Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2021.v11n3-174
L. Johansson, Izabela Fogiato, Pedro Viscontti, G. Oliveira, Jocemara Gurmini
In aim to facilitate the use of replacement measures of body segments for monitoring the child’s growth, the calculation of medication doses and the organic function rates, this study selected previously healthy children from 5 to incomplete 18 years of age, at a pediatric hospital, and measured their height, ulna’s length and the forearm length. An amount of 120 patients were selected, 61 female and 59 male. From these, 77 declared their color as white, 40 as brown and 3 as black. The respective averages were 9.5 years of age, 135cm in height, 36.2cm in forearm length and 20.9cm in ulna’s length, with a statistically significant difference between the two genders (p<0.05). The ulna’s and the forearm length were reproducible, with low coefficient of variation. There were no statistical significance when evaluated if the replacement measure could underestimate or overestimate the height. At the Wilcoxon test, there were more errors on predicting the height through ulna’s length on females, and more errors through forearm length on males (p<0.05). At Student t-test statistical evaluation, for the whole sample of the study as for the stratified evaluation of each gender and ethnicities, there were no significant statistically difference between the estimated height through the forearm length and the measured height (p=0.28). Tough, the estimated height through the ulna’s length compared with the measured height had a statistical significance difference (p<0.05). That said, we have concluded the estimated height through the forearm length as the better replacement measure for height.
{"title":"Using ulna length measure compared to forearm measure, for height estimate of previously healthy children at a pediatric hospital","authors":"L. Johansson, Izabela Fogiato, Pedro Viscontti, G. Oliveira, Jocemara Gurmini","doi":"10.25060/residpediatr-2021.v11n3-174","DOIUrl":"https://doi.org/10.25060/residpediatr-2021.v11n3-174","url":null,"abstract":"In aim to facilitate the use of replacement measures of body segments for monitoring the child’s growth, the calculation of medication doses and the organic function rates, this study selected previously healthy children from 5 to incomplete 18 years of age, at a pediatric hospital, and measured their height, ulna’s length and the forearm length. An amount of 120 patients were selected, 61 female and 59 male. From these, 77 declared their color as white, 40 as brown and 3 as black. The respective averages were 9.5 years of age, 135cm in height, 36.2cm in forearm length and 20.9cm in ulna’s length, with a statistically significant difference between the two genders (p<0.05). The ulna’s and the forearm length were reproducible, with low coefficient of variation. There were no statistical significance when evaluated if the replacement measure could underestimate or overestimate the height. At the Wilcoxon test, there were more errors on predicting the height through ulna’s length on females, and more errors through forearm length on males (p<0.05). At Student t-test statistical evaluation, for the whole sample of the study as for the stratified evaluation of each gender and ethnicities, there were no significant statistically difference between the estimated height through the forearm length and the measured height (p=0.28). Tough, the estimated height through the ulna’s length compared with the measured height had a statistical significance difference (p<0.05). That said, we have concluded the estimated height through the forearm length as the better replacement measure for height.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123025736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2022.v12n2-303
Ana Elisa Souza, A. Garcia, F. Barcelos, Letícia Vaz, Luciana Matos, Ana Luisa Giarolla, Juliana Marcelino
Cornelia de Lange syndrome (CdLS) is a rare genetic disorder, caused by variants of cohesin complex genes. The disease is characterized by multiple congenital anomalies, which include distinctive facial features, prenatal and postnatal growth deficiency, neuropsychomotor delay, gastroesophageal reflux disease and upper limb malformations. We describe the case of a male patient who presented phenotypic alterations compatible with the classic form of CdLS. The diagnosis can be clinically determined even in the absence of molecular confirmation. Orogastric tube and admission to a neonatal Intensive Care Unit were necessary due to difficulties with suction. Subsequently, the patient underwent gastrostomy. In patients with CdLS, strict monitoring of weight gain, cardiac and urinary tract malformations and visual and hearing deficits is essential.
