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Total 92 results found since Jan 2013.

Contraindications and adverse effects in abdominal imaging.
Authors: Caraiani C, Petresc B, Dong Y, Dietrich CF Abstract Ultrasound (US), computed-tomography (CT) and magnetic resonance imaging (MRI) are the most frequently used imaging techniques in abdominal pathology. US plays a pivotal role in evaluating abdominal disease, sometimes being sufficient for a complete diagnosis and has virtually no contraindications. The usage of US contrast agents will add useful diagnostic information in both hepatic and non-hepatic pathology. CT has, over MRI, the advantage of being readily available. The usage of ionizing radiation is the main pitfall of CT. Allergies and contrast induc...
Source: Medical Ultrasonography - November 27, 2019 Category: Radiology Tags: Med Ultrason Source Type: research

Benign acute myositis in a 17-year-old boy.
This study reports a case of benign acute myositis of the serratus anterior muscle in a healthy 17-year-old teenager. Although no infectious etiology was found, it seems that this semiological entity is a form of benign acute myositis (BAM), a benign muscular inflammation, arising from viral infection and occurring in school-age children, more frequently in males, between 6 and 12 years of age. On average, the symptoms begin 7 days after infection, more often the flu (Influenza virus B or A, parainfluenza virus). It is important to note that this pathology is acute and benign and there is no need for any invasive investiga...
Source: Archives de Pediatrie - May 29, 2013 Category: Pediatrics Authors: Dandolo A, Banerjee A Tags: Arch Pediatr Source Type: research

Pathophysiology, epidemiology, classification and treatment options for polycystic liver diseases.
Abstract Polycystic liver diseases (PLD) represent a group of genetic disorders in which cysts occur in the liver (autosomal dominant polycystic liver disease) or in combination with cysts in the kidneys (autosomal dominant polycystic kidney disease). Regardless of the genetic mutations, the natural history of these disorders is alike. The natural history of PLD is characterized by a continuous increase in the volume and the number of cysts. Both genders are affected; however, women have a higher prevalence. Most patients with PLD are asymptomatic and can be managed conservatively. Severe symptoms can affect 20% o...
Source: World Journal of Gastroenterology - September 21, 2013 Category: Gastroenterology Authors: Abu-Wasel B, Walsh C, Keough V, Molinari M Tags: World J Gastroenterol Source Type: research

A duodenal mass and acute pancreatitis.
In conclusion, the diagnosis of eosinophilic gastroenteritis should be considered in the patients with a duodenal mass. PMID: 24226730 [PubMed - in process]
Source: The Turkish Journal of Gastroenterology - June 1, 2013 Category: Gastroenterology Authors: Cakır OO, Bıyık M, Güngör G, Ataseven H, Demir A, Tavlı L Tags: Turk J Gastroenterol Source Type: research

Diet of hookworms to tackle a bread allergy
James Logan, a biologist at the School of Hygiene and Tropical Medicine also tried leeches and is thinking about maggot therapy• Read about more scientists who go to extremes lengthsA lot of people don't realise that just one metre below your feet walking along Gower Street or Malet Street in London, you have thousands upon thousands of very hungry, potentially dangerous insects.In the basement we have our insectary colonies where we keep lots of different species of mosquitoes, found in all parts of the world. None of them are infected with malaria, but they are in very high numbers. We also have bed bugs, house dust mi...
Source: Guardian Unlimited Science - December 1, 2013 Category: Science Authors: Josh Davis Tags: Allergies Health Medical research Society Technology Features Animals Insects The Observer Environment Science Wildlife Source Type: news

Dutch Venous Ulcer guideline update.
Abstract The revised guideline of 2013 is an update of the 2005 guideline "venous leg ulcer". In this special project four separate guidelines (venous leg ulcer, varicose veins, compression therapy and deep venous disorders) were revised and developed simultaneously. A meeting was held including representatives of any organisation involved in venous disease management including patient organizations and health insurance companies. Eighteen clinical questions where defined, and a new strategy was used to accelerate the process. This resulted in two new and two revised guidelines within one year. The guideline commi...
Source: Phlebology - May 19, 2014 Category: Internal Medicine Authors: Maessen-Visch MB, de Roos KP Tags: Phlebology Source Type: research

First Experience Using Contrast‐enhanced Ultrasound to Evaluate Vascularisation of Acellular Dermal Matrices after Implant‐Based Breast Reconstruction
Abstract Acellular dermal matrices (ADM) have been used frequently in therapeutic and prophylactic breast procedures. To date there have been no reports on vascularisation of ADMs and formation of tissue around them as seen with modern non‐invasive imaging techniques such as contrast‐enhanced ultrasound (CEUS). In this case series, we used CEUS to investigate the features of ADM in relation to vascular ingrowth and scaffold for “new” tissue formation. This is a retrospective evaluation of patients who underwent successful skin‐ and nipple‐sparing mastectomy (SSM, NSM) with immediate IBBR using ADM from May 31, ...
Source: The Breast Journal - July 7, 2014 Category: Cancer & Oncology Authors: Daryousch Parvizi, Franz Haas, Florentia Peintinger, Martin Hubmer, Thomas Rappl, Horst Koch, Michael Schintler, Stephan Spendel, Lars‐Peter Kamolz, Paul Wurzer, Alexandru Tuca, Michael Fuchsjaeger, Roland Weinke Tags: Original Article Source Type: research

The Case Files: A Diagnostic Pitfall: Stump Appendicitis
Irvine, Scott D. MD; Neltner, Kurt A. MD; Shellman-White, Sondra A. MD; Zimmer, Brandi L. MD Acute abdomen is one of the most common surgical emergencies encountered by emergency physicians, and appendicitis is the most common cause requiring emergent surgical consultation and surgery. Stump appendicitis is a rare complication occurring after an incomplete appendectomy, and can be defined as an acute inflammation of the residual remnant of the appendix. Many physicians are unaware that stump appendicitis is a real entity, but it is so rare that they may not include it in their differential diagnosis, leading to possible de...
Source: The Case Files - August 26, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research

