Acute neuromuscular disease and disorders

May 20, 2021 by in RHEUMATOLOGY Comments Off on Acute neuromuscular disease and disorders

Pearls • Common causes of acute flaccid paralysis in childhood include Guillain-Barré syndrome (GBS), acute flaccid myelitis, botulism, tick paralysis, periodic paralyses, and organophosphate poisoning. • Risk factors for respiratory…

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Ventilation/perfusion inequality

May 20, 2021 by in RHEUMATOLOGY Comments Off on Ventilation/perfusion inequality

Pearls • Gas exchange is optimized when pulmonary perfusion (Q) and alveolar ventilation (V A ) are tightly matched. The fractal design of the lung and gravitational effects on the…

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Coma and depressed sensorium

May 20, 2021 by in RHEUMATOLOGY Comments Off on Coma and depressed sensorium

Pearls • Coma is a state of unconsciousness with lack of awareness and loss of wakefulness. • A Glasgow Coma Scale score of less than 15 in children should be…

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Diseases of the pulmonary circulation

May 20, 2021 by in RHEUMATOLOGY Comments Off on Diseases of the pulmonary circulation

Pearls • Updated definitions and classification of pulmonary hypertension have helped to advance the understanding of pulmonary hypertensive diseases and facilitate drug trials. • Four classes of drugs have been…

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Pediatric lung transplantation

May 20, 2021 by in RHEUMATOLOGY Comments Off on Pediatric lung transplantation

Pearls • Pediatric lung transplantation is an accepted option for children of all ages who have end-stage, life-threatening disease and all medical options for treatment have been exhausted. • Outcomes…

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Overview of breathing failure

May 20, 2021 by in RHEUMATOLOGY Comments Off on Overview of breathing failure

Pearls • Three pathways to breathing failure are impaired neural control, failure of the muscles of breathing, and dysfunction of the mechanics of breathing. • Dysfunction of the mechanics of…

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Extracorporeal life support

May 20, 2021 by in RHEUMATOLOGY Comments Off on Extracorporeal life support

Pearls • The miniaturization and increased efficacy of centrifugal pump systems and low-resistance membrane lungs have resulted in a transition from roller pump devices to centrifugal setups in many centers….

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Asthma

May 20, 2021 by in RHEUMATOLOGY Comments Off on Asthma

Pearls • Patients with severe acute asthma exacerbations should be promptly and aggressively managed in the emergency department with inhaled β-agonist agents, inhaled ipratropium bromide, oxygen, and a systemic corticosteroid….

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Neonatal pulmonary disease

May 20, 2021 by in RHEUMATOLOGY Comments Off on Neonatal pulmonary disease

Pearls • Both pulmonary and nonpulmonary disorders must be considered as leading to neonatal respiratory distress. • It is important to distinguish respiratory disorders from the normal neonatal cardiorespiratory transition….

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