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https://www.readbyqxmd.com/read/27904842/the-challenges-of-cardiothoracic-surgery-practice-in-nigeria-a-12-years-institutional-experience
#1
Bode Falase, Michael Sanusi, Adeola Animasahun, Ogadinma Mgbajah, Adetinuwe Majekodunmi, Onyekwelu Nzewi, Jonathan Nwiloh, David Oke
BACKGROUND: Although the specialty of cardiothoracic surgery has been practiced in Nigeria for many years, open heart surgery (OHS) has only in the last decade become relatively more frequent, mainly through visiting foreign cardiac surgical teams. At this early phase of development it is faced with multiple challenges, especially financing and local skilled manpower for which solutions have to be identified in order to ensure sustainability and future growth. This study is aimed at highlighting these obstacles to growth of cardiothoracic surgery based on our own institutional experience at Lagos State University Teaching Hospital (LASUTH) and the current status of OHS activity in other cardiothoracic centers in Nigeria...
October 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/27835958/identification-of-volume-overload-hospitalizations-among-hemodialysis-patients-using-administrative-claims-a-validation-study
#2
Magdalene M Assimon, Thuy Nguyen, Suzanne L Katsanos, Steven M Brunelli, Jennifer E Flythe
BACKGROUND: High rates of volume overload hospitalizations may indicate inadequate dialysis facility fluid management. Administrative claims databases are often used to study such outcomes, but these data are generated for billing purposes and may not capture clinical nuance. It is unknown if volume overload admissions can be correctly identified in administrative data and if a single claims-based definition for volume overload can be used across epidemiologic surveillance studies, observational studies of exposure-outcome associations and quality assessments...
November 11, 2016: BMC Nephrology
https://www.readbyqxmd.com/read/27350116/transient-mediastinal-mass-from-fluid-overload
#3
David Massicotte-Azarniouch, Joseph P O'Sullivan, Edward G Clark
Mediastinal masses incidentally discovered on chest imaging often suggest underlying malignancy such as lymphoma or metastatic cancer. However, the radiographic appearance of mediastinal edema can mimic a mediastinal mass in the context of acute fluid overload. We describe the case of a 75 year old woman known for end-stage renal disease on hemodialysis who presented with acute pulmonary edema in the context of a Non ST-Elevation Myocardial Infarction. Chest CT imaging showed pulmonary edema, pleural effusions, and a middle mediastinum soft-tissue mass of 4...
June 27, 2016: Hemodialysis International
https://www.readbyqxmd.com/read/27263809/recurrent-brachiocephalic-vein-stenosis-as-a-cause-for-persistent-left-sided-transudative-pleural-effusion-in-a-hemodialysis-patient
#4
Muhammad Abdul Mabood Khalil, Muhammad Sharoz Rabbani, Noor Rehman Chima, Jackson Tan, Muhammad Ashhad Ullah Khalil, Zia Ur Rehman
BACKGROUND: Effusion is common in dialysis patients. The most common causes include fluid overload due to renal failure and nonrenal causes like congestive heart failure and infection. We here report a case of left side transudative effusion due to brachiocephalic venous stenosis. METHODS: A 34-year-old female who had chronic kidney disease V during transplant work-up was found to be having left arm swelling and left transudative effusion. Work-up for transudative effusion did not show any cardiac cause or liver problem...
August 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27189485/long-term-clinical-and-echocardiographic-outcomes-of-extensive-septal-myectomy-for-hypertrophic-obstructive-cardiomyopathy-in-chinese-patients
#5
Lei Yao, Li Li, Xiong-Jun Lu, Yan-Ling Miao, Xiao-Ning Kang, Fu-Jian Duan
BACKGROUND: There has been limited data addressing outcomes of extensive septal myectomy in Chinese patients with hypertrophic obstructive cardiomyopathy (HOCM). In this study, the objective was to evaluate the clinical and echocardiographic outcomes of extensive septal myectomy in a relative large number of Chinese HOCM patients over long-term follow-up. METHODS: We retrospectively studied 139 consecutive HOCM patients (age 43 ± 15 years, 37 % male) who underwent extensive left ventricular septal myectomy...
