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Nederlands Tijdschrift Voor Geneeskunde Jan 2019A 16-year-old male presented with acute knee pain due to focal periphyseal oedema of the distal femur. This is a physiological reaction during skeletal maturation.
A 16-year-old male presented with acute knee pain due to focal periphyseal oedema of the distal femur. This is a physiological reaction during skeletal maturation.
Topics: Adolescent; Arthralgia; Bone Diseases; Edema; Humans; Knee; Knee Joint; Male; Pain Measurement; Weight-Bearing
PubMed: 30637998
DOI: No ID Found -
Infection and Immunity Jun 1981Vibrio vulnificus (lactose-positive Vibrio), a recently recognized pathogenic marine species, produced extreme hemoconcentration and death within 3 to 6 h after... (Comparative Study)
Comparative Study
Vibrio vulnificus (lactose-positive Vibrio), a recently recognized pathogenic marine species, produced extreme hemoconcentration and death within 3 to 6 h after subcutaneous or intraperitoneal injection of 10(8) viable cells into mice; hemotocrit values approached 70% (normal, 45%). About 1 ml of edema fluid accumulated at the site of each subcutaneous injection, and locally increased vascular permeability was demonstrated by a skin bluing assay, using Evans blue dye. A corresponding fluid accumulation did not occur in the peritoneal cavity after an intraperitoneal injection. Filter-sterilized supernatants of cultures grown under a variety of conditions did not produce local edema or lethality, nor did whole Vibrio cells killed by a variety of methods or disrupted by sonic oscillation. Edema fluids collected from infected mice and sterilized by filtration had no effect when they were injected subcutaneously or intraperitoneally into mice. Inocula of 10(9) viable cells of V. vulnificus contained within a diffusion chamber implanted subcutaneously did not produce skin bluing, edema, or lethality; Vibrio cells remained viable and virulent within these chambers for at least 2 weeks. These experiments suggested that vascular permeability changes in V. vulnificus infections may not be attributable to a diffusible toxin and may require direct contact between host cells and viable Vibrio cells.
Topics: Animals; Blood Volume; Capillary Permeability; Edema; Female; Hematocrit; Immunization; Mice; Tetracyclines; Vibrio Infections
PubMed: 7251164
DOI: 10.1128/iai.32.3.1193-1199.1981 -
Lymphology Jun 2007Overall limb lymphedema can be assessed by several methods but none are suitable to determine local edema. Quantifying local edema could provide important information...
Overall limb lymphedema can be assessed by several methods but none are suitable to determine local edema. Quantifying local edema could provide important information not previously available. Our goal was to determine the suitability of using the tissue dielectric constant (TDC) as and index of local tissue water to detect and quantify edema in postmastectomy patients with unilateral arm lymphedema. Segmental arm volume and TDC were measured in both arms of 18 women with unilateral lymphedema, and in 15 premenopausal and 15 postmenopausal controls. TDC was measured at a frequency of 300 MHz using open-ended coaxial probes with effective measuring depths of 0.5, 1.5, 2.5 and 5.0 mm. For patients and controls, absolute TDC depended on measurement depth but for any depth the TDC of lymphedematous segments was significantly greater than for non-affected contralateral arms (p<0.001). At a depth of 2.5 mm, the TDC ratio between arms for patients was 1.64+/-0.30 vs.1.04+/-0.04 for both control groups (p<0.001). No patient's TDC ratio was as low as 1.2 and no control subject's TDC ratio was as great as 1.2. Results suggest that this method is a good quantitative discriminator of the presence of lymphedema in patients with unilateral limb lymphedema.
Topics: Adult; Aged; Aged, 80 and over; Arm; Case-Control Studies; Edema; Female; Humans; Lymphedema; Mastectomy; Middle Aged; Postoperative Complications
PubMed: 17853619
DOI: No ID Found -
Der Radiologe Aug 2019Imaging-based analysis of articular cartilage and its defects as well as the radiologist have to live up to the more and more specific clinical questions arising from... (Review)
Review
BACKGROUND
Imaging-based analysis of articular cartilage and its defects as well as the radiologist have to live up to the more and more specific clinical questions arising from increasing experience with cartilage-dedicated therapies.
MATERIALS AND METHODS
Based on the currently available literature and experience from clinical routine, imaging findings relevant for lesion analysis will be summarized and illustrated by specific pathologies.
RESULTS
Local aspects and topographic distribution of bone marrow edema pattern (BMEP), careful analysis of the cartilage surface and of the subchondral plate as well as the patient's clinical and biomechanical context are essential for image analysis. Formal grading is helpful to communicate imaging findings, but in itself is not sufficient for a comprehensive analysis. Assessing the stability of a lesion is important for therapy planning. Imaging is helpful to this end, but can be challenging and requires consideration of the arthroscopic and histologic perspective especially when dealing with juvenile osteochondral lesions.
DISCUSSION
In order to maximize the therapeutic and prognostic relevance of findings from cartilage imaging, radiologists need to be sensitive to-often very subtle-imaging clues but at the same time we need to be aware of the limitations of our methods.
