RESUMO
In brief: This paper discusses ureteropelvic junction obstruction and presents a case report of a young male athlete with a 13-year history of vague abdominal pain associated with long-distance running. Ureteropelvic junction obstruction was found to be the cause of his pain. A review of similar cases showed a significant number of patients with vague abdominal pain produced by ureteropelvic junction obstruction. While IVP is the standard for diagnosis, ultrasonography can be a useful screening test. The authors conclude that ureteropelvic junction obstruction should be considered for patients with abdominal pain.
RESUMO
A blow sustained to the head while wrestling may produce frontal osteomyelitis and its complications, Pott's puffy tumor and epidural abscess. The symptoms may be minimal and may be manifested only by a mild headache and occasional stuffy nose. A 16-year-old boy was studied one month after a head injury sustained while wrestling, complaining only of recurrent headaches and fever. A fluctuant mass was found in the midfrontal area. Frontal sinusitis, subperiosteal abscesss epidural abscess, and frontal osteomyelitis were found at surgery. The frontal bone involved by the osteomyelitis was debrided, and the epidural abscess was evacuated.
Assuntos
Traumatismos em Atletas/etiologia , Abscesso Encefálico/etiologia , Traumatismos Craniocerebrais/etiologia , Osteomielite/etiologia , Sinusite/etiologia , Esportes , Luta Romana , Adolescente , Espaço Epidural , Osso Frontal , Humanos , MasculinoRESUMO
The most common worm infection in children in the United States is pinworm infection. In second place is roundworm infection. Agents that are effective against these nematodes in a high proportion of cases are available. In hookworm disease, generally seen in older children, tetrachloroethylene treatment is being supplanted by use of drugs less likely to have adverse side effect. Visceral larva migrans is difficult to diagnose and to treat, and our best hope for control lies in prevention.
