Reversibility of TPN-Induced Cholestasis
July 27th 2009A 6-month-old boy was hospitalized because of fever and suspected central line sepsis. He had been receiving total parenteral nutrition (TPN) since shortly after birth following a small-bowel resection, which was performed to repair a midgut volvulus. Abdominal ultrasonographic findings after the procedure were normal. The infant was born at term after an uneventful pregnancy and delivery. Alkaline phosphatase and γ-glutamyl transpeptidase levels were elevated, without hyperbilirubinemia. An ultrasonogram showed hyperhomogeneous and nonhomogeneous echogenicities of the liver, consistent with fatty changes and fibrosis.
AAPD revises oral health guidelines for expectant moms
June 15th 2009Modified oral health guidelines from the AAPD include a call for all pregnant women to receive counseling and oral healthcare during pregnancy. Additionally, infants should be given an oral health risk assessment and oral care before their 1-year birthday, according to the new guidance.