Presentation
This patient had no access to formal healthcare and presented with a now rare and “forgotten” clinical entity. [shmabstracts.com]
Fibrinous pericarditis was present, with a definite membrane of fibrin present over most of the heart. When peeled away this left slightly congested surfaces. The heart weighed 400 gm. [dokumen.tips]
Tables Baseline characteristics of the 52 patients Values are presented as mean±standard deviation or number (%). [synapse.koreamed.org]
This is a case presentation of 27 year male with past medical history of unspecified congenital heart disease, presented with worsening shortness of breath, pleuritic chest pain, cough and hemoptysis for five days duration. [imedpub.com]
Entire Body System
- Pseudotumor
[…] of the gastrointestinal tract in infancy and childhood 508 Benign pneumatosis 509 Reduced intestinal gas 510 Increased distance between the intestinal loops 511 Intraabdominal cysts in children 512 Migratory peritoneal calcifications 514 Peritoneal pseudotumors [books.google.de]
Respiratoric
- Respiratory Distress
CHAPTER 16 GastrointestinalLung Interactions 185 CHAPTER 17 KidneyLung Interactions 195 CHAPTER 18 Genetic Basis of Acute Lung Injury 207 CHAPTER 19 Cytokine Release 216 CHAPTER 20 Lung Imaging in Acute Respiratory Distress Syndrome by Computed Tomography [books.google.com]
Abstract Uremic pneumonitis is included in the "adult respiratory distress syndrome". [ncbi.nlm.nih.gov]
Sander and Teresa Schindler}, journal={Intensive Care Medicine}, year={1981}, volume={7}, pages={193-202} } Uremic pneumonitis is included in the “adult respiratory distress syndrome”. [semanticscholar.org]
Petty TL (1975) The adult respiratory distress syndrome (confessions of a “lumper”). Am Rev Respir Dis 111:713 Google Scholar 32. Petty TL, Ashbaugh D (1970) The adult respiratory distress syndrome. Chest 60:233 Google Scholar 33. [link.springer.com]
- Tracheal Deviation
The side of the pneumothorax acquires positive pressure, thus trachea deviates to the other side. Tracheal Deviation : Tracheal deviation can be caused by other things than pneumothorax. [kumc.edu]
Gastrointestinal
- Diarrhea
[…] and also adults who had a prodrome of bloody diarrhea; however, the organism and toxin may have cleared by the time of presentation. [msdmanuals.com]
Symptoms of HUS include vomiting and diarrhea (often bloody), weakness, lethargy, and bruising (purpura). [medicinenet.com]
Once the bacteria colonizes, diarrhea followed by bloody diarrhea, hemorrhagic colitis, typically follows. [en.wikipedia.org]
The typical form occurring after an episode of diarrhea caused by Escherichia coli is the most frequent in children. [sjkdt.org]
The symptoms of STEC HUS are usually preceded by infection of the digestive tract (gastroenteritis) characterized by abdominal cramps and pain, fever and diarrhea. Diarrhea eventually becomes bloody within a few days. [rarediseases.org]
Cardiovascular
- Cardiomegaly
Chest CT demonstrates multifocal consolidations in upper and lower lobes of both lungs with bilateral pleural effusion and cardiomegaly. Fig. 2. [chikd.org]
The chest radiograph demonstrates diffuse alveolar filling with cardiomegaly (pericardial effusion vs. myocarditis). There is also a left pleural effusion. B. [thoracickey.com]
[…] when fibrosis develops: there may be a reticular pattern and honeycombing, which sometimes are more severe in the upper lobes than in the lower ones volume loss may occur: particularly in the upper lungs, and peribronchial thickening may be visible cardiomegaly [radiopaedia.org]
Cardiomegaly in the absence of known cardiac disease indicates a pericardial effusion of at least 250 mL. 9 The white blood cell count, erythrocyte sedimentation rate, and serum CRP level usually are elevated. 9 Enlarge Print Diagnosis and Treatment of [aafp.org]
Liver, Gall & Pancreas
- Jaundice
Some children actually stop producing urine for a short time Jaundice Seizures – these affect about 20 per cent of children who develop HUS Bleeding into the skin. [betterhealth.vic.gov.au]
Intraabdominal cysts in children 512 Migratory peritoneal calcifications 514 Peritoneal pseudotumors 515 The Liver 1 Hepatomegaly in the newborn period 516 Hepatomegaly in children General overview 517 Hepatomegaly with portal hypertention and obstructive jaundice [books.google.de]
