A 4-year-old boy presenting with persistent urinary incontinence: Questions
AbstractA 4-year-old boy was referred to the nephrologist with daytime urinary incontinence and suspicion of an overactive bladder. At the age of 17 months he had been referred to the pediatric endocrinologist because of polyuria and polydipsia in order to exclude diabetes insipidus. Repeated water deprivation tests and a magnetic resonance imaging scan of the brain were normal. Diabetes insipidus was excluded, and primary polydipsia was thoug ht to be most likely since diabetes mellitus also had been excluded. At the current presentation, he drank up to 3 L a day and quite often had wet diapers. He also seemed to pass stools infrequently and with difficulty. Curiously his grandmother had similar symptoms of polyuria and polydipsia since childhood and had been diagnosed with primary polydipsia. The physical examination of our pediatric patient was normal. In the differential diagnosis we included diabetes insipidus but also contemplated other possibilities, such as nephronophthisis, tubulopathies and hypercalciuria. Laboratory resu lts including urinalysis and an ultrasound of the kidney did not show any abnormalities, making a tubulopathy or hypercalciuria unlikely. A desmopressin test by the intravenous route came back completely normal, pointing to another cause than diabetes insipidus. Genetic testing for the nephronophthi sis came back negative but was positive for a missense mutation in theAVPR2 gene (p.Arg104Cys) associated with partial nephrogenic diabetes ...
ConclusionO/E LHR is a well-validated standard for predicting outcomes and guiding prenatal counseling in CDH. We provide evidence that fetal MRI measurements of the contralateral lung volume corrected for gestational age were more accurate in predicting the need for ECMO and survival. Future prospective studies validating O/E CLV regarding outcomes and ECMO utilization are warranted.Level of evidenceLevel III, retrospective comparative study.
Two thirds of patients with diabetes achieve a good visual outcome of 20/40 or better after cataract surgery, according to one of the largest studies to assess visual acuity in people with diabetes undergoing cataract surgery.Reuters Health Information
DIABETES is a lifelong condition that can cause serious health woes for those affected by it - here are the 10 hidden symptoms to look out for.
Conclusions: Our two cases highlight the occurrence of acute disseminated encephalomyelitis–like disease as a postinfectious/immune-mediated complication of SARS-CoV-2 infection.
This study investigates the cell coverage on mortar and microbially induced carbonate precipitation. Statistical analysis of results from scanning electron and fluorescence microscopy shows that the cell coverage was higher in the presence of UV-killed cells than living cells. Cells are preferably attached to cement paste than sand grains, with a difference of one order of magnitude. The energy-dispersive X-ray spectroscopy analyses and Raman mapping suggest cyanobacteria used atmospheric CO2 to precipitate carbonates.
Hypoparathyroidism and hyperparathyroidism guidelines developed by more than 100 global experts were presented at the ASBMR meeting and will be published next year, replacing 2014 and 2016 guidelines.Medscape Medical News
Full Suite of Innovations from Carestream Dental Opens New Treatment Options for GPs, Takes Teams from Case Start to Finish Faster LAS VEGAS —After a long stretch without trade shows, doctors and team members are excited to explore all the latest technology at ADA SmileCon 2021. In Carestream Dental ’s booth, C1201, they’ll find the integrated solutions that will help them offer new treatment options; open new lines of revenue and engage with their patients better. The highly anticipated CS 3800 wireless intraoral scanner will be available for dental teams to experience. When microns matte...
Pathological findings of the islets can reflect the pathophysiologies of type 2 diabetes. Detailed pathological analysis enable to subclassify type 2 diabetes. ABSTRACTThe etiology of type 2 diabetes is multifactorial, in which environmental and genetic factors are involved to varying degrees. This suggests that its pathophysiology might vary depending on the individuals. Knowledge of the differences is critical, because these differences are directly linked to the care and treatmen t of the patients. Recent studies have attempted to carry out subclassifications of type 2 diabetes based on clinical an...
The Dubai-based GluCare Integrated Diabetes Center has published a second set of clinical results revealing further reduction of haemoglobin A1c (HbA1c) levels in its patients.
The comprehensive plan includes efforts to prevent per- and polyfluoroalkyl substances from being released into the air, drinking and ground water, and the food supply chain.Medscape Medical News