scholarly journals Etiological profile of short stature in rural Rajasthan

2021 ◽  
Vol 8 (8) ◽  
pp. 297-301
Author(s):  
Ashwini Singh ◽  
Rupesh Masand ◽  
Chaman Ram Verma ◽  
Yograj Khinchi
Keyword(s):  
Statistical Analysis ◽  
Physical Examination ◽  
Short Stature ◽  
Rural Population ◽  
Pediatric Population ◽  
Anthropometric Measurements ◽  
Frequency Of Occurrence ◽  
Age Group ◽  
Pediatric Endocrinology ◽  
Complete Physical Examination

Background: Short stature is one of the most common referrals to pediatric endocrinology clinics. Approximately 3% of children in any population are found to be short. Aim: This study aims to determine the etiology of short stature and their frequency of occurrence in 2–18 years old rural pediatric population and to classify the patients with short stature using anthropometric measurements. Materials and Methods: A total of 400 patients (age: 2–18 years) were diagnosed with short stature and admitted in pediatric ward. After meticulous history collection and complete physical examination, relevant investigations were performed in all the study subjects. Appropriate statistical analysis was carried out with the collected data. Results: Out of 400 study subjects, 70.50% were boys (male: female=2.33:1). Majority (n=241, 60.5%) of the affected children were in the age group of 2–<6 years and 7–<10 years. Of the 400 study subjects, 95% of cases (n=380) were classified as having proportionate short stature and the rest (n=20, 5%) had disproportionate short stature. Undernutrition (n=117, 29.25%) and familial short stature (n=90, 22.50%) were the leading causes of short stature. Conclusion: The current study helped to determine the etiological profile of short stature in children of adjoining rural population and in devising appropriate strategies for management and prevention.

Assessment and Management of the Adnexal Mass in the Pediatric Population

2018 ◽  
Vol 15 (1) ◽  
pp. 27-31
Author(s):  
Joshua W. Monson ◽  
Christina L. Jones
Keyword(s):  
Physical Examination ◽  
Children And Adolescents ◽  
Adnexal Mass ◽  
Pediatric Population ◽  
Initial Assessment ◽  
Age Group ◽  
Laboratory Studies ◽  
Adnexal Masses ◽  
Group A ◽  
Radiological Studies

It is important for the obstetrician-gynecologist to be able to decipher the diagnostic clues of an adnexal mass and manage it appropriately. This becomes even more of a challenge when faced with adnexal masses in the pediatric population. Adnexal masses can be of gynecological (cervical, vaginal, primary peritoneal, uterine/endometrial, ovarian) or of non-gynecological origin. In order to approach adnexal masses in any age group, a thorough history and physical examination, along with proper laboratory studies and radiological studies need to be obtained. This pertains as much for adults as it does for assessing adnexal masses in children. This article will review the evaluation to include the initial assessment, usefulness of imaging and markers in the diagnosis, and management of adnexal masses in neonates, young children, and adolescents, and the newest recommendations for each, respectively.

TUMORS OF THE BREAST IN ADOLESCENT FEMALES

PEDIATRICS ◽  
1968 ◽  
Vol 41 (4) ◽  
pp. 743-749
Author(s):  
W. A. Daniel ◽  
Michelle D. Mathews
Keyword(s):  
Physical Examination ◽  
Adolescent Girl ◽  
Psychological Trauma ◽  
Adolescent Females ◽  
Medical Advice ◽  
Age Group ◽  
Complete Physical Examination ◽  
Laboratory Procedures ◽  
Early Discussion ◽  
Careful Physical Examination

Ninety-five patients, 12 to 21 years of age, had tumors of the breast removed during a 10-year period. Fibroadenomas were found in 94% and none of the tumors were malignant. Symptoms were rarely of a degree to cause the patient to seek medical advice, and the tumors were usually found by the physician during the course of a complete physical examination. Laboratory procedures have not been effective in differentiating the types of tumors preoperatively in the adolescent age group. Careful physical examination remains the greatest diagnostic tool. Many girls who discover the tumor themselves erroneously assume it is malignant and may postpone medical examination due to fear or because they dread an assumed postoperative appearance. We advocate early discussion of the problem with the adolescent girl and teach her to examine her own breasts once a month. Hopefully, our program will prevent psychological trauma should she develop a mammary tumor.

