a— the clinical presentation of biliary colic

... removal of intravenous lines) The observers were not involved in the daily care of the patients, and ICU physicians were not aware of this part of the observation As a consequence, the clinical ... look for other infections, and the absence of radiological signs of pulmonary congestion might have resulted in another fluid therapy regimen We did not score for the clinical relevance of the unexpected ... antimicrobial therapy in case of unexpected infiltrates on the CXR; repositioning of tubes in case of malposition of orotracheal tubes (ignoring planned extubations); ultrasound of the thorax in case of...

Ngày tải lên: 25/10/2012, 10:39

... atypical presentation of PIDs During the course of investigation, we found the proband's grandmother (III:1) had died of non-Hodgkins lymphoma at 51 years of age Lymphoma is one of the classical presentations ... Mutations in the SH2D1A [19] and XIAP [20] genes have been identified as the cause of these syndromes The initial study of the proband described above was undertaken in Perth during the time the assay ... family, there are no other male patients at risk of XLP Prognosis Another patient with no family history of recurrent infections presented with a monoarthritis of his knee at the age of At the time...

Ngày tải lên: 08/08/2014, 21:20

... carcinomawere compared with the group of 10,061 cases, mostly of the invasive ductal type (91% of cases), observed during the same period The focus of the study was the comparison of ductal carcinomas ... that a total of 23 patients had MRI of the breast On further review of these pathology cases, there were 12 patients with mixed ductal/lobular carcinoma who had MRI of the breast We then compared ... presence in the ductal and lobular component of the tumor Although the E-cadherin staining is weaker in the lobular regions of the tumor, it is nonetheless present Overall, 90% (6/7) of the cases...

Ngày tải lên: 09/08/2014, 03:21

... linked with the former precipitating the latter Conclusion Our case illustrates the need for extra vigilance to make the diagnosis of splenic rupture in the context of a lack of trauma The exact ... [4]) The investigation of choice for confirming the diagnosis is computed tomography (CT) of the abdomen [5], which has a sensitivity and specificity of 90-95% Splenectomy remains the treatment of ... case report of SSR in association with lung cancer Lung cancer with splenic rupture has been reported either in the context of splenic metastasis [8], after the initiation of chemotherapy in a...

Ngày tải lên: 10/08/2014, 23:20

... of the pericardial tissue demonstrated that the vast majority of the lymphocytes were CD5 (+) (Figure 3) and CD20 (+) B-cells, with a minority of lymphocytes being CD3 (+) T-cells Together, the ... because the diagnosis of leukemia was unknown, pericardiocentesis was performed without chemotherapy and has provided sustained relief of her dyspnea for the past year Conclusion To the best of our ... this is the first reported case of CLL presenting as pericardial tamponade The diagnosis was confounded by the similarities to tuberculous pericarditis and the modest degree of leukocytosis The appearance...

Ngày tải lên: 11/08/2014, 03:21

... of the pericardial tissue demonstrated that the vast majority of the lymphocytes were CD5 (+) (Figure 3) and CD20 (+) B-cells, with a minority of lymphocytes being CD3 (+) T-cells Together, the ... because the diagnosis of leukemia was unknown, pericardiocentesis was performed without chemotherapy and has provided sustained relief of her dyspnea for the past year Conclusion To the best of our ... this is the first reported case of CLL presenting as pericardial tamponade The diagnosis was confounded by the similarities to tuberculous pericarditis and the modest degree of leukocytosis The appearance...

Ngày tải lên: 11/08/2014, 07:20

... years of age while in the mild form the clinical features appear in the second decade of life In the severe form there is severe mental retardation and loss of skills Death usually occurs in the ... usually made in the second decade of life Death usually occurs in the fourth decade and the main cause of death is cardiac failure Diagnosis of the disease is usually made by clinical presentation ... collected the data and drafted the paper GSS helped in the acquisition of significant intellectual content and the revision of the manuscript The final manuscript was approved by all the authors...

Ngày tải lên: 11/08/2014, 12:20

... performed The surgical specimen included a bluish mass localized in the head of the pancreas Pathology and immunohistochemistry of the tumor revealed a SPT The postoperative course of the patient ... becomes clinically evident as a palpable mass at the epigastrium, the left or the right hypochondrium [2] Furthermore, pain can also be the first sign of a SPT [2] To our knowledge, this is the first ... on the location of the tumor, represent the procedures of choice [2] The mean size of SPTs is 6.08 cm, so the tumor in this case is classified as small Conclusion In our case, the most noteworthy...

Ngày tải lên: 11/08/2014, 21:22

... sequenced for the identification of the H275Y mutation in the NA gene The sequencing results demonstrated that 2.5% of the 2007-2008 isolates and 100% of 2008-2009 isolates had the H275Y mutation ... analyses The extraction of viral RNA and cDNA synthesis using random primers were performed as described previously [21,22] The cDNA was then used as the template for the amplification of the HA ... Phylogenetic trees for the HA gene of A(H1N1) viruses The region from nucleotide 33 to 1102 (1070 nucleotides) for the HA gene were used for the analysis The numbers below the branches are the bootstrap...

Ngày tải lên: 12/08/2014, 04:20

... responsible for the unique clinical features of BD The lack of individual demographic data of the controls might be one of the limitations of this study Nevertheless, we believe that the results of our ... between HLA-A alleles and clinical features of BD in HLA-B*51 non-carriers To eliminate the effect of HLA-B*51 on the clinical manifestations of BD (Additional file 1), the analysis was performed ... detect the nucleotide sequences of the PCR product at polymorphic sites of HLA-A gene At the same time, the biotinylated PCR product was labeled with Results Clinical characteristics of BD patients...

