephrosis just above the ureterovesical junction. The stent was removed 10 days later and she had been doing well since. The second patient was an 8-year-old male who had sudden onset of abdominal and flank pain and was seen in the local emergency room. A 3 mm stone located above the ureterovesical junction that was not causing hydronephrosis was…See More
Oct 13
Donna D'Alessandro posted a blog post

What Are Legal Issues that Affect Health?

StoryAn 8-year-old Hispanic male came to clinic for his well child care. His mother had no concerns except that he was not doing as well in second grade as she had wanted. He had received English-language learner (ELL) services during kindergarten and first grade, but they were stopped when he entered 2nd grade. He had always struggled with reading she said. The teacher said that he didn't qualify for ELL services anymore and there were no other additional services for him. She recommended going to the library and having him read to his mother at home. His mother had tried this but had limited availability because of her work schedule and she felt that there was more to this problem than just not being able to read as well. The past medical history showed him to be a full-term infant with normal growth and development. Vision and hearing screening at school were reportedly normal. The family history was positive for relatives on both sides of the family who had some school problems…See More
Oct 6
Donna D'Alessandro posted a blog post

What Are the Essential Amino Acids and How Much Protein Do I Need?

Story A 14-year-old male came to clinic for his health supervision visit. He was a runner and had become more interested in eating healthier to improve his running. "I'm drinking more milk and eating more vegetables lately," he said. "I'm thinking about eating vegetarian, but I'm not sure that I can get enough protein. I don't like seeds, nuts, or tofu, so I'm not sure that I can do it," he explained. The past medical history showed no athletic injuries. The family history was positive for heart disease and stroke in family members > 60 years of age. The review of systems was negative.The pertinent physical exam revealed a thin male with height at the 75% percentile and weight at the 25%. Vital signs were normal as was the rest of his physical examination. The diagnosis of a healthy male was made. He was counseled to continue to eat a variety of foods including calcium-rich foods. The pediatrician told him that he still could get enough protein in his diet using a variety of foods…See More
Sep 29
Donna D'Alessandro posted a blog post

What Types of Abdominal Wall Defects Are There?

Story A 5-year-old female came to clinic for her health supervision visit. She was well but the father wanted to address "her other belly button." The parent said that sometimes there was bulge above her umbilicus but it was not consistent. She denied any pain or problems because of it. The past medical history revealed a well child who had a previously diagnosed umbilical hernia.The pertinent physical exam showed a well child with normal vital signs and growth parameters in the 75-90% Her abdominal examination showed a soft non-tender abdomen without organomegaly or masses. Her umbilicus was normal, but 3 cm above the umbilicus there was a skin protuberance when the patient valsalved. Palpation of the area showed an obvious skin lesion, and a midline fingertip-sized, round area. It had a distinct ridge between 4-8 o'clock, but was much thinner in the other areas. It was unclear if there was a distinct annulus. The area had a feeling of serosa moving over something else. The diagnosis…See More
Sep 22
Pediatric Commons Curators left a comment for Jennifer Jackson
"Hello Jennifer and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Sep 18
Jennifer Jackson is now a member of Pediatric Commons
Sep 18
Pediatric Commons Curators left a comment for MARCELO DE SOUSA TAVARES
"Hello Marcelo and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Sep 16
MARCELO DE SOUSA TAVARES is now a member of Pediatric Commons
Sep 16
Donna D'Alessandro posted a blog post

What Medicines Should Be Avoided with G6PD Deficiency?

