Vánoční dar pro nemocné děti

prof. MUDr. Vladimír Mihál, CSc.

Pediatr. praxi. 2009;10(6):355  

Differential diagnostics of cervical lymphadenitis in children

doc.MUDr.Ludmila Vyhnánková, CSc.

Pediatr. praxi. 2009;10(6):361-363  

This article deals with differential diagnostics of cervical lymphadenites in children. These inflammations can be divided into groups by etiology, localization of nodes and time course. There are individual types of inflammations that occur most frequently, their clinical symptoms, diagnostics and therapy. Furthermore the tumours of neck that should be taken into account while making differential diagnosis are referred to. The position of a paediatrician is unique as he usually knows his patients from their birth. Therefore he can assess well dynamics of the process and in cooperation with other specialists (an ENT specialist, a haematologist,...

Neonatal seizures

MUDr.Jan Hálek

Pediatr. praxi. 2009;10(6):364-367  

Neonatal seizures (NS) constitute a frequent and significant problem in the neonatal period. This medical emergency requires a rapid diagnostic decision and adequate management. Frequently, they are a symptom of a serious disease, have a negative impact on the vital functions of newborns and may adversely affect the development of the immature brain. The review provides comprehensive information about the condition including the latest findings.

The injuries of the respiratory tract in children

prof.MUDr.František Kopřiva, Ph.D.

Pediatr. praxi. 2009;10(6):368-369  

Major chest trauma in a child is associated with significant morbidity and mortality. It is most frequently encountered within the context such as a motor vehicle accident. The anatomic-physiologic make-up of children is such that pattern of ensuing injuries differs from that in their adult counterparts. Pulmonary contusion, pneumothorax, haemothorax and rib fractures are most commonly encountered. Blunt chest trauma is cinsiderably more common than penetrating injuries.

Menstrual cycle disorders in adolescent girls and their treatment

prof.MUDr.Jan Hořejší, DrSc.

Pediatr. praxi. 2009;10(6):370-372  

Menstrual cycle is controlled by non-matured axis hypothalamus-hypophysis-ovary. More than 50 % of cycles tends to be anovulatory and therefore irregular. Dysmenorea is term for heavy menstrual pain, it starts usually some months after menarche and is characteristic for biphasic, ovulatory cycles. Oligomenorrhoea is the most common disturbance in adolescence and we shall tolerate it, except 3× „too“: Too heavy, too long and too frequent. Dysfunctional uterine bleeding (DUB) in adolescence, called juvenile metrorrhagia must be treated using small dosis of estrogens (arrests bleeding), of gestagens (secretory transformation of dysfunctional...

Treatment with antibiotics in primary paediatric care

doc.MUDr.Ivan Novák, CSc.

Pediatr. praxi. 2009;10(6):373-378  

The paper addresses the reasons for antibiotic (ATB) treatment in primary paediatric care, particularly with respect to the empirical choice of the antibiotic drug.

The role of imaging methods in diagnosis of unconsciousness in children

MUDr.Marcela Charvátová, doc.MUDr.Jarmila Skotáková, CSc.

Pediatr. praxi. 2009;10(6):379-381  

The following overview summarizes the most common causes of unconsciousness in children, the role of imaging methods in diagnosing and highlights the different course of disease and different response to treatment in patients with CSC on the basis of different rates of neuroplasticity and immunological response to cerebral insult, which is probably genetically determined. injury.

The neonatal withdrawal syndrome and its therapy

MUDr.Veronika Stará, MUDr.Petra Lesná, MUDr.Filip Fencl, Ph.D., doc.MUDr.Květa Bláhová, CSc.

Pediatr. praxi. 2009;10(6):382-384  

The authors describe neonatal withdrawal syndrome (NWS), its symptoms, therapy and potential complications for the foetus during pregnancy as a consequence of drug-addicted mother. NWS occurs in newborns exposed to opioids, stimulans, canabinoids and other drugs, the wide range of signs of NWS is an impact of withdrawal on both central and vegetative nervous systems, gastrointestinal system and respiratory system. For the evaluation of symptoms and seriousness of NWS the Finnegan score is used worldwide; the Finnegan score higher than 8 points is an indication to start substitutive therapy. A long-term therapy of NWS is necessary very often....

Management of pain relief in children with tumors

MUDr.Petr Lokaj

Pediatr. praxi. 2009;10(6):385-388  

Pain treatment is still underestimated and not only in young patients with tumors. The article offers some resources for suppressing pain. The author especilly draws on his experience gathered at the Children´s Oncology Clinic in Brno.

Present approach to the diagnosis and treatment of atopic eczema

MUDr.Václava Gutová

Pediatr. praxi. 2009;10(6):389-393  

The problems of atopic eczema in children, new insights to pathogenesis and new genetical knowledge are discussed in the review. The important role of allergy in atopic eczema, especially in children, present feasibility of diagnosis and complex treatment are closely mentioned. Accented is interdisciplinary cooperation of pediatricians, dermatologists and allergists in management of patients.

