keyword
https://read.qxmd.com/read/38455783/adenocarcinoma-induced-sigmoid-colon-intussusception-and-postoperative-parastomal-evisceration-in-an-elderly-patient-a-case-report-and-literature-review
#21
Jaber Alfaifi, Adeline Germain
Intussusception in adults is less frequent than in children, and it is less commonly seen in the colon than in the intestines. This may be explained by the fixation of the colon to the retroperitoneum. We herein describe a case of sigmoid colon intussusception caused by a sigmoid colon adenocarcinoma. An 81-year-old man presented with abdominal pain and signs and symptoms of gastrointestinal obstruction. CT revealed a "target sign" with a mass in the sigmoid colon. We diagnosed the patient with colonic obstruction secondary to intussusception of the sigmoid colon and performed an emergency transverse colostomy...
February 2024: Curēus
https://read.qxmd.com/read/38450338/gastrointestinal-mucosal-damages-caused-by-ingestion-of-corrosive-substances-a-case-study-of-hydrochloric-acid-and-sodium-hydroxide
#22
JOURNAL ARTICLE
Fauzi Yusuf, Azzaki Abubakar, Desi Maghfirah, Mirza Heltomi, Chinwe C Isitua
Ingestion of corrosive substances is most common in children, while in adults causes more severe damages. Massive ingestion of corrosive substances results in severe damage to the gastrointestinal tract and oropharynx if not treated properly. Corrosive substances with pH<2 or >12 can result in severe esophageal damage with either colliquative (alkaline) or coagulative (acidic) necrosis and, at the same time various gastrointestinal injuries could lead to late post-corrosive complications. The aim of the case study was to report the gastrointestinal mucosal damages due to hydrochloric acid (HCl) and sodium hydroxide (NaOH) ingestion...
December 2023: Narra J
https://read.qxmd.com/read/38443922/covid-19-vaccination-as-a-trigger-of-acute-genital-ulcers-in-an-immunocompromised-adolescent-case-study-and-literature-review
#23
REVIEW
Karolina Pokora, Karolina Kowalczyk, Robert Peterek, Marlena Cwynar, Rafał Stojko, Paweł Madej, Agnieszka Drosdzol-Cop
Acute genital ulcers can affect females of all ages. In children, they often appear as an emergency and remain a diagnostic challenge for pediatricians, gynecologists and dermatologists. Prompt diagnosis and identification of disease- related factors help to implement appropriate treatment. Firstly, it is crucial to properly compile the past medical history of the patient. Past infectious, autoimmune, malignant or traumatic conditions, as well as vaccinations may contribute to the occurrence of acute genital ulcers...
March 5, 2024: BMC Women's Health
https://read.qxmd.com/read/38440743/the-double-target-sign-as-ultrasonographic-finding-in-a-case-of-double-intussusception-a-case-report
#24
Aalok Kumar Yadav, Pradeep Raj Regmi, Bibek Koirala, Bhupendra Adhikari, Bishal Panthi
Intussusception is one of the common conditions in children presenting with abdominal pain. The exact etiology of intussusception is unknown. Lead point is not identified in the majority of cases in children. Commonly, radiographic evidence suggests the presence of a target sign is diagnosis of intussusception. However, the presence of a double target sign in the case of intussusception is rare and depicts the presence of double intussusception. We present a case report of a 1-year-old child who presented to the emergency department with excessive crying for more than 10 hours...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38439124/survey-of-the-present-health-nutritional-status-of-shompen-tribe-of-great-nicobar-island
#25
JOURNAL ARTICLE
Paluru Vijayachari, S Awaradi, H M Siddaraju, K Nithin, S S Veerendra, U Suresh Babu, M Punnam Chander, C Kartick, M Anwesh, A P Sugunan
BACKGROUND OBJECTIVES: Shompens are one of the two mongoloid tribes of Nicobar district. There is little information about their recent health status since the last survey which was conducted in 1998. Hence, a comprehensive health and nutritional survey was conducted in March 2017 to assess the changes. The survey was carried out by a joint team of various organizations including the ICMR-Regional Medical Research Centre and Tribal Welfare and Health Department both located in Port Blair...