scholarly journals Paranasal Mass in a Healthy Male Toddler

2021 ◽  
pp. 014556132110079
Author(s):  
Melonie Anne Phillips ◽  
Meredith Lind ◽  
Gerd McGwire ◽  
Diana Rodriguez ◽  
Suzanna Logan
Keyword(s):  
Differential Diagnosis ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Age Group ◽  
Significant Morbidity ◽  
Healthy Male ◽  
Neck Tumors ◽  
Complete Surgical Resection ◽  
Maxilla And Mandible ◽  
Benign Mass

Head and neck tumors are rare in pediatric patients but should be kept in the differential when a patient presents with a new swelling or mass. One of these tumors is a myxoma, which is an insidiously growing, benign mass originating from the mesenchyme. They most commonly arise in the myocardium but can also develop in facial structures, particularly in the maxilla and mandible. When arising in facial structures, ocular, respiratory, and digestive systems can be affected based on local invasion. Complete surgical resection is curative but can lead to significant morbidity as well. Here, we present a case of a 15-month-old toddler presenting with a paranasal mass, which was ultimately diagnosed as a maxillary myxoma. This tumor is very rare in the pediatric population, especially in the toddler age-group, reminding clinicians to broaden the differential diagnosis when a patient’s course is atypical.

scholarly journals “Thyroid nodular disease and PTEN mutation in a multicentre series of children with PTEN hamartoma tumor syndrome (PHTS)”

Endocrine ◽  
2021 ◽  
Author(s):  
Gerdi Tuli ◽  
Jessica Munarin ◽  
Alessandro Mussa ◽  
Diana Carli ◽  
Roberto Gastaldi ◽  
...  
Keyword(s):  
Head Circumference ◽  
Thyroid Disease ◽  
Pediatric Population ◽  
Brain Mri ◽  
Follicular Adenoma ◽  
Pten Gene ◽  
Pediatric Endocrinology ◽  
Benign Thyroid Disorders ◽  
And Gender ◽  
Benign Thyroid

Abstract Purpose To report the incidence of 4–12% of differentiated thyroid cancer (DTC) and up to 50% of benign thyroid nodular disease and to describe nodular thyroid disease in a multicentre pediatric population with PTEN mutations. Methods: Retrospective data of pediatric patients with PTEN mutations collected from tertiary Departments of Pediatric Endocrinology of Turin, Milan and Genua, Italy, in the period 2010–2020. Results Seventeen children with PTEN mutations were recruited in the study. Thyroid involvement was present in 12/17 (70.6%) subjects, showing a multinodular struma in 6/17 (35.3%), nodules with benign ultrasound features in 5/17 (29.4%) and a follicular adenoma in 1/17 (6%). No correlation was found between thyroid disease and gender, puberty, vascular manifestations, delayed development, or brain MRI abnormalities, while multiple lipomas were associated with thyroid disease (p = 0.03), as was macrocephaly. Standard Deviation (SD) score head circumference was 4.35 ± 1.35 cm in subjects with thyroid disease, 3 ± 0.43 cm (p = 0.02) in the group without thyroid disease. Thyroid involvement was present in all subjects with mutations in exon 6 (4/4) and exon 8 (3/3) of the PTEN gene (p = 0.02). Conclusion In the presented cohort, benign thyroid disorders were prevalent, with no evidence of DTC. A correlation was found between thyroid lesions and head circumference and the occurrence of multiple lipomas. Future studies in larger cohorts should assess whether risk stratification is needed when recommending surveillance strategies in children or young adolescents with PTEN hamartoma syndrome.

Children with Fevers: II

PEDIATRICS ◽  
1969 ◽  
Vol 44 (3) ◽  
pp. 452-452
Author(s):  
Deryle T. Whipple
Keyword(s):  
Young Child ◽  
Physical Examination ◽  
Infectious Mononucleosis ◽  
Recent Article ◽  
Complete Physical Examination ◽  
Limited Coverage

In a recent article in Pediatrics (43:290, 1969) , Dr. Cone reviewed the approach to a child with fever. The list of patients with fever of undetermined origin will shrink markedly in the presence of a complete physical examination (especially the ears), a CBC, and urinalysis performed properly. I am surprised Dr. Cone omits infectious mononucleosis from his admittedly limited coverage of this subject. In the young child the Mono test or Heterophile may remain consistently normal.

