Is It or Isn ’ t It Abnormal in This Classification System?
Discussion Chiari I malformations have caudal displacement of cerebellar tonsils with elongation of the 4th ventricle. It is associated with syringomyelia in up to 80% of patients. Syringomyelia is a cyst-like formation within the spinal cord that contains altered glial elements. This may be asymptomatic or have symptoms occurring from infancy to adulthood. Most patients present in the 3rd decade. Hydrocephalus may be present. A review can be found here. Classifying information and diseases is important in clinical care as it can help determine treatment and prognosis, and improves communication among clinicians and facili...
Source: - November 8, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

What Causes Vomiting?
Discussion Regurgitation is a passive expulsion of ingested material out of the mouth. It is a normal part of digestion for ruminants such as cows and camels. Nausea is an unpleasant abdominal perception that the person may describe as feeling ill to the stomach, or feeling like he/she is going to vomit. Anorexia is frequently observed. Nausea is usually associated with decreased stomach activity and motility in the small intestine. Parasympathetic activity may be increased causing pale skin, sweating, hypersalivation and possible vasovagal syndrome (hypotension and bradycardia). Retching or dry heaves is when there are sp...
Source: - May 2, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Minimally Invasive Surgery in Neonatal Patients: A Review
Laparoscopic and thoracoscopic surgery have gradually become accepted diagnostic and therapeutic modalities in the management of neonatal surgical conditions. In the hands of experienced surgeons, minimally invasive surgery (MIS) has reduced the need for open procedures. In children younger than 1 year, the advantages of MIS are evident in avoiding the sequelae of open surgery. MIS has shown outcomes comparable to those with open surgery. The recent literature in the PubMed database was reviewed, using the keywords "minimally invasive surgery," "neonatology," "pediatric surgery," "laparoscopy," and "thoracoscopy." The revi...
Source: NeoReviews recent issues - May 1, 2016 Category: Pediatrics Authors: Lopez, J., Stringel, G. Tags: Pediatric Drug Labeling Update Articles Source Type: news

Fractyl Labs touts data from Revita study
Fractyl Labs said yesterday that a study of its Revita duodenal mucosal resurfacing system reported significant changes in blood sugar in type 2 diabetes patients, similar to those seen with bariatric surgery procedures. Data from the study was presented at the 3rd World Congress on Interventional Therapies for Type 2 Diabetes in London this week, Waltham, Mass.-based Fractyl said. The Revita device is designed to ablate the duodenum (the 1st part of the intestine) in order to alter glucose metabolism. Fractyl calls its approach the “1st procedural therapy to treat type 2 diabetes.” “I appreciate havin...
Source: Mass Device - September 29, 2015 Category: Medical Equipment Authors: Fink Densford Tags: Clinical Trials Diabetes Fractyl Source Type: news

A Parent’s View: The Importance of Children’s Hospitals
This story is written by Kerri Vatour and was originally published on the Children’s Hospital Association’s blog. The first time Boston Children’s Hospital saved my son’s life, he was 21 hours old. It wasn’t a surprise—Joey had been diagnosed in utero with both a ventricular septal defect (VSD), a hole between the right and left sides of his heart, and a duodenal stenosis, where a portion of the intestine is so constricted that very little can pass through, by doctors in the Advanced Fetal Care Center. Upon birth, it was obvious that the latter issue would take precedence, and Dr. Smithers worked his ma...
Source: Thrive, Children's Hospital Boston - August 21, 2014 Category: Pediatrics Authors: Guest Blogger Tags: All posts Source Type: news

What Causes Abdominal Distention?
Discussion Constipation generally is defined as infrequent or painful defecation. It often is due to passing large hard stool infrequently which causes painful defecation and then withholding behaviors. As stool withholding continues, the rectum dilates and gradually accommodates with the normal defecation urge disappearing. Chronic rectal distension results in both loss of rectal sensitivity, and loss of urge to defecate, which can lead to encopresis. Abdominal distention because of stool retention occurs frequently. Treatment includes colonic evacuation, establishing regular bowel habits, eating a balanced diet with diet...
Source: - July 21, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Offer weight loss surgery to diabetics, says NICE
"An expansion of weight loss surgery in England is being proposed to tackle an epidemic of type 2 diabetes," BBC News reports. The National Institute for Health and Care Excellence (NICE) has recommended obese people with type 2 diabetes should be offered weight loss (bariatric) surgery. These draft guidelines include new recommendations about the treatment of obesity. In particular, NICE advises that those with recent-onset type 2 diabetes who fulfil certain body mass index (BMI) criteria should have surgery. The recommendations also provide guidance on the use of very low-calorie diets. As is often the case...
Source: NHS News Feed - July 11, 2014 Category: Consumer Health News Tags: Diabetes Medical practice QA articles Obesity Source Type: news

Peristaltic Waves in Pyloric Stenosis - NEJM video
Peristaltic waves, as observed in this infant, are one of the classic signs associated with pyloric stenosis.The patient underwent pyloromyotomy.See the related NEJM article: Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook. (Source: Clinical Cases and Images)
Source: Clinical Cases and Images - January 18, 2014 Category: Journals (General) Tags: NEJM Pediatrics Source Type: news

Bottle feeding linked to stomach obstruction in infants
New research says that bottle feeding appears to increase the risk of babies developing hypertrophic pyloric stenosis, a form of stomach obstruction characterized by severe and frequent projectile vomiting and most common among infants in their first 2 months of life. Surgery, called pyloromyotomy, may be needed to clear the hypertrophic pyloric stenosis (HPS), which occurs when the smooth muscle layer of the pylorus (the "gateway" between the stomach and small intestines) thickens. Dr. Jarod P... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 22, 2013 Category: Consumer Health News Tags: Pediatrics / Children's Health Source Type: news

Decongestant sprays linked to rare birth defects
Conclusion This study suggests a possible link between phenylephrine and phenylpropanolamine – found in decongestant medicines – and an increased risk of three specific birth defects (endocardial cushion defect, ear defects, pyloric stenosis). Numerous other medications were tested but were not found to be associated with birth defects. However, the study performed many statistical comparisons looking for links with many different birth defects. These three defects were the ones where significant links were found, but it is possible that some of the results may be due to chance alone. The authors clearly recognised the...
Source: NHS News Feed - July 24, 2013 Category: Consumer Health News Tags: Medication Pregnancy/child Cancer Source Type: news