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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Main Authors: Sheema Gaffar, Elliot Tucker
Format: Article
Language:English
Published: Wiley 2021-01-01
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.
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publisher Wiley
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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