Harnessing the Physical Examination for the Early Detection of Congenital Anomalies of the Kidney and Genitourinary Tract = تسخير الفحص السريري لتشخيص عيوب الكلى والمسالك البولية الخلقية

2016 ◽  
Vol 50 (4) ◽  
pp. 203-208
Author(s):  
Kamal Akl
PEDIATRICS ◽  
1956 ◽  
Vol 18 (5) ◽  
pp. 782-789
Author(s):  
David W. Sherwood ◽  
Richard C. Smith ◽  
Robert H. Lemmon ◽  
Irene Vrabel

Twenty-four cases of congenital anomalies and pathologic states of the genitourinary tract, discovered by palpation of the abdomen in newborn infants have been presented together with a review of the literature and description of the methods employed in their detection. The authors are of the opinion that deep palpation of the abdomen in newborns will reveal abnormalities, mostly of the genitourinary tract but also of the gastrointestinal tract, which are now being overlooked. It is also our belief that these pathologic conditions are most easily detected shortly after birth and that early detection is of great importance to the welfare of the patient.


Key Points Vision screening should be a routine part of every primary care visit, with physical examination from birth and formal acuity testing from 3 years on. Elements of the physical examination include inspection, red reflex evaluation, corneal light reflection, cover-uncover test. Instrument-based testing can begin at 1 year of age until chart-based acuity testing is possible from 3 years on. Amblyopia, which results in permanent vision loss, is preventable with early detection—before 5 years of age.


2011 ◽  
Vol 13 (5) ◽  
pp. 364-375 ◽  
Author(s):  
Ilona Rodan ◽  
Eliza Sundahl ◽  
Hazel Carney ◽  
Anne-Claire Gagnon ◽  
Sarah Heath ◽  
...  

Background The number of pet cats is increasing in most countries, often outnumbering pet dogs, yet cats receive less veterinary care than their canine counterparts. 1 Clients state the difficulty of getting the cat into a carrier at home, driving to the clinic, and dealing with the fearful cat at the veterinary clinic as reasons for fewer visits. 2 Educating and preparing the client and the veterinary team with regard to respectful feline handling is necessary in order to avoid stress and accomplish the goal of good health care. Without such preparation, feline stress may escalate into fear or fear-associated aggression. The resulting stress may alter results of the physical examination and laboratory tests, leading to incorrect diagnoses (eg, diabetes mellitus) and unnecessary treatments. 3 – 5 Without compassionate and respectful handling by the veterinary team, clients may feel the team lacks skills and compassion, or does not understand cats. Injury may occur to the cat, client and/or veterinary team. 6 Clients who want to avoid stress for their cat may avoid veterinary visits or choose another practice instead. Goals The use of feline-friendly handling techniques should reduce these problems. Handling is most successful when the veterinary team adapts the approach to each individual cat and situation. The goal of these guidelines is to provide useful information for handling cats that can lead to: Reduced fear and pain for the cat. Reinforced veterinarian—client—cat bond, trust and confidence, and thus better lifelong medical care for the cat. Improved efficiency, productivity and job satisfaction for the veterinary team. Increased client compliance. Timely reporting and early detection of medical and behavioral concerns. Fewer injuries to clients and the veterinary team. Reduced anxiety for the client.


2020 ◽  
Vol 4 (1) ◽  
pp. 31-33
Author(s):  
M.A. Shafiq ◽  
K. Anwar ◽  
Tan J.A.

Hair tourniquet syndrome is a rare medical condition involving a tightly constricting strand of hair or thread-like material strangulating a part of the bodily appendage, such as the fingers and toes, which prompts for urgent attention. Failure to recognize early and respond to worsening symptoms may lead to serious complications. Few cases have been reported as this condition affects primarily young children. Our aim for this topic is to increase awareness of hair tourniquet syndrome to healthcare providers. Proper exposure during routine physical examination for early detection, and timely referral for effective treatment. Here we report a case of hair tourniquet syndrome of the toe that was released surgically with a good outcome. Keywords: Hair tourniquet syndrome, bodily appendage, children.  


PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 201-208
Author(s):  
David D. Aronsson ◽  
Michael J. Goldberg ◽  
Thomas F. Kling ◽  
Dennis R. Roy

Objective. The definition and early treatment of congenital dysplasia of the hip are controversial. The purpose of this study was to discuss the reasons for changing the acronym to developmental dysplasia of the hip (DDH) and to address its early detection and treatment. Design. This multicenter study was designed to provide an updated assessment of the definition, pathologic anatomy, prevalence, etiology, natural history, early detection, and treatment of DDH. Results. DDH more accurately describes the condition previously termed congenital dysplasia of the hip. The disorder is not always present at birth (congenital) and an infant may have a normal neonatal hip screening examination and subsequently develop a dysplastic or dislocated hip. Developmental dysplasia encompasses the wide spectrum of hip problems seen in infants and children. Physicians should understand that a normal neonatal screening examination does not assure normal hip development. The diagnosis of developmental dysplasia is made by physical examination. The Ortolani and Barlow maneuvers were designed to detect a subluxatable, dislocatable, or dislocated hip in the neonatal period. In the older child, limited abduction becomes a more reliable sign. The examination is variable depending on the type of dysplasia and changes with growth. The ultrasound is proving to be a sensitive tool in confirming the diagnosis in newborns and infants from birth to 4 months of age. The ultrasound is also valuable in older infants in terms of documenting that the dysplasia is responding to treatment. However, the ultrasound depends on an experienced sonographer and, in some cases, may be too sensitive, resulting in overtreatment. After 3 to 4 months of age, an anteroposterior pelvis radiograph can confirm the diagnosis. Conclusions. All newborns should have a neonatal hip screening physical examination. After screening, the hips should be re-examined during health examination visits at 2 weeks, 2 months, 4 months, 6 months, 9 months, and 1 year of age. If any question arises during these visits or if there are associated risk factors, we recommend an ultrasound if the infant is <4 months of age or an anteroposterior pelvis radiograph if >4 months of age.


The Lancet ◽  
1971 ◽  
Vol 297 (7707) ◽  
pp. 996-997 ◽  
Author(s):  
A. Catterall ◽  
G.C. Lloyd Roberts ◽  
Ruth Wynne-Davies

2020 ◽  
Vol 33 (1) ◽  
pp. 116-119
Author(s):  
Alessandro Vetere ◽  
Mara Bertocchi ◽  
Igor Pelizzone ◽  
Giuseppe F. La Cauza ◽  
Laura Denti ◽  
...  

Forty-five Horsfield’s tortoises ( Testudo horsfieldii; syn. Agrionemys horfieldii, Russian tortoise) belonging to different owners had decreased appetite and respiratory issues. Twenty-nine tortoises had epiphora, dyspnea, and white necrotic diphtheroid oral plaques (group G1). Ten of the remaining 16 tortoises had serious dehydration, appetite disorder, and depression (G2). The last 6 tortoises had only decreased appetite and moderate conjunctival discharge (G3). During the physical examination of all 45 tortoises, a cytologic sample and an oral swab for herpesvirus and Mycoplasma agassizii PCR testing were taken. In 20 of 29 specimens from G1, in 8 of 16 from G2, and 0 of 6 from G3, the cytologic exam revealed intranuclear acidophilic inclusion bodies, multinucleate cellular syncytia, and further abnormalities caused by herpesviral infection. Moreover, all 45 tested subjects were found to be positive for testudinid herpesvirus 1; 2 were positive for M. agassizii. This prospective study suggests that Horsfield’s tortoises with such signs would benefit from this screening procedure, given that it was effective in a significant proportion of infected and symptomatic animals, and no negative effects were seen.


JOGN Nursing ◽  
1973 ◽  
Vol 2 (4) ◽  
pp. 37-38 ◽  
Author(s):  
Karen Galloway

BMJ Open ◽  
2018 ◽  
Vol 8 (5) ◽  
pp. e020634 ◽  
Author(s):  
Yinv Gong ◽  
Ying Zhang ◽  
Qian Shen ◽  
Liping Xiao ◽  
Yihui Zhai ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document