Pub Date : 1900-01-01DOI: 10.25060/residpediatr-2023.v13n2-555
Camila Cabrera, Ana Paula Sazaki, D. Almeida
This is a case report, the purpose of which is to describe the experience of using the Pediatric Care Assessment Questionnaire Based on Perceptions of Maternal Care as an add on to Pediatrics guidelines. The results showed that the mothers’ confidence in pediatric guidelines is an indispensable factor for excellence in monitoring the mother’s and the child’s health. However, one of the biggest barriers to a better quality of care in this profession is insufficient time during the consultation to extend the care to the empowered mother regarding her desire for the doctor’s support for shared decision-making. The results made explicit the similarities and differences in this dynamic and the need to converge the two sides of this relationship. In this study, we recommend further studies in the field of pediatrics with regards to empowered mothers in pediatric clinics, implications and solutions for the excellence of pediatric care.
{"title":"Leptospirosis encephalitis in a pediatric patient: case report","authors":"Camila Cabrera, Ana Paula Sazaki, D. Almeida","doi":"10.25060/residpediatr-2023.v13n2-555","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n2-555","url":null,"abstract":"This is a case report, the purpose of which is to describe the experience of using the Pediatric Care Assessment Questionnaire Based on Perceptions of Maternal Care as an add on to Pediatrics guidelines. The results showed that the mothers’ confidence in pediatric guidelines is an indispensable factor for excellence in monitoring the mother’s and the child’s health. However, one of the biggest barriers to a better quality of care in this profession is insufficient time during the consultation to extend the care to the empowered mother regarding her desire for the doctor’s support for shared decision-making. The results made explicit the similarities and differences in this dynamic and the need to converge the two sides of this relationship. In this study, we recommend further studies in the field of pediatrics with regards to empowered mothers in pediatric clinics, implications and solutions for the excellence of pediatric care.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"44 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":"115627125","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-2019.v9n1-06
G. Nunes, M. Colvero
Introduction: The benefits of antenatal corticosteroid (AC) to preterm infants are well established. Its action in multiple tissues promotes maturity of fetal structures, with significant impact in the reduction of neonatal morbimortality. Objective: Evaluate the effects of AC in very low birth weight preterm infants (VLBWPI). Methods: Data from the Rede Gaúcha de Neonatologia of those VLBWPI born between 01/01/2008 and 12/31/2014 at the Fêmina Hospital in Porto Alegre was used. The exposure to AC (one or two doses of intramuscular 12mg betamethasone) and its relation to mortality and following comorbidities were analyzed: respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH), periventricular leukomalacia (PVL), retinopathy of prematurity (ROP), necrotizing enterocolitis (NEC), patent ductus arteriosus (PDA), and bronchopulmonary dysplasia (BPD). Results: A total of 496 patients were obtained, of whom 68% received at least one dose of CA and 32% received none. A significant reduction in the incidence of RDS was obtained in the group that exposed to AC (OR 0.468, p = 0.001). A 60% reduction in IVH (OR 0.401, p < 0.001) was noted. A reduction in the incidence of BPD was also observed with the use of AC (OR 0.296-0.903, p = 0.018). No statistical difference was observed in the incidence of PVL (p = 0.3), PDA (p = 0.68), NEC (p = 0.44) or ROP (p = 0.58). Neonatal death was significantly reduced by 78% in those treated with AC (OR 0.22, p < 0.001). Conclusion: exposure to AC, regardless of the number of doses, confers lower morbidity and lower mortality to VLBWPI. Palavras-chave: Doenças do Prematuro, Prematuro, Glucocorticoides, Recém-Nascido de muito Baixo Peso.
