Pediatric urinary tract infection and reflux.

Abstract:

:Urinary tract infections in children are sometimes associated with vesicoureteral reflux, which can lead to renal scarring if it remains unrecognized. Since the risk of renal scarring is greatest in infants, any child who presents with a urinary tract infection prior to toilet training should be evaluated for the presence of reflux. Children who may be lost to follow-up and those who have recurrent urinary tract infections should also be evaluated. The preferred method for evaluation of urinary reflux is a voiding cystourethrogram. Documented reflux is initially treated with prophylactic antibiotics. Patients who have breakthrough infections on prophylaxis, develop new renal scarring, have high-grade reflux or cannot comply with long-term antibiotic prophylaxis should be considered for surgical correction. The preferred method of surgery is ureteral reimplantation. A newer method involves injection of the bladder trigone with collagen.

journal_name

Am Fam Physician

authors

Ross JH,Kay R

subject

Has Abstract

pub_date

1999-03-15 00:00:00

pages

1472-8, 1485-6

issue

6

eissn

0002-838X

issn

1532-0650

journal_volume

59

pub_type

杂志文章,评审
  • Frostbite.

    abstract::Frostbite can cause loss of life and limbs. Proper treatment and follow-up care are essential in reducing morbidity and mortality. Management of the frostbite patient consists of three stages. Initial care includes protection of the extremity from trauma or partial thawing. The second stage consists of rapid rewarming...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Christenson C,Stewart C

    更新日期:1984-12-01 00:00:00

  • Therapeutic endoscopy for gastrointestinal bleeding.

    abstract::Patients with variceal or other gastrointestinal hemorrhage require aggressive resuscitative measures and early diagnosis for optimal therapy. A number of nonsurgical endoscopic modalities, such as laser therapy, sclerotherapy, heater probe and electrocoagulation (monopolar or bipolar), are available to arrest and som...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Thatcher BS

    更新日期:1986-10-01 00:00:00

  • Concussions in sports: guidelines for return to competition.

    abstract::Concussion is the most common head injury in sports. The injury ranges from a simple "ding" to prolonged loss of consciousness with amnesia. Proper grading of the severity of the injury is necessary to establish a protocol for deciding when to allow an athlete to return to his or her sport. This approach to concussion...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Leblanc KE

    更新日期:1994-09-15 00:00:00

  • Primary care of infants and young children with Down syndrome.

    abstract::Down syndrome is caused by triplicate material of chromosome 21. The syndrome has a variable physical expression, but congenital cardiac defects, transient myelodysplasia of the newborn and duodenal atresia are highly specific for this chromosomal disorder. Routine health maintenance is important because infants and c...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Saenz RB

    更新日期:1999-01-15 00:00:00

  • Alzheimer's disease: making the diagnosis.

    abstract::Alzheimer's disease accounts for about 60 percent of dementia cases. Misdiagnosis of the treatable dementias can have devastating results. Pseudodementia accompanying major depression and chronic cognitive dysfunction due to psychoactive drugs are among the most commonly missed diagnoses. Although cortical atrophy is ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Black KS,Hughes PL

    更新日期:1987-11-01 00:00:00

  • Rosacea: a common, yet commonly overlooked, condition.

    abstract::Rosacea is a common, but often overlooked, skin condition of uncertain etiology that can lead to significant facial disfigurement, ocular complications, and severe emotional distress. The progression of rosacea is variable; however, typical stages include: (1) facial flushing, (2) erythema and/or edema and ocular symp...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Blount BW,Pelletier AL

    更新日期:2002-08-01 00:00:00

  • Multiple sclerosis: Part I. Common physical disabilities and rehabilitation.

    abstract::Rehabilitation of the multiple sclerosis patient must be individualized because of the varied manifestations and fluctuating course of the disease. The activity schedule must be modified to compensate for muscle weakness and fatigability. Spasticity and the preventable complication of joint contractures may be treated...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: DeLisa JA,Hammond MC,Mikulic MA,Miller RM

    更新日期:1985-10-01 00:00:00

  • Diets for Health: Goals and Guidelines.

    abstract::Diet is the single most significant risk factor for disability and premature death. Patients and physicians often have difficulty staying abreast of diet trends, many of which focus primarily on weight loss rather than nutrition and health. Recommending an eating style can help patients make positive change. Dietary p...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Locke A,Schneiderhan J,Zick SM