2016: Cardiovascular Ultrasound
https://www.readbyqxmd.com/read/27169260/-a-case-of-aki-caused-minimal-change-nephrotic-syndrome-with-concomitant-pleuritis
#6
Renya Watanabe, Yasuhiro Abe, Masaru Sasaki, Aki Hamauchi, Tomoe Yasunaga, Satoshi Kurata, Tetsuhiko Yasuno, Kenji Ito, Yoshie Sasatomi, Satoshi Hisano, Hitoshi Nakashima
A twenty-year-old man complaining of chest pain was diagnosed as nephrotic syndrome complicated with pleural effusion and ascites. Despite treatment with antibiotics, his fever and high inflammatory reaction persisted. After hospitalization, his urine volume decreased and renal function had deteriorated. As he was suffering from dyspnea, hemodialysis was performed together with chest drainage. His pleural effusion was exudative, and IVIG treatment was added to the antibiotic treatment. He was diagnosed as suspected developed minimal change nephrotic syndrome (MCNS) and administered prednisolone intravenously...
2016: Nihon Jinzo Gakkai Shi
https://www.readbyqxmd.com/read/27159517/pathology-image-of-the-month-cough-and-shortness-of-breath-in-a-noncompliant-patient-with-hiv-aids
#7
Reggie Thomasson, Tracy Dewenter, Robin R McGoey
A 37- year-old man with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) was admitted to the intensive care unit following a four month history of progressive shortness of breath, productive cough, and flu-like symptoms. His HIV/AIDS was diagnosed at the age of 19 (CD4 count =15; viral load = 294,436 copies/ mL) and was complicated by hemodialysis-dependent, HIV-associated nephropathy, prior Pneumocystis pneumonia and known noncompliance with prescribed antiretroviral therapy. Chest film at admission was interpreted as diffuse bilateral interstitial and airspace opacities with a right sided layering density representative of laminar pleural effusion...
July 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27138544/pathology-image-of-the-month-cough-and-shortness-of-breath-in-a-noncompliant-patient-with-hiv-aids
#8
Reggie Thomasson Md, Tracy Dewenter Md, Robin R McGoey Md
A 37- year-old man with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) was admitted to the intensive care unit following a four month history of progressive shortness of breath, productive cough, and flu-like symptoms. His HIV/AIDS was diagnosed at the age of 19 (CD4 count =15; viral load = 294,436 copies/ mL) and was complicated by hemodialysis-dependent, HIV-associated nephropathy, prior Pneumocystis pneumonia and known noncompliance with prescribed antiretroviral therapy. Chest film at admission was interpreted as diffuse bilateral interstitial and airspace opacities with a right sided layering density representative of laminar pleural effusion...
July 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/26765143/intradialytic-hypoxemia-in-chronic-hemodialysis-patients
#9
Israel Campos, Lili Chan, Hanjie Zhang, Sheila Deziel, Cheryl Vaughn, Anna Meyring-Wösten, Peter Kotanko
When kidney failure occurs, patients are at risk for fluid overload states, which can cause pulmonary edema, pleural effusions, and upper airway obstruction. Kidney disease is also associated with impaired respiratory function, as in central sleep apnea or chronic obstructive pulmonary disease. Hence, respiratory and renal diseases are frequently coexisting. Hypoxemia is the terminal pathway of a multitude of respiratory pathologies. The measurement of oxygen saturation (SO2) is a basic and commonly used tool in clinical practice...
2016: Blood Purification
https://www.readbyqxmd.com/read/26759956/-vagal-nerve-schwannoma-complicated-with-bloody-pleural-effusion%C3%AF-report-of-a-case
#10
Shohei Oyama, Masato Katahira, Naoki Yanagawa, Masami Abiko, Kei Sato, Satoshi Shiono
A 51-year-old male who had received hemodialysis twice a week was referred to our hospital for a further examination of bloody pleural effusion in the right chest. He has been suffering from a fever and cough for 2 months. Chest computed tomography and magnetic resonance imaging revealed a pleural effusion in the right pleural cavity and posterior mediastinal tumor in paravertebral lesion. Chest drainage was performed, and cytological diagnosis did not show malignant findings. To make a definite diagnosis and treatment, surgical resection was carried out...
