Munchausen syndrome by proxy presenting as pharyngeal dysphagia and recurrent mouth ulcers: a case report - Alkhattabi F, Alsalameh S, Alkhani A, Alhuthil R, Hatem A, Jebreel A.
We report a Munchausen syndrome by proxy (MSBP) case, which presented as pharyngeal dysphagia and an acquired tracheoesophageal fistula (TEF). A six-month-old Saudi male presented with fever, persistent oral ulcers, intermittent bleeding from the ulcers, f... (Source: SafetyLit)
Source: SafetyLit - December 25, 2023 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news
What Causes Dysphagia?
Discussion
Swallowing is a complex process with 4 phases:
Preparatory – food is moistened with saliva, chewed and prepared into a bolus by teeth, tongue and hard palate.
Oral – food bolus is moved into oropharynx by tongue and triggers the swallow reflex. Soft palate elevates to prevent nasopharyngeal reflux.
Pharyngeal – food bolus is moved through the oropharynx and hypopharynx to the esophagus. Respiration stops briefly with vocal fold adduction and larynx elevation to prevent aspiration.
Esophageal – the cricopharyngeaul muscle relaxes which allows the food bolus into the esophagus where it is ...
Source: PediatricEducation.org - October 16, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
Spondylodiscitis following ingestion of button battery in an infant-a case-based update - Afshari FT, Gee O, Lo WB.
Button battery ingestion in infants is an increasingly common surgical emergency which can lead to oesophageal perforation, mediastinitis, trachea-oesophageal fistulation, airway compromise and death. One exceedingly rare complication of battery ingestion ... (Source: SafetyLit)
Source: SafetyLit - April 17, 2023 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news
A2 years old boy with recurrent tracheoesophageal fistula after surgical removal of an esophageal button battery - Alhawsawi SA, Alshamrani AS, Muhammad T.
BACKGROUND Among the pediatric population, button batteries ingestion is a significant health risk. The main treatment of ingested esophageal button batteries is urgent endoscopic removal. Missed or delayed diagnosis results in serious complications and ou... (Source: SafetyLit)
Source: SafetyLit - November 2, 2022 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news
Airway Injuries Severe Consequence of Button Battery Ingestion
Tracheoesophageal fistulae and vocal cord paralyses are most common airway sequelae; vocal cord paralysis occurs after shorter exposure (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - May 27, 2022 Category: Respiratory Medicine Tags: Family Medicine, Gastroenterology, Nursing, ENT, Pediatrics, Pulmonology, Emergency Medicine, Journal, Source Type: news
Airway Injuries Severe Consequence of Button Battery Ingestion
FRIDAY, May 27, 2022 -- Airway injuries are a severe consequence of ingestion of button batteries (BBs), with tracheoesophageal fistulae and vocal cord paralyses the most common airway injuries, according to a review published online May 26 in JAMA... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 27, 2022 Category: Pharmaceuticals Source Type: news
Airway Injuries'Devastating' After Battery Ingestions Airway Injuries'Devastating' After Battery Ingestions
Tracheoesophageal fistula and vocal cord paralysis were the two most common airway injuries and often required tracheostomy, researchers found in a new review of battery ingestions.Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 27, 2022 Category: Emergency Medicine Tags: Pediatrics News Source Type: news
Stridor After Tracheoesophageal Fistula Repair: Where Is the Lesion?
A male infant with a birthweight of 2,500 g (between the 3rd and 10th percentile) is born at 37 weeks ’ gestation to a 27-year-old primigravida woman with severe polyhydramnios (amniotic fluid index of 37 cm). After delivery, the neonate is vigorous, with Apgar scores of 8 and 9 at 1 and 5 minutes of age, respectively. He develops excessive frothy oral secretions, and the neonatology team is unabl e to pass a nasogastric tube. Chest radiography shows the coiling of a nasogastric tube with air in the stomach suggestive of esophageal atresia (EA) with tracheoesophageal fistula (TEF). (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - January 1, 2022 Category: Pediatrics Source Type: news
Tracheo-oesophageal fistula in a case of button battery ingestion: CT virtual bronchoscopy imaging - Agarwal SS, Shetty DS, Joshi MV, Manwar SU.
