No abstract available.
Anxiety* ; Depression* ; Humans ; Inpatients* ; Schizophrenia*

To evaluate the characteristics of MR findings in osteomyelitis, retrospective MR image interpretations were made in 18 patients with osteomyelitis proved either either by surgery(n=17) or clinical course(n=1). Osteomyelitis was acute in five patients, subacute in five, chronic in seven, and healed in one. Area of active inflammation had low marrow marrow signal intensity on T1-weighted images, high signal intensity on T2-weighted images inhomogeneously. It has been said that morrphologic characteristics of osteomyelitis in MR improved the accuracy in diagnosis of osteomyelitis and that gadolinium enhanced MR image further assisted in the planning of surgery. Out study was performed to observe the signal intensity change or morphologic change of bone marrow, cortex, periosteal reaction, and soft tissue which are specific for osteomyelitis. Multiple inhomogensous round marrow lesions were noted with central high signal intensity and peripheral low signal intensity on T1-weighted images, and central low signal intensity and peripheral high signal intensity on T2 weighted images in two patients. Intra and extraosseous abscesses showed rim enhancement after gadopentetate dimeglumine injectron. The signal intensity of the relatively higher than the internal area of the abscess on T1-weighted images. Cortical bone destruction showed high signal intensities T2-weighted images with destruction patterns of fine radial, circumferential, vertical or wedge shaped. MR imaging, by displaying specific signal intensities and morphological changes of bone marrow, cortex, periosteal reaction and soft tissue, would be an aid in early diagnosis and in planning for appropriate conservative and operative therapeutic procedures for osteomyelitis.
Abscess ; Bone Marrow ; Diagnosis ; Early Diagnosis ; Extremities* ; Gadolinium ; Gadolinium DTPA ; Humans ; Inflammation ; Magnetic Resonance Imaging* ; Osteomyelitis* ; Retrospective Studies

No abstract available.
Cervix Uteri* ; Female ; Lymph Nodes* ; Neoplasm Metastasis* ; Risk Factors*

No abstract available.
Aneurysm

The stress or fatigue fracture is well known in military medicine, but it is an unusual occurrence in civilian practice. The stress fracture of metatarsal bone is familiar to most, but in the tibia it is unusual. The clinical symptoms of pain, swelling and limping following strenuous activity were seen in the affected lower leg and proceeded radiological evidence of fracture. 17 cases of stress fracture of tibia were investigated in a military hospital between March 1973 and May, 1974. The results of this study are as follows, 1. The fractures mainly occurred in the upper one third of the tibia (13 cases among 17). 2. The cases with only callus formation were more frequent than the cases with fracture line on the tibia (11 cases among 17). 3. If pain occurs in the lower leg after strenuous activity, there should be attention with serial radiological checking.
Bony Callus ; Clinical Study ; Fractures, Stress ; Hospitals, Military ; Leg ; Metatarsal Bones ; Military Medicine ; Tibia

In genitourinary trauma, the bladder is the second most common injury site. The majority of patients are injured by traffic accident. Injuries associated with bladder trauma are usually pelvic and rib fracture, but diaphragmatic rupture is rare. If bladder injury is suspected, diagnosis is made by a retrograde cystogram in most cases. However, if the patient complains of dyspnea, erect chest PA view or chest CT scan should be evaluated. We experienced a case of intraperitoneal bladder rupture combined with diaphragmatic rupture without other internal organ injury in a 68-year-old woman.
Accidents, Traffic ; Aged ; Diagnosis ; Diaphragm ; Dyspnea ; Female ; Humans ; Rib Fractures ; Rupture* ; Thorax ; Tomography, X-Ray Computed ; Urinary Bladder*

No abstract available.
Adenocarcinoma* ; Scrotum* ; Stomach Neoplasms*

No abstract available.
Biopsy*

Kawasaki disease is described by fever lasting five days or more, bilateral conjunctival injection, changes of lips and oral cavity, polymorphous exanthema, acute non-purulent cervical lymphadenopathy, and changes of extremities. Atypical Kawasaki disease is defined as fewer than 4 of 6 criteria described above including coronary artery abnormalities. Especially, atypical clinical manifestations of Kawasaki disease appear in infants younger than 6 months old of age. Thus we recommend echocardiography in early infancy who has prolonged fever in order to diagnose atypical Kawasaki disease and treat early. We have experienced three cases of atypical Kawasaki disease with coronary aneurysm who were admitted because of fever and revealed coronary aneurysm on echocardiography.
Coronary Aneurysm* ; Coronary Vessels ; Echocardiography ; Exanthema ; Extremities ; Fever ; Humans ; Infant ; Lip ; Lymphatic Diseases ; Mouth ; Mucocutaneous Lymph Node Syndrome*

During 5 months from April to August, 1990, 114 patients with urinary stone were treated without anesthesia by extracorporeal shock wave lithotripsy (ESWL) with the Wolf Piezolith 2300 lithotriptor. Of these 114 patients, 95 comprising 98 renal units with stones followed more than 1 month after ESWL, were evaluated. The results were obtained as follows ; l. The average patient age was 44 years, with a range of 19 to 65 years. The sex ratio was similar, All cases were treated on the out-patient basis. 2. The locations of stones were kidney in 61 cases ( 62.2%) including 8 cases of staghorn calculi and ureter in 37 cases (37.8%). 3. The average sessions of treatment were 2.6 and average treatment time was 31 minutes. 4. Pain from ESWL was tolerable for almost all patients in whom ESWL were performed without anesthetics or analgesics. Only 2 of 95 patients required analgesics. 5.Complete fragmentation (into particles less than 2mm in size) was achieved in 94.9% of the cases, with 75.5% being completely free of stone at 1 month. 6.The auxiliary measurements such as hydration with diuresis, ureteral stenting were needed in 11.2% of cases. Hydration with diuresis was induced in 7 cases for the localization of the ureteral stone. 7. The post-ESWL complications were mild and controlled with conservative management. We conclude that extracorporeal shock wave lithotripsy monotherapy with Wolf Piezolith 2300 lithotriptor was considered to be effective and safe procedure for the treatment of urinary stones.
Analgesics ; Anesthesia ; Anesthetics ; Calculi ; Diuresis ; Humans ; Kidney ; Lithotripsy* ; Outpatients ; Sex Ratio ; Shock* ; Stents ; Ureter ; Urinary Calculi ; Wolves*