ABSTRACT
Feline aural inflammatory polyps are non-neoplastic masses in the tympanic cavity or the Eustachian tube that can be observed in the ear canal of the cat and are a common cause of otitis externa and otitis media in young animals, with or without respiratory signs depending on the direction of polyp growth. Most of the polyps occurring in cats are unilateral. Otoscopy or video-otoscopy is necessary for its diagnosis, and treatment consists of the mechanical removal of the polyp and subsequent use of anti-inflammatory drugs. The aim of this paper was to report a case of bilateral inflammatory aural polyps in a kitten treated successfully by the minimally invasive technique of per-endoscopic trans-tympanic traction. A seven-month-old female mixed-breed cat, presenting bilateral ear discharge, was submitted to endoscopic examination of both ears and polypoid masses observed in each horizontal canal. Both polyps were grasped and pulled with a polypectomy snare through the otoendoscope. The patient received dexamethasone immediately after the procedure and a long-term oral corticosteroid protocol was established post-avulsion. It was concluded that otoendoscopy allowed an accurate and quick diagnosis, that the mass removal by per-endoscopic trans-tympanic traction was an effective treatment with no complications, and that bilateral occurrences could indicate a differential diagnosis, especially in young cats.(AU)
Pólipos inflamatórios aurais felinos são massas não neoplásicas na cavidade timpânica ou na tuba auditiva que podem ser observadas no canal auditivo do gato e são uma causa comum de otite externa e otite média em animais jovens, com ou sem sinais respiratórios dependendo da direção do crescimento do pólipo. A maioria dos pólipos que ocorrem em gatos é unilateral. A otoscopia ou vídeo-otoscopia é necessária para o seu diagnóstico, e o tratamento consiste na remoção mecânica do pólipo e posterior uso de anti-inflamatórios. O objetivo deste trabalho foi relatar um caso de pólipos aurais inflamatórios bilaterais em um felino filhote tratado com sucesso pela técnica minimamente invasiva de tração trans-timpânica perendos-cópica. Um felino fêmea de sete meses de idade, sem raça definida, apresentando secreção auricular bilateral, foi submetido a exame endoscópico de ambas as orelhas e massas polipóides foram observadas em cada canal horizontal. Ambos os pólipos foram apreendidos e puxados com uma alça de polipectomia através do otoendoscópio. O paciente recebeu dexametasona imediatamente após o procedimento e um protocolo de corticosteroide oral em longo prazo foi estabelecido após a avulsão. Concluiu-se que a otoendoscopia permitiu um diagnóstico preciso e rápido, que a retirada das massas por tração transtimpâ-nica perendoscópica foi um tratamento eficaz e sem complicações e que as ocorrências bilaterais podem indicar um diagnós-tico diferencial, principalmente em gatos jovens.(AU)
Subject(s)
Animals , Otitis/diagnosis , Polyps/veterinary , Cats/physiology , Inflammation/veterinaryABSTRACT
Background: Infestation by Otodectes cynotis is one of the main causes of external otitis in small animals, causing greatdisconfort and predisposition to secondary bacterial or fungal infections, with relevant importance in the small animalmedicine. In dogs, a small number of this parasite in the ears may cause inflammation, while in cats, otoacariasis accountsfor half of the external otitis cases. Due to the insufficiency of data about the prevalence of this disease in the Northeastregion of Brazil, the purpose of the present study was to evaluate the prevalence and clinical aspects of O. cynotis in dogsand cats from the Semi-arid region of Paraíba, Brazil.Materials, Methods & Results: The research was conducted in the municipality of Sousa, Paraíba State, Brazil. A total of102 dogs and 152 cats had their external ear canals examined by bilateral otoscopy, using an otoscope with a veterinarycone that allows inspection of the external ear canal. Parasitological swabs were also used to determine the prevalence ofparasitism by Otodectes cynotis. Samples collected in swabs were stored in a 70% alcohol preservative solution and