Mortality/Morbidity: Mongolian spot is not associated with mortality or morbidity.
Thursday, December 28, 2006
Sunday, December 10, 2006
Sunday, July 09, 2006
more info on Hand Foot mouth disease
http://www.nlm.nih.gov/medlineplus/ency/article/000965.htm
Coxsackievirus infection
Definition Return to top
Hand-foot-mouth disease is a viral infection that usually begins in the throat. It is caused by the Coxsackievirus.
Causes, incidence, and risk factors Return to top
Hand-foot-and-mouth disease is caused by the Coxsackie virus (a member of the Enterovirus family). The throat and tonsils develop small ulcers while the hands, feet, and diaper area are affected by a rash with characteristic vesicles (very small blisters). This is usually a mild illness with the rash healing in 5 to 7 days.
The actual incidence is unknown, but hand-foot-and-mouth disease is a relatively common infection. Another coxsackie virus infection with a high incidence and related features is herpangina. This is characterized by painful ulcers in the mouth and throat, but does not show a rash on the hands, feet or buttocks.
The most important risk factor is age. The infection affects young children, but can be seen in adolescents and occasionally adults. The outbreaks occur most often in the summer and fall.
Symptoms Return to top
Fever.
Sore throat.
Ulcers in the throat, mouth and tongue.
Headache.
A rash with vesicles on hands, feet, and diaper area. The vesicles are typically on the palm side of the hands, the sole side of the feet, and are very characteristic in appearance. The vesicles are also tender or painful if pressed.
Loss of appetite.
Signs and tests Return to top
A history of recent illness and a physical examination, demonstrating the characteristic vesicles on the hands and feet, are usually sufficient to diagnose the disease.
Treatment Return to top
There is no specific treatment for the infection other than relief of symptoms.
Treatment with antibiotics is not effective, and is not indicated. Acetaminophen or Ibuprofen can be used to treat fever. Aspirin should not be used in viral illnesses in children under age 12 years.
Salt water mouth rinses (1/2 teaspoon of salt to 1 glass of warm water) may be soothing if the child is able to rinse without swallowing. Ensure an adequate fluid intake because swallowing may be painful. Extra fluid is needed when a fever is present. The best fluids are cold milk products, especially ice cream. Many children refuse juices and sodas, for example, because their acidity causes burning pain in the ulcers.
Expectations (prognosis) Return to top
Generally, complete recovery occurs in 5 to 7 days.
Complications Return to top
Dehydration can occur because the mouth lesions can cause pain with swallowing.
Possible febrile seizures.
Calling your health care provider Return to top
Apply home treatment and call the health care provider if there are signs of complications, such as pain in neck or arms and legs. Other times to call include:
When a high fever is not reduced by medication
Signs of dehydration occur:
Dry skin and mucus membranes
Weight loss
Irritability
Lethargy
Decreased or dark urine.
Emergency symptoms include convulsions.
Prevention Return to top
Avoid contact with people with known illness. Practice strict hand washing if in contact with infected children.
Update Date: 10/27/2005
Updated by: Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor of Pediatrics, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.
Coxsackievirus infection
Definition Return to top
Hand-foot-mouth disease is a viral infection that usually begins in the throat. It is caused by the Coxsackievirus.
Causes, incidence, and risk factors Return to top
Hand-foot-and-mouth disease is caused by the Coxsackie virus (a member of the Enterovirus family). The throat and tonsils develop small ulcers while the hands, feet, and diaper area are affected by a rash with characteristic vesicles (very small blisters). This is usually a mild illness with the rash healing in 5 to 7 days.
The actual incidence is unknown, but hand-foot-and-mouth disease is a relatively common infection. Another coxsackie virus infection with a high incidence and related features is herpangina. This is characterized by painful ulcers in the mouth and throat, but does not show a rash on the hands, feet or buttocks.
The most important risk factor is age. The infection affects young children, but can be seen in adolescents and occasionally adults. The outbreaks occur most often in the summer and fall.
Symptoms Return to top
Fever.
Sore throat.
Ulcers in the throat, mouth and tongue.
Headache.
A rash with vesicles on hands, feet, and diaper area. The vesicles are typically on the palm side of the hands, the sole side of the feet, and are very characteristic in appearance. The vesicles are also tender or painful if pressed.
