scholarly journals Clinical case of non-immune hydrops in a preterm infant with paroxismal tachycardia

2019 ◽  
Vol 10 (2) ◽  
pp. 121-128
Author(s):  
Artem V. Andreyev ◽  
Natalya V. Kharlamova ◽  
Semen S. Mezhinskij ◽  
Anna A. Pesenkina
Keyword(s):  
Mechanical Ventilation ◽  
Preterm Infant ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Conducting System ◽  
Paroxysmal Tachycardia ◽  
Common Causes ◽  
Close Relationship ◽  
Ventilation Of The Lungs ◽  
Cardiac Conducting System

Non-immune hydrops of the fetus is a heterogeneous pathology, which is usually the final stage in the development of intrauterine diseases, manifested by clinically pronounced hydration in the absence of signs of immune sensitization. This pathology is characterized by relatively high mortality in both antenatal and postnatal periods. The causes of non-immune hydrops of the fetus are very diverse, arrhythmias being one of common causes of non-immune hydrops. As are a starting factor for the development of non-immune hydrops in utero they are more often observed in the period from 29 to 32 weeks of gestational age. The reasons for a fetus to be prone to develop arrhythmias in the later stages of pregnancy are unknown. However, they may be due to changes velocity of impulse propagation along the aberrant pathways of the cardiac conducting system. Nevertheless, it is this factor that further leads to the accumulation of fluid in serous cavities and tissues, the most common form of arrhythmia in the fetus being supraventricular tachycardia. The article describes a clinical case of non-immune hydrops in a preterm infant with supraventricular paroxysmal tachycardia is presented. The close relationship between rhythm disturbance in the fetus as well as the emergency and further increasing of non-immune hydrops is noted. The symptoms of this pathology are discussed, the data of functional and laboratory diagnostic methods. Attention is paid to parameters of mechanical ventilation of the lungs; scheme of cardiotonic support in the treatment of this case of non-immune hydrops is given.

Congenital optic disc coloboma

2021 ◽  
pp. 33-39
Author(s):  
A.O. Nazarenko ◽  
◽  
E.E. Sidorenko ◽  
D.V. Miguel ◽  
A.S. Smartsev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Optic Nerve ◽  
Clinical Picture ◽  
Clinical Case ◽  
Charge Syndrome ◽  
Diagnostic Methods ◽  
Newly Diagnosed ◽  
Optic Nerve Atrophy ◽  
Optic Disc Coloboma ◽  
Optic Nerve Coloboma

A clinical case of observation of a 3-year-old child with a newly diagnosed optic nerve coloboma and multiple malformations is considered. The clinical picture and diagnostic methods necessary for the diagnosis are reflected. On the example of this child, the differential diagnosis with Charge syndrome is considered. Key words: coloboma, optic nerve coloboma, partial optic nerve atrophy, astigmatism, Charge syndrome.

Analysis of diagnostic criteria for ventilator-associated pneumonia: a cohort study

2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Caroline Gonçalves Pustiglione Campos ◽  
Aline Pacheco ◽  
Maria Dagmar da Rocha Gaspar ◽  
Guilherme Arcaro ◽  
Péricles Martim Reche ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Cohort Study ◽  
Intensive Care ◽  
Diagnostic Criteria ◽  
Statistical Tests ◽  
Significant Risk ◽  
Diagnostic Methods ◽  
Ventilator Associated Pneumonia

ABSTRACT Objectives: to analyze the diagnostic criteria for ventilator-associated pneumonia recommended by the Brazilian Health Regulatory Agency and the National Healthcare Safety Network/Centers for Disease Control and Prevention, as well as its risk factors. Methods: retrospective cohort study carried out in an intensive care unit throughout 12 months, in 2017. Analyses included chi-square, simple linear regression, and Kappa statistical tests and were conducted using Stata 12 software. Results: the sample was 543 patients who were in the intensive care unit and under mechanical ventilation, of whom 330 (60.9%) were men and 213 (39.1%) were women. Variables such as gender, age, time under mechanical ventilation, and oral hygiene proved to be significant risk factors for the development of ventilator-associated pneumonia. Conclusions: patients submitted to mechanical ventilation need to be constantly evaluated so the used diagnostic methods can be accurate and applied in an objective and standardized way in Brazilian hospitals.

scholarly journals Endometriosis as a Reason of Intraabdominal Bleeding in Pregnancy. Clinical Case

2019 ◽  
Vol 23 (3) ◽  
pp. 283-289
Author(s):  
Y. A. Revzoeva ◽  
E. Y. Shakurova
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Laboratory Tests ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Reproductive Period ◽  
Diagnostic Methods ◽  
Dark Blood ◽  
Abdominal Bleeding

The article defines the significance and relevance of the problem of endometriosis during pregnancy. 10% of women in the reproductive period have different localization of endometriosis. 25% of pregnancies with endometriosis are complicated by preterm labor. The article presents a clinical case of intra-abdominal bleeding in a 28-year-old pregnant woman with retrocervical endometriosis at gestation age of 32 weeks and 6 days. The article covers the results of examination and special diagnostic procedures of intra-abdominal bleeding in pregnant women with retrocervical endometriosis. The main diagnostic methods were the study of past medical history, ultrasound examination, and laboratory tests. Due to their infrequency during pregnancy internal bleedings present difficulties in their diagnosis. Ultrasound reliably revealed a large amount of fluid in the abdominal cavity and small pelvis and excluded the presence of intrauterine bleeding. Clinical and laboratory tests indicated the severity of the patient's condition. Symptoms of moderate fetal distress were also identified. Therefore, a decision was made about an emergency delivery by the cesarean section followed by an abdominal revision. During the cesarean section, 500 ml of blood in the form of dark blood clots was found in the abdominal cavity. The condition of the premature newborn was in conformity with his gestational age. The source of bleeding were the of endometriosis on the back wall of the uterus. These focuses most likely caused hemoperitoneum. The revision of the abdominal cavity did not find any other foci of bleeding. The postoperative period was uneventful. The article provides general guidelines for the management of pregnant women with severe forms of endometriosis.

