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https://www.readbyqxmd.com/read/29901573/acute-scoliosis-as-an-unusual-presentation-of-pneumonia-a-case-report
#1
Rajan Atwal, Charles Stewart
We describe the unique case of a child with pneumonia presenting with acute scoliosis and abdominal pain, without any typical features of the disease.A 10-year-old girl presented to the emergency department on 3 consecutive days with right-sided abdominal pain. There were no associated features, in particular, no fevers or respiratory symptoms. On the first 2 presentations, observation,examination, and blood test findings were unremarkable. Chest x-ray and abdominal ultrasound were also normal. On the third presentation a marked scoliosis was noted and abdominal examination revealed right-sided tenderness with rebound...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901457/cystic-intestinal-pneumatosis-of-the-small-gut-etiopathogenesis-and-review-of-literature
#2
Luca Napolitano, Mathew Waku, Gustavo Maggi, Franco Ciarelli
Cystic intestinal pneumatosis (CIP) is the presence of gas bubbles inside the wall of the intestine. In literature it has been reported to be associated with a variety of clinical conditions such as: superior mesenteric ischemia, intestinal perforation, bowel necrosis, infections which can cause mucosal alterations and therefore increasing its permeability, necrotizing enterocolitis in babies, trauma, intestinal obstruction, autoimmune and pulmonary pathologies. Its presence is usually documented by radiological techniques such as abdominal X-ray, CT scan and endoscopy and are usually characterized by the typical pattern of gas bubbles in the wall of the intestine...
March 19, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29899776/endovascular-retrieval-of-detached-ventriculoatrial-shunt-into-pulmonary-artery-in-pediatric-patient-case-report
#3
Mohammed Aloddadi, Safar Alshahrani, Ibrahim Alnaami
The management of hydrocephalus represents a neurosurgical challenge. Ventriculoperitoneal (VP) shunts are usually the treatment of choice for hydrocephalus. However, when VP shunt is not an option, ventriculoatrial (VA) shunt becomes a second choice. VA shunts have special complications such as postoperative neck hematomas, shunt nephritis, and migration of the distal segment. There are two main techniques for the retrieval of migrated VA shunt: either by retrieval of the broken segment by thoracotomy, which is highly invasive, or by transvenous approach...
January 2018: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29898210/metabolic-effects-of-antipsychotics-on-adiposity-and-insulin-sensitivity-in-youths-a-randomized-clinical-trial
#4
Ginger E Nicol, Michael D Yingling, Karen S Flavin, Julia A Schweiger, Bruce W Patterson, Kenneth B Schechtman, John W Newcomer
Importance: Antipsychotic medications are commonly used to treat nonpsychotic disruptive behavioral disorders in youths. Objective: To characterize the metabolic effects of first exposure to antipsychotics in youths using criterion standard assessments of body composition and insulin sensitivity. Design, Setting, and Participants: This randomized clinical trial recruited antipsychotic-naive youths aged 6 to 18 years in the St Louis, Missouri, metropolitan area who were diagnosed with 1 or more psychiatric disorders and clinically significant aggression and in whom antipsychotic treatment was considered...
June 13, 2018: JAMA Psychiatry
https://www.readbyqxmd.com/read/29897928/nonalcoholic-fatty-liver-disease-with-elevated-alanine-aminotransferase-levels-is-negatively-associated-with-bone-mineral-density-cross-sectional-study-in-u-s-adults
#5
Toshihiro Umehara
BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) has been reported to have a negative effect on bone mineral density (BMD) in Asian populations. Whether such an association exists in Western populations is less clear. METHODS: This cross-sectional analysis of data from NHANES III, a United States national health survey conducted from 1988 to 1994, included 6089 participants aged 40-75 years, selected after excluding people with hepatitis virus serology, elevated alcohol consumption, decreased renal function, or steroid use, and pregnant females...
