RESUMO
Regarded as an incidental finding, biliary sludge is often diagnosed in dogs on abdominal ultrasound. The aims of the present study were to assess the risk factors, biochemical markers and ultrasonographic findings and to estimate the prevalence and influence of different breeds, sexes, and ages on biliary sludge in dogs. Results demonstrate that the prevalence of biliary sludge is high, especially in senior dogs. The biochemical markers did not have a significant correlation with biliary sludge, and the type of diet was not considered to be the major risk factor. Hepatomegaly was frequently observed on the ultrasound scan of affected animals and of dogs on different systemic drugs and with cardiopathies, which have been referred to as risk groups for the development of inspissated bile.
Assuntos
Bile/diagnóstico por imagem , Doenças do Cão/patologia , Animais , Doenças Biliares/diagnóstico por imagem , Doenças Biliares/veterinária , Doenças do Cão/sangue , Doenças do Cão/diagnóstico por imagem , Doenças do Cão/metabolismo , Cães , Feminino , Masculino , Fatores de Risco , UltrassonografiaRESUMO
We report a case of a patient with fever and intrahepatic cholestasis induced by carbamazepine (CBZ). This adverse reaction has been described in only a single case. We observed complete resolution of the hepatic damage once the agent was discontinued. CBZ rechallenge was followed by recurrence of all symptoms and abnormalities. Hepatic function improved again when CBZ was discontinued.
Assuntos
Carbamazepina/efeitos adversos , Colangite/induzido quimicamente , Doença Aguda , Idoso , Carbamazepina/administração & dosagem , Colestase Intra-Hepática/induzido quimicamente , Epilepsias Parciais/tratamento farmacológico , Febre/induzido quimicamente , Humanos , MasculinoAssuntos
Saúde Ambiental , Ecologia , Água Doce , Itália , Esgotos , Microbiologia da Água , Poluição da Água/análiseRESUMO
Minor cranial traumas without surgical emergency account for about 4% of admissions to our Neurological Service. We consider here 226 consecutive cases. Investigations include: clinical examination, skull X-rays, CSF, EEG, CT, isotopic cisternography. The aim of this study is to define the clinical characteristics of patients with minor head trauma and the priority of instrumental investigations. Correlation between clinical and laboratory findings suggests that: X-ray examination is not predictive of CSF hemorrhage or brain contusion; the CSF is bloody in 1/3 of asymptomatic cases and in 1/6 of cases without fracture; the EEG shows indirect signs of brain contusion even in cases without CT evidence; small subdural hematomas are best diagnosed by CT scan.
