Can Fussy Babies Be Spoiled?

PEDIATRICS ◽  
1985 ◽  
Vol 76 (5) ◽  
pp. 854-854
Author(s):  
J. ALBRIGHT JONES
Keyword(s):  
Abdominal Pain ◽  
Clinical Examination ◽  
Pediatric Practice

To the Editor.— I was disturbed by several aspects of the article by Dr Taubman1 on colic among infants in his practice. I have been in pediatric practice more than 50 years and, therefore, have had my share of babies to test my skill and patience. It is my understanding that colic means abdominal pain and not just fussiness without a demonstrable cause. And there certainly are a number of causes of colic that can be diagnosed by appropriate studies and a thorough clinical examination.

scholarly journals Primary Amenorrhoea - A review of 26 Cases

2016 ◽  
Vol 20 (3) ◽  
Author(s):  
Farhat Iqbal ◽  
Naheed I
Keyword(s):  
Abdominal Pain ◽  
Clinical Examination ◽  
Lower Abdominal Pain ◽  
Imperforate Hymen ◽  
Detailed History ◽  
Primary Amenorrhoea ◽  
Secondary Sex Characters

This is a study of twenty six subjects who presented to Sir Ganga Ram Hospital, Lahore 1999-2001 and were cases of primary amenorrhoea 20(76.9%) of patient presented between 15-25 years of age. Five (19.2%) had lower abdominal pain. Secondary sex characters were developed in 69.2%. Uterus was absent in 4(15.5%) and ovaries were present in 17(65.5%). FSH was high >40mIU in 12(46.5%) and low <3mIU in 2(7%), 14(53.5%) were put on HRT 1(3.8%) had gonadectomy. 5(19.3%) patients had imperforate hymen, where excision was done. It was concluded that detailed history, through clinical examination and minimal investigations are required to diagnose cases of primary amenorrhoea.

scholarly journals Functional disorders of the biliary tract. What a pediatrician needs to know

2018 ◽  
pp. 91-102 ◽  
Author(s):  
I. N. Zakharova ◽  
M. I. Pykov ◽  
I. V. Berezhnaya ◽  
N. G. Sugyan ◽  
G. E. Zaidenvarg ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Biliary Tract ◽  
Respiratory Diseases ◽  
Pain Syndrome ◽  
Self Control ◽  
Functional Disorders ◽  
Pediatric Practice ◽  
Frequency Of Contact ◽  
Mechanisms Of Development ◽  
Rome Iv

According to the frequency of contact with a doctor, abdominal pain in children is second only to respiratory diseases. Since the pain syndrome is a nonspecific manifestation of various pathologies, the doctor faces a serious diagnostic task, which is especially difficult in pediatric practice. One of the frequent causes of abdominal pain in children is a disruption of the function of the digestive tract, in particular, the dysfunction of the billiard tract. The article considers etiopathogenetic mechanisms of development of functional disorders of the biliary tract in children, classification in the light of the Rome IV consensus, modern low-invasive methods for diagnosing dysfunctions of the biliary tract. The ultrasound of the hepatobiliary zone was assessed. Questions are given for self-control.

scholarly journals Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis

2007 ◽  
Vol 54 (3) ◽  
pp. 137-139 ◽  
Author(s):  
Lj. Mirkovic ◽  
D. Mirkovic ◽  
V. Boskovic ◽  
Z. Markovic
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Magnetic Resonance ◽  
Mr Imaging ◽  
Clinical Examination ◽  
Renal Agenesis ◽  
Clinical Manifestations ◽  
Uterus Didelphys ◽  
Rare Anomaly ◽  
Obstructed Hemivagina

This is a case report of two patients how have uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis with different clinical manifestations. Progressive abdominal pain after menarche, anuria or obstipation with the existing paravaginal tumor indicates this rare anomaly. Initially, the anomaly remains unrecognized, while patients most frequently referred to surgeons for assistance. The method of choice for diagnosis is clinical examination, ultrasonography and magnetic resonance (MR) imaging. Transvaginal excision of the septum is appropriate mode of treatment.