December 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/26506741/fatal-rhabdomyolysis-in-dengue-hemorrhagic-fever-a-case-report
#11
Nirada Siriyakorn, Somchai Insiripong
Dengue hemorrhagic fever is caused by dengue virus infection. The classical manifestations consist of fever, thrombocytopenia, and hemoconcentration. However, its unusual complications may be fatal, such as prolong shock, massive bleeding, volume overload, and unusual manifestations, for example, severe rhabdomyolysis. Here we report a case of 17-year old Thai man who was referred to our hospital because of 7-day fever with thrombocytopenia, hemoconcentration and right pleural effusion. The serology tests confirmed to be dengue infection...
2015: Southeast Asian Journal of Tropical Medicine and Public Health
https://www.readbyqxmd.com/read/26448389/pleural-and-pericardial-effusion-a-manifestation-of-svc-syndrome-in-a-child-on-chronic-hemodialysis
#12
Sahar Siddiqui, Kirtida Mistry, Asha Moudgil
Central venous catheter is commonly utilized as a hemodialysis access in the pediatric population. Long-standing central venous catheters can be complicated by superior vena cava (SVC) stenosis and thrombosis that can rarely present as pleural effusions. We report a case of a 5-year-old boy on chronic hemodialysis who presented with combined pleural and pericardial effusions, which was secondary to catheter induced SVC stenosis. Both the pleural effusion and the pericardial effusion in this patient subsequently improved with the relief of SVC stenosis...
October 2015: Hemodialysis International
https://www.readbyqxmd.com/read/26266244/peritoneal-pleural-leaks-demonstrated-by-ct-peritoneography
#13
Tian Xu, Jingyuan Xie, Weiming Wang, Hong Ren, Nan Chen
INTRODUCTION: Acute hydrothorax is an uncommon complication of peritoneal dialysis (PD). Currently, there is no specific diagnostic method. Although it is not a life-threatening complication, hydrothorax often requires interrupting or quitting PD. Misdiagnosis often leads to more serious consequences. CASE PRESENTATION: A 49-year-old woman (height 163 cm, weight 58 kg, BMI 21.82), who started PD 3 months previously, suddenly presented with acute dyspnea and a right pleural effusion...
May 2015: Case Reports in Nephrology and Dialysis
https://www.readbyqxmd.com/read/26198989/a-maintenance-hemodialysis-diabetic-patient-with-unexplained-pulmonary-and-gastrointestinal-involvement
#14
Anand Yuvaraj, Georgi Abraham, Abraham Kurien, Priyanka Koshy, Sanjeev Nair, Sudhakshina Ghosh
A 50-year-old man with diabetes mellitus with diabetic retinopathy, peripheral neuropathy, hypertension, and end-stage renal disease on maintenance hemodialysis, presented with persistent cough and hiccups, continued to be unwell with weight loss, poor appetite, and recurrent respiratory symptoms such as wheezing and cough. Whole body positron emission tomography-computed tomography scan showed metabolically active lesions in liver, stomach/lesser sac, pancreas, and left sixth rib. As he had repeated bilateral transudative pleural effusion, left mini thoracotomy with pleural biopsy showed no evidence of granuloma or malignancy...
January 2016: Hemodialysis International
https://www.readbyqxmd.com/read/26184113/clinical-features-and-outcomes-of-invasive-pneumococcal-disease-in-a-pediatric-intensive-care-unit
#15
Hsiang-Ju Hsiao, Chang-Teng Wu, Jing-Long Huang, Cheng-Hsun Chiu, Yhu-Chering Huang, Jainn-Jim Lin, I-Anne Huang, Oi-Wa Chan, I-Jun Chou, Shao-Hsuan Hsia
BACKGROUND: Invasive pneumococcal disease (IPD) results in high morbidity and mortality globally each year, although it is a vaccine-preventable disease. This study aimed to characterize the clinical features of IPD in a pediatric intensive care unit (PICU) in Taiwan. The seven-valent pneumococcal conjugate vaccine (PCV7) was introduced in the private sector in October 2005. The estimated coverage rate of PCV7 vaccination in 2010 was 45.5% among children <5 years of age. METHODS: We conducted a retrospective study at a single center in northern Taiwan for invasive pneumococcal disease in a PICU from 2009 to 2013...
