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 Do You Do For Breast Milk Jaundice?
Discussion Almost all infants in the first few days of life have some elevation of their bilirubin because of the various physiologic changes they undergo in the transition to extra-uterine life. This is a common problem managed by many different inpatient and outpatient healthcare providers. This hyperbilirubinemia is usually unconjugated and resolves in the first 1-2 weeks of life. However, when it does not resolve, health care providers have 3 general paths to follow when considering a cause: inadequate breast milk intake, an underlying organic cause or breast milk jaundice. Inadequate breastfeeding is not uncommon and...
Source: PediatricEducation.org - February 3, 2020 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: PediatricEducation.org - 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

Pyloric Stenosis and Macrolide ExposurePyloric Stenosis and Macrolide Exposure
Some infants need pertussis prophylaxis, so macrolides are unavoidable, but monitor for the development of pyloric stenosis. Medscape Pediatrics (Source: Medscape Pediatrics Headlines)
Source: Medscape Pediatrics Headlines - May 29, 2015 Category: Pediatrics Tags: Pediatrics Viewpoint Source Type: news

Azithromycin Linked to Pyloric Stenosis Risk in Young Infants Azithromycin Linked to Pyloric Stenosis Risk in Young Infants
Oral azithromycin or erythromycin use may increase risk for infantile hypertrophic pyloric stenosis, particularly with exposure in the first 2 weeks of life, according to a retrospective cohort study. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - February 16, 2015 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Azithromycin Linked to Belly Blockage in Infants
WASHINGTON (MedPage Today) -- Infants who received azithromycin (Zithromax) in the early days of life were at an increased risk for developing infantile hypertrophic pyloric stenosis (IHPS), researchers reported here. (Source: MedPage Today Geriatrics)
Source: MedPage Today Geriatrics - September 10, 2014 Category: Geriatrics 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: PediatricEducation.org - July 21, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized 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: http://www.nejm.org/doi/full/10.1056/NEJMicm1214572 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

Bottle Feeding Raises Risk of Belly Blockage (CME/CE)
(MedPage Today) -- Infants who were bottle fed by older mothers were significantly more likely to be at risk for hypertrophic pyloric stenosis than those who were breastfed, researchers found. (Source: MedPage Today Pediatrics)
Source: MedPage Today Pediatrics - October 22, 2013 Category: Pediatrics Source Type: news

Bottle-feeding Linked to Hypertrophic Pyloric Stenosis Bottle-feeding Linked to Hypertrophic Pyloric Stenosis
A new study provides yet another reason for physicians to encourage breast-feeding. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 21, 2013 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Genetic Associations for Gastrointestinal Condition in Infants
(Ivanhoe Newswire) – Researchers have identified a significant genetic marker for infantile hypertrophic pyloric stenosis (IHPS), a serious gastrointestinal condition. (Source: Medical Headlines From Ivanhoe.com)
Source: Medical Headlines From Ivanhoe.com - August 22, 2013 Category: Consumer Health News Source Type: news

Pyloric Stenosis Linked to Low Serum Lipids in InfantsPyloric Stenosis Linked to Low Serum Lipids in Infants
Low lipids are a risk factor for infantile pyloric stenosis, according to a new genetic analysis; the discovery may lead to predictive biomarker tests. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 20, 2013 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Baby's Blocked Belly Tied to Low Cholesterol (CME/CE)
(MedPage Today) -- A new genetic study suggests that pyloric stenosis, the most common form of gastrointestinal obstruction in infants, might be linked to low cholesterol levels, researchers reported. (Source: MedPage Today Pediatrics)
Source: MedPage Today Pediatrics - August 20, 2013 Category: Pediatrics Source Type: news