Two-year-old with a persistent fetal vein presenting as a neck mass.
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Child, Preschool↗
Biomedical subjects
V A Flanary
Publications and source records attributed to V A Flanary.
Mass hearing screening in kindergarten students.
OBJECTIVE: To determine the types of hearing losses identified by mass hearing screenings in the public school system. DESIGN: Prospective observational. PARTICIPANTS: Students enrolled in kindergarten in the public school system. SETTING: Major metropolitan area. MAIN OUTCOME MEASURES: (1) hearing screening tests performed by speech pathologists using an audiometer in a quiet room; (2) formal audiologic testing including pure tone audiometry, tympanograms, speech discrimination, and acoustic impedance testing in a sound proof booth. RESULTS: 140 students failed hearing screening on two separate occasions; 91(65%) underwent formal audiologic testing at Milwaukee Public School, 43% demonstrated conductive hearing losses, 14% demonstrated sensorineural losses and 43% demonstrated normal hearing. CONCLUSION: Mass hearing screening in the school system (1) is useful for detecting transient conductive hearing losses, (2) detects a significant number of sensorineural hearing losses and (3) has a very poor follow-through by the families of those students identified with hearing loss through the screening program.
Acoustic Impedance Tests↗
Conservative management of traumatic pseudodiverticulum in the neonate.
Traumatic pseudodiverticulum of the pharynx is an uncommon entity which generally occurs in infants after traumatic intubation or suctioning. A case of an infant presenting with stridor, drooling and cervical crepitus is presented.
Diagnosis, Differential↗
Pediatric deep space neck infections: the Medical College of Wisconsin experience.
A retrospective review was performed on 39 patients with deep space neck infection admitted to the Children's Hospital of Wisconsin over a nine year period. The signs and symptoms as well as issues of diagnosis and treatment were reviewed with attention to the use of computed tomography (CT) scans. Beta hemolytic streptococcus was the most commonly cultured organism followed by alpha hemolytic streptococcus. Sixteen patients underwent CT scans. Twelve were diagnosed with an abscess by CT scan. An abscess was confirmed in ten patients. Necrotic lymph nodes mimicked abscesses on CT scans and resulted in negative surgical findings. Airway obstruction occurred in 30% of the children in the study. Children under the age of 36 months had a significantly higher rate of airway obstruction upon presentation compared to older children (P < 0.05). There should be a high index of suspicion of upper airway compromise in children under the age of 36 months with a deep neck infection.
Abscess↗