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Results 251 - 300 of 319
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O'Brien G M - - 1994
Despite a better understanding of the pathophysiologic changes that occur in the respiratory system as a result of trauma and surgery, pulmonary complications remain an important contributor of morbidity and mortality. Pre-existing pulmonary disease predisposes the patient to these complications and further complicates their management. Timely identification of chronic pulmonary ...
Raju S - - 1994
Chronic venous insufficiency has been known as a distinct pathologic entity at least since the time of Hippocrates, yet many pathologic features of this common ailment remain obscure. A recent resurgence of investigative effort in chronic venous insufficiency has occurred, spurred by the development of valve reconstruction surgery. The advent ...
Raju S - - 1994
Chronic venous insufficiency has been known as a distinct pathologic entity at least since the time of Hippocrates, yet many pathologic features of this common ailment remain obscure. A recent resurgence of investigative effort in chronic venous insufficiency has occurred, spurred by the development of valve reconstruction surgery. The advent ...
Blavia R - - 1992
We report herein the association of primary pulmonary amyloidosis and ankylosing spondylitis. To our knowledge, this rare association has never been reported. This case reemphasizes that not all pulmonary complications that appear in the course of ankylosing spondylitis are related to the seronegative spondyloarthropathy. Primary pulmonary amyloidosis should be considered ...
Stiller K R - - 1992
This article reviews the evidence that chest physiotherapy is effective in the prevention and treatment of pulmonary complications after major abdominal and thoracic surgery. There is some evidence that regular chest physiotherapy significantly decreases the incidence of pulmonary complications, although the mechanism of this effect is uncertain. It is not ...
Prakash U B - - 1992
Patients with mixed connective tissue disease (MCTD) exhibit clinical features of systemic lupus erythematosus (SLE), progressive systemic sclerosis or scleroderma (PSS), and polymyositis-dermatomyositis (PM-DM). In their sera is an unusually high titer of a circulating antinuclear antibody with specificity for a nuclear ribonucleoprotein antigen. Pleuropulmonary manifestations are common in MCTD ...
Huml J P - - 1991
A young nonsmoking woman presented with severe dyspnea, exercise desaturation, and chest discomfort. Pathologic and histochemical findings revealed pulmonary lymphangioleiomyomatosis (LAM) as the primary abnormality. In addition, there were multiple noncaseating granulomas with special stains and cultures negative for organisms. This highly unusual combination of pathologic findings might suggest the ...
Staples C A - - 1991
The presentation of a patient with multiple pulmonary nodules with or without cavitation and often with signs of a multisystemic vasculitis should suggest one of the pulmonary angiitis and granulomatosis syndromes. The five conditions traditionally considered together in the category of pulmonary angiitis and granulomatosis differ widely in their cause ...
Edling J E - - 1991
The most common pulmonary complication of EVS is pleural effusion. The most clinically significant pulmonary complication of EVS is delayed perforation with formation of esophagopleural or esophagobronchial fistula. Pneumonia, empyema, pulmonary infarction, and atelectasis can also occur. Endoscopic variceal sclerotherapy probably does not cause ARDS, but that issue remains unsettled. ...
Sawa R J - - 1991
Lifestyle and prevention are increasingly emphasized as ways to promote cardiovascular health. Family physicians will play a central role in detecting risk and encouraging lifestyle changes. This article outlines an effective preventive approach to coronary artery disease. The steps and skills involved are discussed as well as aspects of practice ...
Tariq S M - - 1990
Pulmonary amyloidosis can be classified into tracheobronchial diffuse alveolar-septal and nodular parenchymal forms. Tracheobronchial amyloidosis can be further subdivided into diffuse and focal varieties. The latter is rare. We report a patient with a focal intrabronchial deposit of amyloid who presented with haemoptysis. The haemoptysis ceased following bronchoscopic removal of ...
Hollinger M A - - 1990
Talc (magnesium silicate) is a widely used, generally considered benign substance. It is principally used as an inert filler material in drug tablets or as a drying ingredient in baby powders. However, in both cases inappropriate use can lead to severe pulmonary toxicological responses. On the one hand, intravenous injection ...
Hauck R W - - 1990
Pulmonary involvement in tuberous sclerosis (pTS) is very rare and seems to be associated with a more benign course, compared to tuberous sclerosis without pulmonary manifestation (TS). Furthermore, pTS seems to be related to lymphangiomyomatosis (LAM). We present the case of a 33-year-old woman in whom the overlap of TS, ...