Cornelia de Lange综合征(CdLS)是一种罕见的遗传性疾病，由粘接蛋白复合物基因变异引起。该疾病的特点是多种先天性异常，包括独特的面部特征，产前和产后生长缺陷，神经精神运动迟缓，胃食管反流病和上肢畸形。我们描述的情况下，男性患者谁提出表型改变兼容的CdLS的经典形式。即使在没有分子证实的情况下，临床诊断也可以确定。由于抽吸困难，必须使用口胃管并送入新生儿重症监护病房。随后，患者接受了胃造口术。在CdLS患者中，严格监测体重增加、心脏和尿路畸形以及视力和听力缺陷是必不可少的。
{"title":"Cornelia de Lange syndrome: a case report","authors":"Ana Elisa Souza, A. Garcia, F. Barcelos, Letícia Vaz, Luciana Matos, Ana Luisa Giarolla, Juliana Marcelino","doi":"10.25060/residpediatr-2022.v12n2-303","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n2-303","url":null,"abstract":"Cornelia de Lange syndrome (CdLS) is a rare genetic disorder, caused by variants of cohesin complex genes. The disease is characterized by multiple congenital anomalies, which include distinctive facial features, prenatal and postnatal growth deficiency, neuropsychomotor delay, gastroesophageal reflux disease and upper limb malformations. We describe the case of a male patient who presented phenotypic alterations compatible with the classic form of CdLS. The diagnosis can be clinically determined even in the absence of molecular confirmation. Orogastric tube and admission to a neonatal Intensive Care Unit were necessary due to difficulties with suction. Subsequently, the patient underwent gastrostomy. In patients with CdLS, strict monitoring of weight gain, cardiac and urinary tract malformations and visual and hearing deficits is essential.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125119207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2022.v12n2-319
Rafael Sampaio, Catherine Colombiano, Isabela Fiorio, M. Carmo, Patrícia Pinheiro, Juliana Bastos, G. Pinasco, K. Manhabusque
Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract. They can be identified from the neonatal period or in the first two years. The pathogenesis is still uncertain opening possibility to several theories correlated to its formation during the embryogenesis. The clinical manifestations are very varied depending on the location and size of the lesion. Diagnosis is initially performed by abdominal ultrasonography and confirmed by histopathological examination. In these patients, the treatment is always surgical. This case report refers to a neonate with ultrasounds in intrauterine period showing abdominal cystic masses and its evolution to the definitive diagnosis of enteric duplication cyst, after surgical treatment and confirmed by histopathological analysis.
{"title":"Enteric duplication cyst in newborn","authors":"Rafael Sampaio, Catherine Colombiano, Isabela Fiorio, M. Carmo, Patrícia Pinheiro, Juliana Bastos, G. Pinasco, K. Manhabusque","doi":"10.25060/residpediatr-2022.v12n2-319","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n2-319","url":null,"abstract":"Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract. They can be identified from the neonatal period or in the first two years. The pathogenesis is still uncertain opening possibility to several theories correlated to its formation during the embryogenesis. The clinical manifestations are very varied depending on the location and size of the lesion. Diagnosis is initially performed by abdominal ultrasonography and confirmed by histopathological examination. In these patients, the treatment is always surgical. This case report refers to a neonate with ultrasounds in intrauterine period showing abdominal cystic masses and its evolution to the definitive diagnosis of enteric duplication cyst, after surgical treatment and confirmed by histopathological analysis.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126235792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2023.v13n3-1025
A. Vogt, R. Rocha, Priscila O. Amaral
It aims to report an interactive case of a pediatric patient hospitalized with dysphonia, stridor and progressive respiratory effort, highlighting the differential diagnoses and treatment.
本文报告一例因发声困难、喘鸣和进行性呼吸困难而住院的儿科患者，强调其鉴别诊断和治疗。
{"title":"Dysphonia and stridor in a pediatric patient","authors":"A. Vogt, R. Rocha, Priscila O. Amaral","doi":"10.25060/residpediatr-2023.v13n3-1025","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n3-1025","url":null,"abstract":"It aims to report an interactive case of a pediatric patient hospitalized with dysphonia, stridor and progressive respiratory effort, highlighting the differential diagnoses and treatment.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129951203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2022.v12n1-282
M. Curi, Juliana Castanheira, Isabela Gomes Maldi, Marcella Mendonça, J. Cardoso, Fabiana Barsam, J. Lima
Sydenhams chorea is characterized by involuntary movements of the distal limbs and face region and mainly affects females during their childhood. It occurs by complication of pharyngotonsillitis caused by beta hemolytic streptococcus of the A group. This case report aims to describe a case of rheumatic fever diagnosed from a clinical picture of Sydenhams chorea. A descriptive case study of a female child was carried out, she was twelve years old, she sought the emergency care unit with involuntary movements in lower and upper rights limbs and face for five days, she had a previous history of infection an upper respiratory infection with self-limited evolution. The physical examination found, was in good general condition, with extension and flexion limbs movements, opening and closing hands movements, finger and face movements, complementary exams, they did not demonstrate any alterations, except ASLO of 217IU/ml. It was started a treatment with haloperidol, benzathine penicillin and and school progress evolved asymptomatic with improved choreatotic movements. This report demonstrates the relation between Sydenhams chorea and the late diagnosis of rheumatic fever, in addition to explaining the good prognosis from adequate and early therapeutic management.