DIAGNOSIS AND TREATMENT: RECURRENT ABDOMINAL PAIN IN CHILDREN—A SURGEON'S VIEWPOINT

PEDIATRICS ◽  
1967 ◽  
Vol 40 (6) ◽  
pp. 1024-1026
Author(s):  
Donald G. Marshall
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Recent Article ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment ◽  
Subsequent Paper ◽  
Organic Disease ◽  
Detailed History ◽  
Psychogenic Pain ◽  
Complete Physical Examination

MUCH has been written in recent years about the importance of psychogenic disturbances as causes of abdominal pain in childhood. Yet, by no means all recurrent abdominal pain is so caused. A recent article in Pediatrics on nonorganic abdominal pain therefore promised this subsequent paper on pain of organic origin. I would like to caution the reader that his "surgeon's viewpoint" tends to exclude consideration of organic abdominal pain not surgically treated. Perhaps a third paper is indicated. Abdominal pain of whatever origin requires a planned approach to diagnosis. While it is only too easy for the clinician to submit a patient to innumerable investigations of varying degrees of unlikelihood of revealing disorders of differing degrees of rarity, a detailed history and searching interview with the parents, together with a complete physical examination, will go very far to reduce the number of cases submitted to any but quite simple tests. The diagnosis of psychogenic pain, no less than that of organic pain, must rest on positive findings. To make a diagnosis of psychogenic pain, there must be something more than the absence of demonstrable organic disease. There must be significant psychopathology. If there is evidence of neither this nor organic disease, one must resolve to be irresolute and decide to be undecided. One must not make a diagnosis of psychic disease simply because one can find no organic cause. One must also remember that psychic disturbance does not confer immunity from organic disease. A neurotic, psychotic, or brain-damaged child can have appendicitis.

Screening of potential donors for immunoglobulins M and G to new coronavirus infection

2021 ◽  
Vol 23 (3) ◽  
pp. 49-54
Author(s):  
Yuliia E. Romashova ◽  
Vladimir N. Vilyaninov ◽  
Nikolay V. Belgesov ◽  
Sergey P. Kaleko
Keyword(s):  
Human Immunodeficiency Virus ◽  
Active Movement ◽  
Frequency Of Occurrence ◽  
Age Group ◽  
Spring Period ◽  
Immunodeficiency Virus ◽  
Coronavirus Infection ◽  
Human Immunodeficiency Virus 1 ◽  
Epidemiological Situation ◽  
Selection Of

This study presents the results of the examination of potential donors of blood and its components for immunoglobulins M and G to patients with coronavirus disease 2019 (COVID-19) living in St. Petersburg. A total of 6782 people aged 1824 years were evaluated, which accounted for 2.07% of the regions population (326 760 people) of this age group. The study was carried out in the spring and autumn of 2020. A negative result (absence of antibodies) was obtained in 93.5% of the participants. The rates of immunoglobulins M and M + G were 0.58% and 4.18%, respectively, in the spring and autumn. Moreover, the number of participants who had immunoglobulins M and G + M in the autumn period was four times higher than the indicators of the spring period, which indicated greater infection activities in the population during this period. This is most likely due to the active movement of the population in the summer. When comparing the rates of COVID-19 infection and the frequency of occurrence in donors of the same age, markers of human immunodeficiency virus 1 and 2 and hepatitis B and C in 2020 (0.024, 0.012 and 0.13%, respectively) indicate the urgency of the problem of donor selection during blood services, especially during a difficult epidemiological situation because of COVID-19. Along with organizational measures for the selection of donors (e.g., attracting individuals from organized groups in which there are no signs of an unfavorable epidemiological situation to donation), mandatory testing of potential donors for immunoglobulins M and G should be considered.

scholarly journals Ultrasonological evaluation of acute scrotum

2018 ◽  
Vol 6 (1-2) ◽  
pp. 11-14
Author(s):  
Prakash Sharma ◽  
Merina Gyawali ◽  
Sristi Singh
Keyword(s):  
Statistical Analysis ◽  
Color Doppler ◽  
Descriptive Analysis ◽  
Power Doppler ◽  
Rank Correlation ◽  
Final Diagnosis ◽  
Acute Scrotum ◽  
Age Group ◽  
Scrotal Pain ◽  
Kendall Rank Correlation

Introduction: Acute scrotum is a common surgical condition. Ultrasound along with Doppler plays an important role in differentiating the various causes. Purpose of this study was to evaluate the role of ultrasound in identifying the various causes of acute scrotum.Methods: All patients with history of acute scrotum presenting to the Department of Radiology were included in the study. Scrotal ultrasound was performed with a linear 7.5 to 12-MHz transducer with abundant acoustic gel. Imaging was done in longitudinal and transverse planes with Power Doppler and Color Doppler. The testes, epididymis, spermatic cord, scrotal wall and inguinal region were evaluated. Kidney, Ureter and Bladder region was evaluated for possibility of calculus. Final diagnosis was made based on clinical outcome, follow up, intraoperative findings and histopathology when available. Statistical analysis was done using SPSS version 18 for windows. Descriptive analysis was done. Non parametric correlation between side and torsion was done using Kendall Rank Correlation Coefficient.Results: There were altogether 50 patients available for statistical analysis. Age of the patients ranged from 14 to 65 years with mean age of 34.7±14.7 years. Most common age group was 21 to 40 years. Inflammatory pathology was the most common pathology of actual scrotal pain. There was no significant correlation between side of pain and testicular torsion.Conclusion: Inflammatory pathology was the most common cause for actual scrotal pain. The most common age group was 21 to 40 years.

