对患有急性普遍性虚弱的儿童的实践方法
Rebecca Leung1, Eppie M Yiu2,3,4
1Department of Neurology and Metabolics, Queensland Children's Hospital, South Brisbane, Queensland, Australia.
Journal of paediatrics and child health
|March 28, 2024
概括
儿童急性全身肌肉衰弱需要及时评估. 本综述涵盖了常见的病因,病史和检查中的诊断线索,以及病变局部化,以指导儿科紧急护理.
科学领域:
- 儿科神经学 儿科神经学
- 紧急医疗 紧急医疗
- 临床诊断 临床诊断 临床诊断
背景情况:
- 儿童的急性全身肌肉衰弱代表了一种关键的儿科紧急情况.
- 广泛的潜在原因需要结构化诊断方法.
研究的目的:
- 审查儿科患者急性一般化肌肉衰弱的常见病因.
- 突出从病史和神经学检查中获得的关键临床发现.
- 概述病变局部化的方法,以帮助差异诊断和调查.
主要方法:
- 关于儿童急性一般化肌肉衰弱的常见原因的文献综述.
- 强调临床表现,病史记录和神经学检查结果.
- 对诊断局部化策略的讨论.
主要成果:
- 鉴定出常见的小儿病状,表现为急性全身肌肉衰弱.
- 每个条件的详细关键历史和检查特征.
- 为定位神经损伤提供了一个框架.
结论:
- 及时诊断和治疗急性一般化肌肉衰弱的儿童取决于彻底的临床评估.
- 综合病史,检查和局部化的系统评估对于有效的儿科紧急护理至关重要.
相关概念视频
Myasthenia Gravis: Diagnostic Tests
819
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
819
Disorders of the Skeletal Muscle
941
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
941
Myasthenia Gravis: Overview and Treatment
1.4K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.4K
Chemical Synapses
8.8K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
8.8K
Skeletal Muscle Relaxants: Adverse Effects
367
Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
Unlike...
367


