Congenital left ventricular diverticulum is a rare cardiac malformation characterized by a localized outpouching from the cardiac chamber. The patient is usually asymptomatic. However, complications like embolism, infective endocarditis, arrhythmia and, rarely, rupture can be the initial presentation. Diagnosis can be established by USG, echocardiography, CT angiography, and MRI. We report here two neonates with congenital left ventricular apical diverticulum associated with epigastric hernia.
We studied how well the original intracerebral hemorrhage (ICH) score would predict mortality. All nine patients with an ICH score of 0 survived, whereas those having scores of 1, 2, 3, and 4 had 10, 53, 71, and 100 % mortality, respectively. Thirty-nine patients were found to have hematoma of <30 mL (56 % survived), whereas 11 patients were found to have volume of >30 mL (only 10 % survived). The ICH score and volume is a simple clinical grading scale that allows risk stratification on presentation with ICH. The use of a scale such as the ICH score could improve standardization of clinical treatment protocols.
The primary intention of the study was to "prove" that the reduced angle and distance between the superior mesenteric artery (SMA) and aorta significantly correlates with reduced body mass index (BMI). This in turn indicates the strong etiological role of this factor for causation of SMA syndrome. (Most literature till date still mentions sudden depletion of fat pad between the vessels as a "proposed predisposing factor"). The superior mesenteric artery syndrome is characterized by the compression of the third segment of the duodenum by the mesentery at superior mesenteric artery level and a resulting duodenal (±gastric) dilatation. The disease is closely related with the depletion of the fat pad between the vessels narrowing the angle and reducing the distance between the vessels. A prospective study of 100 patients (58 males and 42 females) in the age range 15-85 years (mean age 50 years) who had undergone CT scan for various other complaints. CT scan had been performed with routine protocol comprising plain phase followed by arterial and venous phase by measuring the angle between the aorta and superior mesenteric artery, and also BMI was calculated. Mean values for distance and angle were obtained with standard deviation and 95 % confidence intervals. Pearson coefficients were also calculated and results tabulated. A strong positive correlation exists between BMI and the angle between the aorta and SMA. With increment in BMI, the angle also increases so less chance of developing superior mesenteric artery syndrome.
IntroductionInterstitial lung diseases (ILDs) primarily affect the interstitium, an alveolar wall tissue between the capillary endothelium and the alveolar epithelium. The term 'interstitial,' however, is misleading since alveolar spaces, peripheral airways, and vessels can be involved in most of these disorders. They often require a multidisciplinary diagnosis i.e., an integration of clinical, radiological, and pathological findings. A chest radiograph is relatively insensitive because of nonspecific patterns.Generally, these disorders can progress to irreversible pulmonary fibrosis and are an important cause of morbidity and mortality. It is critical to make a prompt and accurate diagnosis of the underlying causes so that patients can be managed appropriately. ILD is subdivided into idiopathic interstitial pneumonia, of which idiopathic pulmonary fibrosis (IPF) is one subset, and diffuse parenchymal lung diseases, which may be secondary to a variety of occupational or environmental exposures or others. They can complicate multiple rheumatic or connective tissue diseases (CTDs). Apart from ILD, other forms of lung damage involving the pleura, vasculature, airways, and lymphatic tissue can complicate CTDs. AimsAims include studying the role of high-resolution computed tomography (HRCT) in diagnosing various ILDs based on morphologic patterns, evaluating the correlation between ILD and various connective tissue disorders and the prevalence of complications in such patients, and evaluating the association of smoking with various ILDs. MethodsThis is a retrospective study in which HRCT thorax was performed on a 128-slice Philips CT scanner machine on 50 patients from December 2020 to February 2022 in SVP Hospital, Ahmedabad. No age or gender bias was followed.
Introduction: Shoulder joint is a ball and socket joint and is one of the most freely movable joints in the body. Shoulder joint pathologies frequently present with shoulder joint pain and MRI shoulder is routinely used in evaluating shoulder joint pathologies due to excellent soft tissue contrast and multiple imaging planes. It is also a non-invasive study. MRI of t Methods: he shoulder joint was performed on a Siemens 3.0 Tesla Magnetom Skyra MRI machine on 65 patients from DECEMBER 2021 to APRIL 2022 in tertiary care SVP Hospital, NHLMMC, Ahmedabad. No age and gender bias was followed. In our study, rotator cuff pathologies were the mos Results: t commonly encountered abnormality. Out of which, supraspinatus was the most commonly involved tendon. Magnetic Resonance Imaging of t Conclusion: he shoulder joint is the best imaging modality to evaluate for shoulder pain. Various pathologies can be identied which help in guiding further management for the patient.
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