Loss of appetite.
Signs and tests Return to top
A history of recent illness and a physical examination, demonstrating the characteristic vesicles on the hands and feet, are usually sufficient to diagnose the disease.
Treatment Return to top
There is no specific treatment for the infection other than relief of symptoms.
Treatment with antibiotics is not effective, and is not indicated. Acetaminophen or Ibuprofen can be used to treat fever. Aspirin should not be used in viral illnesses in children under age 12 years.
Salt water mouth rinses (1/2 teaspoon of salt to 1 glass of warm water) may be soothing if the child is able to rinse without swallowing. Ensure an adequate fluid intake because swallowing may be painful. Extra fluid is needed when a fever is present. The best fluids are cold milk products, especially ice cream. Many children refuse juices and sodas, for example, because their acidity causes burning pain in the ulcers.
Expectations (prognosis) Return to top
Generally, complete recovery occurs in 5 to 7 days.
Complications Return to top
Dehydration can occur because the mouth lesions can cause pain with swallowing.
Possible febrile seizures.
Calling your health care provider Return to top
Apply home treatment and call the health care provider if there are signs of complications, such as pain in neck or arms and legs. Other times to call include:
When a high fever is not reduced by medication
Signs of dehydration occur:
Dry skin and mucus membranes
Weight loss
Irritability
Lethargy
Decreased or dark urine.
Emergency symptoms include convulsions.
Prevention Return to top
Avoid contact with people with known illness. Practice strict hand washing if in contact with infected children.
Update Date: 10/27/2005
Updated by: Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor of Pediatrics, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.
Thursday, July 06, 2006
Hand Foot Mouth Disease
Today, I got HFM Disease...here are the details...
From:- http://www.cha.state.md.us/edcp/factsheets/handfoot.html
"Hand, Foot, and Mouth Disease (Coxsackievirus) Fact Sheet
--------------------------------------------------------------------------------
Hand, foot, and mouth disease is caused by one of several types of viruses
Hand, foot, and mouth disease is usually characterized by tiny blisters on the inside of the mouth and the palms of the hands, fingers, and soles of the feet. It is commonly caused by coxsackievirus A16 (an enterovirus), and less often by other types of viruses.
Anyone can get hand, foot, and mouth disease
Young children are primarily affected, but it may be seen in adults. Most cases occur in the summer and early fall. Outbreaks may occur among groups of children especially in child care centers or nursery schools. Symptoms usually appear 3 to 5 days after exposure.
Hand, foot, and mouth disease is usually spread through person-to-person contact
People can spread the disease when they are shedding the virus in their feces. It is also spread by the respiratory tract from mouth or respiratory secretions (such as from saliva on hands or toys). The virus has also been found in the fluid from the skin blisters. The infection is spread most easily during the acute phase/stage of illness when people are feeling ill, but the virus can be spread for several weeks after the onset of infection.
The symptoms are much like a common cold with a rash
The rash appears as blisters or ulcers in the mouth, on the inner cheeks, gums, sides of the tongue, and as bumps or blisters on the hands, feet, and sometimes other parts of the skin. The skin rash may last for 7 to 10 days.
There is no specific treatment for the virus that causes hand, foot, and mouth disease
Help prevent and control the spread of hand, foot, and mouth disease by:
Washing hands well, especially after going to the bathroom, changing diapers and/or handling diapers or other stool-soiled material.
Covering the mouth and nose when coughing or sneezing.
Washing toys and other surfaces that have saliva on them.
Excluding children from child care or school settings if there is a fever, or ulcers in the mouth and the child is drooling. "
Monday, March 20, 2006
Carrot, Egg & Coffee
uncle Chee Meng, taught me the 1st lesson in life....hmm, just like my 1st hair cut.
A carrot, an egg and a cup of coffee... You will never look at a cup of coffee the same way again.
A young woman went to her mother and told her about her life and how things were so hard for her. She did not know how she was going to make it and wanted to give up. She was tired of fighting and struggling. It seemed as one problem was solved, a new one arose.
Her mother took her to the kitchen. She filled three pots with water and! placed each on a high fire. Soon the pots came to boil. In the first she placed carrots, in the second she placed eggs, and in the last she placed ground coffee beans. She let them sit and boil, without saying a word.
