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pediatric case 4 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 May 2.

Pediatric Urogynecologist 1 Reply

I have a patient with a complex urogenital anamoly and am wondering where to send her for the best care. She has a right ectopic ureter that drains into a patulous bladder neck and an extremely short…Continue

Started by Virginia Hatch-Pigott. Last reply by Michael D'Alessandro Mar 2.

Some diagnosis issues in severe malnutrition... 3 Replies

Hello! I was wondering if there is someone that can have any more ideas about this case.One year old female, with two older brothers diagnosed with cerebral palsy. The mother 36 years old, she did…Continue

Started by B.I.C.. Last reply by Donna D'Alessandro Feb 26.

Video laryngomalacia

VideoThis child of 2 months old begins to have symptoms of laryngomalacia. Was cured spontaneously when grow upvideoLaryngomalacia is a congenital…Continue

Started by Santiago García-Tornel Florensa Feb 3.

 

Latest Activity

Donna D'Alessandro posted a blog post

What Causes Spontaneous Pneumothorax?

Story A 4 month old male came to the emergency room with fever to 103° and cough for 48 hours. The coughing had been much worse over the past day but there was no apnea or cyanosis. The patient had not had anything to drink for the past 8 hours. The past medical history showed a full-term infant without neonatal problems. He was current on immunizations. The family history showed no pulmonary disease.The pertinent physical exam revealed a tired appearing male with a respiratory rate of 62, pulse of 114, with normal blood pressure and temperature. His pulse oximeter was 88% on room air. His capillary refill was 3 seconds. HEENT showed clear rhinitis. Lungs had some mild coarse breath sounds throughout the fields with decreased sounds on the right. The rest of his examination was normal. The work-up included a venous blood gas of pH= 7.34, CO2 = 38 and O2 of 56 with a base of -6. A respiratory viral panel was negative for influenza, respiratory syncytial virus and other viruses. A…See More
Monday
manar ahmed sayed posted a blog post
Sunday
walid hamza shaheen commented on walid hamza shaheen's status
"Thank you so much."
May 17
walid hamza shaheen posted a status
"Male -3-years had been pricked by syringe from his father who is hepatitis C positive .what can we do for this baby?"
May 16
3 photos by walid hamza shaheen were featured
May 14
Pediatric Commons Curators left a comment for April MacPhee
"Hello April 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 14
April MacPhee is now a member of Pediatric Commons
May 14
Donna D'Alessandro posted a blog post

What Precautions Should Be Used for a Child Whose Parent is Hepatitis C Positive?

Story A 2-week-old male came to clinic with his parents for his health supervision visit. He had surpassed his birth weight by 10%. The parents voiced usual concerns, but the father also asked about anything special he should do because he himself had chronic Hepatitis C. He was an older father and had contracted it through a blood transfusion during a surgery as a teenager. He only knew about it several years later when he was told he could not donate blood. He was being monitored by his physician and his wife was Hepatitis C negative during pregnancy.The pertinent physical exam showed a healthy newborn with growth parameters in the 50-90% He had some erythema toxicum on his face. The diagnosis of a healthy newborn was made. The pediatrician wasn't sure if there were specific recommendations for newborns and other children living in a family with a Hepatitic C positive parent. After looking at several articles online including recommendations from two professional groups in different…See More
May 13
manar ahmed sayed commented on JULIO CESAR NEYRA PINTO's photo
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subdural haematoma

"this child is definitely a victim of NAI.1)immediately admit the child 2)take a proper history including social history 3)do imaging scan 4)do fundus exam 5)do skeletal survey 6)take pictures (legal purposes)and bone disease, coagulation lab…"
May 11
JULIO CESAR NEYRA PINTO commented on JULIO CESAR NEYRA PINTO's blog post 'caudal regression syndrome'
"Thanks Manar, I did mean that inferior limbs were rigid and diffcult to mobilize. No spasticity, no reflexes, something like ankilosis. I hope I make myself clear."
May 11
Pediatric Commons Curators left a comment for janardhan
"Hello Janardhan 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 11
janardhan is now a member of Pediatric Commons
May 11
manar ahmed sayed commented on JULIO CESAR NEYRA PINTO's photo
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newborn infection

"vit. K admnistered is a wise decision"
May 10
manar ahmed sayed commented on JULIO CESAR NEYRA PINTO's blog post 'caudal regression syndrome'
"i agree with you, sacral agenesis together with absent  L3-L5(L2 is not clear);and it is one of the complications of uncontrolled maternal DM type one.there is one q.:spastic paraplegia means hypertonia,hyperreflexia,-/+ clonus. was it the case?"
May 10
manar ahmed sayed commented on JULIO CESAR NEYRA PINTO's photo
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newborn infection

"we give aciclov once torch is suspected during perinatal period or with +ve maternal herpitic infection and if there are deranged liver function in neonatal sepsis"
May 10
manar ahmed sayed commented on Zahoor Ahmad's photo
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IMAG0014

"is there hypospadias? "
May 10
Pediatric Commons Curators left a comment for manar ahmed sayed
"Hello Manar 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 9
manar ahmed sayed is now a member of Pediatric Commons
May 9
Pediatric Commons Curators left a comment for janet meller
"Hello Janet 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 7
Profile Iconjanet meller and Zhiqiang liang joined Pediatric Commons
May 7
 
 
 

Learning Portfolio Posts

What Causes Spontaneous Pneumothorax?