2018: PloS One
https://www.readbyqxmd.com/read/29897569/a-high-abdominal-aortic-calcification-score-by-dual-x-ray-absorptiometry-is-associated-with-cardiovascular-events-after-kidney-transplantation
#6
Stan Benjamens, Robert A Pol, Andor W J M Glaudemans, Ivanka Wieringa, Stefan P Berger, Stephan J L Bakker, Riemer H J A Slart
Background: Aortic calcification is associated with an increased risk for cardiovascular events in renal transplant recipients. This study focused on the association of abdominal aortic calcification (AAC) and cardiovascular events assessed using a dual-energy X-ray absorptiometry (DXA) scoring methodology for AAC. Methods: From 2008 to 2014, renal transplant recipients referred for a DXA procedure within 6 months after transplantation were included in a retrospective, single-centre study...
June 11, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29891093/image-quality-assessment-with-dose-reduction-using-high-kvp-and-additional-filtration-for-abdominal-digital-radiography
#7
Ji Sung Jang, Hyung Jin Yang, Hyun Jung Koo, Sung Ho Kim, Chan Rok Park, Suk Hwan Yoon, So Youn Shin, Kyung-Hyun Do
PURPOSE: Dose reduction using additional filters with high kilovoltage peak (kVp) for abdominal digital radiography has received much attention recently. We evaluated image quality with dose reduction in abdominal digital radiography by using high kVp and additional copper filters at a tertiary hospital. METHODS: Between June 2016 and July 2016, 82 patients underwent abdominal digital radiography using 80 kVp in X-ray room 1 and 82 were imaged using 92 kVp with 0...
June 2018: Physica Medica: PM
https://www.readbyqxmd.com/read/29879038/congenital-intestinal-atresias-with-multiple-episodes-of-sepsis-a-case-report-and-review-of-literature
#8
Natalia Mandiá, Alejandro Pérez-Muñuzuri, Olalla López-Suárez, Carolina López-Sanguos, Adolfo Bautista-Casanovas, Mariá-Luz Couce
INTRODUCTION: Hereditary multiple intestinal atresia associated with severe combined immunodeficiency (MIA-SCID) is a very rare disease caused by deleterious mutations in the tetratricopeptide repeat domain-containing protein 7A gene TTC7A. It is characterized by intestinal obstruction, sepsis, and a poor prognosis. Insights into phenotype-genotype correlations could help to guide genetic counseling and increase our knowledge of the natural history of this disease. CASE PRESENTATION: We report the case of a newborn in which his fetal magnetic resonance imaging showed jejunal atresia and microcolon and an abdominal x-ray at birth confirmed intestinal obstruction...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29874970/a-long-time-follow-up-study-of-a-single-center-endovascular-aneurysm-repair-evar-endoleak-outcomes
#9
Rosa Marie Andersen, Daniel P Henriksen, Hossein Mohit Mafi, Sten Langfeldt, Jacob Budtz-Lilly, Ole Graumann
PURPOSE: The aim of this study was to evaluate the incidence, risk factors, and outcome of endoleaks related to endovascular aneurysm repair (EVAR) procedure at a single center with up to 10 years' surveillance. MATERIALS AND METHODS: All patients treated with EVAR for an abdominal aorta or iliac aneurysm in a 10-year period at a single cardiovascular center in Denmark were included. Data were collected from a national database and patient journals. Follow-up computed tomography angiography and plain abdominal X-ray reports were reviewed...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29852509/contrast-enhanced-ultrasound-and-near-infrared-spectroscopy-of-the-neonatal-bowel-novel-bedside-noninvasive-and-radiation-free-imaging-for-early-detection-of-necrotizing-enterocolitis
#10
Suzanne Al-Hamad, David J Hackam, Seth D Goldstein, Thierry A G M Huisman, Kassa Darge, Misun Hwang
Despite extensive research and improvements in the field of neonatal care, the morbidity and mortality associated with necrotizing enterocolitis (NEC) have remained unchanged over the past three decades. Early detection of ischemia and necrotic bowel is vital in improving morbidity and mortality associated with NEC; however, strategies for predicting and preventing NEC are lacking. Contrast-enhanced ultrasound (CEUS) and near-infrared spectroscopy (NIRS) are novel techniques in pediatrics that have been proven as safe modalities...
