Heterogeneity of diagnoses presenting as cyclic vomiting.

Abstract:

OBJECTIVE:To establish the diagnostic profile in children who present with cyclic vomiting. METHODS:We studied 225 children < 18 years of age who presented to our pediatric gastroenterology service from 1986 to 1997 with at least three discrete episodes of vomiting between which they were well. To determine the diagnoses in those presenting with a pattern of cyclic vomiting, the results of diagnostic testing and responses to various treatments were obtained from a combination of chart review and structured telephone interviews. RESULTS:The largest diagnostic category included idiopathic cyclic vomiting syndrome (88%). Extraintestinal disorders (7%) and gastrointestinal disorders (5%) constituting the probable cause of vomiting were established in those having complete cessation of episodes after therapy. In 12%, serious surgical disorders of the gastrointestinal (malrotation), renal (acute hydronephrosis), and central nervous systems (neoplasm) were found. In 2%, serious endocrine (Addison's disease) and metabolic disorders (disorder of fatty acid oxidation) were found. Among those with idiopathic cyclic vomiting syndrome, 41% had associated disorders (gastroesophageal reflux and chronic sinusitis) that could contribute to the vomiting, but, based on a partial response to therapy, were not deemed to be the main cause. Altogether 49% had an identified disorder that probably caused or could contribute to the vomiting. CONCLUSIONS:The cyclic pattern of vomiting is a symptom complex that can be induced by heterogeneous disorders that either cause or contribute to the vomiting. Once the cyclic vomiting pattern is identified, systematic diagnostic testing is warranted to look for these underlying disorders.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Li BU,Murray RD,Heitlinger LA,Robbins JL,Hayes JR

doi

10.1542/peds.102.3.583

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

583-7

issue

3 Pt 1

eissn

0031-4005

issn

1098-4275

journal_volume

102

pub_type

杂志文章
  • Long eyelashes in a case series of 93 children with vernal keratoconjunctivitis.

    abstract:OBJECTIVE:Vernal keratoconjunctivitis (VKC) is a chronic conjunctivitis that affects children mainly in temperate areas, with exacerbations in spring and summer. Eyelashes provide natural protection for the eyes from sunshine, wind, and foreign bodies. These factors induce a worsening of signs and symptoms in VKC, wher...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1555

    authors: Pucci N,Novembre E,Lombardi E,Massai C,Bernardini R,Caputo R,Campa L,de Libero C,Vierucci A

    更新日期:2005-01-01 00:00:00

  • Decreasing hypothermia during delivery room stabilization of preterm neonates.

    abstract:BACKGROUND AND OBJECTIVE:Hypothermia during delivery room stabilization of very low birth weight (VLBW) newborns is independently associated with mortality, yet it occurred frequently both in collaborative networks and at our institution. We aimed to attain admission temperatures in the target range of 36 °C to 38 °C i...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1293

    authors: Pinheiro JM,Furdon SA,Boynton S,Dugan R,Reu-Donlon C,Jensen S

    更新日期:2014-01-01 00:00:00

  • Echocardiographic evaluation of asymptomatic parental and sibling cardiovascular anomalies associated with congenital left ventricular outflow tract lesions.

    abstract:OBJECTIVE:Left ventricular outflow tract obstructive (LVOTO) malformations are a leading cause of infant mortality from birth defects. Genetic mechanisms are likely, and there may be a higher rate of asymptomatic LVOTO anomalies in relatives of affected children. This study sought to define the incidence of cardiac ano...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2003-0782-L

    authors: Lewin MB,McBride KL,Pignatelli R,Fernbach S,Combes A,Menesses A,Lam W,Bezold LI,Kaplan N,Towbin JA,Belmont JW

    更新日期:2004-09-01 00:00:00

  • Vesicoureteral reflux in the primate. IV. Infection as cause of prolonged high-grade reflux.

    abstract::High-grade reflux commonly lasts longer than moderate reflux, which disappears with maturation of the ureterovesical junction. It is known that ureteral function is affected by urinary tract infection from studies in experimental animals, as well as through clinical findings in patients with upper tract infection. Whe...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Roberts JA,Kaack MB,Morvant AB

    更新日期:1988-07-01 00:00:00

  • Health information technology and the medical home.

    abstract::The American Academy of Pediatrics (AAP) supports development and universal implementation of a comprehensive electronic infrastructure to support pediatric information functions of the medical home. These functions include (1) timely and continuous management and tracking of health data and services over a patient's ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2011-0454

    authors: Council on Clinical Information Technology.

