Experience with focused abdominal sonography for trauma (FAST) in 313 pediatric patients

Michalle Soudack; Monica Epelman; Roni Maor; Lili Hayari; Gideon Shoshani; Asnat Heyman-Reiss; Moshe Michaelson; Diana Gaitini

doi:10.1002/jcu.10232

Experience with focused abdominal sonography for trauma (FAST) in 313 pediatric patients

Journal of Clinical Ultrasound ◽

10.1002/jcu.10232 ◽

2004 ◽

Vol 32 (2) ◽

pp. 53-61 ◽

Cited By ~ 61

Author(s):

Michalle Soudack ◽

Monica Epelman ◽

Roni Maor ◽

Lili Hayari ◽

Gideon Shoshani ◽

...

Keyword(s):

Pediatric Patients ◽

Abdominal Sonography

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Virilizing Adrenocortical Tumors in Childhood: Eight Cases and a Review of the Literature

PEDIATRICS ◽

10.1542/peds.76.3.437 ◽

1985 ◽

Vol 76 (3) ◽

pp. 437-444

Author(s):

Phillip D. K. Lee ◽

Robert J. Winter ◽

Orville C. Green

Keyword(s):

Linear Growth ◽

Pediatric Patients ◽

Serum Levels ◽

Dehydroepiandrosterone Sulfate ◽

Benign Disease ◽

Review Of The Literature ◽

Histologic Diagnosis ◽

Abdominal Sonography ◽

Definitive Therapy

Eight cases of adrenocortical tumor are presented with a review of the literature. Although such tumors are rare, they are important causes of inappropriate virilization and Cushing's syndrome in childhood. Clinical virilization with or without hypercortisolism was found in all eight children, who were 5 years old or younger. Excessive linear growth was noted, despite evidence of hypercortisolism. Serum levels of dehydroepian-drosterone, dehydroepiandrosterone sulfate, testosterone, and cortisol were elevated in all cases tested and appear to be useful diagnostic alternatives to the more traditional determinations of urine 17-ketosteroids and 17-hydroxycorticosteroida. Abdominal sonography and computed tomography have proven to be reliable tools for tumor localization. Surgical resection was the definitive therapy in all patients, and perioperative steroid replacement was essential. Histologic diagnosis appeared to have little bearing on prognosis, and the majority of pediatric patients have had clinically benign disease. At a mean follow-up of 3 years, seven of the eight children were alive and had no evidence of tumor recurrence.

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Audiology Service Models in a Family Physician Practice Setting

Perspectives on Audiology ◽

10.1044/poa6.1.24 ◽

2010 ◽

Vol 6 (1) ◽

pp. 24-32 ◽

Cited By ~ 2

Author(s):

Sridhar Krishnamurti

Keyword(s):

Pediatric Patients ◽

Practice Patterns ◽

Healthcare Delivery ◽

Direct Consequence ◽

Direct Access ◽

Practice Setting ◽

Pediatric Populations ◽

Family Practice Physicians ◽

Primary Focus ◽

Balance Problems

This article illustrates the potential of placing audiology services in a family physician’s practice setting to increase referrals of geriatric and pediatric patients to audiologists. The primary focus of family practice physicians is the diagnosis/intervention of critical systemic disorders (e.g., cardiovascular disease, diabetes, cancer). Hence concurrent hearing/balance disorders are likely to be overshadowed in such patients. If audiologists get referrals from these physicians and have direct access to diagnose and manage concurrent hearing/balance problems in these patients, successful audiology practice patterns will emerge, and there will be increased visibility and profitability of audiological services. As a direct consequence, audiological services will move into the mainstream of healthcare delivery, and the profession of audiology will move further towards its goals of early detection and intervention for hearing and balance problems in geriatric and pediatric populations.

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