    更新日期:2018-06-01 00:00:00

  • "What's wrong with my baby?".

    abstract::The birth of a child with any developmental disability is an occasion of marked trauma to parents. Early, honest and frank counseling is imperative, and the family physician can play a unique role in this counseling process. When the physician is not knowledgeable in a paretcular case, he or she should seek expert hel...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Thain WS,Casto G,Peterson A

    更新日期:1977-05-01 00:00:00

  • Osteopetrosis ('marble bone' disease).

    abstract::Osteopetrosis is a hereditary disorder in which pathologic alteration of osteoclast resorption of bone results in thickening of cortical and lamellar bone. Before bone marrow transplantation, the infantile recessive form was uniformly fatal within the first two decades of life as a result of invasion of the marrow spa...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Manusov EG,Douville DR,Page LV,Trivedi DV

    更新日期:1993-01-01 00:00:00

  • The tonsillectomy-adenoidectomy dilemma.

    abstract::Tonsillectomy and adenoidectomy (T&A) is the most commonly performed surgical procedure in the U.S. Considerable controversy surrounds this operation because all previous studies have demonstrated experimental flaws that compromise the value of the findings. While an apparent immunologic deficit following T&A has been...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: McCurdy JA Jr

    更新日期:1977-09-01 00:00:00

  • Croup: an overview.

    abstract::Croup is a common illness responsible for up to 15 percent of emergency department visits due to respiratory disease in children in the United States. Croup symptoms usually start like an upper respiratory tract infection, with low-grade fever and coryza followed by a barking cough and various degrees of respiratory d...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Zoorob R,Sidani M,Murray J

    更新日期:2011-05-01 00:00:00

  • Should we prescribe antibiotics for acute bronchitis?

    abstract:OBJECTIVES:People with acute bronchitis may show little evidence of bacterial infection. If effective, antibiotics could shorten the course of the disease. However, if they are not effective, the risk of antibiotic resistance may be increased. The objective of this review was to assess the effects of antibiotic treatme...

    journal_title:American family physician

    pub_type: 杂志文章,meta分析

    doi:

    authors: Chandran R

    更新日期:2001-07-01 00:00:00

  • Patellofemoral Pain Syndrome.

    abstract::Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Gaitonde DY,Ericksen A,Robbins RC

    更新日期:2019-01-15 00:00:00

  • Methamphetamine abuse.

    abstract::Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with men. Methamphetamine use produce...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Winslow BT,Voorhees KI,Pehl KA

    更新日期:2007-10-15 00:00:00

  • Stroke rehabilitation: part I. Cognitive deficits and prediction of outcome.

    abstract::In many cases, the family physician will set the tone for rehabilitation of the stroke patient. It is imperative that the physician understand the recovery process, as well as the nature, benefits and limitations of rehabilitation. Since there are no precise predictors of individual outcome, no patient should be exclu...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Delisa JA,Miller RM,Melnick RR,Mikulic MA

    更新日期:1982-11-01 00:00:00

  • Perfusion imaging in ischemic heart disease.

    abstract::Myocardial perfusion imaging with thallium-201 has been used extensively for many years in the evaluation of ischemic heart disease. It is a valuable adjunct to exercise treadmill testing and is especially helpful in evaluating cardiac perfusion in patients who have abnormal resting electrocardiograms, who are unable ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Rivitz SM,Deluca SA

    更新日期:1993-11-01 00:00:00

  • Seasonal affective disorder.

    abstract::Patients with seasonal affective disorder have episodes of major depression that tend to recur during specific times of the year, usually in winter. Like major depression, seasonal affective disorder probably is underdiagnosed in primary care settings. Although several screening instruments are available, such screeni...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Lurie SJ,Gawinski B,Pierce D,Rousseau SJ

    更新日期:2006-11-01 00:00:00

  • Laceration repair.

    abstract::Healing by primary intention is a threefold process, consisting of an initial phase in which red and white blood cells bind the wound; epithelialization and fibroplasia, and a maturation phase involving collagen synthesis. The appearance of the wound reflects its maturation. Skillful wound management is based on biolo...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Rappaport NH