Posted by Donna D'Alessandro on May 20, 2013 at 12:30am 0 Comments

Story

A 4 month old male came to the emergency room with fever to 103° and cough for 48 hours. The coughing had been much worse over the past day but there was no apnea or cyanosis. The patient had not had anything to drink for the past 8 hours. The past medical history showed a full-term infant without neonatal problems. He was current on immunizations. The family history showed no pulmonary disease.

The pertinent physical exam revealed a tired…

Continue

What Precautions Should Be Used for a Child Whose Parent is Hepatitis C Positive?

Posted by Donna D'Alessandro on May 13, 2013 at 12:30am 0 Comments

Story

A 2-week-old male came to clinic with his parents for his health supervision visit. He had surpassed his birth weight by 10%. The parents voiced usual concerns, but the father also asked about anything special he should do because he himself had chronic Hepatitis C. He was an older father and had contracted it through a blood transfusion during a surgery as a teenager. He only knew about it several years later when he was told he could not donate blood. He was being…

Continue

How Often Does Clubfoot Recur?

Posted by Donna D'Alessandro on May 6, 2013 at 12:30am 0 Comments

Story

A 5-year-old female was admitted to the inpatient service after a cuneiform to cuboid wedge surgery for recurrent talipes equinovarus on the left foot. The past medical history showed bilateral congenital clubfoot that was treated by the Ponseti method of serial casting and application of nightime foot orthosis for 2 years. Since that time the parents had noted an increase in left foot adduction and pain. The pertinent physical exam showed a healthy…

Continue

caudal regression syndrome

Posted by JULIO CESAR NEYRA PINTO on May 5, 2013 at 2:55am 3 Comments

A mother brings her baby daughter to the emergency room for a fever, vomiting, watery stools with mucus, of three days' duration.

On initial examination She was noticed lower limbs deformity and mother reported that her baby was diagnosed with arthrogryposis.

Auxiliary examinations showed pyuria in urine but not in stools, and blood leukocytosis. She was started treatment with ceftriaxone. Subsequently, the orthopedic surgeon requested an x-ray of the hips and lower…

Continue

What Are the Basic Oxygen Delivery Methods?

Posted by Donna D'Alessandro on April 29, 2013 at 12:30am 0 Comments

Story

A 6-month-old female came to clinic with mild fever, copious rhinitis and poor fluid intake for 48 hours. Children at her daycare had respiratory syncytial virus and her symptoms were getting worse over the past 8 hours with no fluid intake. The past medical history showed a healthy infant who had received influenza vaccine.

The pertinent physical exam showed a respiratory rate of 62, pulse of 119, temperature of 37.8° and an oxygen saturation of…

Continue

What Causes Digital Clubbing?

Posted by Donna D'Alessandro on April 22, 2013 at 12:30am 0 Comments

Story

A 4-year-old female came to the emergency room with fever and mild respiratory distress and cough. She had recently immigrated from Mexico. The past medical history was negative for surgeries and hospitalizations, and her immunizations were not current. The review of systems revealed that she had a poor appetite, poor growth, no sweats or actual weight loss. there was no hematemesis The social history showed that the family had been in several…

Continue

How Do Airway Malacias Present?

Posted by Donna D'Alessandro on April 15, 2013 at 12:30am 0 Comments

Story

While working on the general pediatric inpatient service, a pediatrician had 4 patients with similar stories. All were under 1 year of age and were admitted for respiratory distress, cough and dehydration due to respiratory syncytial virus. Each had a prolonged illness or needed readmission because each also had an underlying airway malacia that had been diagnosed by bronchoscopy - laryngomalacia, tracheomalacia, tracheobronchomalacia and bronchomalacia. The patient…

Continue

How Common Is Bullous Myringitis?

Posted by Donna D'Alessandro on April 8, 2013 at 12:30am 0 Comments

Story

A 2-year-old female came to clinic after 16 hours of severe right ear pain. She had fever to 38.5° and was being given ibuprofen. Previously she had rhinorrhea for 3 days but no cough. The past medical history showed an episode of otitis media 7 months previously. The review of systems was otherwise negative.

The pertinent physical exam showed a cranky female with normal vital signs and growth parameters in the 90-95% for age. HEENT…

Continue

Is EBV a Common Cause of Elevated Liver Enzymes?

Posted by Donna D'Alessandro on April 1, 2013 at 12:30am 0 Comments

Story

An emergency medicine physician called a regional children's hospital for consultation with a general pediatrician. His question was could a school age child who had elevated transaminase levels (2-3x normal), elevated bilirubin and mild clinical jaundice but no other clinical symptoms be infected by Epstein Barr Virus? The brief story was that the child had a fever for 2 days and the parent noted scleral icterus. There was no abdominal pain. The general…

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