Abstract Body

Background &Aim: Infantile hemangiomas (IHs) are vascular neoplasms being the most common tumors of childhood being characterized by aberrant blood vessel architecture.

Although most of them involute without treatment there is a subset that will develop complications which may lead to functional impairment or disfigurement.

Since proliferation occurs during early infancy primary care providers most times assume the role of in the management of IH and evaluate whether intervention is necessary.

Physical examination for determining which lesions require early consultation with a specialist implies a knowledge on evolutionary phases and categorization of IH.

In this review, we present a methodical approach to risk stratification, essential for determining which lesions require early consultation with a specialist

Methods: Literature review through PubMed, from 2015 to 2020, using the MeSH terms “Infantile Hemangioma”.

Results:

Clinical observations on soft tissue depth, anatomic appearance and associated structural abnormalities are the first considerations in the management of IH allowing the stratification of risk.

Emergency intervention is necessary in IH with life-threatening complications like airway obstruction as well as liver IHs associated with high-output congestive heart failure. Urgent treatment of IHs is needed when exist bleeding, pain or imminent functional impairment.

Some lesions require specialist evaluation to identify structural anomalies associated with IH and also to evaluate elective treatment to reduce the likelihood of long-term or permanent disfigurement

Conclusions:

For most infant’s involution of IH can be observed without treatment, however many others benefit from medical or surgical intervention being essential the recognition of IH risk characteristics.

Abstract Body

Background and purpose: Nursing home residents often have high prevalence of chronic diseases resulting in polypharmacy. Inappropriate drug use is very common among elderly patients and may cause worsened cognitive impairment, increased risk of falls, decreased quality of life, hospitalization and even death. Our aim was to detect if in nursing home residents were prescribed inappropriate drugs according to STOPP (Screening Tool of Older Persons' Prescriptions) criteria in sections D (Medication related to Central Nervous System and Psychotropics ) and K (Medication that predictably increase the risk of falls in the elderly).

Methods: 27 nursing home residents from a portuguese institution, aged over 65, average age of 83,93 (minimum 66, maximum 96), 23 female and 4 male, were included. The files of the subjects were surveyed retrospectively for the 1-year before, using the nursing home digital medical records, including regular medication.

Results: We detected 21 cases of inappropriate drug use related to Central Nervous System and Psychotropics being quetiapine and risperidone the most prevalent psychotropic drugs , 9 cases of benzodiazepine use and in 7 residents combination of different classes of neuroleptics. There were 33 cases of inappropriate medication that predictably could increase the risk of falls in the elderly.

Conclusions: We found a significant amount of residents with inappropriate drug use in this nursing home. This study proves there is still a need for awareness of physicians on this topic. The use of STOPP criteria as a tool for prevention drug interactions, and avoidance of side effects in the elders should be widespread.

Abstract Body

Background &Aim: Infantile hemangiomas (IHs) are vascular neoplasms being the most common tumors of childhood being characterized by aberrant blood vessel architecture.

Although most of them involute without treatment there is a subset that will develop complications which may lead to functional impairment or disfigurement.

Since proliferation occurs during early infancy primary care providers most times assume the role of in the management of IH and evaluate whether intervention is necessary.

Physical examination for determining which lesions require early consultation with a specialist implies a knowledge on evolutionary phases and categorization of IH.

In this review, we present a methodical approach to risk stratification, essential for determining which lesions require early consultation with a specialist

Methods: Literature review through PubMed, from 2015 to 2020, using the MeSH terms “Infantile Hemangioma”.

Results:

Clinical observations on soft tissue depth, anatomic appearance and associated structural abnormalities are the first considerations in the management of IH allowing the stratification of risk.

Emergency intervention is necessary in IH with life-threatening complications like airway obstruction as well as liver IHs associated with high-output congestive heart failure. Urgent treatment of IHs is needed when exist bleeding, pain or imminent functional impairment.

Some lesions require specialist evaluation to identify structural anomalies associated with IH and also to evaluate elective treatment to reduce the likelihood of long-term or permanent disfigurement

Conclusions:

For most infant’s involution of IH can be observed without treatment, however many others benefit from medical or surgical intervention being essential the recognition of IH risk characteristics.