RESUMEN
Recent experience in the ultrasound study of thyroid swellings is reported. The results are discussed and it is pointed out that for accurate differential diagnosis of the thyroid pathology examined ultrasound data must be backed up by scintigraphic studies of the gland and if necessary by needle biopsy.
Asunto(s)
Enfermedades de la Tiroides/diagnóstico , Ultrasonografía , Adulto , Biopsia con Aguja , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Postura , Cintigrafía , Glándula Tiroides/diagnóstico por imagen , Glándula Tiroides/patología , Ultrasonografía/instrumentación , Ultrasonografía/métodosRESUMEN
In the case of adult primary myxedema reported the diagnostic suspicion aroused by objective examination was confirmed by assaying the hypophysial-thyroid hormones (blood T4 and T3 below normal levels) and by the behaviour of certain muscle enzymes (CPK, LDH, GOT) that bore witness to diffuse muscle and bone damage (hypothyroid "myopathy"). The presence of antithyroid antibodies, though in small amounts suggested earlier and unnoticed thyroiditis as a possible aetiopathogenic explanation. The clinical and metabolic picture undoubtedly benefited from treatment with L-Thyroxine.
Asunto(s)
Mixedema , Aspartato Aminotransferasas/sangre , Pruebas Enzimáticas Clínicas , Creatina Quinasa/sangre , Humanos , L-Lactato Deshidrogenasa/sangre , Masculino , Persona de Mediana Edad , Músculos/enzimología , Mixedema/diagnóstico , Mixedema/tratamiento farmacológico , Tiroxina/sangre , Tiroxina/uso terapéutico , Triyodotironina/sangreRESUMEN
A personal series and some clinical cases of pathology of the retroperitoneal space observed by ultrasonography during routine and emergency investigations are reported. Although the limitations of this diagnosis compared to the more recent image techniques (CT and NMR) are recognised, it is still considered an indispensable first level diagnosis in this extensive pathology (in terms of site, type and extent) of retroperitoneally located organs, tissues and systems.
Asunto(s)
Espacio Retroperitoneal/patología , Ultrasonografía , Anciano , Anciano de 80 o más Años , Aorta Abdominal/patología , Aneurisma de la Aorta/diagnóstico , Enfermedad Crónica , Diagnóstico Diferencial , Urgencias Médicas , Femenino , Humanos , Riñón/anomalías , Riñón/patología , Masculino , Persona de Mediana Edad , Seudoquiste Pancreático/diagnóstico , Pancreatitis/diagnósticoRESUMEN
A personal series of abdominal emergencies subjected to ultrasound studies is reported. The results of these studies were identical to the surgical and histological findings. It is therefore concluded that even in the absence of other diagnostic techniques (scintiscans, angiographic, CAT scans, etc.) ultrasound imaging can make a major contribution to the diagnosis of intra and extraperitoneal abdominal emergencies especially in district hospitals.
Asunto(s)
Abdomen Agudo/diagnóstico , Ultrasonografía , Abdomen/patología , Abdomen Agudo/patología , Anciano , Anciano de 80 o más Años , Urgencias Médicas , Humanos , Masculino , Persona de Mediana EdadRESUMEN
A report is presented on 22 patients with advanced stomach cancer in whom echography revealed the characteristic signs ("pseudokidney", "cockade", "target", "doughnut", etc.). Though not considered wholly specific indicators of gastric neoplasm (they may be artefacts or errors of interpretation) they are helpful in the diagnosis of the stomach. Ultrasound has made it possible to identify the site (antrum and body) and spread of the cancer both locally and at a distance and only a few forms (not encountered in the present series) have presented characteristic images. Endoscopic ultrasonography and the high resolution intraoperative type offer the chance for significant progress in this diagnostic field.
Asunto(s)
Adenocarcinoma/diagnóstico , Neoplasias Gástricas/diagnóstico , Ultrasonografía , Adenocarcinoma/diagnóstico por imagen , Endoscopía , Femenino , Masculino , Radiografía , Neoplasias Gástricas/diagnóstico por imagenRESUMEN
The undoubted advantages deriving from the use of abdominal ultrasonography both in diagnosis and medical or surgical treatment are reported. In particular ultrasonography has proved very helpful in the study of pathologies of the liver and biliary tract, especially in a Rural Hospital, where it is not possible to have recourse to more refined diagnostic techniques.
