RESUMO
A newborn girl presented within the first 24 hours after birth with a distended abdomen and bilious vomiting. These symptoms resolved spontaneously after a contrast enema, which showed obstruction of the left colon. This finding and the fact that the mother had been diagnosed with gestational diabetes mellitus led to the diagnosis of neonatal small left colon syndrome.
Assuntos
Doenças do Colo/diagnóstico , Obstrução Intestinal/diagnóstico , Exposição Materna/efeitos adversos , Vômito/diagnóstico , Abdome/patologia , Adulto , Doenças do Colo/etiologia , Diabetes Gestacional , Feminino , Humanos , Recém-Nascido , Obstrução Intestinal/etiologia , Obstrução Intestinal/patologia , Gravidez , Vômito/etiologia , Vômito/patologiaRESUMO
Objective: Evaluate the effect of a 1-year standardized residential slimming program on exercise-induced dehydration in children with obesity. Method: At the start (T1) and end (T2) of the program, urine samples, weight, blood pressure and pulse were collected before (TR) and after a Cooper test (TE). Urinary samples were analyzed for volume, Na (UNa), Cl, K (UK), urea, creatinine (Ucreat), protein and osmolality (Uosm). Results: All 66 children (15 ± 1 years) starting the program were included after informed consent (28 stopped prematurely). The Cooper test induced a significant weight loss at each test moment (p < 0.01). The resting UK/(UNa + UK) % increased significantly from 40 (±11) at T1 to 50% (±11) at T2. Only in normal weight patients, exercise induced a significant increase in UK/(UNa + UK) % (T2R: 49 ± 11; T2E: 56 ± 12) (p < 0.01) as well as an increase in UNa/Ucreat mmol/mg (T2R: 0.12 ± 0.07; T2E: 0.1 ± 0.05) (p < 0.05). Conclusion: The significant weight loss after exercise indicated significant dehydration. In patients with obesity, no aldosterone effect measured by UK/(UNa + UK)% was observed in contrast to the normal body mass index patients after the program.
