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Félix Ignacio Téllez-Ávila, Gladys Yolanda Acosta-Villavicencio, Carlos Chan, Jorge Hernández-Calleros, Luis Uscanga, Francisco Valdovinos-Andraca, Miguel Ángel Ramírez-Luna
BACKGROUND AND OBJECTIVES: Noninvasive imaging techniques have shown limitations to identify insulinomas. In few studies reported so far, endoscopic ultrasound (EUS) has proven to be able to locate lesions. The aim of this study was to compare the performance of computed tomography versus EUS for the detection of insulinomas. MATERIALS AND METHODS: In a retrospective manner prospectively collected data were analyzed. Patients with hypoglucemia and hyperinsulinemia were included...
January 2015: Endoscopic Ultrasound
Ma T Fernández López, Ma D García Bargo, Ma T Rivero Luis, P Álvarez Vázquez, C A Saenz Fernández, J A Mato Mato
A 57-year-old man with chronic alcoholism was admitted to our hospital due to disturbance of consciousness and polyradiculitis. Laboratory examination revealed metabolic acidosis, hypokalemia and hypophosphataemia. Alcoholic ketoacidosis is a common disorder in alcoholic patients. All patients present with a history of heavy alcohol misuse, preceding a bout of particularly excesive intake, which had been terminated by nausea, vomiting and abdominal pain. The most important laboratory results are: normal or low glucose level, metabolic acidosis with a raised anion GAP, low or absent blood alcohol level and urinary ketones...
May 2012: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
María F Capellino, Silvia Galetto, José M Sad Larcher, Claudia Travella, Mirta Ferreyra, Guillermo Ruiz Orrico
HELLP syndrome (Hemolysis, Elevated Liver Enzymes and Low Platelets) was described by Weinstein in 1982. It has a high maternal and perinatal morbi-mortality rate. We undertook this study to evaluate perinatal outcome in patients with HELLP syndrome. Patients with HELLP syndrome were identified in a retrospective study between March 1998 and March 2001 at the Hospital Privado de Córdoba. Maternal and neonatal variables were analyzed. Nine patients with HELLP syndrome were identified (incidence 2.3@1000). Mean maternal age was 24...
2003: Medicina
Daniel Feliciano Zalapa Martínez, Anel Gómez García, Cleto Alvarez Aguilar
OBJECTIVE: To understand the early hebdomadal complications in newborns from mothers with both mild and severe preeclampsia. MATERIAL AND METHODS: A transversal, observational trial was conducted in HGR No 1 IMSS, Morelia, Michoacán, México. The clinical records of gestating women were reviewed to detect those who had preeclampsia (PE) or eclampsia in the tokosurgical ward of the same hospital. Newborns were sent up to neonatology room, where their perinatal clinical history was done, and were also observed to detect complications...
May 2003: Ginecología y Obstetricia de México
J M Guzmán, M P Jaraba, M J De La Torre, M D Ruiz-González, M D Huertas, R Alvarez, M Zapatero
UNLABELLED: We studied the nutritional requirements of 53 neonates with a birth-weight of 1250 g or less and analysed the parenteral and enteral nutrition provided, the weight-gain curves, the incidence of prior pathology and complications. We compared those weighing under 1000 g at birth (n=25) with those weighing 1001-1250 g (n=28). All neonates received central parenteral nutrition at an average age of 42.3 h. The liquid requirements of the lower birth-weight group were significantly greater...
November 2001: Early Human Development
M Palomar-Morales, J D Méndez
Hypoglucemia, or decrease in normal blood glucose concentration, is an important sequel of tight control of type 1 diabetic patients. In pregnant diabetic women, hypoclycemia does not appears affect the embryo or fetal development; while in rodent, it is an important cause of teratogenesis and/or embryotoxicity, when it is presented during organogenesis. Despite metabolic, endocrine and temporal differences between human and rodent pregnancy, a possible damage to the product, caused by hypoblycemia during pregnancy in human, must be considered...