Story A 3-day-old male came to clinic for a weight and bilirubin checkup. He was feeding well every 2-3 hours for 30 minutes. He was having several stools but they still had meconium. He would awaken but seemed sleeper for the past 24 hours per his mother, and she thought he looked more jaundiced. The past medical history showed that he was a 38 week gestation, appropriate-for-gestation-age, infant born vaginally to a G2P2 O+ female with no risk factors. He had an uneventful post-natal course and was discharged at 48 hours with a total bilirubin of 11.8 mg/dL. His neonatal screening test was normal. The family history was non-contributory other than both parents were originally from Italy and were now living in the United States. The review of systems was negative.The pertinent physical exam showed a sleepy-appearing male. His weight was 5% down from birth weight and was 2% down since discharge. He was jaundiced to at least his knees but otherwise appeared normal. His transcutaneous…See More
Sep 15
Pediatric Commons Curators left a comment for Tashii Tshering
"Hello Tashii and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Sep 14
Tashii Tshering is now a member of Pediatric Commons
Sep 14
Donna D'Alessandro posted a blog post

What is Gianotti-Crosti Syndrome?

Story A 4-year-old male came to clinic with a new rash and a low grade fever that had begun the night before. The mother said that the child had a recent sore throat but had been doing well until the last night when she noticed some papules on his upper legs. In the morning the rash had spread to his thighs and knees, buttocks and upper arms including the elbows. He had none on his face or trunk. The spots were becoming more extensive and were now red whereas the night before they were more flesh-colored or slightly pink. She denied new soaps, lotions, detergents or other similar products. He had not and was not taking any medication. There were several children in his daycare with colds. The past medical history was non-contributory.The pertinent physical exam showed a well-appearing male with normal vital signs including being afebrile and growth parameters in the 5-10%. He had a mildly erythematous throat, and some shotty cervical and inguinal adenopathy. His skin exam showed…See More
Sep 8
Donna D'Alessandro posted a blog post

What Causes Testicular Pain?

Story A 17-year-old male came to clinic with a 3 week history of what he described as intermittent left testicular pain. It occurred only during the day and would occur randomly, lasting for a few seconds to a few minutes. The pain occurred mainly in the lower abdomen but would come into the upper scrotal area. He described it as a pressure-type pain not a stabbing/cutting pain. He said there was no inguinal masses. He denied sexual activity, masturbation, trauma, or excessive exertion. He denied any inguinal swelling, swelling or erythema of the scrotum, testes or penis and no penile discharge. He was an athlete who wore compression clothing but not a protective cup or athletic supporter. The review of systems showed no fever, chills, nausea, emesis, constipation, diarrhea or dysuria.The pertinent physical exam showed normal vital signs and growth parameters. His genitourinary examination showed Tanner V pubertal changes with no skin changes, erythema or edema. There was no specific…See More
Sep 1
Pediatric Commons Curators left a comment for Georgette Katsetos
"Hello Georgette and Welcome to the Pediatric Commons Team! First look at the Welcome page. Then please enter an interesting case into your Learning Portfolio and upload an interesting image to your Photo section to get started. Also please upload a…"
Aug 29
 
 
 

Learning Portfolio Posts

Is Enterovirus D68 A New Virus?

Posted by Donna D'Alessandro on October 20, 2014 at 12:30am 0 Comments

Story

A 3-year-old male came to clinic with fever, runny nose and cough for 36 hours. His parents had treated him with ibuprofen which helped but they felt he was now wheezing. He had no history of asthma or other respiratory problems. He did attend day care and there had been several other children with similar illnesses, and enteroviruses were circulating in the community. He was drinking and urinating well. The past medical history showed upper respiratory…

Continue

What Factors Decide Urolithiasis Treatment?

Posted by Donna D'Alessandro on October 13, 2014 at 12:30am 0 Comments

Story

A pediatrician saw two patients with urolithiasis over two weeks that had been managed differently and she wondered what were the factors that had been used for their treatment decisions. The first was a 17-year-old female who was traveling by car and had exquisite abdominal and flank pain that became worse and caused the family to seek care at the nearest hospital along the road. The diagnosis was made by computed tomographic scan and the patient was taken to the…

Continue

What Are Legal Issues that Affect Health?