sentto the Laboratory of Veterinary Parasitology, in wich were examinated on direct research, using microscopes in the 10xobjective (magnification of 100x). In all animals, clinical examinations were performed and their owners answered anepidemiological questionnaire to collect information about food and sanitary management. During the clinical examination,characteristics such as otopodal reflex, and the presence of pruritus and/or cerumen were also evaluated. The prevalence ofdogs and cats positive for O. cynotis was 33.3% (34/102) and 52.6% (80/152), respectively. Bilateral infestations occurredin 52.9% (18/34) of the positive dogs. Most of the positive animals showed evidence of the mite in both tests, Otoscopy +Swab [dogs: 58.8% (20/34) and cats: 66.2% (53/80)].Discussion: A high prevalence of...(AU)
Subject(s)
Animals , Cats , Dogs , Otitis/diagnosis , Otitis/epidemiology , Otitis/veterinary , Mite Infestations/epidemiology , Mite Infestations/veterinary , BrazilABSTRACT
Background: Infestation by Otodectes cynotis is one of the main causes of external otitis in small animals, causing greatdisconfort and predisposition to secondary bacterial or fungal infections, with relevant importance in the small animalmedicine. In dogs, a small number of this parasite in the ears may cause inflammation, while in cats, otoacariasis accountsfor half of the external otitis cases. Due to the insufficiency of data about the prevalence of this disease in the Northeastregion of Brazil, the purpose of the present study was to evaluate the prevalence and clinical aspects of O. cynotis in dogsand cats from the Semi-arid region of Paraíba, Brazil.Materials, Methods & Results: The research was conducted in the municipality of Sousa, Paraíba State, Brazil. A total of102 dogs and 152 cats had their external ear canals examined by bilateral otoscopy, using an otoscope with a veterinarycone that allows inspection of the external ear canal. Parasitological swabs were also used to determine the prevalence ofparasitism by Otodectes cynotis. Samples collected in swabs were stored in a 70% alcohol preservative solution and sentto the Laboratory of Veterinary Parasitology, in wich were examinated on direct research, using microscopes in the 10xobjective (magnification of 100x). In all animals, clinical examinations were performed and their owners answered anepidemiological questionnaire to collect information about food and sanitary management. During the clinical examination,characteristics such as otopodal reflex, and the presence of pruritus and/or cerumen were also evaluated. The prevalence ofdogs and cats positive for O. cynotis was 33.3% (34/102) and 52.6% (80/152), respectively. Bilateral infestations occurredin 52.9% (18/34) of the positive dogs. Most of the positive animals showed evidence of the mite in both tests, Otoscopy +Swab [dogs: 58.8% (20/34) and cats: 66.2% (53/80)].Discussion: A high prevalence of...
Subject(s)
Animals , Cats , Dogs , Mite Infestations/epidemiology , Mite Infestations/veterinary , Otitis/diagnosis , Otitis/epidemiology , Otitis/veterinary , BrazilABSTRACT
O presente estudo teve como objetivo descrever a ocorrência de otite parasitária causada por Rhabditis blumi em bovinos leiteiros de raça Gir de uma fazenda da região Norte do Brasil. Foram coletadas amostras de 42 bovinos por swab e lavado dos condutos auditivos externos (CAE). Ao exame clínico, 9,5% (4/42) dos bovinos apresentavam sintomatologia nervosa, como leve a moderada rotação da cabeça, apatia, flacidez dos lábios e ptose palpebral unilateral, alopecia das regiões da cabeça e cupim, causados pelo desconforto e prurido da região auricular, alteração na mastigação e acúmulo de alimento na cavidade oral. Adicionalmente, 71,4% (30/42) dos abovinos mostraram a presença do parasita no cerúmen dos condutos auditivos. À análise microscópica do material do saco conjuntival foi observado presença do parasita em 90% (9/10) dos bovinos avaliados. Os 30 bovinos positivos para Rhabditis spp. foram distribuídos aleatoriamente em três grupos de 10 animais: (G1) Bovinos controle, (G2) Bovinos tratados com ivermectina 1% pour on e (G3) Bovinos submetidos a lavado dos