    更新日期:2011-05-01 00:00:00

  • A Multicenter Collaborative to Improve Care of Community Acquired Pneumonia in Hospitalized Children.

    abstract:BACKGROUND AND OBJECTIVES:The Value in Inpatient Pediatrics Network sponsored the Improving Care in Community Acquired Pneumonia collaborative with the goal of increasing evidence-based management of children hospitalized with community acquired pneumonia (CAP). Project aims included: increasing use of narrow-spectrum ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2016-1411

    authors: Parikh K,Biondi E,Nazif J,Wasif F,Williams DJ,Nichols E,Ralston S,Value in Inpatient Pediatrics Network Quality Collaborative For Improving Care In Community Acquired Pneumonia.

    更新日期:2017-03-01 00:00:00

  • Use of antimicrobial drugs in general hospitals: IV. Infants and children.

    abstract::The use of antimicrobial drugs was studied among 933 randomly selected infants and children who were hospitalized in 20 short-stay general hospitals in Pennsylvania. Twenty-two percent of pediatric patients received antimicrobial drugs: 5% of neonates and 57% of patients aged 12 to 18 months. Sixty-eight percent of th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Townsend TR,Shapiro M,Rosner B,Kass EH

    更新日期:1979-11-01 00:00:00

  • Sexual history documentation in adolescent emergency department patients.

    abstract:OBJECTIVES:To determine the frequency of physician-documented sexual histories in female adolescents who presented to an emergency department (ED) with symptoms suggestive of a sexually transmitted infection (STI). Our secondary objectives were to determine if physician-documented sexual history is associated with incr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-1775

    authors: Goyal M,McCutcheon M,Hayes K,Mollen C

    更新日期:2011-07-01 00:00:00

  • Attitudes of obstetric and pediatric health care providers toward resuscitation of infants who are born at the margins of viability.

    abstract:OBJECTIVES:The objective of this study was to determine the attitudes of a variety of health care providers toward the recommendations that should be made to parents regarding the resuscitation of infants who are born at the margins of viability. METHODS:A written questionnaire was distributed to the medical and nursi...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2006-0913O

    authors: Lavin JP Jr,Kantak A,Ohlinger J,Kaempf JW,Tomlinson M,Campbell B,Fofah O,Edwards W,Allbright K,Hagen E,Suresh G,Schriefer J

    更新日期:2006-11-01 00:00:00

  • Environmental Enteric Dysfunction and Growth Failure/Stunting in Global Child Health.

    abstract::Approximately 25% of the world's children aged <5 years have stunted growth, which is associated with increased mortality, cognitive dysfunction, and loss of productivity. Reducing by 40% the number of stunted children is a global target for 2030. The pathogenesis of stunting is poorly understood. Prenatal and postnat...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-0641

    authors: Owino V,Ahmed T,Freemark M,Kelly P,Loy A,Manary M,Loechl C

    更新日期:2016-12-01 00:00:00

  • The application of acoustic impedance measurements to pediatric clinical practice.

    abstract::This article provides background information on acoustic impedance testing and illustrates utilization of test results in pediatric clinical practice. Acoustic impedance measurement devices are presently being used successfully by hearing screening programs and by otorhinolaryngologists in clinical and hospital setti...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ehrlich MA,Tait CA

    更新日期:1975-05-01 00:00:00

  • Prevalence and natural history of cryptorchidism.

    abstract:OBJECTIVE:A prospective hospital-based cohort study was conducted to determine the prevalence rates of cryptorchidism at birth, 3 months, and 1 year of age. DESIGN:A total of 6935 consecutive male neonates delivered at Mount Sinai Hospital in New York City between October 1987 and October 1990 were examined at birth f...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Berkowitz GS,Lapinski RH,Dolgin SE,Gazella JG,Bodian CA,Holzman IR

    更新日期:1993-07-01 00:00:00

  • Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures.

    abstract:OBJECTIVES:To test the hypotheses that minority children with long-bone fractures are less likely to (1) receive analgesics, (2) receive opioid analgesics, and (3) achieve pain reduction. METHODS:We performed a 3-year retrospective cross-sectional study of children <18 years old with long-bone fractures using the Pedi...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-3370

    authors: Goyal MK,Johnson TJ,Chamberlain JM,Cook L,Webb M,Drendel AL,Alessandrini E,Bajaj L,Lorch S,Grundmeier RW,Alpern ER,PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK (PECARN).

