... amenorrhoea Normal secondary sexual characteristics Absent vagina and uterus Normal ovaries FSH, Follicle-stimulating hormone; LH, luteinizing hormone 23 Normalandabnormal sexual development and puberty ... an enzyme defect in the adrenal gland- usually 21 -hydroxylase deficiency- prevents the 26 Normalandabnormal sexual development and puberty fetal adrenal gland from producing cortisol Failure ... activity is normaland there are no sequelae In cases where a transverse vaginal septum results from failure of canalization of the vagina, septae may 30 Normalandabnormal sexual development and puberty...
... Basic Electrocardiography NORMALANDABNORMAL ECG PATTERNS Basic Electrocardiography NORMALANDABNORMAL ECG PATTERNS A Bayés de Luna, MD, FESC, FACC Professor ... this book, we explain the origin of normal ECG and the normalandabnormal ECG patterns The importance of surface ECG in the diagnosis of arrhythmias is not shown and will be done in another book ... provides a concise summary of the classical and modern concepts of electrocardiology and provides 22 cases covering a wide spectrum of normal variations andabnormal electrocardiographic findings In...
... FP and HP, and ± morphology in III and V1 and −/+ in VL) and ectopic P wave (clockwise rotation and morphology −/+ in III and V1 and ± in VL) shorter PR intervals in pre-excitation syndromes and ... interval and segment and QT interval, calculating the electrical axis of the heart, analysing sequentially the different waves and segments of the ECG (P, QRS, ST, T and U waves) CHAPTER Normal ... wave (Figures 1, 15 and 16) In general, its height should not exceed 2.5 mm and its width should not exceed 0.10 seconds It is rounded and positive but may be ± in V1 and III and −/+ in VL according...
... second ICS and positive or +/− in fourth ICS Normal < 0.12 s Normal From < 0.12 to ≥0.12 s Normal Often ≥0.12 s Often tall and peaked and + or ± Often abnormal Often ≥0.12 s Sometimes ≥0.12 s Normal ... ≤4 mm in V1 and V2/V1 QRS complex voltage ≥5 (quite a specific criterion, SP = 90%) P-wave abnormalities (P ≥ 2.5 mm in II and/ or 1.5 mm in V1) These criteria have low sensitivity and they are ... of the disease 1, and represent examples of mild mitral stenosis, cor pulmonale and congenital pulmonary stenosis, respectively, while 2, and are the cases of severe and longstanding mitral stenosis,...
... originates a qR pattern in lead I and VL and rS in leads II, III, VF while inferoposterior hemiblock originates an RS pattern in lead I and VL and a qR pattern in leads II, III and VF r Block of the middle ... Ventriculogram abnormalities [28,29] (Figures 48–50) QRS complexes show an abnormal morphology with a width greater than that of the baseline QRS complex (often >0.11 seconds) and characteristic ... Ventricular enlargement 49 QRS complexes within normal limits, but with significant repolarisation abnormalities (negative T wave and depression of ST segment), mainly when the patient...
... corresponds to 1, and 13 segments, inferior wall to 4, 10 and 15 (4 was the old normal posterior wall and now named inferobasal segment), septal to 2, 3, 8, and 14, and lateral to 5, 6, 11, 12 and 16, ... electrical charges and ionic changes (A and C), DTP levels and TAP morphologies (D), clinical ECG (E), and pathological finding (F), in different types of tissue (normal, ischaemic, injured and necrotic) ... in I and VL) with a mirror image in II, III, VF and in the HP, the anterolateral subepicardial ischaemia (negative T waves from V1 to V6 and ± V1–V2, and Q waves from V1 to V4 and VL ) and low...
... the first septal artery (S1) and first diagonal (D1) (20–45%), between S1 and D1 (30%) or distal to S1 and D1 (10–30%) A sequential approach to ECG analysis based on ‘ups and downs’ of the ST segment ... presumptive diagnosis of a culprit artery, site of the occlusion and area at risk, and quantification and grade of ischaemia [37,38] (See Figures 73 and 74.) Acute coronary syndromes without ST-segment elevation ... (apart from ischaemic heart disease) Normal variants Chest abnormalities, early repolarisation, vagal overdrive In vagal overdrive, ST-segment elevation is mild, and generally accompanies the early...
... precordial leads, or abnormal ‘q’ wave in hypertrophic cardiomyopathy, sometimes deep but narrow and usually with normal repolarisation 2.5 Left bundle branch conduction abnormalities 2.6 Infiltrative ... artefacts 2.2 Normal variants: VL in the vertical heart and III in the dextrorotated and horizontalised heart 2.3 QS in V1 (hardly ever in V2) in septal fibrosis, emphysema, the elderly, chest abnormalities, ... hypertension (210/130 mmHg) and an elevated potassium level (6.4 mEq/L) Note the tall and peaked T wave and elevation of the ST segment in V2 and V3 In leads I, II, and III, QT is relatively long...
... presents RS in I and qR in II and III Above: the QRS loop in such cases and the method of ˆ AQRS calculation from the first and the second part of QRS Thus, the correct answer is B (see p 26 and Figure ... accepted as normal for adults, but can be observed in teenagers without heart disease and with normal echocardiogram, as it is in this case Thus, the correct answer is B (see Figures 22D and 25.1A) ... right ventricular enlargement and, probably, in the right superoanterior zonal block (see Table 6) The absolutely normal appearance of the P and T waves supports a normal heart with rotation type...
