Bone scintigraphy in the evaluation of children with obscure skeletal pain.

Abstract:

:A retrospective analysis of bone scans of 381 children with unexplained skeletal pain was made. Of these, findings are reported on 358 for whom there were sufficient clinical data. The bone scan results suggested trauma as the cause of pain in 43 patients, inflammatory disease in 73 patients, and neoplasia in ten patients. There was only one false-positive bone scan. Normal findings were obtained from 227 patients, in whom no significant skeletal disease was detected on follow-up, except for juvenile rheumatoid arthritis in 23 patients. Bone scintigraphy is, therefore, an important, noninvasive diagnostic test for evaluating children with obscure bone or joint pain. We recommend that this test be performed early in the evaluation of these children to arrive at the diagnosis expeditiously and with minimal patient discomfort and morbidity.

journal_name

Pediatrics

journal_title

Pediatrics

authors

ter Meulen DC,Majd M

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

587-92

issue

4

eissn

0031-4005

issn

1098-4275

journal_volume

79

pub_type

杂志文章
  • Utilization of pediatric hospitals in New York State.

    abstract:BACKGROUND:Little published information is available regarding the proportion of hospitals that offer pediatric services at specified levels, or the actual utilization of such services. OBJECTIVE:To determine if an existing national accreditation process created for educational purposes identifies hospitals with a dis...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.5.1068

    authors: Kanter RK,Egan M

    更新日期:2003-05-01 00:00:00

  • Effect of a sudden infant death syndrome risk reduction education program on risk factor compliance and information sources in primarily black urban communities.

    abstract:BACKGROUND:In the US, a higher incidence of sudden infant death syndrome (SIDS) and a slower decline in the incidence of SIDS has been found among blacks when compared with white infants. The continued racial disparity in SIDS is thought to be attributable to lack of compliance with SIDS risk reduction recommendations....

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.111.4.e347

    authors: Rasinski KA,Kuby A,Bzdusek SA,Silvestri JM,Weese-Mayer DE

    更新日期:2003-04-01 00:00:00

  • From the American Academy of Pediatrics: Technical report--Secondhand and prenatal tobacco smoke exposure.

    abstract::Secondhand tobacco smoke (SHS) exposure of children and their families causes significant morbidity and mortality. In their personal and professional roles, pediatricians have many opportunities to advocate for elimination of SHS exposure of children, to counsel tobacco users to quit, and to counsel children never to ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-2120

    authors: Best D,Committee on Environmental Health.,Committee on Native American Child Health.,Committee on Adolescence.

    更新日期:2009-11-01 00:00:00

  • Severe methemoglobinemia complicating topical benzocaine use during endoscopy in a toddler: a case report and review of the literature.

    abstract::Severe methemoglobinemia resulting from the use of topical benzocaine has been reported in adults as a rare complication. Here we report a case of severe acquired methemoglobinemia resulting from topical use of benzocaine spray during diagnostic upper gastrointestinal endoscopy in a 3-year-old boy with repeated episod...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2005-1952

    authors: Dahshan A,Donovan GK

    更新日期:2006-04-01 00:00:00

  • Death due to chronic syrup of ipecac use in a patient with bulimia.

    abstract::A 17-year-old girl presented with malaise, weakness, palpitations, dysphagia, myalgias, and weight loss of 1 month's duration. Within 24 hours of admission to the hospital, she had hypotension unresponsive to medical management, intractable congestive heart failure, and arrhythmias; she died. Several empty bottles of ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Schiff RJ,Wurzel CL,Brunson SC,Kasloff I,Nussbaum MP,Frank SD

    更新日期:1986-09-01 00:00:00

  • Evaluation of a clinical dehydration scale in children requiring intravenous rehydration.

    abstract:OBJECTIVES:To evaluate the reliability and validity of a previously derived clinical dehydration scale (CDS) in a cohort of children with gastroenteritis and evidence of dehydration. METHODS:Participants were 226 children older than 3 months who presented to a tertiary care emergency department and required intravenou...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-2985

    authors: Kinlin LM,Freedman SB

    更新日期:2012-05-01 00:00:00

  • The vulnerability of the medical student: posthumous presentation of L.L. Stephens' ideas.

