Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Desiccants are commonly composed of non-toxic chemicals such as silica gel. A 2-y-old male unintentionally ingested the contents of a desiccant packet found in a container of imported Chinese cookies. He presented with vomiting, drooling and inability to drink. A caustic injury to his tongue and phaynx was noted. He improved over the next 12 h and was discharged a day later. The packet was found to contain caustic lime Although patients who ingest desiccant packets generally develop no clinical effects, ingestion of packets containing strong alkali may prove consequential. Providers should be aware of the potential for this toxicity before dismissing desiccant exposures as benign.
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PMID:Desiccant-induced gastrointestinal burns in a child. 1245 37

14 cattle (mainly younger ones) of a total of 50 extensively kept Galloways died within 6 weeks in late winter 2001/02. According to the owner's report, grass growth had been rather poor; therefore, the herd was fed additionally hay as well as large amounts of tulip onions. In the microbiological examination a highly reduced hygienic quality of the roughage could be detected. In the rumen contents of two dissected young cattle parts of tulip onions were found. According to pertinent literature, tulip onions (in particular their external layers) contain variant-specific amounts of anti-nutritive substances; main active agents are tulipin (a glycoprotein), tuliposid A and B, and lectins. They may cause intensive mucosal irritation, accompanied by reduced feed digestion and body-weight gains, drooling, vomiting and diarrhea. This case report underlines risks caused by feeding of plants originally not destined as forage, if their active ingredients and effects are unknown or remain unconsidered.
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PMID:[Animal nutrition for veterinarians--actual cases: tulip bulbs with leaves (Tulipa gesneriana)--an unusual and high risk plant for ruminant feeding]. 1291 Aug 70

In children unintentional ingestions of metasilicate- containing machine dishwashing agents have caused corrosive injuries of the mouth and esophagus in up to 50% of all cases. Whether substituting the corrosive ingredient by disilicates and carbonates reduces the number of corrosive injuries was studied in a 2-year prospective follow-up of 396 unintentional childhood ingestions. Symptoms of possible mucous membrane injury by machine dishwashing agents containing disilicates and carbonates (group DC) were compared to ingestions of irritating but definitely non-corrosive surfactants (group S). A total of 396 DC cases were followed, 86 of which showed initial symptoms such as crying, drooling, vomiting, or unwillingness to drink. Endoscopy of the esophagus performed in 17 children was normal in 13 cases and showed a general reddening of the esophageal mucosa in the remaining 4 children. None had corrosive oral lesions. This demonstrates a significant reduction of mucous membrane lesions compared to the older metasilicate-containing machine dishwashing agents. The toxic effects of the new dishwashing agents (group DC) are only slightly more pronounced than compared to 188 control cases of group S.
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PMID:[Substituting metasilicates in machine dishwashing agents prevents childhood corrosive injuries]. 1520 16

The presentation of cerebral palsy can be global mental and physical dysfunction or isolated disturbances in gait, cognition, growth, or sensation. It is the most common childhood physical disability and affects 2 to 2.5 children per 1,000 born in the United States. The differential diagnosis of cerebral palsy includes metabolic and genetic disorders. The goals of treatment are to improve functionality and capabilities toward independence. Multispecialty treatment teams should be developed around the needs of each patient to provide continuously updated global treatment care plans. Complications of cerebral palsy include spasticity and contractures; feeding difficulties; drooling; communication difficulties; osteopenia; osteoporosis; fractures; pain; and functional gastrointestinal abnormalities contributing to bowel obstruction, vomiting, and constipation. Valid and reliable assessment tools to establish baseline functions and monitor developmental gains have contributed to an increasing body of evidenced-based recommendations for cerebral palsy. Many of the historical treatments for this ailment are being challenged, and several new treatment modalities are available. Adult morbidity and mortality from ischemic heart disease, cerebrovascular disease, cancer, and trauma are higher in patients with cerebral palsy than in the general population.
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PMID:Cerebral palsy: an overview. 1641 71

Methacrylic Acid is an organic acid used at concentrations between 50 and 88 percent to pretreat the nail and maximize the adhesion between the nail and artificial nail extender. Methacrylic Acid is readily absorbed through mucous membranes of the lungs, the gastrointestinal tract, and the skin; and is distributed to all major tissues. Oral LD50 values for rats ranged from 277 to 2260 mg/kg; acute toxicity symptoms included severe gastric irritation, gasping, labored respiration, prostration and hematuria. In a short-term inhalation study, rats exposed to Methacrylic Acid at 1300 ppm showed nose and eye irritation and weight loss, while necropsy results and blood and urine tests were normal. Methacrylic Acid is an ocular toxicant in animals. Undiluted Methacrylic Acid is corrosive to the skin of rabbits and guinea pigs. Exposure as limited as 3 minutes can cause severe erythema and slight to moderate edema. Exposure from 15 minutes to 24 hours under occlusive patches can cause marked to severe discoloration, slight to severe subcutaneous hemorrhages, necrosis, ulcerations, severe erythema, edema and concave eschar. Methacrylic Acid was irritating and caused strong rubefaction and scab formation in a guinea pig maximization test at challenge concentrations from 10 to 100 percent. It was difficult to determine if the results were type IV hypersensitivity reactions or simple irritation. In three other studies, guinea pigs were not sensitized. Methacrylic Acid was not a reproductive/developmental toxicant in rats or mice. Methacrylic Acid was negative in Salmonella typhimurium mutagenicity tests using strains TA98, TA100, TA1535 and TA1537 both with and without metabolic activation, but was positive in a DNA-cell-binding assay. Case reports involving Methacrylic Acid often involve children. Effects from ingestion include drooling, gagging, and vomiting. Children exposed to Methacrylic Acid as a result of accidental spills caused first and second degree burns to the eyes, face, hands, arms, and chest. The Consumer Product Safety Commission has required child-resistant packaging for liquid household products containing more than 5 percent Methacrylic Acid (weight-to-volume) in a single package. Since Methacrylic Acid is an extremely corrosive chemical, a primary concern about its use as a cosmetic ingredient was the ability to limit exposure to the nail when pretreating the nail prior to application of an artificial nail extender. A videotape presentation demonstrated that a trained professional could use a small applicator brush to dab a limited volume of Methacrylic Acid only to the center of the nail, allowing the monomer liquid to diffuse down the nail without any exposure to the skin. There were no available data to demonstrate that an individual consumer could apply Methacrylic Acid and avoid inadvertent skin contact. In order to minimize any exposure to the acid, the Expert Panel concluded that nail primers containing Methacrylic Acid could be used safely by trained individuals instructed to ensure that there be no contact with the skin. The CIR Expert Panel recognized that there are no chronic inhalation toxicity data on Methacrylic Acid, but was concerned that inhalation of Methacrylic Acid could affect the respiratory tract. Since the inhalation exposure time is significantly increased in a commercial setting, the Panel was more concerned about the safety of the nail technician than the consumer. The Expert Panel concluded that the current NIOSH recommended exposure limit of 20 ppm would provide adequate protection.
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PMID:Final report of the safety assessment of methacrylic acid. 1659 68