Foreign body ingestion in paediatric population is a very common problem. Usually the foreign bodies pass through the gastrointestinal tract without any complications; however, certain foreign bodies like button batteries might cause severe injuries like t... (Source: SafetyLit)
Source: SafetyLit - May 17, 2019 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news
What Are the Types of Tracheoesophageal Fistulas?
Discussion
Respiratory problems in infants can caused by many things including any type of obstruction from the nose to lung. Neonates and infants are particularly susceptible to changes in the size of the airway because of the physics of airflow resistance. Important reminders about infant airways:
Resistance = 1/radius4 (Poiseuille’s equation) therefore even a 1 mm decrease in the airway circumferences increases the airflow resistance x16.
Increased airflow causes less pressure along the walls, which can lead to collapse of the walls (Bernoulli’s and Venturi effects).
Neonates have smaller lungs relative to ...
Source: PediatricEducation.org - March 4, 2019 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
What Are The Potential Complications of a Tracheostomy?
Discussion
In the past, indications for tracheostomy were often because of infection, but today are more often due to need for chronic airway support and/or ventilation. Many more children and infants are having tracheostomies placed. Decannulation rates for these children are low due to concomitant complex chronic disease such as neurological, pulmonary and congenital heart diseases. Co-morbidies are common with 3-4 being average, and frequently also including chronic technology such as gastrostomy tubes or ventriculoperitoneal shunts. Approximately 8% of children do not survive the hospitalization where the tracheostomy ...
Source: PediatricEducation.org - January 7, 2019 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
What is the Difference Between an Association and a Syndrome?
Discussion
VATER association was first described in the 1970s with additional congenital malformations being added to the association so it is most often called VACTERL association. It is a highly heterogeneous, overlapping condition estimated to occur in ~1/10,000-40,000 births. The cause is unknown. In animal models, some signaling pathway gene mutations have phenotypes of VACTERL association.
Experts suggest that patients having at least 2 components should be further evaluated (at least 3 for diagnosis) for VACTERL and other diseases in its differential diagnosis. There are more than 30 syndromes, mutations and diseas...
Source: PediatricEducation.org - February 5, 2018 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
The joy of cooking (and eating) after tracheomalacia
For most little kids, a trip to the supermarket is an annoying chore, made tolerable only by the opportunity to request sugary snacks as a reward. But when Charlotte McQueen accompanies her mother, Erin, to the store, it’s a journey marked by imagination and delight. “Mom, can we get that?” she asks, pointing to a can of pureed pumpkin. “Oh, and we’ll need marshmallows and we can make chocolate frosting. It will be a great cake!”
At nearly 5 years old, Charlotte is an avid baker — a talent she picked up not at culinary school, but at the Yawkey Family Inn. There, a volunteer taught her and other chronically i...
Source: Thrive, Children's Hospital Boston - January 10, 2018 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dori Gallagher Dr. Michael Manfredi Dr. Russell Jennings Esophageal and Airway Treatment Center esophageal atresia and tracheoesophageal fistula posterior tracheopexy tracheomalacia Yawkey Fa Source Type: news
An ocean away: Care for laryngeal cleft brings Clara to Boston
My husband, Duncan, and I were living in London, England, when Clara was born. Although my pregnancy had started out like any other, I later developed severe polyhydramnios, an accumulation of amniotic fluid that can sometimes indicate the presence of certain congenital issues.
After I delivered, it became clear that Clara had a congenital condition called esophageal atresia with tracheoesophageal fistula (EA/TEF). This condition meant that her esophagus (the tube that carries food from the mouth to the stomach) hadn’t developed properly and didn’t connect to her stomach, but that her esophagus and windpipe were improp...
Source: Thrive, Children's Hospital Boston - July 11, 2017 Category: Pediatrics Authors: Natascha Kiernan Tags: Diseases & Conditions Our Patients’ Stories Center for Airway Disorders Dr. Reza Rahbar laryngeal cleft Source Type: news
