RESUMEN
We compared axillary and rectal temperatures in 216 patients to assess the reliability of axillary temperature for determining fever in children under 14 years of age. Beyond the neonatal period, the mean rectal temperature was significantly higher than the axillary temperature. The sensitivity of axillary temperature in detecting fever was 87.5% among neonates but only 46% among older children. Axillary temperature correlated well with rectal temperature in neonates but not older children. There was no direct mathematical relationship between axillary and rectal temperature. Axillary temperature should be taken in neonates as it is less hazardous; rectal temperature should be used beyond this age.
Asunto(s)
Axila , Temperatura Corporal , Fiebre/diagnóstico , Recto , Termómetros/normas , Adolescente , Factores de Edad , Análisis de Varianza , Sesgo , Calibración , Niño , Preescolar , Hospitales Militares , Humanos , Lactante , Recién Nacido , Jordania , Modelos Lineales , Matemática , Sensibilidad y Especificidad , Termómetros/efectos adversos , Factores de TiempoRESUMEN
We compared axillary and rectal temperatures in 216 patients to assess the reliability of axillary temperature for determining fever in children under 14 years of age. Beyond the neonatal period, the mean rectal temperature was significantly higher than the axillary temperature. The sensitivity of axillary temperature in detecting fever was 87.5% among neonates but only 46% among older children. Axillary temperature correlated well with rectal temperature in neonates but not older children. There was no direct mathematical relationship between axillary and rectal temperature. Axillary temperature should be taken in neonates as it is less hazardous; rectal temperature should be used beyond this age
Asunto(s)
Temperatura Corporal , Factores de Edad , FiebreRESUMEN
To determine the most useful clinical symptoms and signs for detection of pneumonia in children, we carried out a prospective clinical study at Queen Alia Hospital, Amman, on 147 children admitted between August 2002 and January 2003 with clinical pneumonia. All the children had chest X-rays, which were read by the same radiologist. The most sensitive and specific signs and symptoms for prediction of pneumonia were coughing, tachypnoea (respiratory rate > 50/min) and chest wall indrawing. We found that presence of tachypnoea and lower chest wall indrawing can detect most cases of pneumonia. If all clinical signs are negative, chest X-ray findings are unlikely to be positive.
Asunto(s)
Examen Físico/métodos , Neumonía/diagnóstico , Factores de Edad , Antibacterianos/uso terapéutico , Estudios de Casos y Controles , Niño , Preescolar , Tos/etiología , Femenino , Fiebre/etiología , Hospitales Militares , Humanos , Lactante , Músculos Intercostales/fisiopatología , Jordania , Tiempo de Internación/estadística & datos numéricos , Masculino , Tamizaje Masivo/métodos , Tamizaje Masivo/normas , Examen Físico/normas , Neumonía/complicaciones , Neumonía/tratamiento farmacológico , Neumonía/fisiopatología , Estudios Prospectivos , Respiración , Sensibilidad y EspecificidadRESUMEN
To determine the most useful clinical symptoms and signs for detection of pneumonia in children, we carried out a prospective clinical study at Queen Alia Hospital, Amman, on 147 children admitted between August 2002 and January 2003 with clinical pneumonia. All the children had chest X-rays, which were read by the same radiologist. The most sensitive and specific signs and symptoms for prediction of pneumonia were coughing, tachypnoea [respiratory rate > 50/min] and chest wall indrawing. We found that presence of tachypnoea and lower chest wall indrawing can detect most cases of pneumonia. If all clinical signs are negative, chest X-ray findings are unlikely to be positive
Asunto(s)
Factores de Edad , Antibacterianos , Estudios de Casos y Controles , Preescolar , Tos , Fiebre , Músculos Intercostales , Respiración , Examen FísicoRESUMEN
We present an uncommon severe first branchial arch congenital malformation, in which complete unilateral bony fusion between the maxillary and mandibular processes was found in a newborn exposed to carbamazepine medication all through pregnancy. This condition interferes with oral feeding, intubation, growth and development. In a review of previously reported cases it was found that this anomaly was commonly associated with other abnormalities. The etiology of this malformation was uncertain in our case, as carbamazepine was not proven to be the definite cause.