Lincoln Hospital

About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.

Acute upper extremity flaccid paralysis in a 5year old child secondary to enterovirus infection.

Abstract: The incidence of acute flaccid paralysis has been on a declining trend with the global efforts on eradication of polio virus. A few scattered clusters of acute flaccid paralysis associated with pathogens like enterovirus other than polio virus and flaviviruses have recently come to limelight. This is a case of acute onset flaccid paralysis of left upper extremity in a fully immunized 5 year old child in New York.

Chronic Suppurative Otitis

Abstract: Otitis media is one of the most common causes of fever as a presentation in the pediatric population. Chronic suppurative otitis media, also known as chronic otitis media, is a stage of ear disease in which there is an on-going chronic infection of the middle ear without an intact tympanic membrane. This disease is a chronic inflammation of the middle ear and mastoid cavity. The characteristic presentation is chronic or persistent otorrhoea over 2 to 6 weeks through a perforated tympanic membrane. The Eustachian tube plays an important role in this disease, and dysfunction of this tube is found in 70% of patients undergoing middle ear surgery. When dysfunction of the Eustachian tube occurs, the pressure equilibration in the middle ear is impaired, and the middle ear aeration is perturbed, resulting in the classic symptoms of chronic suppurative otitis media. Acquired hearing-loss is also characteristically found in patients with this condition and, if left untreated, can lead to further morbidity and mortality.

Cord Blood Gas

Abstract: James et al. reported in 1958 that gas analysis of blood samples obtained from a clamped umbilical cord could reflect fetal hypoxia. Since then, cord blood gas analysis has become widely performed to objectively determine the fetal metabolic condition at the time of delivery when umbilical circulation stops. Multiple studies showed that this analysis, when combined with other neonatal factors, can help identify infants at risk for neonatal encephalopathy, which is vital for the early initiation of neuroprotective therapeutic strategies.

Reply to the correspondence letter by Park et al. “Renal Doppler ultrasonography in the diagnosis of nutcracker syndrome”

Abstract: We appreciate the interest of and comments by Park et al. Nutcracker syndrome is certainly an under-recognized cause of hematuria in children. It was noted that left renal venography is the most accurate modality to identify nutcracker syndrome, and it was concluded that renal Doppler ultrasonography should be considered as an initial screening tool in children with hematuria. We agree with this opinion; however, we would like to make additional comments. We described nutcracker syndrome as an uncommon but under-recognized cause of hematuria in children. Yang et al. also consider nutcracker syndrome as a rare clinical condition [3]. Our case report is an attempt for physicians to consider this diagnosis, especially in the emergency department, when evaluating children with hematuria, especially hematuria associated with abdominal pain. We agree with the opinion of ultrasonography being the initial investigation in children with isolated hematuria. However, in the emergency department when patients present with undifferentiated abdominal pain, other alternative diagnoses should be considered. Computed tomography (CT) scans are helpful in identifying and excluding other causes of acute abdominal pain. Reports from emergency departments indicate the use of CT scan for the diagnosis of nutcracker syndrome [2]. The diagnostic value of CT scan is well established in the evaluation of nutcracker syndrome and is well correlated with renal venography and renocaval pressure gradient [1]. An important limitation of the use of ultrasound is that it is operator-dependent and may not be feasible in the emergency departments at all times.