sudden monocular vision loss in a 62 year old female

... surgery Abbreviations ALT, alanine aminotransferase; AST, aspartate aminotransferase; HE, hepatic encephalopathy; INR, international normalized ratio; MELD, model for end-stage liver disease 10 ... hypokalemia may be affected by many factors such as vomiting, diarrhea, malabsorption, use of diuretics and/or cathartics, secondary hyperaldosteronism and poor oral intake [3] Hypokalemia is a ... incisional hernia containing a part of the stomach and/or the duodenum can cause a large volume of vomiting which may result in intravascular volume depletion and electrolyte imbalance, especially...

Ngày tải lên: 11/08/2014, 17:21

... ␥-glutamyltransferase, 444 U/L (5–55 U/L) Total protein, bilirubin, albumin, antinuclear antibody (ANA), C4, and the viral hepatitis panel were within normal limits Abdominal ultrasonography revealed ... lifethreatening complications Erythropoietic Protoporphyria Masquerading as Angioedema — Wang and Yousef References Kaplan AP Urticaria and angioedema In: Adkinson NF, Yunginger JW, Busse WW, et al, ... disorders, including urine and plasma porphyrin analysis and liver biopsy The patient did have a significantly elevated protoporphyrin level in the plasma (1,970 ␮g/mL [0.4–4.8 ␮g/mL]), and examination...

Ngày tải lên: 08/08/2014, 21:20

... Cite this article as: Ishaq and Shabbir: Takayasu’s arteritis presenting with temporary loss of vision in a 23 -year- old woman with beta thalassemia trait: a case report Journal of Medical Case Reports ... beta thalassemia trait has been shown in studies including asthma [12] and mood disorders [13] Genetic counseling is an essential part of managing such patients in our setting, where beta thalassemia ... electrocardiogram, echocardiograph and electroencephalogram (EEG) A computed tomography angiogram (CT -A) of her chest showed a normal ascending aorta, descending aorta and arch of the aorta but...

Ngày tải lên: 10/08/2014, 23:20

... surgical repair of coarctation of the aorta in patients older than 50 years Ann Thorac Surg 2001; 72: 2060– 2064 Discussion Aortic coarctation is a congenital vascular lesion typically diagnosed in ... treatment for coarctation lesions with a high gradient8 In this case report, we present aortic coarctation with bicuspid aortic valve in a 52 -year- old male Our patient was relatively asymptomatic ... trends, and epidemiology of coarctation of the aorta in a population-based study Int J Cardiol 1999, 68:197-202 Cevik S, Izgi C, Cevik C Asymptomatic severe aortic coarctation in an 80 -year- old man...

Ngày tải lên: 25/10/2012, 11:40

... and tubercular osteomyelitis, and differentiate them by means of aspiration and histological evaluation Only then can a rational and specific therapy be initiated In our case, we had a high index ... necrosis and little amount of blood ( Fig 3) In context of clinical features and morphological feature on FNA smear, an Acid Fast Bacilli(AFB) stain was performed and it demonstrated multiple AFB ... conditions and includes suprapubic pain sometimes radiating to the groins Rectus and adductor spasm accounts for the bending noted while standing or walking Osteitis pubis is self remitting and the...

Ngày tải lên: 20/06/2014, 04:20

... and tubercular osteomyelitis, and differentiate them by means of aspiration and histological evaluation Only then can a rational and specific therapy be initiated In our case, we had a high index ... necrosis and little amount of blood ( Fig 3) In context of clinical features and morphological feature on FNA smear, an Acid Fast Bacilli(AFB) stain was performed and it demonstrated multiple AFB ... conditions and includes suprapubic pain sometimes radiating to the groins Rectus and adductor spasm accounts for the bending noted while standing or walking Osteitis pubis is self remitting and the...

Ngày tải lên: 20/06/2014, 07:20

... vasospasm, supraventricular tachycardia, and acute atrial fibrillation [1,7] Capsaicin also prolongs the cardiac action potential in atrial and ventricular myocytes, an effect that is associated ... peppers are a major source of natural capsaicinoids, including capsaicin, dihydrocapsaicin, nordihydrocapsaicin, homodihydrocapsaicin, and homocapsaicin [10] Capsaicin is the active component ... coronary syndrome, and one of the few cases associated with capsaicin Capsaicin, a sympathomimetic agent, may be implicated in the initiation of coronary vasospasm and acute myocardial infarction...

Ngày tải lên: 20/06/2014, 20:20

... March 1996, nine cylinders containing only an anion exchange resin bag were used; From April 1996 to September 1996, six cylinders containing an anion resin bag and six cylinders containing a ... no data were available Ranger and Gelhaye [66] in a 47 -year- old adjacent Douglas-fir stand, found a N content in fine roots of 7.7 kg Nãha1, which was probably underestimated by the sampling ... N, and mineralizable-N, in litter and mineral soil under Pinus radiata on a coastal sand: Influence of stand age and harvest management, Plant Soil 175 (1995) 167177 [73] Sierra J., Temperature...

