The brass standard.
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Gastric Acidity Determination↗
Biomedical subjects
J S DiPalma
Publications and source records attributed to J S DiPalma.
Intestinal lymphonodular hyperplasia of childhood: patterns of presentation.
In this retrospective analysis we searched for a constellation of signs or symptoms attributable to childhood lymphonodular hyperplasia (LNH). Of 147 children with documented LNH reviewed, 43% had lesions in the small bowel, and 57% in the large bowel. Children in this study presented with complaints of abdominal pain (58%) and bright red blood per rectum (32%). Physical examination revealed little except right lower quadrant (RLQ) abdominal tenderness and "fullness" in 35%. The pain was periumbilical, dull-cramping, rarely acute, and nonradiating. The hematochezia was most commonly streaky red in mucoid strands adhering to the stools, with no associated tenesmus. Three clinical patterns emerged: (a) Under 1 year of age most patients were male, with painless bleeding and pancolonic LNH. (b) Between 2 and 6 years, although the LNH was predominantly colonic, pain and bleeding occurred equally. (c) From 7 years old on, the main symptom was abdominal pain, but LNH distribution was nearly equal between the small bowel and the colon. To date, our long-term follow-up of the children with isolated LNH has revealed no sequelae.
Abdominal Pain↗
Colic.
Colic begins between the second and sixth week of life and usually abates by the fourth month of life. Crying may occur any time of the day but is most common after the evening feeding. Removal of cow's-milk protein from the diet eliminates colic in 30 percent of infants. Simethicone and an antispasmodic agent are sometimes helpful.
Colic↗
Inflammatory bowel disease in a patient with nephropathic cystinosis.
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Child↗