A5041502405- Appendicitis Diagnosis and Management
- Intraperitoneal and Appendiceal Malignancies
- Pediatric Hepatobiliary Diseases and Treatments
- Diverticular Disease and Complications
- Trauma Management and Diagnosis
- Congenital Diaphragmatic Hernia Studies
- Gallbladder and Bile Duct Disorders
- Congenital Anomalies and Fetal Surgery
- Hernia repair and management
- Infant Nutrition and Health
- Intestinal Malrotation and Obstruction Disorders
- Pancreatitis Pathology and Treatment
- Ovarian cancer diagnosis and treatment
- Cardiovascular and Diving-Related Complications
- Medical and Biological Sciences
- Trauma and Emergency Care Studies
- Dialysis and Renal Disease Management
- Restraint-Related Deaths
- Stoma care and complications
- Ultrasound in Clinical Applications
- Global Health and Surgery
- Central Venous Catheters and Hemodialysis
- Delphi Technique in Research
- Congenital Heart Disease Studies
- Global Health Workforce Issues
West Virginia University
2023
Florida College
2022
University of Florida
2022
Cardinal Glennon Children’s Medical Center
2016-2022
Saint Louis University
2016-2022
Saint Louis University
2019
William Harvey Hospital
2011
To compare outcomes for complicated appendicitis treated with early versus interval appendectomy and to identify which patients would likely benefit from appendectomy.A retrospective review of was performed 2010 2015. Patients were divided into (EA) (IA) groups. We compared demographics, complications outcomes. Pearson's Chi square analysis Student's T test performed.We identified 316 (EA group 53% vs. IA 47%). Interval had longer symptom duration [IA 3.8 EA 2.3 days (p = 0.0001)], increased...
Neonates requiring peritoneal dialysis (PD) catheters have been shown to complication rates up 70%. The presence of a concurrent stoma significantly increases the risk peritonitis, exit-site infection, and catheter failure. As such, multiple techniques proposed reduce these risks, including chest wall exit site. In this case, patient was born with bilateral hypoplastic kidneys an anorectal malformation, colostomy soon after birth. At 4 weeks life, he required placement PD for dialysis. Given...
No consensus exists regarding duration of antibiotic therapy for complicated appendicitis treated with interval appendectomy. We hypothesized that more than two weeks does not decrease complication rates in asymptomatic patients.A retrospective review all patients appendectomy from 2010-2015 was performed. divided the groups (group 1, ≤2 antibiotics; group 2: >2 antibiotics). Demographics, agents, and complications were collected. Pearson χ analysis Student t-test performed significance p <...
Screening blood work after minor injuries is common in pediatric trauma. The risk of missed versus diagnostic necessity an asymptomatic patient remains ongoing debate. We evaluated the clinical utility screening carefully selected children trauma.Patients seen at a level 1 center with "minor trauma" for blunt trauma between 2010 and 2015 were retrospectively reviewed. Exclusion criteria age <4 >18 years, Glasgow Coma Scale score <15, penetrating trauma, nonaccidental hemodynamic instability,...
Necrotizing enterocolitis (NEC) is a disease of prematurity resulting in surgery for approximately 30% patients. Trends abdominal distention can assist decision-making. There no defined girth change that predicts need surgery. The aim this study was to determine any relationship between and NEC. An IRB-exempt review NEC patients from 2015-2020 at single institution performed. Inclusion exclusion criteria were applied. Demographics, daily largest girth, laboratory data recorded. Average...
Paradoxical arterial embolization secondary to penetrating trauma from a gunshot wound (GSW) is rarely described phenomenon that occurs when missile crosses the venous systemic circulation. There are few cases reported in literature, and none preadolescent patient. Here we describe paradoxical pulmonary vein femoral bifurcation 5-year-old. A 5-year-old child presented after an accidental GSW right chest. The patient was hemodynamically stable on room air. lower extremity pulseless, but...
Peripherally inserted central catheter (PICC) lines are used routinely in neonates requiring prolonged drugs and parenteral nutrition complications usually infectious, mechanical, or thrombotic nature. Spontaneous extravascular migration is extremely rare, presentation with large volume chest tube output even rarer. We present a case involving neonate on extracorporeal membrane oxygenation (ECMO) after congenital diaphragmatic hernia (CDH) repair discuss management strategies.