Harris M R - - 1989
We prospectively evaluated 71 nasoenteral feeding tube insertions in critically ill patients and found a 4% incidence of pulmonary complications. All pulmonary complications occurred in tracheally intubated patients. To prevent these complications, we developed an enteral feeding tube insertion technique using a 26-Fr red rubber catheter as an introducer for ...
Roberts J - - 1988
Various prevalence rates have been estimated for pulmonary complications after abdominal surgery, and fever has been thought to be a diagnostic indicator. This study quantifies the diagnostic accuracy of fever as a measure of postoperative pulmonary complications and includes the sensitivity, specificity, and positive and negative predictive values. Assessments using ...
Lohr K M - - 1988
Wegener's granulomatosis rarely involves the pituitary, and is limited to the posterior gland. A young woman developed sinusitis, otitis media, asymptomatic pulmonary density, blindness, and anterior pituitary hormone deficiency over 7 years. Mucosal biopsies showed only chronic necrotizing inflammation without vasculitis. Since her clinical course suggested an atypical presentation of ...
Basran G S - - 1987
Acute pancreatitis has an incidence of approximately 50 cases per million of the United Kingdom population and a mortality of 10-18%. Intrathoracic complications have been implicated as the major factor in 22-29% and a contributing factor in a further 29-39% of all deaths. Sixty per cent of deaths occur in ...
Hunt J L - - 1986
Considerable controversy exists as to whether a tracheostomy (TT) is ever indicated in burn patients. Eighty-eight tracheostomies were performed over a 48-month period. An inhalation injury was present in 59.6% of the patients, and 96% had preceding endotracheal intubation (ET). The mean duration of ET was 14 days. Seven percent, ...
Leavitt R Y - - 1986
The granulomatous vasculitides frequently involve the lung. These syndromes include Wegener's granulomatosis, allergic angiitis and granulomatosis, and the polyangiitis overlap syndrome. Although not a true systemic vasculitis, necrotizing sarcoid granulomatosis also represents a type of pulmonary vasculitis. It is clear that many infectious agents can cause a picture in the ...
da Costa P - - 1985
Seven patients with localized nodular pulmonary amyloidosis and four with tracheobronchial amyloidosis are presented and the pathological features described. The congophilia of these forms of amyloid is resistant to potassium permanganate, compatible with it representing immunoamyloid. This, together with the associated intense lymphocytic and plasma cell infiltration suggests a local ...
Rosenow E C EC - - 1985
With few exceptions, pulmonary complications in the immunocompromised host will proceed to death unless the clinician intercedes. The differential diagnosis of diffuse pulmonary disease in this setting includes (1) infection, most commonly from opportunistic organisms; (2) recurrence or extension of the basic underlying disease process to involve the lungs; (3) ...
Haworth S J - - 1985
The incidence and characteristics of pulmonary haemorrhage in a series of 89 patients with systemic vasculitis were analysed. Pulmonary haemorrhage occurred in 32 of these patients and was associated with haemoptysis in all 32, alveolar shadowing in the chest radiograph in 28, and a significantly raised transfer coefficient in 30. ...
Larsen R A - - 1985
Acute respiratory failure caused by infection with Coccidioides immitis is a rare, usually fatal, event. We report 2 patients who survived acute respiratory failure caused by primary pulmonary coccidioidomycosis. We attribute the severity of illness to a large inoculum of organisms. Their treatment included antifungal therapy with amphotericin B and ...
Sargent D - - 1985
Pulmonary vasculitis is an infrequent complication of ulcerative colitis. The patient reported herein had biopsy-proven pulmonary vasculitis on two occasions, associated with flares in ulcerative colitis. The diagnosis of this entity is best made by open lung biopsy. Corticosteroid therapy appears to be a rational first step in the management ...
Hubscher O - - 1984
A patient with fatal acute pulmonary vasculitis complicating systemic lupus erythematosus (SLE) of ten years duration is described. The patient died seven days after an uneventful pregnancy and delivery. Pathologic examination demonstrated acute necrotizing changes as well as organized lesions in pulmonary arteries. Acute pulmonary arteritis is rare in SLE ...
