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Biomedical subjects

G Adebahr

Publications and source records attributed to G Adebahr.

At least 37 records · Page 2Linked to original sources

[Haemorrhages, directly and indirectly in origin, localised in the musculus sternocleidomastoideus. (Contribution towards the angio-architecture of the skeletal muscle) (author's transl)].

Haemorrhages in skeletal muscle--as in this case the musculus sternocleidomastoideus--caused by direct and local impact very often have a patchy form. They are produced not only by lesions of capillaries, small veins, and small arteries, but also by damage of muscle fibres. Indirect impact stretches muscle fibres and blood vessels very much, far away from the locality of direct impact. By this maximal stretching a protection mechanism is abolished, which exists by of the different angles of a blood vessel and its small vessel branches off, adapted to the distance of contraction and stretching and by the thickened connective tissue surrounding the vessels. Thus, blood vessels may be torn, especially such vessels that branch off nearly at a right angle. Blood will then flow into the small areas of connective tissue surrounding the vessels, and bleedings occur in form of stripes.

Adult↗

[Lethal intoxication by formalin during dialysis (author's transl)].

Systems for dialysis are disinfected, among other solutions, by formalin. Residues of formalin may remain in the interior of the system. A lethal intoxication with formalin by transvasal introduction of formalin during the dialysis of patients with nephritic disease cannot be observed very often. Two cases of death at the same time in one system for dialysis make evident that every case of death during dialysis should be investigated. The central symptom in both patients was dyspnea. It is probable that formalin affects the transportation and exchange of oxygen with lethal hemolysis.

Adult↗

[Administration of D-penicillamine instead of penicillin with fatal results: allergy of the delayed type with protracted shock as fatal complication of treatment with D-penicillamine for rheumatoid arthritis in a child (author's transl)].

Following one-week treatment with D-penicillamine for rheumatoid arthritis a seven-year-old girl died with the clinical features of protracted circulatory shock. Several doctors had mis-diagnosed the skin changes and mistakenly prescribed penicillamine, given for the rheumatoid arthritis, instead of plenicillin at the latter's dosage. By the administration of penicillamine a hypersensitivity reaction of the delayed type had been induced which ended fatally due to severe shock.

Arthritis, Rheumatoid↗

[Different concentrations of drugs in respiratory and skeleton muscles in cases of lethal poisonings (author's transl)].

The quantitative distribution of drugs in seven cases of intoxication has been investigated especially in different muscles distinguished by their functions. The analyses have been verified in two respiratory muscles (m. intercostalis and diaphragma) and two skeletal muscles, being inactive during unconsciousness (m. psoas major and m. quadriceps). In all cases, higher concentrations of drugs have been found in the respiratory muscles than in the skeletal muscles. During the acute phase of intoxication an enhanced quantity of drugs is stored in the active respiratory muscles. The skeletal muscle shows reduced metabolism activities with lowered storage of drugs.

Diaphragm↗

[Morphologic particulars in the peripheral pulmonary artery of the lungs in neonates (author's transl)].

Morphological particulars in small branches of the pulmonary artery in newborn children are described: small diameter; hypercellular intima; thick media; wide adventitia, consisting of connective tissue only; epitheloid cells between intima and media as well as media and adventitia. "Sperrarterien" are also seen. These structural changes in the small branches of pulmonary artery, the reduction of the hypertrophic wall of the right ventricle, and the increase of the magnitude of respiration--processes during the first 4 months of life--are considered important factors in explaining the frequency of sudden infant death during the first 4 months of life.

Endothelium↗

[The diagnostic significance of coagulated heart blood in cases of death by acute asphyxia (author's transl)].

In cases of death by asphyxia, such as strangulation, hanging, drowning, lack of oxygen, compression of the chest, and carbon monoxide poisoning, the frequency of the liquid and coagulated state of blood in the heart was examined. Coagulated blood in the right heart can be found in cases of strangulation, hanging, and drowning, if simultaneously an elevated blood alcohol was present. The diagnostic significance of this result is discussed.

Alcoholic Intoxication↗

[Coma dépassé: toxicological-diagnostic and forensic aspects of a fenetyllin (captagon) intoxication (author's transl)].

In a case of intoxication by Fenetyllin (captagon) with succeeding coma dépassé it can be shown, that toxicological-diagnostic conclusions can be drawn from the disproportional concentrations between brain and body organs. It may be possible to reveal an unknown intoxication case after autopsy or to contribute to recognition of causality of narcotic incidences after a possible overdose.

Autopsy↗

[The significance of blocked arteries in the pathogenesis of hemorrhages and of minor hemorrhagic infarctions in the human lung in fat embolism (author's transl)].

The significance of blocked arteries with regard to minor hemorrhagic infarctions in the lung in venous and systemic fat embolism is discussed. In an experiment it is proved that blood in the anastomoses between the arteria bronchialis and arteria pulmonalis (blocked arteries) contains fat emboli. It is suggested that these fat emboli may in addition be transported into an area of the lung, which is no longer functional following embolic occlusion of a branch of the arteria pulmonalis.

Bronchial Arteries↗

[Hemobilia--a contribution to vital reaction (author's transl)].

In 60 autopsies, with and without ante- or postmortem liver injuries bile was analyzed for its blood content, by UV-spectrophotometry. A microhemobilia was found in 20 cases and a visible macro-hemobilia in one case. The aetiology and pathogenesis of the hemobilia are discussed. If artefacts are taken into account, the two forms of hemobilia can be regarded as a vital reaction.

Abdominal Injuries↗

[Distribution of blood in lungs in the sudden infant death (author's transl)].

In 67 cases of Sudden Infant Death Syndrome (SIDS) the distribution of blood in the lungs was examined by staining paraffinsections of 50 mu with benzidine. A focal, acute emphysema and, frequently, a diffuse, alveolar and also interstitial emphysema exists in all cases. In all parts of the lungs atelectases and dystelectases, some of them covering larger areas, are found. Both atelectases and dystelectases show a high degree of hyperaemia coupled with expanded alveolar capillaries, while emphysematous areas show reduced blood volume. The possible functional significance of the disorder in blood distribution in the lungs for increased hypoxemia and the death mechanism are discussed.

Female↗

[Distribution of blood in the kidney by death from exsanguination (author's transl)].

The distribution of blood in the human kidney in acute and protracted exsanguination has been examined by staining sections (30-50micro) with benzidine. After bleeding to death within a few minutes arteries, aterioles, glomeruli, and the capillary network in the renal cortex are empty. In protracted bleeding to death glomeruli are filled with blood, the vessels of renal cortex are empty except for some little arteries and some vasa afferentia. It may be possible to utilige the intrarenal blood distribution to reach an opinion as to the duration of the fatal hemorrhage and even to distinguish single or multiple episodes of hemorrhaging during the course of fatal exsanguination.

Acute Disease↗

[Pathological findings in organs after diagnostic and therapeutic procedures (author's transl)].

An account is given of lesions in organs caused by diagnostic and/or therapeutic operations. First possible damages during reanimation in acute life threatenig diseases are described. Secondly indirect damages resulting from resuscitation are discussed, especially reanimation-caused encephalopathies. The predominantly quantitative variations of primary diseases and secondary diseases which can arise during intensivetherapy and during so called vita reducta, as well as damages caused by necessary and, as a rule, frequently repeated medical actions are mentioned...

Abnormalities, Drug-Induced↗