archive-org.com » ORG » R » RCHSD.ORG

Total: 1052

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • Funny Bone Can Jump the Track
    all and most people know that it is not really that funny Most everyone knows where to point if you ask them where this mystical structure is on their elbow but few realize that it is actually a nerve called the ulnar nerve which provides sensation to the outer portion of the hand as well as control of hand muscles When the nerve is struck behind the elbow it causes immediate tenderness at the elbow but often can elicit tingling sensations in the hand These changes in sensation are usually seen predominately in the pinkie and ring fingers In nearly one fifth of the population including children the ulnar nerve can bounce around the inside corner of the elbow without trauma It s something that a child is born being able to do and it will usually happen with just flexing the elbow up Normally it does not hurt or cause any symptoms associated with the funny bone This is why many people do not even realize that their nerve jumps out of position Occasionally people start to develop symptoms that include tenderness finger numbness and even hand weakness Sports and physical activity can exacerbate these symptoms The problem is not always that the nerve is jumping out of place instead it can be due to scar tissue around the nerve or other anatomic constraints that compress the nerve and cause the irritation If the irritation is not limited then the continued injury to the nerve can result in permanent damage that will lead to long term hand weakness and numbness Your physician will often employ nonsurgical treatments as the primary options These could include rest from the offending activities splinting the elbow anti inflammatory medications and ice therapy Sometimes physical therapy can be helpful to work on core muscle

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/funny-bone-can-jump-the-track/ (2015-03-26)
    Open archived version from archive

  • Antibacterial Mouthwashes, Diet Can Reduce Tooth Decay
    learn and keep up with their peers Alarmingly cavities in young children are on the increase after several years of decline This is due to a number of causes including kids eating more junk foods changing parenting techniques and busy lifestyles It is well known that eating foods high in sugar drinking juice or soda and poor brushing and flossing can lead to tooth decay and gum disease However many people might be surprised to learn that there is much more to cavity formation than this simple formula Scientists have identified new ways of keeping children and adults cavity free and have recommended products and processes that work in harmony to prevent cavities Strange as it may sound infants catch bacteria that cause cavities at a young age Transmission from parents and caregivers to infants is a vital step in how children are exposed to these bacteria that cause decay Specifically streptococcus mutans bacteria must be present in plaque for cavities to form Those of us with strep mutans in our mouths tend to have a higher decay rate Strep mutans and a diet high in sucrose sugar can lead to the development of tooth decay As decay does not form without strep mutans one approach to staying cavity free is to reduce strep mutans levels Antibacterial mouthwashes containing chlorhexidine gluconate have been shown to reduce the level of bacteria in the mouth including lowering the levels of strep mutans resulting in a lower decay rate Oral probiotics which replace the bad strep mutans with kinder oral bacteria that do not promote cavities are now being developed and are becoming available Daily use of products with xylitol a natural sugar results in less sticky plaque which cannot attach itself to the enamel surface and decreases the effects of the acid

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/antibacterial-mouthwashes-diet-can-reduce-tooth-decay/ (2015-03-26)
    Open archived version from archive

  • Viruses Most Common Cause of Pinkeye
    early spring Symptoms include redness in the white of the eye eyelid swelling itchy eyes tearing and watery or slightly thick whitish drainage Both eyes are usually affected Viruses that cause pinkeye usually cause other symptoms as well including sore throat and runny nose and are not usually treatable with medication Viral pinkeye symptoms usually last between five and seven days but can last up to three weeks Symptoms of bacterial pinkeye can be slightly worse than those of viral pinkeye including moderate to large amounts of gray or yellow eye discharge which cause the eyelashes to stick together eye pain sensitivity to light and swelling of the lymph nodes in front of the ears Sometimes the bacteria that cause pinkeye can also cause an ear infection Bacterial pinkeye symptoms usually last between seven and 10 days without antibiotic treatment and two to four days with antibiotic treatment Prescription antibiotic eyedrops usually kill the bacteria that cause pinkeye The eye discharge in both viral and bacterial pinkeye is usually most pronounced in the morning when the child first wakes up Because the eyes have been closed all night the discharge builds up during sleep and can even crust the eye shut The discharge can be removed by gently dabbing the area with a damp washcloth Eyelid swelling may also be more prominent in the morning and should improve throughout the day Children may return to day care or school when symptoms begin to improve usually in three to five days for viral pinkeye and 24 hours after starting antibiotics for bacterial pinkeye if symptoms have improved Infectious pinkeye is highly contagious and is spread through contact with the eye drainage which contains the virus or bacteria that caused the pinkeye If you touch an infected eye and then touch your

