Epidemic diarrhea of the newborn.
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Objective To corn pare the different effects betweenXiYanPing injections therapy and the traditional routine treatment for children with acute diarrhea.Methods A total 84 patients with acute diarrhea were randomized into 2 groups in our infection departmentTreatment group(42) and control group(42) were given respectively by XiYanPin injections and the routine treatment.Results The effectiverates of XiYanPing injections were higher signifier costly than theroutine treatment.Concluslon Curative effect of XiYanPing injectionsfor children with acute diarrhea is better than the routine treatment.
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To the Editor.— Snyder1 found that the reported use of glucose-electrolyte solutions by pediatricians was not in accordance with the American Academy of Pediatrics Committee on Nutrition9s recommendations on oral rehydration therapy (ORT) for acute diarrhea. To determine actual physician practices, we conducted an audit of diarrhea management, including use of ORT, in the Emergency Room of our pediatric hospital. Our 4-month audit period included an epidemic of viral gastroenteritis, during which we expected to see optimal case management.
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I describe two children with chronic diarrhea who had multiple admissions and numerous nondiagnostic procedures before the correct diagnosis of factitious diarrhea caused by laxative ingestion or diet manipulation by a parent was discovered. Report of Cases .—Case1.—This was the fifth hospitalization because of vomiting and diarrhea for this 23-month-old female infant. Her mother had four previous miscarriages because of prematurity. The mother and father had separated before the birth of this child, and the child and mother lived alone. By history, the child had unexplained fever and had passed ten to 15 watery stools each day since infancy. The patient was pale and irritable, and her weight and height had fallen from the 50th to the fifth percentile. During this hospitalization, the child had watery, pink-tinged stools that averaged 250 g/day. An extensive evaluation disclosed that the following studies yielded normal findings: complete blood cell (CBC) count,
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History
A 34-year-old woman was admitted to the hospital with watery diarrhea, pain in the left lower quadrant, and persistent cough. A mild anemia and a leukocytosis with slight shift to the left were the only accompanying abnormal laboratory results. Further history is withheld. A barium enema examination (Fig 1) and a barium esophagram of the upper gastrointestinal tract (Fig 2) were performed.Diagnosis
Crohn's disease involving the colon with esophageal involvement producing a tracheoesophageal fistula.Comment
At age 24 years, this woman was first diagnosed as having Crohn's disease after developing rectal fistulas and oral ulcerations, both of which resolved with prednisone and sulfasalazine therapy. Five years later, she complained of cough, dysphagia, and watery diarrhea. Endoscopy revealed erythematous, friable mucosa in the midesophagus, which on biopsy was consistent with Crohn's disease. An increase in the intake of steroids resolved the patient's symptoms. She remained symptom free for fiveCite
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Productive Cough
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