ABSTRACT
Our experience, as well as the latest literature in the field, stresses the importance of the clinical and neurological examinations in cases of minor head injury. This could avoid the performance of unnecessary imaging and EEG studies and the admittance of children who only need pharmacological therapy in order to relieve the neurotoxic effects of trauma at the axonal and cellular levels.
Subject(s)
Craniocerebral Trauma , Child, Preschool , Craniocerebral Trauma/diagnosis , Craniocerebral Trauma/physiopathology , Female , Humans , Infant , Injury Severity Score , MaleABSTRACT
The authors summarise diagnostic strategies an clinical epidemiologic peculiarities of non-bacterial bronchopneumopathies in children. The role of classic viral agents (virus influenzal A-B, virus parainfluenza 2-3, RVS) is stressed without neglecting the role of other etiologic agents such as Chlamydia trachomatis, Mycoplasma pneumoniae and Pneumocystis carinii. The Authors point out the necessity of direct investigation (viral cultures, direct investigation in IF and ELISA, investigation with DNA probe use, etc.) and indirect serologic investigation to obtain the greatest possible accuracy an early diagnosis.
Subject(s)
Bronchial Diseases , Chlamydia Infections , Lung Diseases , Respiratory Tract Infections , Virus Diseases , Acute Disease , Age Factors , Chlamydia Infections/diagnosis , Chlamydia Infections/epidemiology , Diagnosis, Differential , Humans , Infant , Infant, Newborn , Respiratory Tract Infections/diagnosis , Respiratory Tract Infections/epidemiology , Virus Diseases/diagnosis , Virus Diseases/epidemiologyABSTRACT
The aim of our study was to determine whether a relationship existed between echocardiographic evidence of left ventricular thrombus (LVT) and clinical course of myocardial infarction. We followed 143 patients who had had typical myocardial transmural infarction (82 with "anterior") and 61 with "inferior" myocardial infarction) over a three month period. Incidence of LVT, detected by Two-Dimensional Echocardiography (TDE) was significantly greater in subjects affected by "anterior" myocardial infarction (p less than 0.05). Furthermore, the occurrence of LVT was more frequent in the presence of left ventricular a-, dys-kinesis detected by TDE (p less than 0.01). No significant relationship was demonstrated either with the occurrence of severe ventricular arrhythmias (Lown 3-4-5) or with an abnormal stressing test performance. Thus certain clinical and laboratory features such as anterior site of infarction, higher serum level of CPK and CPK-MB and severe alterations of left ventricular kinesis proved to be useful in identifying a subset of patients most likely to have LVT who may benefit from early anticoagulant therapy.
