Clinical Determinants for the Surgical versus Conservative Medical Management of Subperiosteal Abscesses in the Pediatric Population: Our Experience Compared to the Literature

2019 ◽  
Author(s):  
Salman Syed ◽  
Karthik Shastri ◽  
Carlos Pinheiro-Neto
Keyword(s):  
Medical Management ◽  
Pediatric Population

Ectopic Ureter: Diagnosis and Medical Management

2019 ◽  
Author(s):  
Austin Hester ◽  
Anthony Atala
Keyword(s):  
Medical Management ◽  
Pediatric Population ◽  
Urogenital Sinus ◽  
Voiding Cystourethrography ◽  
Ectopic Ureter ◽  
Ureteral Orifice ◽  
Nuclear Scintigraphy ◽  
Key Words Ct ◽  
Uncommon Presentation ◽  
Multiple Imaging

The ectopic ureter is an uncommon presentation in the pediatric population with a 6 to 1 female-to-male prevalence. From an embryologic standpoint, ectopic ureters form as a result of failure of proper development of the urogenital sinus with ectopic development of the ureteral orifice. They are most often associated with a duplicated collecting system. The location of the orifice is most commonly in the posterior urethra. Diagnosis is usually made with a combination of multiple imaging modalities, including ultrasonography, voiding cystourethrography, nuclear scintigraphy, and sometimes CT or MRI. In this review, we detail the origin of the ectopic ureter and discuss diagnosis and medical management.  This review contains 3 figures, and 29 references. Key words: CT, cystourethrography, ectopic ureter, MRI, renal duplication anomalies, ultrasonography, voiding nuclear scintigraphy

Complications of Acute Bacterial Rhinosinusitis in the Pediatric Population

2018 ◽  
Vol 14 (02) ◽  
pp. 024-028
Author(s):  
Maraya Baumanis ◽  
Kristen Honsinger ◽  
Charles Elmaraghy ◽  
Kris Jatana
Keyword(s):  
Patient Outcomes ◽  
Medical Management ◽  
Pediatric Population ◽  
Acute Sinusitis ◽  
Morbidity And Mortality ◽  
Significant Morbidity ◽  
Surgical Subspecialty ◽  
Acute Bacterial Rhinosinusitis ◽  
Active Communication ◽  
Extracranial Complications

AbstractAcute complicated sinusitis can occur in children and can lead to significant morbidity and mortality. While medical management is critical, it is important to provide multi-disciplinary care to involve surgical specialists. Since intracranial and extracranial complications can result from acute sinusitis, active communication among all these specialists is paramount to achieve the best patient outcomes. Children with these conditions are best managed at centers where appropriate pediatric medical and surgical subspecialty care is available.

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

Drug-Induced Movement Disorders

2015 ◽  
Vol 25 (2) ◽  
pp. 70-77
Author(s):  
Amy Lustig ◽  
Cesar Ruiz
Keyword(s):  
Movement Disorders ◽  
Medical Management ◽  
Disease Process ◽  
Underlying Disease ◽  
Extrapyramidal Symptoms ◽  
Drug Induced ◽  
General Overview ◽  
Management Approaches ◽  
Broad Understanding ◽  
Underlying Disease Process

The purpose of this article is to present a general overview of the features of drug-induced movement disorders (DIMDs) comprised by Parkinsonism and extrapyramidal symptoms. Speech-language pathologists (SLPs) who work with patients presenting with these issues must have a broad understanding of the underlying disease process. This article will provide a brief introduction to the neuropathophysiology of DIMDs, a discussion of the associated symptomatology, the pharmacology implicated in causing DIMDs, and the medical management approaches currently in use.

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

1438: Benign Prostatic Hyperplasia Outcomes 12 Months after Initiating Medical Management: An Analysis of Managed Care Data

2006 ◽  
Vol 175 (4S) ◽  
pp. 464-465
Author(s):  
Michael J. Naslund ◽  
Muta M. Issa ◽  
Libby Black ◽  
Michael Eaddy ◽  
Manan Shah
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Managed Care ◽  
Medical Management ◽  
Prostatic Hyperplasia
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