    更新日期:1984-10-01 00:00:00

  • Management of status epilepticus.

    abstract::Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of the patient. Treatment is evolving...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Sirven JI,Waterhouse E

    更新日期:2003-08-01 00:00:00

  • Gastroesophageal reflux in infants.

    abstract::Clinically significant gastroesophageal reflux occurs in one in 500 infants. Symptoms resolve in 60 to 80 percent of infants by 18 months of age. Thickened formula and position changes are often recommended. Medication and surgical intervention may be needed in refractory cases. ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Dipalma J,Colon AR

    更新日期:1991-03-01 00:00:00

  • Posterior mediastinal masses in children: ganglioneuroblastoma.

    abstract::Ganglioneuroblastoma, although a rare neoplasm, is one of the most common causes of posterior mediastinal masses in children. This tumor occurs in children from one to 10 years of age. With intrathoracic involvement, the tumor may remain asymptomatic until it is large. The case reported illustrates a typical presentat...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Rivitz SM,Deluca SA

    更新日期:1992-03-01 00:00:00

  • Prevention and management of postpartum hemorrhage.

    abstract::Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are dearly documented, not all cases are expected or avoidable. Uterine atony is responsibl...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Anderson JM,Etches D

    更新日期:2007-03-15 00:00:00

  • Dermatologic and systemic manifestations of syphilis.

    abstract::The incidence of syphilis is increasing, predominantly among urban heterosexuals. Early recognition is important in preventing progression of the disease and transmission of Treponema pallidum to the fetus. Untreated primary syphilis is characterized by intervals of active disease punctuated by periods of latency. Not...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Goens JL,Janniger CK,De Wolf K

    更新日期:1994-10-01 00:00:00

  • Succimer: the first approved oral lead chelator.

    abstract::The Centers for Disease Control and Prevention has redefined the threshold of concern for low-level lead toxicity, reducing it from a blood lead level of 25 micrograms per dL (1.21 mumol per L) to a blood lead level of 10 micrograms per dL (0.48 mumol per L), and has recommended universal screening of young children. ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Jorgensen FM

    更新日期:1993-12-01 00:00:00

  • Diagnosis and treatment of abdominal aortic aneurysms.

    abstract::Abdominal aortic aneurysms occur in 5 to 7 percent of people over age 60 in the United States. An aneurysm is defined as a permanent localized dilatation of an artery, with an increase in diameter of greater than 1.5 times its normal diameter. Abdominal aortic aneurysms may be manifested by catastrophic rupture, signs...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Santilli JD,Santilli SM

    更新日期:1997-09-15 00:00:00

  • Palmoplantar hyperhidrosis: a therapeutic challenge.

    abstract::Excessive sweating from the palms and soles, known as palmoplantar hyperhidrosis, affects both children and adults. Diagnosis of this potentially embarrassing and socially disabling condition is based on the patient's history and visible signs of sweating. The condition usually is idiopathic. Treatment remains a chall...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Thomas I,Brown J,Vafaie J,Schwartz RA

    更新日期:2004-03-01 00:00:00

  • Common Superficial Bursitis.

    abstract::Superficial bursitis most often occurs in the olecranon and prepatellar bursae. Less common locations are the superficial infrapatellar and subcutaneous (superficial) calcaneal bursae. Chronic microtrauma (e.g., kneeling on the prepatellar bursa) is the most common cause of superficial bursitis. Other causes include a...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Khodaee M

    更新日期:2017-02-15 00:00:00

  • Chlamydial cervicitis: complications and new treatment options.

    abstract::Chlamydial cervicitis has the potential for serious gynecologic complications, including pelvic inflammatory disease, infertility and ectopic pregnancy. In the pregnant patient, this infection is associated with premature rupture of membranes and increased fetal morbidity and mortality. In addition, infants infected b...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Majeroni BA

    更新日期:1994-06-01 00:00:00

  • ACE inhibitors: myocardial infarction and congestive heart failure.

    abstract::Myocardial infarction and congestive heart failure are associated with high morbidity and mortality rates. The results of recent clinical trials support a beneficial role for angiotensin-converting enzyme (ACE) inhibitors in attenuating mortality from myocardial infarction and left ventricular dysfunction. Large-scale...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Cody RJ

    更新日期:1995-11-01 00:00:00