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She underwent complete excision of the mass without complication. A 0.5 x 0.5 cm erythematous, verrucous, well circumscribed, nontender, mobile lesion was noted above her lip.
On exam, she was well-appearing with phenotypical features of Turner’s syndrome. We review the histopathologic features and emphasize its association with Turner’s syndrome.Ģ year old female with Turner Syndrome presented with a progressive mass above her right upper lip for 6 months. We report the case of a child with Turner’s syndrome with a pilomatricoma that was diagnosed on biopsy. Julian et al., reported that pilomatricomas are commonly misdiagnosed pre-operatively in up to 75% of cases. Pilomatricoma is a rare, skin neoplasm that is often confused with dermoid or brachial cleft cysts. #2 Pilomatricoma in a child with turner syndrome: a rare entity There was no significant change in length of stay. Helpline referrals increased from 0% to 21%. Education on smoke exposure avoidance increased from 5% to 57%. We increased baseline average smoke exposure screening rates from 14% to 73%, meeting criteria for special cause variation ( figure 1). Baseline and intervention periods for LOS were compared with t-tests. Outcome measures were analyzed with statistical process control in SPC for Excel. Length of stay (LOS) was monitored as a balancing measure. Secondary outcomes were percentage of pediatric inpatients screening positive for smoke exposure who received discharge instructions or who received a Helpline referral (self or family member). The primary outcome measure was monthly percentage of pediatric inpatients screened for smoke exposure. Interventions were education on smoke exposure screening and Helpline referrals, standardizing documentation for screening and discharge instructions, visual reminders, and Helpline wallet cards. By improving screening and documentation, we anticipate increased provider awareness and smoking cessation interventions.Īll pediatric ward, newborn nursery, and Level II nursery admissions were eligible.
We sought to increase smoke exposure screening, smoking cessation education, and referrals in our community hospital pediatric population. Few smoking cessation studies in inpatient pediatrics are formal quality improvement projects and most are at academic institutions. Secondhand smoke increases ear and respiratory infections, asthma attacks, and risk of Sudden Unexpected Infant Death. Tobacco use starts young and is the leading cause of preventable disease, disability, and death in the United States.
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