Articles related to Pediatrics

The mass in the young child’s head was a “malformed monochorionic diamniotic twin,” which means that the fetuses shared the same placenta but had separate amniotic sacs in the womb. The phenomenon of one fetus becoming enveloped by another is known as “fetus in fetu” (“parasitic twin”), and it occurs in approximately 1 in 500,000 live births. The malformed fetus usually appears as a mass in the abdomen of the other fetus, wedged behind the abdominal wall tissues. In this case, however, the mass appeared in the “host” fetus’s head and most likely arose very early in development.

All agree that the well-being of the patient is paramount. But how to find that in the midst of so much hostility and criticism? When the evidence base is weak or disputed, other factors must be weighed, such as how invasive is the recommended intervention.

In addition to reducing local pain and inflammation, gargling with a salt-water solution may eliminate bacteria and virus through dilution and expulsion and also through the local pH changes it causes.

It is especially important to educate physicians who provide primary care to patients of these ages about spinal muscular atrophy (SMA) and other neuromuscular diseases. Shortening diagnostic times is critical for the success of current therapies, and neonatal SMA screening programs have a high potential for identifying affected children.

In this study of 243 adolescent and adult patients, addition of Modified Atkins Diet (MAD) to standard drug therapy netted seizure reduction of >50% in 26% of patients in the intervention arm versus 2.5% in the control group.

Along with other physical findings, this patient shows decreased testicular volume. Review the other findings and determine your next best step for evaluating this patient.