Posted by Donna D'Alessandro on October 6, 2014 at 12:30am 0 Comments

Story

An 8-year-old Hispanic male came to clinic for his well child care. His mother had no concerns except that he was not doing as well in second grade as she had wanted. He had received English-language learner (ELL) services during kindergarten and first grade, but they were stopped when he entered 2nd grade. He had always struggled with reading she said. The teacher said that he didn't qualify for ELL services anymore and there were no other additional services for…

Continue

What Are the Essential Amino Acids and How Much Protein Do I Need?

Posted by Donna D'Alessandro on September 29, 2014 at 12:30am 0 Comments

Story

A 14-year-old male came to clinic for his health supervision visit. He was a runner and had become more interested in eating healthier to improve his running. "I'm drinking more milk and eating more vegetables lately," he said. "I'm thinking about eating vegetarian, but I'm not sure that I can get enough protein. I don't like seeds, nuts, or tofu, so I'm not sure that I can do it," he explained. The past medical history showed no athletic injuries. The…

Continue

What Types of Abdominal Wall Defects Are There?

Posted by Donna D'Alessandro on September 22, 2014 at 12:30am 0 Comments

Story

A 5-year-old female came to clinic for her health supervision visit. She was well but the father wanted to address "her other belly button." The parent said that sometimes there was bulge above her umbilicus but it was not consistent. She denied any pain or problems because of it. The past medical history revealed a well child who had a previously diagnosed umbilical hernia.

The pertinent physical exam showed a well child with normal vital signs…

Continue

What Medicines Should Be Avoided with G6PD Deficiency?

Posted by Donna D'Alessandro on September 15, 2014 at 12:30am 0 Comments

Story

A 3-day-old male came to clinic for a weight and bilirubin checkup. He was feeding well every 2-3 hours for 30 minutes. He was having several stools but they still had meconium. He would awaken but seemed sleeper for the past 24 hours per his mother, and she thought he looked more jaundiced. The past medical history showed that he was a 38 week gestation, appropriate-for-gestation-age, infant born vaginally to a G2P2 O+ female with no risk factors. He had an…

Continue

What is Gianotti-Crosti Syndrome?

Posted by Donna D'Alessandro on September 8, 2014 at 12:30am 0 Comments

Story

A 4-year-old male came to clinic with a new rash and a low grade fever that had begun the night before. The mother said that the child had a recent sore throat but had been doing well until the last night when she noticed some papules on his upper legs. In the morning the rash had spread to his thighs and knees, buttocks and upper arms including the elbows. He had none on his face or trunk. The spots were becoming more extensive and were now red whereas the night…

Continue

What Causes Testicular Pain?

Posted by Donna D'Alessandro on September 1, 2014 at 12:30am 0 Comments

Story

A 17-year-old male came to clinic with a 3 week history of what he described as intermittent left testicular pain. It occurred only during the day and would occur randomly, lasting for a few seconds to a few minutes. The pain occurred mainly in the lower abdomen but would come into the upper scrotal area. He described it as a pressure-type pain not a stabbing/cutting pain. He said there was no inguinal masses. He denied sexual activity, masturbation, trauma, or…

Continue

How Common Is Developmental Dysplasia of the Hip in Infants With Breech Presentation?

Posted by Donna D'Alessandro on August 25, 2014 at 12:30am 0 Comments

Story

A 1-week-old female came to clinic for her health supervision visit. Breastfeeding was going well and mild clinical jaundice had resolved. The past medical history showed a full-term female with no prenatal risk factors who had been born by Cesarean section for breech presentation. The family history was negative for orthopaedic issues.

The pertinent physical exam showed an alert infant. Her weight was 3.26 kg (50%), length of 48% (50%)…

Continue

What Causes Proteinuria?

Posted by Donna D'Alessandro on August 18, 2014 at 12:30pm 0 Comments

Story

A 16-year-old female came to clinic because of 2 days of dysuria. She was having some increased frequency and also pain with urination. She wasn't sure if the pain began with the bladder contracting or when her urine stream touched her genital area. She denied fever, chills, nausea, emesis, constipation or pain with defecation. She also denied previous bladder infections or sexual activity. The family history was negative for renal disease or hearing…

Continue

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