Wednesday, September 30, 2009

Intussusception

Peak age 6-12 months
80% occur by the age of 24 months
Diagnosis by ultrasound

Treatment
Air Enema Reduction
80% reduced non-operationally
10% recurrence in 72 hours
Pathological lead point more prone to recurrence

View my collection, "Intussusception" from NCBI

Monday, September 28, 2009

Citrobacter Meningitis

View my collection, "Citrobacter Meningitis" from NCBI

PubMed Search tip: Even if you have closed PubMed, a search history will remain available for eight hours on the computer used to perform the search, unless it is manually cleared by a PubMed user. If you click on the "History" tab right below the search box you will have the your post search documentation to remember how you searched.

Hypoparathyroidism in a Newborn

This topic was discussed on Friday, September 25. Some of the articles in the PubMed collection below are not available as free full-text online. The library at Primary Children's would be happy to obtain the full-text for you.

View my collection, "Hypoparathyroidism in a Newborn " from NCBI

Morning Report 9-25


PubMed Search tip: Found the perfect article after a PubMed search? Take a second look at the title of that perfect article you found. Is the title in brackets [ ]? This indicates that the article is only available in the language noted in the article citation even though the abstract is in English.

Thursday, September 24, 2009

Syphilis & TORCH

CDC Treatment Guidelines for Congenital Syphilis

View my collection, "Congenital Syphilis" from NCBI The article "Congenital Syphilis--Persisting Pestilence" is a very good concise review in The Pediatric Infectious Disease Journal it is not free online but is available in print at the library.

View my collection, "TORCH" from NCBI The "Blueberry Muffin Baby" article is free full-text however the other citations are not, but you may request them through Primary Children's Medical Library.

PubMed Search tip: Have you seen this at the end of a citation in PubMed: PMID: 18700111 [PubMed - indexed for MEDLINE] ? Each citation in PubMed is assigned a unique PMID # and you can pull up the citation again in PubMed by using only this number in the search box. Or you may share this number with your colleagues and they will be able to pull up the referenced citation easily.

Monday, September 21, 2009

Recurrent/Chronic Pain

Recurrent pain is defined as discrete episodes of pain that are generally of brief duration with complete recovery between episodes.

Chronic pain persists on a daily basis for longer than what would be expected for healing of the underlying physical pathology. It may or may not be associated with tissue damage.

  • Estimates show that the prevalence of recurrent and chronic pain in children is 15% to 30%
  • 8% have severe and frequent pain
  • Most common locations for pain: head, abdomen, limbs/musculoskeletal

  • Previous study found that 60% of children with chornic and recurrent pain have a psychiatric diagnosis as well.
  • Anxiety disorders and Depressive disorders are most common in this population.
  • In patients with RAP- depression has been reported in 9%-40% and anxiety has been reported in 33%-70%.

View my collection, "Recurrent/Chronic Pain" from NCBI

Friday, September 18, 2009

Shaken Baby Syndrome

SBS/AHT (shaken baby syndrome/abusive head trauma) is a term used to describe the constellation of signs and symptoms resulting from violent shaking or shaking and impacting of the head of an infant or small child.

View my collection, "Shaken Baby Syndrome" from NCBI

To learn more on Shaken Baby Syndrome, please go to: http://www.dontshake.org/ and http://www.shakenbaby.org/.

The Period of PURPLE Crying program is the name given to the National Center on Shaken Baby Syndrome's evidence-based SBS prevention program. The following article describing the randomized controlled trial of the Period of PURPLE Crying materials in Seattle, Washington has been published in the March issue of Pediatrics. To view this article please go to: http://pediatrics.aappublications.org/cgi/content/full/123/3/972

Wednesday, September 16, 2009

View my collection, "Dysautonomia/POTS" from NCBI

Dysautonomia: What does it mean? What are the symptoms? Is it curable?

Dysautonomia is a medical term often used to describe a group of complex conditions that are caused by a dysfunction of the autonomic nervous system (ANS). The ANS regulates all of the unconscious functions of the body, including the cardiovascular system, gastrointestinal system, metabolic system, and endocrine system. Symptoms of dysautonomia may include: Tachycardia (extremely fast heart rate), bradycardia (slow heart rate), palpitations, chest pain, dangerously low blood pressure, wide swings/sudden drops in blood pressure, orthostatic intolerance (the inability to remain upright), excessive fatigue, exercise intolerance, dizziness, fainting/near fainting, gastrointestinal problems, nausea, insomnia, shortness of breath, anxiety, tremulousness, frequent urination, convulsions, cognitive impairment, visual blurring or tunneling, and migraines. It is a chronic disease and is not curable.

Postural Orthostatic Tachycardia Syndrome (POTS): (often referred to as just postural tachycardia syndrome or POTS) is a condition of dysautonomia, and more specifically, orthostatic intolerance, in which a change from the supine position to an upright position causes an abnormally large increase in heart rate, called tachycardia. This is often, but not always, accompanied by a fall in blood pressure.

Friday, September 4, 2009

Circumcision

An infant recently circumcised won't stop bleeding. What are the causes? What are the risks with circumcision? What is Christmas disease? Review the list below...really there is a Christmas disease.

View my collection, "Circumcision" from NCBI

PubMed search tip: If you want to find an article in PubMed but don't have the full citation or a librarian handy. Use the link in the left hand navigation called "Single Citation Matcher". You can put in only the page number if you have it, or the year and words in the title. Trust me, sometimes it is magic.

Tuesday, September 1, 2009

Non-ketotic Hypoglycemia

Case Report: Hypoglycemic Coma in a Young Girl, Kuwait Medical Journal 2005

View my collection, "Non-ketonic Hypoglycemia" from NCBI

PubMed search tip: If you use the "Details" tab after preforming a keyword search you will be shown how PubMed translated your search using automatic term mapping and search rules. For example, if you search the morning report topic "Non-ketotic Hypoglycemia" you will see this result when you view the details page,

non-ketotic[All Fields] AND ("hypoglycaemia"[All Fields] OR "hypoglycemia"[MeSH Terms] OR "hypoglycemia"[All Fields])

You will then have an idea what is a Medical Subject Heading and what is not. This may help you narrow your search or understand why you retrieved the resulting list of citations.