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Old 08-04-2012
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Kids Pediatric Conditions that just need Reassurance

Lets post here all the conditions in pediatrics that just require reassurance of the family!
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1. Umbilical hernia in infant.
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1. breath holding spells
2. umbilical hernia < 3yrs
3. hydrocele < 12 months
4. crytorchidism < 1 yr
5. physiological jaundice
6. VSD < 6 months
7. ASD secundum type < 4 years
8. constitutional growth delay
9. mongolian spots
10. erythema toxicum
11. capillary hemangioma
12. enuresis < 5 years
13. encopresis < 4 yrs

correct if wrong
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2 more conditions are-

14.Infant who loses 10% of body weight in first week of life but has no signs of dehydration--reassure the parents but the infant must regain lost weight in the following days.

15.cyclical vomiting-nausea and vomiting in children with no apparent cause.treatment is antiemetics and Reassurance of parents.
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You dont treat diarrhea, just make sure they are hydrated.
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Regarding VSD,
a harsh systolic murmur in left sternal border, is most probably due to a Small VSD ( more pressure in blood crossing a smaller orifice) and so pt only requires Reassurance.
And if the murmuer is Soft in left sternal border, with thrill, then pt probably needs investigation.
Courtesy UW !
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Default some more conditions

16.Type 1 metatarsus adductus-corrects spontaneously < 4 yrs and surgery > 4yrs.
17.Internal femoral torsion-observation < 10 yrs age and surgery > 10 yrs age
18.Internal tibial torsion-No treatment needed.
19.Popliteal cyst (Baker Cyst)-observe < 10 yrs and surgery if symptoms or enlargement or > 10 yrs.
20.Mammary gland enlargement and non-purulent vaginal discharge in newborn female baby-due to transplacentally acquired maternal hormones (estrogens). No work up needed.
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Last edited by K06100; 08-05-2012 at 08:19 AM.
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21.Clavicular fracture in baby--due to shoulder dystocia,traumatic delivery and large baby.No treatment required,heals in 3-6 weeks.Avoid any tension on Arm.
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22.Growing pains in children--between ages 2 and 12.respond to reassurance ,massages and analgesics.
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23.Innocent murmur in children--systolic ejection quality ,< grade 2/6, no extra sounds.need only reassurance as they disappear as child grows.
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Birth injuries
Sub conj haemorrhage reassure
Skull fractures Linear no rx
Capud succedaneum
Cephal haematoma.

Cutis marmorata.
Mila
Salmon patch
Manolian sptos
Erythema toxicum.
Port wine stain
Hemangioma
Neonatal acne
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If the port wine stain is found near the Trigeminal Nerve distribution i wouldnt be so sure of only reassurance as 90-98% of individuals with port wine stain have Sturge Weber Syndrome.

This is what medscape says about it


Physical examination

When a typical facial vascular skin lesion is found in a newborn, it should alert the physician to perform a complete ophthalmologic and systemic assessment for the potentially serious associated disorders.

The hallmark of Sturge-Weber syndrome is a facial cutaneous venous dilation, also referred to as nevus flammeus or port-wine stain, which is present in as many as 96% of patients and is visible at birth. The facial venous dilation appears as one or several dull red patches of irregular outline, along, but not limited to, the distribution of 1 or more divisions of the trigeminal nerve.


Quote:
Originally Posted by cingulate.gyrus View Post
Birth injuries
Sub conj haemorrhage – reassure
Skull fractures – Linear – no rx
Capud succedaneum
Cephal haematoma.

Cutis marmorata.
Mila
Salmon patch
Manolian sptos
Erythema toxicum.
Port wine stain
Hemangioma
Neonatal acne

Last edited by XpaezX; 08-08-2012 at 07:16 AM. Reason: IM STUPID I DONT KNOW HOW TO QUOTE LOL :(
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Old 06-30-2013
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Default also, infantile colics...

in addition, infantile colic less than 4 years of age.
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Old 07-01-2013
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croup..but needs careful monitoring by parents!!
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Quote:
Originally Posted by K06100 View Post
22.Growing pains in children--between ages 2 and 12.respond to reassurance ,massages and analgesics.
Growing Pains




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