DEATH OF NON-DESCRIPTIVE MALE CALF DUE TO UROLITHIASIS FOLLOWED BY RUPTURE OF URINARY BLADDER

2016 ◽  
Vol 13 (2) ◽  
pp. 63-66
Author(s):  
D Biswas ◽  
AKM Saifuddin
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Clinical Examination ◽  
Peritoneal Fluid ◽  
Sigmoid Flexure ◽  
Postmortem Examination ◽  
Typical Case ◽  
Veterinary Hospital

The objective of the present study was to report a typical case of obstructive urolithiasis and subsequent rupture of the urinary bladder, causing the death of a non-descriptive male calf. The calves were brought to a teaching veterinary hospital with the symptoms of abdominal pain, the absence of urination manifested by discomfort, straining, kicking at the belly, twisting of the penis and frequent but unsuccessful urination. The clinical examination revealed that the calves were dull, depressed and distension of the abdomen. Post scrotal urethrotomy was performed aseptically and a large calculus was removed from the position of sigmoid flexure of the penis. Another two calves were not subjected to surgery due to their ill health and all were died after 2-3 days. A postmortem examination revealed that the urinary bladder was ruptured and subsequently urine was mixed with peritoneal fluid. A haemorrhagic condition was present at the point of rupture and peritoneum and bladder was adhesion at the point of rupture.

CLINCIAL PRESENTATION AND ULTRASONOGRAPHIC MARKERS OF PID

2021 ◽  
pp. 43-47
Author(s):  
Uma Jain ◽  
Deepali Jain ◽  
Urvi Gupta
Keyword(s):  
Abdominal Pain ◽  
Clinical Examination ◽  
Female Genital Tract ◽  
Lower Abdominal Pain ◽  
Abnormal Uterine Bleeding ◽  
Pelvic Examination ◽  
Acute Pelvic Pain ◽  
Number Of Patients ◽  
Pouch Of Douglas ◽  
Cervical Motion

INTRODUCTION: Pelvic inammatory disease (PID) comprises a spectrum of inammatory disorders of the upper female genital tract, including any combination of endometritis, salpingitis, Tubo-ovarian abscess, and pelvic peritonitis. The CDC has estimated that more than I Million women experience an episode of PID every year. Studies have reported prevalence ranging from 5.2% to 17.2% PID in various parts of India. Ultrasound:- TAS was initially used followed by use of TVS with Doppler in diagnosis of PID, although there are no large studies evaluating its sensitivity and or overall usefulness. Itis a frequentlyordered study in patients with classic symptoms of PID or who have unexplained, acute pelvic pain. MATERIAL AND METHODS:A retrospective analysis of medical records of patients with a complaint of lower abdominal pain was included in the study. Diagnosis of PID was made and patient was followed in the outdoor clinic. Pelvic examination was made. USG was done. According to symptoms and clinical examination for PID patients, the data was recorded. Medical record of 120 patients from 1 January 2020 to 31 May 2021 from a private clinic in Dist. Shivpuri were studied. RESULTS: In our study out of 120 cases, most of the patients 50.83% belonged to 26-30 years of age, a maximum number of patients were rural 83.33%. Most of the patients were educated below HSC 56.66%. Most of them 85% were married and most of them were multipara 56.66%. The most common presenting complaint was a pain in the abdomen (100%), followed by per vaginal discharge (65%), pain in the lower back (43.33%), abnormal uterine bleeding (40%), dysmenorrhoea (31.66%), dyspareunia (24.16), fever (17.5%) and others. On clinical examination abnormal PV discharge was present in 61.66% of cases, xed and retroverted uterus with or without thickend appendages were found in 55% of cases. Cervical motion tenderness was found in 78.33% of cases. Adnexal tenderness was found in 80% of cases but adnexal mass was found in 10.83% of cases. The most common nding on ultrasound scan was uid in the pouch of douglas 48.33%, followed by distal hydrosalphinx 28.33%, endometritis 18.33%, pyosalpinx 15%, TO Mass 13.33% and Pelvic collection in 10.83% of cases. CONCLUSION:The focus of this study was to identied socio-demographic characteristics of PID, to see the variety of presenting complaints and pelvic examination ndings and to correlate the clinical ndings with the USG ndings of PID. Much studies about the sensitivity & specicity of USG are not available, but this is denitely the most frequently ordered investigation in cases of PID. Transabdominal ndings of 'incomplete septa' 'cog wheel' 'beads on a strings' signs helps in distinguishing a dilated fallopian tube from other cystic adnexal masses To prevent long term sequelae PID should be the part of differential diagnosis in all patients aged 15-44 year with non specic abdominal pain.