May 31, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29807385/-solitary-fibrous-tumor-a-rare-cause-of-recurrent-severe-hypoglycemia
#11
Ute Kühn-Velten, Christian Hohmann, Tim Strauss, Oleg Heizmann, Günter Klöppel
HISTORY AND CLINICAL FINDINGS:  A 73-year-old woman was admitted to hospital early in the morning by an emergency doctor in initially unclear comatose conditions with a blood glucose of 24 mg/dl. There were no important previous diseases requiring any medication. She was in good physical state. EXAMINATIONS:  Except for a lowered breath sound on the right side of the chest the physical findings were normal. Endocrinologic tests, diagnostic imaging (Chest-x-ray, ultrasonography of abdomen and pleura, abdominal and thoracic CT) and fine needle biopsy suggested a non-islet-cell-tumor on the right side of the pleura as cause of hypoglycemia...
June 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29804410/-primary-renal-lymphoma-a-clinical-analysis-of-5-cases
#12
L Lu, H Z Shi, Z J Xiao, D Wang, C L Li
Objective: To improve the clinical diagnosis and treatment of primary renal lymphoma. Methods: Clinical data of 5 cases ( 2 male cases and 3 female cases) with primary renal lymphoma was reviewed. The age of patients was 55 to 70 years old, with a mean age of 62 years. No history of glomerulonephritis or nephropathy was recorded. All the cases were unilateral, including 3 cases in the left side and 2 cases in right. The major clinical manifestations were as follows: 2 cases of left lumbar pain, 1 case of gross hematuria, 1 case of hematuria under microscope, and 1 case receiving adjuvant chemotherapy after 12 years...
May 15, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29801510/currarino-syndrome-and-microcephaly-due-to-a-rare-7q36-2-microdeletion-a-case-report
#13
Lucia Cococcioni, Susanna Paccagnini, Elena Pozzi, Luigina Spaccini, Elisa Cattaneo, Serena Redaelli, Francesca Crosti, Gian Vincenzo Zuccotti
BACKGROUND: Currarino syndrome is a rare condition characterized by presacral mass, anorectal malformation and sacral dysgenesis. CASE PRESENTATION: We report the case of a child that presented chronic constipation, encopresis and mycrocephaly. The characteristics were initially compatible with a case of functional constipation and a therapy with polyethylene glycol was prescribed. After a year, because of poor response, a plain abdominal X-ray was performed, detecting sacrum abnormalities...
May 25, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/29798990/-intussusception-followed-by-intestinal-obstruction-in-adults
#14
A V Pugaev, E E Achkasov, M G Negrebov, L V Alexandrov, S F Alekperov, V I Posudnevsky, D M Pugaev, M V Kolpakov
AIM: To evaluate the effectiveness of complex preoperative diagnostics and medication of intussusception followed by intestinal obstruction in adults with the choice of surgical repair and analysis of the outcomes depending on the causes of intussusception. MATERIAL AND METHODS: 15 intussusception patients aged 19 - 86 years were enrolled. Mean age was 52.7 years. Patients were hospitalized within 12 hours - 1-2 weeks after onset of the disease. Diagnosis was established on the basis of complaints, anamnesis, objective and additional survey...
2018: Khirurgiia
https://www.readbyqxmd.com/read/29794830/abdominal-fat-depots-insulin-resistance-and-incident-diabetes-mellitus-in-women-with-and-without-hiv-infection
#15
Marshall J Glesby, David B Hanna, Donald R Hoover, Qiuhu Shi, Michael T Yin, Phyllis C Tien, Mardge Cohen, Kathryn Anastos, Anjali Sharma
OBJECTIVE: To determine the associations between visceral adipose tissue (VAT) and abdominal subcutaneous adipose tissue (SAT) mass with homeostatic model assessment-insulin resistance (HOMA-IR) and incidence of diabetes mellitus in women with and without HIV infection. DESIGN: Cross-sectional design for associations between abdominal fat and HOMA-IR; longitudinal design for associations between abdominal fat and incident diabetes. METHODS: We assessed associations between dual X-ray absorptiometry scan-derived VAT and SAT with HOMA-IR in a subsample from the Women's Interagency HIV Study (n = 226 with and n = 100 without HIV) using linear regression...
