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D e c e m b e r 1 2 - 1 3 , 2 0 1 8 | A b u D h a b i , U A E
Journal of RNA and Genomics
|
Volume 14
General Pediatrics Congress 2018
Current Pediatric Research
|
ISSN: 0971-9032
|
Volume 22
GENERAL PEDIATRICS, ADOLESCENT
MEDICINE AND NEONATOLOGY CONGRESS
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
alliedacademies.comYEARS
Curr Pediatr Res 2018, Volume 22 | DOI: 10.4066/0971-9032-C3-009
ACUTE SURGICAL ABDOMEN IN
NEONATAL AGE GROUP
Diary Abdulrahman Mohammad
Latifa Hospital, UAE
A
cute abdominal emergencies in neonatal are different
from those in adults and need to be treated with a greater
degree of urgency than the equivalent conditions in adult.
There are numerous disorders that can present as abdominal
emergencies, ranging from a self limiting conditions, such
as mesenteric lymphadenitis, to life – threatening conditions
such as perforated appendicitis and midgut volvulus.
The causes are age and sex related and can broadly be divided
in to those that occur in neonatal period, the infant and toddler,
and older children.
It must be always kept in mind that, inevitably, there is some
overlap and common entities can present atypically.
In conclusion, neonates presenting with acute surgical emer-
gencies should undergo a thorough yet expeditious evaluation
to help establish a diagnosis and initiate the therapeutic inter-
ventions necessary to help ensure positive outcome for these
patients.
SINGLE VERSUS DIVIDED-DOSE
STEROIDS IN TREATMENT OF
RHEUMATIC CARDITIS
Khalid A Sanousy
1
and
Rania MH Elkaffas
2
1
Assiut University, Egypt
2
Cairo University, Egypt
Introduction:
Patients with rheumatic carditis and more than
minimal cardiomegaly and/or congestive heart failure should
receive corticosteroids. The usual dose of prednisolone is 2
mg/kg/day in 4 divided doses. We aim by this study to com-
pare the regimen of giving steroids in a single daily dose with
that of giving them in four-divided doses.
Patients and methods:
The study was conducted on 24 pa-
tients having rheumatic carditis. 12 patients were started on
prednisolone at a dose of 2 mg/kg/day in a single daily dose
2-3 weeks. The other 12 patients were started on prednisolone
at a dose of 2 mg/kg/day in four divided doses for 2-3 weeks.
Results:
There was no significant statistical difference be-
tween the two groups of patients as regard the duration of
treatment before remission. No complications related to ste-
roids were observed in any of our patients.
Conclusion:
prednisolone, as a single morning dose is as ef-
fective as divided doses for treatment of rheumatic carditis
with no higher risk of complications. As single dose steroid
therapy is likely to be associated with better drug compliance,
we recommend it as the regimen of choice for treatment of
rheumatic carditis.