    更新日期:2020-05-01 00:00:00

  • Lack of vancomycin-associated nephrotoxicity in newborn infants: a case-control study.

    abstract:OBJECTIVE:The purpose of this study was to compare the incidence of nephrotoxicity, defined as doubling of baseline serum creatinine concentration, in newborn infants with peak vancomycin serum concentrations 40 microg/mL. A secondary...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.103.4.e48

    authors: Bhatt-Mehta V,Schumacher RE,Faix RG,Leady M,Brenner T

    更新日期:1999-04-01 00:00:00

  • Improving Health and Safety at Camp.

    abstract::The American Academy of Pediatrics has created recommendations for health appraisal and preparation of young people before participation in day, resident, or family camps and to guide health and safety practices at camp. These recommendations are intended for parents and families, primary health care providers, and ca...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2019-1355

    authors: Ambrose MJ,Walton EA,COUNCIL ON SCHOOL HEALTH.

    更新日期:2019-07-01 00:00:00

  • Local macroeconomic trends and hospital admissions for child abuse, 2000-2009.

    abstract:OBJECTIVE:To examine the relationship between local macroeconomic indicators and physical abuse admission rates to pediatric hospitals over time. METHODS:Retrospective study of children admitted to 38 hospitals in the Pediatric Hospital Information System database. Hospital data were linked to unemployment, mortgage d...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-3755

    authors: Wood JN,Medina SP,Feudtner C,Luan X,Localio R,Fieldston ES,Rubin DM

    更新日期:2012-08-01 00:00:00

  • Bladder retention of urine as a result of continuous intravenous infusion of fentanyl: 2 case reports.

    abstract::Sedation has been commonly used in the neonate to decrease the stress and pain from the noxious stimuli and invasive procedures in the neonatal intensive care unit, as well as to facilitate synchrony between ventilator and spontaneous breaths. Fentanyl, an opioid analgesic, is frequently used in the neonatal intensive...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.108.4.1012

    authors: Das UG,Sasidharan P

    更新日期:2001-10-01 00:00:00

  • IL-10RA Mutation as a Risk Factor of Severe Influenza-Associated Encephalopathy: A Case Report.

    abstract::Influenza-associated encephalitis and encephalopathy (IAE) is a severe complication of influenza infection with high morbidity and mortality. We present the case of a patient with IL-10RA mutation who developed encephalopathy after influenza infection. A 10-day-old boy developed recurrent fever and anal fistula. Growt...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-3548

    authors: Ishige T,Igarashi Y,Hatori R,Tatsuki M,Sasahara Y,Takizawa T,Arakawa H

    更新日期:2018-06-01 00:00:00

  • Fatal Haemophilus influenzae endocarditis diagnosed by echocardiography in an infant.

    abstract::A 1-year-old boy was admitted to the hospital with Haemophilus influenzae meningitis. On the second hospital day a heart murmur heard on admission seemed louder. No signs of congestive heart failure were present. An echocardiogram demonstrated a persistent echo-dense mass behind the anterior leaflet of the mitral valv...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Laird WP,Nelson JD,Weinberg AG,Huffines FD

    更新日期:1979-09-01 00:00:00

  • Causal thinking in practice: strengths and weaknesses of the clinical vantage point.

    abstract::The place of causal inference in clinical practice is considered. One function relates to the validation of existing knowledge, as in the evaluation of the medical literature, and is exemplified by the process of editorial selection. A second function relates to the validation of potential knowledge, as in the testing...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Susser M

    更新日期:1984-11-01 00:00:00

  • Cardio-facio-cutaneous syndrome: clinical features, diagnosis, and management guidelines.

    abstract::Cardio-facio-cutaneous syndrome (CFC) is one of the RASopathies that bears many clinical features in common with the other syndromes in this group, most notably Noonan syndrome and Costello syndrome. CFC is genetically heterogeneous and caused by gene mutations in the Ras/mitogen-activated protein kinase pathway. The ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2013-3189

    authors: Pierpont ME,Magoulas PL,Adi S,Kavamura MI,Neri G,Noonan J,Pierpont EI,Reinker K,Roberts AE,Shankar S,Sullivan J,Wolford M,Conger B,Santa Cruz M,Rauen KA

    更新日期:2014-10-01 00:00:00

  • An Extravagant Gift From a Grateful Patient.

    abstract::media-1vid110.1542/5787668327001PEDS-VA_2017-2837Video AbstractGift giving is psychologically and culturally complex. In any context, a gift can have multiple meanings. In the context of the doctor-patient relationship, the giving of gifts and decisions about whether to accept gifts raise complex ethical issues. In th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-2837

    authors: Sharma A,Johnson LM,Caruso Brown A,Unguru Y,Lantos JD

    更新日期:2018-06-01 00:00:00

  • Air pollution and infant death in southern California, 1989-2000.

