Pediatric emergency care
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A serious complication of myasthenia gravis is respiratory failure. This may be secondary to an exacerbation of myasthenia (myasthenia crisis) or to treatment with excess doses of a cholinesterase inhibitor (cholinergic crisis). Managing respiratory failure and differentiating a myasthenia from a cholinergic crisis is reviewed. Due to the unpredictable development of respiratory failure, hospitalization is recommended for most patients with exacerbations or complications of myasthenia gravis.
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The topic of gender and medical care is receiving increased attention but has not been studied in children. We noticed that several children undergoing laceration repair in emergency department requested to be sutured by a female physician. This study attempted to find gender preferences of children and parents for the physician in the emergency department. ⋯ Most children (79%) preferred a female physician for their sutures, whereas parents overall (60%) appeared to prefer a male physician. The children did not appear to care if the physician was the "best." Surprisingly, many parents also chose physician gender rather than physician experience. One hundred percent of the parents who chose the most experienced physician were willing to wait longer to be seen as compared with 29% who preferred a physician of a particular gender.
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Pediatric emergency care · Aug 2005
Comparative StudyDifferences in herbal and dietary supplement use in the Hispanic and non-Hispanic pediatric populations.
Complementary and alternative medical therapies are becoming increasingly popular in the general population. ⋯ There is significant use of complementary and alternative medicine in the pediatric population, and herbal and dietary supplement use varies between Hispanic and Caucasian children. In addition, this dietary supplement use is often not discussed with health care providers. These factors should be taken into consideration by all health care providers.
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Jumping on the bed is a common childhood behavior. However, little is known about the potential for traumatic injury sustainable as a consequence of this behavior save for an understanding of the risk of injury related to falling from a bed, and a growing body of literature related to trampoline injuries. We report a case of a "grid" wire puncture injury that required a minor incision to affect removal. Parents should know about the possibility of this injury secondary to jumping on the bed, and pediatricians should know that the grid wires have hooked ends that may require incision to facilitate their removal.
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Omeprazole; the first proton pump inhibitor (PPI) showing an effective acid inhibitory ability, provides the satisfactory therapy either in gastro-esophageal reflux symptom relief or in healing of erosive esophagitis. It's also effective in peptic ulcer disease. ⋯ We report a child who developed hepatitis following omeprazole intake. We believe that this is the first case report of omeprazole-induced hepatitis in pediatric population.