{"title":"The diagnosis of rheumatic fever by the clinical presentation of Sydenham chorea: case report","authors":"M. Curi, Juliana Castanheira, Isabela Gomes Maldi, Marcella Mendonça, J. Cardoso, Fabiana Barsam, J. Lima","doi":"10.25060/residpediatr-2022.v12n1-282","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n1-282","url":null,"abstract":"Sydenhams chorea is characterized by involuntary movements of the distal limbs and face region and mainly affects females during their childhood. It occurs by complication of pharyngotonsillitis caused by beta hemolytic streptococcus of the A group. This case report aims to describe a case of rheumatic fever diagnosed from a clinical picture of Sydenhams chorea. A descriptive case study of a female child was carried out, she was twelve years old, she sought the emergency care unit with involuntary movements in lower and upper rights limbs and face for five days, she had a previous history of infection an upper respiratory infection with self-limited evolution. The physical examination found, was in good general condition, with extension and flexion limbs movements, opening and closing hands movements, finger and face movements, complementary exams, they did not demonstrate any alterations, except ASLO of 217IU/ml. It was started a treatment with haloperidol, benzathine penicillin and and school progress evolved asymptomatic with improved choreatotic movements. This report demonstrates the relation between Sydenhams chorea and the late diagnosis of rheumatic fever, in addition to explaining the good prognosis from adequate and early therapeutic management.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128066990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2021.v11n3-224
G. Maftum, F.P. Souza, Gleice Gabriel, M. Rover, F. Sandrini, Tainara Dalmina, Haydée Soares, M. Cristovam
OBJECTIVES: To realize screening for emotional and psychosocial disorders in overweight and obese children and adolescents by application of pediatric symptoms checklist. METHODS: Cross-sectional epidemiological study of children and adolescents aged six and 16 years; evaluated at the general pediatrics outpatient clinic of the Hospital Universitário do Oeste do Paraná, in Cascavel City, State of Paraná. The variables analyzed were: sex, age, BMI, and their relationship to the pediatric symptoms checklist (PSC). For the analysis of the data the chi-square hypothesis tests and Fishers exact hypotheses were used for the proportions. The measure of effect of interest was the 95% confidence interval ratio, obtained with the Poisson regression, considering significant results with value of p<0.05 Wald test. RESULTS: 157 subjects aged six to 16 years participated, 123(78%) of which were under 12 years of age. Of these, 66 (42%) were female and 91 (58%) male, 88 (56%) were obese and 69 (44%) were overweight. The pediatric symptoms checklist was positive in 39 (24%) of the participants. Most participants with positive PSC were less than 12 years old and obese. There was no statistical significance between age, sex and BMI and positive score on the pediatric symptoms checklist. CONCLUSION: 24% of overweight and obese children were at risk for emotional and psychosocial problems.