... (ST-segment elevation in leads V1 through V5 and in VR and VL) and an evident ST-segment depression that is apparent in leads II, III, VF and V6 Give your comments, and your opinion, regarding the characteristics ... disease and, in the absence of ischaemic heart disease, this repolarisation abnormality supports the severity of the valve heart disease Therefore, the correct answer is C (see p 44 and Figure ... vector that is directed anteriorly and upwards and, therefore, generates an ST-segment elevation in leads V1–V2 to V4–V5 and an ST-segment depression in leads II, III and VF (see Figure 58) The fact...
... Additionally, it is not suggestive of a chronic inferior and/ or lateral necrosis because the repolarisation in inferior and V4–V6 is normal and, also, the Q wave is not wide Rather, this recording ... depression in many leads with and without dominant R wave (I, II, VL, VF and from V3 to V6 with the maximum depression in V3 and V4); (2) ST-segment elevation in VR and V1 Also, a qR morphology ... that is a consequence of hypertrophied septum and that is directed upwards, to the left and, somewhat, anteriorly (it is positive in leads I, VL, V1, and negative in II, III, V5–V6) The echocardiographic...
... include CDH as a consequence of abnormal lung development, CDH as a consequence of abnormal phrenic nerve innervation, CDH as a consequence of abnormal myotube formation, and CDH as a failure of closure ... uncertainties notwithstanding, computer simulations can allow us to understand morphogenesis of the normal mammalian diaphragm and the events that underlie the abnormal development of CDH and other anomalies ... simulation modeling as a means for studying normalandabnormal development of the diaphragm In doing so, we apply a novel method combining experimental data and simulated objects – the "Roger Rabbit"...
... differentiate between normaland tumor breast tissues Furthermore, it is possible to differentiate between fibrocystic changes and carcinoma using this parameter The difference between adipose and tumors ... are 0.33, 0.36, 0.46 and 0.4 nm for carcinoma, fibrocystic changes, adipose and fibroglandular tissues respectively Comparison of the measured signatures between the fresh and frozen tissues is ... breakdown of tissue types: 20 pure adipose tissues, 17 mixed (adipose plus fibroglandular) normal tissues, 41 carcinoma and 21 fibrocystic changes Effects of storage – In order to study the effects...
... doctor told me I should rest it (Venneri and Shanks 2004); I’m tired, or I’m not accustomed to taking orders (Ramachandran and Blakeslee 1998); left hands are always weaker (Bisiach et al 1986) ... it by placing their good hand under the middle of the tray and lifting But anosognosics attempted to lift it by placing their right hand on the right side of the tray and lifting, despite the ... when offered the choice between a unimanual and a bimanual task later reported (falsely) that they had tied the laces ‘‘with both my hands’’ (Ramachandran and Blakeslee 1998: 139); another patient...
... from paired tumoral and adjacent normal tissue of CRC patients A total of eight tumor tissues and eight matched normal tissues were collected from eight CRC patients (Table S1) and protein expression ... of membrane proteins from tumoral and adjacent normal tissues After surgery, paired tumoral and adjacent normal tissues were obtained from the same CRC patient and stored at )80 °C Frozen tissues ... Schlag P & Momburg F (1991) Frequency of abnormal expression of HLA-A,B,C and HLA-DR molecules, invariant chain, and LFA-3 (CD58) in colorectal carcinoma and its impact on tumor recurrence Int...
... Blood, by Paul Ehrlich and Adolf Lazarus HISTOLOGY OF THE BLOOD NORMALAND PATHOLOGICAL London: C J CLAY AND SONS, CAMBRIDGE UNIVERSITY PRESS WAREHOUSE, AVE MARIA LANE, AND H K LEWIS, 136, GOWER ... numbers and equations, carats before bracketed numbers denote a superscript Minor typos have been corrected HISTOLOGY OF THE BLOOD NORMALAND PATHOLOGICAL BY P EHRLICH AND A LAZARUS EDITED AND TRANSLATED ... position and nature of these seats of election for special proteid and other poisons The researches of Metschnikoff, of Kanthack and Hardy, of Muir, of Buchanan, and others, are supplementary and...
... of normaland sarcoma-bearing mice, as well as from EAC and S180 cells In addition, ornithine and GAA were estimated also from the kidney of normaland sarcoma-bearing mice Enzyme assay AGAT and ... EAC and S180 cells, mice muscle, sarcoma tissue and the kidney of normaland sarcoma-bearing mice Mitochondria from EAC and S180 cells were prepared according to Moreadith and Fiskum [47] and ... identical in sarcoma tissue and in the kidneys of both normaland tumor-bearing mice, whereas the AGAT levels were lowest in normal muscle and intermediate in EAC and S180 cells Figure 2B shows...
... muscle tone abnormalities demonstrated by animals after SCI in two situations: on ground and off ground The rating is as follows: 0, no abnormalities; 1, for each of the following abnormalities: ... space, before a score was given Abnormal pattern scale (APS) After SCI, animals usually developed muscle tone abnormalities that were exaggerated during locomotion and lifting the animal off the ... limbs and fanning of the paws (compare 2A and 2C) These postural changes were quantified using the abnormal pattern scale (APS) APS showed substantial increase for both on (APSon 9.8 ± 0.70) and...
... subject-specific simulations of patients with stiff knee gait and found abnormal induced rotational accelerations at the knee that could result from abnormalities at either the hip or ankle, but results ... Pandy MG: Computer modeling and simulation of human movement Annu Rev Biomed Eng 2001, 3:245-273 Shelburne KB, Pandy MG, Anderson FC, Torry MR: Pattern of anterior cruciate ligament force in normal ... of interest Pandy and Berme [32] used a dynamic simulation to investigate contributions to the ground reaction force (and thus also the COM acceleration) by individual determinants and found pelvic...