RESUMO
Focal lesions of the patella may be identified during the investigation of anterior knee pain or as an incidental finding on radiological images. This pictorial review describes the radiographic appearances of a wide range of conditions that have been seen in this sesamoid bone. Where appropriate, computed tomography and magnetic resonance features have been included.
Assuntos
Doenças Ósseas/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Patela/anormalidades , Patela/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , HumanosRESUMO
A 29-year-old woman with sickle cell trait developed persistent haematuria. Intravenous urography, ultrasound, cystoscopy and selective renal angiography revealed focal renal infarction, but in the absence of papillary necrosis. There are no prior reports of focal renal infarction as a cause of haematuria in patients with sickle cell trait.
Assuntos
Hematúria/etiologia , Infarto/complicações , Rim/irrigação sanguínea , Traço Falciforme/complicações , Adulto , Feminino , Hematúria/diagnóstico por imagem , Humanos , Infarto/diagnóstico por imagem , Rim/diagnóstico por imagem , Radiografia , Traço Falciforme/diagnóstico por imagemRESUMO
We have examined aspects of the anaesthetic technique that may influence the likelihood of unplanned overnight hospital admission after ambulatory gynaecological laparoscopy and have determined if any anaesthetically controllable factors were involved. The retrospective audit involved 300 patients. All patients attended the day-case unit at the Liverpool Women's Hospital between September 1996 and May 1997. One hundred ASA I-II patients who had unplanned overnight admissions during this time were evaluated. For every admitted patient, two similar patients who did not require admission were studied. Variables such as patient age and anaesthetic technique were evaluated by logistic regression. Our results indicated that postoperative emesis was the commonest cause for admission. Significant factors increasing the likelihood of unplanned admission included returning from the recovery unit after 15:00, use of a laryngeal mask airway and undergoing diagnostic laparoscopy. Significant factors reducing the likelihood of admission were the use of fentanyl and rectally administered diclofenac.
Assuntos
Procedimentos Cirúrgicos Ambulatórios , Laparoscopia , Admissão do Paciente/estatística & dados numéricos , Procedimentos Cirúrgicos Ambulatórios/efeitos adversos , Analgesia/métodos , Inglaterra , Feminino , Humanos , Laparoscopia/efeitos adversos , Auditoria Médica , Dor Pós-Operatória/tratamento farmacológico , Náusea e Vômito Pós-Operatórios/terapia , Estudos Retrospectivos , Fatores de Risco , Esterilização Tubária , Fatores de TempoRESUMO
We describe a patient with an intrahepatic biliary hamartoma associated with transformation to undifferentiated carcinoma which responded to intrahepatic arterial floxuridine chemotherapy.