Abstract:
:The pediatric acute scrotum can be a diagnostic dilemma. The history, physical examination, and appropriate tests are important. The correct diagnosis will be arrived at if the systematic approach is remembered (Figure 14). In cases where testicular torsion cannot be ruled out (such as an epididymitis or torsion of the appendix testis where torsion of the testis is mimicked), the patient will need scrotal exploration. It is hoped that with further availability of scanning and expertise by pediatric surgeons the false negative exploration will decrease in number. Remember, occasionally a patient will require scrotal exploration with biopsy of the epididymis to delineate the underlying cause. In most cases of epididymitis, effort should be made to identify the cause by culture of urine, urethral discharge, or appropriate fluid from the epididymis. Urological evaluation will be necessary in the younger boys, particularly those with recurrent episodes, to rule out congenital anomalies. Only by following this systematic approach can clinicians hope to preserve gonadal function and achieve best care of their patients.
journal_name
Pediatr Annjournal_title
Pediatric annalsauthors
Hermann Ddoi
10.3928/0090-4481-19890301-10subject
Has Abstractpub_date
1989-03-01 00:00:00pages
198-202, 204issue
3eissn
0090-4481issn
1938-2359journal_volume
18pub_type
杂志文章,评审相关文献
PEDIATRIC ANNALS文献大全abstract::Traditionally, nutritional risk has been defined by growth failure, with clinical intervention indicated when a child falls below the third to fifth percentile on growth charts. Although the velocity of linear growth and weight gain during the first years are unparalleled at any other time of life, this period is also...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/19382359-20181016-01
更新日期:2018-11-01 00:00:00
abstract::Adrenarche is when a child's adrenal cortex starts to secrete adrenal androgen precursors. Dehydroepiandrosterone (DHEA) is the most abundant product of the adrenal cortex, and is a weak androgen agonist thought to be responsible for the clinical signs of pubarche by conversion to more potent androgens, testosterone, ...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20171214-04
更新日期:2018-01-01 00:00:00
abstract::Concussions are common in pediatric athletes, but they often go underreported. The topic of concussions has garnered much attention from the media recently, and this attention has resulted in the development of stricter guidelines for management of concussion by professional sporting leagues such as the National Footb...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20190326-01
更新日期:2019-04-01 00:00:00
abstract::Bone marrow transplantation is a new, effective method for producing long-term disease-free survival in some cancer patients whose disease cannot be controlled by conventional treatments. The procedure is arduous and costly. The major problems which limit the usefulness of bone marrow transplantation are the effective...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/0090-4481-19830601-04
更新日期:1983-06-01 00:00:00
abstract::The epidemiology of the autistic spectrum disorders is changing. A clear increase in prevalence has been noted during the past 2 decades. What is less clear is the cause for this increase. Multiple factors appear to be responsible. The preponderance of evidence suggests most of the rise in incidence and prevalence is ...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-20031001-11
更新日期:2003-10-01 00:00:00
abstract::Congenital hyperinsulinism is a rare disorder that commonly presents in the immediate postnatal period as persistent hypoglycemia. The condition is frequently resistant to medical therapies, and the genetic mutations implicated in the disorder can be predictive of response to therapy. Evaluation of hypoglycemia in the...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/19382359-20171020-01
更新日期:2017-11-01 00:00:00
abstract::A male patient was born small for gestational age (SGA) at 33 weeks with a birth weight of 1,663 grams (< 10th percentile) and length 43 cm (10th percentile) to a 38-year-old G5P4 mother by cesarean section due to non-reassuring fetal heart tones. Prior to delivery, his mother experienced decreased fetal movement and ...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/00904481-20140221-08
更新日期:2014-03-01 00:00:00
abstract::Autistic disorder is a developmental disorder, the course of which grows out of the interaction of a chronic brain syndrome with the changes of maturation and development and a patchwork of habilitative programs. Definitive intervention awaits better definition through neuroanatomic and neurobehavioral studies. Invest...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/0090-4481-19900101-09
更新日期:1990-01-01 00:00:00
abstract::Following toxic ingestions, attention must first focus on the stabilization of the patient with concurrent attention to the prevention of absorption and the enhancement of excretion of the toxic substance ingested. A careful history and physical examination supported by laboratory data should assist in defining ingest...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/0090-4481-19901101-06
更新日期:1990-11-01 00:00:00
abstract::Managing pediatric patients with atypical rashes and seemingly simple diagnostic illnesses will continue to challenge pediatricians. Considering the presence of an alternative diagnosis or more than one concomitant diagnosis or pathogen in the evaluation, although we try to avoid it, may often lead to better outcomes....
