Assuntos
Humanos , Feminino , Criança , Linfedema/diagnóstico , Pé/patologia , Diagnóstico DiferencialRESUMO
Ingestion of a foreign body containing lead in children carries the additional risk of acute lead poisoning secondary to dissolution and absorption of the ingested lead in the acid environment of the stomach. We report the case of a 3-year-old girl who ingested a lead sinker. The patient was asymptomatic but therapy with a proton pump inhibitor (omeprazole) was empirically started on admission and the foreign body was removed from the stomach by emergency endoscopy within 6 hours of ingestion. Despite the quick removal, blood lead levels (drawn 3 hours after ingestion) exceeded 40 .g/dl. The patient completely recovered and continues to do well after 1 year of follow-up. This case reveals that acute elevations of blood lead concentrations may occur rapidly after ingestion of lead foreign bodies. Even in the absence of symptoms, lead foreign body ingestion in children should prompt lead screening and initiation of appropriate treatment.
Assuntos
Deglutição , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Intoxicação por Chumbo , Doença Aguda , Pré-Escolar , Feminino , Humanos , RadiografiaRESUMO
La ingestión de cuerpos extraños de contenido plúmbico tiene el riesgo adicional de ocasionar una intoxicación aguda por plomo secundaria a la disolución y absorción del plomo ingerido en el ambiente ácido del estómago. Se presenta el caso de una niña de 3 años que ingirió una plomada de pesca. La paciente estaba asintomática, pero se inició tratamiento empírico con un inhibidor de bomba de protones (omeprazol) a su llegada a urgencias y el cuerpo extraño se extrajo urgentemente mediante endoscopia a las 6 h de su ingestión. A pesar de la rápida actuación, los valores de plomo en sangre (obtenidos a las 3 h de la ingesta) excedieron los 40 μg/dl. La paciente se recuperó por completo y continúa sana tras un año de seguimiento. Este caso revela que tras la ingesta de cuerpos extraños plúmbicos se puede producir una elevación rápida de los valores de plomo en sangre. Incluso en ausencia de síntomas, ante la ingestión de cuerpos extraños con contenido plúmbico en pacientes pediátricos, debe evaluarse el nivel de plomo en sangre e instaurarse tratamiento adecuado
Ingestion of a foreign body containing lead in children carries the additional risk of acute lead poisoning secondary to dissolution and absorption of the ingested lead in the acid environment of the stomach. We report the case of a 3-year-old girl who ingested a lead sinker. The patient was asymptomatic but therapy with a proton pump inhibitor (omeprazole) was empirically started on admission and the foreign body was removed from the stomach by emergency endoscopy within 6 hours of ingestion. Despite the quick removal, blood lead levels (drawn 3 hours after ingestion) exceeded 40 μg/dl. The patient completely recovered and continues to do well after 1 year of follow-up. This case reveals that acute elevations of blood lead concentrations may occur rapidly after ingestion of lead foreign bodies. Even in the absence of symptoms, lead foreign body ingestion in children should prompt lead screening and initiation of appropriate treatment
Assuntos
Feminino , Pré-Escolar , Humanos , Deglutição , Corpos Estranhos , Corpos Estranhos/cirurgia , Intoxicação por Chumbo , Doença AgudaRESUMO
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Assuntos
Recém-Nascido , Humanos , Erros de Medicação , Mepivacaína , Epilepsia Neonatal Benigna , Anestésicos Locais , Fatores Etários , Injeções , CabeçaRESUMO
OBJECTIVES: To study the prevalence of eating disorders among adolescent in a health area. Design. Cross-sectional descriptive study.Setting. The primary care centres of secondary education. PARTICIPANTS: Students with age between 13-16 years. MEASUREMENTS: The validation of the Spanish translation of the Eating Attitudes Test-40 was administered to students, previous authorization of their parents. In the positive cases, we reported with a letter to their parents. The date were incorporate to a data base and in order to their treatment tools of analytic and descriptive statistic they were used. RESULTS: There were 503 valid questionnaires (95% students of the health area). The absolute mean score was 13.42 points (CI, 12.57-14.28), in women 14.71 points and in man 11.82 points. According to age groups, the mean score for 13, 14.15 and 16 years was 14.05, 13.85, 13.08 and 12.60 points respectively. 16.97% presented >= 20 points (sensitivity, 91%; specificity, 69.2%) and 16.97% of the sample >= 30 points (sensitivity, 67,9%; specificity, 85.9%). There were more positive cases in women than men (2 = 22.4; p < 0.001). The age variable did not show statistically significant differences (2 = 3.379; p > 0.05). CONCLUSIONS: There is a high prevalence of eating disorders among secondary students, being more frequently among women. We think it is necessary to make preventive services task in these problems and seek positive cases.
Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Sensibilidade e Especificidade , Distribuição por Sexo , Espanha/epidemiologiaRESUMO
Objetivo. Estudiar la prevalencia de trastornos alimentarios en la población adolescente en una zona básica de salud. Diseño. Observacional, transversal. Emplazamiento. Tres centros urbanos de enseñanza media de Toledo. Participantes. Estudiantes de 13-16 años. Mediciones principales. Se administró la versión validada al castellano del Eating Attitudes Test-40, previa autorización de sus padres, para detectar la presencia de trastornos alimentarios. En los casos positivos, se informó mediante carta a los progenitores. Resultados. Realizaron el cuestionario 503 estudiantes, lo cual representa más del 95 por ciento de los adolescentes de la zona. La puntuación media absoluta obtenida fue de 13,42 puntos (IC, 12,57-14,28), siendo en mujeres de 14,71 puntos y de 11,82 en varones. Según los grupos de edad, la puntuación media para 13, 14, 15 y 16 años fue de 14,05, 13,85, 13,08 y 12,60 puntos, respectivamente. Presentaron 20 puntos (sensibilidad, 91 por ciento; especificidad, 69,2 por ciento) un 16,97 por ciento y 30 puntos (sensibilidad, 67,9 por ciento; especificidad, 85,9 por ciento) el 6,79 por ciento de la muestra. Hubo un mayor porcentaje de positividad en mujeres que en varones ( 2 = 22,4; p 0,05). Conclusiones. Existe una alta prevalencia de trastornos alimentarios en este colectivo, siendo más frecuente en mujeres. Parece justificado realizar intervenciones de prevención de este tipo de problemas así como su búsqueda activa. (AU)
Assuntos
Adolescente , Masculino , Feminino , Humanos , Sensibilidade e Especificidade , Espanha , Prevalência , Distribuição por Sexo , Transtornos da Alimentação e da Ingestão de Alimentos , Estudos TransversaisRESUMO
Se relata un paciente en que tanto la sintomatología como la anamnesis son compatibles con anorexia nerviosa y en el que un análisis rutinario de orina coloca al médico en la pista del verdadero diagnóstico: diabetes mellitus tipo I (AU)