Abstract:
:The International Federation of Gynecology and Obstetrics and the American Congress of Obstetricians and Gynecologists support the use of new terminology for abnormal uterine bleeding (AUB) to consistently categorize AUB by etiology. The term AUB can be further classified as AUB/heavy menstrual bleeding (HMB) (replacing the term "menorrhagia") or AUB/intermenstrual bleeding (replacing the term "metrorrhagia"). Although many cases of AUB in adolescent women are attributable to immaturity of the hypothalamic-pituitary-ovarian axis, underlying bleeding disorders should be considered in women with AUB/HMB. This article reviews the new terminology for AUB, discusses important relevant features of history and examination, presents the laboratory evaluation of HMB, and describes hormonal (oral contraceptive pills, progestin-only methods, long-acting reversible contraceptives including intrauterine systems), hematologic (tranexamic acid and desmopressin), and surgical management options for AUB/HMB.
journal_name
Pediatr Annjournal_title
Pediatric annalsauthors
Mullins TL,Miller RJ,Mullins ESdoi
10.3928/00904481-20150910-09subject
Has Abstractpub_date
2015-09-01 00:00:00pages
e218-22issue
9eissn
0090-4481issn
1938-2359journal_volume
44pub_type
杂志文章,评审相关文献
PEDIATRIC ANNALS文献大全abstract::Practitioners involved with the medical care of active children often are called on for advice regarding physical activity recommendations in children and adolescents who are ill. This article has covered many general and specific guidelines to be considered when counseling children and their parents. Recommendations ...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19961001-11
更新日期:1996-10-01 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::Children presenting with hypertension should be considered for emergency treatment when there is evidence of end-organ toxicity. Complications of extreme hypertension may be very serious, even life threatening, with the potential for life-long sequelae. Of greatest significance is damage to the central nervous system....
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-19960701-04
更新日期:1996-07-01 00:00:00
abstract::Certain rashes and cutaneous lesions in a newborn can be clues to more concerning diseases and conditions if recognized and evaluated promptly. Langerhans cell histiocytosis, cutaneous forms of cancer (such as leukemia cutis, neuroblastoma, and rhabdomyosarcoma), developmental abnormalities such as neural tube or spin...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20181212-02
更新日期:2019-01-01 00:00:00
abstract::Atopic dermatitis (AD) is the most common inflammatory skin condition in pediatric patients. AD has long been associated with comorbidities including food allergies, asthma, and allergic rhinitis, but recent literature has expanded this list to include attention-deficit/hyperactivity disorder and depression. AD has tr...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20200217-01
更新日期:2020-03-01 00:00:00
abstract::Although vaccine acceptance and uptake are overall high among children in the United States, vaccine delays or refusals are a growing concern. Vaccine hesitancy is a challenge for the pediatric provider, given the diverse factors associated with hesitancy and the limited evidence on effective strategies for addressing...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/19382359-20201115-02
更新日期:2020-12-01 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::Neonatal intestinal obstruction is caused by an anatomical abnormality that produces bowel movement failure. Intestinal obstruction presents with three classic clinical signs: vomiting, abdominal distention, and failure to pass meconium. Intestinal obstruction is one of the most common causes for admitting a pediatric...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20180425-02
更新日期:2018-05-01 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::Most adverse reactions to foods are the result of intolerances rather than food allergy. It is important to identify children with potential food allergy as life-threatening, and life-ending reactions can occur. A clear understanding of the manifestations of food allergy caused by both IgE- and non-IgE-related mechani...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/00904481-20080801-05
更新日期:2008-08-01 00:00:00
abstract::Attention-deficit/hyperactivity disorder (ADHD) was added to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised in 1987. Similar disorders had appeared earlier, and many consider the first description of ADHD to be a lecture in 1902 about children with an "abnormal defect in moral contro...