Batsakis J G - - 1984
Coccidioidomycosis, while endemic to the American Southwest, may occur in travelers on return to their homes. Usually asymptomatic in human hosts, approximately 40% of infected subjects will have pulmonary signs and symptoms and 2% will have dissemination from the pulmonary foci. The larynx may be secondarily involved or may be ...
Wechsler R J - - 1984
A form of angiitis and granulomatosis principally involving the lung was identified as a variant form of Wegener granulomatosis only 15 years ago. Recent experience indicates that the most common form of pulmonary angiitis and granulomatosis is lymphomatoid granulomatosis. Chest radiographs of 16 patients with this condition were reviewed and ...
Granström L - - 1984
Patients with incurable carcinoma of the esophagus or the cardia have a miserable life, without being able to swallow and with a risk for pulmonary complications secondary to aspiration of secretion from the esophagus. All efforts should be made to give these patients relief from dysphagia. Our experience indicates that ...
Pingleton S K - - 1983
Acute respiratory failure is frequently fatal. Attempts to decrease mortality must include attention to pulmonary and extrapulmonary complications. Pulmonary complications include pulmonary emboli, barotrauma, fibrosis, and pneumonia. Swan-Ganz catheters, tracheal intubation, and mechanical ventilation can also result in pulmonary complications. Extra-pulmonary complications such as gastrointestinal hemorrhage, renal failure, infection, and ...
Warlick M A - - 1983
In 26 patients with culture-proved pulmonary coccidioidomycosis, cytologic preparations of respiratory secretions were significantly more sensitive (38.5%) than potassium hydroxide (KOH) preparations (15.4%) in identifying spherules of Coccidioides immitis. Those patients able to produce sputum or having multiple-lobe pneumonitis on chest roentgenogram appeared to be more likely to have spherules ...
Gephardt G N - - 1983
A case of pulmonary vasculitis (Wegener's granulomatosis) is reported in which immunoperoxidase studies demonstrated that the vascular lymphoid infiltrates were composed predominantly of T cells and monocytes. Occasional T cells, B cells and monocytes were identified in the alveolar septa. IgG, IgA, IgM, and C3 were not identified in pulmonary ...
Del Campo C - - 1982
The most recent statistics clearly show that the incidence of amebiasis in Canada has increased progressively over the past 10 years. The authors review the incidence, pathophysiology and management of thoracic complications of amebiasis, including the experience from endemic countries. Complications include amebic liver abscess, best treated with metronidazole, and ...
Hurwitz S S - - 1982
Two patients with ankylosing spondylitis and fibrocavitating pulmonary disease are described. This rare extra-articular complication of spondylitis is briefly discussed.
Wirén J E - - 1982
The clinical consequences of postoperative complications as defined by signs and symptoms, chest radiography and measurements of the arterial oxygen tension were studied in 53 men, aged 40-75, who were electively operated for peptic ulcer or gallbladder disease. Clinical signs of a respiratory complication were detected in 4 patients. Of ...
Zeltner T B - - 1982
We present the morphological features of a case of fatal pulmonary granulomatosis from illicit intravenous injections of microcrystalline cellulose derived from pentazocine tablets. Extensive foreign body granulomas were found in the lumena and walls of pulmonary vessels and in the pulmonary interstitium. Previously unreported gaps containing foreign material were found ...
Pingleton S K - - 1982
The adult respiratory distress syndrome is frequently fatal. Attempts to decrease mortality must include attention to pulmonary and extrapulmonary complications of this syndrome. Pulmonary complications include pulmonary emboli, barotrauma, fibrosis, and pneumonia. Mechanical ventilation, Swan-Ganz catheters, and tracheal intubation also result in pulmonary complications. Extrapulmonary complications such as gastrointestinal hemorrhage, ...
Baird R A - - 1981
Salmonella vertebral osteomyelitis of the lumbar spine is encountered as a complication of Salmonella arteritis. Salmonella organisms, especially those of the choleraesuis and typhimurium species, invade the lamina intima of a diseased or atherosclerotic abdominal aorta, penetrate its wall, and cause the formation of a mycotic aneurysm. Further spread of ...
Britton J C - - 1981
Large granulomas (greater than 2 millimeters in diameter), stimulated by the presence of and formed around necrotic larval tissue in the inner demibranchs of Corbicula fluminea, are eliminated by autotomy. Granulocytes invade and destroy ctenidial epithelium adjacent to the granuloma, causing it and the granuloma to slough away into the ...
