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Biomedical subjects

A P Lucas

Publications and source records attributed to A P Lucas.

6 recordsLinked to original sources

[Medical transfers of children from Portuguese speaking African countries].

We reviewed the files of children coming from Portuguese speaking African Countries, admitted to the Surgery Department of Dona Estefânia Hospital between January 1991 and January 1997. There were 108 Medical Transfers: 17 from Angola, 47 from Cape Verde, 26 from Guinea-Bissau, 16 from S. Tomé and Príncipe and none from Mozambique. The assessment of the results and the medical course of these children leads the authors to propose changes, especially in the choice of patients and in hospital assistance, in order to achieve the best ratio between costs and results.

Africa, Western↗

[Pediatric varicocele].

The treatment of pediatric varicocele has recently been given a special importance due to clinical and experimental evidence of testicular atrophy and histological changes in 50% of homolateral and sometimes in contralateral testis. Those changes are progressive and similar to those in infertile adults with varicocele. Between 1st January 1990 and 31st December 1994, 41 boys (five to 15 years old--mean age 11.9 years) were presented for evaluation of primary varicocele at the Pediatric Surgery Department of Dona Estefânia Hospital. The varicocele was left sided in 39 boys, bilateral in one and another on the right, with a predominance of grade II. Forty patients underwent varicocelectomy, 31 (77%) by the Ivanisevìc technique. Varicocele recurred in four cases (10%). The authors discuss the results and make some considerations concerning the management of varicocele in children.

Adolescent↗

[Free me from this nail! Please!].

Ingrowing toenails are a very frequent pathology in children and adolescents. There is an anatomic component, but also other factors, such as inadequate shoes and incorrect nail-trimming. We treated 47 patients with 69 ingrowing toenails, between one and 15 years of age. The evolution time was one month to 10 years and 11 patients had precedent surgeries. Lateral electrosurgical matricectomy was the choice technique. With a follow up of at least eight months, there is only one case of recurrence.

Adolescent↗

Ilio-psoas abscess in the neonate.

Ilio-psoas abscess is rare in children and exceptional in the neonate. This report describes a case of idiopathic ilio-psoas abscess in a neonate with no etiologic factor known. The diagnosis was made by ultrasonography and computed axial tomography. The treatment was extraperitoneal surgical drainage and systemic antibiotics.

Diagnosis, Differential↗

[Hand and foot infections in children].

Hand and Foot anatomic and physiologic characteristics make the infections, located there, acquire specific aspects. Seventy seven in-patients admitted and/or with follow-up at the out-patient clinic of Dona Estefãnia Hospital with Hand (25) and Foot (52) infections, were reviewed during the period between January 1991 and January 1994. We treated, out-patients with paronychia (7 of the hand and 42 of the foot), one patient with hand pulpitis, and one with dorsum hand cellulitis. The remaining 16 with hand infection (64%) and 15 with foot infection (29%) were being treated with splint in the position of rest, elevation of the affected limb and endovenous antibiotic therapy. In all abscess cases, surgical drainage was conducted, 16 the of hand and 22 of the foot. There were no sequels in hand infection. In foot infection there was one osteitis of the first metatarsus and a cutaneous fistula.

Adolescent↗