condutos auditivos externos (CAE). Cada tratamento foi repetido três vezes com intervalo de sete dias. No G1 os 10 bovinos mantiveram-se infectados durante todo o estudo. No G2 20% dos bovinos foram negativos após os dois primeiros tratamentos, porém, mostraram-se positivos na terceira avaliação. No G3 todos os bovinos mantiveram-se positivos, sendo observada apenas diminuição da carga parasitária. A identificação por análise molecular por meio de fragmentos amplificados da expansão D2/D3 do 28S rDNA confirmou a presença apenas da espécie Rhabditis blumi nos animais. Baseado nas observações clínicas, morfológicas e moleculares pode-se relatar o primeiro caso de R. blumi em bovinos da raça Gir no Estado do Pará, através da compra de animais oriundos de áreas onde a otite parasitária tem sido diagnosticada, principalmente de Minas Gerais, para formar animais mestiços (Gir x Holandês). Desta forma ressalta-se a importância do exame clínico prévio dos animais a serem transferidos para outras propriedades ou regiões. Este relato também parece ser o primeiro sobre a presença de R. blumi no saco conjuntival de bovinos. O tratamento com ivermectina no G2 não surtiu melhora clínica dos bovinos.(AU)
This study aimed to describe the occurrence of parasitic otitis caused by Rhabditis blumi in dairy cattle of the Gir race from a farm in northern Brazil. Forty-two samples were collected from cattle by swab washed from the external auditory canal (EAC). On clinical examination, in 71.4% (30/42) of the cattle the parasite was found in the cerumen of the ear canal, along with alopecia of head and hump caused by discomfort and itching of the auricular region. At microscopic analysis of material from the conjunctival sac the parasite was found in 90% (9/10) of the evaluated cattle. In addition, 9.5% (4/42) of the cattle showed nervous symptoms, such as mild to moderate rotation of the head, apathy, flaccid lips and unilateral ptosis, change in chewing and food accumulation in the oral cavity. Thirty cattle positive for Rhabditis spp. were randomly divided into three groups of 10 animals each: (G1) Cattle Control, (G2) Cattle treated with ivermectin 1% pour-on, and (G3) Cattle undergoing wash of the external auditory canal (EAC). Each treatment was repeated three times with intervals of seven days. In G1, 10 cattle remained infected throughout the study. In G2, 20% of the cattle were negative after the first two treatments, however were positive at the third evaluation. In G3, all cattle remained positive, but with decrease in parasite load. Identification by molecular analysis of amplified fragments through the expansion D2/D3 28S rDNA confirmed the presence of only Rhabditis blumi. Based on clinical, morphologic and molecular examination, it appears to be the first report of the occurrence of R. blumi infection in Gir cattle in the State of Pará, due to the purchase of cattle from areas where parasitic otitis has been diagnosed, as from Minas Gerais, to produce crossbred animals (Gir x Holstein). This emphasizes the importance of prior clinical examination by the veterinary service in order to transfer only healthy animals to other properties or regions. This appears also to be the first report on R. blumi infection of the conjunctival sac in cattle. Treatment with ivermectin in G2 did not produce clinical improvement.(AU)
Subject(s)
Animals , Cattle , Ivermectin/therapeutic use , Otitis/diagnosis , Otitis/parasitology , Otitis/therapy , Rhabditoidea/parasitology , Genome , Parasitic Diseases/diagnosisABSTRACT
O presente estudo teve como objetivo descrever a ocorrência de otite parasitária causada por Rhabditis blumi em bovinos leiteiros de raça Gir de uma fazenda da região Norte do Brasil. Foram coletadas amostras de 42 bovinos por swab e lavado dos condutos auditivos externos (CAE). Ao exame clínico, 9,5% (4/42) dos bovinos apresentavam sintomatologia nervosa, como leve a moderada rotação da cabeça, apatia, flacidez dos lábios e ptose palpebral unilateral, alopecia das regiões da cabeça e cupim, causados pelo desconforto e prurido da região auricular, alteração na mastigação e acúmulo de alimento na cavidade oral. Adicionalmente, 71,4% (30/42) dos