Potgieter P D - - 1981
Postoperative pulmonary complications, the most common of which are atelectasis and pneumonia, are due largely to the pathophysiological effects on the lungs of anaesthesia and surgery as well as pre-existing disease, in particular chronic obstructive airways disease (COAD). Pre-operative assessment, including pulmonary function tests, will allow the prediction of the ...
Tomashefski J F JF - - 1981
Four persons had extensive pulmonary granulomatosis from intravenous injections of cellulose derived from tablets intended for oral consumption. Three of these persons were known abusers of pentazocine (Talwin). The principal vascular lesion induced by cellulose is thrombosis. Destruction of arterial elastic laminae and pulmonary vascular dilation commonly ensue. Two of ...
Wirén J E - - 1981
The incidence of postoperative chest X-ray abnormalities, arterial hypoxemia and clinically recorded pulmonary complications was studied in fifty-two 40-75-year-old men admitted for elective surgery for peptic ulcer or gallbladder disease. Twenty-eight (54%) patients had an abnormal chest X-ray and twenty-three (43%) arterial hypoxemia, whereas only four patients (8%) were identified ...
Catlin F I - - 1981
The incidence of pulmonary complications of tonsillectomy is very low today in comparison to the early part of the 20th Century. Much of the credit belongs to Samuel Crowe and his colleagues who demonstrated that pulmonary complications could be prevented by the use of improved instrumentation and techniques which were ...
Kortleve J W - - 1980
Two patients have been documented in whom a preexisting left ventricular aneurysm became complicated by myocardial abscess. Presumptive clinical diagnoses of infected pulmonary infarction and recurrent myocardial infarction were made. In each instance the abscess was revealed at necropsy. Histologic studies suggested that the abscess had occurred through direct spread ...
Wright R N - - 1980
Pulmonary mucormycosis (Phycomycetes) is an uncommon fungus infection complicating diabetes mellitus, leukemia, lymphoma, and other debilitating diseases. A review of the literature revealed that of 21 diabetic patients in whom Phycomycetes occurred without underlying malignancy, only 7 survived. These 7 underwent operation. This report concerns another patient with pulmonary mucormycosis ...
Khan F A - - 1980
Eighteen well-documented cases of pulmonary gangrene as a complication of bacterial pulmonary infections have been reported in the literature. These infections were due to Klebsiellapneumoniae, Streptococcus pneumoniae, and Hemophilus influenzae. We describe four patients with pulmonary tuberculosis who developed pulmonary gangrene. Vascular thrombosis and arteritis were found in three of ...
Collins W J - - 1979
A case of pulmonary vasculitis complicating ulcerative colitis is presented, and the literature is reviewed. Unexplained pulmonary problems complicating severe ulcerative colitis should prompt a review of rare etiologies to include pulmonary vasculitis, apical pulmonary fibrosis, and salicylazosulfapyridine-induced lung disease. Lung biopsy will establish a diagnosis of pulmonary vasculitis.
Desai R A - - 1979
Three cases of primary intrathoracic amyloidosis are reported. Two of these three patients initially had localized parenchymal pulmonary amyloid tumors (or pulmonary amyloidomas). The third patient developed bilateral enlargement of the hilar lymph nodes as a manifestation of primary amyloidosis. These rare manifestations of primary amyloidosis are illustrated, and their ...
Heisterberg L - - 1979
Blow-bottles were compared with conventional postoperative pulmonary physiotherapy in a randomized trial of 98 patients undergoing gastric or biliary tract surgery. Radiological evidence of postoperative pulmonary lesions found by "blind" evaluation of the films occurred with the same frequency in the two groups (30.6%). Blow-bottles were found preferable to physiotherapy ...
Rowe L D - - 1979
Flexible fiberoptic bronchoscopy with multiplanar fluoroscopic control is shown to be effective in the transbronchial drainage of pulmonary abscesses. A new technique which permits the intracavitary placement of brush forceps and fine arterial catheters is described. This has facilitated the rapid defervescence of fever and established immediate endobronchial drainage. Seventy ...
Alford B A - - 1978
Eight patients are presented who demonstrate many of the pulmonary complications seen in the prune-belly syndrome. The patients are divided into two major groups: Group I includes pulmonary hypoplasia; Group II includes lobar atelectasis and pneumonia. The etiology, pathogenesis, and radiographic features of these complications are discussed. Pulmonary complications become ...
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