OMI in a pediatric patient? Teenagers do get acute coronary occlusion, so don't automatically dismiss the idea.
Acute coronary syndrome in a pediatric patient?Written by Kirsten Morrissey, MD with edits by Bracey,
Grauer, Meyers, and Smith An older teen was transferred from an outside hospital
with elevated serum troponin and and ECG demonstrating ST elevations. The patient was obese and had a medical history of only recurrent tonsillitis status post tonsillectomy and adenoidectomy but was otherwise healthy and fully vaccinated. He reported 1.5 days of chest pain that started as substernal and crushing in nature awakening him from sleep and occasionally traveling to right side of neck. The pain ...
Source: Dr. Smith's ECG Blog - December 5, 2023 Category: Cardiology Authors: Bracey Source Type: blogs
Painless Nasogastric Tube Placement
A 6-year-old boy presented with intermittent abdominal pain, nausea, and vomiting. Because his abdominal examination was unremarkable, the pain intermittent, and constipation a possibility, we provided an enema along with an abdominal pain workup but no radiographs. His pain improved, the abdominal labs were unremarkable, and the child tolerated an oral fluid challenge after treatment with ondansetron.The mother was advised at discharge to return if she became concerned about her child's condition. They did return a few hours later for increased vomiting and abdominal pain. A CT scan demonstrated multiple dilated loops ...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Viral Agents of Childhood Respiratory Tract Infection in the United States
As of October, 2019 Gideon www.GideonOnline.com and the Gideon e-book series contain details of 69,204 epidemiological surveys – of which 1,107 (1.6%) are related to the prevalence of specific viral species in patients with respiratory tract infection. [1-3]
The following chronology of published studies summarizes the relative proportion of viral agents associated with non-influenza childhood respiratory infection in the United States. Additional details and primary references are available on request.
1976 – 2001 Tennessee
hMPV accounted for 20% of acute respiratory illness among children ages 0 to 5 years having ...
Source: GIDEON blog - October 25, 2019 Category: Databases & Libraries Authors: Dr. Stephen Berger Tags: Ebooks Epidemiology ProMED Source Type: blogs
Does your child need a tonsillectomy?
Follow me on Twitter @drClaire
Tonsillectomies are one of the most common surgeries performed on children — but the decision to do one should not be taken lightly.
In 1965, there were about a million tonsillectomies (with or without adenoidectomy, a surgery often done at the same time) performed on children younger than 15 years old. By 2006 that number had dropped by half, and by 2010 it had dropped by half again.
Why the drop? Well, complications are common. In fact, one in five children who have a tonsillectomy has a complication. The most common is breathing difficulty, which can affect one in 10. Bleeding affects on...
Source: Harvard Health Blog - March 20, 2018 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Ear, nose, and throat Parenting Surgery Source Type: blogs
OPDP Picks Up Steam on Enforcement Letters
After a fairly slow 2016, the United States Food and Drug Administration’s (FDA) Office of Prescription Drug Promotion (OPDP) issued a quick burst of letters in the span of nine days in December. This flurry of activity more than doubled the enforcement letters that had been issued up to that point in the year.
Although there was an apparent increase in enforcement activity in December (perhaps related to the new Administration and the mark the old Administration wanted to leave on the industry), the type of activity and the nature of Draft Guidances issued in 2017 prior to the Trump Administration taking office indicat...
Source: Policy and Medicine - April 5, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Post-Tonsillectomy and Adenoidectomy Bleeding Emergencies
I have immense respect for a few pediatric emergency conditions. Post-surgical bleeding following a tonsillectomy and adenoidectomy (T&A) has given me several memorable patient care experiences over the years. Honestly, the word "memorable" is actually a euphemism for terrifying.Part of the problem with post-T&A bleeding is the patient. Typically, it's a pediatric patient who for hours has been quietly bleeding into the posterior pharynx while quietly swallowing the evidence (e.g., blood). By the time the patient presents to the ED, a significant but unknown percentage of the child's total blood vol...
Source: M2E Too! Mellick's Multimedia EduBlog - November 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Tonsil and Adenoid Removal Surgery: One Family's Story
I am the mother of a loud mouth breathing, mucous producing, sleep lacking three year old. This is the story of how my husband and I decided to have our little noise machine’s tonsils and adenoids removed.Contributor: Amanda ZiebaPublished: Nov 12, 2013 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - November 12, 2013 Category: Other Conditions Source Type: blogs
Olympus Unveils DIEGO ELITE Multidebrider for Faster ENT Procedures
Olympus has released its new DIEGO ELITE Multidebrider, a system for performing minimally invasive ENT surgeries that aims to minimize the number of instruments that are used in a procedure. Typically, a variety of blades are used to work on tissue and to control bleeding, but each may require its own tools to operate. The DIEGO ELITE allows all such blades to operate on one platform.
The new system is the only one that offers both monopolar and bipolar energy blades for hemostasis and a variety of shavers, all compatible on the single platform. Once the appropriate blade is selected and plugged in, the system automatica...
Source: Medgadget - October 8, 2013 Category: Technology Consultants Authors: Editors Tags: ENT Neurological Surgery Source Type: blogs
Smoke, Mirrors, and the “Disappearance” of Polio
Suzanne Humphries, MD, Internist and Nephrologist speaking on Polio at the Association of Natural Health Conference, November 2012.
You can get more information about Dr. Suzanne Humphries here.
References
Additional Bibliography (Other references in slides)
Suzanne Humphries, 2012, Polio lecture. AONH
NFIP quote on firing scientists:
Marks H., A conversation with Paul Meier, Clin Trials. 2004: (1) 131 ‐138 PMID:16281468
Boulianne N,Pediatr Infect Dis J. 2001 Nov;20(11):1087‐8.
Most ten‐year‐old children with negative or unknown histories of chickenpox are immune. PMID:11734718
Neel JV et. al, 1964. “Studi...
Source: vactruth.com - February 15, 2013 Category: Health Medicine and Bioethics Commentators Authors: Suzanne Humphries, M.D. Tags: Suzanne Humphries MD Top Stories Polio Vaccine poliomyelitis Vaccine Contamination Vaccine Safety Source Type: blogs