Ngày tải lên: 12/08/2014, 15:22

... progression of the disease and the interval between the onset of Raynaud’s phenomenon (RP) and SSc is short [2,5], the time course of the onset of RP and SSc has not been well described In the present ... all of the SSc patients had RP during the course of the disease regardless of the autoantibody specificity However, only of 17 anti-RNAP III positive patients did not have RP by the time of initial ... of medicine Informed consent, including the publication of the study, was obtained from all patients according to the Declaration of Helsinki Immunoprecipitation Autoantibodies in sera from the...

Ngày tải lên: 12/08/2014, 17:22

... determine whether the facet joints were the source of pain These included injection of local anaesthetic into the joint itself or the nerves that innervate them, resulting in relief from pain if the pain ... has not yet been discovered [7] In the case of 'facet syndrome', the source of pain is identified but the clinical presentation is poorly defined Nevertheless, the term is widely used and a Medline ... on each of four topics relating to the presentation of pain: location, severity, aggravating factors, and relieving factors The choice of these keywords was left entirely to the groups The authors...

Ngày tải lên: 13/08/2014, 14:20

... difference favouring the intervention group of SMD -0.44 (95% CI: -0.66, -0.23) Vote Counting The results of the vote-counting supported the results of the meta-analysis Of 170 child behaviour ... conduct problems Further no existing reviews have attempted to compare the relative effectiveness of different types of programmes The objective of the current study was therefore to systematically ... if: (a) they were RCTs, (b) the population comprised parents/carers of children up to the age of 18 where at least 50% had a conduct problem (defined using objective clinical criteria, the clinical...

Ngày tải lên: 13/08/2014, 18:21

... outcome The degree of the changes of the DWI and the ADC signal intensity correlates with the severity of neuronal injury because modest changes reflect signs of ongoing lesions, and a severe drop of ... not homogeneous in the different regions of Table Prediction of unfavourable outcome using the optimal cutoffs of the ADC and the percent ADC Grey matter structures Optimal cutoff ADC Sensitivity ... to determine clinical outcome of the comatose patients after out -of- hospital cardiac arrest In addition, there was a relationship between the GOS and the regional ADC values of the grey matter...

Ngày tải lên: 13/08/2014, 20:21

... find a complete affection of the dermatome representing the C6 level and neither of the dermatomes below this level In the absence of cervical pain, and motor dysfunction, the underlying cause was ... fracture at the ventral base plate of C5 The CT The CT scan shows the small teardrop fracture at the ventral base plate of C5 The ruptured disc cannot be clearly identified Page of (page number ... deceptive the situation may appear to the emergency physician The clinical presentation in this case was rather unusual A patient with a cord injury typically has pain at the site of the spinal...

Ngày tải lên: 13/08/2014, 23:20

... in three cases, all of them belonging to the placebo group The duration of MV was 13 days (IQR to 26 days) for the placebo group and days for the only case in the MPDN group The differences not ... another two patients from the placebo group and one in the MPDN group were transferred to ICU Of these nine patients, three developed septic shock, two of them were from the placebo group The ... methyl-prednisolone presenting CAP of different levels of severity, concluded that the corticoid treatment did not improve the outcome of the episodes Nevertheless, in this study the percentage of severe episodes...

Ngày tải lên: 14/08/2014, 08:21

... bedclothes A detailed appraisal of the pattern of spasticity may enable the individual to relieve many of the functional problems Both the clinician and the individual should be aware of potential ... describe the problems in different circumstances are of far more value than a single examination in the outpatient clinic Clinical consequences The above description of the different patterns of the ... spasticity The following chapters in the book outline the detail of the different approaches to the management, but this section attempts to provide an overview of the process (Fig 1.1) Aims of treatment...

Ngày tải lên: 01/11/2013, 10:20

... inform the cerebellar cortex of the place and rate of movement of the limbs These fibers put the motor intention generated by the cerebral cortex into the context of the status of the body at the ... cortices.76 The medial prefrontal region is involved in the explicit representation of states of the self Along with the temporal region’s representation of the intentional actions of others, the two ... direction of force.14 The direction of an upper extremity movement may be coded by the sum of the vectors of the single cell activities in motor cortex in the direction of the movement.40 The activity...

Ngày tải lên: 17/02/2014, 19:20

... impact on the form and integrity of all other parts The Chinese were well aware of all these issues as evidenced by their recognition of the effect of the weather and seasons on the balance of the ... from the apothecaries and the allopathic doctors of the old school In 1846 the American Medical Association (AMA) was formed to counter the influence of the homeopaths and the AIH By the turn of the ... 213 The Law of Similars .213 The Law of the Minimum Dose 213 The Totality of Symptoms 214 The Law of the Single Remedy 214 The Law of Cure ...

Ngày tải lên: 29/03/2014, 07:21

... its equilibrium position by the energy of a passing sound wave because of the interaction of the elastic forces of the air and the inertia of the air particle Direction of wave travel A Water surface ... frictional losses in the spring, because of the elasticity of the spring and the iner- the air, etc tia of the weight The weight in Fig 1-1 moves in what is called simple harmonic motion The piston in ... The Ear and the Perception of Sound 41 Sensitivity of the Ear 41 A Primer of Ear Anatomy The pinna: Directional encoder of sound Directional cues: An experiment The ear canal The middle ear The...

Ngày tải lên: 24/04/2014, 17:19