Gaffar Sheema, Tucker Elliot
Department of Pediatrics, Eastern Virginia Medical School, 700 West Olney Road, Norfolk, VA 23507, USA.
Children's Hospital of The King's Daughters, 601 Children's Lane, Norfolk, VA 23507, USA.
Case Rep Pediatr. 2021 Nov 22;2021:9453574. doi: 10.1155/2021/9453574. eCollection 2021.
A general pediatrician is skilled at continuity; through longitudinal evaluation, they serve as front-line providers in the recognition and referral of unusual pathology. The majority of arteriovenous malformations (AVM) are diagnosed with history and physical examination. AVM are inherently progressive by nature; their is what creates the risk of morbidity. With higher-risk vascular lesions, is important when discussing management with observation versus with invasive intervention. Size, location, and expected course of progression of the lesion help generate a timeline for action. Collaboration of physicians with diverse expertise generates optimal plan of therapy, particularly when faced with an unusual clinical finding. Genetics referral may be beneficial, as the body of literature on AVM is growing, and databases on associated syndromes are evolving. Establishing concrete follow-up is imperative to assess for recurrence of AVM or development of additional symptoms. This can be with the interventionalist or with the generalist.
普通儿科医生擅长连续性医疗；通过纵向评估，他们在识别和转诊异常病理情况方面担任一线医疗服务提供者。大多数动静脉畸形（AVM）是通过病史和体格检查诊断出来的。AVM本质上具有进行性；其本身就是导致发病风险的因素。对于高风险血管病变，在讨论观察治疗与侵入性干预治疗的管理方案时，这一点很重要。病变的大小、位置和预期进展过程有助于制定行动时间表。具有不同专业知识的医生之间的协作能制定出最佳治疗方案，尤其是在面对不寻常的临床发现时。基因转诊可能有益，因为关于AVM的文献在不断增加，相关综合征的数据库也在不断发展。建立具体的随访至关重要，以评估AVM的复发情况或是否出现其他症状。这可以由介入专家或普通医生进行。
