Abstract:
:Eighty-five infants and children presenting with acute otitis media who had normal tympanic membrane landmarks and mobility within 1 month before entry into the study were studied. These criteria were used in order to avoid including children with prior otitis media with effusion (secretory otitis media). A diagnosis of suppurative otitis media was made in each case based on pneumo-otoscopic findings of diminished mobility, contour, and color of the tympanic membrane. The diagnosis was validated by myringotomy and positive culture of the middle ear fluid. A poorly mobile, bulging, yellow, opacified tympanic membrane was the most common type of tympanic membrane visualized; whereas a poorly mobile, bulging, red tympanic membrane was seen in ony 19%. The color of the tympanic membrane did not correlate with a specific pathogen isolated from the middle ear exudate. Sixty-seven per cent of children had no fever; 28% had no pain or querulous behavior.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Schwartz RH,Stool SE,Rodriguez WJ,Grundfast KMdoi
10.1177/000992288102000901subject
Has Abstractpub_date
1981-09-01 00:00:00pages
549-54issue
9eissn
0009-9228issn
1938-2707journal_volume
20pub_type
杂志文章abstract::In a patient with suppurative lymphadenitis who fails to respond to antibiotics routinely used for pyogenic adenitis, the diagnosis of tularemia should be considered if there is good evidence for recent tick or other insect exposure. A trial of streptomycin therapy may be indicated, pending culture and serology result...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287901800408
更新日期:1979-04-01 00:00:00
abstract::With many asthmatic children for whom emotional factors are significant, joint pediatric and psychiatric management is essential. A three-level model of collaboration is presented, including (1) pediatric care, (2) psychiatric consultation, and (3) inpatient psychosomatic treatment. The organization, professional role...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102001203
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abstract::The present report is a review of all 554 papers published on Medline on pedophilia. The first discussion is the history of the disorder from ancient Greece to the present time, especially the influence of the liberal country of the Netherlands, the North American Man-Boy Love Association, and the sexual crisis in the...
journal_title:Clinical pediatrics
pub_type: 历史文章,杂志文章,评审
doi:10.1177/0009922807301483
更新日期:2007-10-01 00:00:00
abstract::This paper represents a first attempt at delineating and summarizing the issues in a child's medical and developmental history associated with the probability of suffering abuse. The sample consisted of 96 children between 5 and 10 years of age, 61 of whom had been maltreated and 35 of whom served as controls. There w...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289203100904
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journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::An infant exposed in utero to valproic acid was born with multiple congenital malformations, including duodenal atresia, lumbar vertebral fusion, thoracolumbar scoliosis, renal abnormalities, diastasis recti abdominis, depigmentation of the eyebrows, and a large hemangioma. The child had neonatal hyperbilirubinemia an...
journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500205
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journal_title:Clinical pediatrics
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