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Dec 062012
 

Cystic fibrosis is an inherited disorder that causes thick, sticky mucus to build up in the lungs, digestive tract, and other areas of the body. It is one of the most common chronic lung diseases in children and young adults. It is one of the life-threatening disorder.

As cystic fibrosis leads to complex and multisystemic involvement patients need care by specialists, treatment and follow-up care at specialty centers with multidisciplinary care teams.

Although there is  no cure for cystic fibrosis there are several treatment methods available to control the symptoms and to prevent complications.

The primary goals of CF treatment include the following:

  • Maintaining lung function as near to normal as possible by controlling respiratory infection and clearing airways of mucus.
  • Administering nutritional therapy (ie, enzyme supplements, multivitamin and mineral supplements) to maintain adequate growth.
  • Managing complications.
Pharmacological treatment
  • Antibiotics: to treat and prevent lung infections
  • Mucus-thinning drugs: to help you cough up the mucus, which improves lung function
  • Bronchodilators: to help keep your airways open by relaxing the muscles around bronchial tubes
  • Oral pancreatic enzymes: to help digestive tract absorb nutrients.

Chest physical therapy

Loosening the thick mucus in the lungs makes it easier to cough up. Chest physical therapy helps loosen mucus and is usually done from one to four times a day. A common technique is clapping with cupped hands on the front and back of the chest.

Changing  position can also make it easier to remove mucus from lungs. This is known as postural drainage. Continue reading »

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Dec 022012
 

Developmental and behavioral problems are very commonly seen in pediatric practice.

Child development refers to how a child becomes able to do more complex things as they get older. Development is different than growth.  Growth only refers to the child getting bigger in size.

Gross motor development refers to how a child begin to use large groups of muscles to sit, stand, walk, run, etc., keeping balance, and changing positions.

The First Month

  • During the first month of life most of a baby’s behavior is reflexive, meaning that his/her reactions are automatic.
  • Moves head side to side.
  • When held upright, holds head erect and steady.

1 to 3 Months

  • Lifts shoulder while prone.
  • Supports upper body with arms when lying on stomach
  • Stretches legs out and kicks when lying on stomach or back
  • Opens and shuts hands

4th Month

  • Lifts up on hands.
  • Rolls front to back.
  • If pulled to sit from supine , no head lag.

6th Month

  • Pulls self up to sit and sits erect with supports.
  • Sits alone.
  • Rolls over prone to supine.

7th Month

  • Rolls both ways (front to back, back to front)
  • Sits with, and then without, support of his/her  hands.

9th Month

  • Pulls to stand
  • Gets into sitting position.

12th month ( 1 year ) Continue reading »

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Nov 302012
 

Pertussis which is commonly called whooping cough is a highly contagious disease that causes uncontrollable, violent coughing. The coughing can make it hard to breathe.  A deep “whooping” sound is often heard when the patient tries to take a breath. While whooping cough can affect people at any age, it can be deadly for infants and young children.

Etiology

It is caused by bacteria known as  Bordetella pertussis which is gram negative, areobic coccobacillus.

Clinical Features

Classic signs of pertussis are a paroxysmal cough, inspiratory whoop, and vomiting after coughing. The cough from pertussis has been documented to cause subconjunctival hemorrhages, rib fractures, urinary incontinence, hernias, post-cough fainting, and vertebral artery dissection.

Different stages Of Disease

1. Incubation period:  is typically seven to ten days in infants or young children, followed by

2. Catarrhal stage : in which there is runny nose, sneezing, low-grade fever and symptoms of the common cold and then finally

3. Paroxysmal stage : characterized by multiple, rapid coughs.

Investigations

The initial diagnosis is usually based on the symptoms. However, when the symptoms are not obvious, pertussis may be difficult to diagnose. In very young infants, the symptoms may be caused by pneumonia instead.

To know for sure, the health care provider may take a sample of mucus from the nasal secretions and send it to a lab, which tests it for pertussis. While this can offer an accurate diagnosis, the test takes some time, and treatment is usually started before the results are ready. Continue reading »

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