A prospective controlled study with repeated measures before and after surgery examined the medical, surgical, and health outcomes of gastrostomy for children with disabilities at a tertiary paediatric referral centre in the North Thames area, UK. Anthropometric measures included weight, mid-upper-arm and head circumference. Five-day prospective food diaries were completed and data on physical health and surgical outcomes recorded. Seventy-six children participated and underwent gastrostomy (44 males, 32 females; median age 3 y 4 mo, range 4 mo-17 y 5 mo), and 35/76 required an anti-reflux procedure. Categories of disability were: cerebral palsy (32/76), syndrome of chromosomal or other genetic origin (25/76), slowly progressive degenerative disease (11/76), and unconfirmed diagnosis (8/76). Most children had gross motor difficulties (99%) and were non-ambulant (83%). Oromotor problems were identified in 78% of children, 69% aspirated, and 65% were fed nasogastrically before surgery. The mean weight before surgery was -2.84 standard deviation score (SDS; SD 2.21, range -9.8 to 3.4). Two-thirds of children achieved catch-up growth postoperatively: weight-for-age (mean difference 0.51 SDS, 95% CI 0.23-0.79, p=0.001) and mid-upper arm circumference (mean difference 1.12 cm, 95% confidence interval 0.50-1.75, p=0.001). Health gains included a reduction in drooling, secretions, vomiting, and constipation. Major surgical complications were found in 13/74 children. The study provides evidence that catch-up growth and health gains are possible following gastrostomy.
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PMID:Medical, surgical, and health outcomes of gastrostomy feeding. 1660 43

The vagus nerve stimulator has become a standard modality for intractable pediatric epilepsy. We reviewed our experience with major adverse events, after accidental puncture of a stimulator wire by an emergency room physician seeking intravenous access to treat status epilepticus. The Children's National Medical Center database was reviewed for patients undergoing vagus nerve stimulator placement between January 1988 and June 2006. Patient characteristics, duration of therapy, and treatment-limiting adverse events were noted. Of 62 patients implanted over 8 years, 22 (35%) had adverse events which led to a change in therapy. Adverse events included prominent drooling, coughing, throat discomfort, dysphagia, wound infection, difficulty breathing, vomiting, vocal-cord weakness, lead failure, and iatrogenic (piercing of wire; surgical clipping of wire during revision). Eight patients required nonroutine surgical intervention (13%). There were two unusual case presentations. In a 13-year-old boy with status epilepticus at an outlying emergency department, the stimulator line was pierced in search of intravenous access. In a 25-year-old housepainter, neck paresthesias upon right lateral neck turning were attributed to insufficient strain relief. Treatment-limiting adverse events occurred in approximately one-third of patients. Unanticipated adverse events included misidentification of the wire for intravenous access, clipping of the wire during surgical dissection, and cervical dysesthesias associated with head-turning.
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PMID:Misidentification of vagus nerve stimulator for intravenous access and other major adverse events. 1835 2

We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.
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PMID:Esophageal foreign bodies in pediatric patients: a thirteen-year retrospective study. 2259 62

A-13-year-old girl presented with diabetic ketoacidosis with convincing clinical signs of parotitis (fever, drooling of saliva, inability to swallow with development of bilateral parotid swelling) and pancreatitis (fever, abdominal pain and vomiting), along with high serum amylase and positive mumps IgM titer. This suggests that mumps virus may have been the causative factor, probably as a result of concomitant involvement of the pancreas.
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PMID:Diabetic ketoacidosis following mumps. 2325 2

Ingestion of foreign bodies is an avoidable accident that is seen mainly in children under 3 years-old. Most of them pass through the digestive tract without causing clinical manifestations or complications, but a significant percentage is impacted in the esophagus causing vomiting, sore throat, dysphagia and drooling. The most common foreign bodies are coins. Complications usually occur when there is a delay in diagnosis or with large, sharp or potentially toxic objects, as the button battery. It is essential to make differential diagnosis between coin and button battery, since the latter requires urgent removal due to the earliness of the injury caused. We report 115 cases of foreign bodies in the esophagus, and we alert the pediatrician in recognizing and preventing this problem.
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PMID:[Foreign bodies in esophagus in children: case series]. 2373 56


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