Search

2023 MAR 25 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Data detailed on reoperation have been presented. According to news originating from [...]

2023 FEB 11 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Current study results on Nanotechnology - Nanocrystals have been published. According to [...]

2022 JUN 11 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Investigators publish new report on Oncology - Lung Cancer. According to news [...]

BACKGROUND: We present 6 patients with obturator hernia, from Harbor-UCLA Medical Center and Natalspruit Hospital, South Africa, bringing the total in the English literature to 676. This study was undertaken to examine the pitfalls in diagnosis and methods of treatment of this highly fatal condition. PATIENTS: All patients were women, with an average age of 79 years. All were emaciated and in poor general condition, with dementia (4 patients), airway disease (3), cardiac disease (3), and disseminated carcinoma (1). For 5 of the 6 patients, the diagnosis was made at laparotomy. One patient died postoperatively. RESULTS: The diagnosis was made from a lump in the upper thigh, felt vaginally or rectally, and a positive Howship-Romberg and/or a Hannington-Kiff sign. Radiographs, contrast studies, computed tomography scans, and herniography are helpful in making a diagnosis. In an emergency situation, lower midline laparotomy is preferred. Electively, other procedures and laparoscopic repair may be performed. CONCLUSION: Mortality (10% to 50%) is common due to the poor condition of the patients and the delay in diagnosis. Earlier diagnosis may lower the high morbidity and mortality associated with this condition. Am J Surg. 1997;174:72-75. [C]1997 by Excerpta Medica, Inc.

The validity of measurements of the cardiac silhouette on chest radiographs for the evaluation of right ventricular enlargement and right atrial enlargement in patients with a pure restrictive ventilatory impairment [...]

Hand x-rays with evidence of osteoarthritis (OA) may be a good indicator of knee disease. OA is a noninflammatory degenerative disease of the joints. A total of 967 women between the ages of 45 and 65 were assessed by x-ray and physical exam for signs of OA in the hands and knees. Each woman was also interviewed about any history of pain or stiffness in the joints. The overall prevalence of OA symptoms was about 20%. As the severity of clinical symptoms of hand OA increased, radiographic signs of hand disease also increased. In addition, radiographic evidence of OA in the hand was strongly associated with knee disease. However, clinical symptoms of OA in the hand had weaker associations with knee disease. When assessing OA, physicians may find hand x-rays more accurate, but can use physical examination as a good substitute.

Abdominal plain films are useful for evaluating abnormal air collections, abnormal calcifications, and large masses. Thus, their role in assessing acute abdominal syndromes is limited but critically important. In nontraumatic [...]

Plain abdominal radiographs are commonly requested for acute medical emergencies on patients with non-specific abdominal symptoms and signs. In this study 131 plain abdominal radiographs performed on the day of [...]

The portable anteroposterior (AP) radiograph (CXR) is an essential component of clinical management in the intensive care unit (ICU). In view of the immobility of patients, and overlying tubes, wires, [...]

Many outstanding radiology teaching resources are now available on the Internet. The huge number of such Web sites is increasing on an almost daily basis. These sites are a valuable [...]

Byline: Michael Brant-Zawadzki, M.D., and Jeffrey M. Silverman, M.D. Anxiety and even hysteria are in the air. The fear of anthrax has elevated the public's concerns about environmental exposure to [...]

Lisa Diethelm, MD(*); J Perdigao, MD and M Pandit-Bhalla, MD. Louisiana State University Health Science Center, New Orleans, LA. PURPOSE: Determine the frequency of image manipulation of chest CRs on [...]

1. Right ankle and heel pain A 27-year-old man complains of pain in his right ankle and heel. When the patient was visiting a neighbor the day before, an unfortunate [...]

(Dr Longo is Scientific Director, National Institute on Aging, Baltimore, MD.) ABSTRACT & COMMENTARY Synopsis: A Netherlands study has found that about 19% of patients with lung cancer had the [...]

Foot problems are common to diabetic patients, and they can be complicated by the presence of osteomyelitis (OM), inflammation of the bone marrow. Three-phase bone scintigraphy (TPBS), a radionuclide bone imaging technique using radioactive technetium 99m, has been the method of choice for providing images of arterial blood flow, blood pool activity and uptake of the bone tracer in the feet of diabetic patients. Use of TPBS alone, however, does not permit the accurate diagnosis of OM, particularly in diabetic patients, who often suffer from many other diseases that may appear similar to OM on TPBS images. Researchers evaluated indium 111-labeled white blood cell scintigraphy (WBCS) in a trial of 77 diabetic patients suspected of having foot OM. The sensitivity of WBCS was compared with TPBS and standard X-ray imaging of the feet. Using WBCS, researchers were able to identify OM in 100 percent of the 19 patients with confirmed OM. This result, however, must be tempered by the fact that all 19 patients were symptomatic and, therefore, had a high degree of likelihood of active OM disease. Overall, WBCS was better able to localize the site of infection than was TPBS. Results of this study suggest that WBCS is better able to differentiate between OM and other foot problems in diabetics than is TPBS. Furthermore, WBCS is more accurate in the site- identification of OM infections than are other imaging techniques, such as X-ray imaging and TPBS. X-ray imaging remains well suited for localizing the disease with a great degree of precision and detail. X-ray images can confirm destruction of bones, and provide important information that is of use in surgical planning. Researchers state that WBCS and X-ray foot images are the most accurate imaging modalities for diagnosis of pedal OM in diabetics.

Karpas A, Hennes H, Walsh-Kelly CM. Utilization of the Ottawa Ankle Rules by nurses in a pediatric emergency department. Acad Emerg Med 2002; 9:130-133. ED nurses can accurately use and [...]