January 1, 2024: Indian Journal of Medical Research
https://read.qxmd.com/read/38439043/a-randomized-double-blind-trial-of-intranasal-dexmedetomidine-versus-intranasal-esketamine-for-procedural-sedation-and-analgesia-in-young-children
#26
RANDOMIZED CONTROLLED TRIAL
Anna Nikula, Stefan Lundeberg, Malin Ryd Rinder, Mitja Lääperi, Katri Sandholm, Maaret Castrén, Lisa Kurland
BACKGROUND: Procedural sedation and analgesia are commonly used in the Emergency Departments. Despite this common need, there is still a lack of options for adequate and safe analgesia and sedation in children. The objective of this study was to evaluate whether intranasal dexmedetomidine could provide more effective analgesia and sedation during a procedure than intranasal esketamine. METHODS: This was a double-blind equally randomized (1:1) superiority trial of 30 children aged 1-3 years presenting to the Emergency Department with a laceration or a burn and requiring procedural sedation and analgesia...
March 4, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38434726/case-report-an-unusual-case-of-wide-ileoileal-intussusception-associated-with-intestinal-volvulus-in-a-8-months-old-infant
#27
Giorgia Romano, Simone Frediani, Ivan Pietro Aloi, Arianna Bertocchini, Valerio Pardi, Antonella Accinni, Alessandro Inserra
INTRODUCTION: Midgut volvulus and intussusception are prevalent paediatric abdominal emergencies. To the best of our knowledge, this is the first reported case of a connection between intestinal volvulus and a massive intussusception. CASE REPORT: An 8-month-old male infant was brought to the emergency room with a history of abdominal pain and vomiting for <24 h. On physical examination, the child appeared restless and was found to have a circumferential hard mass of approximately 4 cm in diameter in the epigastric region...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38432020/isolated-fallopian-tube-torsion-a-systematic-review-of-case-reports
#28
REVIEW
Shriya Varghese, Yeshey Seldon, Claudia Raperport, Natasha Rinne, Karuna Patel, Roshan Zeirideen Zaid
OBJECTIVE: To combine all literature describing cases of isolated fallopian tube torsion in adult non pregnant patients in a systematic manner, to optimize knowledge and practice both for diagnosis and management. STUDY DESIGN: EMBASE and PubMed databases were searched for the terms 'tubal' OR 'fallopian tube' AND 'isolated' AND 'torsion' from the inception of these databases to July 5, 2023. All case reports or case series of adult patients (18 years or older) with isolated fallopian tube torsion were included...
February 29, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38429571/eutectic-mixture-of-local-anesthetics-and-amethocaine-as-topical-anesthetics-in-pediatrics-a-meta-analysis
#29
Kathryn S Varghese, Adham Ahmed, Dave M Mathew, Peter J Fusco, Mabel N Abraham
BACKGROUND: Pediatric patients often receive topical anesthesia before skin procedures in the Emergency Department, with EMLA cream and amethocaine gel being common choices. The most effective option remains a subject of debate. OBJECTIVE: Our goal was to compare EMLA cream with amethocaine gel in pediatric patients undergoing topical anesthesia, focusing on outcomes: first-attempt cannulation success, child-reported visual analogue scale (VAS) score, parent-reported VAS score, observed pain score, child-reported absence of pain, and child-reported acceptable anesthesia...
March 1, 2024: Pediatric Research
https://read.qxmd.com/read/38429214/the-association-between-c-reactive-protein-levels-and-pediatric-appendicitis-score-and-the-severity-of-appendicitis-in-children
#30
JOURNAL ARTICLE
Jill Fennell, Heather M Territo, Nadya Telt, Brian H Wrotniak, Rafal Kozielski, Earl Pape, Michelle Penque
BACKGROUND: Acute appendicitis is a common cause of abdominal pain leading to emergent abdominal surgery in children. C-reactive protein (CRP), an inflammatory marker typically elevated in acute appendicitis, and Pediatric Appendicitis Score (PAS), a clinical scoring system used for the diagnosis of appendicitis, have the potential to predict the severity of inflammation of the appendix. This may be useful in helping the physician make a treatment plan prior to surgery. OBJECTIVE: The purpose of this study was to assess whether CRP value and PAS differ with the extent of inflammation of the appendix seen on histologic examination...
