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Urinary tract infections (UTIs) in children: What parents need to know
When Lauren was just under two years old, she developed a fever of 103, was irritable and lost her appetite. Mom, who suspected her daughter’s condition was more than “just a bug,” scheduled an appointment with Lauren’s pediatrician. Based on her symptoms and physical examination, Lauren was diagnosed with a urinary tract infection (UTI). The tiny tot was treated and quickly felt better. Unfortunately, the relief was short-lived. To mom’s surprise, the UTI returned. “This is an incredibly common story,” says Dr. Caleb Nelson, urologist in the Boston Children’s Hospi...
Source: Thrive, Children's Hospital Boston - May 31, 2017 Category: Pediatrics Authors: Maureen McCarthy Tags: Ask the Expert Diseases & Conditions Department of Urology Dr. Caleb Nelson recurrent UTI urinary tract infections Source Type: news

Your NEJM Group Today: Leg Swelling, Back Pain, and Hydronephrosis / SuperAgers / Idaho Neurology Opportunity (FREE)
By the Editors Here's what we chose for you from NEJM Group today:NEJM Clinical Practice Center: Case record: A 61-year-old woman presented with a … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - April 18, 2017 Category: Primary Care Source Type: news

Mayo Clinic Q and A: Hydronephrosis in newborns ? may resolve, may need surgery
DEAR MAYO CLINIC: Our newborn was diagnosed with a problem in one of his kidneys called hydronephrosis, and we were told he eventually may need surgery. What caused this? How will the condition affect him in the future? ANSWER: Hydronephrosis is a condition in which urine stays in the kidney instead of flowing out of [...] (Source: News from Mayo Clinic)
Source: News from Mayo Clinic - February 27, 2017 Category: Databases & Libraries Source Type: news

Christmas with the Applebees: A story of loss, love and gratitude
From left, Marc, Ivy, Wyatt, Max and Nicki Applebee Marc and Nicki Applebee pull their rented, 12-passenger van up to the Boston Children’s Hospital main entrance. The couple, along with family friends and their three bundles of joy — Wyatt, 2, and twins Max and Ivy, 1, travel over five hours from their hometown in Surry, Maine, to deliver several hundred new and donated toys to the hospital. Their annual holiday visit, called “Christmas for Olive” is a labor of love, and one dedicated to the memory of their two-and-a-half-year-old daughter Olive Hope, who passed away in July of 2013, due ...
Source: Thrive, Children's Hospital Boston - December 22, 2016 Category: Pediatrics Authors: Maureen McCarthy Tags: Our Patients’ Stories Hydronephrosis Richard Yu urology Source Type: news

Second Chance on Bladder US
“If you are given a second chance in life, don’t blow it,” you advise your eager resident. It has been an overwhelmingly busy day in the department. Interspersed between the motor vehicle collisions, hypoxic and hypotensive CHF exacerbations, and patients with florid sepsis, your team is trying to see and help all of the ankle pains, throat pains, and dysuria that have also walked through the waiting room doors. The neighborhood clinics are completely overbooked, and your department has been dealing with the overflow all week. Your resident has three charts in her hand and has just finished presenting the...
Source: EPMonthly.com - September 27, 2016 Category: Emergency Medicine Authors: Logan Plaster Tags: Uncategorized Source Type: news

Second Chance on Bladder US
“If you are given a second chance in life, don’t blow it,” you advise your eager resident. It has been an overwhelmingly busy day in the department. Interspersed between the motor vehicle collisions, hypoxic and hypotensive CHF exacerbations, and patients with florid sepsis, your team is trying to see and help all of the ankle pains, throat pains, and dysuria that have also walked through the waiting room doors. The neighborhood clinics are completely overbooked, and your department has been dealing with the overflow all week. Your resident has three charts in her hand and has just finished presenting the...
Source: EPMonthly.com - September 19, 2016 Category: Emergency Medicine Authors: Logan Plaster Tags: Uncategorized Source Type: news

Urinary tract infections (UTIs) in children: What parents need to know
When Lauren was just under two years old, she developed a fever of 103, was irritable and lost her appetite. Mom, who suspected her daughter’s condition was more than “just a bug,” scheduled an appointment with Lauren’s pediatrician. Based on her symptoms and physical examination, Lauren was diagnosed with a urinary tract infection (UTI). The tiny tot was treated and quickly felt better. Unfortunately, the relief was short-lived. To mom’s surprise, the UTI returned. “This is an incredibly common story,” says Dr. Caleb Nelson, urologist in the Boston Children’s Hospi...
Source: Thrive, Children's Hospital Boston - May 11, 2016 Category: Pediatrics Authors: Maureen McCarthy Tags: Ask the Expert Diseases & Conditions Department of Urology Dr. Caleb Nelson recurrent UTI urinary tract infections Source Type: news