scholarly journals Clinico-epidemiological profile of acute respiratory infections and malnutrition in urban and rural population of central India

2016 ◽  
Vol 4 (1) ◽  
pp. 159
Author(s):  
Pranav G. Jawade ◽  
Neelam D. Sukhsohale ◽  
Gayatri G. Jawade ◽  
Binish Z. A. Khan ◽  
Pratik K. Kakani ◽  
...  
Keyword(s):  
Rural Population ◽  
Urban Population ◽  
Respiratory Infections ◽  
Severe Acute Malnutrition ◽  
Pediatric Population ◽  
Central India ◽  
Developing Nations ◽  
Acute Malnutrition ◽  
Acute Respiratory Infections ◽  
Cross Sectional

Background: Acute respiratory infections (ARI) and Malnutrition in children have tremendous burden on the health care sector of developing nations including India. The intensity with which these conditions are holding grip in the community is indeed a matter of concern and hence developing nations should develop an insight to assess the severity of it has become a necessity.Methods: A hospital based cross sectional study was carried out in children aged 0-14 years. Children were clinically assessed and diagnosis was made as URTI or LRTI Also anthropometry was performed and accordingly children were divided into categories of no malnutrition (NM), severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) in ‘under 5’ years age children according to WHO guidelines, whereas children aged ‘above 5’ years were categorized as per the IAP guidelines.Results: It was observed that most of the mothers of children were illiterate with inadequate or absent ventilation and use of biomass fuels (chulha) for cooking purpose in households of rural children. The proportion of malnutrition was found to be equal in Under 5 children. In ‘above 5 years’ age study subjects, 52.4% of urban study subjects were normal as compared to 16.7% of rural study subjects.Conclusions: Our study implies that ARI and Malnutrition definitely is more prevalent in the pediatric population. Prevalence of URTI was found to be on a higher side in the rural population and LRTI prevalence was found to be higher in the urban population. Similarly, the prevalence of malnutrition was almost similar in ‘Under 5’ aged children, whereas the prevalence of malnutrition in ‘Above 5’ aged children was higher in the rural population than urban population.

scholarly journals Infant Feeding and Weaning Practices among Kashmiri Rural Population

JMS SKIMS ◽  
2009 ◽  
Vol 12 (2) ◽  
pp. 46-48
Author(s):  
Tabasum Ara ◽  
Khurshid Banday ◽  
Afshan Gul
Keyword(s):  
Standard Deviation ◽  
Infant Feeding ◽  
Breast Feeding ◽  
Rural Women ◽  
Rural Population ◽  
Age Group ◽  
Solid Foods ◽  
On Demand ◽  
Semi Solid ◽  
Reconstituted Milk

Objective: The study was carried out with the aim to assess infant feeding and weaning practices among Kashmiri rural population. Materials and Methods: The present investigation comprised 85 rural women having their children in the age group of 1-24 months. Samples were selected randomly .Data was analyzed in the form of percentages, mean and standard deviation. Results: Average age of exclusive breast feeding was 9.41±2.32 months.88.23 per cent of mothers fed colostrum to their babies while as 11.77 per cent were of the opinion that it is not good for baby’s health. Only 23.52 per cent considered breast milk as a complete food for their infants. The most common reason for terminating breast feeding was subsequent pregnancy.Upto 4 months of age infants were fed on demand. Cow’s milk or reconstituted milk was introduced by 80 per cent of respondents between the ages of 9-12 months. The foods introduced were chut and biscuits softened in tea, banana, mashed rice with milk, porridge, egg, cerelac and nestum. Conclusion: Breast feeding was a universal practice in rural women. Most of the infants were fed colostrum without knowing its importance. A small percentage of subjects weaned their babies from 4-6 months of age. Hence, mothers need to be educated about the significance of colostrum and introduction of semi- solid foods at an appropriate age. J Med Sci.2009;12(2):46-48  

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