5 investigations after first uti in a child

... concentration increased from 59 to 132 μmol/L after the change Consequently, her antiretroviral treatment was stopped and the creatinine concentration normalized again within two months Twelve days after ... and slightly increased hepatic aminotransferase levels Serum lactate and C-reactive protein were normal Two weeks after treatment interruption the plasma HIV RNA level had increased from

Ngày tải lên: 10/08/2014, 05:20

... isolated or associated with an injury complex, including any of acromiclavicular disruption, clavicular fracture, acromial fracture, scapular spine fracture or glenoid fracture [2,3] Fracture sites ... epiphyseal plate is weaker than the coracoclavicular ligaments Interestingly, we describe a rare injury in this twelve year old boy with an avulsion fracture of base of coracoid with acromioclavicular ... acromioclavicular dislocation and a non union of the coracoid process Albeit rare, a coracoid process fracture is an injury that can be missed, when combined with an acromioclavicular joint dislocation Clinical...

Ngày tải lên: 20/06/2014, 04:20

... isolated or associated with an injury complex, including any of acromiclavicular disruption, clavicular fracture, acromial fracture, scapular spine fracture or glenoid fracture [2,3] Fracture sites ... epiphyseal plate is weaker than the coracoclavicular ligaments Interestingly, we describe a rare injury in this twelve year old boy with an avulsion fracture of base of coracoid with acromioclavicular ... acromioclavicular dislocation and a non union of the coracoid process Albeit rare, a coracoid process fracture is an injury that can be missed, when combined with an acromioclavicular joint dislocation Clinical...

Ngày tải lên: 20/06/2014, 07:20

... schematically described in Figrue Fine spatial sampling was chosen for measurements in the transverse plane because, as recalled in the introduction, antenna arrays for MIMO applications have to ... standard deviation σρ axial = 0.06, this result remaining valid in all the frequency range In the first zone, that is, for d < dbreakpoint axial , the average variation of ρaxial is modelled by ρaxial ... ρtrans is of course a decreasing function of the antenna spacing Furthermore, for a given spacing, the correlation in the transverse plane increases when the axial distance increases, at least...

Ngày tải lên: 21/06/2014, 22:20

... sampling stand was given by Xu and Hirata [36] The annual mean fine litterfall in the sampling stand was 12 Mg ha−1 from 1996 to 1998 [36] The soil at study site has a clay loam texture, and has ... C, Mg, Ca, and K showed a decrease phase (net release), while Al and Fe showed an increase phase (net immobilization), and P, S, and Mn demonstrated an increase-decrease phase (initially net ... decay in a red spruce stand in Maine, Can J For Res 18 (1988) 947–953 [27] Sato T., Litterfall dynamics after a typhoon disturbance in a Castanopsis cuspidata coppice, Southwestern Japan, Ann For...

Ngày tải lên: 07/08/2014, 16:20

... study we found an improvement in histological and biomechanical integration of articular cartilage after treatment with a combination of hyaluronidase and collagenase, a protocol that was previously ... fibres along the wound edge projecting into the interface area (panel d) Original magnification: 25× Our findings indicate a relation between interfacial strength and cellular activity at the interface ... factor expression in cartilage wound healing: temporal and spatial immunolocalization in a rabbit auricular cartilage wound model Osteoarthritis Cartilage 2001, 9:382-389 Tew SR, Kwan AP, Hann...

Ngày tải lên: 09/08/2014, 01:24

... wrist crease after falling on a piece of broken glass On examination, he had weakness of abduction and adduction of the fingers Movement of the thumb was unaffected The injury was managed at the ... syndrome secondary to excessive healing tissue following partial tendon injury in the paediatric age group This may be attributable to the high healing potential in paediatric patients In addition, ... primary management the patient was sent to our orthopaedic clinic for further follow up The initial examination one week after the injury revealed a clean wound, no hematoma or swelling, normal...