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/00904481-20141124-03
更新日期:2014-12-01 00:00:00
abstract::Platelets are an essential component of the hemostatic pathway; therefore, it is important to identify and diagnose patients with low platelet counts. This can be challenging, however, because thrombocytopenia can be relatively common and the differential diagnosis can be broad. Furthermore, because platelets can be a...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20191212-02
更新日期:2020-01-01 00:00:00
abstract::Good medical practices can significantly reduce the possibility of diversion and misuse of the stimulants commonly prescribed to treat ADHD. While the problems of misuse and abuse are real, they should not become a barrier to appropriate use of these medicines, which are safe and effective for the large majority of pa...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/0090-4481-20060801-08
更新日期:2006-08-01 00:00:00
abstract::Many of the metabolic and gastrointestinal complications that occur when patients receive tube feedings result from improper selection or administration of the formula. An algorithm, available tables of formula composition, and adequate flowsheets for recording clinical information that can be adapted to individual in...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19870301-08
更新日期:1987-03-01 00:00:00
abstract::Early and accurate diagnosis will not only prevent the catastrophe of gangrenous bowel in infants and children with inguinal and femoral hernia, but in the case of hydrocele will also avoid unnecessary parental anxiety. An accurate diagnosis and knowledge of the natural history of inguinal conditions can avoid unneces...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/0090-4481-19890301-08
更新日期:1989-03-01 00:00:00
abstract::Youth with anxiety often present to their pediatricians with a chief complaint of physical symptoms without any mention of anxiety or worry. Even in the absence of reported symptoms of anxiety in such presentations, screening for an anxiety disorder as the potential source of the somatic complaints should be pursued. ...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20160913-01
更新日期:2016-10-01 00:00:00
abstract::Currently recommended dosages for the more commonly prescribed drugs discussed above are given in Table 3. The approach to the failing heart in the pediatric patient requires an understanding of the pathophysiology of heart failure and an understanding of the mechanisms, effects and clinical pharmacology of several cl...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19850401-08
更新日期:1985-04-01 00:00:00
abstract::Recent advances in contraceptive technology offer US adolescent females the potential to reduce their risk of unwanted pregnancy and sexually transmitted diseases (STDs) without unacceptable side effects. Newly developed oral contraceptives that contain the progestins desogestrel or norgestimate (Desogen, Ortho-Cept,...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19950401-09
更新日期:1995-04-01 00:00:00
abstract::Takayasu's arteritis (TA) is a granulomatous, large vessel vasculitis affecting primarily the aorta and its main branches. It is characterized by inflammation in the blood vessel wall, leading to either luminal occlusion or dilatation with aneurysm formation. The etiology of TA is unknown, but there seems to be a stro...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/00904481-20150611-10
更新日期:2015-06-01 00:00:00
abstract::Pediatric ED patients now have a wide variety of options to help relieve the pain and apprehension associated with an ED visit. Safe and effective management of these children has become a priority in properly staffed and equipped EDs throughout the country. ...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-20050801-10
更新日期:2005-08-01 00:00:00
abstract::Physical activity and participation in sports are important for the well being of children and youth and should be encouraged by health care providers. Individuals with chronic diseases are often less active, which can have a negative impact on their health. This article will review the effects of exercise on a few ch...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/00904481-20141124-11
更新日期:2014-12-01 00:00:00
abstract::Retro-auricular cellulitis associated with otitis externa is now the great mimicker of mastoiditis. It may be the most common cause of this specific cellulitis/auricular protrusion when it is associated with otitis externa. This column presents six cases of children who presented with peri-auricular redness, four of w...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/00904481-20140825-03
更新日期:2014-09-01 00:00:00
abstract::Restless legs syndrome (RLS) is a common pediatric condition that often goes undiagnosed. The genetics and pathophysiology of this sensorimotor condition are still not well understood. RLS can affect any part of the body, but the thighs and calves are the most commonly affected. Because of unpleasant sensations caused...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20181114-02
更新日期:2018-12-01 00:00:00
abstract::Brief resolved unexplained event (BRUE) is a common pediatric problem that presents to ambulatory and emergency settings. Infants presenting with a BRUE can be separated into low- and high-risk groups per recent guidelines. Most low-risk infants who present with a BRUE can be discharged home with anticipatory guidance...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20170118-02
更新日期:2017-02-01 00:00:00
abstract::Adolescence is a stressful time with a considerable amount of change, not only physically, with all the changes expected throughout puberty, but also emotionally, spiritually, and psychosocially. Teens are learning how to build and sustain relationships, learning boundaries in all areas of their lives, experimenting, ...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/19382359-20180321-01
更新日期:2018-04-01 00:00:00
abstract::Kikuchi-Fujimoto disease (KFD), or histiocytic necrotizing lymphadenitis, is a rare, benign, and self-limited disease that causes lymphadenopathy and has a characteristic histological appearance. The etiology of this disease is unknown, but a possible infectious trigger has been hypothesized. In the adult population t...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/19382359-20190920-01
更新日期:2019-10-01 00:00:00
abstract::Our findings suggest that most cases of anorexia nervosa among high school girls are eventually recognized and treated. However, it is worrisome that a large number of girls suffering from early anorexia nervosa and an even greater number suffering from bulimia do not seek treatment for their disorder. In addition, it...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19821101-10
更新日期:1992-11-01 00:00:00
abstract::The mortality attributed to sudden infant death syndrome ahs decreased significantly in Northern Europe and Australia in conjunction with the majority of infants being placed to sleep on their back or side instead of on their stomach. Since the AAP recommendation in 1992 to place healthy infants on their back or side ...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19950701-07
更新日期:1995-07-01 00:00:00
abstract::Pediatric abdominal surgical emergencies may present the primary physician with a diagnostic challenge. A systematic approach will help to minimize missed diagnoses and resultant complications. It always must be kept in mind that children often have atypical presentations of common entities. Prudent and directed use o...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19960801-08
更新日期:1996-08-01 00:00:00
abstract::Child healthcare sits between two worlds: in the past, with a focus on the prevention and treatment of infectious and chronic disease and the current more expansive view of child health and our role in child health promotion. As a result, disagreements concerning the evidence basis for our work have also arisen. Clini...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/00904481-20080301-13
更新日期:2008-03-01 00:00:00
abstract::We present a case of a 3-year-old female with a 10-day history of lower abdominal pain, distention, and vomiting, as well as fatigue, low-grade fever, and subjective weight loss who was found to have utero-ovarian torsion with pathology revealing hemorrhagic and infarcted tissue. While the literature is limited, it su...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/00904481-20151226-08
更新日期:2015-01-01 00:00:00