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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

Donna D'Alessandro posted a blog post

What Causes Abdominal Distention?

Story Patient Presentation A 10-year-old male came to the emergency room with a several day history of abdominal distension and generalized abdominal pain. The patient and family could provide few details but the pain was located periumbilically, occurred only during the day and would come and go. He occasionally felt nauseous but had no emesis. He denied any fever, chills, upper respiratory illnesses or urinary symptoms. He was unsure when his last bowel movement was. He had a history of constipation where his bowel movements were large enough to block up the toilet. He said that this didn't feel like the pain he had with his appendicitis 1 year previously. The past medical history was positive for being underimmunized and having an appendectomy 1 year previously. The social history revealed financial difficulties. The mother also had a lower intellect with some difficulties with daily activities.The pertinent physical exam showed a well-appearing male with normal vital signs. His…See More
Monday
Donna D'Alessandro posted a blog post

What Medications Should Be Avoided with Long QT Syndrome?

StoryAn 11-year-old female came to clinic with a hacking cough for the past 4 days. It was bothering her during the day and night. She had no rhinorrhea, fever, nausea, vomiting or shortness of breath. Overall she just didn't feel well but was attending school and doing her sports activities. She had multiple family members with upper respiratory tract infection symptoms over the past 2 weeks. Her father had been diagnosed with mycoplasma pneumonia 2 days ago after he had had similar symptoms and a chest x-ray that was compatible with the diagnosis. She was fully immunized including a TdaP and influenza vaccine given 4 months previously. Pertussis was circulating in the community, but not influenza. The past and family medical history showed a history of long QT syndrome that was diagnosed after the paternal grandfather had a syncopal incident. Her father and a sibling also had long QT syndrome. She had not had any problems including when taking various antibiotics and antihistamines…See More
Jul 14
Pediatric Commons Curators left a comment for roderick grant
"Hello Roderick 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…"
Jul 8
roderick grant is now a member of Pediatric Commons
Jul 8
Donna D'Alessandro posted a blog post

How Much Cetirizine Can Be Used?

Story Patient Presentation A 6-year-old male came to clinic with a history of seasonal allergic rhinitis. Loratadine usually controlled his symptoms well, but this spring seemed to be worse than usual. His mother was giving him the medicine in the morning but by the evening he was having increased sneezing, watery eyes and his mouth was itching. He was having problems sleeping also because of the increased rhinorrhea and was more tired during the day. "I started giving him some Benadryl® at night to try to help him sleep," she said. "The medicine is just not working." The past medical history revealed some mild atopic eczema, two episodes of bronchospasm that responded to albuterol, and seasonal allergic rhinitis that was worse in the spring and fall. The family history was positive for exercise-induced asthma and seasonal allergies on both sides of the family. The review of systems was negative.The pertinent physical exam showed a healthy boy with normal growth parameters. His eyes…See More
Jul 7
Pediatric Commons Curators left a comment for Shaun Grant
"Hello Shaun 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…"
Jul 3
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Jul 3
Pediatric Commons Curators left a comment for Logan Murray
"Hello Logan 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. Keep up with all that is…"
Jul 2
Donna D'Alessandro posted a blog post

What Causes Neck Stiffness?

Story A 14-year-old female came to clinic with a 3-day history of increasing neck stiffness. The pain was mainly left-sided and got worse as the day went on. She was also having generalized headaches in the evening that would resolve with sleep. She denied fevers, chills, nausea, emesis, or photophobia or other pain. She denied numbness or tingling in shoulders or arms. The past medical history showed that she was fully vaccinated and had 3 migraine headaches since the age of 12 that were controlled with sleep and ibuprofen. The family history was positive for migraine headaches and a paternal grandfather with a replaced knee. The review of systems was non-contributory.The pertinent physical exam showed a female in no distress who was alert and oriented x 4. Vital signs were normal including temperature. HEENT was normal except for pain of the left trapezius and sternocleidomastoid muscles. This became worse with stretching of these muscles, but there was complete range of motion in…See More
Jun 30
Donna D'Alessandro posted a blog post

What are the Most Common Motor and Vocal Tics?

Story A previously healthy 10-year-old female came to clinic with new onset of eye blinking that the mother had noticed for 2 weeks. The patient initially didn't notice it, but was becoming more aware and said that she noticed it occurred more when she was upset or excited. Her friends had not noticed it. The eye blinking didn't seem to bother her in general and the mother said that she saw only increased eye blinking in the evenings particularly when she was tired. They both agreed that she was only having eye blinking and denied any abnormal motor or vocal movements despite extensive examples. The patient denied any visual changes, photophobia, changes in tearing, or erythema of the eye structures. The past medical history was positive for seasonal allergic rhinitis, but the patient was not having any other allergic symptoms. The family history was positive for eye blinking and cheek puffing tics in her mother as a child that resolved before middle school. There was no neurological,…See More
Jun 23
Donna D'Alessandro posted a blog post

What Are Precautions for Someone Traveling to the Middle East About the Risk of MERS?

