Ruptured Baker's Cyst In A 15-year Boy

Jawaid, Amna; Amjad, Nida; Arif, Khubaib

doi:10.29271/jcpsp.2018.06.s135

Cited by 7 publications

(6 citation statements)

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“…ey are usually asymptomatic in the majority of cases, and only identified incidentally during evaluation for knee arthropathy. An isolated rupture of a Baker's cyst is rarely reported in children, with the first published case in a 15-year-old teenager [12]. Similar to this case, although much younger, this child presented with calf swelling and a diagnosis of venous thrombosis was initially entertained.…”

Section: Discussionmentioning

confidence: 50%

A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler

Üstüner

Asaid

Pervaiz

et al. 2020

Case Reports in Pediatrics

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A Baker’s cyst is usually an incidental finding in adults being investigated for a joint arthropathy, and its rupture preceding the diagnosis of juvenile idiopathic arthritis (JIA) is rare in children. Here, we describe a case of a 4-year-old girl who presented to the Emergency Department with right calf pain, swelling, and no preceding history of trauma. MRI confirmed a ruptured Baker’s cyst with inflammatory arthropathy alongside an extensive synovial proliferation throughout the knee joint with large joint effusions and associated soft tissue oedema tracking superiorly and inferiorly along the medial head of gastrocnemius and anteriorly along the tibia. Further investigations revealed bilateral uveitis consistent with a diagnosis of juvenile idiopathic arthritis.

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Section: Discussionmentioning

confidence: 50%

A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler

Üstüner

Asaid

Pervaiz

et al. 2020

Case Reports in Pediatrics

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“…[ 10 ] Despite their thriving practices, GPs are found lacking in knowledge regarding basic diseases and drugs. [ 11 - 13 ] Family medicine, as a post-graduate specialty is still nascent, with one residency program at a private medical university since 1990. [ 10 14 ] Currently, only five accredited programs exist in the country, four in Karachi and one in Lahore.…”

Section: Introductionmentioning

confidence: 99%

Needs assessment of general practitioners in Pakistan: A descriptive cross-sectional survey

Khan

Farazdaq

Gilani

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Background: With the growing and complex nature of medicine, it is imperative for physicians to update their knowledge and skills to reflect current standards of care. In Pakistan, 71% of primary care needs are met by general practitioners (GPs). GPs are not required to complete structured training and no regulatory mandates exist for continuing medical education. We conducted a needs assessment to evaluate the readiness for competency-based updating of knowledge and skills, and the use of technology by practicing GPs in Pakistan. Methods: A cross-sectional survey inviting registered GPs across Pakistan was administered online and in-person. Questions pertained to physician demographics, practice characteristics, confidence in knowledge and skills, and preferred modes of updating knowledge and barriers. Descriptive analyses were performed for GPs and patient-related characteristics and bivariate analyses to evaluate the relationship between parameters of interest. Results: Of the 459 GPs who responded, 35% were practicing for <5 years and 34% reported practicing for >10 years. Only 7% had a post-graduate qualification in family medicine. GPs reported needing practice in neonatal examination (52%), neurological exam (53%), depression screening (53%), growth charts (53%) and peak flow meter use (53%), interpretation of electrocardiograms (ECGs, 58%) and insulin dosing for diabetes (50%). High workload (44%) was the most common barrier to updating clinical knowledge. Sixty-two percent used the Internet on a regular basis. Conclusion: Most GPs have no structured training and encounter gaps in knowledge and skills in clinical practice. Flexible, hybrid, and competency-based continuing medical education programs can be used to update knowledge and skills.

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“…[1,2] Historically, clinicians have been reluctant to administer analgesia to inpatients who report severe abdominal pains, primarily due to the widespread belief of management concerns. [4][5][6][7] Certainly, pediatric emergentologists have acknowledged that discontentment from surgical professionals has obstructed the administering of analgesia. [7] In spite of increasing evidence over a decade pointing out there is no association between opioid analgesia and an elevated risk of diagnostic or management errors, it remains a prevalent phenomenon.…”

Section: Introductionmentioning

confidence: 99%

“…Despite several negative side-effects, such as decreased blood pressure, depression, vomiting, and nausea, opioids are mostly safe when managed properly. [4,6,10] Reportedly, it is safe to use opioids to treat patients suffering from severe abdominal pain without a risk of obscuring the diagnosis. However, most physicians are reluctant to administer opioid analgesia under such circumstances.…”

Section: Introductionmentioning

confidence: 99%

Clinical therapeutic effects of opioid analgesia for acute abdominal pain in children and young adults

Guo

2021

Medicine

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Background: Nearly 10% of all patients who visit the emergency department report severe abdominal pain. Out of these, almost one-third are not diagnosed accurately. The conventional practice to care for such inpatients involves actively managed observation and repetitive clinical assessments at regular intervals. The aim of this study is to assess the clinical therapeutic effects of opioid analgesia in the treatment of severe abdominal pain in kids and adolescents.Methods: A comprehensive electronic search will be done on Web of Science, EMBASE, PubMed, WanFang database, Chinese National Knowledge Infrastructure, and the Cochrane Library from their establishment to May 2021. The search will identify and retrieve all randomized controlled trials that describe the clinical therapeutic effects of opioid analgesia to treat severe abdominal pain in adolescents and children. Two independent authors will shortlist studies that meet the inclusion criteria, extract data from selected studies, and evaluate the risk associated with bias in the selected articles. We will use RevMan (v: 5.3) to conduct all the data synthesis.Results: This meta-analysis will conduct a high-quality synthesis on present evidence related to the usage of opioid analgesia to treat severe abdominal pain in both kids and adolescents.Conclusion: Our findings will summarize the present evidence and help judge whether opioid analgesia is an effective and safe line of treatment for severe abdominal pain.Ethics and dissemination: This study will use pre-published data, and as such, it does not require ethics approval.OSF registration number: May 29, 2021.osf.io/fp9ym (https://osf.io/fp9ym/).

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Ruptured Baker's Cyst In A 15-year Boy

Cited by 7 publications

References 0 publications

A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler

A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler

Needs assessment of general practitioners in Pakistan: A descriptive cross-sectional survey

Clinical therapeutic effects of opioid analgesia for acute abdominal pain in children and young adults

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