In this paper the Authors report their experience in the diagnosis and management of abdominal fluid collections either primary or secondary to surgery. Sixty-eight patients with abdominal fluid ...collections were considered: in 28 cases an imaging guided percutaneous drainage was performed, while in 40 cases patients were treated with medical or surgical therapy. The Authors describe the different techniques, the approaches and the types of catheter used on the basis of the localization of the collections. The results show the efficacy of drainage procedures in 89% of the patients treated, without any major complication. Some considerations comparing patients treated with percutaneous drainage and patients who underwent different therapy as well as a review of the international literature are also reported. In conclusion the Authors affirm that percutaneous imaging guided drainage is the treatment of choice for abdominal fluid collections anatomically accessible, for the high effectiveness, good tolerability, low cost and minimal incidence of major complications.
Migrant polyarthritis and EBV infection Venuta, A; Laudizi, L; Micheli, A ...
La Pediatria medica e chirurgica,
1997 Mar-Apr, Letnik:
19, Številka:
2
Journal Article
Recenzirano
A twelve-years-old boy developed fever, pharyngitis and acute migrant polyarthralgia. An increasing ASO titre was observed, so that rheumatic fever was firstly diagnosed. Finally splenomegaly and ...positive IgG and IgM against Epstein Barr virus led to the diagnosis of acute EBV infection with polyarthritis. EBV infection should be considered into the differential diagnosis of migrant polyarthritis.
We re-evaluated the cases of 436 children with minor head injury admitted in the paediatric department of Modena University Hospital in the years 1991-1995 in order to revise diagnostic and ...therapeutic protocols. The external lesions, the presence of loss consciousness, vomiting, vegetative reactions, late complications, skull X ray, TC scan and EEG were considered. Signs and symptoms at admission have been faced with instrumental findings and eventual late complications to evaluate the prognostic significance. External lesions and vomiting did not correspond to TC scan and EEG positivity or significant sequelae. A more close connection to these parameters was found when an history of immediate loss of consciousness after trauma, or presence of vegetative reactions. Skull X ray appeared useless both to judge the seriousness of the lesion and to formulate a prognosis. EEG appeared a sensible tool to evaluate the gravity of the trauma and its late consequences. TC has confirmed to be the unique instrument able to solve any diagnostic or prognostic doubt. When symptoms suggest a bad prognosis, diagnostic procedures should be limited to TC and EEG. By our point of view, patients that at admission have a normal neurological examination at the Glasgow Coma Scale, no significant symptoms and signs, an history of a minor impact dynamic and no signs of child abuse, can be discharged from the emergency department; in this case parents should be instructed how to do an observation at home in order to evaluate eventual complications.
The authors stress the value of the routine use of endorectal US for the preoperative staging of rectal cancer. This method accurately demonstrates the exact level of the lesion, the degree of ...circumferential invasion, the depth of local involvement and the extent of eventual spread beyond the rectal wall, the invasion of the surrounding structures and the presence of enlarged perirectal lymph nodes. A hundred and forty-one patients with rectal carcinoma located 3-16 cm from the ano-cutaneous line were examined with endorectal US preoperatively; a comparison was made between US findings and pathological data, so that a correlation could be made between US (uT) and histologic (pT) findings. A radial probe and a 7-MHz transducer were employed. Our results show US accuracy to be 93.6% with only 4 cases of understaging and 5 of overstaging. A hundred and twenty-nine patients who had undergone major surgery were also studied to evaluate US accuracy in lymph node detection: in 110 cases the actual lymph node status was correctly demonstrated; US diagnostic accuracy was 85.3% with 16 false positives and 3 false negatives. The correct evaluation of the actual local tumor spread, as demonstrated by endoluminal US, allows the choice of the correct treatment, together with a personalized therapeutic schedule, to reduce the incidence of local recurrences and to save, whenever possible, sphincter functionality.
The aim of the present study is to establish the role of ultrasound examination (US) in the diagnosis of acute pancreatitis and its ability in differentiating mild or edematous acute pancreatitis ...(EAP) from severe or necrotizing acute pancreatitis (NAP) in order to indicate further diagnostic procedures and appropriate therapy. Forty patients with clinical suspect of acute pancreatitis were examined with US. All of them were followed-up clinically and with laboratory tests. Nineteen patients underwent a CT examination with contrast media and one without. In 28 cases US diagnosed acute pancreatitis in agreement with clinical and laboratory data. US identified 19 patients with EAP and 9 with NAP. CT, performed in 20 cases on the basis of clinical and US findings, confirmed US diagnosis in 19 cases while in 1 patient CT identified a NAP instead of the EAP suggested by US. According to our results, US is an easy-to-perform and accurate method for the diagnosis of acute pancreatitis and effective in differentiating EAP from NAP; it is also useful in suggesting further diagnostic procedures such as contrast-enhanced CT required in patients with NAP to assess the extension of peripancreatic fluid-collections and possible complications.