Irregular heart rate, increased blood pressure, bleeding, fast heart rate Nasal congestion, cough, bleeding from the nose, pneumonia, abnormal breathing sounds, wheezing Inflammation of the gall bladder, difficulty in swallowing, faecal incontinence, jaundice [glosbe.com]
WBC 2-4/HPF RBC 14-16/HPF epithelial cells 3-5/HPF Blood culture and pleural fluid culture: (+)Streptococcus pneumoniae (sensitive to penicillin) Urine culture and tracheal aspiration culture (-) 18 hours after admission to PICU, he developed striking jaundice [pedsccm.org]
There had been no chills, fever or jaundice. The symptoms becoming progressively more intense, the patient sought medical aid after three days. Previous similar attacks were denied. This admis- sion was the first hospitalization in her life. [dokumen.tips]
- Hepatomegaly
[…] in the newborn period 516 Hepatomegaly in children General overview 517 Hepatomegaly with portal hypertention and obstructive jaundice 519 Liver calcifications in the pediatric age 520 Urheberrecht [books.google.de]
[…] weight loss en Additional common side effects in children (seen in between # and # children in #) are thrombocytopenia (low blood platelet counts), tachycardia (rapid heart rate), hypertension (high blood pressure), hypotension (low blood pressure), hepatomegaly [glosbe.com]
Workup
Workup to identify the predisposing factor including human immunodeficiency virus (HIV), parvovirus (B19), cytomegalovirus (CMV), quantiferon tuberculosis testing were all negative. Genetic testing was deferred to the outpatient setting. [imedpub.com]
“Every adult is entitled to one episode of uveitis before you do a workup,” he adds. [creakyjoints.org]
Now, although empiric antibiotic coverage is mainly based on the treatment setting, the diagnostic workup and empiric antibiotics can differ a bit based on the organisms that are suspected based on the appearance of the chest x-ray. [osmosis.org]
The workup to define antibiotic failure includes a tube dilution MIC/MBC ratio; the higher the ratio, the greater limitation of antibiotics. A serum bacteriocidal level (Schlicter test) is also useful. [antimicrobe.org]
X-Ray
- Atelectasis
[…] hypersensitivity pneumonitis <radiology> Aka: chronic extrinsic allergic alveolitis, pathology: proliferation of epithelial cells, elaboration of reticulum fibres, findings: interstitial reticulonodular pattern (basilar distribution), volume loss (cicatrization atelectasis [kmle.co.kr]
On a chest x-ray, atelectasis shows up as a wedge-shaped region with its apex at the hilum with an ipsilateral shift of structures due to volume loss. [osmosis.org]
Atelectasis of lung may cause trachea to deviate toward same side as diseased lung. [kumc.edu]
[…] chest in the newborn 283 Unilateral hyperlucent thorax in the newborn 284 Coarse parenchymal markings with irregular bilateral changes and hyperinflation in the newborn 285 Cystlike structures in the lung parenchyma of the newborn 286 Neonatal platlet atelectasis [books.google.de]
There is diaphragmatic elevation resulting in plate-like atelectasis. Only gold members can continue reading. [thoracickey.com]
- Pulmonary Infiltrate
On day 6, an AP chest radiograph displayed increased pulmonary vasculature accompanied by bilateral patchy amorphous dense areas. Pulmonary infiltrates partially obscured the margins of the heart, enhancing bilateral air bronchograms (Figure 3). [mdmag.com]
Focal pulmonary crackles 5. Leukocytosis 6. New or progressive pulmonary infiltration B. [cancertherapyadvisor.com]
A patient was considered to have CAP if, at the time of hospital admission, he/she presented with respiratory symptoms and sputum, and exhibited pulmonary infiltrates on chest radiographs. [birpublications.org]
There are episodes compatible with lung infection and isolation of microorganisms in significant concentrations in ventilated patients that do not present visible pulmonary infiltrate, known as respirator-associated tracheobronchitis. [archbronconeumol.org]
- Pulmonary Infiltrates
