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Biomedical subjects

A H Felman

Publications and source records attributed to A H Felman.

At least 19 recordsLinked to original sources
PubMed1989

Tillaux fractures of the tibia (in adolescents).

The juvenile "Tillaux" fracture occurs in a specific age group and may be misinterpreted as a simple sprain if proper examination is not performed. Anatomic reduction is necessary to prevent long term damage to the ankle joint. Computed tomography is of help in the evaluation of adequacy of reduction.

Adolescent↗
PubMed1982

Renal ultrasound in the neonatal period.

Ultrasound was used for imaging the kidneys in 55 neonates. The normal kidney in a neonate is characterized by prominent medulla and fetal lobulation, the main renal vessels are frequently demonstrated. Of 29 infants with normal kidneys by ultrasound, 4 had renal disease (3 acute tubular necrosis, one partial renal artery thrombosis) and one had a pelvic kidney. In 24 infants congenital abnormalities or acquired renal disease was diagnosed. Multicystic dysplastic kidney and hydronephrosis were the most frequently observed abnormalities. Polycystic kidneys at the early stage (both adult type and infantile) appeared as enlarged hyperechoic kidneys. In 2 neonates the kidneys were normal but they had adrenal mass lesions.

Diagnosis, Differential↗
PubMed1980

Ultrasonography in primary hepatic tumors in early childhood.

Ultrasonography was useful in preoperative investigation of primary hepatic tumors in nine children, aged 4 weeks to 4 years. In all patients, the hepatic origin and the solid or mixed echogenic nature of the tumor was determined. In two children (one with hemangioendothelioma, one with cystic mesenchymoma) the ultrasonographic findings were even more specific when correlated with angiography and/or histology. Ultrasonography in children with hepatomegaly should be performed as a screening procedure before angiography, to determine if enlargement of the liver is of tumorous origin. For follow-up, ultrasonography should be preferred over radionuclide imaging because it does not require the use of ionizing energy.

Carcinoma, Hepatocellular↗
PubMed1980

Pneumoperitoneum: diagnosis from chest radiographs.

Children under intensive care for various illnesses are usually followed closely with radiographic examinations of the chest. The recognition of a pneumoperitoneum as a complicating feature of these illneses depends on subtle radiographic signs that are frequently visible on the chest film studies. We have assembled and illustrated these findings in the hope that pediatricians will be better able to recognize this complication when it occurs.

Humans↗
PubMed1979

Retropharyngeal masses in infants and young children.

Six patients are described who illustrate different causes of retropharyngeal mass lesions in infants and young children. Differential diagnosis, clinical history, physical examination, and adequate roentgenographic evaluation of the neck are important.

Abscess↗
PubMed1979

Pneumocystis carinii pneumonia in children.

Previous descriptions of Pneumocystis carinii pneumonia have emphasized a variety of radiographic patterns which most often apply to advanced disease. We reviewed the chest roentgenograms of children taken at or just after the onset of clinical symptoms. Subtle but definite abnormalities of pulmonary vessels, hila, parenchyma, and aeration were observed. Appreciation of these early changes is necessary to initiate prompt treatment. The role of lung biopsy and the histologic features of these patients are also discussed.

Adolescent↗
PubMed1979

Upper airway obstruction during sleep in children.

Cinefluoroscopic findings are described in nine children with sleep-related upper airway obstruction who are asymptomatic while awake. Asleep, these patients show strikingly similar changes in the region of the hypopharynx. During inspiration, the tongue and hypopharyngeal soft tissues are approximate, obliterating the hypopharyngeal air space causing intermittent and almost complete obstruction to air flow. The value of cinefluoroscopic studies on sleeping children with clinical symptoms of airway obstruction during sleep is emphasized.

Airway Obstruction↗
PubMed1978

Normal intelligence in two children with Carpenter syndrome.

Previous reports have noted a constant association between the Carpenter syndrome (acrocephalopolysyndactyly, type II) and mental retardation. We report two patients with this condition with normal intelligence. These observations indicate that mental deficiency is not necessarily a component of the Carpenter syndrome and that early surgical correction of the craniosynostoses may improve the chances of normal mentality.

Acrocephalosyndactylia↗
PubMed1978

Functional and metabolic evaluation of colon replacement of the esophagus in children.

Thirteen children with esophageal replacement with colon interposition have been followed at the University of Florida Medical Center between 1962 and 1976. Eight of these patients were evaluated with a detailed functional and metabolic protocol, four requiring colon interposition for esophageal atresia and four for esophageal strictures. Growth was noted to be somewhat delayed in the patients with esophageal atresia, especially those with associated congenital anomalies. Otherwise, excellent functional results were obtained. Significant anemia with depressed serum iron concentrations was noted in four patients, and three patients had abnormal vitamin B12 absorption. This abnormality correlated with length of terminal ileum employed with the interposed segment. Serum parameters of intestinal absorption were normal in each patient. Manometric evaluation revealed absence of peristalsis within the colonic segment, but progressive peristalsis within interposed ileal segments. Radiologic evaluation demonstrated delay in passage of thick material from mouth to stomach and wide variability in overall intestinal transit time.

Anemia↗
PubMed1978

Primary hypogonadism in the Borjeson-Forssman-Lehmann syndrome.

A 28-year-old man with mental retardation and multiple congenital malformations was found to have the classical features of Borjeson-Forssman-Lehmann syndrome. Endocrine evaluations showed primary hypogonadism as the underlying endocrine abnormality rather than hypopituitarism as suggested in earlier reports.

Adult↗
PubMed1978

Streptococcal skeletal infections: observations in four infants.

The radiographic findings and clinical presentations of four patients with group B beta hemolytic streptococcal osteomyelitis and pyoarthritis are described. Radiographic features, though not specific, are similar in these patients and others reported in the literature. The combination of radiographic patterns and clinical presentations in children of this age group should alert clinicians and radiologists to the possibility of infection with this organism.

Arthritis, Infectious↗
PubMed1977

The trichorhinophalangeal syndrome: study of 16 patients in one family.

The trichorhinophalangeal syndrome has recognizable clinical and radiographic features. In most patients, hand radiographs show typical cone-shaped epiphyses which affect predominantly the middle phalanges. Pattern profile analysis may help establish the diagnosis in the absence of typical clinical features of radiographic hand changes. The evolution of hip disease in young and older patients is illustrated and differs from what has been reported previously. Chest and spinal abnormalities, though not well known, are also features of this syndrome.

Adolescent↗