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/viruses-most-common-cause-of-pinkeye/ (2015-03-26)
    Open archived version from archive

  • Taking Accurate Temperature Key to Treating Common Fever
    temperature is always higher in the late afternoon and early evening and lower in the early morning Doctors consider a temperature of 100 4 degrees or greater to be a fever The gold standard for checking the temperature is with a rectal thermometer especially for children under 1 year old Many parents are nervous or uncomfortable doing this but done properly does not cause pain to your child Remember that it is not possible to measure your child s temperature by simply feeling the forehead The only accurate way to take a temperature is with a thermometer Digital thermometers are available at any pharmacy and are inexpensive and easy to use Other ways to check the temperature are under the tongue under the arm or in the ear however these are less accurate and depend on how well your child cooperates and the quality of the device Most parents first instinct when their child has a fever is to treat it with a fever reducer such as acetaminophen or ibuprofen Never give a child aspirin for a fever This can lead to Reye Syndrome a condition that affects the brain Many parents worry when the temperature does not return to normal or when the fever returns before it is time to give another dose Remember that treating the fever does not cure the illness The most important reason to treat a fever is to make your child more comfortable You can also provide cool liquids for your child to drink dress your child in light clothing give your child a tepid sponge bath or place cool washcloths on the forehead under the arms and between the legs and avoid bundling your child in blankets If you choose to give your child a fever reducer it is very important to give

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/taking-accurate-temperature-key-to-treating-common-fever/ (2015-03-26)
    Open archived version from archive

  • Elbow Pain Can Be Sign of Panner’s Disease
    bones is a second area of growth that contributes more to the shape of the joint than the length of the bone On the outer side of the elbow is an area of upper arm bone called the capitellum This is an important part of the elbow joint as it is the base on which the forearm rotates giving us supination and pronation Normally a rounded surface when the capitellum becomes flattened in children it is termed Panner s disease Many specialists believe that Panner s disease results from an injury to the secondary area of growth at the capitellum The injury results in a loss of blood supply causing the nearby bone to soften and then collapse This is most often seen in boys but can occur in girls between the ages of 5 and 10 Almost without fail it is the dominant arm that is affected The most likely cause of injury in this youthful group is repeated mild injuries that have a cumulative effect on the capitellum For example the young 8 year old baseball pitcher may not have a single event that causes trauma but repetitive throwing with the susceptible arm may cause Panner s disease to appear The symptoms of Panner s disease may include many nonspecific findings The most common findings is elbow pain particularly on the outer side that is worsened with activity and improves with rest Occasionally there also may be a limitation in elbow motion Ultimately Panner s disease tends to be a diagnosis based on X ray findings Usually the capitellum has lost its round shape and looks flat which indicates that bone collapse has occurred Advanced studies such as MRI or CT scans are not usually necessary A period of rest from sports that use the elbow and throwing

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/elbow-pain-can-be-sign-of-panners-disease/ (2015-03-26)
    Open archived version from archive

