case 68 a short patient with a high bmi

... strategies have been proposed such as CEA alone, or CABG alone, or staged CEA and CABG, or staged carotid artery stenting (CAS) and CABG, and simultaneous CEA and CABG, or simultaneous CAS and CABG In ... cannula into the distal part of the internal carotid artery A separate pump was connected in cannula and arterial blood at 23°C was delivered at a flow rate of 300 ml/ [4] Although, based on classical ... patient with high grade bilateral carotid stenosis Some surgeons prefer the off-pump CABG, especially in patients with severe carotid disease [6] Off-pump CABG certainly has many advantages and...

Ngày tải lên: 10/08/2014, 09:21

... these numeric and structural chromosomal abnormalities which are characterized by a high resolution array based comparative genomic hybridization (aCGH) Case presentation Our patient was a 10-month ... 6.0 arrays using a Human Mapping SNP6.0 assay kit following the manufacturer’s standard protocol The data were analyzed by a comparison with those of the 96 hapmap Asian individuals used as control ... cytogenetic analysis and was a major contributor to the manuscript LZ assisted in the aCGH test and data analysis All authors read and approved the final manuscript Competing interests The authors declare...

Ngày tải lên: 11/08/2014, 00:22

... tomography, using 11 C-labeled 5-hydroxytryptophan as the tracer Additional hormonal screening was normal, and analyses of insulin antibodies and sulphonylurea were negative Two intra-arterial calcium ... b-cell was depolarized, but hyperpolarized after adding 325 μmol/L diazoxide (b) KATP channel recordings in isolated membrane patches KATP channel activity was blocked by 100 μmol/L ATP and activated ... this article as: Bränström et al.: Electrical short- circuit in bβ-cells from a patient with non-insulinoma pancreatogenous hypoglycemic syndrome (NIPHS): a case report Journal of Medical Case...

Ngày tải lên: 11/08/2014, 02:21

... a patient with severe hypoxaemia after cardiac surgery Case presentation A 75-year-old Caucasian man developed a lung infection with severe hypoxaemia [arterial partial pressure of oxygen (PaO2 ... study, collected and analyzed the data and wrote the paper PZ, VS and BP analyzed the data and helped to write the paper CS analysed the data All authors read and approved the final manuscript Competing ... disease The patient was operated via a median sternotomy The aortic valve was replaced with a biological Hancock 21 mm valve The weaning from the extracorporeal circulation (ECC) was performed with...

Ngày tải lên: 11/08/2014, 02:21

... Ward and Reid [1] described a 64-year-old woman with an acute MI who had a cardiac arrest She had ventricular tachycardia and was cardioverted to sinus bradycardia, intubated and ventilated She ... BP was 80/60 mmHg Several days later, her cardiac catheterization demonstrated severe coronary artery disease and a large anteroapical and septal infarction with aneurysm formation She was eventually ... inferolateral and anterolateral walls with a small area of reversibility Taking his advanced age into account, we decided against performing cardiac catheterization He subsequently underwent implantation...

Ngày tải lên: 11/08/2014, 14:20

... (Pfizer, Canada) and Genome Canada through the Ontario Genomics Institute References Abbreviations AGPAT2, 1-acylglycerol-3-phosphate O-acyltransferase gene; ASA, acetylsalicylic acid; BSCL, Berardinelli-Seip ... muscle pains consistent with a chronic pain syndrome, and bilateral frozen shoulders The patient has a strong family history for early coronary heart disease: her father had a myocardial infarction ... perfusion study, cardiac catheterization and coronary angiography, were all negative specifically showing no significant ischemia or coronary artery disease A 53-year-old woman from Ghana was referred...

Ngày tải lên: 11/08/2014, 14:20

... δ-aminolevulinic acid (ALA), which is a weak gamma-aminobutyric acid (GABA) agonist that decreases GABA release by presynaptic inhibition [6,7] Lead is known to compete with metals like calcium, zinc, iron and ... lacking local and general exhaust ventilation and washing facilities culminating into alarmingly high blood lead levels of 128.3 µg/dl According to United States Occupational safety and Health Administration ... separate areas were provided for the removal and storage of the lead-contaminated protective work clothing and equipment The regulatory body should make it mandatory to evaluate and create awareness...