Ngày tải lên: 10/08/2014, 10:20

... YS, Zahid M, Sabir AB, Asif N, Kumar G, Akhtar M: Calcaneal Ewing’s sarcoma with skip metastases to the adjacent tarsal bones J Clin Diag Res 2011, 5:117-119 Sandrasagra FA: Ewing’s sarcoma of ... this article as: Jalal et al.: Contribution of magnetic resonance imaging in the diagnosis of talus skip metastases of Ewing’s sarcoma of the calcaneus in a child: a case report Journal of Medical ... diagnosis Our patient remained disease-free for six months after diagnosis Based on these findings, a diagnosis of Ewing’s sarcoma of the calcaneus was made Discussion Ewing’s sarcoma is a rare...

Ngày tải lên: 10/08/2014, 23:20

... this article as: Masbah et al.: Periductal stromal sarcoma in a child: a case report Journal of Medical Case Reports 2011 5:249 Submit your next manuscript to BioMed Central and take full advantage ... chemotherapy PSS is a tumor of intermediate behavior; it may evolve into a phyllode tumor as well as a specific soft-tissue sarcoma Also, PSS may occasionally exhibit intraepithelial changes ranging ... (hematoxylin and eosin stain; original magnification, × 50) Figure Periductal stromal sarcoma Epithelial structure surrounded by a stroma with moderate atypical cells showing mitosis given In a follow-up...

Ngày tải lên: 10/08/2014, 23:21

... and transthoracic echocardiography The examinations also excluded large-artery atherosclerosis (Doppler examination, magnetic resonance angiography and angiography scan) and hematological disorders ... sequelae after cannabis use in a man: a case report Journal of Medical Case Reports 2011 5:264 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission ... (levomepromazine) He discharged himself from our hospital as a result of lack of judgment, blunted affect and poor insight During the one and a half years following this hospitalization, the patient was...

Ngày tải lên: 10/08/2014, 23:21

... with nystagmus, non-reactive pupils, left arm and leg stiffening, and fluctuating and raised BP Investigations included abdominal and chest radiographs, and abdominal and renal ultrasonography, ... normal ranges Other investigations such as urinary catecholamines, serum amylase, lactate, ammonia, cholesterol, chloride, and bicarbonate were all within normal ranges Page of Figure T2 sagittal ... microsomal (LKM) antibodies, gastric parietal cell antibodies, carnitine and acylcarnitines, and a coeliac screen A screen for orotic acid was also normal No abnormality was detected in the urinary...

Ngày tải lên: 11/08/2014, 00:23

... patient’s data and revised the manuscript All authors read and approved the final manuscript Page of 12 Gana PN, Takwoingi YM: Fractured tracheostomy tubes in the tracheobronchial tree of a child Int ... 2Department of Pediatric, Vibhavadi Hospital, Bangkok, 10900, Thailand Authors’ contributions PP analyzed and interpreted the patient’s data and was a major contributor to the manuscript PL analyzed ... Authors Year Sex Age Material Lodging site Bassoe and Boe [3] 1960 F 35 Metal (silver and nickel) RMB Fracture site Distal end of cannula Kakar and Saharia [15] 1972 M 40 Metal (copper and zinc)...

Ngày tải lên: 11/08/2014, 03:21

... suspicion of a staphylococcal infection the child was initially treated with intravenous amoxycilline-clavulanic acid, which was later changed to acyclovir, vancomycin and ceftazidime, considering the ... differential diagnosis and interpretation of the data IDB supervised the patient’s clinical course and was a major contributor in writing the manuscript All authors read and approved the final manuscript ... such cases thorough search for common infectious causes and complete examination for extracutaneous manifestations are mandatory and, after confirming the diagnosis, a step-by-step examination...