May 22, 2018: AIDS
https://www.readbyqxmd.com/read/29794762/successful-treatment-of-multisite-hemorrhage-by-several-methods-in-brain-metastasis-of-choriocarcinoma-a-case-report
#16
Zhen Ren, Li Yu, Mengnv Xie, Yiyi Liang, Fang Zhu, Rui Huang, Zhibang Zhang, Chun Fu
RATIONALE: Brain metastasis of choriocarcinoma is a highly malignant gestational trophoblastic neoplasia (GTN) and has a notoriously poor prognosis. Hemorrhagic choriocarcinoma lesions may lead to life-threatening conditions also. Treatment of brain metastases of choriocarcinoma with hemorrhage in multiple sites is very difficult in clinical practices. A patient has been successfully treated in our hospital, which provides as clinical references for this difficulty in treating brain metastases of choriocarcinoma with hemorrhage in multiple sites...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29789994/performance-evaluation-of-a-semi-automated-method-for-18-f-fdg-uptake-in-abdominal-visceral-adipose-tissue
#17
Stefanie A de Boer, Daan S Spoor, Riemer H J A Slart, Douwe J Mulder, Melanie Reijrink, Ronald J H Borra, Gerbrand M Kramer, Otto S Hoekstra, Ronald Boellaard, Marcel J Greuter
PURPOSE: Severity of abdominal obesity and possibly levels of metabolic activity of abdominal visceral adipose tissue (VAT) are associated with an increased risk for cardiovascular disease (CVD). In this context, the purpose of the current study was to evaluate the reproducibility and repeatability of a semi-automated method for assessment of the metabolic activity of VAT using 2-deoxy-2-[18 F]fluoro-D-glucose ([18 F]FDG) positron emission tomography (PET)/x-ray computed tomography (CT)...
May 22, 2018: Molecular Imaging and Biology: MIB: the Official Publication of the Academy of Molecular Imaging
https://www.readbyqxmd.com/read/29778700/paediatric-cystolitholapaxy-through-the-mitrofanoff-monti-channel
#18
J S Thomas, N Smeulders, F Yankovic, S Undre, I Mushtaq, P-J López, P Cuckow
INTRODUCTION: Bladder calculi are a known complication of bladder augmentation. Open cystolithotomy remains the preferred option for treating large or multiple stones. Increasingly, however, minimal access techniques have been used. Reports of Mitrofanoff cystolitholapaxy are rare and have been limited to adults. This study presented a two centre series of children treated by cystolitholapaxy via the Mitrofanoff/Monti channel. MATERIALS AND METHODS: With institutional approval the current study retrospectively reviewed and identified 14 patients, on a prospective database, who underwent Mitrofanoff cystolitholapaxy to treat bladder calculi at two independent institutions in the UK and Chile between 2004 and 2016...
April 4, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29775762/aortic-vascular-calcification-is-inversely-associated-with-the-trabecular-bone-score-in-patients-receiving-dialysis
#19
Jasna Aleksova, Samantha Kurniawan, Mirna Vucak-Dzumhur, Peter Kerr, Peter R Ebeling, Frances Milat, Grahame J Elder
INTRODUCTION: Progressive chronic kidney disease (CKD) confers a marked increase in risk for vascular calcification, cardiovascular disease, fracture and mortality, with likely contributing factors including dysregulated bone metabolism and mineral homeostasis. In general population studies, increased vascular calcification is directly related to mortality and inversely related to bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA). In patients with CKD, abnormalities in turnover, mineralization and bone volume, reduce the ability of DXA to predict fracture...
May 15, 2018: Bone
https://www.readbyqxmd.com/read/29774938/-analysis-of-risk-factors-of-prolonged-postoperative-ileus-after-gastric-cancer-surgery
#20
Ning Wang, Lin Chen, Mingsen Li, Naizhong Jin, Bo Wei
OBJECTIVE: To investigate the risk factors of prolonged postoperative ileus (PPOI) after gastric cancer surgery. METHODS: Definition of PPOI was that gastrointestinal function did not return to normal within 96 hours after operation. Diagnostic criteria of PPOI were as follows: according with over 2 below conditions at postoperative 97-hour: (1) moderate to severe sick (mild: 1-3 points, moderate: 4-7 points, severe: 8-10 points) or vomiting occurred in past 12 hours...
May 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
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