abovinos mostraram a presença do parasita no cerúmen dos condutos auditivos. À análise microscópica do material do saco conjuntival foi observado presença do parasita em 90% (9/10) dos bovinos avaliados. Os 30 bovinos positivos para Rhabditis spp. foram distribuídos aleatoriamente em três grupos de 10 animais: (G1) Bovinos controle, (G2) Bovinos tratados com ivermectina 1% pour on e (G3) Bovinos submetidos a lavado dos condutos auditivos externos (CAE). Cada tratamento foi repetido três vezes com intervalo de sete dias. No G1 os 10 bovinos mantiveram-se infectados durante todo o estudo. No G2 20% dos bovinos foram negativos após os dois primeiros tratamentos, porém, mostraram-se positivos na terceira avaliação. No G3 todos os bovinos mantiveram-se positivos, sendo observada apenas diminuição da carga parasitária. A identificação por análise molecular por meio de fragmentos amplificados da expansão D2/D3 do 28S rDNA confirmou a presença apenas da espécie Rhabditis blumi nos animais. Baseado nas observações clínicas, morfológicas e moleculares pode-se relatar o primeiro caso de R. blumi em bovinos da raça Gir no Estado do Pará, através da compra de animais oriundos de áreas onde a otite parasitária tem sido diagnosticada, principalmente de Minas Gerais, para formar animais mestiços (Gir x Holandês)[...](AU)
This study aimed to describe the occurrence of parasitic otitis caused by Rhabditis blumi in dairy cattle of the Gir race from a farm in northern Brazil. Forty-two samples were collected from cattle by swab washed from the external auditory canal (EAC). On clinical examination, in 71.4% (30/42) of the cattle the parasite was found in the cerumen of the ear canal, along with alopecia of head and hump caused by discomfort and itching of the auricular region. At microscopic analysis of material from the conjunctival sac the parasite was found in 90% (9/10) of the evaluated cattle. In addition, 9.5% (4/42) of the cattle showed nervous symptoms, such as mild to moderate rotation of the head, apathy, flaccid lips and unilateral ptosis, change in chewing and food accumulation in the oral cavity. Thirty cattle positive for Rhabditis spp. were randomly divided into three groups of 10 animals each: (G1) Cattle Control, (G2) Cattle treated with ivermectin 1% pour-on, and (G3) Cattle undergoing wash of the external auditory canal (EAC). Each treatment was repeated three times with intervals of seven days. In G1, 10 cattle remained infected throughout the study. In G2, 20% of the cattle were negative after the first two treatments, however were positive at the third evaluation. In G3, all cattle remained positive, but with decrease in parasite load. Identification by molecular analysis of amplified fragments through the expansion D2/D3 28S rDNA confirmed the presence of only Rhabditis blumi. Based on clinical, morphologic and molecular examination, it appears to be the first report of the occurrence of R. blumi infection in Gir cattle in the State of Pará, due to the purchase of cattle from areas where parasitic otitis has been diagnosed, as from Minas Gerais, to produce crossbred animals (Gir x Holstein). This emphasizes the importance of prior clinical examination by the veterinary service in order to transfer only healthy animals to other properties or regions[...](AU)
Subject(s)
Animals , Cattle , Otitis/diagnosis , Otitis/parasitology , Otitis/therapy , Otitis/veterinary , Rhabditoidea/parasitology , Ivermectin/therapeutic use , Genome , Parasitic Diseases/diagnosisABSTRACT
Descreve-se o caso de um cão, Pinscher, fêmea de 11 meses de idade, com alteração anatômica da orelha do lado direito. Após avaliação, foi realizado o diagnóstico clínico e o radiográfico de microtia com atresia do canal auditivo do lado direito. Como o animal não apresentava sinais de alterações no sistema vestibular ou otite, optou-se pelo acompanhamento clínico do caso. A microtia, caracterizada pela hipoplasia parcial ou completa da pina, assim como outras anomalias do conduto auditivo, é raramente descrita em medicina veterinária. De acordo com a revisão de literatura realizada, este é o primeiro relato ocorrido no Brasil de um cão com microtia e atresia congênita do canal auditivo sem a associação de síndrome vestibular.(AU)