StoryPatient Presentation Ten and twelve-year-old male siblings came to clinic before traveling from the United States to visit relatives in Jordan for 6 weeks. The children were healthy, had current routine vaccinations and had traveled to Jordan 5 years previously. They were visiting major cities and did not plan to visit rural locations or farms. The family was transferring planes in Europe during the visit. The mother was concerned because of the recent media coverage of MERS (Middle East Respiratory Syndrome) in the United States, and wanted to know what she should do about the trip. The pertinent physical examinations revealed healthy boys.The diagnosis of healthy males was made. The pediatrician confirmed that the boys were fully vaccinated. In the room, he then used the Centers for Disease Control website to look at the specific travel recommendations for Jordan. The boys had previously had typhoid vaccine but because of the time lapse oral typhoid vaccine was prescribed. The…See More
Jun 16
Donna D'Alessandro posted a blog post

His Weight Gain is Slowing Down.

StoryHis parents had several questions about when he would start crawling and saying full words. They became more concerned when they saw the actual numbers of his weight gain since his 4 month appointment because they had had the sense that he was "slowing down" in his growth.He was breastfeeding every 4 hours for 20 minutes and they had started some cereal with iron in the past month.The past medical history showed a previously healthy, full-term infant with normal growth and development to date.The pertinent physical exam revealed an interactive infant who easily grabbed objects, sat by himself, said consonants and was rolling over.His vital signs were normal. His head circumference and length were consistently about 50%. His weight was slowly decreasing from the 50% at 2 months of age to between the 25%-50% currently.His examination was normal.The diagnosis of a healthy male was made with normal growth and development. Although the resident had tried to educate the family that…See More
Jun 9
Donna D'Alessandro posted a blog post

Are Probiotics Effective and If So, For What Problems?

Story A 6-week-old male came to clinic for his health supervision visit. His mother was concerned because he seemed to have excessive crying more in the evenings but also during the day. The episodes would last 30-60 minutes and were intractable with no soothing techniques helping. The episodes could occur once or more times/day and occurred 5-7 days a week. Between episodes he was a happy baby who was breastfeeding well. He had soft bowel movements 1-2 times per day and the mother did not think he was particularly gassy. His mother denied any rashes. She said that she, her husband and a close friend took turns watching him and they were all very good at handing him over to another person, or putting him down and walking away for a few minutes when they became frustrated with the crying. The past medical history showed a full-term infant with mild jaundice perinatally who did not need phototherapy. The family history was positive for atopic dermatitis in the mother, but no other…See More
Jun 2
Pediatric Commons Curators left a comment for Gregory Mashilo
"Hello Gregory 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…"
May 30
Gregory Mashilo is now a member of Pediatric Commons
May 30
Pediatric Commons Curators left a comment for Alan Brown
"Hello Alan 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…"
May 27
Alan Brown is now a member of Pediatric Commons
May 27
Donna D'Alessandro posted a blog post

This Ear Looks Different

Story A 15-month-old male came to clinic with a 2 day history of rhinorrhea, fever to 101.7° F, and fussiness especially at night. His mother was unable to console him the previous night and both looked very tired. He had no cough oreye changes and was drinking but not eating very much. The past medical history showed 2 ear infections in the past. The most recent was 3 months ago. The pertinent physical exam revealed a tired male who was afebrile with normal vital signs and growth parameters between 25-50%. He was well-hydrated. There was mild clear rhinorrhea and normal pharynx. His right ear had a bulging, erythematous tympanic membrane without light reflex. The left tympanic membrane was erythematous without normal landmarks but also had some centripetally radiating lines from the malleus. The tympanic membrane appeared to have a material similar to adherent scale attached to the membrane in between these lines.The diagnosis of bilateral otitis media was made and the patient was…See More
May 26
Pediatric Commons Curators left a comment for Charanya Rajan
"Hello Charanya 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…"
May 22
Charanya Rajan is now a member of Pediatric Commons
May 22
 
 
 

Learning Portfolio Posts

What Causes Abdominal Distention?

Posted by Donna D'Alessandro on July 21, 2014 at 12:30am 0 Comments

Story

Patient Presentation

A 10-year-old male came to the emergency room with a several day history of abdominal distension and generalized abdominal pain. The patient and family could provide few details but the pain was located periumbilically, occurred only during the day and would come and go. He occasionally felt nauseous but had no emesis. He denied any fever, chills, upper respiratory illnesses or urinary symptoms. He was unsure when his last bowel…

Continue

What Medications Should Be Avoided with Long QT Syndrome?