Ngày tải lên: 20/06/2014, 00:20

... prosthesis With these results, we conclude that an ambulating patient with an above knee amputation and a subcapital fracture should be operated on after appropriate planning and preparation with satisfactory ... lever arm, and the patient was treated nonoperatively Two studies[4,6] have shown that this an appropriate strategy for most fractures after an amputation, except displaced intertrochanteric and ... plasty Postoperative xray with an uncemented bipolar hemiarthroPostoperative xray with an uncemented bipolar hemiarthroplasty We presented an ambulating above knee amputee, who had suffered a...

Ngày tải lên: 20/06/2014, 04:20

... local inflammation, injection site pain and itching, anaphylaxis/anaphylactoid reactions, local ecchymosis, nausea/vomiting, diarrhea, anorexia, and headache [26] While Hyalgan © has a relatively ... dysplastic hips with shallow, horizontal acetabula, post-traumatic bowing, Arrow indicates healing tibial fracture Diaphyses are gracile with thin cortices and obliterated medullae, in contrast with ... Patients classically have a normal karyotype and are born of nonconsanguineous parents [4] Most significantly, they display skeletal maturation that is advanced for age, along with osteopenia and sclerosis,...

Ngày tải lên: 20/06/2014, 04:20

... local inflammation, injection site pain and itching, anaphylaxis/anaphylactoid reactions, local ecchymosis, nausea/vomiting, diarrhea, anorexia, and headache [26] While Hyalgan © has a relatively ... dysplastic hips with shallow, horizontal acetabula, post-traumatic bowing, Arrow indicates healing tibial fracture Diaphyses are gracile with thin cortices and obliterated medullae, in contrast with ... Patients classically have a normal karyotype and are born of nonconsanguineous parents [4] Most significantly, they display skeletal maturation that is advanced for age, along with osteopenia and sclerosis,...

Ngày tải lên: 20/06/2014, 07:20

... and what started as an 'innocent bystander' may not be so innocent after all Figure Cranial MNR image in a coronal plane Cranial MNR image in a coronal plane The mass effect on the left lateral ... inpatient stay and received follow-up outpatient care with psychiatric and neurosurgical appointments Three months after discharge, the patient was working part-time and attending a technical ... cysts (of a congenital nature) and false ones, which are secondary to the post-inflammatory accumulation of CSF during cranial traumatisms, infections or intracranial haemorrhages [7,8] Arachnoid...

Ngày tải lên: 08/08/2014, 23:20

... illness Am J Med 1995, 99:575 Carmaciu CD, Anderson CS, Lawton CA: Case report: thyrotoxicosis after complete or partial lithium withdrawal in two patients with bipolar affective disorder Bipolar ... of adenylate cyclase stimulated by TSH in normal patients; decreased thyroid iodine uptake; decreased release of T4 and T3; decreased hepatic metabolism of T4 to T3; and increased intrathyroidal ... was started, and the patient reported her first night of good sleep According to Ms F and available collateral information, her TSH level had been depressed for more than three years, with a...

Ngày tải lên: 08/08/2014, 23:20

... and Masaomi Iyo1,3 Department of Psychiatry, Chiba University Graduate School of Medicine, Chiba, Japan Department of Psychiatry, Sodegaura Satsukidai Hospital, Chiba, Japan Division of Clinical ... which lasted for more than years of follow-up Ethical approval The treatment of the reported case was made according to standard clinical practice, and ethical approval was obtained from the Ethics ... Chiba University Center for Forensic Mental Health, Chiba, Japan * Corresponding author Email addresses: ST: tadokoroshigenori@gmail.com NK: kanahara@faculty.chiba-u.jp SK: kikuchi@mail.satsuki-kai.or.jp...

