scholarly journals Pancreatic cyst-solid mass: tuberculosis

2021 ◽  
Vol 84 (4) ◽  
pp. 680-681
Author(s):  
C Wu ◽  
S Wang ◽  
B Hu
Keyword(s):  
Pancreatic Head ◽  
Total Bilirubin Level ◽  
Arterial Phase ◽  
Test Results ◽  
Solid Mass ◽  
Laboratory Test Results ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Chinese Male

Question: A 29-year-old Chinese male was admitted to our department with a history of right upper quadrant pain for two months, anorexia, weight loss about 5 kg and without fever. The pain radiated to the back and it got worst lately. He didn’t have a history of tuberculosis. The sclera was mild icteric. Laboratory test results showed total bilirubin level increased to 58 umol/L (normal level <28 umol/L) and tumor markers were normal. Chest X-ray was normal. Abdominal contrastenhanced CT showed a 25 x 30 mm cyst-solid mass in the head of pancreas (Figure1. A) and the lesion was mild enhancement in arterial phase. Pancreatic tumor was considered. Endoscopic ultrasonography confirmed the mass with uneven echo in the pancreatic head and the boundary of the mass was not clear (Figure1. B). The lesion may invade the portal vein. As the patient was young and the operation was very traumatic, the patient refused surgery unless the lesion was proved to be a tumor.

scholarly journals Epidemiological and Clinical Features of COVID-19 Patients at National Emergency Hospital Wisma Atlet Kemayoran, Jakarta,Indonesia

2021 ◽  
Author(s):  
Agus Dwi Susanto ◽  
Anna Rozaliyani ◽  
Budi Prasetyo ◽  
Heidy Agustin ◽  
Hario Baskoro ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Young Patients ◽  
Patient Characteristics ◽  
Test Results ◽  
Emergency Hospital ◽  
Laboratory Test Results ◽  
Number Of Patients ◽  
Chest X Ray ◽  
The Many ◽  
National Emergency

The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study reviewed data of patients treated at the National Emergency Hospital Wisma Atlet Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/ oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and moderate cases. The patient’s overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.

scholarly journals Pulmonary involvement in rheumatoid arthritis: evaluation by radiography and spirometry

2015 ◽  
Vol 41 (4) ◽  
pp. 331-342 ◽  
Author(s):  
Alexandre Melo Kawassaki ◽  
Daniel Antunes Silva Pereira ◽  
Fernando Uliana Kay ◽  
Ieda Maria Magalhães Laurindo ◽  
Carlos Roberto Ribeiro Carvalho ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Smoking Status ◽  
Pulmonary Involvement ◽  
Diagnostic Methods ◽  
Test Results ◽  
Cross Sectional ◽  
X Ray ◽  
Significant Difference ◽  
History Of ◽  
Chest X Ray

AbstractObjective: To determine whether simple diagnostic methods can yield relevant disease information in patients with rheumatoid arthritis (RA).Methods: Patients with RA were randomly selected for inclusion in a cross-sectional study involving clinical evaluation of pulmonary function, including pulse oximetry (determination of SpO2, at rest), chest X-ray, and spirometry.Results: A total of 246 RA patients underwent complete assessments. Half of the patients in our sample reported a history of smoking. Spirometry was abnormal in 30% of the patients; the chest X-ray was abnormal in 45%; and the SpO2 was abnormal in 13%. Normal chest X-ray, spirometry, and SpO2 were observed simultaneously in only 41% of the RA patients. A history of smoking was associated with abnormal spirometry findings, including evidence of obstructive or restrictive lung disease, and with abnormal chest X-ray findings, as well as with an interstitial pattern on the chest X-ray. Comparing the patients in whom all test results were normal (n = 101) with those in whom abnormal test results were obtained (n = 145), we found a statistically significant difference between the two groups, in terms of age and smoking status. Notably, there were signs of airway disease in nearly half of the patients with minimal or no history of tobacco smoke exposure.Conclusions: Pulmonary involvement in RA can be identified through the use of a combination of diagnostic methods that are simple, safe, and inexpensive. Our results lead us to suggest that RA patients with signs of lung involvement should be screened for lung abnormalities, even if presenting with no respiratory symptoms.

