unusually delayed systemic anaphylactic reaction to iodinated contrast media

Delayed reactions to iodinated contrast media are rare. Even more rare are delayed systemic anaphylactic reactions. A case of a delayed systemic anaphylactic reaction to sodium iothalamate is presented which highlights the importance of keeping patients under observation for at least 1/2 an hour after being given conventional contrast media intravenously

Is there over utilization of chest radiography at the primary health care level in Bahrain

It had been our impression that there was over utilization of x-ray particularly chest radiography, at the primary health care level in Bahrain. Accordingly, we studied the chest radiographs of a health centre's patient population [Shaikh Sabah Health Centre] over a period of 6 months [Jan-June, 1986]. Out of the 291 chest radiographs studied only 45 [15.46%] were positive. Therefore, strict criteria for chest radiography should be established locally to minimize the cost of patient care and to reduce radiation dose to the general population

Endoscopic management of upper urinary tract stones: one year experience

During the one year period ending November 1st, 1987, 241 patients had endoscopic upper tract stone removal by either percutaneous nephrolithotomy [PCNL] or by transurethnal ureteroscopy, or as the primary modality of therapy. Successful stone extraction by PCNL was achieved in 146 out of 150 patients [97.3%], and by ureteroscopy in 83 out of 91 patients [91.2%]. Some of the patients had 2 or more stones removed. 9 ureteroscopies were performed to push stones to the kidney for percutaneous removal. Complications have been very few as has been the morbidity. The mean hospital stay was 6 days with a quick return to work

Heterotopic gestation: a case report and review of the literature

A case of heterotopic gestation is described after clomiphene therapy. Following the removal of the ectopic the intrauterine pregnancy continued uneventfully until term. A short review of the literature is made here with particular reference to the predisposing causes, and to the difficulties encountered in making early and accurate diagnosis of heterotopic gestation. We would like to draw attention to the advantages of combining ultrasonography and early laparoscopic intervention for making a definite diagnosis. Routine curettage in cases of "rule-out ectopic" laparoscopy procedures may result in an inadvertant evacuation of a wanted pregnancy