A case of multilocular solitary cyst of the kidney containing approximately 5000 ml. of fluid has been reported along with a literatural review.
Bone Cysts* ; Kidney*

No abstract available.
Hemolytic-Uremic Syndrome*

Coronary artery ectasia (CAE) is a rare condition defined as the dilatation of coronary artery to at least 1.5 times larger than the normal adjacent coronary artery. Clinical manifestations of CAE vary, ranging from asymptomatic to ST-segment elevation myocardial infarction (STEMI). Because of its rarity and clinical diversity, the best treatment strategy and prognosis for CAE remain unclear. We describe a case of STEMI caused by intracoronary thrombus formation within an ectatic area in a patient with liver cirrhosis (LC). The patient was successfully managed by thrombus aspiration only, without balloon angioplasty or stent implantation, and maintained by dual antiplatelet therapy with aspirin and ticagrelor, a potent new P2Y12 inhibitor.
Angioplasty, Balloon ; Aspirin ; Coronary Vessels* ; Dilatation ; Dilatation, Pathologic ; Humans ; Liver Cirrhosis* ; Liver* ; Myocardial Infarction* ; Platelet Aggregation Inhibitors ; Prognosis ; Stents ; Thrombosis*

SUMMARY OF LITERATURE REVIEW: Many authors haute described the association between lumbar disc degeneration and segmental instability but it has not been delineated in detail. OBJECTIVES: To compare the MRI assessment of disc degeneration with the conventional plain X-ray evaluation of the intervertebral disc, in order to study lumbar segmental instability. MATERIALS AND METHODS: In 75 patients with low back pain and/or sciatica, we analyzed disc space height, angular displacement, and horizontal displacement on plain radiographs of the lumbar spine. These parameters were compared with the grade of disc degeneration as evaluated by magnetic resonance Imaging. STUDY DESIGN: We analyzed the association between grade of disc degeneration as evaluated by magnetic resonance imaging assessment and segmental instability as evaluated by plain radiographs of the lumbar spine. RESULTS: Disc space height was decreased In proportion to the grade of disc degeneration. Angular displacement was increased according to the grade of disc degeneration, but significantly less with severe degeneration, accompanied by a tendency to stabilization of the motion segment. Horizontal displacement was not correlated with the grade of disc degeneration CONCLUSIONS: The incidence of lumbar segmental instability increased in proportion to the grade of disc degeneration but significantly decreased with severe disc degeneration.
Humans ; Incidence ; Intervertebral Disc ; Intervertebral Disc Degeneration* ; Low Back Pain ; Magnetic Resonance Imaging ; Sciatica ; Spine

Idiopathic pulmonary hemosiderosis (IPH) is a rare disease of unknown etiology; is characterized by bleeding into the alveoli and progressive pulmonary fibrosis. The clinical and paraclinical findings consist of recurrent hemoptysis, pulmonary infiltrates, and iron deficiency anemia. Examinations of sputum disclose large numbers of hemosiderin-laden alveolar macrophage. Pulmonary interstitial fibrosis may develop. We experienced a case of recurrent IPH in an eight and half year-old girl who had been initially admitted at the age of 12 months old for the same complaints: cough, fever, and recurrent episodes of hemoptysis and iron deficiency anemia. Hemosiderin laden macrophages were demonstrated in smears of material obtained from gastric juices. There were no specific causes for the pulmonary hemorrhage. We reported a case of IPH with sequential findings on plain chest radiograph and high resolution computed tomography.
Anemia, Iron-Deficiency ; Child ; Cough ; Female ; Fever ; Fibrosis ; Follow-Up Studies* ; Gastric Juice ; Hemoptysis ; Hemorrhage ; Hemosiderin ; Hemosiderosis* ; Humans ; Infant ; Macrophages ; Macrophages, Alveolar ; Pulmonary Fibrosis ; Radiography, Thoracic ; Rare Diseases ; Sputum

Asthma is a common disease in children. However, CT findings in childhood asthma are rarely reported. Several authors reported CT findings in adult: bronchial wall thickening, bronchiectasis, mucoid impaction, acinar pattern, lobar or subsegmental collapse, air-trapping, or emphysema. We have studied three cases of HRCT findings in childhood asthma, and HRCT findings included bronchial wall thickening, bronchial dilatation, patchy air-space consolidation, ill-defined acinar nodules, centrilobular nodule, subsegmental atelectasis, and multiple focal areas of lobular air-trapping or mosaic perfusion pattern. These above findings are similar to those of adult. A Brief review of related literature was presented.
Adult ; Asthma* ; Bronchiectasis ; Child ; Dilatation ; Emphysema ; Humans ; Perfusion ; Pulmonary Atelectasis