September 1999: Ginecología y Obstetricia de México
I Pascual-Castroviejo, A Martínez-Bermejo, S I Pascual-Pascual
Status epilepticus (SE) is one of the most common emergencies in pediatric neurology and it is associated with high mortality and morbidity. SE is more frequent in children than in adults. SE occurs in variety of settings especially in children-infections, patients with previously established epilepsy, cerebral malformations, hypoxia, hypoglucemia and head trauma- but in many cases SE can present as a first unprovoked seizures. Being better known the convulsive SE, non-convulsive SE that may present the same complications as the convulsive SE may be found in many patients...
December 1997: Neurología: Publicación Oficial de la Sociedad Española de Neurología
M C Carrascosa, A Mariínez-Gutiérrez, I Onsurbe, M S Vázquez, B Catalán, R Tébar
OBJECTIVE: To determine the incidence, etiology and course of neonatal convulsions in the Albacete Health District between 1991 and 1993. DESIGN: A descriptive study of retrospective cohorts. SCOPE: 12,427 new born babies in the province of Albacete. The Hospital General de Albacete looks after a population of 376,071 inhabitants, attends 82% of the births in this area and its Neonatology Department is the only one in the province. METHOD: Incidence: we found 25 new born babies (RN) with neonatal convulsions: absolute incidence (IA) in live RN0/00...
October 1996: Revista de Neurologia
K E Anderson, P H Petersen
The effect on plasma glucose and serum insulin of varying amounts of insulin added to the dialysis fluid was studied in a total of 10 diabetic patients on chronic peritoneal dialysis (PD). The studies were carried out in a 3-day and a 14-day model, using dialysis fluid with two different concentrations of glucose (75 mmol/l (isotonic and 200 mmol/l (hypertonic)) and with addition of either 0, 6, 12 or 24 U/l of immunoreactive insulin (IRI) to the dialysis fluid. Plasma glucose and serum insulin were determined before, during and after dialysis...
July 1981: International Journal of Artificial Organs
G Akerström, H Johansson, D Grama
The surgical treatment of endocrine pancreatic lesion in the multiple endocrine neoplasia syndrome type 1 (MEN-1) has remained a controversial issue. Histologic studies have revealed that the pancreatic lesions generally consist of numerous microadenomas, spread throughout the pancreas, together with occasional larger tumors. The patients may also harbor multiple, mainly gastrin secreting, duodenal microadenomas. A total pancreatectomy/duodenectomy should theoretically be needed for cure, but has not been recommended due to the associated mortality and morbidity, considering also the favorable prognosis of most MEN-1 patients...
1991: Acta Oncologica
R Dodelson de Kremer, R I Kelley, C Depetris de Boldini, A Paschini de Capra, L Corbella, I Givogri, A Giner de Ayala, M Albarenque
This paper describes the first Argentine case of 3-hydroxy-3-methylglutaric aciduria, a genetic defect of ketogenesis and leucine catabolism step. At the age of 4 months, the patient presented a life-threatening episode of hypoglucemia, metabolic acidosis and hyperammonemia resembling Reye syndrome. The lack of urinary ketone bodies, normal levels of plasma aminoacids and normal urinary excretion of p-hydroxyphenolic acids, led us to look for a ketogenic defect. An abnormal profile of urinary organic acids detected by thin layer chromatography and later characterized and quantified by gas chromatography-mass spectrometry (Figs...
1992: Medicina
T P Bezverkhaia
The indices of three adrenal cortex functions were investigated in 517 patients with a moderately severe and severe forms of diabetes mellitus of various duration, outside of the ketoacidosis and hypoglucemia states. Both during decompensation and at the period of unstable compensation (subcompensation) of the disease 3--60% of the patients displayed increased indices of glucocorticoid and mineralocorticoid functions, and 20--38%--of the androgenic ones. Along with different frequency of detection, there was revealed a distinct non-uniformity of different indices elevation...
November 1978: Problemy E̊ndokrinologii
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