    abstract::L.L. Stephens described several critical issues in medical professionalization. The encounter with morbidity and mortality heightens the student's feelings of vulnerability. If he over-identifies with patients, he may suffer more and be unable to provide rational medical care. If he protects himself by dehumanizing pa...

    journal_title:Pediatrics

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Werner ER,Korsch BM

    更新日期:1976-03-01 00:00:00

  • Outpatient Rehabilitation for Medicaid-Insured Children Hospitalized With Traumatic Brain Injury.

    abstract:OBJECTIVES:To describe the prevalence of postdischarge outpatient rehabilitation among Medicaid-insured children hospitalized with a traumatic brain injury (TBI) and to identify factors associated with receipt of services. METHODS:Retrospective cohort of children <21 years, hospitalized for a TBI between 2007 and 2012...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-3500

    authors: Jimenez N,Symons RG,Wang J,Ebel BH,Vavilala MS,Buchwald D,Temkin N,Jaffe KM,Rivara FP

    更新日期:2016-06-01 00:00:00

  • Incidence and short-term outcome of children with symptomatic presentation of organic acid and fatty acid oxidation disorders in Germany.

    abstract:OBJECTIVE:To determine the incidence of symptomatic children with inherited organic acid disorders (OADs) and fatty acid oxidation disorders (FAODs) in Germany. METHODS:An active surveillance of symptomatic children with inherited OADs and FAODs was conducted during a time period of 24 months (1999-2000) in Germany. M...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.110.6.1204

    authors: Klose DA,Kölker S,Heinrich B,Prietsch V,Mayatepek E,von Kries R,Hoffmann GF

    更新日期:2002-12-01 00:00:00

  • Clinical comparison of localized intestinal perforation and necrotizing enterocolitis in neonates.

    abstract:OBJECTIVE:To better define the prognosis of neonates with gastrointestinal perforation and improve their management. METHODS:We reviewed the results of physical examinations, laboratory results, and radiographic tests of 42 patients in whom gastrointestinal perforation was diagnosed in our neonatal intensive care unit...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Buchheit JQ,Stewart DL

    更新日期:1994-01-01 00:00:00

  • Regulatory barriers to clinical trial enrollment of adolescent and young adult oncology patients.

    abstract::Adolescent and young adult (AYA) patients with cancer may face unique challenges if they and their families wish to participate in clinical oncology trials. Regulatory guidelines and funding requirements put in place to protect patients may actually raise barriers to enrollment in clinical trials. Hospital age guideli...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-0122H

    authors: Felgenhauer J,Hooke MC

    更新日期:2014-06-01 00:00:00

  • Multiculturalism, chronic illness, and disability.

    abstract::To gain at least an initial understanding of the underlying beliefs and attitudes in a cross-cultural situation, we believe that the three key points discussed in this paper should prove a significant point of departure: 1. Traditional beliefs about the cause of chronic illness or disability will play a significant ro...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Groce NE,Zola IK

    更新日期:1993-05-01 00:00:00

  • Neisseria meningitidis bacteremia in children: quantitation of bacteremia and spontaneous clinical recovery without antibiotic therapy.

    abstract::The relationship between the magnitude of bacteremia due to Neisseria meningitidis and the clinical diagnosis was determined for 43 children who had fever in the presence or absence of focal signs of infection. Bacteremia was quantitated by the previously described procedure using heparinized blood (0.2 to 1.0 mL). Ad...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Sullivan TD,LaScolea LJ Jr

    更新日期:1987-07-01 00:00:00

  • Phenothiazine-induced sleep apneas in normal infants.

    abstract::A relationship between sudden infant death syndrome and the use of phenothiazine-containing medications is suspected. In order to investigate the influence of phenothiazines upon cardiorespiratory and sleep characteristics, four normal infants (mean age 15.8 weeks) had polygraphic recordings made for one night. The re...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Kahn A,Hasaerts D,Blum D

    更新日期:1985-05-01 00:00:00

  • Interventions To Prevent Retinopathy of Prematurity: A Meta-analysis.

