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J Torres Macho, F J García Sánchez, P Garmilla Ezquerra, L Beltrán Romero, J Canora Lebrato, J M Casas Rojo, P Arribas Arribas, S López Palmero, S Pintos Martínez, J M Cepeda Rodrigo, D Luordo, M Beltrán López, M Méndez Bailón, E Rodilla Sala, L Manzano Espinosa, A Zapatero Gaviria, G García de Casasola
This positioning document describes the most important aspects of clinical ultrasonography in the internal medicine setting, from its fundamental indications to the recommended training period. There is no question as to the considerable usefulness of this tool in the standard clinical practice of internists in numerous clinical scenarios and settings (emergencies, hospital ward, general and specific consultations and home care). Ultrasonography has a relevant impact on the practitioner's ability to resolve issues, increasing diagnostic reliability and safety and providing important information on the prognosis and progression...
March 5, 2018: Revista Clínica Española
Lucio Ventura-Ríos, Cristina Hernández-Díaz, Diana Ferrusquia-Toríz, Esteban Cruz-Arenas, Pedro Rodríguez-Henríquez, Ana Laura Alvarez Del Castillo, Alfredo Campaña-Parra, Efrén Canul, Gerardo Guerrero Yeo, Juan Jorge Mendoza-Ruiz, Mario Pérez Cristóbal, Sandra Sicsik, Karina Silva Luna
This study aims to test the reliability of ultrasound to graduate synovitis in static and video images, evaluating separately grayscale and power Doppler (PD), and combined. Thirteen trained rheumatologist ultrasonographers participated in two separate rounds reading 42 images, 15 static and 27 videos, of the 7-joint count [wrist, 2nd and 3rd metacarpophalangeal (MCP), 2nd and 3rd interphalangeal (IPP), 2nd and 5th metatarsophalangeal (MTP) joints]. The images were from six patients with rheumatoid arthritis, performed by one ultrasonographer...
December 2017: Clinical Rheumatology
Tullio Ghi, Federico Prefumo, Anna Fichera, Mariano Lanna, Enrico Periti, Nicola Persico, Elsa Viora, Giuseppe Rizzo
BACKGROUND: Twin gestations are at significantly higher risk of fetal growth restriction in comparison with singletons. Using fetal biometric charts customized for obstetrical and parental characteristics may facilitate an accurate assessment of fetal growth. OBJECTIVE: The objective of the study was to construct reference charts for the gestation of fetal biometric parameters stratified by chorionicity and customized for obstetrical and parental characteristics...
May 2017: American Journal of Obstetrics and Gynecology
J Castro Castro, O Lista Martínez, P Varela-Rois, A Pastor Zapata
Isolated hydrocephalus of the lateral ventricle may result from unilateral occlusion of the foramen of Monro. The most common causes are tumours of the lateral ventricles or in the area of the third ventricle. Non-tumoural stenosis of the foramen is rare and can be due to inflammatory, vascular or congenital conditions. A full-term infant was prenatally diagnosed with unilateral hydrocephalus. After birth, progressive unilateral ventricular dilatation was confirmed in successive ultrasounds so surgery was indicated...
December 30, 2016: Anales del Sistema Sanitario de Navarra
S Goñi Esarte, J M Zozaya Urmeneta, M Goñi Esarte, J I Uriz Otano, I Idoate Santesteban, M T Beunza Puyol
La hepatitis isquémica es una entidad poco frecuente. Se asocia a una hipoperfusión hepática debida en primer lugar a un bajo gasto cardíaco (insuficiencia cardiaca congestiva, infarto agudo de miocardio o miocardiopatía dilatada). De forma menos frecuente puede ser secundaria a una insuficiencia respiratoria o al aumento de las necesidades de oxígeno en el contexto de una sepsis.Paciente varón de 49 años que acude al servicio de Urgencias por disnea progresiva e hipotensión, objetivándose una importante elevación de transaminasas (aspartato aminotransferasa de 5...
December 30, 2016: Anales del Sistema Sanitario de Navarra
Luis Renter Valdovinos, Ignacio Oulego Erroz
No abstract text is available yet for this article.
September 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Katia F Guenaga, Jose P Otoch, Everson L A Artifon
New surgical techniques in the treatment of rectal cancer have improved survival mainly by reducing local recurrences. A preoperative staging method is required to accurately identify tumor stage and planning the appropriate treatment. MRI and ERUS are currently being used for the local staging (T stage). In this review, the accuracy of MRI and ERUS with rigid probe was compared against the gold standard of the pathological findings in the resection specimens. Five studies met the inclusion criteria and were included in this meta-analysis...