Early childhood caries

doc.MUDr.Vlasta Merglová, CSc., MUDr.Romana Ivančaková, CSc.

Pediatr. praxi. 2009;10(6):394-396  

Early childhood caries (ECC) is the currently accepted term used to describe dental caries occuring in infants and toddlers. ECC is a multifactorial, transmissible and infectious disease. The microflora, suger substrate, saliva and succeptible tooth tissues are key factors involved in the pathogenesis, together with the immature host defence system and developing bacterial flora. Immature enamel and developmental defects of enamel are the next important etiological factors together with economical, social, cultural and behavioral aspects. Affection of many teeth, rapid development of lesions and caries in tooth surfaces mostly very resistant...

Acute miliary tuberculosis in a suckling

MUDr.Karolina Doležalová, prof.MUDr.Karel Křepela, CSc., MUDr.Jindřich Pohl, MUDr.Petr Koťátko, MUDr.Tamara Svobodová, CSc., doc.MUDr.Hana Houšťková, CSc.

Pediatr. praxi. 2009;10(6):397-400  

Authors presents a case report of a 5 month´s girl which was unsuccessfully calmetised and which was taken ill with tuberculosis. Acute miliary tuberculosis is accordingly with acute basillary meningitis the most severe form of postprimary tuberculosis and has a high mortality. In the area of Czech republic this illness was not seen since 1979. The calmetisation protects against those severe forms. The main goal of this presentation is to remind this rare disease which is very dangerous for no-calmetised or unsucessfully calmetised persons.

Ménétrier’s disease - an unusual cause of vomiting

MUDr.Jan Schwarz, doc.MUDr.Josef Sýkora, Ph.D., MUDr.Ing.Konrád Siala, Ph.D., MUDr.Michal Huml, ^*doc.MUDr.Jana Varvařovská, Ph.D., doc.MUDr.Jiří Kobr, Ph.D.

Pediatr. praxi. 2009;10(6):401-403  

The authors present a case report of a sixteen year old girl unable to swallow solid foods and with a history of progressive vomiting. Laboratory, imaging and histological results revealed paediatric (self-limited) Ménétrier’s disease. The incidence of this disease in children is very rare. In contrast with the adult, chronic form, paediatric Ménétrier’s disease has a favourable prognosis, and spontaneously recedes within two to six weeks. The authors discuss the possible aetiological factors, the pathophysiological mechanisms and clinical symptom in their patient.

Is sudden death in young athletes preventable

MUDr.Jan Ondruš

Pediatr. praxi. 2009;10(6):404-406  

Sudden death in young athletes evoke fear in careful parents for their offspring´s life. They demand paediatric cardiology evaluation to eliminate risk of death during physical activity. A case of young female athlete is presented in the article. Well timed correct diagnosis of hypertrophic cardiomyopathy prevented a possible catastrophe. Other cases of sports fatalities and opportunities for their screening are discussed.

Rotavirus infection in children

Pavla Dvořáková, DiS.

Pediatr. praxi. 2009;10(6):410  

The paper aims to provide information on rotavirus infection. It is a diarrhoeal disease affecting almost all children under 4 years of age. Rotaviruses are the most common cause of diarrhoea in infants and young children, most typically between 6 and 24 months of age. They cause severe diarrhoea. They spread very rapidly and easily. Their incubation period is very short ranging from 12 hours to 4 days. Rotavirus gastroenteritis is among the most common causes of hospitalization in children under 2 years.

Anaplastic large cell lymphoma as a case of fever of unknown origin with cervical lymphomegaly

prof.MUDr.Vladimír Mihál, CSc., MUDr.Kamila Michálková, prof.PhDr.Marie Jarošová, CSc., PhDr.Milena Holzerová, doc.MUDr.Martin Tichý, CSc., MUDr.Eva Buriánková, MUDr.Zbyněk Novák, doc.MUDr.Dagmar Pospíšilová, Ph.D.

Pediatr. praxi. 2009;10(6):412-413  

The authors present a case report of 15 year-old patient with anaplastic large cell lymphoma presenting with cervical lymphomegaly and fever of unknown origin. Morphologic, immunohistologic a cytogenetic examination of lymphoid tissue confirmed diagnosis of ALCL with CD30 and ALK1 positivity.

v hotelu Olympic Tristar.

MUDr. Drahomíra Polcarová

Pediatr. praxi. 2009;10(6):416-417  

Dermatóza s pruritem

prof.MUDr.Zdeněk Doležel, CSc., MUDr.Renata Faberová, Ph.D., MUDr.Lenka Plachá

Pediatr. praxi. 2009;10(6):408  

Rotavirová meningoencefalitida

prof.MUDr.Vladimír Mihál, CSc., MUDr.Kamila Michálková

Pediatr. praxi. 2009;10(6):409  

Autodidaktický test 6/2009

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Pediatr. praxi. 2009;10(6):418