| How reliably can paediatric professionals identify pale stool from cholestatic newborns? | |
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MedLine Citation:
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PMID: 22933100 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The success of surgery in infants with hepatobiliary disease is inversely proportional to the age when surgery was performed. Pale stool colour is a major indicator of biliary obstruction. However, simple recognition has been inadequate, resulting in late diagnosis and referral. Objective To assess the skills of healthcare professionals in recognising pale stools. METHOD: Photographs of normal, acholic and indeterminate infant stools were shown to paediatric professionals who have regular contact with jaundiced babies at three London teaching hospitals. Each stool was classified as 'healthy' or 'suspect'. RESULTS: One-third of the stools were not correctly identified by physicians and nurses. CONCLUSION: Experienced professionals often do not recognise stool colour associated with biliary obstruction. The authors propose that stool colour cards similar to those used in Japan and Taiwan may improve early detection of hepatobiliary disease at a minimal cost. |
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Authors:
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B Bakshi; A Sutcliffe; M Akindolie; B Vadamalayan; S John; C Arkley; L D Griffin; A Baker |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of disease in childhood. Fetal and neonatal edition Volume: 97 ISSN: 1468-2052 ISO Abbreviation: Arch. Dis. Child. Fetal Neonatal Ed. Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-08-30 Completed Date: 2012-11-20 Revised Date: 2013-03-29 |
Medline Journal Info:
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Nlm Unique ID: 9501297 Medline TA: Arch Dis Child Fetal Neonatal Ed Country: England |
Other Details:
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Languages: eng Pagination: F385-7 Citation Subset: AIM; IM |
Affiliation:
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King’s College Hospital, London, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Biliary Atresia
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diagnosis Cholestasis / diagnosis* Clinical Competence Color* Feces* Humans Infant, Newborn Pediatrics Photography Reproducibility of Results |
| Comments/Corrections | |
Erratum In:
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Arch Dis Child Fetal Neonatal Ed. 2013 Mar;98(2):F180 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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