Ngày tải lên: 08/08/2014, 01:21

... (figure 3) In addition, 1998 exhibited an earlier autumnal decline in available assimilate; net CO2 release was initiated earlier in the year, already starting in September DISCUSSION Inherent random ... Veroustraete F., Ceulemans R., Seasonal variations in leaf area index, leaf chlorophyll, and water content; scaling-up to estimate fAPAR and carbon balance in a multilayer, multi-species temperate ... Table A- 1 Initial standing biomass and leaf area index for the 70 -year- old Scots pine (Pinus sylvestris L.) stand in the Campine region, Northern Belgium beginning 1997 Parameter Units Initial Carbon...

Ngày tải lên: 08/08/2014, 14:21

... belowground biomass and stand total biomass) based on 200 studies in order to evaluate belowground Ccontent in stands at a national level, but found no discriminating variable, especially stand age The ... was a simple regression line It will be interesting to predict the belowground biomass of a stand using the aerial biomass measurement alone, as it is usually the available information MATERIALS ... (C130) inventory, and from application of biomass and nutrient tables calculated in 1992 The main characteristics of the ecosystem are the following: – – – – – altitude: 750 m; mean annual rainfall:...

Ngày tải lên: 08/08/2014, 14:21

... voice had started breaking, and sweat production had increased Furthermore, he often had erections during the day, got interested in older girls, and started reading magazines that contained pictures ... http://www.annals-general-psychiatry.com/content/4/1/17 outpatient unit for child and adolescent psychiatry At psychiatric examination, January 2003, we saw a boy who was anxious and withdrawn, had problems ... height, parents and other adults or children may have made age-inappropriate demands, which may have caused anxiety Third, extreme changes in hormone levels may have directly resulted in withdrawal...

Ngày tải lên: 08/08/2014, 21:20

... regional lymphadenectomy [20] Only a few cases of SH have been reported in young patients, among them a 10 -year- old, an 18 -year- old and a 19 -year- old Asian female as well as a 22 -year- old Schiergens ... complicated to differentiate SH from a carcinoma that also exhibits a papillary pattern Metastatic papillary thyroid carcinoma, mesothelioma and bronchioloalveolar carcinoma have to be considered accurately ... carbohydrate antigen 19-9 (CA 19-9) were within normal range Clinical staging diagnostics revealed a partially stenosing rectal adenocarcinoma (uT4, uN+) but no potentially metastatic lesions in the...

Ngày tải lên: 09/08/2014, 01:25

... the case reported by Banchini [4] had a slight increase in alkaline phosphatase and gamma-glutamyl transferase Serum carcinoembryonic antigen (CEA) and CA19-9 are within normal limits Imaging ... tomography demonstrating a large tumour with partial blood flow(arrow) in abdominal cavity This tumor may be asymptomatic for a long time Abdominal pain and awareness of abdominal mass are the most ... in laboratory data including tumor markers such as CEA and CA19-9 At laparotomy there was a black polycystic, retroperitoneal tumor extending from coeliac axis to the origin of the head of pancreas...

Ngày tải lên: 09/08/2014, 04:21

... treatment discontinuation she presented with fever (39–39.5°C), lymphadenopathy, splenomegaly and abundant sweating during the nights Her physical examination was normal and a chest radiography ... 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

... excavatum and annuloaortic ectasia in a 37 year old marfan patient: case report Journal of Cardiothoracic Surgery 2011 6:64 Figure Initial CT-scan showing the ascending (red arrow) and descending ... cannulation using a two-stage cannula placed into the right atrium cardiopulmonary bypass was started The Figure X-ray at readmission Red Arrows indicating the crack and dislocation of the metal bars ... journal Authors’ contributions All authors contributed in case management, manuscript preparation and image acquisition All authors read and approved the final manuscript Competing interests The authors...

Ngày tải lên: 10/08/2014, 09:21

... this article as: Luo et al.: Primary cardiac osteosarcoma in a 4 2year- old woman Journal of Cardiothoracic Surgery 2010 5:120 Submit your next manuscript to BioMed Central and take full advantage ... Unlü Y: Primary cardiac osteosarcoma in a pregnant woman Heart Vessels 2006, 21(1):56-8 Araoz PA, Eklund HE, Welch TJ, Breen JF: CT and MR imaging of primary cardiac malignancies Radiographics 1999, ... Figure Characteristic of the primary cardiac osteosarcoma in our patient (A) Echocardiography results, showing a mass in the left atrium with accelerated color flow across the mass, suggesting a hemodynamically...

Ngày tải lên: 10/08/2014, 09:23

... Rheumatoid factor was

Ngày tải lên: 10/08/2014, 22:20

... caseous material was negative for AFB PAS staining was positive and cytological examination revealed yeast cells and capsules of non-viable Figure Chest radiograph showing massive consolidation ... massive Figure Hematoxylin and eosin staining showing yeast cells consistent with Histoplasma spp Page of unilateral consolidation This case illustrates the many challenges that clinicians face ... Health Sciences, Mwanza, Tanzania 2Department of Medicine, Bugando Medical Centre, Mwanza, Tanzania 3Department of Pathology, Weill Bugando University College of Health Sciences, Mwanza, Tanzania...

Ngày tải lên: 10/08/2014, 22:24