Asunto(s)
Enfermedades de las Vías Biliares/diagnóstico , Hospitales Rurales , Hospitales , Hepatopatías/diagnóstico , Ultrasonografía , Humanos , Italia , Neoplasias Hepáticas/diagnósticoAsunto(s)
Analgésicos/administración & dosificación , Angina de Pecho/tratamiento farmacológico , Hospitalización , Infarto del Miocardio/fisiopatología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/mortalidad , Infarto del Miocardio/patología , PronósticoRESUMEN
527 Gram negative bacterial strains isolated from different biological substances were studied by chemo-antibiotic sensitivity. The examination was carried out by the agar diffusion test (Kirby-Bauer). A very good sensitivity to aztreonam (E. coli, Serratia spp., Klebsiella spp., Proteus spp.), to amikacin (Pseudomonas spp., Enterobacter spp., Citrobacter spp.) and to norfloxacin (Citrobacter spp.) was found. Even when it was not the best, aztreonam was the second (Citrobacter spp.) or the third choice (Pseudomonas spp.), always near to the drug of first choice.
Asunto(s)
Aztreonam/farmacología , Bacterias Gramnegativas/efectos de los fármacos , Amicacina/farmacología , Aminoglicósidos/farmacología , Antibacterianos/farmacología , Femenino , Humanos , Masculino , Pruebas de Sensibilidad Microbiana , Norfloxacino/farmacologíaRESUMEN
Clinical and laboratory abnormalities were examined in relation to diabetes mellitus in a retrospective study of the 120 patients with acute stroke admitted to our medical unit between January 1, 1981 and March 31, 1984, inclusive. Paretic stroke was defined without clinical evidence of alternative diagnosis. We have examined: age, serum levels of glucose, urea, creatinine, cholesterol, triglycerides, albumin, globulins, ratio albumin/globulins and also a white and red blood-cells count, haemoglobin, erythrocyte sedimentation rate and blood pressure. The routine electrocardiogram (ECG) obtained on admission was examined for atrial fibrillation. The high prevalence of risk factors associated with diabetes mellitus in stroke patients indicate the need for further studies of stroke prevention and treatment particularly in this disease.
Asunto(s)
Glucemia/análisis , Trastornos Cerebrovasculares/sangre , Complicaciones de la Diabetes , Anciano , Proteínas Sanguíneas/análisis , Sedimentación Sanguínea , Trastornos Cerebrovasculares/etiología , Diabetes Mellitus/sangre , Femenino , Prueba de Tolerancia a la Glucosa , Humanos , Hiperglucemia/complicaciones , Masculino , Persona de Mediana Edad , Riesgo , Triglicéridos/sangreRESUMEN
A group of 174 hospital patients was studied to discover the incidence of ABO blood groups in comparison, with a similar analysis of a representative sample (1872 people) of the Amiata Community as a whole. Though this type of sampling is open to criticism, it is still felt that there is no statistical proof that one or more of these blood groups is more prone to gall stones, at least in Amiata.
Asunto(s)
Sistema del Grupo Sanguíneo ABO , Colelitiasis/inmunología , Humanos , ItaliaAsunto(s)
Indometacina/farmacología , Prostaglandinas/farmacología , Sistema Cardiovascular/efectos de los fármacos , Enfermedad Coronaria/tratamiento farmacológico , Interacciones Farmacológicas , Humanos , Inflamación/tratamiento farmacológico , Riñón/efectos de los fármacos , Pulmón/efectos de los fármacos , Úlcera Péptica/inducido químicamente , Renina/metabolismoRESUMEN
The haemochromocytometric reports and the main erythrocyte indices (VCM, HbCM , CHbCM ), as well as haematocrit and bilirubinemia levels were studied in 367 apparently healthy people over sixty, of whom a small group showed lower than normal results for their age and sex.
Asunto(s)
Encuestas Epidemiológicas , Factores de Edad , Anciano , Bilirrubina/sangre , Recuento de Células Sanguíneas , Índices de Eritrocitos , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Valores de ReferenciaRESUMEN
The authors have isolated 938 Gram-negative germs from 3141 urinocultures. In the work is reported the percentage of sensitivity of the single tested antibiotics and it is recommended an exact therapy, if we won't have clamorous failures.