前言:产前皮质类固醇(AC)对早产儿的益处是很好的。它在多个组织中的作用促进胎儿结构的成熟，在降低新生儿死亡率方面具有重要影响。目的:评价AC对极低出生体重早产儿(VLBWPI)的影响。方法:使用Fêmina阿雷格里港医院2008年1月1日至2014年12月31日期间出生的VLBWPI患儿的数据。分析AC暴露(1或2剂肌肉注射12mg倍他米松)及其与死亡率和以下合并症的关系:呼吸窘迫综合征(RDS)、脑室内出血(IVH)、脑室周围白质软化(PVL)、早产儿视网膜病变(ROP)、坏死性小肠结肠炎(NEC)、动脉导管未闭(PDA)和支气管肺发育不良(BPD)。结果:共获得496例患者，其中68%接受了至少一剂CA, 32%未接受。暴露于AC组的RDS发生率显著降低(OR 0.468, p = 0.001)。IVH降低60% (OR 0.401, p < 0.001)。使用AC也可以降低BPD的发病率(OR 0.296-0.903, p = 0.018)。PVL (p = 0.3)、PDA (p = 0.68)、NEC (p = 0.44)、ROP (p = 0.58)的发生率差异无统计学意义。接受AC治疗的新生儿死亡率显著降低78% (OR 0.22, p < 0.001)。结论:暴露于AC，无论剂量多少，都能降低VLBWPI的发病率和死亡率。palavras - has: doenas do Prematuro, Prematuro，糖皮质激素，rec - nascido de muito Baixo Peso。
{"title":"Efeitos do corticoide antenatal em prematuros de muito baixo peso","authors":"G. Nunes, M. Colvero","doi":"10.25060/residpediatr-2019.v9n1-06","DOIUrl":"https://doi.org/10.25060/residpediatr-2019.v9n1-06","url":null,"abstract":"Introduction: The benefits of antenatal corticosteroid (AC) to preterm infants are well established. Its action in multiple tissues promotes maturity of fetal structures, with significant impact in the reduction of neonatal morbimortality. Objective: Evaluate the effects of AC in very low birth weight preterm infants (VLBWPI). Methods: Data from the Rede Gaúcha de Neonatologia of those VLBWPI born between 01/01/2008 and 12/31/2014 at the Fêmina Hospital in Porto Alegre was used. The exposure to AC (one or two doses of intramuscular 12mg betamethasone) and its relation to mortality and following comorbidities were analyzed: respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH), periventricular leukomalacia (PVL), retinopathy of prematurity (ROP), necrotizing enterocolitis (NEC), patent ductus arteriosus (PDA), and bronchopulmonary dysplasia (BPD). Results: A total of 496 patients were obtained, of whom 68% received at least one dose of CA and 32% received none. A significant reduction in the incidence of RDS was obtained in the group that exposed to AC (OR 0.468, p = 0.001). A 60% reduction in IVH (OR 0.401, p < 0.001) was noted. A reduction in the incidence of BPD was also observed with the use of AC (OR 0.296-0.903, p = 0.018). No statistical difference was observed in the incidence of PVL (p = 0.3), PDA (p = 0.68), NEC (p = 0.44) or ROP (p = 0.58). Neonatal death was significantly reduced by 78% in those treated with AC (OR 0.22, p < 0.001). Conclusion: exposure to AC, regardless of the number of doses, confers lower morbidity and lower mortality to VLBWPI. Palavras-chave: Doenças do Prematuro, Prematuro, Glucocorticoides, Recém-Nascido de muito Baixo Peso.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"19 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":"116140888","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.v12n1-239
A. Godinho, I. Leite
OBJECTIVES: To describe the profile of patients with sickle cell disease admitted to the Childrens Hospital of the Irma Dulce Social Works in Salvador city, Brazil. METHODS: Descriptive study through the analysis of hospitalization data registered in the book of Medical Residence in Pediatric Hematology and in the Hospital Information System, from March 2018 to March 2019. RESULTS: The main one cause of hospitalization is due to occlusive vessel crisis (59.5%) and the age group most affected is from 01 to 05 years (30%). Patients from Salvador city, capital of Bahia state, account for 65%. The average hospital stay is six days. Most patients still do not use hydroxyurea and 6% do not undergo regular outpatient follow-up. CONCLUSIONS: Knowing the profile of patients with sickle cell disease can serve as a basis for improving the specific care that this public needs and for the development of actions for the early detection of the disease and the implementation of reference centers in the interior of the state of Bahia.