    abstract:CONTEXT:The effectiveness of many interventions aimed at reducing the risk of retinopathy has not been well established. OBJECTIVE:To estimate the effectiveness of nutritional interventions, oxygen saturation targeting, blood transfusion management, and infection prevention on the incidence of retinopathy of prematuri...

    journal_title:Pediatrics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1542/peds.2015-3387

    authors: Fang JL,Sorita A,Carey WA,Colby CE,Murad MH,Alahdab F

    更新日期:2016-04-01 00:00:00

  • Prophylactic Lactobacillus GG reduces antibiotic-associated diarrhea in children with respiratory infections: a randomized study.

    abstract:OBJECTIVES:Antimicrobial treatment may disturb the colonization resistance of gastrointestinal microflora, which may induce clinical symptoms, most commonly diarrhea. The severity of antibiotic-associated diarrhea may range from a brief, self-limiting disease to devastating diarrhea with electrolyte disturbances, dehyd...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.104.5.e64

    authors: Arvola T,Laiho K,Torkkeli S,Mykkänen H,Salminen S,Maunula L,Isolauri E

    更新日期:1999-11-01 00:00:00

  • Patent Ductus Arteriosus of the Preterm Infant.

    abstract::Postnatal ductal closure is stimulated by rising oxygen tension and withdrawal of vasodilatory mediators (prostaglandins, nitric oxide, adenosine) and by vasoconstrictors (endothelin-1, catecholamines, contractile prostanoids), ion channels, calcium flux, platelets, morphologic maturity, and a favorable genetic predis...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2020-1209

    authors: Hamrick SEG,Sallmon H,Rose AT,Porras D,Shelton EL,Reese J,Hansmann G

    更新日期:2020-11-01 00:00:00

  • Effect of duration and frequency of breast-feeding on postpartum amenorrhea.

    abstract::The relationship among duration and frequency of breast-feeding, age, level of education, and parity on postpartum amenorrhea were investigated retrospectively in selected married Nigerian women attending the two local maternity centers in Ile-Ife, Nigeria, between January and May 1980. The mean values for duration an...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ojofeitimi EO

    更新日期:1982-02-01 00:00:00

  • Subacute Neuropsychiatric Syndrome in Girls With SHANK3 Mutations Responds to Immunomodulation.

    abstract::Phenotypic and biological characterization of rare monogenic disorders represents 1 of the most important avenues toward understanding the mechanisms of human disease. Among patients with SH3 and multiple ankyrin repeat domains 3 (SHANK3) mutations, a subset will manifest neurologic regression, psychosis, and mood dis...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2019-1490

    authors: Bey AL,Gorman MP,Gallentine W,Kohlenberg TM,Frankovich J,Jiang YH,Van Haren K

    更新日期:2020-02-01 00:00:00

  • Variation in Preoperative Testing and Antireflux Surgery in Infants.

    abstract:BACKGROUND:Despite the availability of objective tests, gastroesophageal reflux disease (GERD) diagnosis and management in infants remains controversial and highly variable. Our purpose was to characterize national variation in diagnostic testing and surgical utilization for infants with GERD. METHODS:Using the Pediat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-0536

    authors: Short HL,Braykov NP,Bost JE,Raval MV

    更新日期:2017-08-01 00:00:00

  • Recent trends in waist circumference and waist-height ratio among US children and adolescents.

    abstract:OBJECTIVES:Abdominal obesity may be a better predictor than overall obesity for the risk of cardiovascular disease and type 2 diabetes. Waist circumference and waist-height ratio are 2 simple, yet effective, surrogate measures of abdominal obesity. We sought to examine the recent trends in mean waist circumference and ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1062

    authors: Li C,Ford ES,Mokdad AH,Cook S

    更新日期:2006-11-01 00:00:00

  • Fathers' experiences in the neonatal intensive care unit: a search for control.

    abstract:OBJECTIVE:This qualitative study aimed at understanding the experiences of fathers of very ill neonates in the NICU. METHODS:Sixteen fathers of very ill and/or very preterm infants who had been in the NICU for >30 days were interviewed by a male physician. Fathers were asked about their level of comfort with or concer...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-1005

    authors: Arockiasamy V,Holsti L,Albersheim S

    更新日期:2008-02-01 00:00:00

  • Adolescent violence perpetration: associations with multiple types of adverse childhood experiences.