This paper describes an 11-month-old female Pinscher dog, with anatomical changes of the ear on the right side. After physical exam, clinical and radiographic diagnosis of microtia with ear canal atresia on the right side was made. As the animal did not show any signs of vestibular system changes or ear infections, the veterinarians opted for monitoring the patient. Microtia, characterized by the partial or complete hypoplasia of pina, as well as other abnormalities of ear canal are rarely described in veterinary medicine. As far as the author´s knowledge by literature review carried out, this is the first report of a dog with microtia and congenital ear canal atresia not associated with vestibular syndrome in Brazil.(AU)
Subject(s)
Animals , Dogs , Congenital Abnormalities/veterinary , Congenital Microtia/veterinary , Ear Canal/abnormalities , Vestibule, Labyrinth , Anatomic Variation , Ear/abnormalities , Ear/anatomy & histology , Otitis/diagnosis , Otitis/veterinaryABSTRACT
Descreve-se o caso de um cão, Pinscher, fêmea de 11 meses de idade, com alteração anatômica da orelha do lado direito. Após avaliação, foi realizado o diagnóstico clínico e o radiográfico de microtia com atresia do canal auditivo do lado direito. Como o animal não apresentava sinais de alterações no sistema vestibular ou otite, optou-se pelo acompanhamento clínico do caso. A microtia, caracterizada pela hipoplasia parcial ou completa da pina, assim como outras anomalias do conduto auditivo, é raramente descrita em medicina veterinária. De acordo com a revisão de literatura realizada, este é o primeiro relato ocorrido no Brasil de um cão com microtia e atresia congênita do canal auditivo sem a associação de síndrome vestibular.(AU)
This paper describes an 11-month-old female Pinscher dog, with anatomical changes of the ear on the right side. After physical exam, clinical and radiographic diagnosis of microtia with ear canal atresia on the right side was made. As the animal did not show any signs of vestibular system changes or ear infections, the veterinarians opted for monitoring the patient. Microtia, characterized by the partial or complete hypoplasia of pina, as well as other abnormalities of ear canal are rarely described in veterinary medicine. As far as the author´s knowledge by literature review carried out, this is the first report of a dog with microtia and congenital ear canal atresia not associated with vestibular syndrome in Brazil.(AU)
Subject(s)
Animals , Dogs , Congenital Microtia/veterinary , Congenital Abnormalities/veterinary , Ear Canal/abnormalities , Vestibule, Labyrinth , Anatomic Variation , Ear/abnormalities , Ear/anatomy & histology , Otitis/diagnosis , Otitis/veterinaryABSTRACT
Ácaros do gênero Otodectes são parasitos encontrados frequentemente no ouvido de cães e gatos, sendo reconhecidos como os principais causadores de otite externa nesses animais. Trezentos e vinte cães, oriundos do município de Cuiabá, Mato Grosso, foram examinados através da otoscopia e do exame do swab parasitológico, com o objetivo de avaliar, através da análise bayesiana para a estimativa da prevalência, sensibilidade e especificidade destes métodos no diagnóstico da infestação causada pelo ácaro utilizando-se de dados a priori informativos e não informativos. Cada animal foi considerado uma unidade experimental. Do total de cães examinados, 142 (44,37%) apresentaram-se positivos para otocariose. Em 100 animais (31,25%) a infestação foi diagnosticada pelos dois métodos, em 31 (9,69%) apenas pelo exame do swab parasitológico, em 11 (3,44%) apenas pela otoscopia e em 178 (55,62%) animais o resultado foi negativo por ambos os métodos. A sensibilidade da otoscopia, quando comparada ao exame do swab parasitológico, foi considerada menor, a especificidade dos testes, porém, não difere estatisticamente. O modelo, a priori informativo, demonstrou ser o mais plausível e reduziu consideravelmente o intervalo de credibilidade das estimativas dos parâmetros. Conclui-se que a análise bayesiana é efetiva na estimativa da prevalência e características dos testes diagnósticos...
