scholarly journals Characteristics of abdominal vein thrombosis in children and adults

2013 ◽  
Vol 109 (04) ◽  
pp. 625-632 ◽  
Author(s):  
Daniel Landi ◽  
Michele G. Beckman ◽  
Nirmish R. Shah ◽  
Paula Bockenstedt ◽  
Althea M. Grant ◽  
...  
Keyword(s):  
Disease Control ◽  
Clinical Characteristics ◽  
Vena Cava ◽  
Vein Thrombosis ◽  
Abdominal Vein ◽  
Clinical Presentations ◽  
Control And Prevention ◽  
Adults And Children ◽  
Centers For Disease Control ◽  
Deep Vein

SummaryThe demographic and clinical characteristics of adults and children with lower extremity deep-vein thrombosis and/or pulmonary embolism (LE DVT/PE) may differ from those with abdominal vein thrombosis (abdominal VT). Abdominal VT can be a presenting sign of an underlying prothrombotic state, and its presence in the setting of known disease might have prognostic implications different from LE DVT/PE. This study describes clinical presentations of abdominal VT compared to LE DVT/PE in adults and children. We analysed prospec-tively-collected data from consecutive consenting patients enrolled in one of seven Centers for Disease Control and Prevention (CDC) funded Thrombosis and Hemostasis Network Centers from August 2003 to April 2011 to compare the demographic and clinical characteristics of adults and children with abdominal VT. Both adults and children with abdominal VT tended to be younger and have a lower body mass index (BMI) than those with LE DVT/PE. Of patients with abdominal V T, children were more likely to have inferior vena cava (IVC) thrombosis than adults. For adults with venous thromboembolism (VTE), relatively more women had abdominal VT than LE DVT/PE, while the proportions with LE DVT/PE and abdominal VT by sex were similar in children. Children with abdominal VT were more likely to have diagnosed inherited thrombophilia, while trauma was more common in children with LE DVT/PE. In conclusion, both children and adults with abdominal VT were younger with a lower BMI than those with LE DVT/ PE. Significant differences exist between children and adults in respect to abdominal VT compared to LE DVT/PE.Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

scholarly journals Deep Venous Thrombosis and Agenesis of the Inferior Vena Cava: Typical Presentation Infrequent Anomaly

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Fernanda Castro L
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vein Thrombosis ◽  
Contrast Enhanced ◽  
Clinical Presentations ◽  
The Moment ◽  
Enhanced Computed Tomography ◽  
Deep Vein ◽  
Contrast Enhanced Computed Tomography

Abnormalities of the inferior vena cava (IVC) are rare. Its embryological development occurs between the sixth and eighth week of gestation, and depends on the persistence or regression of 3 pairs of veins: the posterior cardinal veins, the sub cardinal veins and the supra cardinal veins. The type of congenital alteration depends the moment that embryogenesis is altered. The most frequent clinical presentation is deep vein thrombosis, which occurs mainly in young men. Other clinical presentations are pelvic venous congestion and chronic venous insufficiency. The diagnosis requires a high diagnostic suspicion, and it is mainly through contrast-enhanced computed tomography of the abdomen and pelvis. The treatment will depend on the type of malformation and its presentation.

scholarly journals Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children

2017 ◽  
Vol 64 (2) ◽  
pp. 111-115 ◽  
Author(s):  
David M. Lewinsohn ◽  
Michael K. Leonard ◽  
Philip A. LoBue ◽  
David L. Cohn ◽  
Charles L. Daley ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Disease Control ◽  
Latent Tuberculosis Infection ◽  
Latent Tuberculosis ◽  
American Thoracic Society ◽  
Tuberculosis Infection ◽  
Control And Prevention ◽  
Adults And Children ◽  
Centers For Disease Control ◽  
Tuberculosis Disease

Abstract Background. Individuals infected with Mycobacterium tuberculosis (Mtb) may develop symptoms and signs of disease (tuberculosis disease) or may have no clinical evidence of disease (latent tuberculosis infection [LTBI]). Tuberculosis disease is a leading cause of infectious disease morbidity and mortality worldwide, yet many questions related to its diagnosis remain. Methods. A task force supported by the American Thoracic Society, Centers for Disease Control and Prevention, and Infectious Diseases Society of America searched, selected, and synthesized relevant evidence. The evidence was then used as the basis for recommendations about the diagnosis of tuberculosis disease and LTBI in adults and children. The recommendations were formulated, written, and graded using the Grading, Recommendations, Assessment, Development and Evaluation (GRADE) approach. Results. Twenty-three evidence-based recommendations about diagnostic testing for latent tuberculosis infection, pulmonary tuberculosis, and extrapulmonary tuberculosis are provided. Six of the recommendations are strong, whereas the remaining 17 are conditional. Conclusions. These guidelines are not intended to impose a standard of care. They provide the basis for rational decisions in the diagnosis of tuberculosis in the context of the existing evidence. No guidelines can take into account all of the often compelling unique individual clinical circumstances.