December 9, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/38428804/ligamentous-laxity-in-children-with-achondroplasia-prevalence-joint-involvement-and-implications-for-early-intervention-strategies
#31
JOURNAL ARTICLE
Domenico Marco Romeo, Virginia Pironi, Chiara Velli, Elisabetta Sforza, Donato Rigante, Valentina Giorgio, Chiara Leoni, Cristina De Rose, Eliza Maria Kuczynska, Domenico Limongelli, Roberta Ruiz, Cristiana Agazzi, Eugenio Mercuri, Giuseppe Zampino, Roberta Onesimo
Achondroplasia (ACH), the most common form of skeletal dysplasia, is characterized by severe disproportionate short stature, rhizomelia, exaggerated lumbar lordosis, brachydactyly, macrocephaly with frontal bossing and midface hypoplasia. Ligamentous laxity has been reported as a striking feature of ACH, but its prevalence and characteristics have not been systematically evaluated yet. There is growing evidence that ligamentous laxity can be associated with chronic musculoskeletal problems and may affect motor development leading to abnormal developmental trajectories...
February 28, 2024: European Journal of Medical Genetics
https://read.qxmd.com/read/38428056/incidentally-discovered-intestinal-malrotation-during-evaluation-for-blunt-abdominal-trauma-a-case-report
#32
Shishir Devkota, Prajjwol Luitel, Sujan Paudel, Nischal Neupane, Santosh Dev, Prasan Bir Singh Kansakar
INTRODUCTION AND IMPORTANCE: Intestinal malrotation is a congenital abnormality predominantly diagnosed in children, with only a few cases reported in adults. Patients may be incidentally identified during unrelated surgical procedures or postmortem examinations. It is crucial to promptly recognize this condition to prevent severe complications such as bowel ischemia and potential fatality. CASE PRESENTATION: A 40-year-old male presented to the Emergency Department after a child jumped on his abdomen with complaints of acute left upper quadrant abdominal pain progressing to be generalized...
February 22, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38420103/viral-myositis-secondary-to-influenza-a-in-a-preschool-child-in-saudi-arabia-a-case-report
#33
Rawia F Albar, Rahaf A Hubayni, Raghad A Aldahhas, Elaf I Khshwry
Infective myositis is a rare complication of viral infection, occurring most commonly in children. Here, we present the first case report in Saudi Arabia that describes a four-year-old healthy female who presented to the emergency department with a history of fever associated with coryzal symptoms for four days and a one-day history of bilateral lower limb pain and an inability to walk without assistance. Lower limb pain was not associated with joint pain, swelling, or skin rashes. The respiratory virus panel was positive for influenza A, and she was found to have increased levels of creatine kinase (CK)...
January 2024: Curēus
https://read.qxmd.com/read/38416105/analysis-of-adverse-events-in-the-postanesthesia-unit-at-a-tertiary-pediatric-hospital
#34
JOURNAL ARTICLE
Aihua Liu, Yun Shi
PURPOSE: The postanesthesia care unit (PACU) is an indispensable part of modern medicine which provides critical care to patients to ensure safe and smooth emergence from anesthesia. The adverse events in the PACU have been widely investigated in adults. However, little is known about the adverse events in pediatric populations. This study was designed to investigate adverse events, including the incidence, disease spectrum, and possible risk factors, in pediatric patients in the PACU at a tertiary pediatric hospital...
February 26, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38415682/pediatric-neck-pain-of-a-10-year-old-child-with-cervical-spinal-tumor-evaluated-and-managed-in-direct-access-physical-therapy-a-case-report
#35
JOURNAL ARTICLE
Virginia K Henderson, Jean-Michel Brismée
INTRODUCTION: Differential diagnosis of pediatric neck pain requires age-appropriate communication and assessment tools. Recognizing these age-related nuances is critical, emphasizing the role of physical therapists in assessing and managing pediatric patients while ruling out severe pathologies. CASE DESCRIPTION: A 10-year-old male presented to physical therapy with a five-week history of increasing neck pain. A thorough history and segmental cervical examination considering the patient's age and development, led to patient referral to the emergency department...
