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Biomedical subjects

H Daisley

Publications and source records attributed to H Daisley.

34 records · Page 2Linked to original sources
PubMed1990

Spontaneous pneumothorax in acute paraquat toxicity.

Spontaneous pneumothorax as a presenting feature of acute paraquat toxicity is as yet unreported. A review of the literature has shown that there has been one reported case of spontaneous pneumothorax occurring after paraquat toxicity. In this case, the pneumothorax occurred seven years after ingestion of paraquat (Nakaoka et al, 1987). The two cases of paraquat ingestion presented in this report are associated with spontaneous pneumothorax in the acute phase. A proposed mechanism for the development of the pneumothorax is discussed.

Adolescent↗
PubMed1990

Pulmonary embolism as a cause of death.

To investigate the present status of pulmonary embolism as the cause of death in a general hospital population, the author reviewed 610 autopsy reports, and associated hospital records for the period 1985-1989. Pulmonary embolism was the major contributing factor to the cause of death in 61 (10%) of the 610 autopsies performed. Of the patients dying from major pulmonary embolism, in only 12 (19.7%) was the diagnosis suspected antemortem; and in 44 (72%) deep vein thrombosis was detected in the femoral-popliteal vein at autopsy. The mean age of patients dying from major pulmonary embolism was 52.2 years, and 31 (50.8%) victims were under the age of 50 years. Fifty-six (92%) of patients dying from pulmonary embolism were of African descent while 5 (8%) were of East Indian descent. Without autopsies. 49 (80.3%) patients dying of pulmonary embolism would have been incorrectly certified and registered in death statistics based on clinical certification only.

Black People↗
PubMed1989

Ectopic pregnancies in Trinidad. A clinico-pathological study of 154 consecutive surgically treated cases.

A prospective study was conducted during the period August 1, 1985 to July 31, 1986 from ten hospitals in Trinidad and Tobago to determine the incidence and aetiology of ectopic gestations. One hundred and fifty-four cases of ectopic gestations were diagnosed in 153 patients, during the period of study, with eight patients having a previous ectopic gestation. The incidence of ectopic gestation was 9.02 per 1,000 births. Ectopic pregnancies were more common in women of African descent (64.29%) as compared to East Indian women (27.27%) and were most often seen in the 21 to 35-year-old age group where they accounted for 72.07% of the total. There were 16.23% ectopic gestations in the 36 to 42-year-old age group. Fifty-six per cent of the ectopic gestations occurred in the right fallopian tube. Ninety-one per cent were ruptured and 80.13% had histological evidence of chronic salpingitis. The maternal mortality from ectopic gestations was 1.3%. One primary ovarian ectopic gestation (0.65%) and one twin ectopic pregnancy were seen during the period of study.

Adult↗
PubMed1989

Sudden cardiac death caused by coronary ostial compression by an aneurysm of the sinus of Valsalva.

A 22-year-old man was asymptomatic until he died suddenly after being startled. Post-mortem examination was normal except for aneurysmal dilatation of the left Sinus of Valsalva, the upper margin of which formed a flap-like ridge, partially occluding the ostium of the left main coronary artery which arose immediately above it. Further compression of this "slit-like" orifice by aneurysmal distention was the proposed cause of myocardial ischaemia and arrhythmic death.

Adult↗
PubMedDate not supplied

Diabetes mellitus and Klebsiella pneumoniae liver abscess in adults.

Klebsiella pneumoniae hepatic abscess in five diabetic patients is reported. The recognition of a possible association between diabetes mellitus and pyogenic hepatic abscess, especially solitary ones, is highlighted. The clinical presentation including metastatic complications and the need for early diagnosis and institution of therapy are emphasized. Needle aspiration under ultrasonography is advocated and culture for anaerobes is stressed.

Adult↗