What Causes Pelvic Pain?
Discussion Appendicitis results from a closed loop obstruction of a blind-ending tubular structure arising from the cecum. It is a common cause of abdominal pain. It is the most frequent condition leading to emergent abdominal surgery in pediatrics. The combination of obstruction, edema, bacterial overgrowth, increased inflammatory process and increased intraluminal pressure leads to abdominal pain and possibly perforation. Appendicitis occurs in all age groups but is rare in neonates. The peak age is 6-10 years old. Pelvic inflammatory disease (PID) is an inflammatory disease of the uterus, fallopian tubes and adjacent p...
Source: PediatricEducation.org - May 9, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Finding comfort and hydronephrosis care close to home
AJ Arria was diagnosed and treated at Boston Children’s for hydronephrosis – a urological condition where urine backs up into the kidneys. Every child has a favorite thing. Some find comfort in the softness of a blanket, while others prefer snuggling a stuffed animal. Whatever the soothing item is, every parent cringes at the thought of misplacing it. Michelle Arria remembers the day her 18-month-old son Anthony James (AJ) visited Boston Children’s Hospital for testing. It was the day his favorite blanket was lost. “Testing was about to begin, and I went to get AJ’s blanket, and...
Source: Thrive, Children's Hospital Boston - January 27, 2016 Category: Pediatrics Authors: Maureen McCarthy Tags: Diseases & Conditions Our Patients’ Stories Boston Children's at Peabody Hydronephrosis minimally invasive surgery Richard Yu urology Source Type: news

Congenital Anomalies of the Kidney and Urinary Tract
Congenital anomalies of the kidney and urinary tract are extremely common and are often diagnosed prenatally. Abnormalities may result in hydronephrosis, whether unilateral or bilateral, or in small dysplatic kidneys. It is important to accurately diagnose the underlying cause of the renal and urinary tract anomaly to provide timely intervention and preservation of renal function. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - January 4, 2016 Category: Pediatrics Authors: Poudel, A., Afshan, S., Dixit, M. Tags: Pediatric Drug Labeling Update Articles Source Type: news

Robotic surgery gives Connecticut toddler born with kidney defect a fresh start
Payton Grassia and her mom, Jessica Payton Grassia is all things preschooler. She loves finger painting and outdoor play, has a “big personality,” her mom says, and recently added big sister to her list of credentials. But beyond her sweet smile and playful charm, this spunky three-and-a-half-year-old is also a fighter. And her fight began before she was even born. Prenatal testing While pregnant, Payton’s mom, Jessica Grassia, had an amniocentesis, a test used to identify potential congenital defects in babies. The test revealed that her unborn baby, at 28 weeks in utero, had a duplex collecting system&...
Source: Thrive, Children's Hospital Boston - February 23, 2015 Category: Pediatrics Authors: Maureen McCarthy Tags: All posts Diseases & conditions Our patients’ stories Source Type: news

What Factors Decide Urolithiasis Treatment?
Discussion Although pediatric uroliathiasis is relatively rare, there has been an increasing number of children evaluated for renal stones over time. For an overview of uroliathiasis click here. Renal colic classically has paroxysmal pain that is severe, radiates toward the groin and the patient is not able to find a comfortable position. They may also have irritability, nausea, emesis, increased urinary frequency, dysuria and hematuria. 85-90% of patients will have macro- or microscopic hematuria but up to 15% of patients with urolithiasis will not have hematuria. Clinical differential diagnosis includes but is not limit...
Source: PediatricEducation.org - October 13, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Continuous antibiotics not necessary for many children with common prenatal abnormality
(Nationwide Children's Hospital) Up to 5 percent of all prenatal ultrasounds uncover antenatal hydronephrosis, or enlarged kidneys, the most commonly detected prenatal abnormality in the US. Many children with this abnormality are treated continually with preventive antibiotics for the first few years of life with the hopes of preventing the condition's associated urinary tract infections. But a new study found that, in most cases, continuous antibiotics for these children are unnecessary. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - July 24, 2014 Category: Global & Universal Source Type: news

Antenatal Hydronephrosis: Assessment and Management
Antenatal hydronephrosis (ANH) is a common finding on prenatal ultrasound that can be a sign of a variety of urologic conditions. Most cases of ANH are mild to moderate with the most common cause being transient physiologic dilation, which usually is of no clinical significance. However, there are some infants who have a history of ANH (usually severe) who are at increased risk for febrile urinary tract infections, undergo surgical intervention, and develop chronic kidney disease. It is useful to have an understanding of the possible urologic diagnoses that can lead to ANH and it is critical to recognize the patients who h...
Source: NeoReviews recent issues - November 1, 2013 Category: Pediatrics Authors: Schlomer, B. J., Copp, H. L. Tags: Articles Source Type: news