In about twenty minutes she turned off the burners.
She fished the carrots out and placed them in a bowl.
She pulled the eggs out and placed them in a bowl.
Then she ladled the coffee out and placed it in a bowl.
Turning to her daughter, she asked, "Tell me, what do you see?"
"Carrots, eggs, and coffee," she replied.
Her mother brought her closer and asked her to feel the carrots. She did and noted that they were soft.
The mother then asked the daughter to take an egg and break it. After pulling off the shell, she observed the hard boiled egg.
Finally, the mother asked the daughter to sip the coffee. The daughter smiled as she tasted its rich aroma. The daughter then asked, "What does it mean, mother?"
Her mother explained that each of these objects had faced the same adversity .. boiling water. Each reacted differently. The carrot went in strong, hard, and unrelenting. However, after being subjected to the boiling water, it softened and became weak. The egg had been fragile. Its thin outer shell had protected its liquid interior, but after sitting through the boiling water, its inside became hardened.
The ground coffee beans were unique, however. After they were in the boiling water, they had changed the water.
"Which are you?" she asked her daughter. "When adversity knocks on your door, how do you respond?
Are you a carrot, an egg or a coffee bean?"
Think of this: Which am I? Am I the carrot that seems strong, but with pain and adversity do I wilt and become soft and lose my strength?
Am I the egg that starts with a malleable heart, but changes with the heat? Did I have a fluid spirit, but after a death, a breakup, a financial hardship or some other trial, have I become hardened and stiff? Does my shell look the same, but on the inside am I bitter and tough with a stiff spirit and hardened heart?
Or am I like the coffee bean? The bean actually changes the hot water, the very circumstance that brings the pain When the water gets hot, it releases the fragrance and flavor. If you are like the bean, when things are at their worst, you get better and change the situation around you. When the hour is the darkest and trials are their greatest, do you elevate yourself to another level? How do you handle adversity? Are you a carrot, an egg or a coffee bean?
May you have enough happiness to make you sweet, enough trials to make you strong, enough sorrow to keep you human and enough hope to make you happy.
The happiest of people don't necessarily have the best of everything; they just make the most of everything that comes along their way. The brightest future will always be based on a forgotten past; you can't go forward in life until you let go of your past failures and heartaches.
When you were born, you were crying and everyone around you was smiling. Live your life so at the end, you're the one who is smiling and everyone around you is crying. You might want to send this message to those people who mean something to you (I JUST DID); to those who have touched your life in one way or another; to those who make you smile when you really need it; to those who make you see the brighter side of things when you are really down; to those whose friendship you appreciate; to those who are so meaningful in your life.
If you don't send it, you will just miss out on the opportunity to brighten someone's day with this message!
"It's easier to build a child than repair an adult"
A carrot, an egg and a cup of coffee... You will never look at a cup of coffee the same way again.
A young woman went to her mother and told her about her life and how things were so hard for her. She did not know how she was going to make it and wanted to give up. She was tired of fighting and struggling. It seemed as one problem was solved, a new one arose.
Her mother took her to the kitchen. She filled three pots with water and! placed each on a high fire. Soon the pots came to boil. In the first she placed carrots, in the second she placed eggs, and in the last she placed ground coffee beans. She let them sit and boil, without saying a word.
In about twenty minutes she turned off the burners.
She fished the carrots out and placed them in a bowl.
She pulled the eggs out and placed them in a bowl.
Then she ladled the coffee out and placed it in a bowl.
Turning to her daughter, she asked, "Tell me, what do you see?"
"Carrots, eggs, and coffee," she replied.
Her mother brought her closer and asked her to feel the carrots. She did and noted that they were soft.
The mother then asked the daughter to take an egg and break it. After pulling off the shell, she observed the hard boiled egg.
Finally, the mother asked the daughter to sip the coffee. The daughter smiled as she tasted its rich aroma. The daughter then asked, "What does it mean, mother?"
Her mother explained that each of these objects had faced the same adversity .. boiling water. Each reacted differently. The carrot went in strong, hard, and unrelenting. However, after being subjected to the boiling water, it softened and became weak. The egg had been fragile. Its thin outer shell had protected its liquid interior, but after sitting through the boiling water, its inside became hardened.
