Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jan 2015
[Mild traumatic brain injury in children: can we predict intracranial complications?].
To investigate whether clinical signs and symptoms can predict intracranial bleeding (ICB) in children with mild traumatic brain injury. ⋯ In this study, no clinical sign or symptom could predict the risk of ICB in children with mild traumatic brain injury. Taking the low likelihood of ICB and the radiation damage associated with CT scanning into account, we conclude that a wait-and-see approach without initial imaging is justified and safe in children with mild traumatic brain injury without serious neurological symptoms.
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Ned Tijdschr Geneeskd · Jan 2015
Case Reports[Two travellers returning from the tropics with persistent wounds on their feet].
Two young tropical medicine residents returned from Zanzibar with multiple aching wounds on their toes that did not heal within 6 weeks. The clinical picture fit 'tungiasis', which is caused by Tunga penetrans, also known as jigger or sandflea. The ectoparasites were surgically removed and the status of tetanus vaccination was checked.