scholarly journals Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children

2016 ◽  
Vol 64 (2) ◽  
pp. e1-e33 ◽  
Author(s):  
David M. Lewinsohn ◽  
Michael K. Leonard ◽  
Philip A. LoBue ◽  
David L. Cohn ◽  
Charles L. Daley ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Disease Control ◽  
Latent Tuberculosis Infection ◽  
Latent Tuberculosis ◽  
American Thoracic Society ◽  
Tuberculosis Infection ◽  
Control And Prevention ◽  
Adults And Children ◽  
Centers For Disease Control ◽  
Tuberculosis Disease

Abstract Background. Individuals infected with Mycobacterium tuberculosis (Mtb) may develop symptoms and signs of disease (tuberculosis disease) or may have no clinical evidence of disease (latent tuberculosis infection [LTBI]). Tuberculosis disease is a leading cause of infectious disease morbidity and mortality worldwide, yet many questions related to its diagnosis remain. Methods. A task force supported by the American Thoracic Society, Centers for Disease Control and Prevention, and Infectious Diseases Society of America searched, selected, and synthesized relevant evidence. The evidence was then used as the basis for recommendations about the diagnosis of tuberculosis disease and LTBI in adults and children. The recommendations were formulated, written, and graded using the Grading, Recommendations, Assessment, Development and Evaluation (GRADE) approach. Results. Twenty-three evidence-based recommendations about diagnostic testing for latent tuberculosis infection, pulmonary tuberculosis, and extrapulmonary tuberculosis are provided. Six of the recommendations are strong, whereas the remaining 17 are conditional. Conclusions. These guidelines are not intended to impose a standard of care. They provide the basis for rational decisions in the diagnosis of tuberculosis in the context of the existing evidence. No guidelines can take into account all of the often compelling unique individual clinical circumstances.

The Speech-Language Pathologists' Role in Mild Traumatic Brain Injury for Middle and High School–Age Children: Viewpoints on Guidelines From the Centers for Disease Control and Prevention

2019 ◽  
Vol 28 (3) ◽  
pp. 1363-1370 ◽  
Author(s):  
Jessica Brown ◽  
Katy O'Brien ◽  
Kelly Knollman-Porter ◽  
Tracey Wallace
Keyword(s):  
High School ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Disease Control ◽  
Mild Traumatic Brain Injury ◽  
School Age Children ◽  
School Age ◽  
Speech Language Pathologists ◽  
Control And Prevention ◽  
Centers For Disease Control

Purpose The Centers for Disease Control and Prevention (CDC) recently released guidelines for rehabilitation professionals regarding the care of children with mild traumatic brain injury (mTBI). Given that mTBI impacts millions of children each year and can be particularly detrimental to children in middle and high school age groups, access to universal recommendations for management of postinjury symptoms is ideal. Method This viewpoint article examines the CDC guidelines and applies these recommendations directly to speech-language pathology practices. In particular, education, assessment, treatment, team management, and ongoing monitoring are discussed. In addition, suggested timelines regarding implementation of services by speech-language pathologists (SLPs) are provided. Specific focus is placed on adolescents (i.e., middle and high school–age children). Results SLPs are critical members of the rehabilitation team working with children with mTBI and should be involved in education, symptom monitoring, and assessment early in the recovery process. SLPs can also provide unique insight into the cognitive and linguistic challenges of these students and can serve to bridge the gap among rehabilitation and school-based professionals, the adolescent with brain injury, and their parents. Conclusion The guidelines provided by the CDC, along with evidence from the field of speech pathology, can guide SLPs to advocate for involvement in the care of adolescents with mTBI. More research is needed to enhance the evidence base for direct assessment and treatment with this population; however, SLPs can use their extensive knowledge and experience working with individuals with traumatic brain injury as a starting point for post-mTBI care.

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