{"title":"Profile of pediatric patients with sickle cell disease admitted to Children's Hospital of the Irma Dulce Social Works in Salvador (BA)","authors":"A. Godinho, I. Leite","doi":"10.25060/residpediatr-2022.v12n1-239","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n1-239","url":null,"abstract":"OBJECTIVES: To describe the profile of patients with sickle cell disease admitted to the Childrens Hospital of the Irma Dulce Social Works in Salvador city, Brazil. METHODS: Descriptive study through the analysis of hospitalization data registered in the book of Medical Residence in Pediatric Hematology and in the Hospital Information System, from March 2018 to March 2019. RESULTS: The main one cause of hospitalization is due to occlusive vessel crisis (59.5%) and the age group most affected is from 01 to 05 years (30%). Patients from Salvador city, capital of Bahia state, account for 65%. The average hospital stay is six days. Most patients still do not use hydroxyurea and 6% do not undergo regular outpatient follow-up. CONCLUSIONS: Knowing the profile of patients with sickle cell disease can serve as a basis for improving the specific care that this public needs and for the development of actions for the early detection of the disease and the implementation of reference centers in the interior of the state of Bahia.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"23 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":"116821004","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-2023-600
L. Paiva, Luigi Reis, Rinara Andrade, S. Brito, Giulia Chieppe, Isabel Freire
Pyridoxine-dependent epilepsy (EDP) is an autosomal recessive disease clinically represented by recurrent seizures. The diagnosis is made by clinical observation, and may be assisted by electroencephalography (EEG) and biochemical and genetic tests. The aim of this work was to report the case of an infant patient with epilepsy due to pyridoxine dependence, using the methods of analysis of clinical history data, physical examination, therapeutic response, with simultaneous laboratory investigation and image analysis. In the face of a Residência Pediátrica; 2023: Ahead of Print DOI: 10.25060/residpediatr-2023-600 Nota aos leitores: pode haver informações pendentes, por se tratar de um artigo em “visualização pré-publicação”. neonatal convulsive crisis immune to the instituted anticonvulsants and, with laboratory and imaging exams without changes, the introduction of pyridoxine brought clinical improvement, allowing the discontinuation of the other drugs in use. The reported case reinforces the importance of investigating neonatal seizures for the correct diagnosis and treatment.
吡哆醇依赖性癫痫(EDP)是一种常染色体隐性遗传病，临床表现为反复发作。诊断是通过临床观察，并可辅以脑电图(EEG)，生化和基因测试。本文采用临床病史资料、体格检查、治疗反应分析、实验室调查和图像分析相结合的方法，报道一例吡哆醇依赖性癫痫患儿。面对Residência Pediátrica;2023:预出版DOI: 10.25060/ residenpediatrics -2023-600 Nota aos leitores: pode haver informações pendentes, por se tratar de um artigo em“visualiza pr - publica”。新生儿惊厥危象对已建立的抗惊厥药物免疫，实验室和影像学检查无变化，吡哆醇的引入带来了临床改善，允许停止使用其他药物。报告的病例加强了调查新生儿癫痫的重要性，以正确诊断和治疗。
{"title":"Epilepsy due to pyridoxine dependence: a case report","authors":"L. Paiva, Luigi Reis, Rinara Andrade, S. Brito, Giulia Chieppe, Isabel Freire","doi":"10.25060/residpediatr-2023-600","DOIUrl":"https://doi.org/10.25060/residpediatr-2023-600","url":null,"abstract":"Pyridoxine-dependent epilepsy (EDP) is an autosomal recessive disease clinically represented by recurrent seizures. The diagnosis is made by clinical observation, and may be assisted by electroencephalography (EEG) and biochemical and genetic tests. The aim of this work was to report the case of an infant patient with epilepsy due to pyridoxine dependence, using the methods of analysis of clinical history data, physical examination, therapeutic response, with simultaneous laboratory investigation and image analysis. In the face of a Residência Pediátrica; 2023: Ahead of Print DOI: 10.25060/residpediatr-2023-600 Nota aos leitores: pode haver informações pendentes, por se tratar de um artigo em “visualização pré-publicação”. neonatal convulsive crisis immune to the instituted anticonvulsants and, with laboratory and imaging exams without changes, the introduction of pyridoxine brought clinical improvement, allowing the discontinuation of the other drugs in use. The reported case reinforces the importance of investigating neonatal seizures for the correct diagnosis and treatment.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"56 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":"115063914","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.v12n2-330