Posted by Donna D'Alessandro on July 14, 2014 at 12:30am 0 Comments

Story

An 11-year-old female came to clinic with a hacking cough for the past 4 days. It was bothering her during the day and night. She had no rhinorrhea, fever, nausea, vomiting or shortness of breath. Overall she just didn't feel well but was attending school and doing her sports activities. She had multiple family members with upper respiratory tract infection symptoms over the past 2 weeks. Her father had been diagnosed with mycoplasma pneumonia 2 days ago after he…

Continue

How Much Cetirizine Can Be Used?

Posted by Donna D'Alessandro on July 7, 2014 at 12:30am 0 Comments

Story

Patient Presentation

A 6-year-old male came to clinic with a history of seasonal allergic rhinitis. Loratadine usually controlled his symptoms well, but this spring seemed to be worse than usual. His mother was giving him the medicine in the morning but by the evening he was having increased sneezing, watery eyes and his mouth was itching. He was having problems sleeping also because of the increased rhinorrhea and was more tired during the day. "I…

Continue

What Causes Neck Stiffness?

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

Story

A 14-year-old female came to clinic with a 3-day history of increasing neck stiffness. The pain was mainly left-sided and got worse as the day went on. She was also having generalized headaches in the evening that would resolve with sleep. She denied fevers, chills, nausea, emesis, or photophobia or other pain. She denied numbness or tingling in shoulders or arms. The past medical history showed that she was fully vaccinated and had 3 migraine headaches since…

Continue

What are the Most Common Motor and Vocal Tics?

Posted by Donna D'Alessandro on June 23, 2014 at 12:30am 0 Comments

Story

A previously healthy 10-year-old female came to clinic with new onset of eye blinking that the mother had noticed for 2 weeks. The patient initially didn't notice it, but was becoming more aware and said that she noticed it occurred more when she was upset or excited. Her friends had not noticed it. The eye blinking didn't seem to bother her in general and the mother said that she saw only increased eye blinking in the evenings particularly when she was tired. They…

Continue

What Are Precautions for Someone Traveling to the Middle East About the Risk of MERS?

Posted by Donna D'Alessandro on June 16, 2014 at 12:30am 0 Comments

Story

Patient Presentation

Ten and twelve-year-old male siblings came to clinic before traveling from the United States to visit relatives in Jordan for 6 weeks. The children were healthy, had current routine vaccinations and had traveled to Jordan 5 years previously. They were visiting major cities and did not plan to visit rural locations or farms. The family was transferring planes in Europe during the visit. The mother was concerned because of the recent…

Continue

His Weight Gain is Slowing Down.

Posted by Donna D'Alessandro on June 9, 2014 at 12:30am 0 Comments

Story

His parents had several questions about when he would start crawling and saying full words. They became more concerned when they saw the actual numbers of his weight gain since his 4 month appointment because they had had the sense that he was "slowing down" in his growth.

He was breastfeeding every 4 hours for 20 minutes and they had started some cereal with iron in the past month.

The past medical history showed a previously healthy, full-term infant with…

Continue

Are Probiotics Effective and If So, For What Problems?

Posted by Donna D'Alessandro on June 2, 2014 at 12:30am 0 Comments

Story

A 6-week-old male came to clinic for his health supervision visit. His mother was concerned because he seemed to have excessive crying more in the evenings but also during the day. The episodes would last 30-60 minutes and were intractable with no soothing techniques helping. The episodes could occur once or more times/day and occurred 5-7 days a week. Between episodes he was a happy baby who was breastfeeding well. He had soft bowel movements 1-2 times per day and…

Continue

This Ear Looks Different

Posted by Donna D'Alessandro on May 26, 2014 at 12:30am 0 Comments

Story

A 15-month-old male came to clinic with a 2 day history of rhinorrhea, fever to 101.7° F, and fussiness especially at night. His mother was unable to console him the previous night and both looked very tired. He had no cough oreye changes and was drinking but not eating very much. The past medical history showed 2 ear infections in the past. The most recent was 3 months ago. The pertinent physical exam revealed a tired male who was afebrile with normal…

Continue

What Causes Leg Pain?

Posted by Donna D'Alessandro on May 19, 2014 at 12:30am 0 Comments

Story

A 13-year-old male came to clinic for his health supervision visit. He was a runner but had had no athletic injuries. He did complain of intermittent bilateral lower leg pain. It occurred mainly in the evenings after running. He wasn't sure how long it lasted for but less than 1 hour usually. The pain did not awaken him when sleeping and did not occur during school. It occurred approximately 1x/week and wasn't changing in location, radiation or intensity. It did not…

Continue

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