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Answers to Epilogue questions: A pneumonia that does not improve
Answers From questions on page 18.Children with community-acquired bacterial pneumonia usually improve within 48–72 h from the start of appropriate antibiotic therapy. When improvement is not apparent, several conditions should be considered (box 1). In our patient, respiratory symptoms persisted well beyond the improvement of fever and general conditions, therefore prompting further investigations, the first of which should always be a chest radiography. Chest radiography showed right deviation of the trachea and hyperlucency of the left lung, suggesting the presence of air trapping in the left lung. While the ...
Source: Archives of Disease in Childhood - Education and Practice - January 21, 2015 Category: Pediatrics Authors: Naviglio, S., Chinello, M., Ventura, A. Tags: Pancreas and biliary tract, Oncology, Surgery, Journalology, Bronchiolitis, Immunology (including allergy), Drugs: infectious diseases, Pneumonia (infectious disease), TB and other respiratory infections, Child health, Radiology, Bronchitis, Cystic fibros Source Type: research

What Causes Spontaneous Pneumothorax?
Discussion “A pneumothorax is a collection of air in the pleural space, and it can be categorized into spontaneous, traumatic or iatrogenic. Spontaneous pneumothorax can be further classified into primary with no clinical evidence of underlying lung disease or secondary due to pre-existing lung disease.” Spontaneous pneumothorax is a condition that is relatively rare in pediatrics. There is a bimodal age distribution – neonates and late adolescence. It is caused by tearing of the visceral pleural. Clinical signs include chest pain, dyspnea, tachycardia, tracheal deviation towards contralateral side, hypot...
Source: PediatricEducation.org - May 20, 2013 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: news