The authors take in consideration the sensitivity of imaging methods in localization of adenomas and hyperplastic glands in primary and secondary hyperparathyroidism. Advantages and limits of ...Ultrasound, Computed Tomography, Magnetic Resonance Imaging and Dual Isotope Subtraction Scintigraphy are considered, specifying the correct technique of execution and the indications for each examination. The sensitivity of these imaging methods is fairly good, but inferior in comparison to surgical exploration of the neck; it has been seen that this value improves sensibly when a two-study combination is considered as a single test. After a wide review of the literature and considering their experience, the authors stress the opportunity of a routinary preoperative use of diagnostic imaging, both in primary intervention and in case of reintervention. According to the authors US and MRI are the best imaging modalities: US are of simple execution, non-invasive and have a high sensitivity in the localization of adenomas in the typical location; MRI is a multiplanar technique, has a high contrast resolution and a very good capability of exploring the neck and mediastinum, allowing the localization of ectopic adenomas.
Monumentul este alcătuit dintr-o statuie de bronz și un soclu de forma trunchiului de piramidă. Statuia reprezintă un soldat așezat pe genunchiul drept. În mâna sa dreaptă are pușca în poziție ...verticală, și poartă echipamentul specific Primului Război Mondial. Pe latura de nord și pe cea de sud a soclului de află două plăci din bronz care prezintă, în basorelief, scene de luptă de la Mărăști și Mărășești. Dimensiuni: plăcile: 67/52; 65/50; soclul: H=260; L=200; l=150; statuia: H=170; L=100; l=100 cm.
Mențiuni despre monument: Monumentul are o stare medie de conservare.
Inscripții pe monument: Pe față sunt notate 100 nume de eroi. „OMAGIU CELOR CĂZUȚI PENTRU PATRIE”
The monument consists of a bronze statue and a pyramid trunk shape. The statue represents a soldier sitting on his right knee. In his right hand he has his rifle upright, and he carries the equipment specific to World War I. On the north and south side of the socket we learn two bronze plates that depict, in bas-relief, battle scenes from Mărăști and Mărăşești. Dimensions: plates: 67/52; 65/50; cap: H = 260; L = 200; l = 150; statue: H = 170; L = 100; l = 100 cm.
Mentions about the monument: The monument has an average state of conservation.
Inscriptions on the monument: 100 names of heroes are noted on the front. “TRIBUTE TO THE FALLEN FOR THEIR HOMELAND”
Monumentul este alcătuit dintr-o statuie de bronz și un soclu de forma trunchiului de piramidă. Statuia reprezintă un soldat așezat pe genunchiul drept. În mâna sa dreaptă are pușca în poziție verticală, și poartă echipamentul specific Primului Război Mondial. Pe latura de nord și pe cea de sud a soclului de află două plăci din bronz care prezintă, în basorelief, scene de luptă de la Mărăști și Mărășești. Dimensiuni: plăcile: 67/52; 65/50; soclul: H=260; L=200; l=150; statuia: H=170; L=100; l=100 cm.
Mențiuni despre monument: Monumentul are o stare medie de conservare.
Inscripții pe monument: Pe față sunt notate 100 nume de eroi. „OMAGIU CELOR CĂZUȚI PENTRU PATRIE”
Monumentul are forma unui obelisc, cu un capitel crenelat în terminație. Pe față este aplicată o cunună din lauri sculptată în piatră. Dimensiuni: soclu: H=120; L=110; l=90; monument: H=300; L=66; ...l=46 cm.
Mențiuni despre monument: Monumentul are o stare bună de conservare. Sătenii spun că inițial ar fi avut un vultur cu aripile deschise în terminație.
Inscripții pe monument: „ÎN AMINTIREA EROILOR/ MORȚI/ PENTRU APĂRAREA/ TĂREI/ DIN COMUNA VARLEZI/ IN RASBOIUL 1877-1878 (...) 1913-14 (...) 1916-19 (...)” „ACEST MONUMENT SA/ RIDICAT IN MEMORIA EROI-/ LOR DIN COM VARLEZI MORTI/ PENTRU INTREGIREA SI APA-/ RAREA NEAMULUI ROMANESC/ COMUNA RECUNOSCATOARA/ 1921”
The monument is shaped like an obelisk, with a crenellated capitel in the termination. On the face is applied a cannon of laurels carved in stone. Dimensions: cap: H = 120; L = 110; l = 90; monument: H = 300; L = 66; l = 46 cm.
Mentions about the monument: The monument has a good state of conservation. The villagers say that they would initially have had an eagle with their wings opened in the termination.
Monumentul are forma unui obelisc, cu un capitel crenelat în terminație. Pe față este aplicată o cunună din lauri sculptată în piatră. Dimensiuni: soclu: H=120; L=110; l=90; monument: H=300; L=66; l=46 cm.
Mențiuni despre monument: Monumentul are o stare bună de conservare. Sătenii spun că inițial ar fi avut un vultur cu aripile deschise în terminație.
Inscripții pe monument: „ÎN AMINTIREA EROILOR/ MORȚI/ PENTRU APĂRAREA/ TĂREI/ DIN COMUNA VARLEZI/ IN RASBOIUL 1877-1878 (...) 1913-14 (...) 1916-19 (...)” „ACEST MONUMENT SA/ RIDICAT IN MEMORIA EROI-/ LOR DIN COM VARLEZI MORTI/ PENTRU INTREGIREA SI APA-/ RAREA NEAMULUI ROMANESC/ COMUNA RECUNOSCATOARA/ 1921”
PDF