February 28, 2024: Journal of Manual & Manipulative Therapy
https://read.qxmd.com/read/38412524/pocus-for-infectious-enteritis-a-retrospective-case-series-analysis
#36
JOURNAL ARTICLE
Eric Scheier, Aviad Nachmany
INTRODUCTION: The abdominal pain associated with diarrhea can be difficult to distinguish from appendicitis. We present a case series of all children found on pediatric emergency department point-of-care ultrasound (POCUS) to have right-sided bowel wall edema. METHODS: Over the study period June 2020 through September 2023, POCUS images were collected by a pediatric emergency physician with 6 years of experience with POCUS. Children found to have small bowel wall edema on POCUS were identified, and hospital charts were reviewed...
February 28, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38406783/characteristics-of-chest-pain-among-children-presenting-to-the-pediatric-emergency-department
#37
JOURNAL ARTICLE
Abdulrahman Ahmad Alnaim, Hasna Wafi AlGarni, Hussain Adil Al Ghadeer, Muteb Abdulrahman Almulhim, Khalid Ibrahim Al Noaim, Mohammed Ahmad Al Ghamdi, Abdulaziz Abdullah Alahmari, Zainab Hejji Al Alawi, Muneera Abdulrahman Alabdulqader, Manal Mustafa Alghazal, Ohud Yousef Alhamad, Ahmed Eissa AlEissa, Ali Tawfiq AlAmer
Chest pain in pediatric patients is a common concern in pediatric emergency departments (ED). In most cases, benign conditions are related to noncardiac causes, and only a minority of the cases are caused by heart disease. This research aimed to evaluate the causes and characteristics of chest pain among children in a pediatric emergency department. This retrospective study evaluated children younger than 14 years of age who presented to the emergency department of a general pediatric hospital in the Eastern area of Saudi Arabia with non-traumatic chest pain between 2017 and 2022...
November 2023: Journal of Medicine and Life
https://read.qxmd.com/read/38400616/clinically-significant-differences-in-self-reported-pain-scores-in-children-with-headaches
#38
JOURNAL ARTICLE
Daniel S Tsze, Christian Thiele, Gerrit Hirschfeld, Peter S Dayan
OBJECTIVES: Changes in pain scores that represent clinically significant differences in children with headaches are necessary for study design and interpretation of findings reported in studies. We aimed to determine changes in pain scores associated with a minimum clinically significant difference (MCSD), ideal clinically significant difference (ICSD), and patient-perceived adequate analgesia (PPAA) in this population. METHODS: We performed a secondary analysis of two prospective studies of children with headaches presenting to an emergency department...
February 23, 2024: Academic Emergency Medicine
https://read.qxmd.com/read/38388342/the-impact-of-the-cost-of-living-crisis-on-population-health-in-the-uk-rapid-evidence-review
#39
REVIEW
Jade Meadows, Miranda Montano, Abdelrahman J K Alfar, Ömer Yetkin Başkan, Caroline De Brún, Jennifer Hill, Rachael McClatchey, Nevila Kallfa, Gwen Sascha Fernandes
BACKGROUND: In the UK, unique and unforeseen factors, including COVID-19, Brexit, and Ukraine-Russia war, have resulted in an unprecedented cost of living crisis, creating a second health emergency. We present, one of the first rapid reviews with the aim of examining the impact of this current crisis, at a population level. We reviewed published literature, as well as grey literature, examining a broad range of physical and mental impacts on health in the short, mid, and long term, identifying those most at risk, impacts on system partners, including emergency services and the third sector, as well as mitigation strategies...
February 22, 2024: BMC Public Health
https://read.qxmd.com/read/38374549/evaluation-of-acute-terminal-ileitis-in-children-before-and-during-the-covid-19-pandemic
#40
JOURNAL ARTICLE
Hilal Koyuncu, Ayşegül Bükülmez, Ayşe Güngör, Yasin Sarıkaya
OBJECTIVES: The aim of this study was to examine the clinical features of acute terminal ileitis in children and evaluate its rate before and during the COVID-19 pandemic. METHODS: This retrospective study was performed in our pediatric emergency department between 2018 and 2022. The records of 5363 patients who required abdominal imaging due to acute abdomen were analyzed, and 143 patients with terminal ileitis were included. The rate and etiological causes were compared during and before the COVID-19 pandemic...
February 2024: Journal of Pediatric Gastroenterology and Nutrition
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