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Biomedical subjects

H Bacchus

Publications and source records attributed to H Bacchus.

16 recordsLinked to original sources

Myelopathy associated with Maroteaux-Lamy syndrome.

Myelopathy due to compression of the cervical spinal cord by thickened dura developed in a patient with Maroteaux-Lamy syndrome. During the last trimester of pregnancy there was severe neurological deterioration with spastic quadriparesis and impairment of sphincter function. Two months after delivery ther had been no improvement, so a cervical laminectomy and longitudinal splitting of the dura from C-5 to the foramen magnum was done. Good return of function resulted.

Adult↗

Differential diagnosis of hypercalcemia by the chloride/phosphate ratio.

The serum chloride and phosphate levels were measured and the chloride/phosphate ratios calculated in a group of eighty-four hypercalcemic patients. Although patients with hyperparathyroidism frequently had phosphate levels in the low normal range (less than 3 mg/100 ml) and chloride levels in the nigh normal range (greater than 102 mEq/L), they were nevertheless significantly different from the groups of patients with nonparathyroid hypercalcemia in whom phosphate levels were usually higher (greater than 3 mg/100 ml) and chloride levels usually lower (less than 102 mEq/L). The chloride/phosphate ratio was higher than 33 in 94 per cent of hyperparathyroid patients and lower than 33 in 96 per cent of other hypercalcemic patients. Thus, the measurements of serum phosphate and chloride levels and the calculation of the chloride/phosphate ratios were useful diagnostic screening tests that discriminated between patients with hypercalcemia of parathyroid and nonparathyroid origin with an accuracy of 95 per cent.

Bicarbonates↗