Health

What are the common causes of cardiopulmonary arrest in children?  Common causes of cardiopulmonary arrest in children are numerous, but most fit into the classifications of respiratory, infectious, cardiovascular, traumatic, and central nervous system (CNS) diseases. Respiratory diseases and SIDS together consistently account for one third to two thirds of all pediatric cardiopulmonary arrests in …

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Is the pathophysiology of cardiopulmonary arrest in children similar to that in adults?  No. Cardiopulmonary arrests in children most commonly involve primary respiratory failure with subsequent cardiac arrest. Furthermore, cardiopulmonary arrests in children generally follow progressive deterioration and usually do not occur as sudden events. Exceptions to this statement include cases of sudden infant death …

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What is the incidence of pediatric cardiopulmonary arrests?  Schoenfeld and Baker noted that 0.25% of patient visits to an urban emergency department involved management in the resuscitation room. A prospective study by Ong and associates found an overall annual incidence of cardiopulmonary arrests of 59.7 per million children, with the highest incidence, 175 per million …

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SUNCT and SUNA syndrome SUNCT is an acronym for short-lasting, unilateral, neuralgiform headache attacks with conjunctival injection and tearing. SUNA is an acronym for short-lasting unilateral neuralgiform headache attacks with autonomic symptoms. They are rare and often disabling primary headache disorders. They belong to the group of disorders known as the TACs. SUNCT and SUNA …

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Do Breakthrough headaches occur with indomethacin therapy False. Some patients experience breakthrough headaches at the end of dosing intervals. These headaches are usually eliminated by increasing the dose or shortening the dosing interval. For patients with breakthrough headaches in the early morning hours, slow-release indomethacin at night may be helpful.

How are paroxysmal hemicrania headache treated Once the diagnosis is established and neuroimaging is normal, how are these headaches treated? The hallmark of PHs is the absolute cessation of the headache with indomethacin. Initial therapy consists of 25 mg indomethacin 3 times daily. If there is no response or if there is a partial response after …

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How is chronic paroxysmal hemicrania diagnosed Once the diagnosis of episodic or chronic paroxysmal hemicrania is established, are any further workups necessary? Although the PHs are benign by definition, there have been patients with clear medical or structural etiologies of this clinical disorder. For example, to date, there have been a number of published cases …

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