2015: BMC Pediatrics
https://www.readbyqxmd.com/read/26029545/severe-sweet-pleural-effusion-in-a-continuous-ambulatory-peritoneal-dialysis-patient
#16
Rapeephan R Maude, Michael Barretti
INTRODUCTION: Hydrothorax is a rare complication of continuous ambulatory peritoneal dialysis (CAPD) which can progress quickly to cause acute respiratory distress. CASE PRESENTATION: We present a 76 year-old female with a past medical history significant for end-stage renal disease (ESRD) on daily home peritoneal dialysis for 2 years presented to the hospital from home with shortness of breath at rest and cough for 2 days prior to admission. She developed severe respiratory distress and had emergent pleurocentesis that released 3...
2014: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/25983436/acute-concentrated-phenol-dermal-burns-complications-and-management
#17
Tapan Jayantilal Parikh
Phenol burns can result in multiple organ failure. This is a case report of acute severe phenol dermal burn after accidental splash of 94% phenol on 35-year-old patient's body who was brought to hospital after 90 min of exposure. Decontamination was done with high-density water and glycerol. Early complications in form of metabolic acidosis and acute renal failure required hemodialysis. Extensive protein denaturation was managed with IV albumin and high protein diet. Patient also developed pleural effusion and acute respiratory distress syndrome, but these were successfully managed by intercostal drain tube insertion and noninvasive ventilation...
May 2015: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/25334470/features-of-patients-with-transudative-pleurisy-undergone-therapeutic-thoracentesis-in-a-university-hospital
#18
M Sule Akcay, Zeynep Erayman, Ozgur Ozen
SESSION TITLE: Pleural Disease PostersSESSION TYPE: Original Investigation PosterPRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PMPURPOSE: Background and aim: According to the amount of pleural fluid is leading to dyspnea, therapeutic thoracentesis is decided by physicians. Massive pleural effusion requiring therapeutic thoracentesis is usually in exudative nature. There is not enough data in the literature on transudative effusions requiring therapeutic thoracentesis. The possible reason of this is that the main treatment of transudates is to manage the underlying diseases...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/25334462/pleural-complications-in-patients-with-chronic-and-end-stage-renal-disease
#19
Hamdy Mahmoud, Azza Mahmoud, Ismail Mobarak, Ali Hassan
Pleural Disease PostersSESSION TYPE: Original Investigation PosterPRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PMPURPOSE: To find out the clinical presentation, causes and outcomes of pleural complications in CKD and ESRD patients receiving haemodialysis.METHODS: One hundred thirty patients with CKD and ESRD receiving haemodialysis were included in this study. The following parameters were analyzed: Patients demographic data, causes, location, CBC, ESR ,serum albumin, sputum profile, chest X ray and USG findings and pleural fluid analysis...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/25145267/complications-of-central-venous-stenosis-due-to-permanent-central-venous-catheters-in-children-on-hemodialysis
#20
Choni Rinat, Efrat Ben-Shalom, Rachel Becker-Cohen, Sofia Feinstein, Yaacov Frishberg
BACKGROUND: Central venous catheters are frequently used as access for hemodialysis (HD) in children. One of the known complications is central venous stenosis. Although this complication is not rare, it is often asymptomatic and therefore unacknowledged. Superior vena cava (SVC) stenosis is obviously suspected in the presence of upper body edema, but several other signs and symptoms are often unrecognized as being part of this syndrome. CASE-DIAGNOSIS/TREATMENT: We describe four patients with various manifestations of central venous stenosis and SVC syndrome...
November 2014: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
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