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Biomedical subjects

E J Fitzgerald

Publications and source records attributed to E J Fitzgerald.

At least 19 recordsLinked to original sources

Copper and lead concentrations in salt marsh plants on the Suir Estuary, Ireland.

Concentrations of Cu and Pb were determined in the roots and shoots of six salt marsh plant species, and in sediment taken from between the roots of the plants, sampled from the lower salt marsh zone at four sites along the Suir Estuary in autumn 1997. Cu was mainly accumulated in the roots of monocotyledonous and dicotyledonous species. Pb was mainly accumulated in the roots of monocotyledons, while dicotyledons tended to accumulate Pb in the shoots. In the case of Aster tripolium there was a clear differentiation in the partitioning of Pb within the plant, between low and high salinity sites. At the low salinity sites, Pb accumulated only in the roots while at the high salinity sites there was a marked translocation to the shoots. The increase in Pb concentrations in roots and shoots of A. tripolium was accompanied by a concomitant decrease in sediment concentrations of Pb. This inverse correlation between sediment and plant concentrations of Pb was also recorded for Spartina spp. and Schoenoplectus tabernaemontani but in the case of these species the roots contained higher concentrations of Pb regardless of salinity levels. These differences in accumulation of Cu and Pb in various salt marsh species, and the influence of salinity on the translocation of Pb in A. tripolium in particular, should be taken into account when using these plants for biomonitoring purposes.

Aster Plant↗

Pre-operative computed tomography in abdominal aortic aneurysms.

Major additional pathology, in the abdomen or directly related to the aneurysm itself, which influenced surgical management was demonstrated in 39 (34.5%) of 113 patients with suspected abdominal aortic aneurysm who had undergone pre-operative assessment with computed tomography (CT). Major additional pathology within the abdomen was shown in 11 (9.7%) and related to the aneurysm itself in 26 (23%). Therefore, CT has a significant impact on operative management of such patients and should be routine in the pre-operative evaluation of abdominal aortic aneurysms. The current roles of CT angiography and magnetic resonance angiography are discussed.

Aortic Aneurysm, Abdominal↗

Hepatic 'pseudotumours': an important diagnostic pitfall.

Hepatic 'pseudotumours' are radiological abnormalities which give the appearance of tumour. They may be focal areas of disease such as fatty infiltration or areas of focal sparing in diffuse processes. We present four cases of hepatic 'pseudotumours' due to diffuse fatty infiltration with focal sparing and emphasise the need for further radiological assessment of focal lesions found on ultrasound scanning. Measurement of CT attenuation allows a confident diagnosis of fatty infiltration with focal sparing, thus preventing unnecessary investigation. Other forms of hepatic pseudotumour may require further investigation.

Adult↗

Ultrasound as part of a 1-day gastroenterology clinic: advantages and problems.

Ultrasound was introduced into a 1-day gastroenterology clinic so that clinical assessment, endoscopy and ultrasound could be performed as appropriate in a single hospital visit. The findings in 602 patients are reported. A total of 256 (43%) patients underwent ultrasound, 35% of which showed positive findings including cholelithiasis in 12% and tumours in 7%. This system of referral for ultrasound is very convenient for patients and their general practitioner and is less costly than traditional referral methods. It is, however, time-consuming for the radiologist.

Adolescent↗

'Inflammatory' abdominal aortic aneurysms.

The term 'inflammatory aneurysm' is used to describe a variant of atherosclerotic abdominal aortic aneurysms in which the wall of the aneurysm is unusually thick and surrounded by extensive fibrosis and adhesions. Repair of these aneurysms is associated with a higher mortality and morbidity than repair of those which are non-inflammatory, so that diagnosis prior to surgery is desirable. The use of computed tomography (CT) and ultrasound in this differentiation is discussed. The correct diagnosis was made in 16 out of 17 by CT, but in only three of nine cases who had ultrasound scans.

Aorta, Abdominal↗

Fungal microabscesses in immuno-suppressed patients--CT appearances.

Disseminated fungal infections in leukemic patients treated with cytotoxic drugs are an increasing problem. Confirmation of such infection either by clinical or laboratory examination can be extremely difficult. The findings in four such patients, using computed tomography, are described here. The presence of small non-enhancing lesions in the liver, spleen, or kidney in such patients is strongly suggestive of deep-seated fungal infections.

Abscess↗

Pitfalls in the ultrasonographic diagnosis of gallbladder diseases.

Ultrasonography is rapidly replacing radiological techniques of gallbladder investigation. While ultrasonography is highly accurate, there are technical, anatomical and diagnostic pitfalls which will trap the unwary. This presentation highlights the pitfalls which we have encountered, reviews the literature in this area and suggests techniques whereby these pitfalls may be avoided.

Diagnostic Errors↗

Fatty retroperitoneal tumours--plain film and computed tomographic appearances.

Three patients with large fatty retroperitoneal tumours are presented. In all three the fatty mass was visible (but initially not recognized as such) on plain abdominal radiographs. Computed tomography (CT) confirmed the presence of fat within these tumours. Attention is drawn to the importance of the correct interpretation of the plain abdominal radiograph when such fatty tumours are present. Computed tomography then proves the presence of fat as well as site of origin of such tumours.

Aged↗

The importance of appropriate frequency selection in sonographic gallstone detection.

A prospective study was performed on 161 patients referred for gallbladder ultrasound to determine whether routine use of a 5 MHz probe in addition to a standard 3.5 MHz probe provided useful additional information. Seventy-two patients were found to have gallstones. In 26.4% of these patients (19 cases) a confident diagnosis of gallstones was possible only when the 5 MHz probe was used. These results confirm theoretical assertions on the value of high-frequency probes in the evaluation of superficially located organs such as the gallbladder. Our findings lend support to their routine use in cholecystosonography.

Cholelithiasis↗

False aneurysm of the femoral artery: computed tomographic and ultrasound appearances.

Twenty-five patients presenting with pulsating masses in the groin, 1-10 days after diagnostic arterial catheterisation, were investigated by computed tomography (CT), ultrasound (US) or both. False aneurysm was demonstrated in 10, four by CT alone, three by US alone and three by both CT and US. Both methods allowed rapid accurate and non-invasive diagnosis of this uncommon complication of arterial catheterisation.

Aneurysm↗

Pneumocolon as an aid to small-bowel studies.

A prospective study was performed in 138 consecutive patients referred for small-bowel examination to evaluate the use of the pneumocolon when there was poor demonstration of the terminal ileum. One hundred and twenty-two patients were examined by enteroclysis (small-bowel enema) and 16 by small-bowel meal. Pneumocolon was used in 38 of the small-bowel enemas and in eight of the small-bowel meal examinations. In 29 cases (21 small-bowel enema; eight small-bowel meal) the use of the pneumocolon significantly improved demonstration of the terminal ileum. When the distal ileum is not adequately seen on a small-bowel study, pneumocolon serves as a useful additional technique.

Administration, Oral↗