examinations | MY SPECIAL DOCTOR

Bronchial asthma

19 February 20246 January 2024 by Redazione My Special Doctor

Bronchial asthma is due to mucosal edema and stagnation of sputum.

To assess the severity of asthma, it is necessary to reconstruct the patient’s life through previous hospitalizations, feeding and fluid intake, therapy performed, and intolerance to specific medications. If it is severe asthma, it is necessary to subject the child to oxygen-fed aerosol and a series of laboratory tests such as chest X-ray, oxygen saturation with pulse oximeter in the presence of severe asthma, and hemogasanalysis in the presence of very severe broncho-constriction.

Regarding clinical monitoring, it is necessary to check the respiratory rate and heart rate every 4-6 hours and in severe cases recheck the score.

Source: Mediserve‘s Medical Emergencies in Pediatrics.

What to do when you go into a coma

18 February 20246 January 2024 by Redazione My Special Doctor

Coma is the morbid condition characterized by loss of consciousness with reduced or absent responsiveness to sensory stimuli and preservation of vegetative functions. Four levels of coma are distinguished: awake coma, mild coma, medium coma and deep coma. Symptoms are variable depending on the cause and level of coma.

Immediate procedures are needed to intervene: check motor response, pupils, and verbal response. Regarding the medical history, one needs to assess the time and mode of onset, past or coincidental trauma, past or current illnesses taking drugs or toxicants.

It is also necessary to perform laboratory tests such as CBC, blood glucose, azotemia, electrolytes, transaminases, amylasemia, creatininemia, and urinalysis.

Source: Mediserve‘s Medical Emergencies in Pediatrics.

Febrile convulsions in children

18 February 20246 January 2024 by Redazione My Special Doctor

Febrile seizures are seizures in the course of fever in a subject between 6 months and 5 years of age who has no signs of concomitant acute or chronic brain disease. Symptoms present generalized tonic, clonic or tonic-clonic seizures. The duration is a few minutes and rarely lasts for more than 30 minutes. Usually the child comes to the hospital when the seizure is over, so no urgent action is needed unless a relapse occurs.

Laboratory tests to be performed are blood glucose, calcemia, and electrolytes. Treatment performed only of seizure recurrence involves Diazepam rectally.

Source: Mediserve‘s Medical Emergencies in Pediatrics.

What is epiglottitis?

15 February 20246 January 2024 by Redazione My Special Doctor

Epiglottitis is an acute infection, most common from 3 to 6 years of age. Symptoms exhibited during the onset of epiglottitis are fever, septic status, forced posture, dysphagia, hoarse voice, dyspnea, and sialorrhea. It is important to avoid any maneuvers that might agitate the child, not to lie the child on the bed, not to remove the child from the parents, not to take blood samples, and not to inspect the oral head.

The examinations to be performed are lateral neck X-ray, fiberoptic nasopharyngoscopy, and blood culture before therapy.

Source: Medical Emergencies in Pediatrics by Mediserve edited by Maurizio Vanelli

What to do in case of endocranial hypertension?

15 February 20246 January 2024 by Redazione My Special Doctor

Symptoms of endocranial hypertension in infants are: increased head circumference, tense and pulsating anterior fontanel, waning sun sign, vomiting, lethargy, papilledema. In children, on the other hand, headache, vomiting, altered consciousness and papilledema occur.

Laboratory tests to be performed are brain or echocerebral CT scan and EEG. Treatment with head elevation, hyperventilation, diuretics or osmotics, short costeroids, hypothermia and barbiturate coma is required.

Source: Mediserve‘s Medical Emergencies in Pediatrics.

What is plateletopenia?

12 March 20246 January 2024 by Redazione My Special Doctor

The plateletopenia is the condition in which the number of platelets is lower to 150,000 mmc. This can occur due to reduced production, from sequestration or by an increase in distribution. Common signs and symptoms are bleeding surface, hematuria, melena, hepato-spenomegaly, anemia, and symptoms related to previous infectious diseases.

Which laboratory tests is it necessary to perform?

The laboratory tests to be performed with some urgency are the examination CBC with leukocyte formula, to check the actual presence of plateletopenia. If platelets between 20,000 and 150,000/mmc are present, they are not Specific interventions required, except in cases of severe bleeding. If the platelets are less than 20,000/mmc without signs of bleeding you need to keep the patient under close clinical observation. If the platelets are greater than 20,000 with major bleeding, a transfusion of platelets.

Source: Emergencies medical doctors in pediatrics from Mediserve

ALIMENTAZIONE E NUTRIZIONE	NATURA SPORT LUOGHI	COLTIVARE LA SALUTE	MENOPAUSA	MAMMA IN FORMA
MEDICINA TRADIZIONALE CINESE	CARDIOCHIRURGIA	FARMACI E DISPOSITIVI MEDICI	GENITORIALITÀ	LA CULTURA DELLA SALUTE
LE UTILITIES DELLA SALUTE	MEDICINA GENERALE	MEDICINA NATURALE, TERMALE	MENTE E CERVELLO	DISTONIA NEUROVEGETATIVA
MODI DI ESSERE	SALUTE E SOCIETÀ	SANITÀ E PAZIENTI	SESSUALITÀ	TERZA ETÀ
TUMORI	URGENZE

ALIMENTAZIONE E NUTRIZIONE	NATURA SPORT LUOGHI
COLTIVARE LA SALUTE	MENOPAUSA
MAMMA IN FORMA	MEDICINA TRADIZIONALE CINESE
CARDIOCHIRURGIA	FARMACI E DISPOSITIVI MEDICI
GENITORIALITÀ	LA CULTURA DELLA SALUTE
LE UTILITIES DELLA SALUTE	MEDICINA GENERALE
MEDICINA NATURALE, TERMALE	MENTE E CERVELLO
DISTONIA NEUROVEGETATIVA	MODI DI ESSERE
SALUTE E SOCIETÀ	SANITÀ E PAZIENTI
SESSUALITÀ	TERZA ETÀ
TUMORI	URGENZE

APPARATO DIGERENTE	APPARATO RESPIRATORIO	APPARATO UROGENITALE	CUORE E CIRCOLAZIONE	CUTE
INFETTIVOLOGIA	OCCHI	ORECCHIE NASO E GOLA	OSSA E LEGAMENTI	SISTEMA ENDOCRINO
SISTEMA NERVOSO

APPARATO DIGERENTE	APPARATO RESPIRATORIO
APPARATO UROGENITALE	CUORE E CIRCOLAZIONE
CUTE	INFETTIVOLOGIA
OCCHI	ORECCHIE NASO E GOLA
OSSA E LEGAMENTI	SISTEMA ENDOCRINO
SISTEMA NERVOSO

CULTURA E SALUTE	AGGIORNAMENTI
PERCORSI

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