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Biomedical subjects

D R Burke

Publications and source records attributed to D R Burke.

46 records · Page 3Linked to original sources
PubMed1985

CT of pyogenic spine infection.

A retrospective review of 19 patients with a diagnosis of pyogenic spine infection evaluated with spine CT was performed. In addition to displaying bone involvement, CT routinely depicted paraspinous and epidural involvement often not apparent on conventional radiographs or nuclear medicine studies. CT proved particularly useful in workup of patients with clinical evidence of infection associated with back pain and neurologic symptoms, evaluation of patients with fever and recurrent back pain following recent spine surgery, guiding diagnostic aspiration of suspected spinal regions for culture and sensitivity, pre-operative planning of debridement surgery.

Abscess↗
PubMed1985

Percutaneous drainage techniques. Alternatives to surgical therapy.

Percutaneous drainage techniques are widely used to relieve biliary and urinary obstructions as well as to evacuate abdominal abscesses. These drainage techniques are less expensive, safer, and in many cases more effective than comparable surgical procedures. Proper follow-up care of catheters is essential, however, to achieve maximum effectiveness.

Abdomen↗
PubMedDate not supplied

Fibrolamellar hepatocellular carcinoma: MR appearance.

We report two cases of fibrolamellar hepatocellular carcinoma, each of which had lower signal intensity than normal liver on short repetition time (TR), short echo time (TE) spin-echo (SE) images and demonstrated a central scar-like area of low signal intensity which did not become hyperintense on long time TR/TE SE images.

Adult↗
PubMedDate not supplied

Conversion of choledochojejunostomy stents to jejunal feeding tubes for postoperative enteral alimentation.

The problem of protein calorie malnutrition following major gastrointestinal surgery can be treated with central venous or enteric alimentation, with the latter being preferred. The authors describe a simple technique for the conversion of biliary stents placed after pancreaticoduodenal surgery into jejunal feeding tubes when the stenting function is no longer needed. Three illustrative cases are presented. In each case, the procedure took less than 30 min and had no associated morbidity. This technique allows early conversion from central venous to enteric alimentation without the need to create a second surgical enterostomy.

Adenocarcinoma↗
PubMedDate not supplied

Spontaneous retraction of indwelling catheters: previously unreported complications.

The development of totally implantable reservoir central venous access systems has been an important advance in patients requiring long-term central venous access. With lower rates of infection and thrombosis than those with external catheters, they have potential for greater longevity and patient acceptance. Complications such as subcutaneous prosthetic infection, infusate extravasation, and difficulty in locating and puncturing the port have been reported. We present two cases of catheter migration and withdrawal from the subclavian vein. This presumably occurred from the action of the underlying pectoralis muscle on the reservoir, as well as a "jetting effect" during flushing. We make suggestions for prevention of similar problems in the future.

Adult↗