M. Faria, Giulia Matos, T. Costa, L. Sobral, I. Chagas
INTRODUCTION: Primary ciliary dyskinesia is a ciliary mobility disorder, which is characterized by reduced or uncoordinated mobility of the cilia present in the respiratory epithelium. Consequently, mucociliary transport is impaired in the patient’s respiratory tract, making him susceptible to infections and stasis of recurrent secretions, and later to a hyperplasia of secretory cells. CASE REPORT: This article describes the case of a patient with primary ciliary dyskinesia associated with Kartagener syndrome. All the significant points that led to its early diagnosis (less than 3 years of age) will be highlighted, including clinical status, imaging tests, and genetic study. DISCUSSION: It is an autosomal recessive disease, and in half of the cases it is associated with Kartagener syndrome, which manifests classic signs of chronic sinusitis, situs inversus and bronchiectasis. Furthermore, it is also common to find persistent cough, dyspnea, otitis media, mouth breathing, nasal polyp, and even cardiac malformations in patients with the disease. The differential diagnosis for ciliary dyskinesia is important in order to investigate possible additional damage to the patient due to his clinical condition. Therefore, clinical investigation in conjunction with radiographs, CT scans and cytological exams are the main method for analyzing structural variations. Overall, this dysfunction is usually identified in late stages, so its study is necessary enough to help the early diagnosis of the pathology, contributing to the preservation of the pulmonary function of these patients.
{"title":"Case report: primary ciliary dyskinesia associated with Kartagener syndrome","authors":"M. Faria, Giulia Matos, T. Costa, L. Sobral, I. Chagas","doi":"10.25060/residpediatr-2022.v12n2-330","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n2-330","url":null,"abstract":"INTRODUCTION: Primary ciliary dyskinesia is a ciliary mobility disorder, which is characterized by reduced or uncoordinated mobility of the cilia present in the respiratory epithelium. Consequently, mucociliary transport is impaired in the patient’s respiratory tract, making him susceptible to infections and stasis of recurrent secretions, and later to a hyperplasia of secretory cells. CASE REPORT: This article describes the case of a patient with primary ciliary dyskinesia associated with Kartagener syndrome. All the significant points that led to its early diagnosis (less than 3 years of age) will be highlighted, including clinical status, imaging tests, and genetic study. DISCUSSION: It is an autosomal recessive disease, and in half of the cases it is associated with Kartagener syndrome, which manifests classic signs of chronic sinusitis, situs inversus and bronchiectasis. Furthermore, it is also common to find persistent cough, dyspnea, otitis media, mouth breathing, nasal polyp, and even cardiac malformations in patients with the disease. The differential diagnosis for ciliary dyskinesia is important in order to investigate possible additional damage to the patient due to his clinical condition. Therefore, clinical investigation in conjunction with radiographs, CT scans and cytological exams are the main method for analyzing structural variations. Overall, this dysfunction is usually identified in late stages, so its study is necessary enough to help the early diagnosis of the pathology, contributing to the preservation of the pulmonary function of these patients.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"220 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":"121564882","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.v13n1-774
Ana Paula Couto, A. Koliski, W. Vita, M. Rodrigues
Endotracheal intubation is a frequent procedure in intensive care units and emergency care. The rapid intubation sequence (SRI) consists of a series of steps for sequential administration of sedative drugs and neuromuscular blockers, providing the ideal conditions for endotracheal intubation. The objective of this study is to carry out a bibliographic review of the medications used in pediatric SRI, and to propose the institution of an updated protocol that includes a safe analgesic medication. It is suggested to include dextrocetamine or fentanyl, depending on the clinical condition, for SRI.