On day 6, an AP chest radiograph displayed increased pulmonary vasculature accompanied by bilateral patchy amorphous dense areas. Pulmonary infiltrates partially obscured the margins of the heart, enhancing bilateral air bronchograms (Figure 3). [mdmag.com]
Focal pulmonary crackles 5. Leukocytosis 6. New or progressive pulmonary infiltration B. [cancertherapyadvisor.com]
A patient was considered to have CAP if, at the time of hospital admission, he/she presented with respiratory symptoms and sputum, and exhibited pulmonary infiltrates on chest radiographs. [birpublications.org]
There are episodes compatible with lung infection and isolation of microorganisms in significant concentrations in ventilated patients that do not present visible pulmonary infiltrate, known as respirator-associated tracheobronchitis. [archbronconeumol.org]
- Colonic Stricture
Single or multiple 494 Colitis in children 495 Colon stricture or narrowing 496 Segmental colonic narrowing in children 497 Toxic megacolon 498 Distention of the small andor large bowelnonobstructive paralytic ileus 499 Distended large bowel 500 Large [books.google.de]
A small number have extra-renal sequelae such as colonic strictures, cholelithiasis, diabetes mellitus, or brain injury. Most renal sequelae are minor abnormalities such as treatable hypertension and/or variable proteinuria. [rarediseases.org]
- Hyperlucent Lungs
[…] parenchyma 57 Hyperinflationhyperaeration in infants 312 Unilateral hyperinflation or unilateral hyperlucent lung 313 Bilateral underaeration of the lungs in the pediatric age 315 Pneumonia pattern in children 316 Acute alveolar disease 317 Lobar pneumonia [books.google.de]
Colonoscopy
- Colitis
Cause in children is typically hemorrhagic colitis resulting from Shiga toxin–producing bacteria. [msdmanuals.com]
Davis Hemorragic colitis associated with a rare Escherichia Coli seroptype [2.] R. Areses Síndrome hemolítico urémico en la edad pediátrica: conceptos actuales Nefrología, 15 (1995), pp. 420-434 [3.] U. Alon, S.P. Adler, J.C. [analesdepediatria.org]
[…] cereus Food poisoning F Clostridium tetani Tetanus S Clostridium perfringens Food poisoning, gas gangrene, uterine infections F S E Clostridium botulinum Botulism, infant botulism F Clostridium difficile Antibiotic-associated diarrhea, pseudomembranous colitis [textbookofbacteriology.net]
If a cause can be determined, it may be one of the following: Eye injury or surgery An autoimmune disorder, such as sarcoidosis or ankylosing spondylitis An inflammatory disorder, such as Crohn's disease or ulcerative colitis An infection, such as cat-scratch [mayoclinic.org]
Treatment
Lists the latest drugs used for the treatment of cardiopulmonary disorders. Includes information on laboratory medicine and pediatrics to help you apply cardiopulmonary principles to practice. [books.google.com]
Do not delay the start of treatment while waiting for the culture results (A-1). Treatment: 1. Obtain samples for culture before initiating the empirical treatment, if possible (A-3). 2. Initiate empirical treatment as soon as possible (A-3). 3. [archbronconeumol.org]
The goal of treatment is to reduce inflammation in the eye. [healthline.com]
What's the treatment for uveitis? Uveitis treatments primarily try to eliminate inflammation, alleviate pain, prevent further tissue damage, and restore any loss of vision. Treatments depend on the type of uveitis a patient displays. [nei.nih.gov]
What is the treatment for anterior uveitis? For most people with anterior uveitis a course of eye drops is all the treatment needed to clear up the inflammation. [rnib.org.uk]
Prognosis
Anti-Glomerular Basement Membrane Disease* / diagnosis, epidemiology, etiology, pathology, radiography, therapy Capillary Permeability Female Humans Lung / pathology Male Middle Aged Pneumonia / complications*, pathology, physiopathology, radiography Prognosis [biomedsearch.com]
Deschenes Prognosis of Streptococcus pneumoniae -induced hemolytic uremic syndrome Pediatr Nephrol, 16 (2001), pp. 362-365 [9.] D.J. Krysan, J.T. [analesdepediatria.org]
A subgroup of (young) patients presenting with a mild nephropathy and not requiring dialysis has a good prognosis, however. [adc.bmj.com]
