TOTAL PARENTERAL NUTRITION MANAGEMENT

TOTAL PARENTERAL NUTRITION MANAGEMENT Goals for nutrition management The primary goal is to provide energy and nutrients in sufficient quantities to allow normal growth and development. Although the goal is to have growth rates that follow either the intrauterine growth curve for premature infants or the postnatal growth curve for term infants, this is rarely … Devamını oku…TOTAL PARENTERAL NUTRITION MANAGEMENT

ORCHIOPEXY ORCHIDOPEXY UNDESCENDED TESTICLE

Orchiopexy Definition : Orchiopexy is a procedure in which a surgeon fastens an undescended testicle inside the scrotum, usually with absorbable sutures. It is done most often in male infants or very young children to correct cryptorchidism, which is the medical term for undescended testicles. Orchiopexy is also occasionally performed in adolescents or adults, and … Devamını oku…ORCHIOPEXY ORCHIDOPEXY UNDESCENDED TESTICLE

UPPER GASTROINTESTINAL BLEEDING IN CHILDREN

In the initial evaluation a history should be obtained for bleeding disorders, skin lesions, and aspirin or steroid ingestion. The physical exam for presence of enlarged liver, spleen, masses, ascites, or evidence of trauma or portal hypertension. Labs such as bleeding studies and endoscopy, contrast studies if bleeding stops. Common causes of upper gastrointestinal bleeding … Devamını oku…UPPER GASTROINTESTINAL BLEEDING IN CHILDREN

Ambiguous Genitalia, Children, Babies

When a child’s gender is in question at birth, because genitals may not appear clearly male or female, the child is said to have ambiguous genitalia. Ambiguous genitalia can be a traumatizing experience for parents. Early in fetal development, the tissue that will become the gonads (ovaries or testes) is undifferentiated and has the potential … Devamını oku…Ambiguous Genitalia, Children, Babies

FUNCTIONAL CONSTIPATION MANAGEMENT

MANAGEMENT OF CHILDRENWITH FUNCTIONAL CONSTIPATION The general approach to the child with functional constipation includes the following steps: – determine whether fecal impaction is present, treat the impaction if present, – initiate treatment with oral medication, provide parental education and close follow-up, and adjust medications as necessary. Education The education of the family and thedemystification … Devamını oku…FUNCTIONAL CONSTIPATION MANAGEMENT

MEDIASTINAL CYSTS

Mediastinal cysts identified in children are classified according to the compartment where they arise as: anterior (extends to the sternum, thoracic inlet and anterior border of the heart), middle (between anterior mediastinum and anterior borders of the vertebrae) or posterior mediastinum. Although usually asymptomatic, they require excision for purpose of diagnosis and avoidance of symptoms … Devamını oku…MEDIASTINAL CYSTS

POSTOPERATIVE PAIN ASSESSMENT NEWBORNS

POSTOPERATIVE PAIN ASSESSMENT IN NEONATES One factor that has contributed to inadequate pain management in neonates has been the pervasive belief that neonates do not feel pain. This misconception has been perpetuated, at least in part, by the conspicuous absence of adequate tools to assess pain levels in this patient population. To a large extent, … Devamını oku…POSTOPERATIVE PAIN ASSESSMENT NEWBORNS

JEJUNOILEAL ATRESIA IN THE NEWBORN

jejunoileal atresia in the newborn : Atresia of the jejunum or ileum is more common than duodenal atresia, occurring in 1 in 1500 births. Small-bowel obstruction from jejunoileal atresia may also lead to polyhydramnios. Premature delivery is observed in one third of patients with intestinal atresia. In contrast to duodenal atresia, jejunoileal atresia is widely … Devamını oku…JEJUNOILEAL ATRESIA IN THE NEWBORN

CAT SCRATCH DISEASE

Cat Scratch Disease : Cat Scratch Disease (CSD) is a self-limited condition transmitted by a Bartonella species (Rochalimaea henselae) present in unaffected kitten paws. Following inoculation by a scratch and one to two weeks of incubation period, malaise, fever, headache, anorexia and swelling of the regional lymph nodes follow. The adenopathy generally develops in the … Devamını oku…CAT SCRATCH DISEASE