RESUMO
Gallbladder disease is known to be increased in sickle cell disease (SS). The prevalence of cholelithiasis in children with SS has been reported as 10% to 37%. Gallbladder ultrasound, cholecystography, and/or abdominal radiography were used to evaluate 31 patients aged 2 to 18 years with no systematic evidence of gallbladder disease for cholelithiasis, Overall prevalence of gallstones was found to be 29%. Cholelithiasis was detected in children as young as 4 years of age. Prevalence below the age of 10 years and above the age of 10 years was found to be 11% and 55% respectively. The increased prevalence of cholelithiasis in children with sickle cell disease suggests the use of diagnostic ultrasonography as a routine screening procedure.
Assuntos
Anemia Falciforme/complicações , Colelitíase/complicações , Adolescente , Anemia Falciforme/sangue , Criança , Pré-Escolar , Colangiografia , Colecistografia , Colelitíase/diagnóstico , Contagem de Eritrócitos , Hemoglobinas/análise , Humanos , Reticulócitos , UltrassonografiaRESUMO
Over a 13-month period, 14 patients were hospitalized at Milwaukee Children's Hospital for rodenticide ingestions. Ten of the 14 patients ingested Vacor Rat Poison (N-3-pyridylmethyl N'-p-nitrophenyl urea). Small children could easily mistake Vacor, which resembles corn meal, for breakfast cereal. To intervene for safer packaging of toxic substances, pediatricians need to be aware of the health hazard posed to children by attractive packaging.
Assuntos
Embalagem de Medicamentos , Intoxicação/prevenção & controle , Rotulagem de Produtos/normas , Rodenticidas/intoxicação , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Compostos de Fenilureia/intoxicação , OlfatoRESUMO
Conflicts about the onset of sexual intercourse have been reported to cause a variety of symptoms. A 16-year-old black female claimed to have passed a stone in her urine. Investigation of her complaints caused some doubt that an organic cause was involved. Social history showed that she had recently begun to have sexual intercourse despite a religious belief that intercourse before marriage was wrong. After an extensive medical work-up, she was discharged with instructions to bring in another stone if passed. A stone subsequently presented by the patient proved to be a piece of lead shot. Those caring for adolescents need to be aware that conflicts about sexual intercourse may present in a number of ways, including urinary-tract complaints.
Assuntos
Conflito Psicológico , Transtornos Autoinduzidos/psicologia , Cálculos Renais/psicologia , Comportamento Sexual , Adolescente , Feminino , Identidade de Gênero , HumanosRESUMO
Nine centers collaborated to determine the rate of urinary tract infection in infants with unexplained fever, to determine whether the rate is higher in febrile infants than in asymptomatic infants, and whether the yield justifies urine cultures in febrile infants. Urine cultures were done in 501 infants 0 to 2 years of age. The rate of confirmed urinary tract infections in the 193 febrile infants was 4.1%. All infections were in girls, with a rate of 7.4%. The rate of confirmed urinary tract infections in the 312 asymptomatic infants was 0.3%; again, all infections were in girls, with a rate of 0.7%. The rate in febrile girls was significantly higher than the rate in asymptomatic girls (P less than 0.01). The data support the advisability of culturing the urine of infant girls with unexplained fever.