目的:应用儿童症状检查表对超重和肥胖儿童和青少年进行情绪和社会心理障碍筛查。方法:对6岁和16岁儿童和青少年进行横断面流行病学研究;在帕拉纳州卡斯卡维尔市Universitário do Oeste do paran医院的普通儿科门诊进行评估。分析的变量包括:性别、年龄、BMI及其与儿科症状检查表(PSC)的关系。对于数据的分析使用卡方假设检验和费雪精确假设的比例。考虑到p<0.05 Wald检验的显著性结果，兴趣效应的度量为95%置信区间比，由泊松回归得到。结果:157名6 ~ 16岁的受试者参与，其中123名(78%)年龄在12岁以下。其中，女性66人(42%)，男性91人(58%)，肥胖88人(56%)，超重69人(44%)。39名(24%)参与者的儿科症状检查表呈阳性。大多数PSC阳性的参与者年龄小于12岁，并且肥胖。年龄、性别、BMI与儿童症状检查表阳性评分之间无统计学意义。结论:24%的超重和肥胖儿童存在情绪和社会心理问题的风险。
{"title":"Screening for emotional and psychosocial disorders in children and adolescents with excess weight","authors":"G. Maftum, F.P. Souza, Gleice Gabriel, M. Rover, F. Sandrini, Tainara Dalmina, Haydée Soares, M. Cristovam","doi":"10.25060/residpediatr-2021.v11n3-224","DOIUrl":"https://doi.org/10.25060/residpediatr-2021.v11n3-224","url":null,"abstract":"OBJECTIVES: To realize screening for emotional and psychosocial disorders in overweight and obese children and adolescents by application of pediatric symptoms checklist. METHODS: Cross-sectional epidemiological study of children and adolescents aged six and 16 years; evaluated at the general pediatrics outpatient clinic of the Hospital Universitário do Oeste do Paraná, in Cascavel City, State of Paraná. The variables analyzed were: sex, age, BMI, and their relationship to the pediatric symptoms checklist (PSC). For the analysis of the data the chi-square hypothesis tests and Fishers exact hypotheses were used for the proportions. The measure of effect of interest was the 95% confidence interval ratio, obtained with the Poisson regression, considering significant results with value of p<0.05 Wald test. RESULTS: 157 subjects aged six to 16 years participated, 123(78%) of which were under 12 years of age. Of these, 66 (42%) were female and 91 (58%) male, 88 (56%) were obese and 69 (44%) were overweight. The pediatric symptoms checklist was positive in 39 (24%) of the participants. Most participants with positive PSC were less than 12 years old and obese. There was no statistical significance between age, sex and BMI and positive score on the pediatric symptoms checklist. CONCLUSION: 24% of overweight and obese children were at risk for emotional and psychosocial problems.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"10 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127282496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2021.v11n2-154
Cláudio Silva, A. Oliveira, F. Silva
The objective of this study was to analyze the main effects of intravenous magnesium sulfate for the treatment of severe acute asthma in children and adolescents. An integrative review was carried out using the descriptors “magnesium sulfate”, “severe asthma”, “children”, and “adolescents” in English, Portuguese, and Spanish. The inclusion criteria were full articles that portrayed the topic of intravenos use of magnesium sulphate in the treatment of severe acute asthma in children and adolescents, published between 2010 and 2018. The study was completed with 6 articles and the main effects observed were efficacy and decrease in the hospitalization rate of the pediatric patients, causing greater benefit to the patients studied in the last 7 years.
{"title":"Efficacy of the use of intravenous magnesium sulphate in the treatment of acute asthma in children and adolescents: an integrative review","authors":"Cláudio Silva, A. Oliveira, F. Silva","doi":"10.25060/residpediatr-2021.v11n2-154","DOIUrl":"https://doi.org/10.25060/residpediatr-2021.v11n2-154","url":null,"abstract":"The objective of this study was to analyze the main effects of intravenous magnesium sulfate for the treatment of severe acute asthma in children and adolescents. An integrative review was carried out using the descriptors “magnesium sulfate”, “severe asthma”, “children”, and “adolescents” in English, Portuguese, and Spanish. The inclusion criteria were full articles that portrayed the topic of intravenos use of magnesium sulphate in the treatment of severe acute asthma in children and adolescents, published between 2010 and 2018. The study was completed with 6 articles and the main effects observed were efficacy and decrease in the hospitalization rate of the pediatric patients, causing greater benefit to the patients studied in the last 7 years.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126969512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2021.v11n2-132
M. Teixeira, Fabiana Barsan, V. Cunali, B. Barbosa, K. Oliveira
OBJECTIVES: The article reports the case of encephalocele nasofrontal in an infant, relating to the genetic, syndromic and socioenvironmental factors, showing the importance of the health team being attentive to the findings, being a malformation, with a high mortality and morbidity rate and having few reports in the literature. CASE REPORT: Infant, female, born at term, vaginal delivery, 3.570g, natural and coming from Uberaba. After birth, she was hospitalized for a congenital heart disease and Down syndrome, cardiac surgery was performed. In this period, the respiratory physiotherapist perceived the difficulty of introducing the nasal aspirate, and was sent to the otorhinol, without statistical findings, a cranial tomography was performed at 4 months, which diagnosed an infant with nasoethmoidal and nasofrontal encephalocele. The encephalocele is a rare anomaly, with high morbidity, mortality and risk of complications. It is related to other pathologies diagnosed in patients and to the antecedent factors at birth, genetic and environmental causes. COMMENTS: Although it is difficult, with high mortality and morbidity, it is of great value to know about the factors that are related to this anomaly, both for the early diagnosis and for the prevention.
