[Differential diagnostic considerations in detecting cardiomyopathy on the 201-thallium myocardial scintigram].
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Biomedical subjects
Publications and source records attributed to F J Krause.
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Primary tuberculosis of the diaphysis of long bones is extremely rare. In the last 27 years (1955-1982) we observed one female patient with this infection in the shaft of the right femur and one male patient with symmetrical involvement of the tibiae in our Clinic. In both cases, the diagnosis was confirmed by histological examination of the lesions. The relevant literature is reviewed concerning the frequency, age incidence, localisation, clinical features, treatment, prognosis and differential diagnosis of tuberculosis of the diaphysis.
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Five myocardial scintigrams are shown, where there were difficulties in interpretation. In the first three examples, there was excessive distance of the collimator from the heart, resulting in poor quality scintigrams and leading to possible misinterpretation. Two further myocardial scintigrams are shown in patients who had eaten before the scan. In a further patient, there was insufficient cardiac ergometric stress. The problem is discussed briefly.
Case report of congenital craniolacunia ("Lückenschädel" or lacunar skull) only associated with several noncerebral malformations but lacking the CNS findings usually associated with this condition, such as dysraphism. Presentation and discussion of etiology and prognosis of this anomaly and its differential diagnosis.
PTC is a good radiographic method in the diagnosis of cholestasis. Complications are rare, primarily due to the ultra-thin Chiba needle. For penetrating the liver we recommend to keep a distance of at least 4 cm between needle and spine (measured on the monitor). Our experience has shown routine liver tomography to be very helpful. Furthermore, delayed radiography can show extrahepatic bile ducts not seen on initial films.
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Between 1955 and 1980 a total of 67 patients (42 female, 25 male) with advanced tuberculosis of the pelvic girdle underwent surgery at the authors' clinic. In 43 patients the sacroiliac joint was affected (in 2 cases bilaterally), in 11 the ischium, in 9 the pubic bone, and in 2 each the ilium and the sacrum. The average of the patients (who included 4 migrant workers) was 44. The youngest patient was 8, the oldest 67 years old. The average interval between the onset of complaints and diagnosis was 4.6 years (minimum 1 month, maximum 20 years). Thirty-eight of the patients had already had treatment for an organic or osteoarticular tuberculosis. Although 24 (35.8%) of the patients were simultaneously suffering from a florid, specific infection localized elsewhere, and abscesses, fistulas, or a combination of these were identified in 40 patients (59.7%), only 17 (25.4%) were in slightly impaired general condition, and in over one-half of the patients, the hourly blood sedimentation rate was normal or only slightly elevated (up to 20 mm n.W.). In 9 cases (13.4%) the only pointers to tuberculosis were the patient's history, clinical and radiological findings, and the subsequent evolution of the disease. In these cases the diagnosis could not be confirmed either by histologic or by bacteriologic study of focal tissue. In 67 patients, 66 osseous foci were removed and in 2 cases merely an abscess (after an average of 2-3 weeks' tuberculostatic therapy), the bone cavities were filled with a mixture of heterogeneous or autogenous spongiosa and tuberculostatics or merely with chemotherapeutic drugs, and primary closure of the wound was performed.(ABSTRACT TRUNCATED AT 250 WORDS)
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