scholarly journals Clinicoepidemiological profile and outcome in patients of covid 19 with normal chest x-ray: study of 51 patients

2020 ◽  
Vol 9 (1) ◽  
pp. 181
Author(s):  
Huma Firdaus ◽  
Nafees Ahmad Khan ◽  
Maqsumi Reza ◽  
Mansoor Ahmad Khan ◽  
Gishnu Krishnan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Age Group ◽  
Rt Pcr ◽  
X Ray ◽  
Good Outcome ◽  
Number Of Patients ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Time Of Presentation

Background: Covid 19 was declared a pandemic by WHO on 11 March 2020. Patients usually have pneumonia on chest x-ray at time of presentation however many patients also do not develop pneumonia and have normal chest x-ray.Methods: A total of 51 patients above the age of 15 years diagnosed with covid 19 by RT PCR of nasopharngeal/oropharyngeal samples were included in the study. History of symptoms onset was recorded, chest x-ray and haematological investigations were done of all patients.Results: A total of 51 patients >15 years of age were included in the study. 28 were male and 23 were female patients. Maximum number of patients were in age group 15-30 years. Most common presenting complain was fever (49% patients). Most common comorbidity was diabetes mellitus. There was no mortality reported in patients with normal chest x-ray.Conclusions: We conclude from the current study that patients with normal chest x-ray at the time of presentation have a very good outcome.

scholarly journals Infectious Mononucleosis Presenting with Loss of Taste and Smell During the SARS-CoV-2 Pandemic?

2020 ◽  
Author(s):  
Krishna Nareshkumar Patel ◽  
Muhammad Hussein ◽  
Amir Khalil ◽  
Najeeb Rehman ◽  
Hazim Mahdi ◽  
...  
Keyword(s):  
Infectious Mononucleosis ◽  
Close Contact ◽  
Blood Film ◽  
Progressive Dyspnoea ◽  
Barr Virus ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Epstein Barr ◽  
Taste And Smell

A 53-year-old woman presented during the SARS-CoV-2 pandemic with an 18-day history of pyrexia, myalgia, progressive dyspnoea and loss of taste and smell after a close contact had tested positive for SARS-CoV-2. In this period two swabs had been negative for SARS-CoV-2. Clinical examination was normal. During this admission a third SARS-CoV-2 swab was negative, and investigations showed mildly elevated inflammatory markers, mildly deranged liver function, atypical lymphocytes on a blood film and a normal chest x-ray. Her Epstein–Barr virus serology was positive and thus the diagnosis was infectious mononucleosis.

Encountering Incomplete Temporal Information in Clinical Data Warehouses

2020 ◽  
Vol 5 (1) ◽  
pp. 32-48 ◽  
Author(s):  
Georgia Garani ◽  
Canan Eren Atay
Keyword(s):  
Data Warehouse ◽  
Clinical Data ◽  
Data Repository ◽  
Test Results ◽  
Cancer Data ◽  
Clinical Data Warehouse ◽  
Laboratory Test Results ◽  
History Of ◽  
First Time ◽  
Complete History

A clinical data warehouse (CDW) can be an important tool for the purposes of analysis and critical decision making in the medical field. Such a data repository integrates heterogeneous health data, including clinical, treatment and diagnostic data and laboratory test results from a variety of sources. Accurate data need to be stored and processed in a CDW with adequate computation capabilities and thus, time plays a crucial factor. A slowly changing dimension (SCD) is a dimension that changes slowly over time, either gradually or intermittently. This article introduces a new SCD type, Type BTA, where both valid time and transaction time are supported for providing a complete history of the dimensional data. With Type BTA, the history of an object can be captured through the changes as reflected in the CDW. Consequently, for the first time, the full history of retroactive and post-active changes can be preserved in a CDW. Specifically, Type BTA is implemented for a Clinical Data Warehouse using real cancer data, for which the advantages of this methodology are demonstrated and advocated.