{"title":"Nasoethmoidal and nasofrontal encephalocele: case report","authors":"M. Teixeira, Fabiana Barsan, V. Cunali, B. Barbosa, K. Oliveira","doi":"10.25060/residpediatr-2021.v11n2-132","DOIUrl":"https://doi.org/10.25060/residpediatr-2021.v11n2-132","url":null,"abstract":"OBJECTIVES: The article reports the case of encephalocele nasofrontal in an infant, relating to the genetic, syndromic and socioenvironmental factors, showing the importance of the health team being attentive to the findings, being a malformation, with a high mortality and morbidity rate and having few reports in the literature. CASE REPORT: Infant, female, born at term, vaginal delivery, 3.570g, natural and coming from Uberaba. After birth, she was hospitalized for a congenital heart disease and Down syndrome, cardiac surgery was performed. In this period, the respiratory physiotherapist perceived the difficulty of introducing the nasal aspirate, and was sent to the otorhinol, without statistical findings, a cranial tomography was performed at 4 months, which diagnosed an infant with nasoethmoidal and nasofrontal encephalocele. The encephalocele is a rare anomaly, with high morbidity, mortality and risk of complications. It is related to other pathologies diagnosed in patients and to the antecedent factors at birth, genetic and environmental causes. COMMENTS: Although it is difficult, with high mortality and morbidity, it is of great value to know about the factors that are related to this anomaly, both for the early diagnosis and for the prevention.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122380914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2021.v11n3-353
R. Maunsell, M. Avelino
The role of the medical team in the evaluation of children with dysphagia goes way beyond the prescription of medical and nonmedical treatment and the evaluation of the possibility of oral feeding. Swallowing disorders in children may compromise growth and development with significant compromise to the child’s general health, sometimes leading to multiple hospital admissions and diagnostic exams that expose the child to unnecessary risks, when ordered outside the context of a multidisciplinary approach. Most times dysphagia is multifactorial. Several pathologies a part from neurologic impairments may be involved as the main cause or a co-factor for swallowing disorders. Treatment may be medical, surgical or both, and some interventions may be needed even during follow-up due to consequences of long-term dysphagia. Specialists central to all multidisciplinary programs are: the otolaryngologist, the pneumologist, the gastroenterologist and the speech and language pathologist to ensure that evaluation of structural and functional aspects of the respiratory and digestive systems and its repercussions on the child’s general health have been encountered and will be continuously accounted for. This letter hopes to bringing attention to the need of a detailed and specialized medical evaluation of these children before and continuously during diagnosis and rehabilitation of these children.
{"title":"Swallowing disorders and dysphagia in children","authors":"R. Maunsell, M. Avelino","doi":"10.25060/residpediatr-2021.v11n3-353","DOIUrl":"https://doi.org/10.25060/residpediatr-2021.v11n3-353","url":null,"abstract":"The role of the medical team in the evaluation of children with dysphagia goes way beyond the prescription of medical and nonmedical treatment and the evaluation of the possibility of oral feeding. Swallowing disorders in children may compromise growth and development with significant compromise to the child’s general health, sometimes leading to multiple hospital admissions and diagnostic exams that expose the child to unnecessary risks, when ordered outside the context of a multidisciplinary approach. Most times dysphagia is multifactorial. Several pathologies a part from neurologic impairments may be involved as the main cause or a co-factor for swallowing disorders. Treatment may be medical, surgical or both, and some interventions may be needed even during follow-up due to consequences of long-term dysphagia. Specialists central to all multidisciplinary programs are: the otolaryngologist, the pneumologist, the gastroenterologist and the speech and language pathologist to ensure that evaluation of structural and functional aspects of the respiratory and digestive systems and its repercussions on the child’s general health have been encountered and will be continuously accounted for. This letter hopes to bringing attention to the need of a detailed and specialized medical evaluation of these children before and continuously during diagnosis and rehabilitation of these children.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121249764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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