Abstract
Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks' duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a me...
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PMID: 22010767
PDF is available here.
Abstract
Heel pain is a common presenting symptom in ambulatory clinics. There are many causes, but a mechanical etiology is most common. Location of pain can be a guide to the proper diagnosis. The most common diagnosis is plantar fasciitis, a condition that leads to medial plantar heel pain...
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PMID: 22010770
PDF is available here.
Abstract
We describe the clinical and MRI features with histopathological correlation of a patient with prostate STUMP....
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PMID: 21933974
PDF is available here.
Abstract
We report an interesting case of WG with unusual multiorgan involvement in a young male who presented with a short history of right-sided otalgia, nasal obstruction and a right parotid mass. His initial CT and MRI scans showed a large parotid mass with features suggestive of malignancy with bilatera...
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PMID: 21933977
PDF is available here.
Quique Q Bassat,
Sónia S Machevo,
Cristina C O'Callaghan-Gordo,
Betuel B Sigaúque,
Luís L Morais,
Núria N Díez-Padrisa,
Josep L JL Ribó,
Inácio I Mandomando,
Tacilta T Nhampossa,
Edgar E Ayala,
Sergi S Sanz,
Martin M Weber,
Anna A Roca and
Pedro L PL Alonso
Abstract
We investigated ways to increase diagnostic accuracy in patients hospitalized with clinical symptoms compatible with malaria and severe pneumonia, in an area with high a prevalence of infection with human immunodeficiency virus. A total of 646 children admitted at the Manhiça District Hospital in M...
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PMID: 21976562
PDF is available here.
Abstract
We present a case of a 4-year-old girl who presented with acute abdomen and was surgically confirmed to have a wandering spleen with torsion and complete infarction....
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PMID: 21816894
PDF is available here.
Abstract
The use of oral contrast has been essential for the identification of a normal appendix on MR imaging during pregnancy. However, stool could be used as a positive oral contrast as it is characterized by a relatively high signal on T1-weighted imaging, and 3D T1-weighted gradient-echo (T1W-GRE) MR ima...
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PMID: 21835887
PDF is available here.
Abstract
We studied CD103 and CD123 expression by the malignant cells in 300 B-cell lymphoproliferative disorder (BC-LPD) cases, including 114 hairy cell leukemia (HCL), 20 HCL variant (HCLv), 9 splenic marginal zone lymphoma (SMZL; in 5, only CD103 was evaluated), 133 chronic lymphocytic leukemia (CLL), 3 f...
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PMID: 21917686
PDF is available here.
Abstract
The value of clinical items defining inflammatory back pain to identify patients with axial spondyloarthritis (SpA) in primary care is unclear.
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PMID: 21821621
PDF is available here.
Abstract
We report on a 53-year-old woman who presented with typical chest pain. Exercise myocardial perfusion imaging revealed perfusion defects involving the basal regions of the inferior and inferoseptal walls. Coronary angiography showed an intercoronary continuity between the right coronary artery and c...
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PMID: 21983768
PDF is available here.
Abstract
We present a 15-month-old boy who was diagnosed with Scimitar syndrome after examinations for recurrent wheezing and respiratory distress. The chest radiograph showed a scimitar sign in the right hemithorax, obscuring the contours of the right atrium. Echocardiography showed dilatation of the right...
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PMID: 21983773
PDF is available here.
Abstract
We report on a challenging case of percutaneous epicardial ablation of an epicardial accessory pathway located at right atrial appendage in a 28-year-old man with Wolff-Parkinson-White syndrome, who had a prior history of unsuccessful endocardial ablation. Percutaneous epicardial ablation may be a v...
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PMID: 21983769
PDF is available here.
Abstract
We present a case of peripheral pulmonary artery stenosis that was incidentally detected by agitated saline contrast study. A 19-year-old male patient underwent cardiologic examination to determine suitability for military service. He had exertional intolerance since early childhood. Physical examin...
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PMID: 21983770
PDF is available here.
Abstract
A 32-year-old woman underwent transcatheter closure of a secundum type atrial septal defect with the Amplatzer device. The procedure was started under premedication with aspirin, clopidogrel, and heparin. During the procedure, a highly mobile thrombus attached to the left atrial disc...
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PMID: 21983771
PDF is available here.
Abstract
Peripartum cardiomyopathy is a rare cardiac disorder. Although left ventricular apical thrombus formation is common in peripartum cardiomyopathy, biventricular apical thrombi formation is a very rare condition in these patients. A 21-year-old woman presented with complaints of dyspne...