The ground coffee beans were unique, however. After they were in the boiling water, they had changed the water.
"Which are you?" she asked her daughter. "When adversity knocks on your door, how do you respond?
Are you a carrot, an egg or a coffee bean?"
Think of this: Which am I? Am I the carrot that seems strong, but with pain and adversity do I wilt and become soft and lose my strength?
Am I the egg that starts with a malleable heart, but changes with the heat? Did I have a fluid spirit, but after a death, a breakup, a financial hardship or some other trial, have I become hardened and stiff? Does my shell look the same, but on the inside am I bitter and tough with a stiff spirit and hardened heart?
Or am I like the coffee bean? The bean actually changes the hot water, the very circumstance that brings the pain When the water gets hot, it releases the fragrance and flavor. If you are like the bean, when things are at their worst, you get better and change the situation around you. When the hour is the darkest and trials are their greatest, do you elevate yourself to another level? How do you handle adversity? Are you a carrot, an egg or a coffee bean?
May you have enough happiness to make you sweet, enough trials to make you strong, enough sorrow to keep you human and enough hope to make you happy.
The happiest of people don't necessarily have the best of everything; they just make the most of everything that comes along their way. The brightest future will always be based on a forgotten past; you can't go forward in life until you let go of your past failures and heartaches.
When you were born, you were crying and everyone around you was smiling. Live your life so at the end, you're the one who is smiling and everyone around you is crying. You might want to send this message to those people who mean something to you (I JUST DID); to those who have touched your life in one way or another; to those who make you smile when you really need it; to those who make you see the brighter side of things when you are really down; to those whose friendship you appreciate; to those who are so meaningful in your life.
If you don't send it, you will just miss out on the opportunity to brighten someone's day with this message!
"It's easier to build a child than repair an adult"
Monday, February 20, 2006
umbilical granuloma
Today, Mom and Dad brought me to see the pediatrician (Neo-natal specialist)..wow...what a cool name...when I grow up, maybe I'll be a doctor...;-)
My belly button/ umbilical cord was sometimes having liquid out...Doc says its a condition called umbilical granuloma...ie some part of the umbilical cord (why can't they call it UG???) skin was quite thing thus some times blood or liquid was coming out..my cuz (short form for cousin accidentally touch it once, and she freak out as it was a stinker!) ......
Doc Ng, put some cool blue stuff, they call it copper sulphate and water and it flooded my belly button.
Doc said to wait 15-30 min after which he would clean it. tic-toc tic toc..zzzzzz
15 min later, Doc cleaned the umbillical cord and the weak tube was now a blue crystal...Holy cow, cool!!
Well, that's all I learned today...when I grow up, maybe I'll be a chemist and play with all those cool chemicals...;-)
Dad did some research and found something UG. He said must reference..( http://www.intelihealth.com)
"In some infants, the belly button area seems to heal slowly and looks moist, pink and lumpy. This is usually a harmless condition called an umbilical granuloma. If this occurs, tell your baby's doctor, who may want to treat the area with a special medicine that helps the condition heal. Rarely, the umbilical cord and/or surrounding skin gets infected. Call your doctor if:
The skin around the cord area becomes red or swollen.
The belly button is draining green or yellow liquid.
The area develops a bad odor.
Your baby has a fever or seems sick.
When the cord stays on longer than usually expected, the area gets infected, or there is continued discharge from the belly button, your doctor will consider whether this is normal. These conditions can happen in healthy babies. On rare occasion, they may occur because a newborn has problems fighting infection, or some connection to the inside of the belly (as there was when the baby was inside the womb) is still open."
Allo, my name is Torsten SEE or Yan Tze. I was born 16 Dec 2005.
Most people would go Huh? What? when they first hear my name...or they would go Sun Yanzi when they piece together my surname SEE and Yan Tze....oh please...
Where the name came from...Well, it came from my Dad while he was watching soccer and testing the names of all the players with my surname. Well some horrible....Mum kind of like the name so the name stuck.
So where did it originate from. It is basically a scandinavian name, after Thor, God of thunder, and stone...when I grow up...I'll write some more about it.
Thursday, January 12, 2006
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