I'm back!
This time I am attaching some photos of "Waiting for the sleepless night which will be held? In Naples on 30/09/2006.
you're all invited
Hello everyone, today I want to offer
Good evening to all,
I know that many do not care, but I think it's important for those few (I hope) to which parents and 'diagnosed that their child e'affetto by WAS
What to do when a child is diagnosed and 'affection by WAS
0 to 1 year
In this period must be made some clinical evaluations, according to the diagram shown:
full clinical examination> Treatment of constipation
Assessment of growth and development and nutritional status
Exclusion of any gastrointestinal problems
Exclusion inguinal hernia
Visit cardiology
Blood Pressure Assessment eye examination of femoral pulses
In this period must be made instrumental and laboratory investigations, according to the diagram shown:
Molecular analysis (diagnosis)
Urinalysis, BUN, serum calcium, calciuria / creatininuria, diet, endocrine visit, test functionality ? renal and bladder ultrasound thyroid
Other interventions:
Psychological support for the family
Assessment of the stages of motor development, cognitive, communicative and possible intervention for motricit?
advice of a pediatric anesthesia before surgery should not prescribe products
multivitamin (containing vitamin D)
Route the patient to a program of assistance and follow-up
2 to 5 years
In this period must be carried out some clinical assessments, according to the diagram shown:
Clinical examination (every year)
Assessment of growth and development
Assessment of nutritional status
exclude the presence of rectal prolapse and treat constipation
Visit cardiology (annual up to 3 years)
Blood pressure (every year)
Visit oculistca and audiology (every year up to 3 years)
Visit Visit
oral orthopedic (joints, kyphoscoliosis
neurodevelopmental assessment, multidisciplinary treatment (before 3 years) school programs (after 3 years)
advice of a pediatric anesthesia, before any surgery
In this period must be made instrumental and laboratory investigations, according to the diagram shown:
Urinalysis BUN ( every 4 years)
Serum-calcium levels (every 2-3 years if annual values \u200b\u200bare high, or related symptoms)
Test of functionality? Thyroid Test
gluten intolerance
Other interventions
Psychological support to the family
Assessment of the stages of motor development, cognitive and communicative
any intervention on the ability? praxic, visual-spatial and language
In case of fever, urinary tract infection excluded
6 to 12 years
In this period must be carried out clinical investigations, according to the diagram shown:
Clinical examination, blood pressure ( each year)
Assessment of growth and development
Visit cardiology (ECG with a Doppler at puberty?)
Visit orthopedic (scoliosis, kyphosis, lordosis, joint disease)
eye examination and audiological annual (every year in et? school)
Assessment of psychomotor development
Assessment of 'anxiety and its treatment
advice of a pediatric anesthesia, before any surgery
In this period must be made instrumental and laboratory investigations, according to the diagram shown:
EVERY YEAR: Urinalysis
EVERY 2 YEARS: calciuria / creatininuria
Test of functionality? Thyroid Test
gluten intolerance
EVERY 4 YEARS: BUN
Serum-calcium levels (yearly if high levels are present or symptoms)
Other interventions
Psychological support to the family
Assessment of the stages of motor development, cognitive and communicative
Possible Work on skills? praxic, visual-spatial and linguistic Any school support
Psychological interventions in the presence of any individual problems (anxiety, insomnia, autism or other)
Discuss issues related to adolescence and sexuality?
Discuss diet and prevent obesity?.
From 13 to 18 years
In this period must be carried out clinical investigations, according to the diagram shown:
Clinical examination, blood pressure (every year)
Assessment of growth and development of complications
Search Gastrointestinal
Visit cardiology led by previous clinical findings
eye examination and audiological annual (every year in et? school) Visit
orthopedic (scoliosis, kyphosis, lordosis, joint disease)
Assessment of neuropsychological development, the school placement, the possible career choices
Assessing the state of anxiety
advice of a pediatric anesthesia, before any surgery
In this period must be made instrumental and laboratory investigations, according to the diagram shown:
EVERY YEAR: Urinalysis
EVERY 2 YEARS: calciuria / creatininuria
Test of functionality? Thyroid Test
gluten intolerance
EVERY 4 YEARS: BUN
Serum-calcium levels (yearly if high levels are present or symptoms)
Other interventions
Psychological support to the family
Assessment of the stages of motor development, cognitive and communicative
any intervention on the ability? praxic, visual-spatial and language learning support
Possible Psychological interventions in the presence of any individual problems (anxiety, insomnia, autism or other)
Discuss the diagnosis with the adolescent patient
Discuss sexuality? and reproduction
help them gain independence from parents
To help in the transition to pediatric care to adult medicine.
Source AISW
good night to all
Dany