scholarly journals Heterotopic Pregnancy: A Clinical Case Report

1970 ◽  
Vol 39 (3) ◽  
Author(s):  
S Chowdhury ◽  
T Chowdhury
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ectopic Pregnancy ◽  
Clinical Examination ◽  
Clinical Case ◽  
Lower Abdominal Pain ◽  
Tubal Pregnancy ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Ectopic Pregnancies

Heterotopic pregnancy is coexistence of intrauterine and extrauterine pregnancies that is ectopic pregnancies. It is said to be rare. Here we report a case of 27 years old woman with heterotopic pregnancy. Patient had a typical presentation of severe lower abdominal pain following amenorrhoea for 2½ months. On clinical examination, there was suspicion of ectopic pregnancy but ultrasonography revealed early intrauterine pregnancy along with right tubal pregnancy with huge collection in abdomen . Immediate laparotomy was done and diagnosis was confirmed as a case of heterotopic pregnancy.DOI: http://dx.doi.org/10.3329/bmj.v39i3.9950 BMJ 2010; 39(3)

scholarly journals Uterus didelphys with obstructed hemivagina with chronic presentation: a case report

2017 ◽  
Vol 5 (6) ◽  
pp. 2809
Author(s):  
Monika Anant ◽  
Bibekanand Das ◽  
Avishek Bhadra ◽  
Joydev Mukherji
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Clinical Examination ◽  
Clinical Manifestations ◽  
Uterus Didelphys ◽  
Rare Anomaly ◽  
Obstructed Hemivagina

This is a case report of a 24-year patient who had uterus didelphys with obstructed hemivagina. Clinical manifestations of this case were of progressive dysmenorrhea, abdominal pain after menarche, cyclic difficulty in urination and constipation, with the existing paravaginal tumor indicated this rare anomaly. The diagnosis was by clinical examination and ultrasonography.  The patient underwent successful transvaginal septoplasty and drainage of the hematocolpos and hematometra, which is the appropriate mode of treatment in such cases.  

scholarly journals Slipping rib syndrome in an adolescent wrestler

2020 ◽  
Vol 13 (1) ◽  
pp. e232514
Author(s):  
Irfan Chhipa ◽  
Quincy Cheesman
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Clinical Examination ◽  
Male Child ◽  
Adolescent Male ◽  
Significant Pain ◽  
Missed Diagnosis ◽  
Intercostal Nerves ◽  
Upper Abdominal

Slipping rib syndrome is a commonly missed diagnosis of upper abdominal pain. It results from hypermobility of the anterior rib due to the disruption of the interchondral ligaments, most likely secondary to repetitive motions or some inciting event. The hypermobility leads to impingement of the intercostal nerves resulting in significant pain.A 10-year-old adolescent male child was evaluated for 4 months of intermittent, left-sided, upper abdominal pain following a wrestling injury. His paediatrician referred him for further evaluation after a negative workup given the patient was still having intermittent bouts of short-lasting pain that would spontaneously resolve. Physical examination demonstrated a positive hooking manoeuvre with associated swelling and prominence over the lower left ribs.In conclusion, a broad differential diagnosis, thorough clinical examination, and knowledge of slipping rib syndrome are important to appropriately diagnose and treat patients symptoms.

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