Improvements in CT technology, specifically with respect to the development of multi-row detector CT, have increased the ability to detect acute myocardial ischaemia. This case report details the finding of decreased myocardial enhancement on CT in a patient who complained of acute chest symptomalogy and was diagnosed with acute myocardial infarction, which was subsequently confirmed by cardiac catheterization. Given the variability of the clinical presentation of acute myocardial infarction, greater attention should be paid by radiologists to myocardial enhancement in patients with significant coronary risk factors, as evidence of acute myocardial infarct or ischaemia may be detected.
from twenty-eight to thirty days, lasting four or five days each, with a normal amount of flow. The hemoglobin and erythrocytes are slowly approaching normal levels, but two months after discharge the platelets numbered only 75,000.In the chart are summarized the hemoglobin, erythrocyte and platelet determinations and the treatment given. In the table the remaining blood data are summarized. COMMENT Although thrombopenic purpura often exhibits periods of exacerbation and spontaneous remission, we do not believe the remission in this case to have been spontaneous or coincidental.All measures used including splenectomy failed to arrest the bleeding. Repeated transfusions were insufficient to sustain the patient. The condition was grave. The sudden and sustained improvement which followed the administration of solution of parathyroid seems to indicate the specificity of the agent in this case.
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