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Biomedical subjects

B S Reid

Publications and source records attributed to B S Reid.

28 records · Page 2Linked to original sources

Painless osteoid osteoma of the fingers--report of three cases.

Two cases of proven osteoid osteoma and one case of probable osteoid osteoma of the fingers are reported. All three cases lacked the cardinal feature of pain typical of the lesion. Swelling and enlargement of the digit were the presenting symptoms. The explanation for the lack of pain in these cases is thought to be an absence, or diminished amount, of nerve tissue within the nidus, which occurs in a growing phalanx, preventing rigid bony encapsulation.

Adult↗

Percutaneous nephrostomy in infants and children.

Percutaneous nephrostomy drainage was established in 28 children, predominantly for ureteric obstruction. Infection was the most frequent presenting feature (nine patients) followed by renal failure (six) and a combination of the two (four). A sonographically guided antegrade examination was first performed with a 22-gauge needle. Using a posterolateral approach, a 6 or 8.3 French pigtail catheter was placed in the collecting system over a guide wire introduced through an 18 gauge needle. Catheter placement was successful in every patient; in 15 children, no further procedures were required. Complications were uncommon and usually minor.

Adolescent↗

Radionuclide bone scan in neuroblastoma.

A comparison of radionuclide bone scans with other methods of monitoring disease status was undertaken in a series of 51 children with neuroblastoma. The radionuclide bone scan was more accurate than either conventional radiographic studies or physical examination in localizing the primary tumor. When the extent of bony metastatic disease was evaluated, the bone scan and radiographic skeletal surveys were generally both positive, but the bone scan tended to show evidence of greater metastatic disease than radiographs.

Adolescent↗

Ultrasonographic evaluation of the gallbladder in mucocutaneous lymph node syndrome.

Hydrops of the gallbladder was diagnosed by ultrasonography in five out of ten consecutive patients with mucocutaneous lymph node syndrome (MLNS). Certain signs and symptoms were correlated with the development of hydrops. Follow-up ultrasonography revealed the return of the gallbladder to normal size in four out of four patients. One patient was lost to follow-up. Hydrops of the gallbladder in patients with MLNS appears to be a self-limiting condition with a benign course.

Child↗

Utilization of ultrasound in the evaluation of spinal dysraphism in children.

Automated water path ultrasound scanning was used to examine 15 infants and children with suspected spinal dysraphism. The spinal abnormalities demonstrated by ultrasound included meningocele, myelomeningocele, and spinal lipoma. In addition, renal abnormalities (pyelocaliectasis and hydronephrosis) were seen in 5 patients. It is concluded that ultrasound examination of the neural axis should play an important role in evaluation of children with spinal dysraphism.

Child↗

Duplication of the müllerian ducts and genitourinary malformations. Part II: analysis of malformations.

Forty-seven females with duplication of the uterus and cervix were retrospectively studied to obtain a better understanding of the reasons for failure of fusion of the müllerian ducts by analyzing the associated genitourinary malformations. Thirty-one of the 47 patients had major genitourinary malformations that corresponded to three main complexes of anomalies. Cloacal anomalies were present in 16 patients, exstrophy in two, and combined cloacal and exstrophic deformities in another two. Renal malformations ipsilateral to a unilateral occluded müllerian duct were seen in 11 patients, and in four of these an ectopic ureter opened into the occluded duct. From the analysis of these anomalies it is proposed that duplication of the female genital system, when not an isolated event, may be secondary to interference of the normal process of müllerian fusion by a persistent cloacal duct, an abnormal pelvic girdle, or an ectopic ureter.

Abdominal Muscles↗

Ultrasonic characteristics of posterior urethral valves.

Thickening of the bladder wall and dilatation of the prostatic urethra can be shown by ultrasound in infants with posterior urethral valves. This can be helpful in the diagnosis of hydroureter. Marked hypertrophy of the bladder muscle can appear as solid echogenic mass and simulate a pelvic tumor. Ultrasonic findings in 5 infants with posterior urethral valves are reviewed.

Humans↗

Barotraumatic pneumothorax during cardiopulmonary bypass: a rare complication of open heart surgery.

In the absence of underlying lung disease, pneumothorax is a rare complication of open heart surgery in patients on cardiopulmonary bypass. However, barotraumatic pneumothoraces may be induced by manually applied endotracheal tube positive pressure to prevent air emboli from the left heart during open heart surgery. Two patients in whom barotraumatic pneumothoraces occurred during cardiopulmonary bypass and open heart surgery are reported.

Cardiopulmonary Bypass↗