Hodnotu práce pediatra určují děti, ne ankety

MUDr. Josef Grym

Pediatr. praxi. 2014;15(3):123  

Photosensitivity in children

MUDr.Jiří Ettler, doc.MUDr.Karel Ettler, CSc.

Pediatr. praxi. 2014;15(3):128-130  

Photosensitivity in pediatric population is much less prevalent then in adults. Every unexpected reaction to sun exposure should be thoroughly investigated for it can be manifestation of serious systemic disease. Early diagnosis can lower risks of future complications, comorbidities and decreased quality of life or life expectancy. Mainstay of management is careful fotoprotection and specific treatment, if available.

Specific risks to traveling with kids and their prevention

MUDr.Miriam Schejbalová, Ph.D.

Pediatr. praxi. 2014;15(3):131-133  

Traveling allows you to explore the various beautiful corners of our planet, but it is always good to remember that staying in a new social and natural environment, with unknown flora and fauna, can bring certain health risks. An appropriate and timely prevention can effectively prevent, or at least minimize, their impact on the health and life of travelers. When traveling with children, the risk is much higher. Therefore, when planning travel with children it is always necessary to consider all the pros and cons of your dream destination and assess whether the journey eventually may bring more problems than joy. This statement aims to highlight...

Thyroid disorders in childhood and adolescence

MUDr.Eva Al Taji, Ph.D., prof.MUDr.Olga Hníková, CSc.

Pediatr. praxi. 2014;15(3):134-137  

Disorders of thyroid gland belong to the most frequent endocrinopathies in children and adolescents. The article gives a brief review on current knowledge of the pathogenesis, clinical manifestation, diagnostics and treatment of the most common non-oncological thyreopaties in pediatric clinical practice. In the group of congenital thyreopaties, the attention is paid especially to congenital hypothyroidism, nevertheless rare but serious congenital hyperthyroidism is discussed as well. The part of the article dealing with acquired thyreopaties is focussed mostly on autoimmune thyroid diseases. Differential diagnosis of goiter is given and iodine...

Child with immunodeficiency - possibilities of solution

doc.MUDr.Vojtěch Thon, Ph.D.

Pediatr. praxi. 2014;15(3):138-140  

1st part: Diagnostic approach Early diagnosis of immunodeficiency makes possible early definitive therapy and avoids the complications of pretreatment infections. B-cell defects constitute the majority of primary immunodeficiencies. All are characterized by the reduction in or absence of immunoglobulins and/or specific antimicrobial antibodies. Consequently, substitution of immunoglobulin G (IgG) is the pillar of treatment. T-cell immunodeficiency defects become apparent as combined T- and B-cell deficiencies.

Issues of care of the neonate after discharge from hospital to home care

MUDr.Kateřina Kuběnová, MUDr.Hynek Canibal, MUDr.Miroslav Kobsa, MBA

Pediatr. praxi. 2014;15(3):141-143  

The aim of this paper is to focus primary care pediatricians on certain medical conditions in the newborns after their discharge from maternity unit. Although most babies are discharged after 72 hours post delivery, since this year it is acceptable to discharge newborn even sooner if adequate follow up is provided. This review contains summary of basic pathological conditions in the newborn period that pediatricians can meet in their practice.

Guidelines for prevention of overweight and obesity in infancy

MUDr.Zlatko Marinov, MUDr.Dalibor Pastucha, Ph.D., MBA, MUDr.Marie Finková, MUDr.Dagmar Karbanová, MUDr.Helena Letáková, RNDr.Jitka Riedlová, MUDr.Božena Slámová, Ing.Hana Střítecká, Ph.D., MUDr.Natália Szitányi, MUDr.Cecília Marinová, MBA, MUDr.Zita Obdržálková, MUDr.Anna Trojanová, MUDr.Pavla Tvrdoňová

Pediatr. praxi. 2014;15(3):144-147  

We present original and innovative Guidelines for prevention of overweight and obesity in infancy as a follow-up to the Guidelines for prevention and treatment of childhood obesity. The preventive guidelines are designed for use in everyday clinical practice by paediatricians for individual infants at risk of developing overweight, including their family background. They apply the basic principles of primary prevention of metabolic lifestyle diseases.

What parents need to know about wearing glasses, contact lenses and implementation occlusion

PaedDr.Markéta Skalická

Pediatr. praxi. 2014;15(3):148-151  

Early detection of visual defects in children is very important. However, it is the beginning of a demanding period for parents who have a child in therapy must ensure wearing glasses and/or contact lenses, often occluders. To manage this kind of therapy in young children up to 3 years, respectively up tu 6 years of age or in children with multiple disabilities is very complicated. We provide ideas how to cope with wearing glasses, contact lenses or occluder in children using our practical experience.

Cooperation of a paediatrician and a rehabilitation physician

MUDr.Jan Falta

Pediatr. praxi. 2014;15(3):152-156  

The review article aims to aid paediatricians in timely and clear detection of a child with nonphysiological manifestations of postural motor control and refer him to a rehabilitation centre dealing with these issues.