  • Weight Loss in Children Can Be a Danger Signal
    a day for children While this is good advice for most people growing children who dramatically change their eating habits while also dramatically increasing their level and intensity of daily physical activity can develop serious health problems Joe is 12 years old and just entering puberty His parents have noticed that he is starting to look a little pudgy He has always been an anxious child and has some tendency to be obsessive and compulsive He hears a health talk in school and decides that if fat is bad and too much sugar is bad and exercise is good he will take all of the advice and do the best job of anyone in his class He first cuts out all fast food then all sweets then red meat then eggs and then milk and cheese He starts running one mile a day and works up to running 10 miles a day His parents notice that he is losing weight rapidly and are at first happy that he is eating more healthy However he is now only eating steamed vegetables and a few bites of fish every day He is irritable and yells at his parents when they suggest that he should be eating a more well rounded diet When he has his weight and height measured at the pediatrician s office four months later his weight has dropped from 100 pounds to 60 pounds he has not grown at all and his Body Mass Index BMI has dropped from a normal 18 to 14 from the 75th percentile for BMI to well below the fifth percentile The pediatrician also notices that Joe s resting pulse is 35 beats per minute his blood pressure is low he gets dizzy when he stands up and his hands and feet are cold and blue This boy now has severe protein calorie malnutrition and his body is trying to conserve every bit of energy by lowering his heart rate blood pressure and temperature and his heart is shunting blood to his core organs instead of his hands and feet He is at risk for developing fatal arrhythmias abnormal heart rhythms osteopenia thin bones very low testosterone arrested growth and arrested physical development His healthy eating taken to extremes has resulted in an eating disorder with medical complications This is a medical emergency and he needs to be admitted to the hospital for cardiac monitoring and careful refeeding Joe could just as well be Jennifer and could be 8 years old or 14 years old or 17 years old In girls in addition to the complications mentioned above menstrual periods can be delayed and not begin when they would be expected to or can stop after being regular for months or years Severely malnourished girls will usually have estrogen levels in the range of a woman who has gone through menopause Surprisingly children and adolescents who start out obese and loose weight rapidly so that they look like a healthy weight for their age

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/weight-loss-in-children-can-be-a-danger-signal/ (2015-03-26)
    Open archived version from archive

  • Trampoline Can Be Safe with Proper Setup and Supervision
    playing any sport is unsafe However trampolines do not have a set of rules that come with them unlike many other activities unless parents enforce rules It is interesting to note that historical versions of a trampoline many people holding a blanket was done as a punishment to the person being tossed around Fortunately times change and we can now enjoy the trampoline The modern design comes from a U S Olympian in 1936 and stems from the Spanish word for diving board George Nissen and his business partner developed the apparatus to train people for tumbling but soon it became its own gymnastic apparatus to perform rebound tumbling Despite its start the trampoline has only been a competitive Olympic sport since 2000 Outside of competitive sport the use of the trampoline is extremely popular In fact the late 1950s saw the opening of many commercial trampoline parks and many indoor versions remain popular today There are even variations on the trampoline which are quite popular with kids in the form of bounce houses but these forced air inflatable structures do not seem to carry the same risk of true trampolines The popularity of this apparatus is unlikely to wane because it is a relatively inexpensive form of entertainment that can be placed in your own backyard Even with the advent of enclosure netting there are over 50 000 childhood injuries being treated in emergency departments around the country on an annual basis More than 70 percent of the injuries are to children s arms and legs and the majority of these are fractures or dislocations Younger children are also at increased risk for facial lacerations With all the research the American Academy of Orthopaedic Surgeons provides some guidance for families who own a trampoline Use of a trampoline requires

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/trampoline-can-be-safe-with-proper-setup-and-supervision/ (2015-03-26)
    Open archived version from archive

  • Urgent Care or Emergency?
    office if you are not sure what to do and you should be able to speak with health care providers who can help you decide if your child can wait until regular business hours to be seen or if she needs to go to an urgent care center or an emergency room They can also provide advice for treatment at home Some insurance plans have a nurse advice line that can help as well If your child is having problems related to a chronic health condition which is treated by a specialist contact your on call specialist Urgent care centers have extended hours and can treat injuries or illnesses that are not life or limb threatening but need immediate attention Urgent care centers can usually run diagnostic tests for urinary tract infections strep throat influenza and pregnancy and can provide prescriptions if needed Some can also perform basic radiology and laboratory testing Examples of medical problems that can be evaluated in an urgent care center include sprains and strains contusions deep bruises minor lacerations mild to moderate asthma attacks ear infections upper respiratory infections cough and congestion vomiting and diarrhea sore throats insect bites and rashes Urgent care centers do not provide well child care routine childhood immunizations emergency care or major trauma care and do not treat complex fractures If your child has an injury or illness that is life or limb threatening or if you are not sure go to an emergency room Call 911 if you feel your child needs medical attention immediately Examples of symptoms that should prompt a trip to the emergency room include difficulty breathing uncontrolled bleeding coughing or vomiting blood severe or persistent vomiting or diarrhea changes in mental status and severe musculoskeletal injuries Emergency rooms are open 24 hours a day and

    Original URL path: http://www.rchsd.org/health-safety/growing-up-columns/urgent-care-or-emergency/ (2015-03-26)
    Open archived version from archive



  •