    abstract:OBJECTIVE:We evaluated the influence of outdoor air pollution on infant death in the South Coast Air Basin of California, an area characterized by some of the worst air quality in the United States. METHODS:Linking birth and death certificates for infants who died between 1989 and 2000, we identified all infant deaths...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-0027

    authors: Ritz B,Wilhelm M,Zhao Y

    更新日期:2006-08-01 00:00:00

  • Unexplained reduced microbiological efficacy of intramuscular benzathine penicillin G and of oral penicillin V in eradication of group a streptococci from children with acute pharyngitis.

    abstract:OBJECTIVE:To evaluate the efficacy of oral penicillin V and intramuscular benzathine penicillin G (BPG) in eradicating group A streptococci from the upper respiratory tract. METHODOLOGY:Two randomized, single-blind, multicenter antibiotic efficacy trials in children using recommended doses of either oral penicillin V ...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.108.5.1180

    authors: Kaplan EL,Johnson DR

    更新日期:2001-11-01 00:00:00

  • Nebulized hypertonic saline without adjunctive bronchodilators for children with bronchiolitis.

    abstract:OBJECTIVE:The goal was to determine an adverse event rate for nebulized hypertonic saline solution administered without adjunctive bronchodilators for infants with bronchiolitis. METHODS:This was a retrospective cohort study of the use of nebulized 3% saline for children<2 years of age who were hospitalized with the p...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-3105

    authors: Ralston S,Hill V,Martinez M

    更新日期:2010-09-01 00:00:00

  • Teaching community pediatrics to pediatric residents: strategic approaches and successful models for education in community health and child advocacy.

    abstract::To improve child health at a community level, pediatricians require knowledge and skills that have not been traditionally included in residency training. Recent policy statements from the American Academy of Pediatrics and requirements from Accreditation Council for Graduate Medical Education Residency Review committe...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2825J

    authors: Shipley LJ,Stelzner SM,Zenni EA,Hargunani D,O'Keefe J,Miller C,Alverson B,Swigonski N

    更新日期:2005-04-01 00:00:00

  • Maternal glucocorticoid therapy and reduced risk of bronchopulmonary dysplasia.

    abstract::Because of substantial clinical and laboratory evidence of the efficacy of glucocorticoids in the treatment of acute pulmonary surfactant deficiency in preterm newborns, we explored the hypothesis that maternal antenatal glucocorticoid receipt is followed by reduced risk of bronchopulmonary dysplasia (BPD). A sample o...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Van Marter LJ,Leviton A,Kuban KC,Pagano M,Allred EN

    更新日期:1990-09-01 00:00:00

  • Health Care Use and Health Behaviors Among Young Adults With History of Parental Incarceration.

    abstract:OBJECTIVES:To determine if longitudinal associations exist between parental incarceration (PI) and health care use or health behaviors among a national sample of young adults. METHODS:We used the National Longitudinal Survey of Adolescent to Adult Health to examine associations between history of mother incarceration ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-4314

    authors: Heard-Garris N,Winkelman TNA,Choi H,Miller AK,Kan K,Shlafer R,Davis MM

    更新日期:2018-09-01 00:00:00

  • Self-regulation of slow cortical potentials: a new treatment for children with attention-deficit/hyperactivity disorder.

    abstract:OBJECTIVE:We investigated the effects of self-regulation of slow cortical potentials for children with attention-deficit/hyperactivity disorder. Slow cortical potentials are slow event-related direct-current shifts of the electroencephalogram. Slow cortical potential shifts in the electrical negative direction reflect ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-2478

    authors: Strehl U,Leins U,Goth G,Klinger C,Hinterberger T,Birbaumer N

    更新日期:2006-11-01 00:00:00

  • Antibody response to diphtheria-tetanus-pertussis immunization in preterm infants who receive dexamethasone for chronic lung disease.

    abstract:OBJECTIVE:To study the effect of dexamethasone in preterm infants with chronic lung disease (CLD) on antibody response to routine immunization against diphtheria, tetanus, and pertussis (DTP). METHODS:Serum samples were obtained before and after immunization with DTP (Trivax-AD) from an unselected cohort of 93 preterm...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.113.4.733

    authors: Robinson MJ,Heal C,Gardener E,Powell P,Sims DG

    更新日期:2004-04-01 00:00:00