{"title":"Rapid sequence intubation in pediatrics: an update and proposed protocol","authors":"Ana Paula Couto, A. Koliski, W. Vita, M. Rodrigues","doi":"10.25060/residpediatr-2023.v13n1-774","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n1-774","url":null,"abstract":"Endotracheal intubation is a frequent procedure in intensive care units and emergency care. The rapid intubation sequence (SRI) consists of a series of steps for sequential administration of sedative drugs and neuromuscular blockers, providing the ideal conditions for endotracheal intubation. The objective of this study is to carry out a bibliographic review of the medications used in pediatric SRI, and to propose the institution of an updated protocol that includes a safe analgesic medication. It is suggested to include dextrocetamine or fentanyl, depending on the clinical condition, for SRI.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"45 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":"124861435","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}
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-2023-836
Julia Rosa, Milena Rasche, Gabrielly Araujo, M. Matsuoka, Mário Falcão, Fabiola Bianchini, Laura Cardoso, Lisa Suzuki
ABSTRACT Introduction: Neonatal ultrasound began in the 1970s to evaluate cerebral hemorrhages. With the advent of different transducers and improvement of the technological devices (Doppler function), its use has greatly expanded, being possible the evaluation many organs. Objectives: The study aims to show new applicability of ultrasonography, as an auxiliary method in the diagnosis of spinal alterations, pulmonary diseases, and cranial sutures in the neonatal period. Methods: Descriptive study of ultrasound examinations performed with the Logiq P7 device of General EletricT, with multifrequency and microconvex transducers with frequency of 3 to 11 MHz and linear with frequency of 2 to 11 MHz. Ultrasound evaluations were performed immediately after diagnostic suspicion, by a specialist physician with more than 15 years of experience in pediatric ultrasound, provided that the clinical condition of the newborn allowed the examination and, if there was a need, a new ultrasound would be performed for diagnostic confirmation. Residência Pediátrica; 2023: Ahead of Print DOI: 10.25060/residpediatr-2023-836 Nota aos leitores: pode haver informações pendentes, por se tratar de um artigo em “visualização pré-publicação”. Results: Presentation of ultrasound images performed routinely in a neonatal tertiary-level unit, including evaluations of spine, lungs and skull bones presented as well: 1.Ultrasonography of normal neonatal spine (medullary cone and cauda equina). 2.Normal neonatal chest ultrasound, with the presence of A-lines and rare B-lines, and graphic representation of normal diaphragmatic mobility. 3.Ultrasound of the pervious and closed sagittal cranial suture. Conclusions: Ultrasonography has several applicability, and its use in the neonatal population favors satisfactory the diagnosis and follow-up of various pathologies, in a noninvasive and innocuous manner, reserving the other diagnostic methods for cases in which diagnostic complementation is necessary.
摘要:新生儿超声始于20世纪70年代，用于评估脑出血。随着各种传感器的出现和技术装置(多普勒功能)的改进，它的应用范围大大扩大，可以对许多器官进行评估。目的:探讨超声在新生儿期脊柱病变、肺部疾病、颅内缝合线诊断中的新应用价值。方法:描述性研究使用美国通用电气公司的Logiq P7超声检测设备，多频和微凸换能器频率为3 ~ 11mhz，线性换能器频率为2 ~ 11mhz。在诊断怀疑后，由具有15年以上儿科超声经验的专科医生立即进行超声评估，前提是新生儿的临床情况允许检查，如果有需要，将进行新的超声检查以进行诊断确认。Residencia Pediatrica;2023:提前打印DOI: 10.25060/ residenpediatrics -2023-836 Nota aos leitores: pode haver informações pendentes, por se tratar de um artigo em“visualiza pr - publica”。结果:新生儿三级单位常规超声图像的呈现，包括脊柱、肺和颅骨的评估。正常新生儿脊柱(脊髓锥和马尾)的超声检查。2.正常新生儿胸部超声，有a线和罕见的b线，图示膈肌正常活动。3.透水和闭合矢状颅缝的超声检查。结论:超声检查具有多方面的适用性，在新生儿人群中使用超声检查有利于对各种病理进行满意的诊断和随访，且无创、无害，为需要补充诊断的病例保留其他诊断方法。
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