Teenage Male with Cough and Recurrent Bruit
A general pediatrician is skilled at continuity; through longitudinal evaluation, they serve as front-line providers in the recognition and referral of unusual pathology. The majority of arteriovenous malformations (AVM) are diagnosed with history and physical examination. AVM are inherently progres...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Pediatrics |
Online Access: | http://dx.doi.org/10.1155/2021/9453574 |
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author | Sheema Gaffar Elliot Tucker |
author_facet | Sheema Gaffar Elliot Tucker |
author_sort | Sheema Gaffar |
collection | DOAJ |
description | A general pediatrician is skilled at continuity; through longitudinal evaluation, they serve as front-line providers in the recognition and referral of unusual pathology. The majority of arteriovenous malformations (AVM) are diagnosed with history and physical examination. AVM are inherently progressive by nature; their expansion is what creates the risk of morbidity. With higher-risk vascular lesions, relative risk is important when discussing management with observation versus with invasive intervention. Size, location, and expected course of progression of the lesion help generate a timeline for action. Collaboration of physicians with diverse expertise generates optimal plan of therapy, particularly when faced with an unusual clinical finding. Genetics referral may be beneficial, as the body of literature on AVM is growing, and databases on associated syndromes are evolving. Establishing concrete follow-up is imperative to assess for recurrence of AVM or development of additional symptoms. This can be with the interventionalist or with the generalist. |
format | Article |
id | doaj-art-096c7a08aa394a49acbe909446ca7a72 |
institution | Kabale University |
issn | 2090-6811 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Pediatrics |
spelling | doaj-art-096c7a08aa394a49acbe909446ca7a722025-02-03T01:00:08ZengWileyCase Reports in Pediatrics2090-68112021-01-01202110.1155/2021/9453574Teenage Male with Cough and Recurrent BruitSheema Gaffar0Elliot Tucker1Department of PediatricsDepartment of PediatricsA general pediatrician is skilled at continuity; through longitudinal evaluation, they serve as front-line providers in the recognition and referral of unusual pathology. The majority of arteriovenous malformations (AVM) are diagnosed with history and physical examination. AVM are inherently progressive by nature; their expansion is what creates the risk of morbidity. With higher-risk vascular lesions, relative risk is important when discussing management with observation versus with invasive intervention. Size, location, and expected course of progression of the lesion help generate a timeline for action. Collaboration of physicians with diverse expertise generates optimal plan of therapy, particularly when faced with an unusual clinical finding. Genetics referral may be beneficial, as the body of literature on AVM is growing, and databases on associated syndromes are evolving. Establishing concrete follow-up is imperative to assess for recurrence of AVM or development of additional symptoms. This can be with the interventionalist or with the generalist.http://dx.doi.org/10.1155/2021/9453574 |
spellingShingle | Sheema Gaffar Elliot Tucker Teenage Male with Cough and Recurrent Bruit Case Reports in Pediatrics |
title | Teenage Male with Cough and Recurrent Bruit |
title_full | Teenage Male with Cough and Recurrent Bruit |
title_fullStr | Teenage Male with Cough and Recurrent Bruit |
title_full_unstemmed | Teenage Male with Cough and Recurrent Bruit |
title_short | Teenage Male with Cough and Recurrent Bruit |
title_sort | teenage male with cough and recurrent bruit |
url | http://dx.doi.org/10.1155/2021/9453574 |
work_keys_str_mv | AT sheemagaffar teenagemalewithcoughandrecurrentbruit AT elliottucker teenagemalewithcoughandrecurrentbruit |