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Titolo:
Diagnostic approach to the child with hepatobiliary disease
Autore:
El-Youssef, M; Whitington, PF;
Indirizzi:
Northwestern614iv, Childrens Mem Hosp, Sch Med, Dept Pediat, Chicago, IL 60 Northwestern Univ Chicago IL USA 60614 h Med, Dept Pediat, Chicago, IL 60
Titolo Testata:
SEMINARS IN LIVER DISEASE
fascicolo: 3, volume: 18, anno: 1998,
pagine: 195 - 202
SICI:
0272-8087(1998)18:3<195:DATTCW>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
BILIARY ATRESIA; NEONATAL CHOLESTASIS; INTRAHEPATIC CHOLESTASIS; SCINTIGRAPHY; HEPATITIS; GALLBLADDER; UTILITY; INFANTS; ERCP;
Keywords:
pediatrics; infancy; childhood; liver disease; biliary disease; diagnosis;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Whitington, PF Northwestern Univ, Childrens Mem Hosp, Sch Med, Dept Pediat, 2300 Childrens Northwestern Univ 2300 Childrens Plaza Chicago IL USA 60614
Citazione:
M. El-Youssef e P.F. Whitington, "Diagnostic approach to the child with hepatobiliary disease", SEM LIV DIS, 18(3), 1998, pp. 195-202

Abstract

The purpose of this review is to present our approach to diagnosis of the child with liver disease. Since liver disease is relatively rare in pediatric practice, most clinicians lack experience with its diagnosis. Furthermore, diverse disorders can present with virtually identical findings because liver injury expresses itself in limited ways, particularly in the neonate. However within the limited patterns of presentation, there is usually sufficient diversity to al low for discrimination and therefore, differential diagnosis. Clinicians can use pragmatism and logic to achieve a systematic and practical approach to diagnosis. This approach uses a matrix that combines several simple parameters-the age at presentation, the dominant presenting findings, and a few well-chosen tests-to arrive at a very limited differential. From that point, specific, focused investigations can confirm the diagnosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 00:46:45