This case highlights two important facts: the possibility of occurrence of pHUS in young infants on one hand and the fact that the histological study is a valuable pointer of prognosis on the other. 1. Kaplan BS, Cleary TG, Obrig TG. [sjkdt.org]
However, when smokers do develop hypersensitivity pneumonitis, it is more commonly fibrosing disease with a worse prognosis 10. [radiopaedia.org]
Etiology
pathology, radiography, therapy Capillary Permeability Female Humans Lung / pathology Male Middle Aged Pneumonia / complications*, pathology, physiopathology, radiography Prognosis Pulmonary Edema / physiopathology Uremia / etiology* From MEDLINE®/PubMed [biomedsearch.com]
High affinity to the respiratory epithelium makes Chlamydophila pneumoniae a common etiological agent. Constitutional symptoms (malaise, lethargy etc.) [medicaljoyworks.com]
Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. Am J Cardiol. 1995;75(5):378–382. 13. Ginzton LE, Laks MM. [aafp.org]
The reported rates for polymicrobial etiology differ considerably between 5.7 and 38.4% [7], [8]. [ejbronchology.eg.net]
Uremic encephalopathy may occur in a patient with acute kidney injury or chronic kidney failure of any etiology. One contributing factor to uremic encephalopathy may involve imbalances of neurotransmitter amino acids within the brain. [emedicine.medscape.com]
Epidemiology
[…] effects on workers of the levels of airborne Thermoactinomyces Spp. spores present in Australian raw sugar mills. 61 Dawson MW...Cox LM 8931309 1996 6 Occupational hypersensitivity pneumonitis in Japan: data on a nationwide epidemiological study. 61 [malacards.org]
JAPAN Other Details: Languages: jpn Pagination: 1639-48 Citation Subset: IM Export Citation: APA/MLA Format Download EndNote Download BibTex MeSH Terms Descriptor/Qualifier: Adolescent Adult Aged Anti-Glomerular Basement Membrane Disease* / diagnosis, epidemiology [biomedsearch.com]
The new vaccine virus was developed by the WHO Collaborating Center for the Surveillance, Epidemiology and Control of Influenza at the CDC in Atlanta. [cidrap.umn.edu]
[Epidemiology, clinical aspects and prognosis of severe progressive community-acquired pneumonia]. Höltermann W, Krämer M, Geppert P, van Wickern M, Lukasewitz P. Höltermann W, et al. Pneumologie. 1998 May;52(5):263-70. Pneumologie. 1998. [pubmed.ncbi.nlm.nih.gov]
Children Pneumonia Epidemiology © 2014 ERS [erj.ersjournals.com]
Pathophysiology
It integrates key concepts of pathophysiology, clinical manifestations, diagnostic tests and laboratory information and findings with clinically important medical and surgical interventions and pharmacologic therapies — then applies the material to physical [books.google.com]
The results suggest that uremic pneumonitis does, indeed, exist as part of the pathophysiology of renal failure, and may occur without detectable evidence of cardiac decompensation. [annals.org]
Uremic encephalopathy has a complex pathophysiology, and many toxins that accumulate in kidney failure may be contributive. Uremic encephalopathy may occur in a patient with acute kidney injury or chronic kidney failure of any etiology. [emedicine.medscape.com]
Pathophysiology of hemolysis in infections with Hemophilus influenzae type b. J Clin Invest. 1986;77(4):1340-1348. Ramakrishnan M, Moïsi JC, Klugman KP, et al. [journals.sbmu.ac.ir]
Prevention
Renal Failure Prevention and Treatment in the 19808 It appears logical to juxtapose in this volume prevention-low cost and nonmorbid-with uremia therapy, which is very morbid and very high cost. [books.google.de]
Preventing the spread of E.coli To help prevent infection with STEC and the development of HUS: Ensure proper hand washing, especially after handling raw meat. [betterhealth.vic.gov.au]
In the same manner, the manipulation of the respirator tubes is also a risk for NP. 12 Preventive Measures The strategies involved in the prevention of NP can be directed towards modifiable risk factors for colonization and aspiration, 5,7,13–15 in addition [archbronconeumol.org]
The treatment of a pleural effusion usually requires that the underlying illness or disease is treated and controlled to prevent accumulation of the pleural fluid. [emedicinehealth.com]