Mites of the genus Otodectes are parasites found frequently in the ear of dogs and cats, being recognized as the main causers of external otitis in these animals. Three hundred and twenty dogs, deriving of the city of Cuiabá, Mato Grosso, had been examined through the otoscopy and of the examination of parasitological swab, with the objective to evaluate through the bayes'analysis for the estimate of the prevalence, sensitivity and especificity of these methods in the diagnosis of the infestation caused for the mite, using dates informative and not informative a priori. Each animal was considered an experimental unit. Of the total of examined dogs, 142 (44.37%) had been presented positive for otocariosis. In 100 animals (31.25%) the infestation was diagnosed by the two methods, in 31 (9.69%) only for the examination of parasitological swab, in 11 (3.44%) only for the otoscopy and in 178 (55.62%) animal the result was negative for both the methods. The sensitivity of the otoscopy, when compared with the examination of parasitological swab, was considered lesser, however the especificity of tests they do not differ. The informative model with priori it demonstrated to be most reasonable and considerably reduced the interval of credibility of the estimates of the parameters. It can be concluded that Bayes'analysis is effective in the estimation of prevalence and characteristics of the diagnostic tests...
Subject(s)
Animals , Dogs , Otitis/diagnosis , Otitis/parasitology , Otitis/veterinary , Otoscopy/methods , Otoscopy/veterinary , Bayes Theorem , Ectoparasitic Infestations/parasitology , Ectoparasitic Infestations/veterinary , Prevalence , Sensitivity and SpecificityABSTRACT
Ácaros do gênero Otodectes são parasitos encontrados frequentemente no ouvido de cães e gatos, sendo reconhecidos como os principais causadores de otite externa nesses animais. Trezentos e vinte cães, oriundos do município de Cuiabá, Mato Grosso, foram examinados através da otoscopia e do exame do swab parasitológico, com o objetivo de avaliar, através da análise bayesiana para a estimativa da prevalência, sensibilidade e especificidade destes métodos no diagnóstico da infestação causada pelo ácaro utilizando-se de dados a priori informativos e não informativos. Cada animal foi considerado uma unidade experimental. Do total de cães examinados, 142 (44,37%) apresentaram-se positivos para otocariose. Em 100 animais (31,25%) a infestação foi diagnosticada pelos dois métodos, em 31 (9,69%) apenas pelo exame do swab parasitológico, em 11 (3,44%) apenas pela otoscopia e em 178 (55,62%) animais o resultado foi negativo por ambos os métodos. A sensibilidade da otoscopia, quando comparada ao exame do swab parasitológico, foi considerada menor, a especificidade dos testes, porém, não difere estatisticamente. O modelo, a priori informativo, demonstrou ser o mais plausível e reduziu consideravelmente o intervalo de credibilidade das estimativas dos parâmetros. Conclui-se que a análise bayesiana é efetiva na estimativa da prevalência e características dos testes diagnósticos.(AU)
Mites of the genus Otodectes are parasites found frequently in the ear of dogs and cats, being recognized as the main causers of external otitis in these animals. Three hundred and twenty dogs, deriving of the city of Cuiabá, Mato Grosso, had been examined through the otoscopy and of the examination of parasitological swab, with the objective to evaluate through the bayes'analysis for the estimate of the prevalence, sensitivity and especificity of these methods in the diagnosis of the infestation caused for the mite, using dates informative and not informative a priori. Each animal was considered an experimental unit. Of the total of examined dogs, 142 (44.37%) had been presented positive for otocariosis. In 100 animals (31.25%) the infestation was diagnosed by the two methods, in 31 (9.69%) only for the examination of parasitological swab, in 11 (3.44%) only for the otoscopy and in 178 (55.62%) animal the result was negative for both the methods. The sensitivity of the otoscopy, when compared with the examination of parasitological swab, was considered lesser, however the especificity of tests they do not differ. The informative model with priori it demonstrated to be most reasonable and considerably reduced the interval of credibility of the estimates of the parameters. It can be concluded that Bayes'analysis is effective in the estimation of prevalence and characteristics of the diagnostic tests.(AU)
Subject(s)
Animals , Dogs , Otoscopy/veterinary , Otoscopy/methods , Otitis/diagnosis , Otitis/parasitology , Otitis/veterinary , Bayes Theorem , Prevalence , Ectoparasitic Infestations/parasitology , Ectoparasitic Infestations/veterinary , Sensitivity and SpecificityABSTRACT
The possibility of encountering rare tropical disease presentations is commonly described as a benefit derived by developed world medical trainees participating in clinical service-oriented short-term global health experiences in the developing world. This study describes the health status of a population served by a short-term experience conducted by a North American institute, and the results of a retrospective review are used to identify commonly encountered diseases and discuss their potential educational value. Descriptive analysis was conducted on 1,024 encounter records collected over four unique 1-week-long trips by a North American institution serving Haitian migrant workers in La Romana, Dominican Republic. The top five diagnoses seen in the clinic were gastroesophageal reflux disease (GERD), hypertension (HTN), upper respiratory infections, otitis media, and fungal skin infection. On occasion, diagnoses unique to an indigent tropical population were encountered (e.g., dehydration, malnutrition, parasites, and infections.). These findings suggest a similarity between frequently encountered diagnoses on a short-term clinical service trip in Dominican Republic and primary care presentations in developed world settings, which challenges the assumption that short-term service experiences provide exposure to rare tropical disease presentations. These findings also represent additional data that can be used to better understand the health and healthcare planning among this vulnerable population of Haitian migrant workers.
