[Cupuliform lesions in the oral mucosa].
Explore the source record for details and available documents.
Child↗
Biomedical subjects
J Rodríguez Suárez
Publications and source records attributed to J Rodríguez Suárez.
[Pulmonary computed tomography in children with cystic fibrosis in Asturias (Spain)].
INTRODUCTION: The advent of computed tomography (CT) has allowed the early detection of pathological changes in patients with cystic fibrosis (CF). Description of the early pathological changes and distribution of bronchiectasis in children with CF is limited, because most studies have been performed in older children and adults with well-established lung disease. The aim of this study was to describe the distribution pattern of this disease in Asturius. MATERIAL AND METHOD: We performed a retrospective study of the medical records and CT scans of patients followed up in our Cystic Fibrosis Unit. CT scans were scored by two radiologists according to Bhalla and Nathanson scores. Pathological changes were analyzed and correlated with clinical data and pulmonary function tests. RESULTS: The 41 CT reviewed contained between 10 and 47 slices, with a median of 16. The total number of slices was 758, of which 606 (79.95%) were considered acceptable and 152 were considered unacceptable by the radiologists. The most frequent lesions found were bronchiectasis (78.38%), followed by mucous plugs (37.84%). The most frequently affected bronchopulmonary segments were S1 and S2 in the right lung. Statistically significant correlations were found between Bhalla and Nathanson scores and disease duration. No statistically significant correlations were found between Bhalla and Nathanson scores and pulmonary function tests. CONCLUSIONS: The most frequent lesions in our environment were bronchiectasis followed by mucous plugs. The upper right lobe was the first to be affected, which correlates with findings in most published studies.
Adolescent↗
[Follow-up of longstanding ventricular septal defects].
OBJECTIVE: Ventricular septal defect is the most frequently diagnosed congenital heart defect. The prognosis is usually good. The aim of this study was to describe this idea to general pediatricians. MATERIAL AND METHODS: We review the follow-up of 81 patients with ventricular septal defect. Defects that spontaneously closed in the first 12 months of life and those that formed part of a malformative syndrome or a complex congenital heart defect were excluded. RESULTS: Localization was perimembranous, including all defects affecting mainly the septal membrane independent of whether the surrounding tissues were involved, in 66.7 %, muscular in 29.6 % and mixed in 3.7 %. Perimembranous position was more frequent among large and medium-sized defects. Large and perimembranous defects were characterized by holosystolic murmur; in small, muscular defects, murmur was cut off in mid-systole. In 45.8 % of large defects, weight development was delayed, but there was no appreciable effect on height. Generally we observed a tendency to partial closure and to improvement. Surgical closure was required in 9.8 %. CONCLUSIONS: Because of the trend to partial or complete spontaneous closure, the prognosis of ventricular septal defect is generally good.
Algorithms↗
[Influence of diet in idiopathic hypercalciuria].
OBJECTIVES: To find out if differences in diet may justify the presence of idiopathic hypercalciuria (IH) and to verify if the calcium-restricted diet, often recommended for treatment of IH, is nutritionally appropriate. PATIENTS AND METHODS: Dietary intake and mineral and electrolyte urinary excretion were studied twice in 10 children diagnosed of IH and in 9 controls. First, while being on a free diet. Second, after a week of suppression of milk and dairy products. RESULTS: Intakes of calories, proteins, carbohydrates, fats, and minerals were similar in IH patients and controls. Withdrawal of dairy products of diet resulted in an important reduction in the intakes of calcium (71.1%), phosphorus (63.5%) and fats (30.1%), although only calcium intake was remarkably below international recommendations (33.6 +/- 10.4%). CONCLUSIONS: Spontaneous diet of this group of hypercalciuric children was no different from that of control children. Suppression of milk and dairy products causes a nutritionally inappropriate diet.
Adolescent↗
[Treatment of Bell's palsy in pediatrics].
A series of 22 consecutive cases of idiopathic Bell's palsy are presented, 9 patients obtained return to the normal facial function without treatment and 2 more have had an importnat degree of recovery and it is expected they return to the normal facial function. Two cases did not show any recovery as they were cases with a chronic evolution and facial nerve degeneration. They did not receive any treatment. Facial nerve decompression was indicated in 8 cases; one hundred percent normal function was the result in 6 patients and a good result was obtained in the remaining 2 and complete recovery was expected shortly after.
Adolescent↗
[Tracheotomy].
This work deals with a review of the main aspects involved in the practice of tracheostomy which could be considered an easy procedure; however, the fact is that errors are continuously observed when it is indicated or performed; likewise, many mistakes are made during the care of the patient with a tracheostomy. If all this aspects are of importance in the adult, this importance increases in the child because of the great anatomical and physiological differences which always should be kept in mind in order to avoid complications of the procedure.
Female↗