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PMID: 21983772
PDF is available here.
Abstract
We can use an optimal imaging protocol. Cerebral structures can be evaluated on a microanatomical level on high-resolution images with thin slices. The three-dimensional (3D) sequence has high spatial resolution, properly distinguishes cerebral grey and white matter, provides the possibility of surf...
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PMID: 22059363
PDF is available here.
Abstract
Prolonged EEG monitoring and video-EEG monitoring are basic methods on the level of epilepsy centers. These methods are able to make differences between epilepsy and non epileptic paroxysmal manifestations like psychogenic non epileptic seizures, parasomniac phenomena, narcolepsy. Th...
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PMID: 22059366
PDF is available here.
Abstract
We summarize those epilepsies, in which genetic testing has clinical significance. Different types of genetic tests are presented. Na-channel epilepsies include different clinical entities, the exact genetic diagnosis is relevant in the prognosis, genetic counseling, as well in the therapeutic decis...
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PMID: 22059368
PDF is available here.
Abstract
Neuropsychological assessment makes its own valuable contribution to diagnosis in epilepsy, and the integration of those findings with the data from multiple sources provides the most comprehensive picture for a given epilepsy patient. The objective of this paper is to define and sum...
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PMID: 22059372
PDF is available here.
Abstract
We try to find answer to the basic question of not only theoretical but also great practical importance whether the OLE does really exist, is it an independent entity of epilepsy or only its general benign clinical presentation.
We considered OLE if the patients had two seizures maxi...
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PMID: 22059373
PDF is available here.
Abstract
A total of 431 rheumatologists included 1198 male patients (66.6±12.2years). According to DXA results, 888 patients (74.1 %) had osteoporosis and 231 (19.3 %) had osteopenia. BMD was considered as normal for 79 patients (6.6 %). A total of 1146 patients (95.7 %) satisfied to the criteria o...
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PMID: 21964043
PDF is available here.
Abstract
In the last decades the concept of bipolar disorder was subjected to many revisions. The complexity in diagnosing mood disorders, on the other hand, stems from the problem to delineate the boundary of these morbid conditions. The current nosographic approach is limited by the lack of attention given...
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PMID: 21938077
PDF is available here.
Abstract
A case of a patient with snapping pes syndrome following a blunt trauma to the knee is presented. Snapping pes syndrome is a painful catching experienced at the posteromedial corner of the knee from pes anserinus when moving from flexion to extension. Since the accident ten years ago the patient expe...
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PMID: 21936981
PDF is available here.
Abstract
A three day-old boy was brought to a department of paediatric surgery with mechanical ileus under suspicion of morbus Hirschsprung. Early into surgery it was found that the cause of ileus was an iatrogenic clamping of a small unrecognized omphalocele. In view of recent literature there is not found a...
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PMID: 21917228
PDF is available here.
Abstract
We describe two children, who were admitted with severe hyponatraemia and dehydration. In both children the hyponatraemia was due to cerebral salt wasting caused by tubercular meningitis. Differential diagnosis and pathophysiology is discussed. It is important to discriminate between cerebral salt wa...
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PMID: 21917230
PDF is available here.
Abstract
We report a case of appendicitis in a five week-old immature male (gestational age 26 weeks and four days) suspected with NEC....
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PMID: 21917229
PDF is available here.
Abstract
We investigated the usefulness of MRPI in predicting the clinical evolution in PSP of patients with clinically unclassifiable parkinsonism (CUP), i.e., parkinsonism not fulfilling the established clinical diagnostic criteria for any parkinsonian disorders, using a cohort study....
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PMID: 21832222
PDF is available here.
Abstract
Correct diagnosis is the key to managing facial pain of non-dental origin. Acute and chronic facial pain must be differentiated and it is widely accepted that chronic pain refers to pain of 3 months or greater duration. Differentiating the many causes of facial pain can be difficult for busy practiti...
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PMID: 21905353
PDF is available here.
Abstract
This paper addresses the signs and symptoms of local anaesthetic hypersensitivity, differential diagnoses and the management of a patient with suspected allergy to local anaesthetics. CLINICAL RELEVANCE: While allergy to anaesthetic is rare, knowledge of other causes of similar symptoms is important....
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PMID: 21905354
PDF is available here.
Abstract
We present a case of multifocal choroidopathy syndrome. A 54-year-old woman was referred to our department with blurred vision on both eyes, mild ocular pain, accompanied by metamorphopsia, floaters, scotomas and photopsia. The anterior segment examination showed small to medium size keratic precipi...
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PMID: 21905605
PDF is available here.