Subject(s)
Artifacts , Radiography, Dental , Tomography, X-Ray Computed/methods , Dental Amalgam , Humans , MaleSubject(s)
Barium Sulfate , Cathartics/adverse effects , Enema , Picolines/adverse effects , Activities of Daily Living , Adult , Aged , Aged, 80 and over , Citrates , Female , Humans , Male , Middle Aged , Organometallic CompoundsABSTRACT
The conventional assessment of subcutaneous cavernous haemangiomas by venography, arteriography, ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) is often unsatisfactory and fails to show either the extent of the lesion or its feeding and draining vessels. We describe a direct puncture venography technique which successfully delineated the lesions in six patients. The technique was easy to perform and no complications occurred.
Subject(s)
Head and Neck Neoplasms/diagnostic imaging , Hemangioma, Cavernous/diagnostic imaging , Phlebography/methods , Adolescent , Adult , Child , Child, Preschool , Fingers , HumansABSTRACT
The location of undescended impalpable testes is important because of the greatly increased risk of malignancy. Various imaging methods have been used in the past with only partial success. In many cases an exploratory laparotomy has been performed although even this has not proved completely successful. We describe the use of magnetic resonance imaging (MRI) in six adults with eight undescended testes. We were able to detect the position of six of the eight testes by this method. MRI does not use ionising radiation and is a useful method of locating these radiosensitive organs.
Subject(s)
Cryptorchidism/diagnosis , Magnetic Resonance Imaging , Adolescent , Adult , Cryptorchidism/pathology , Humans , Male , Testis/pathologyABSTRACT
In a double-blind multicentre study to compare pirenzepine with placebo in non-ulcer dyspepsia, 71 patients were randomized to receive 50 mg pirenzepine or placebo given orally twice daily for 4 weeks. The trial was not completed by five patients in the pirenzepine group and six in the placebo group. There were no significant differences between the groups in respect to changes in total symptoms (upper abdominal pain, nausea and vomiting, early satiety and postprandial bloating, eructation and pyrosis) scores and outcome, although 27/35 (77%) patients receiving pirenzepine were cured or improved compared with 22/36 (61%) receiving the placebo. Adverse effects were reported by 13 (37%) patients treated with pirenzepine and by six (17%) treated with placebo, seven withdrawing due to adverse effects.
Subject(s)
Dyspepsia/drug therapy , Pirenzepine/therapeutic use , Adolescent , Adult , Aged , Double-Blind Method , Endoscopy , Female , Humans , Male , Middle Aged , Multicenter Studies as Topic , Pirenzepine/adverse effects , Randomized Controlled Trials as TopicABSTRACT
Although depression has been linked with both the irritable bowel syndrome and non-organic abdominal pain, which are common in gastrointestinal outpatients, the prevalence of depression in most surveys of outpatient practice has been low. Use of the Beck Depression Inventory to screen new referrals to a general medical and gastrointestinal clinic and to a minor surgical clinic showed that 50 of 100 medical patients were rated as having some degree of depression, compared with 14 of 75 (19%) of the surgical patients in whom abdominal pain and bowel dysfunction were rare (X2 = 9.6, p less than 0.01). In the medical clinic no organic disorder was detected in 64% of the depressed patients, the majority of whom presented with abdominal pain or irritable bowel syndrome. Depression was significantly commoner in this group of patients than in those with other conditions, (X2 = 6.63, p = 0.01). That depression is common in gastrointestinal outpatients is not always appreciated and its symptoms should be sought in all patients with bowel dysfunction and chronic abdominal pain.
