When Acute Stridor Is More Than Croup

A 9-month-old girl with a history of prematurity at 25 weeks of gestation and neonatal intensive care unit stay with multiple prior intubations presented for hospital readmission due to stridor. During initial hospitalization she required noninvasive continuous positive airway pressure, helium-oxygen mixture, and racemic epinephrine for severity of symptoms. Neck radiograph was positive for “steeple sign” and the otolaryngology team (ENT) agreed with an initial diagnosis of croup. Two days after discharge, she developed recurrence of stridor, significant retractions, and tachypnea with normal oxygen saturations.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Insights and Images Source Type: research

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The objective of this study was to assess the clinical and radiographic outcomes of surgical management in a multicentre cohort of paediatric patients with burst fractures, in order to devise an optimal therapeutic strategy.HypothesisA therapeutic strategy for burst fractures in children and adolescents can be devised based on data from a patient cohort and on previously published information.Material and methodsPatients younger than 18 years who were managed surgically for one or more burst fractures (Magerl A3) were included in this retrospective multicentre study. Clinical, radiographic, and surgical data were collected...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Authors: Pandit A, Gupta N, Madan K, Bharti SJ, Kumar V Abstract Pulmonary alveolar proteinosis (PAP) is an uncommon lung disease characterized by excessive accumulation of pulmonary surfactant that usually requires treatment with whole-lung lavage. A 47-year-old female presented with history of dry cough and breathlessness for past 6months. Chest radiograph demonstrated bilateral alveolar shadows and high resolution computerized tomography thorax showed crazy paving pattern. Broncho-alveolar lavage (BAL) and transbronchial lung biopsy confirmed a diagnosis of PAP. Due to worsening hypoxemia and respiratory failure...
Source: Ghana Medical Journal - Category: African Health Tags: Ghana Med J Source Type: research
This study aimed at performing and comparing third molar development staging in extracted teeth (EX), panoramic radiography (PAN), and cone beam computed tomography (CBCT). Extracted third molars (n = 158, 95 maxillary, 63 mandibular) from 102 patients (36 males, 66 females) having at least one preoperative PAN and one CBCT were studied. Third molar development staging was performed in PAN, EX, and CBCT using Gleiser et al. (1955) technique modified by K öhler et al (1994). A polytomous logistic regression model was used to compare the staging performed in EX and CBCT with the gold standard staging in PAN. The pair-wi...
Source: International Journal of Legal Medicine - Category: Medical Law Source Type: research
The objective of this study is to investigate the effects of second premolar extraction during orthodontic treatment on the dimensions of the upper airway in a sample of female adults.MethodsTwenty-nine female adult patients with ages between 18 and 30 years old and incisor bimaxillary protrusion were included in this study. They were treated with comprehensive orthodontic treatment which included the extraction of four second premolars. Pre and post cephalometric radiographs were analyzed using Dolphin imaging software for changes in tongue length and height, soft palate thickness and length, the superior, middle, and inf...
Source: The Saudi Dental Journal - Category: Dentistry Source Type: research
Conclusions: These results confirm that pre-MT CUS is the cornerstone to evaluate the access to the pleural cavity and justify educational program in this field in all centers which intends to develop interventional pulmonology. PMID: 31737314 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Source: Cancer Management and Research - Category: Cancer & Oncology Tags: Cancer Management and Research Source Type: research
Acute musculoskeletal injuries are commonly seen in our emergency departments, and are commonly missed. There are many reasons for more missed injures and a significant one is over-reliance on radiographs. An emergency department orthopedic assessment goes far beyond the radiographs. A focused, yet comprehensive history is vital to understand the forces and mechanism of injury. That injury must be understood in the context of the patient, because older and much younger patients have weaker bone. Finally, the physical examination is instrumental in localizing the pathology and is essential to put radiograph results in the p...
Source: Emergency Medicine Clinics of North America - Category: Emergency Medicine Authors: Source Type: research
Patients with orthopedic complaints in the emergency department (ED) are very commonly seen, and their injuries are of widely variable significance. The spectrum runs from injuries that are relatively minor to serious injuries that can compromise function, and rarely, can be limb or even life threatening. Many of the serious injuries are clinically obvious. But some are fairly occult, especially on plain radiographs. These subtle but serious complaints are commonly missed and can be easily mismanaged due to a variety of factors.
Source: Emergency Medicine Clinics of North America - Category: Emergency Medicine Authors: Tags: Preface Source Type: research
This article provides an updated review of the emergent evalution and treatment of elbow and forearm injuries in the emergency department. Clinically necessary imaging is discussed. Common and uncommon injuries of the elbow and forearm are reviewed with an emphasis on early recognition, efficient management, and avoidance of complications. The astute emergency physician will rely on a focused history and precise examination, applied anatomic knowledge, and strong radiographic interpretative skills to avoid missed injuries and complications.
Source: Emergency Medicine Clinics of North America - Category: Emergency Medicine Authors: Source Type: research
ConclusionsThe best management strategy of RIBP is prevention by reducing total RT doses and close follow-up. However, when RIBP occurs, we recommend treatment with HBO therapy, steroids, trental, and vitamin E as tolerable.
Source: Reports of Practical Oncology and Radiotherapy - Category: Cancer & Oncology Source Type: research
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