scholarly journals Perforation of the jejunum diverticulum: the role of CT examination

2019 ◽  
pp. 66-76
Author(s):  
I. V. Platitsyn ◽  
A. V. Kondratyev ◽  
A. V. Panin ◽  
E. M. Shubarkina ◽  
A. L. Maslov
Keyword(s):  
Small Intestine ◽  
Acute Abdomen ◽  
Research Methods ◽  
Clinical Case ◽  
Laparoscopic Resection ◽  
Surgical Intervention ◽  
Everyday Practice ◽  
Correct Interpretation ◽  
Common Causes

Uncomplicated diverticula of the small intestine are asymptomatic, extremely rare in everyday practice and, most often, are detected already with the development of complications such as perforation and abscess formation. Diagnosis of complicated diverticula of the small intestine is difficult due to many other, more common causes of acute abdomen, insufficient use of the capabilities of the methods of radiation diagnosis, the lack of application and correct interpretation of the results of instrumental and special research methods. The article presents a clinical case of perforation of the jejunum diverticulum. The results of effective MDCT diagnosis and successful surgical intervention are presented: laparoscopic resection of the jejunum with the formation of the primary hardware intracorporeal enteroentero-anastomosis side by side. 

scholarly journals Wilson–Konovalov disease: acute onset, course, diagnosis and treatment (clinical case)

2021 ◽  
pp. 76-81
Author(s):  
Yu.I. Alekseeva ◽  
◽  
Ji. V. Turkin ◽  
О.B. Synoverskaya ◽  
L.Ya. Ivanyshyn ◽  
...  
Keyword(s):  
Clinical Picture ◽  
Clinical Case ◽  
Local Level ◽  
Acute Onset ◽  
Left Lobe ◽  
Diagnostic Methods ◽  
Laboratory Research ◽  
Disease Etiology ◽  
Research Institution ◽  
Body Tissues

The article presents information on the main etiology and pathogenesis of Wilson–Konovalov disease, as hepato-lenticular degeneration associated with excessive accumulation of copper in body tissues due to an inherited autosomal recessive defect of a protein that transports copper. A rare case of the onset and course of the disease in a patient who was examined and treated at the Ivano-Frankivsk Regional Children's Clinical Hospital is described. The main focus is on the acute, atypical onset of the disease, in particular the signs of severe intoxication syndrome caused by manifestations of hepatic encephalopathy, steroid-induced diabetes, anemia of complex genesis, coronavirus disease, pyoderma. The difficulties of diagnosing the disease against the background of delayed manifestation of the main pathognomonic manifestations and the absence of reliable signs of the disease are shown. The clinical picture of this clinical case, features of the course are described, the indicators of the main clinical and laboratory research methods are given, the results of instrumental diagnostic methods and genetic examination methods are shown, both in laboratories of Ukraine and abroad, which confirmed the diagnosis of Wilson–Konovalov disease. The treatment of this clinical case is described in detail not only at the local level but also in the main leading research institution of Ukraine «OHMATDYT» and «National Institute of Surgery and Transplantology named after O.O. Shalimov». Recommendations for further observation and treatment of the child at the place of residence after orthotopic transplantation of the left lobe of the liver from a living family donor. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: Wilson-Konovalov disease, etiology, pathogenesis, clinical picture, diagnosis, examination, treatment.

A clinical case of focal liver lesion in tuberculosis

2021 ◽  
pp. 67-70
Author(s):  
Igor Borisovich Kirichenko
Keyword(s):  
Computed Tomography ◽  
Clinical Practice ◽  
General Practitioner ◽  
Clinical Case ◽  
Liver Lesion ◽  
Focal Liver Lesion ◽  
Diagnostic Methods ◽  
Targeted Biopsy ◽  
Diagnostic Studies ◽  
Biochemical Studies

In the clinical practice of a general practitioner, there are many difficulties in the diagnosis of certain nosological forms, even in spite of various diagnostic studies. This is often due to the fact that in most cases, the used methods, especially ultrasound, as well as the results of many biochemical studies, make it possible to suspect pathology or reveal its indirect signs. Accurate diagnostic methods such as laparoscopy, biopsy, targeted biopsy, computed tomography and colonoscopy are rarely used. The clinical case presented below is one of the confirmations of the above [2; 3].

Microcirculatory Changes in the Retina in Patient with COVID-19

2021 ◽  
pp. 46-49
Author(s):  
M.S. Krivosheeva ◽  
◽  
E.E. Ioyleva ◽  
Keyword(s):  
Macular Edema ◽  
Key Words ◽  
Retinal Vein Occlusion ◽  
Clinical Picture ◽  
Branch Retinal Vein Occlusion ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Pathological Changes ◽  
Renin Angiotensin Aldosterone System ◽  
Vein Occlusion

A clinical case of observation of a patient who had branch retinal vein occlusion with the development of macular edema, against the background of a moderate-severe course of COVID-19, was considered. The clinical picture and diagnostic methods necessary for the diagnosis are described. Some aspects of pathological changes in the organ of sight in COVID-19 are discussed. Key words: COVID-19, branch retinal vein occlusion, macular edema, renin-angiotensin-aldosterone system.

Sign in / Sign up

Export Citation Format

Share Document