scholarly journals Gastric perforation through a hiatus hernia into the left lung in an 84-year-old woman

2019 ◽  
Vol 12 (5) ◽  
pp. e227956
Author(s):  
Daniel Fitzpatrick ◽  
Mario Longondjo
Keyword(s):  
Hiatus Hernia ◽  
Left Lung ◽  
Sudden Onset ◽  
Ct Angiogram ◽  
Aortic Pathology ◽  
Oral Steroids ◽  
History Of ◽  
Normal Chest ◽  
Chest X Ray ◽  
Large Hiatus Hernia

An 84-year-old woman presented to the emergency department with a sudden onset of chest pain, shortness of breath and vomiting. She had a medical history of hiatus hernia, gastro-oesophgeal reflux disease and asthma only, but had several recent courses of oral steroids to treat her asthma. Initially she was hypoxic, tachycardic and normotensive. ECG was normal, chest X-ray showed a hiatus hernia and right middle zone consolidation. Inflammatory markers were normal. CT angiogram was performed to exclude aortic pathology, for which it was negative. It did however show a large hiatus hernia which had perforated and was communicating with the left lung. The patient deteriorated clinically and became hypotensive and more hypoxic. She was transferred to the intensive care unit but died 36 hours later as she was too unwell to undergo any exploratory surgery.

Design and Development of a Power Turbine for the Spey Gas Generator

1978 ◽  
Author(s):  
N. G. Reed ◽  
J. M. Wilson
Keyword(s):  
Laboratory Test ◽  
High Efficiency ◽  
Operating Experience ◽  
First Year ◽  
Test Results ◽  
Gas Generator ◽  
Natural Gas Pipeline ◽  
Power Turbine ◽  
Laboratory Test Results ◽  
History Of

The engineering aspects of a new high efficiency 16,200-hp (12,080-MW) gas turbine using the Spey gas generator are presented. The history of the Spey and its evolution as an industrial gas generator are given. The design philosophy, aerodynamic features, and mechanical aspects of the new power turbine are discussed. Full-load laboratory test results of the new unit are reviewed. The first field installation, including the conversion of an existing natural gas pipeline unit from an Avon gas generator, is described. The first year of field operating experience is also summarized.

scholarly journals Two cases of special POEMS syndrome without monoclonal protein expression: a case report and literature review

2021 ◽  
Vol 49 (4) ◽  
pp. 030006052199096
Author(s):  
Hua Ping Du ◽  
Ye Zhang ◽  
Lei Min Sun ◽  
Liang Luo
Keyword(s):  
Protein Expression ◽  
Poems Syndrome ◽  
Lower Limbs ◽  
Test Results ◽  
Monoclonal Protein ◽  
First Case ◽  
Laboratory Test Results ◽  
History Of ◽  
Plasma Cell Disorder ◽  
Diagnostic Symptoms

POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes) syndrome is rare, with polyneuropathy and monoclonal plasma cell disorder generally considered as essential diagnostic symptoms. We report two cases of POEMS syndrome without monoclonal protein expression. The first case was a 72-year-old man who had experienced recurrent edema of the lower limbs for 2 years and abdominal distention for 2 months. The other case was a 62-year-old man with a 5-year history of recurrent numbness of the extremities and muscle weakness, which had become serious over the preceding 3 months. Both patients had various symptoms that matched those of POEMS syndrome, but neither had monoclonal protein expression. However, a diagnosis of POEMS syndrome was made in each case. Both patients were treated with lenalidomide and dexamethasone, after which their symptoms improved and laboratory test results normalized. The findings in these two cases suggest the possibility that POEMS syndrome may occur without monoclonal protein expression. The diagnostic criteria of POEMS syndrome may thus need further investigation.

