Search

We propose in this paper a reflection about the relevance and the particularities of the use of therapeutic mediations in the context of clinical practice in consultation-liaison child psychiatry. The accompaniment of a young teenager leading to the creation of a multimedia clip is presented to illustrate the use of therapeutic mediations. This case is then the object of a theoretical and clinical analysis in order to highlight and analyze the psychic processes associated with the use of this mediation. The therapeutic mediation has favored the expression of the patient's desires and anxieties according to a multisensorial dimension – words, melodies, pictures – which supports and catalyzes the primary and secondary symbolization processes. The approach based on therapeutic mediations emphasizes the implementation of a "tailor-made" accompaniment which results in the co-construction of the mediation with the patients. The use of therapeutic mediations in the context of the consultation-liaison child psychiatry appears to be a relevant tool that favors the clinical encounter and the deployment of symbolization processes. [ABSTRACT FROM AUTHOR]

This paper attempts to illustrate the diagnostic, therapeutic and evolutionary aspects of a rare form of an acute neonatal arterial thrombosis. We report the case of a newborn female baby from a pregnancy complicated by gestational diabetes. At birth, we noticed a pallor of the left lower limb, coldness and absence of the distal pulses. Doppler ultrasound showed extensive thrombosis of the left femoral artery. Emergency treatment consisted of thrombolysis by tissue plasminogen activator, after eliminating contraindications. The evolution was rapidly spectacular with repermeabilization of the limb. Heparin was started as a relay treatment. The etiological assessment did not find any risk factor of arterial thrombosis. The dramatic outcome of arterial thrombosis of a limb is amputation. Early diagnosis and management can avoid this situation. [ABSTRACT FROM AUTHOR]

This paper attempts to illustrate the diagnostic and therapeutic approach of an extremely rare form of esophagogastritis with antenatal disclosure. We report the case of esophagogastritis with antenatal disclosure in a full-term newborn. E.K. was a newborn female baby from a pregnancy carried without complications. At birth, the amniotic fluid was hematic. Examination of the placenta at delivery was normal. The newborn presented hematemesis made of bright red blood, from the first hours of life, without any other associated signs or hemostasis disorder on the biological assessment. The initial therapeutic approach was exclusive parenteral nutrition combined with intravenous proton pump inhibitors. The evolution was marked by the occurrence of melenas and rectorrhagia, complicated by anemia requiring transfusion, without hemodynamic repercussions. An upper gastrointestinal endoscopy was performed on the third day of life and showed moderate erosive œsogastrobulbite. Follow-up was rapidly favorable. In severe neonatal digestive hemorrhages, FOGD plays a key role in the etiological diagnosis and therapeutic management. [ABSTRACT FROM AUTHOR]