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Biomedical subjects

A E Feldman

Publications and source records attributed to A E Feldman.

11 recordsLinked to original sources

Burn injury in children: declining need for reconstructive surgery as related to use of neck orthoses.

A 9-year study of the results of treatment of 143 acute and reconstructive cases involving thermal injury to the neck compares 2 periods of treatment, 1964-1968 and 1968-1971. Number of grafts as well as Z-plasties is documented. A decline in the number of operative procedures required per patient is demonstrated in the later period; for acute cases a mean of 3.2 dropped to 1.1, and for reconstructive cases from 2.4 to 1.1. The declining necessity for reconstructive procedures is related to the increasing use of transparent molded polyvinylchloride neck orthoses. In reconstructive cases improved postoperative positioning with a special cervical hypertension mattress has been useful.

Burns↗

Necrotic testicle with increased blood flow on Doppler ultrasonic examination.

A twelve-year-old male with a five-day history of scrotal swelling and pain had increased blood flow on ultrasonic examination. A testicular flow and scan indicated an ischemic testicle. Surgical exploration revealed complete torsion of the spermatic cord. In chronic cases of torsion, the Doppler stethoscope may give a false negative result because of reactive hyperemia.

Adolescent↗

The Doppler stethoscope and the diagnosis of the acute scrotum.

We evaluated 30 patients who had acute scrotal swelling with the Doppler stethoscope. Every case of epididymitis and torsion of the appendix testis demonstrated an increased testicular blood flow. The cases of spermatic cord torsion had no blood flow on ultrasound examination.

Acute Disease↗

Aberrant renal papilla: a diagnostic dilemma.

Filling defects of the renal pelvis not uncommonly present a difficult diagnostic challenge to the urologist and the radiologist. The precise etiology of the radiographic picture is not always evident, even after a battery of clinical tests. A pathologically proved case of an aberrant renal papilla is reported herein, and the significant differential diagnostic possibilities are considered and reviewed.

Adult↗