Heart failure as initial manifestation of Barth syndrome

MUDr.Marie Ryzí, MUDr.Michal Ryzí, MUDr.Pavel Vít, MUDr.Miroslava Burešová, MUDr.Stella Mazurová

Pediatr. praxi. 2014;15(3):158-160  

Barth syndrome (BTHS) is a gonosomal recessive disease characterized by heart involvement, neutropenia, myopathy, and growth retardation. The case report presents a nearly four-year-old boy who was hospitalized at our centre at the age of four months with a severe form of dilated cardiomyopathy. Treatment for heart failure was commenced. The investigations performed failed to show an infectious or other aetiology of the condition. As part of a broader differential diagnostic approach, the child underwent screening for metabolic disorders that showed 3-methylglutaconic aciduria. Barth syndrome was suspected and subsequently confirmed by molecular...

Floppy baby with skin abnormality - a case report of 6 years old boy with diagnosis of congenital muscular dystrophy type Ullrich

MUDr.Jana Haberlová, Ph.D., MUDr.Zuzana Libá, Ph.D., MUDr.Martin Kynčl, prof.MUDr.Pavel Seeman

Pediatr. praxi. 2014;15(3):161-163  

Authors presented case report of 6 years old boy with congenital generalised hypotonic syndrome accompanied by feeding problems and delayed motor milestones. Except the hypotonic syndrome boy expressed distal laxity, keratosis pilaris, and later mild contractures of knee flexors. Another sign of the disease were congenital hip dislocation. Mental development was normal. Blood level of kreatinkinase was mildly elevated (5.8 μkat/L). Due to the phenotype and the pattern in muscle MRI images of lower limbs genetic testing of COL6 gene was indicated and revealed causal in literature already described de-novo mutation in COL6A3 gene C6210 + 1G...

Acute back pain with atypical course - corrected diagnosis?

MUDr.Tereza Kučerová, MUDr.Marcela Kreslová, MUDr.Václav Lád, MUDr.Zuzana Hanušová, MUDr.Renata Vondráková, MUDr.Martina Brázdilová, MUDr.Ladislav Paulas, prof.MUDr.Jiří Kobr, Ph.D.

Pediatr. praxi. 2014;15(3):164-166  

The authors present a case report of a 7-year-old boy with acute back pain with totally atypical clinical presentations. Acute pains were only in the night, non-steroidal analgesics were without effect. During the day the patient had no pain and was not limited his movement. Step-by-step were excluded injury, noninfectious systemic inflammation and metabolic causes. Graphical views confirmed the rapid progression of the expansive process caudal spinal cord. Infectious etiology was demonstrated subsequently, with a certain latency. Effective antimicrobial treatment resulted in total recovery.

Polyserositis in a patient with inserted ventricular shunt

MUDr.Petra Baušteinová, MUDr.Jan Pajerek, MUDr.Daniela Procházková

Pediatr. praxi. 2014;15(3):167-168  

We present a case report of fifteen years old boy with the shunt infection caused by a low virulent Gram positive anaerobic bacteria Propionibacterium acnes, manifested as a polyserositis.

Selected evalvating scales in the care of the newborn

Mgr.Jaroslava Fendrychová, Ph.D.

Pediatr. praxi. 2014;15(3):171-173  

The contribution mentions selected evaluating scales that can be used in the care of newborns and infants. They can be used to assess the state of the behavior of sick newborn, its possible manifestations of pain, agitation and sedation, and possible withdrawal symptoms manifested shortly after the birth or during hospitalization in a neonatal intensive care unit. Because they belong to the lesser known and rarely used, are described more detailed how to work with them.

Post-traumatic testicular torsion as a cause of acute scrotum

prof.MUDr.Vladimír Mihál, CSc., MUDr.Petra Venháčová, MUDr.Jan Šarapatka, MUDr.Lucie Vaverková, MUDr.Kamila Michálková

Pediatr. praxi. 2014;15(3):174-176  

Torsion of the testis the most common urological emergency and should be included in the differential diagnosis of scrotal trauma. Clinical suspicion of testicular torsion is a serious indication for prompt surgical exploration of post-traumatic acute scrotum. Ultrasound is the imaging modality of choice for the pediatric scrotum and provides excellent anatomical details and assessement of testicular perfusion by color Doppler without ionizing radiation. A case of unilateral post-traumatic testicular torsion, which resulted in operative detorsion and bilateral orchidopexy of viable testis, is presented.

Jaká je vaše diagnóza?

MUDr. Kateřina Pražáková, MUDr. Josef Gut

Pediatr. praxi. 2014;15(3):170,177-178  

Domperidone - „a lactation-enhancing drug“ - risks for breastfeeding mothers, their competencies

MUDr.Marcela Peremská, Mgr.Michaela Mrowetz, Mgr.Markéta Pavlíková

Pediatr. praxi. 2014;15(3):179-181  

and attachment to children Lactation counselling has long been well established in the Czech Republic, helping mothers to overcome breastfeeding difficulties. However, when providing advice, a lot of lactation consultants rely on personal experience rather than evidence-based medicine and the knowledge of fostering attachment between mother and child. In order to promote milk production (frequently referred to as "milk flow" by mothers and consultants), lactation consultants trained by the Mamila civil society organisation recommend the use of a drug with the active ingredient domperidone (Motilium in the Czech Republic; Costi in Slovakia)....