Acute upper limb ischemia as the first manifestation in a patient with COVID-19.

Coronavirus disease-19 (COVID-19) first emerged in December 2019 in China and rapidly spread worldwide. Although various studies have reported that COVID-19 is associated with a hypercoagulable state and thrombotic complications in critically ill patients, there are few case reports on thrombotic events as one of the presenting symptoms. We report a case of acute upper extremity ischemia as the initial clinical presentation of a patient with COVID-19.

One Case of Neonatal Acute Lymphocytic Leukemia

No abstract available.

A Study of Umbilical venous Blood of pH, pCO2, Bicarvonate and Base Excess in Normal Term Infat and High Risk Infant

The levels of pH,pCO,bicarbonate, and base excess in umbillical venous blood were measured at birth of life in 30 normal term infant and 27 high risk infants. The study group was divided into two categories by clinical evaluation: first group of normal term infant without high risk indication and second group of high risk infants. Following results were obiained. 1) The average level of umbilical venous blood pH in normal group was 7.3260.001 and high risk group was 7.3180.002(7.326 versus 7.318,respecitvely,p>0.05) 2) The average Apgar Score in normal group was 9.30.95 and more acidotic high risk group was 7.42.54 3) The average level of pCO in normal group was 43.361.36mmHg and high risk group was 43.952.36mmHg(43.36 respecitively, p>0.05) 4) The average level of pCo in normal group was 21.550.85mmEq/L and high risk group was 20.030.78mEq/L(21.55 versus 20.03mEq/L respectively,p>0.05) 5) The average level of base excess in normal group was -2.610.76mEq/L and high risk group was -3.060.91mEq/L(-2.61 versus -3.06mEq/L respecitively,p?0.05) 6) Relationship between hP and Apgar Score in normal group was False normal (6.7%),False abnormal(10%) and high risk group was False normal (14.8%) False abonromal(7.4%).

A Cses of Hereditary Cerebellar Ataxia in Brothers

We experienced two suspected cases of hereditary cerebellar ataxia of ten years and right years aged boys who brothers. The patients manifested progressive wide base ataxic gait, incordination, intention tremor, impaired balance and dysarthria. A bries review of related literature is also presented.

Clinical Studies on Convulsions in children

Clinicla observation was made on 277 children with convulsion who were admitted to the Pediatric Department of Chosun University Hospital during 3 years period from Jan, 1975 to Dec. 1977. There were 165 boys and 122 girls and the results were as follow: 1. The incidence of convulsive disorders among the admission patients were 19.8% 2. The most common cause of convulsion in children was febrile convulsion.(27.8%) 3. Tetanus neonatorum was the most common cuase of convulsion in neonatal period(41.1%) 4. Febrle convulsion was the most frequent cause from 1 month to 6 month(42%) 5. The most common cause of convulsion in 6 months to 2years was febrile convulsion(46.6%). 6. In children from 2 years, to 6 years idiopathic epilepsy was the most frequent casue of convulsion.(27%). 7. Idiopathic epilepsy was the most common cause of convulsion from 6 years to 15 years(41.1%) 8. Convulsion was most frequent in children from 6 month to 2 years(26.4%) 9. The most etiologic factor of febrile convulsions were bronchopneunia, pharyngotonsillitis, diarrhea imbalance and sepsis etc.

Clinical Observation for Low-Birth-Weight Infant

We took clinical observation for low-birth-weight infant who had been delivered at Chosun University Hospital during the last 4 years from July, 1972 to June, 1976. The results obtained were as follows; 1) High incidence of low-birth-weight infant was found in group of gestational period, 31-33 weeks and birth weith, 1501~1750 gm . and those were 16 cases. 2) The incidence of low-birth weitht infant was 8.4% and there was no different distribution between male and female. 3) Incidence of low-birth-weight infant by maternal age was in order of the group of 26-30 years old, the group of 20-25 years old and the group of 31-35 years old and the incidence by parity was higher in multiparity than in primiparity. 4) Incidence of low-birthpweight infant by the type of delivery was in order of normal vaginal delivery, breech delivery and C-section delivery. 5) Etiology of low-birth-weight infant was in order of multiple pregnancy, toxemia, placenta previa and abruptio placenta, premature repture of membrane and congenital syphilis. 6) Mortality rate by weight-gestational age was lower in the group of apprepriate for gestational age infant than in the group of small for gestational age infant and in the group of large for gestatonal age infant. 7) Higher mortality rate was noted in the group of lower birth weight infant, the group of more shortened gestational period and the group of lower Apgar score. 8) Incidence of twin was 11.4% and death was noted only 1 case in male group. 9) In the respect of physiologic weight loss, an average maximal weight loss 9.3% of birth weitht and average maximal weight loss was appeared on 8th day after birth and the duration of returning to the birth weight was 13.5 days. 10) Average body measurements at birth were as follows: head circumference, 30.5cm, length, 43.9cm, and chest circumference, 27.7 cm and there was tendency of lower value of body measurements in the group of lower birth weight. 11) In the chest x-ray which was taken within 12 hours after normal finding was 98 cases (81.0%), hyaline membrane disease. 7(5.8%), atelectasis, 6(5.0%), congenital heart disease, 2(1.7%) and 1 case (0.8%) of pneumothorax. 12) In the peripheral blood cell count, there was higher value of Hb, RBC and Hct in the group of higher weight, but this proportional relationship was not found in WBC count.