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Biomedical subjects

W L Robson

Publications and source records attributed to W L Robson.

At least 109 records · Page 6Linked to original sources

Hypocomplementemia and leukocytosis in diarrhea-associated hemolytic uremic syndrome.

Sixty-eight children with diarrhea-associated hemolytic uremic syndrome (D+HUS) were retrospectively examined to assess clinical variables associated with the combination of leukocytosis and hypocomplementemia. There was a statistically significant association between the white blood cell count (WBC) and the level of the third component of the complement system (C3). Children with both a low C3 and a high WBC were significantly younger and required hospitalization for a significantly longer period of time. Although there were also trends to increases in the presence of anuria and central nervous system complications and in the duration of anuria, elevated WBC, thrombocytopenia, dialysis, and hemorrhagic colitis in children with both an elevated WBC and a low C3, these changes did not achieve statistical significance. The presence of a low C3 and an elevated WBC may indicate a subset of children with D+HUS with a more severe episode.

Age Factors↗

Gifted children.

Explore the source record for details and available documents.

Child↗

Lying in children.

Lying is a common problem in children. The causes of lying are numerous. With proper management including good parental role models, minimising or preventing contributing factors, and appropriate discipline, most children outgrow the tendency to lie.

Adolescent↗

Stealing in children.

Stealing is a common behavioural problem in children. The causes of stealing include a desire for possession, attention-seeking behaviour, revenge, a lack of discipline, poor parental role models, or significant psychological or psychiatric problems. With proper management, the tendency to steal resolves in most children.

Child↗

The pressure-dependent nature of the rash in Henoch Schönlein purpura.

A 10 month old girl with Henoch-Schönlein purpura (HSP) developed a rash predominantly on the anterior aspect of the knees. The authors speculate that this distribution of the rash was due to the pressure effects consequent to crawling and propose that the distribution of the rash in HSP should be described as pressure-dependent rather than merely gravity-dependent. The therapeutic implications of pressure-dependency in HSP are discussed.

Female↗

Post-streptococcal glomerulonephritis with minimal abnormalities in the urinary sediment.

Post-streptococcal glomerulonephritis (PSGN) classically presents with hypertension, edema, macroscopic hematuria, acute renal failure, proteinuria, and an active urine sediment with red blood cells and red blood cell casts. A patient who developed PSGN but who had only minimal and transient abnormalities in the urinalysis is reported. Physicians should be aware that a normal urinalysis does not rule out the diagnosis of PSGN.

Child↗

Counseling parents about childhood discipline.

Traditional disciplinary methods include rewards to reinforce good behavior and punishment for unacceptable behavior. Rewards may take the form of verbal praise, a smile, special attention or activities, physical affection, extra privileges or material benefits. Punishment may include verbal disapproval, an unhappy look, ignoring the behavior (extinction), temporary isolation ("time-out") or temporary removal of a privilege. Rewards are more effective than punishment. Discipline should be consistent, reasonable and appropriate to the child's age. Rules should be as few and as clear as possible. Parents should be exemplary role models for their children. Punishment, when required, should be immediate and inevitable. Punishment should be just and directed toward the undesired behavior rather than the child. Parents should discipline their children with love, understanding, patience and tolerance.

Child↗

Penile compression--a sign of urethral obstruction.

Three boys with urethral obstruction are described. To facilitate voiding, each boy compressed the shaft of his penis prior to initiating the urinary stream, a sign previously unreported in association with urethral obstruction.

Child↗

Labial fusion and urinary tract infection.

We report 9 female patients with labial fusion and concomitant urinary tract infection. The mean age at presentation was 47 months. All except 1 patient had labial fusion extending at least 50% of the length of the labia minora. All had symptoms of urinary tract infection and a positive urine culture. We recommend that a urine culture be performed in children with labial fusion and that all girls with urinary tract infection should be checked for labial fusion.

Child, Preschool↗

Hypertension in young patients.

Hypertension is often unrecognized in infants and children. Primary care physicians need the equipment necessary to measure blood pressure in young patients and tables or graphs showing normal values for age and sex. Children should have a blood pressure measurement and preventive counseling at each yearly checkup. Significant hypertension should never be dismissed as a temporary problem but rather should be carefully investigated, treated, and followed up.

Antihypertensive Agents↗