Topics: Bone Marrow Diseases; Cartilage, Articular; Edema; Humans; Magnetic Resonance Imaging
PubMed: 31187161
DOI: 10.1007/s00117-019-0554-1 -
Nihon Rinsho. Japanese Journal of... Jan 2005The principle therapy for edema should be targeted to the treatment of the primary disease. However, supportive care is required in most of cases. When effective... (Review)
Review
The principle therapy for edema should be targeted to the treatment of the primary disease. However, supportive care is required in most of cases. When effective circulating blood volume is increased, the use of a diuretic medicine is the main treatment strategy. Nevertheless, it is not enough to prevent respiratory and cardiovascular failure in some patients and immediate blood purification therapy, such as extracorporeal ultrafiltration method (ECUM), is required. When the cardiac function is poor, continuous therapy such as continuous hemodiafiltration (CHDF) or continuous hemofiltration (CHF) could be selected with stable circulatory effect. Furthermore, plasma exchange or low density lipoprotein (LDL) apheresis could be a candidate for refractory nephroses, such as primal focal segmental glomerulosclerosis and can induce partial or complete remission.
Topics: Edema; Humans; Kidney Failure, Chronic; Nephrotic Syndrome
PubMed: 15675333
DOI: No ID Found -
The Journal of Emergency Medicine Nov 2015Lepidopterism refers to the manifestations of contact from any number of moths, butterflies, and caterpillars. Various symptoms have been described, ranging from...
BACKGROUND
Lepidopterism refers to the manifestations of contact from any number of moths, butterflies, and caterpillars. Various symptoms have been described, ranging from localized skin irritation to systemic anaphylactic reactions.
CASE REPORT
We present a case of airway edema in an 8-month-old child from oral exposure to Woolly Bear Caterpillar (Pyrrharctia Isabella). After prompt emergency department recognition, her symptoms necessitated urgent operating room management by a team of otolaryngologists and close monitoring in a pediatric intensive care unit. A similar presentation in this species has not been described previously in the English literature. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Leptidopterism is rare, but recognition by the emergency practitioner is necessary for prompt and appropriate treatment. Rapid identification by the emergency physician of oral exposure and careful spine removal can be lifesaving in cases of significant oropharyngeal edema.
Topics: Animals; Edema; Female; Humans; Infant; Lepidoptera; Oropharynx; Otorhinolaryngologic Diseases
PubMed: 26281804
DOI: 10.1016/j.jemermed.2015.06.007 -
Clinical Orthopaedics and Related... 1980The potential of local cooling to reduce posttraumatic swelling has been assessed on rabbits. A standard crush injury to a forelimb was used as a control model. In a...
The potential of local cooling to reduce posttraumatic swelling has been assessed on rabbits. A standard crush injury to a forelimb was used as a control model. In a treatment regimen of one hour of cooling following the injury, 30 degrees C proved to perform best, this group having less residual swelling at 24 hours than the 20 degrees C group. Repeated applications of cooling in 3 cycles of one hour of cooling followed by one hour exposure to ambient room air showed residual swelling at 24 hours in both 20 degrees C and 30 degrees C groups. Although no clear-cut clinical directives can be made from the data, it does appear that too much cold or too long application may be deleterious. For these reasons, discretion in the utilization of cold therapy is warranted. Within limits of physiologic conditions, there is empirical evidence for the use of icing treatment of local musculoskeletal trauma.
Topics: Animals; Cryosurgery; Edema; Forelimb; Male; Rabbits
PubMed: 7428234
DOI: No ID Found -
Journal of the American Optometric... Dec 1985Soft toric contact lenses had provided a good correction for this patient for 3 1/2 years. An acute episode of slightly decreased vision and lens discomfort was...
Soft toric contact lenses had provided a good correction for this patient for 3 1/2 years. An acute episode of slightly decreased vision and lens discomfort was accompanied by corneal irritation, edema, irregular distorted keratometric mires, and a change in refractive cylinder. It is of interest that the areas of most corneal disturbance were in continuous apposition to the areas of most deposits on the non-rotating toric contact lenses.
Topics: Adolescent; Contact Lenses, Hydrophilic; Corneal Diseases; Edema; Female; Humans
PubMed: 4093533
DOI: No ID Found -
Medicina Et Pharmacologia... 1967
Topics: Age Factors; Animals; Anti-Inflammatory Agents; Bradykinin; Edema; Female; Male; Rats; Sex Factors; Time Factors
PubMed: 5632206
DOI: No ID Found -
Revue Francaise de Gynecologie Et... Feb 1995Pelvic congestion syndrome is encountered in three pathological situations: premenstrual syndrome, intermenstrual syndrome, chronic pelvic congestion syndrome. The first... (Review)
Review
Pelvic congestion syndrome is encountered in three pathological situations: premenstrual syndrome, intermenstrual syndrome, chronic pelvic congestion syndrome. The first two syndromes, with a range of physical and/or psychological symptoms, are cyclical. Their pathogenesis is multifactorial. Hormonal and circulatory factors are essentially blamed. Treatment is most often based upon combinations of progestogens and venotonics. The third syndrome, that of chronic pelvic congestion, is characterised by long term pelvic pain and raises etiopathogenic problems which remain only partially solved and in which a vascular role may sometimes be recognised. Endovaginal ultrasonography with colour-coded Doppler and celioscopy sometimes reveal pelvic varicose veins and indicate their responsibility for such pain, after having eliminated specific pelvic pathology (post-infectious or post-operative inflammatory sequelae of pelvic tissue, rupture of the broad ligaments, endometriosis, etc.). Treatment is above all medical, based upon hormone therapy acting upon venous receptors, venotonics which decrease the consequences of stasis, intermittent courses of anti-inflammatory agents and antibiotics when there is inflammation secondary to local infection. These various types of treatment may be combined. Surgical treatment should be restricted to certain carefully assessed cases only.
Topics: Edema; Female; Humans; Pelvic Pain; Pelvis; Premenstrual Syndrome; Regional Blood Flow; Syndrome
PubMed: 7732255
DOI: No ID Found