scholarly journals Subcutaneous Tocilizumab for Thyroid Eye Disease

2021 ◽  
Vol 62 (11) ◽  
pp. 1553-1559
Author(s):  
Jungyul Park ◽  
Hee-young Choi
Keyword(s):  
Laboratory Test ◽  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Immunoglobulin Level ◽  
Test Results ◽  
Normal Limits ◽  
Final Injection ◽  
Laboratory Test Results ◽  
History Of ◽  
Pre Treatment

Purpose: To demonstrate the efficacy of subcutaneous tocilizumab (TCZ-SC) treatment for recalcitrant thyroid eye disease (TED) refractory to intravenous methylprednisolone (MP) and oral methotrexate (MTX).Case summary: (Case 1) A 52-year-old man, smoker, with hyperthyroidism presented with a 3-months history of TED. The initial clinical activity score (CAS) was 5 (total score of 7). High-dose intravenous MP and oral MTX failed to improve the symptoms. He was treated with four doses of 162 mg TCZ-SC at an interval of 2 weeks. Pre-treatment laboratory test results were within normal limits. CAS was reduced to 2 weeks after the final injection, and there were no recurrences during the 6-month follow-up. (Case 2) A 37-year-old woman, non-smoker, with a 3-months history of hyperthyroidism presented with conjunctival injection and upper eyelid erythema. The initial CAS was 4, and thyroid-stimulating immunoglobulin level was raised (475% of normal). The symptoms did not improve with 7.5 g intravenous MP and oral MTX. The patient was treated with 162 mg TCZ-SC. Pre-treatment laboratory test results were within normal limits. CAS was reduced to 1 after the final injection, and there were no recurrences during the 6-months follow-up.Conclusions: TCZ-SC improves symptoms of corticosteroid-resistant TED, and may be a reasonable option in recalcitrant TED cases. However, further studies are required to justify the use of TCZ-SC for TED.

scholarly journals Clinical features of isolated superior mesenteric artery dissection in the emergency department: a single center retrospective study

2021 ◽  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Liver Function ◽  
Mesenteric Artery ◽  
Artery Dissection ◽  
Test Results ◽  
Laboratory Test Results ◽  
History Of ◽  
Superior Mesenteric Artery Dissection ◽  
D Dimer

Isolated superior mesenteric artery dissection (ISMAD) is a relatively rare disease and often lacks specificity in its clinical presentation, diagnosing it in emergency departments quickly and accurately is a challenge. The study was conducted to understand the basic characteristics of ISMAD including age of onset, risk factors, gender difference and whether D-dimer can be used as a biomarker for its detection. We retrospectively analyzed patients with ISMAD admitted to the emergency department of Xiangya Hospital of Central South University from September 1, 2017 to September 30, 2020. The data included the patient’s basic information and the first laboratory test results after admission, including routine blood, liver function, renal function and coagulation function tests. Statistical analysis of results was done using GraphPad Prism 5. There were a total of 17 (15 male and 2 female) patients with a mean age of 52.53 ± 7.11 years diagnosed with ISMAD. Out of these, 7 (41%) patients had history of hypertension, 7 (41%) had history of smoking and/or alcohol intake, and almost all patients experienced significant abdominal pain and fullness. Four patients (24%) were initially misdiagnosed. The laboratory test results of renal, liver function tests and myocardial enzymology were in their normal ranges. In coagulation results, the positive rates of fibrinogen degradation products (FDP) and D-dimer were 29% and 35%, respectively. We compared these ISMAD results with our previous results for acute aortic dissection (AAD). D-dimer and FDP levels were lower in the ISMAD than in the AAD patients (P = 0.0004, P = 0.0325, respectively), and negative rates of D-dimer and FDP in ISMAD (65%, 71%) were higher than in AAD patients (14%, 24%) (P < 0.0001, P = 0.0003, respectively). In our study, ISMAD mostly occurred in middle-aged male patients with known hypertension or active smoking status. Misdiagnosis was common (24% of cases). Since D-dimer and FDP levels proved to be of limited diagnostic value, an abdominal Computed Tomography (CT) scan should be conducted in patients with unclear abdominal pain at an early stage of their diagnostic workup.

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