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D Manojlović

Publications and source records attributed to D Manojlović.

53 records · Page 3Linked to original sources

[Echinococcal renal cyst].

The article describes a patient with primary, closed, calcified renal cyst in whom the first symptoms appeared three years ago. They were manifested as a dull pain in the flank spinal region. A hard painless tumour, of the size of a man's hand, with clearly limited contours, without signs of fluctuation, was palpable in the left paraumbilical region. The intravenous urography revealed the existence of the pyelocaliceal system of the left kidney displaced by a cranially large cyst. The finding was confirmed by ultrasound. Computerized tomography revealed a cyst of 120 x 85 x 70 cm of size. Its wall was calcified and the content liquidus. Renovasography was performed after constatation that renal echinococcus was in question. This procedure enabled a good insight into the distribution of the blood vessels. On the basis of this finding resection of the lower part of the left cystic kidney was performed. The postoperative course was normal. The histologic finding was: Echinococcus cysticus.

Echinococcosis↗

[Evaluation of insulin sensitivity in diabetes using the euglycemic hyperinsulinemic clamp method].

Assessment of peripheral insulin sensitivity using artificial endocrine pancreas was done in 15 diabetics (6 with insulin dependent diabetes mellitus and 9 with non-insulin dependent diabetes mellitus) and in 10 healthy controls, matched for sex, age and body mass index. Insulin sensitivity-RC was expressed in mg of utilised glucose/kg body weight in minute. Significantly lower insulin sensitivity was found in non-insulin dependent diabetes mellitus (RC = 2.30 +/- 1.37) compared to insulin dependent group (RC = 5.88 +/- 2.89) and control group (RC = 4.93 +/- 1.96). There was no significant change in insulin sensitivity between insulin dependent diabetics and controls (p greater than 0.05). It is concluded that investigations of this kind could be used in search for pathogenetic mechanism of insulin resistance in some types of diabetes mellitus on one side, and on the other side that euglycemic clamp technique could be used for the assessment of the effects of some therapeutical measures on peripheral insulin sensitivity.

Diabetes Mellitus↗

[Various mechanisms of stimulating growth hormone secretion using growth hormone releasing factor and insulin-induced hypoglycemia].

The response of the growth hormone was studied in 7 healthy individuals after single and combined insulin administration and administration of growth hormone releasing factor. Very high response of insulin and growth hormone releasing factor in comparison with single administration of these stimuli, was registered. The high elevation of the growth hormone during the combined insulin-growth hormone releasing factor administration was observed after the administration of the maximal dose of the growth hormone releasing factor. This fact suggested the existence of different mechanisms of these stimuli. This was the clinical confirmation of formerly established experimental proofs. On the basis of the analysis of these results it was established that the response of the growth hormone to insulin hypoglycaemia in comparison with growth hormone releasing factor stimulation was fast. This is of practical importance. The highest liberation of the growth hormone in men was achieved with the combined administration of insulin and growth hormone releasing factor. In this way a better evaluation of hypophyseal reserves of the growth hormone was possible.

Adult↗

[Renal carbuncle].

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Carbuncle↗

[Renal carbuncle (abscess)].

The authors report a case of renal carbuncle at 44 year old women. The patient has been presented with high temperature and strong pain in the left costovertebral angle. Diagnosis was based on ultrasonography, intravenous urography and computed tomography and confirmed by percutaneous punction. The patient has been successfully cured by percutaneous drainage and parenteral application of antibiotics.

Abscess↗