Subject(s)
Health Education , Regional Medical Programs , Transients and Migrants , Adolescent , Adult , Aged , Child , Child, Preschool , Developing Countries , Dominican Republic/epidemiology , Female , Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/epidemiology , Haiti/ethnology , Humans , Hypertension/diagnosis , Hypertension/epidemiology , Infant , Male , Middle Aged , Otitis/diagnosis , Otitis/epidemiology , Prevalence , Respiratory Tract Infections/diagnosis , Respiratory Tract Infections/epidemiology , Retrospective Studies , Skin Diseases/diagnosis , Skin Diseases/epidemiology , Young AdultABSTRACT
La patología otorrinolaringológica (ORL) es una de las principales causas de consulta en pediatría y su exploración semiológica exige una serie de habilidades en la técnica, además de paciencia por parte del explorador, con el fin que ésta no sea una experiencia negativa para el paciente. Se debe realizar la valoración de ORLcon el niño en brazos de la madre, recordando cada uno de los pasos en semiología. En la presente revisión, se evaluarán aspectos de la anamnesis en ORL, anatomía básica así como de la exploración física de la oreja, los oídos, la nariz, los senos paranasales, la boca, la faringe y el cuello.
Otolaryngology pathology (OTL) is one of the main causes of pediatric and semiologic exploration requires a range of skills in the art, as well as patience from the browser, so it is not a negative experience for the patient . PtÑ assessment should be conducted with the child in mother's arms, remembering every one of the steps in semiology. In the present review, we evaluated aspects of OTL history.
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Otolaryngology/classification , Otolaryngology/methods , Otoscopy/classification , Otoscopy/methods , Otoscopy , Medical History Taking/methods , Anatomy/classification , Anatomy/methods , Epistaxis/blood , Otitis/classification , Otitis/diagnosisSubject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Otitis/diagnosis , Otitis/drug therapy , Acute Disease , Chronic DiseaseABSTRACT
La inflamación aguda del oido medio es uno de los procesos infecciosos más frecuentes en la infancia. La elevada recurrencia de esta enfermedad, como consecuencia de diversos factores analizados en el presente artículo, conlleva una tasa de secuelas que, mediante un diagnóstico temprano y un adecuado tratamiento, podría ser reducida al mínimo.
Subject(s)
Child , Otitis/diagnosis , Otitis/etiology , Otitis/therapyABSTRACT
Se presenta dos casos de recién nacidos de sexo masculino con diagnóstico de Síndrome de Beckwith Wiedeman con diferentes características del Síndrome. Ambos fueron intervenidos quirúrgicamente por Onfalocele practicándose un cierre primario sin problemas respiratorios posteriores. El primero evolucionó favorablemente saliendo de alta al 12avo. día postoperatorio, mientras que el segundo falleció al tercer día de operado por un cuadro séptico. En el presente trabajo se comparan ambos casos con los publicados en la literatura nacional: Freyre (1973) y Bazán (1987) y se revisa la literatura internacional actual