Young Children Quickly Outgrow the Need for Ear Tubes Young Children Quickly Outgrow the Need for Ear Tubes
Dr Michael Pichichero discusses the timing and necessity of tympanostomy tubes for recurrent otitis media in young children.MDedge (Source: Medscape Pediatrics Headlines)
Source: Medscape Pediatrics Headlines - February 15, 2023 Category: Pediatrics Tags: Pediatrics Commentary Source Type: news
What is the Current Classification for Ehlers-Danlos Syndrome?
Discussion
As with any potential problem there is a often a range from normal to abnormal and this is true for joint hypermobility. Generalized joint hypermobility is hypermobility in multiple joints with few or no other symptoms. Generalized hypermobility spectrum disorder (also known as joint hypermobility syndrome) has hypermobility along with other symptoms such as pain, reduced muscle strength, and decreased proprioception and balance. Other clinical entities with hypermobility include Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta.
In the office, a 5-point questionnaire with 2 or more “yes...
Source: PediatricEducation.org - December 5, 2022 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
Disparities Seen in Treatment of Middle Ear Infections in U.S. Children
MONDAY, Nov. 21, 2022 -- Children from socially disadvantaged backgrounds are less likely to receive treatment for otitis media and more likely to experience complications from undertreatment, according to a study published online Nov. 10 in JAMA... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - November 21, 2022 Category: Pharmaceuticals Source Type: news
Children From Poorer Zip Codes Often Untreated for Ear Infections Children From Poorer Zip Codes Often Untreated for Ear Infections
Severe complications of otitis media were more common among children living amid poverty and unemployment, a new study has found.Medscape Medical News (Source: Medscape Infectious Diseases Headlines)
Source: Medscape Infectious Diseases Headlines - November 11, 2022 Category: Infectious Diseases Tags: Pediatrics News Source Type: news
What is Vocal Cord Dysfunction?
Discussion
Vocal cord function involves balancing muscular and neuronal functions. The superior laryngeal nerves (SLN) and recurrent laryngeal nerves (RLN) are the main nerves responsible for sensation and motor innervation. There are two sides to the larynx and they operate ipsilaterally, therefore one side can be affected while the other is not.
Vocal cord paresis or paralysis are “an impairment of the vocal fold motor function that is caused by nerve or neuromuscular abnormalit[ies].” Paresis involves some maintenance of vocal cord movement while paralysis does not. Paresis is also more of a continuum than a...
Source: PediatricEducation.org - April 18, 2022 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
Pneumonia Shows Strong Connection to Chronic Otitis Media Pneumonia Shows Strong Connection to Chronic Otitis Media
Chronic otitis media was significantly more likely among individuals with a history of pneumonia.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - April 6, 2022 Category: Consumer Health News Tags: Pulmonary Medicine News Source Type: news
Otitis media (acute): antimicrobial prescribing [NG91], NICE (updated 11th March 2022)
This guideline sets out an antimicrobial prescribing strategy for acute otitis media (ear infection). It aims to limit antibiotic use and reduce antimicrobial resistance. Acute otitis media can be caused by viruses or bacteria. It lasts for about a week, and most children get better in 3 days without antibiotics. Serious complications are rare.
In March 2022, we reviewed the evidence and added a recommendation on eardrops containing an anaesthetic and an analgesic because a licensed preparation is now available in the UK. For more information, see update information. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2022 Category: Consumer Health News Source Type: news
ENTs Discourage Ear Tubes for Recurrent AOM Without Effusion ENTs Discourage Ear Tubes for Recurrent AOM Without Effusion
A guideline update reaffirms that tympanostomy tubes should not be considered in children with otitis media without middle ear effusion at the time of assessment for the procedure.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - February 16, 2022 Category: Consumer Health News Tags: Pediatrics News Source Type: news
Treatment Duration for Acute Otitis Media ― So Many Choices Treatment Duration for Acute Otitis Media ― So Many Choices
If antibiotics can do the job in 3 –5 days, why continue antibiotics beyond 5 days?Medscape Pediatrics (Source: Medscape Infectious Diseases Headlines)
Source: Medscape Infectious Diseases Headlines - February 15, 2022 Category: Infectious Diseases Tags: Pediatrics Commentary Source Type: news
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: PediatricEducation.org - November 8, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
What Are the Clinical Characteristics of the Most Common Skeletal Dysplasia?
Discussion
With more than 200 skeletal dysplasias and multiple variations even for one dysplasia, it can be difficult for the general practitioner to know a lot of specific information about all the skeletal dysplasias. Achondroplasia (ACP) is the most common skeletal dysplasia and specifically short-limbed dwarfism. The incidence is about 1 in 15-40,000 live births. ACP is autosomal dominant with about 80% arising from new mutations with a single nucleotide substitution in the fibroblast growth factor receptor 3 (FGFR3) gene on chromosome 4. This gene regulates the conversion of cartilage to bone, with the problem showing...
Source: PediatricEducation.org - November 1, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
What Causes Irritability?
Discussion
Child abuse or non-accidental trauma is a clinical diagnosis. It is the constellation of history, physical examination, radiographic evaluation, laboratory testing and investigation that determines if child abuse has occurred. Irritability caused by fractures or other trauma can be a presenting symptom of abuse. Fractures can be a presentation but they are also common problems not associated with abuse. Femoral shaft fractures are estimated to account for only 1.6% of all fractures in children, therefore they are potentially more suspicious for child abuse. A review of femur fractures can be found here. A review...
Source: PediatricEducation.org - October 18, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
What Is In That Ear?
Discussion
The external auditory canal mainly derives from the ectoderm however it abuts other structures which arise from mesodermal or endodermal tissues. The lateral 1/3 is primarily cartilaginous with the inner 2/3rd being bony with the tympanic, temporal and mastoid bone forming various parts. The canal is lined with squamous epithelium and has various structures such as sebaceous glands, hair follicles and of course ceruminous glands.
It is not surprising that this structure is subject to obstruction given its small size. Cerumen, hair and other cellular debris may become impacted if they are not regularly expelled f...
Source: PediatricEducation.org - October 11, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
What Causes Facial Pain?
Discussion
Dental caries are one of the most common infections. It is usually caused by Streptococcus viridans. Dental caries are also quite preventable with brushing the teeth at least twice a day with a fluoridated dentifrice, use of dental floss, and preventative dental appointments with application of fluoride varnish and sealants as appropriate. Fluoridated water supplies also help. A review can be found here.
Facial pain is often acute, self-limited and etiologies that may be obvious such as trauma or infection. Facial pain can also overlap with cranial pain (mainly headache), neck pain (often lymphadenopathy or musc...
Source: PediatricEducation.org - October 4, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
Secondhand Marijuana Smoke Tied to Respiratory Infections in Children
However, no negative impact seen on emergency department or urgent care visits, otitis media episodes, or asthma exacerbations (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - August 10, 2021 Category: Respiratory Medicine Tags: Family Medicine, Infections, Internal Medicine, Pediatrics, Pharmacy, Pulmonology, Anesthesiology & amp; Pain, Journal, Source Type: news