The Case Files: Diagnosing with Ultrasound
Vitello, Sarah DO; McGerald, Genevieve DO; Teng, David MD   An 11-year-old boy was brought into the ED by wheelchair complaining of left hip pain after slipping and falling on the floor at home just prior to arrival. He was not able to get up. The patient also reported that he had fallen two weeks earlier while running, and had had ongoing left hip discomfort since then. He denied any other injuries or complaints, and had no significant past medical history. He de-nied prior surgeries, allergies, and medications. His temperature was 98.4°F, pulse 103 bpm, blood pressure 128/71 mm Hg, respiratory rate of 20 breaths per mi...
Source: The Case Files - July 6, 2012 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Black and Blue: A Case Report of a Spontaneous Right Internal Jugular Vein Thrombus
Keehn, Steven DO; Margulies, Jeffrey MD; Levy, David DO; Dvorkin, Ronald MD   A 74-year-old man was brought to the ED by ambulance complaining of swelling and ecchymoses to his arms and left knee beginning on the same day. He also complained of mild, dull, intermittent right-sided neck pain, and had noticed some “extra heart beats.”   He denied abdominal pain, chest pain, dyspnea, headache, nausea, vomiting, diarrhea, and fever, but he had been released earlier that day from the same hospital after an admission for evaluation of chest pain, during which he had had a negative stress test. He was discharged on warfarin...
Source: The Case Files - May 14, 2012 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Board #244 - Program Innovation A Novel Evaluation Tool for Testing Emergency Medicine Level 1 Milestones Through Simulation During Intern Orientation (Submission #7599).
Conclusion: Of the eight interns who completed the July 2013 orientation session, five were able to demonstrate all L1Ms assigned to their scenarios. Two interns failed to achieve one L1M each (consistently asking for drug allergies and determining the necessity of diagnostic studies, respectively). One intern was unable to demonstrate three L1Ms (performing and communicating a reliable history and physical, determining the necessity of diagnostic studies and describing basic resources available for the care of the emergency department patient). The 37.5% failure of L1Ms achievement is consistent with previous literature. ...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2014 Category: Medical Equipment Tags: Abstracts: 2ND PLACE AWARD WINNER: PDF Only Source Type: research

Polidocanol versus hypertonic glucose for sclerotherapy treatment of reticular veins of the lower limbs: study protocol for a randomized controlled trial
DiscussionThis project aims to enroll 96 patients and subject them to a double-blind treatment after the randomization process. The design is intended to evaluate efficacy through a primary end point and safety through a secondary end point. Forty-eight patients have currently been enrolled. Preliminary results for these patients showed that 25 received treatment, 2 were excluded, and 22 returned after 7 days and showed no greater adverse events. To date, establishing efficacy criteria has not been possible, and no patients have reached the 60-day return point. These data may help doctors choose the best chemical agent for...
Source: Trials - December 19, 2014 Category: Journals (General) Authors: Matheus BertanhaMarcone SobreiraCarlos Pinheiro Lúcio FilhoJamil de Oliveira MariúbaRafael Farres PimentaRodrigo JaldinAndrei MorozRegina MouraHamilton RolloWinston Yoshida Source Type: research

Imaging of acute pancreatitis and its complications. Part 1: Acute pancreatitis
Publication date: February 2015 Source:Diagnostic and Interventional Imaging, Volume 96, Issue 2 Author(s): A. Türkvatan , A. Erden , M.A. Türkoğlu , M. Seçil , Ö. Yener Acute pancreatitis is an acute inflammatory disease of the pancreas that may also involve surrounding tissues or remote organs. The Atlanta classification of acute pancreatitis was introduced in 1992 and divides patients into mild and severe groups based on clinical and biochemical criteria. Recently, the terminology and classification scheme proposed at the initial Atlanta Symposium have been reviewed and a new consensus statement has been proposed...
Source: Diagnostic and Interventional Imaging - January 22, 2015 Category: Radiology Source Type: research

Initial experience of follow up of patients after the endovascular treatment of abdominal aortic aneurysms using contrast-enhanced ultrasound
Conclusion We have observed a 100% consistency in the result of 25 examinations which used both methods. Based on the comparisons between CEUS and CTAG performed so far, CEUS seems to be a reliable method which could be used within the framework of dispensary care for patients after endovascular aneurysm repair (EVAR). CEUS seems to be sensitive enough to detect endoleak. However, to be able to provide a reliable evaluation, a larger set of patients and longer-term experience are needed, specifically for the evaluation of the aneurysm sack size.
Source: Cor et Vasa - April 13, 2015 Category: Cardiology Source Type: research

Ultrasound guided transversus abdominis plane versus sham blocks after caesarean section in an Ugandan village hospital: a prospective, randomised, double-blinded, single-centre study
This study examines TAP block analgesic efficacy after caesarean section in a poorly resourced setting. We compared the post-operative status of 170 women with self-administered paracetamol-diclofenac with or without TAP blocks. We hypothesised that the block would decrease pain at 8 h, 16 h, and 24 h at rest, with coughing and upon standing. Methods Between Oct 31, and Dec 28, 2013, 180 women were enrolled and randomly assigned to receive either TAP or sham blocks after caesarean section. Bi-institutional (Mbarara Regional Referral Hospital and Massachusetts General Hospital) institutional review board approval was obtai...
Source: The Lancet - April 28, 2015 Category: Journals (General) Source Type: research