January 2016: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Tullio Ghi, Luisa Cariello, Ludovica Rizzo, Enrico Ferrazzi, Enrico Periti, Federico Prefumo, Tamara Stampalija, Elsa Viora, Carla Verrotti, Giuseppe Rizzo
OBJECTIVES: The purpose of this study was to construct fetal biometric charts between 16 and 40 weeks' gestation that were customized for parental characteristics, race, and parity, using quantile regression analysis. METHODS: In a multicenter cross-sectional study, 8070 sonographic examinations from low-risk pregnancies between 16 and 40 weeks' gestation were analyzed. The fetal measurements obtained were biparietal diameter, head circumference, abdominal circumference, and femur diaphysis length...
January 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Israel Perez-Lopez, Cristina Garrido-Colmenero, Gonzalo Blasco-Morente, Jose Aneiros-Fernandez, Salvador Arias-Santiago
Many skin diseases may present as blue papules and nodules; the differential diagnosis includes such different entities such as metastatic melanoma, angioma, lipoma, epidermoid cyst, pilomatrixoma, blue nevus, glomus tumor, or hidrocystoma. Cutaneous ultrasound can be a complementary diagnostic technique of great value in these cases.
April 16, 2015: Dermatology Online Journal
S López-Palmero, N Bolivar-Herrera, G López-Lloret, G Merchán-Ortega, J J Macancela-Quiñones, G López-Martínez
BACKGROUND AND OBJECTIVES: Conventional echocardiography is the technique of choice for assessing left ventricular function and the presence of structural heart disease in patients with heart failure. The aim of this study was to assess the diagnostic performance of handheld ultrasonography performed by a medical internist on patients with a clinical diagnosis of heart failure. PATIENTS AND METHODS: Cross-sectional observational study of 212 patients diagnosed with heart failure in a hospital center...
May 2015: Revista Clínica Española
Pasquale Martino, Andrea Benedetto Galosi, Marco Bitelli, Paolo Consonni, Fulvio Fiorini, Antonio Granata, Roberta Gunelli, Giovanni Liguori, Silvano Palazzo, Nicola Pavan, Vincenzo Scattoni, Guido Virgili
AIM: US scanning has been defined as the urologist's stethoscope. These recommendations have been drawn up with the aim of ensuring minimum standards of excellence for ultrasound imaging in urological and andrological practice. A series of essential recommendations are made, to be followed during ultrasound investigations in kidney, prostate, bladder, scrotal and penile diseases. METHODS: Members of the Imaging Working Group of the Italian Society of Urology (SIU) in collaboration with the Italian Society of Ultrasound in Urology, Andrology and Nephrology (SIEUN) identified expert Urologists, Andrologists, Nephrologists and Radiologists...
March 28, 2014: Archivio Italiano di Urologia, Andrologia
Christian Pristipino, Gian Paolo Anzola, Luigi Ballerini, Antonio Bartorelli, Moreno Cecconi, Massimo Chessa, Andrea Donti, Achille Gaspardone, Giuseppe Neri, Eustaquio Onorato, Gualtiero Palareti, Serena Rakar, Gianluca Rigatelli, Gennaro Santoro, Danilo Toni, Gian Paolo Ussia, Roberto Violini, Giulio Guagliumi, Francesco Bedogni, Alberto Cremonesi
There is no generally accepted consensus on the management of patent foramen ovale (PFO) in the presence of cryptogenic cerebral ischemia, because of the lack of conclusive evidence. The aim of this position paper was to develop and promote a joint approach based on available data that may be shared by different specialists, while waiting for definite results from randomized controlled trials. A position statement was produced involving the major national scientific societies. The task force members were nominated by the presidents and/or executive boards of each society or working group, as appropriate, based on their previous work in relevant topic areas...
October 2013: Giornale Italiano di Cardiologia
Eugenio de Miguel, José Luis Andreu, Esperanza Naredo, Ingrid Möller
OBJECTIVE: To know rheumatologists' opinion on the usefulness of ultrasound in diagnostic and therapeutic decision making as applied to rheumatic diseases. MATERIAL AND METHODS: A National survey was sent to all rheumatology units in hospitals with at least 200 beds. The questionnaire included: a) general data, b) purpose and most common areas of ultrasound exploration and c) assessment of the usefulness of ultrasound in routine clinical practice in general and in some rheumatologic diseases...