journal_title:Pediatric annals
pub_type: 历史文章,杂志文章
doi:10.3928/19382359-20170614-01
更新日期:2017-07-01 00:00:00
abstract::Children with ventilator assistance have been supported in living at home since 1981 when parental advocacy ushered in a change to Medicaid policy. As the population of children who use medical technology such as long-term ventilation increases, we must critically evaluate our systems for preparing families for home l...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/19382359-20170919-01
更新日期:2017-10-01 00:00:00
abstract::Snoring and other signs of sleep-disordered breathing (SDB) represent a common management challenge for the pediatrician, pulmonologist, anesthesiologist, and otolaryngologist. In 2011, the American Academy of Otolaryngology-Head and Neck Surgery published a clinical practice guideline for the treatment of patients wi...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/00904481-20130924-08
更新日期:2013-10-01 00:00:00
abstract::Exercise-induced dyspnea in children and adolescents can occur for many reasons. Although asthma is the common cause, failure to prevent exercise-induced asthma by pretreatment with a bronchodilator, such as albuterol, indicates that other etiologies should be considered. Other causes of exercise-induced dyspnea inclu...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/19382359-20190219-02
更新日期:2019-03-01 00:00:00
abstract::CME EDUCATIONAL OBJECTIVES: 1.Identify and explain the four currently available methods of emergency contraception.2.Discuss the risk and benefits of intrauterine devices as a first-line option for contraception in adolescents.3.Review strategies for explaining the most common contraceptive methods to an adolescent. T...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/00904481-20130128-08
更新日期:2013-02-01 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::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::Children begin ballet lessons as young as age 2 years. The graceful movements of classical ballet require a combination of artistry, flexibility, and strength to perform. During the training and development of a young ballerina, the transition to dancing en pointe ("on the toes") represents a significant milestone and...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/00904481-20151215-01
更新日期:2016-01-01 00:00:00
abstract::The variables inherent in analyzing the effectiveness of modalities used to achieve bronchial hygiene are numerous. Treatments may be given in a variety of settings, including intensive-care units, pediatric wards, respiratiory therapy departments, physical therapy departments, chronic-care hospitals, special educatio...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:
更新日期:1977-08-01 00:00:00
abstract::Venomous bites and stings are complex poisonings that have local and systemic effects. Mild envenomations can be treated with supportive care. Severe envenomations can be treated definitively with species-specific antivenom, although the use of these products has potential risk of immediate and a more delayed onset fo...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract::What have we learned from febrile seizures? We have learned that there is a natural history to different seizure types, what some have taken to calling "seizure syndromes." We have learned that understanding these "natural histories" may be helpful in making decisions about treatment. We have learned that seizures the...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/0090-4481-19920601-07
更新日期:1992-06-01 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::In primary-care practice, just as in critical care, ethical dilemmas challenge pediatricians to make choices in the best interests of their patients. Parents are important to the growth and development of children and have broad responsibility for making virtually all decisions regarding nutrition, clothing, housing, ...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:10.3928/0090-4481-20041101-08
更新日期:2004-11-01 00:00:00
abstract::The approach to the diagnosis of established hypertension in childhood can be systematized and focused. The investigation of affected children evolves in an orderly fashion based on data collected from a thorough history and physical examination. Laboratory tests, in the majority of children, can then be selected on t...
journal_title:Pediatric annals
pub_type: 杂志文章
doi:
更新日期:1977-06-01 00:00:00
abstract::Pediatric chronic rhinosinusitis is a multifactorial inflammatory and infectious disorder. It likely reflects a dysfunction at the site of the interaction between host and environmental factors in the nose and sinuses. Our limited understanding of this common childhood disease makes it difficult to diagnose and to tre...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/00904481-20140723-10
更新日期:2014-08-01 00:00:00
abstract::Upper-extremity fractures account for more than half of childhood bony injuries. The frequency of injury increases with increasing mobility. The most common mechanism is a fall on an outstretched hand while playing. Optimal management requires knowledge of the normal anatomy and variants unique to pediatric bones. The...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/00904481-20140417-12
更新日期:2014-05-01 00:00:00
abstract::Pediatric cardiac emergencies require very specific treatment in the emergency room setting. Considering the possibility of a cardiac problem as the cause for the presenting symptoms is the initial step in successful management. Many patients present with what is initially considered a primary pulmonary disorder such ...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/0090-4481-19960601-09
更新日期:1996-06-01 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::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::Insufficient sleep duration and poor sleep quality are common among adolescents. The multidimensional causes of insufficient sleep duration and poor sleep quality include biological, health-related, environmental, and lifestyle factors. The most common direct consequence of insufficient and/or poor sleep quality is ex...
journal_title:Pediatric annals
pub_type: 杂志文章,评审
doi:10.3928/19382359-20170816-01
更新日期:2017-09-01 00:00:00