Home Management A parent should call the doctor if the child has any symptoms that are out of the ordinary, including (but not limited) to: Any fever of 101 F or higher Any signs of a flu or cold Shortness of breath Severe diarrhea Blood in the urine or stools Trouble urinating Tracking Neutrophils. Parents should track their child's absolute neutrophil count. This measurement for the amount of white blood cells is an important gauge of a child's ability to fight infection. Counts over 1,000 usually provide sufficient protection so that children can engage in normal activities, including school and other functions where they are exposed to other children. If the count is between 500 - 1,000, the child should avoid large groups. If it falls between 200 - 500, the child should stay at home and should see only healthy visitors who have washed their hands vigorously. Neutrophil counts below 200 indicate that the child is at high risk for infection and should have no visitors. Preventing Infection It is...
Transplantation Transplantation Stem cells that are made in the bone marrow are the early form of all blood cells in the body. They normally mature into red, white, or immune cells. To help the patient survive high dose chemotherapy needed to cure leukemia that has returned treatment, or not responded to treatment, a stem cell transplantation procedure may be used. Stem cell transplantation replaces blood stem cells that were lost during the initial chemotherapy treatment. The lost stem cells are replaced by transplanting them from a donor into the patient. Types of Donors The stem cells to be given to the person with leukemia can come from either the patient (autologous ) or a donor(allogeneic ): Allogeneic tranplant . In an allogeneic transplant, the stem cells are taken from another person or donor. The immune system of the person receiving the new cells will usually try to reject these new, foreign cells. The more similar genetically the donor cells are, however, the less likely the per...
When the most often prescribed acute treatments for migraine fail, patients and doctors alike want to know why. In fact, such issues are so important to doctors and researchers that there was an entire special issue of the journal Headache devoted to the gastrointestinal manifestations of migraine. One research paper in this issue dealt specifically with why triptan treatment can fail.
"Results of randomized, double-blind, controlled studies establish the efficacy of triptans in the acute treatment of migraine, but triptan benefits demonstrated in clinical trials have not consistently been realized in clinical practice. This paper explores the contribution of gastrointestinal manifestations of migraine – namely nausea (with or without vomiting) and gastroparesis – to triptan treatment failure."
Triptans for Migraine:
There are seven triptans available for the acute treatment of Migraine available in a variety of formulations.
All of the...
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