Ngày tải lên: 11/08/2014, 03:21

... patient’s data and revised the manuscript All authors read and approved the final manuscript Page of 12 Gana PN, Takwoingi YM: Fractured tracheostomy tubes in the tracheobronchial tree of a child Int ... 2Department of Pediatric, Vibhavadi Hospital, Bangkok, 10900, Thailand Authors’ contributions PP analyzed and interpreted the patient’s data and was a major contributor to the manuscript PL analyzed ... Authors Year Sex Age Material Lodging site Bassoe and Boe [3] 1960 F 35 Metal (silver and nickel) RMB Fracture site Distal end of cannula Kakar and Saharia [15] 1972 M 40 Metal (copper and zinc)...

Ngày tải lên: 11/08/2014, 07:20

... suspicion of a staphylococcal infection the child was initially treated with intravenous amoxycilline-clavulanic acid, which was later changed to acyclovir, vancomycin and ceftazidime, considering the ... differential diagnosis and interpretation of the data IDB supervised the patient’s clinical course and was a major contributor in writing the manuscript All authors read and approved the final manuscript ... such cases thorough search for common infectious causes and complete examination for extracutaneous manifestations are mandatory and, after confirming the diagnosis, a step-by-step examination...

Ngày tải lên: 11/08/2014, 07:20

... difficulty taking oral medications At the time of treatment his weight was 23 kg He had multiple pain complaints including headache, back pain and generalized arthralgia/myalgia There was a particularly ... use and by what route Cancer-related bone pain is a particularly difficult symptom to treat Bisphosphonates have gained acceptance as a standard approach to bone pain in adults In the idealized ... troubling bone pain involving his forearms, wrists and hands bilaterally The arm pain was unpredictable, episodic and intense with aching and burning qualities There were no shooting pains or...

Ngày tải lên: 11/08/2014, 10:22

... Newstead CG, Lawler W: Sarcoid-like granulomata in a renal transplant Nephrol Dial Transplant 1992, 7(2):173 Herrero JC, Morales E, Dominguez-Gil B, Carreno A, Usera G, Aguado JM, Praga M: Reactivation ... and renal impairment in a patient with sarcoidosis and IgA nephropathy Nephrol Dial Transplant 1996, 11(2):355-356 Carroll MF, Schade DS: A practical approach to hypercalcemia Am Fam Physician ... difficult to say whether sarcoidosis came up "de novo" after withdrawal of azathioprin and prednisone or if it was reactivated IgA nephropathy was reason for end stage renal disease in our patient thirty...

Ngày tải lên: 11/08/2014, 10:22

... cardiovascular complaints His preoperative evaluation included a 2-dimensional echocardiogram He did not have a cardiac catheterization Approximately months after his transplant, he began feeling ... can be useful, but in our case, the diagnosis was made with cardiac catheterization With more data, combined heart and liver transplantation might be considered as an initial management strategy, ... enable an identification of individuals with increasing cardiomyopathy However, as was seen in our patient, an accelerated cardiomyopathy may present clinically before there is echocardiographic...

Ngày tải lên: 11/08/2014, 10:23

... of small bowel with multiple areas of damage was found The damage included macroscopically a rigid and thickened mass in the ileal portion, creeping fat, multiple granulomas in the external intestinal ... intestinal surface and ulcers, two of which had parietal ruptures with fluid escape A resection of 45 cm of the ileo-jejunal portion, including all areas of intestinal damage, was performed and a ... fissures, granulomas, vascular dilatation, pseudopolyps, mucosal inflammation of the small and large bowel, and granulomas in local lymph nodes were observed The tip of the appendix was inflamed too...

Ngày tải lên: 11/08/2014, 10:23

... hypoxia and lactic acidosis can maintain all the described pathophysiologic mechanisms and induce a relative deficiency in vasopressin plasma concentration further amplifying the vasoplegic scenario ... is a vasodilatory shock, characterized by an abrupt fall in systemic vascular resistance, enhanced vascular permeability, intravascular volume depletion and metabolic acidosis with hyperlactatemia ... available experiences [12], the above described pharmacological rationale and the choice of avoiding escalating therapy with alpha agonists This pharmacological approach allowed us to titrate...

Ngày tải lên: 11/08/2014, 11:20