The delineation of the functioning renal parenchyma by the scintiscanning technique has made it possible to supplement diagnostic informations obtained by ordinary urological laboratory data, intravenous pyelography, retrograde pyelography or aortic angiography. More recently, the Hean labeled neohydrin has turned out to be preferable to I131 labeled diodrast or hippuran for renoscintigram for that the former is more readily taken up by the renal cortex and retained by the renal tubules for certain period of time, while the latter istoo rapidly excreted in the urine to reveal satisfactory pictures of renoscan and the technique is complicated. In the present study, renal scintillation scanning and body surface counting in vivo by Hg203 neohydrin were performed on 10 normal cases and 50 patients, 2 renal tumor (Wilm's tumor), 12 renal tuberculosis, 6 renal calculi, 5 nephritis, 10 hydronephrosis. 1 nephrotic syndrome. 5 pyelonephritis, 1 polycystic kidney, 3 congenital anomalies (horse-shoe kidney) and 5 hypertension. After intravenous administration of about 100 microcuries of Hg203 labeled neohydrin, in vivo surface counting over the kidneys, liver, spleen, heart and thigh was performed prior to scan such kidneys at 5, 30, 60 and 90 minutes, respectively, by scintillation detector with 1.5 inches thick Na I crystal. Upon adequate concentration of Hg203 neohydrin in the kidneys, the outline of functioning renal parenchyma can then be recorded by scintillation scanning apparatus, 19 honey cone collimator. In body surface counting, the radioisotope concentration over normally functioning renal parenchyma is good, whereas the concentration over diseased parenchyma is poor and the hepatic uptakeof the isotope shows high, instead. This procedure would also be of diagnostic value in patients with renal vascular disease, by revealing renal function test. In renoscintigram of the patients having presumable renal diseases by ordinary urological survey and pyelographic techniques, space occupying lesions and dot irregularities of the kidney can be presented as filling defect on renoscan. Split renal function studies usually give some information about total functioning capacity of each kidney but no detailed information in limited areasof a kidney with segmental lesion can be drawn. The renal angiogram details in a precise way the size and course of the renal arteries, but contributes no information about function of the parenchyma. The renal biopsy is also a valuable diagnostic procedure which may provide a specific diagnosis if the biopsy is obtained from the right site of diseased area. And the radioisotope renogram has been used to detect unilateral renal disease and it provides some information about the vascular supply and functional capacity of each kidney but this procedure does not supply any knowledge on segmental renal lesion nor segmental renal function. The technique of renoscintigram using Hg203 neohydrin which supplements the disadvantages of conventional methods of renal function study is at the present most qualified to supply more knowledge on segmental renal function and morphological finding as well. Further-more, disappearance of the isotope from the blood and its urinary excretion rate were determined as no harm at all to the human body. In summary, the renoscintigram is of particular help in establishing the diagnosis of renal diseases where pyelographic evidence is equivocal or lacking and the diagnostic significance of this method is promising.
Administration, Intravenous ; Angiography ; Biopsy ; Diagnosis ; Heart ; Honey ; Human Body ; Humans ; Hydronephrosis ; Hypertension ; Iodopyracet ; Kidney ; Kidney Calculi ; Liver ; Nephritis ; Nephrotic Syndrome ; Polycystic Kidney Diseases ; Pyelonephritis ; Renal Artery ; Spleen ; Thigh ; Tuberculosis, Renal ; Urography ; Vascular Diseases

Each diastereomer of 10-thiophenyl- and 10-benzenesulfonyl-dihydroartemisinin was synthesized from artemisinin in three steps, and screened against chloroquine-resistance and chloroquine-sensitive Plasmodium falciparum. Three of the four tested compounds were found to be effective. Especially, 10 beta-benzenesulfonyl-dihydroartemisinin showed stronger antimalarial activity than artemisinin.
Animals ; Antimalarials/chemistry/*pharmacology ; Artemisinins/chemistry/*pharmacology ; Chloroquine/pharmacology ; Drug Resistance ; Plasmodium falciparum/*drug effects ; Research Support, Non-U.S. Gov't

No abstract available.
Leukemia*

During the period, Jan. 1961 to Sept. 1962. 77 cases of urinary tract calculi were seen at the C.A.H. This is 1.13% of all ambulatory patients seen at the urology section. Commonest sites were, ureter (63.6%), bladder (18.2%), kidney (9.1%) and urethra (9.1%) in that order. In age distribution, 21-25 years old was the highest (52.1%), and this might reflect the nature of the military hospital. In management, ureterolithotomy was the most commonly used procedure (31.2%), 20.8% of the cases were managed non-operating. Phosphate and oxalates stone were found more commonly in upper urinary tracts. Their break down was as follow; Phosphates 46.8%, Oxalates 23.8%, Oxalates and Phosphates 10.4%, The other properties 19.0%.
Age Distribution ; Calculi ; Hospitals, Military ; Humans ; Kidney ; Oxalates ; Phosphates ; Ureter ; Urethra ; Urinary Bladder ; Urinary Calculi* ; Urinary Tract ; Urolithiasis ; Urology