Ngày tải lên: 09/08/2014, 01:21

... clinical presentation is of an acute abdomen with increased inflammatory markers and occasionally an associated pleural effusion The predominant abdominal symptoms mask the underlying renal cause, ... indicative of an aggressive tumour [9-11] These tumors are usually symptomatic at the time of diagnosis and often cause haematuria, abdominal pain and a mass in the flank [12-14] Radiologically ... C, Benati A, Bacchini P, Corrado F: Sarcomatoid carcinoma of the kidney J Urol 1987, 137(1):25-28 15 Shirkhoda A, Lewis E: Renal sarcoma and sarcomatoid renal cell carcinoma: CT and angiographic...

Ngày tải lên: 09/08/2014, 01:24

... adenocarcinoma that was resected Case presentation The patient is a 20 year old female that was diagnosed with ataxia-telangiectasia syndrome at years of age She had severe ataxia and was wheelchair ... Haerer AF, Jackson JF, Evers CG: Ataxia-telangiectasia with gastric adenocarcinoma JAMA 1969, 210:1884-1887 Kondo K, Horikawa Y: Spinocerebellar degeneration Ataxiatelangiectasia and malignant ... tumour [Japanese] Naika no Ryôiki (Domain of Internal Medicine) 1975, 35:623-626 Watanabe A, Hanazono H, Sogawa H, Takaya H: Stomach cancer of a 14-year-old boy with ataxia-telangiectasia Tohoku...

Ngày tải lên: 09/08/2014, 04:21

... colon cancer shortly after diagnosis at age 55, and three other paternal family members had cancer in an unknown site The patient' s paternal grandmother died at an early age of unknown causes ... cisplatin and taxol combined with radiotherapy, and is disease-free at the time of publication A comprehensive family history was taken and a formal pedigree was assembled (Fig 2) The patient' s father ... urothelial cell carcinoma was high- grade, pT3 N2 Mx, Stage IV, and the more advanced colon adenocarcinoma was moderately differentiated, pT3 N1 Mx, Stage IIIB The patient received adjuvant chemotherapy...

Ngày tải lên: 09/08/2014, 04:21

... was significant for diabetes mellitus, hypertension and asthma Upon physical examination she was alert, afebrile and displayed significant jaundice Abdominal examination revealed epigastric pain ... U/mL) was also elevated raising the suspicion for pancreatic cancer Interventional radiology was able to perform a percutaneous transhepatic cholangiogram and place an external biliary catheter ... widely available and best-validated modality for imagining patients with pancreatic adenocarcinoma It carries a sensitivity for diagnosis of 89-97% [10] Legmann has reported that CT scan detected...

Ngày tải lên: 09/08/2014, 04:21

... coarctation associated with aortic valve regurgitation In that patient, the vascular graft was placed around the left margin of the heart and was anastomosed proximally to the anterior wall of the ascending ... 38(3):310 Yilmaz M, Polat B, Saba D: Single-stage repair of adult aortic coarctation and concomitant cardiovascular pathologies: a new alternative surgical approach Journal of Cardiothoracic Surgery ... Repair of coarctation of aorta with intracardiac repair Tex Heart Inst J 1983, 10:409-13 doi:10.1186/1749-8090-6-55 Cite this article as: Alvarez et al.: Internal mammary artery dilatation in a...

Ngày tải lên: 10/08/2014, 09:21

... efficacy of AO-CPR on neurological outcomes as neurological status could not be assessed in our patient because he was intubated, sedated and paralyzed until care was withdrawn Page of This case ... cardiac arrest in special situations: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Circulation 2010, 122: S829-S861 Adam Z, Adam ... article as: Rottenberg et al.: Abdominal only CPR during cardiac arrest for a patient with an LVAD during resternotomy: A case report Journal of Cardiothoracic Surgery 2011 6:91 Submit your next manuscript...

Ngày tải lên: 10/08/2014, 09:21

... Coxiella burnetii and Brucella melitensis were negative At follow-up four months later she had no bacteremia, and a repeat transthoracic echocardiogram revealed normal appearing aortic and mitral ... Rebecca M Thomas, MD, and Allan L Truant, PhD for their gracious assistance in this case Authors’ contributions BRL participated in the care of the patient and wrote the initial manuscript BS participated ... for a specific organism or by processing errors resulting in sample degradation There are a few limitations of our patient s initial workup that may have masked a causative agent Legionella testing...

Ngày tải lên: 10/08/2014, 09:22