Abstract:
:A 6-year-old girl with sickle cell disease was admitted to the hospital with the diagnosis of the acute chest syndrome. The laboratory findings and the radionuclear lung scan supported a diagnosis of pulmonary infarction rather than pneumonia. She improved with intravenous fluids, oxygen, penicillin, and theophylline. The most likely explanation for the rapid resolution of the clinical syndrome, the chest x-ray, and lung scan abnormalities is that masses of sickled cells caused transient pulmonary vascular occlusion leading to perfusion defects and ischemia, and that the sickled cell thrombi were dislodged before the infarction occurred. To our knowledge, this phenomenon has not been described as a cause of the acute chest syndrome in sickle cell disease in children.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Babiker MA,Obeid HA,Ashong EFdoi
10.1177/000992288502401209subject
Has Abstractpub_date
1985-12-01 00:00:00pages
716-8issue
12eissn
0009-9228issn
1938-2707journal_volume
24pub_type
杂志文章abstract::This retrospective cohort study aimed to describe antipyretic use among healthy patients in a pediatric emergency department (ED) with nonurgent fever defined as: triage level 4 or 5, chief complaint fever or temperature 38°C to 39°C, and otherwise normal vital signs, and determine if antipyretic administration is ass...
journal_title:Clinical pediatrics
pub_type: 杂志文章
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abstract::Premature delivery is common in pregnancies complicated by maternal diabetes. However, the outcome of very-low-birth-weight infants (VLBWI) born to mothers with diabetes is not known. Employing a matched double-cohort design, we investigated the influence of maternal diabetes on the outcome of VLBWI born in Winnipeg f...
journal_title:Clinical pediatrics
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doi:10.1177/000992280204100705
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journal_title:Clinical pediatrics
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abstract::Few tools are available to pediatricians for tracking and monitoring disability status in children. We describe the conceptual basis and pilot use of the Functional Independence Measure for Children (WeeFIM). Our pilot use of this instrument in children with limb deficiency, Down's syndrome, spina bifida, cerebral pal...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289403300708
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abstract::As clinicians, pediatricians need to be cognizant of the how the principles of equity, social justice, and children's rights help to inform and guide us as we strive for the health and well being of all children. Children of the world are frequently the most vulnerable global citizens facing poverty, displacement, and...
journal_title:Clinical pediatrics
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abstract::This study compares the patient characteristics of breastfed children in Baltimore, Maryland from 1990 to 2000 diagnosed with nutritional rickets at 12 months or younger to those older than 12 months to gain a better understanding of nutritional and environmental factors. All 30 of the patients were African American. ...
journal_title:Clinical pediatrics
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doi:10.1177/000992280304200807
更新日期:2003-10-01 00:00:00
abstract::A 13-year old boy with acute lymphoblastic leukemia on chemotherapy developed neutropenia and acute cellulitis progressing to fulminating septicemia due to Pseudomonas pseudomallei. Septicemic melioidosis should be considered in the differential diagnosis of a febrile illness in children who are susceptible to infecti...
journal_title:Clinical pediatrics
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doi:10.1177/000992288001901012
更新日期:1980-10-01 00:00:00
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journal_title:Clinical pediatrics
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更新日期:2007-10-01 00:00:00
abstract::This study investigated pediatrician-parent communication by content, analyzing medical encounters in a setting providing continuity of care. Thirty-eight encounters between middle class families and three senior pediatricians were audio-taped, transcribed, and analyzed for content. The categories of medical communica...
journal_title:Clinical pediatrics
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更新日期:1982-05-01 00:00:00
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更新日期:2016-05-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500402
更新日期:1986-04-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/0009922813507995
更新日期:2014-04-01 00:00:00
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journal_title:Clinical pediatrics
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doi:10.1177/000992288001900602
更新日期:1980-06-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章
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更新日期:2007-06-01 00:00:00
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journal_title:Clinical pediatrics
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doi:10.1177/0009922812464548
更新日期:2012-12-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000403
更新日期:1981-04-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813475703
更新日期:2013-04-01 00:00:00
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journal_title:Clinical pediatrics
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更新日期:2012-02-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922814555973
更新日期:2015-02-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289603500902
更新日期:1996-09-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810374977
更新日期:2010-11-01 00:00:00
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journal_title:Clinical pediatrics
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更新日期:2016-01-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289703600805
更新日期:1997-08-01 00:00:00
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journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
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更新日期:1988-10-01 00:00:00
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journal_title:Clinical pediatrics
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更新日期:1983-09-01 00:00:00