ABSTRACT
The adrenal incidentaloma is a disease that, thanks to the progress of the modern diagnostic, means for the longer and more high quality of life, has given a progressive increase in its impact, which has become more apparent in the elderly population. The authors after a review of literature on the impact and diagnostic, troubleshooting data endocrinology and imaging, these adrenal gland silent tumor clinically poses, envisage a therapeutic for use in older patient protocol.
Subject(s)
Adrenal Gland Neoplasms/diagnosis , Frail Elderly , Incidental Findings , Adrenal Gland Neoplasms/surgery , Adrenalectomy , Aged , Diagnosis, Differential , Humans , Laparoscopy , Treatment OutcomeABSTRACT
Although Bahia Blanca is a relatively small city, the large daily number of asthmatic patients treated is comparable with cities at least ten times its population. A 1-year study of correlation between the daily cases treated and various meteorologic parameters is presented. Asthmatic outbreaks are normally associated with a dramatic decrease in temperature, humidity, and pressure. This condition may favor the activity of airborne allergenics transported mainly by continental winds.
Subject(s)
Asthma/epidemiology , Disease Outbreaks , Argentina , Climate , Humans , Meteorological ConceptsABSTRACT
Three cases of intussusception in adults were observed within a period of six months in a small general hospital. All the patients were over 65 years old and all were admitted to hospital with intermittent cramping abdominal pains. None appeared to be in acute distress. In all three, body temperature, pulse rate and hemogram were within normal limits. Diagnosis was made preoperatively after barium enema studies. Bowel resection with end-to-end anastomosis was done in all three cases, in two because of gangrenous bowel. The site of intussusception was jejunojejunal in one case, ileocecal in another and colorectal in the third; and the cause in all cases was tumor, benign in two cases, malignant in one. The patients recovered uneventfully except for incisional abscess and diarrhea of seven days' duration in one. In a review of literature it was found that the clinical features in these three cases closely paralleled those of other cases of adult intussusception reported in this country.
