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Unsuspected infectious diseases and other medical diagnoses in the evaluation of internationally adopted children.
Pediatrics. 1989 Apr; 83(4):559-64.Ped

Abstract

Seven simple screening tests--hepatitis B profile, urine culture for cytomegalovirus, Mantoux test for tuberculosis, stool examination for ova and parasites, VDRL, complete blood cell count, and vision and hearing screening--were used to evaluate 52 consecutive children at a pediatric clinic for international adoptees. In 63% of these children, unsuspected medical diagnoses were made by a combination of history, physical examination, and appropriate screening tests. When only those children previously examined by a physician in the United States were included in our analysis, the rate of unsuspected diagnosis remained high (67%). Omission of screening tests was the single most frequent cause of missed diagnoses, of which the majority were infectious diseases. More than 50% of our newly established diagnoses carried the potential for long-term sequelae without proper treatment. These data emphasize that internationally adopted children should receive a thorough screening evaluation for medical problems that may adversely affect their growth and development.

Authors+Show Affiliations

Department of Pediatrics, University of Minnesota, Minneapolis.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2927997

Citation

Hostetter, M K., et al. "Unsuspected Infectious Diseases and Other Medical Diagnoses in the Evaluation of Internationally Adopted Children." Pediatrics, vol. 83, no. 4, 1989, pp. 559-64.
Hostetter MK, Iverson S, Dole K, et al. Unsuspected infectious diseases and other medical diagnoses in the evaluation of internationally adopted children. Pediatrics. 1989;83(4):559-64.
Hostetter, M. K., Iverson, S., Dole, K., & Johnson, D. (1989). Unsuspected infectious diseases and other medical diagnoses in the evaluation of internationally adopted children. Pediatrics, 83(4), 559-64.
Hostetter MK, et al. Unsuspected Infectious Diseases and Other Medical Diagnoses in the Evaluation of Internationally Adopted Children. Pediatrics. 1989;83(4):559-64. PubMed PMID: 2927997.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unsuspected infectious diseases and other medical diagnoses in the evaluation of internationally adopted children. AU - Hostetter,M K, AU - Iverson,S, AU - Dole,K, AU - Johnson,D, PY - 1989/4/1/pubmed PY - 1989/4/1/medline PY - 1989/4/1/entrez SP - 559 EP - 64 JF - Pediatrics JO - Pediatrics VL - 83 IS - 4 N2 - Seven simple screening tests--hepatitis B profile, urine culture for cytomegalovirus, Mantoux test for tuberculosis, stool examination for ova and parasites, VDRL, complete blood cell count, and vision and hearing screening--were used to evaluate 52 consecutive children at a pediatric clinic for international adoptees. In 63% of these children, unsuspected medical diagnoses were made by a combination of history, physical examination, and appropriate screening tests. When only those children previously examined by a physician in the United States were included in our analysis, the rate of unsuspected diagnosis remained high (67%). Omission of screening tests was the single most frequent cause of missed diagnoses, of which the majority were infectious diseases. More than 50% of our newly established diagnoses carried the potential for long-term sequelae without proper treatment. These data emphasize that internationally adopted children should receive a thorough screening evaluation for medical problems that may adversely affect their growth and development. SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/2927997/Unsuspected_infectious_diseases_and_other_medical_diagnoses_in_the_evaluation_of_internationally_adopted_children_ L2 - https://medlineplus.gov/healthscreening.html DB - PRIME DP - Unbound Medicine ER -