January 2014: Reumatología Clinica
Eugenio de Miguel, Jose Luis Andreu, Esperanza Naredo, Ingrid Möller
OBJECTIVE: To know the situation of ultrasound in Spanish rheumatology. METHODS: A National survey addressed to all rheumatology units in hospitals with at least 200 beds. The questionnaire studied: a) the availability and the model of the ultrasound equipment, b) the degree of training, c) the purpose and areas of ultrasound examination, d) the usefulness, and e) the relevance of ultrasound in the training of residents. RESULTS: 169 units of the 234 surveyed physicians answered the questionnaire...
November 2012: Reumatología Clinica
Juan Torres Macho, Gonzalo Garcia de Casasola et al.
No abstract text is available yet for this article.
May 12, 2012: Medicina Clínica
Maria Calabria, Pasquale Zamboli, Alessandro D'Amelio, Antonio Granata, Luca Di Lullo, Fulvio Floccari, Franco Logias, Fulvio Fiorini
Central venous catheters (CVC) are widely used in clinical practice for the administration of chemotherapy, parental nutrition, hemodynamic monitoring, and hemodialysis. International guidelines have defined the right internal jugular vein as the preferred site of CVC insertion and underline that accurate positioning of the catheter tip is essential to maximize the blood flow and reduce long-term complications. Endocavitary electrocardiography (EC-ECG) improves the accuracy of catheter tip positioning without increasing the placement time by the recognition of typical P wave patterns during catheter insertion:the normally shaped P wave identifies the mid to upper superior vena cava, the widest P wave may be used to place the CVC tip at the superior vena cava-right atrium junction, and biphasic P waves identify the location of the right atrium...
January 2012: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Mario Alfredo Chávez-López, Cristina Hernández-Díaz, Carlos Moya, Carlos Pineda, Lucio Ventura-Ríos, Ingrid Möller, Esperanza Naredo, Rolando Espinosa, Angélica Peña, Alejandro Rosas-Cabral, Emilio Filippucci
To assess the inter- and intra-observer reproducibility of musculoskeletal ultrasonography among rheumatologist in detecting inflammatory and morphostructural changes in small joints of the hands in patients with rheumatoid arthritis (RA). Five members of the "Escuela de Ecografía del Colegio Mexicano de Reumatología" tested their inter- and intra-observer reliabilities in the assessment of basic sonographic findings of joint inflammation and bone erosion. Their results were compared to those obtained by a group of international experts from European League Against Rheumatism...
January 2013: Rheumatology International
Esperanza Naredo, Jacqueline Uson
No abstract text is available yet for this article.
November 2011: Reumatología Clinica
Sara Mandorla, Paolo Trambaiolo, Margherita De Cristofaro, Mara Baldassi, Maria Penco
One of the main tasks of a scientific society is to define the theoretical bases and appropriate management strategies with the aim to maintain a high-quality diagnostic and therapeutic standard. As far as echocardiography is concerned, the task of the Italian Society of Cardiovascular Echography is to provide appropriate, complete, and useful echocardiographic tests for clinical application, as well as procedural, technological, organizational and economic indications to be adopted in clinical practice. In addition, there is an increasing need for regulating access to echocardiographic assessment according to clinical priority, because of the huge proportion of patients who should undergo a first or follow-up echocardiographic evaluation...
June 2010: Giornale Italiano di Cardiologia
Giovanni Di Salvo, Maria Giovanna Russo, Biagio Castaldi, Vitantonio Di Bello, Francesco Antonini-Canterin, Salvatore La Carrubba, Scipione Carerj, Giancarlo Bellieni, Raffaele Calabrò
Congenital heart disease is the most frequent neonatal malformation, with an estimated prevalence between 0.8% and 1%. Echocardiography is an important tool for diagnosis and follow-up in cardiology, because it is easy to use, inexpensive, and noninvasive. The study of fetal heart by means of echocardiography allows early diagnosis and treatment of fetal heart anomalies and dysfunction, and such a technique is increasingly used. This exam is often required after morphological fetal echography, when a congenital heart disease is suspected or when there is an increased risk of congenital heart disease...
August 2009: Giornale Italiano di Cardiologia
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