    abstract:OBJECTIVE:Adverse childhood experiences are associated with significant functional impairment and life lost in adolescence and adulthood. This study identified relationships between multiple types of adverse events and distinct categories of adolescent violence perpetration. METHODS:Data are from 136 549 students in t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0597

    authors: Duke NN,Pettingell SL,McMorris BJ,Borowsky IW

    更新日期:2010-04-01 00:00:00

  • Active, population-based surveillance for severe rotavirus gastroenteritis in children in the United States.

    abstract:OBJECTIVES:Routine vaccination of US infants against rotavirus was implemented in 2006, prompting the Centers for Disease Control and Prevention New Vaccine Surveillance Network to begin population-based acute gastroenteritis surveillance among US children<3 years of age. This surveillance system establishes baseline e...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-3378

    authors: Payne DC,Staat MA,Edwards KM,Szilagyi PG,Gentsch JR,Stockman LJ,Curns AT,Griffin M,Weinberg GA,Hall CB,Fairbrother G,Alexander J,Parashar UD

    更新日期:2008-12-01 00:00:00

  • Subcutaneous fat necrosis after moderate therapeutic hypothermia in neonates.

    abstract::Therapeutic moderate hypothermia in newborns with hypoxic-ischemic encephalopathy is rapidly becoming standard clinical practice. We report here 12 cases of subcutaneous fat necrosis among 1239 cases registered with a national registry of newborns treated with moderate whole-body hypothermia. All the infants suffered ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-3508

    authors: Strohm B,Hobson A,Brocklehurst P,Edwards AD,Azzopardi D,UK TOBY Cooling Register.

    更新日期:2011-08-01 00:00:00

  • Mycoplasma pneumoniae and atypical Stevens-Johnson syndrome: a case series.

    abstract::Mycoplasma pneumoniae is a common cause of community-acquired respiratory illness in the adolescent population. Stevens-Johnson syndrome is an extrapulmonary manifestation that has been associated with M. pneumoniae infections. Three adolescent males presented within a 1-month period with M. pneumoniae respiratory ill...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-2401

    authors: Ravin KA,Rappaport LD,Zuckerbraun NS,Wadowsky RM,Wald ER,Michaels MM

    更新日期:2007-04-01 00:00:00

  • Eosinophilic hepatitis in an adolescent during lisdexamfetamine dimesylate treatment for ADHD.

    abstract::We describe here the case of an adolescent who developed eosinophilic hepatitis during treatment for attention-deficit/hyperactivity disorder with lisdexamfetamine dimesylate (Vyvanse [Shire US Inc, Wayne, PA]). A 14-year-old boy presented to his primary care provider with abdominal pain and worsening jaundice. A diag...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1835

    authors: Hood B,Nowicki MJ

    更新日期:2010-06-01 00:00:00

  • Depressive symptoms in nonresident african american fathers and involvement with their sons.

    abstract:OBJECTIVE:Our objective was to determine whether paternal depressive symptoms were associated with less father involvement among African American fathers not living with their children (ie, nonresident fathers). METHODS:We analyzed survey data for 345 fathers enrolled in a program for nonresident African American fath...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0718

    authors: Davis RN,Caldwell CH,Clark SJ,Davis MM

    更新日期:2009-12-01 00:00:00

  • Thyroid screening for early discharged infants.

    abstract:OBJECTIVE:As neonatal discharge before 24 hours of life becomes commonplace, the rejection of congenital hypothyroidism (CH) screening specimens obtained too early has created the need for numerous additional tests. We sought to determine whether the specimens obtained before 24 hours could be used safely. METHODS:Dur...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Saslow JG,Post EM,Southard CA

    更新日期:1996-07-01 00:00:00

  • The effects of stimulant medication on the growth of hyperkinetic children.

    abstract::This article reviews the literature on possible growth-suppressing effects of stimulant medications in the long-term treatment of children with the hyperkinetic behavior syndrome. The evidence clearly indicates a temporary retardation in the rate of growth in weight and suggests a temporary slowing of growth in statur...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Roche AF,Lipman RS,Overall JE,Hung W

    更新日期:1979-06-01 00:00:00