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H Dik

Publications and source records attributed to H Dik.

11 recordsLinked to original sources
PubMed2006

[Pulmonary sequestrum--not infiltrate--in a 45-year-old woman].

A 45-year-old woman presented at the emergency room with acute dyspnoea and slight fever, without coughing. The chest radiography showed a consolidation in the lower left lobe. The CT scan revealed a consolidation in the posterior-basal segment of the lower left lobe without an air bronchogram but with various densities. Based on these findings, the possibility of pulmonary sequestration was considered. A CT scan showed an arterial branch arising from the aorta that supplied the consolidation, confirming pulmonary sequestration. The patient underwent resection of the intralobar sequestrum, after which she recovered and was asymptomatic. Pulmonary sequestration should be considered in any patient with pneumonia or recurrent pneumonia in the lower lobes of the lung, especially in the absence of an air bronchogram or signs of endobronchial obstruction. The treatment ofchoice is surgical resection.

Bronchopulmonary Sequestration↗
PubMed2005

C-reactive protein and D-dimer with clinical probability score in the exclusion of pulmonary embolism.

This study evaluated the diagnostic value of C-reactive protein (CRP) combined with a clinical decision rule in the exclusion of pulmonary embolism (PE) and compared this with D-dimer. In 363 consecutive outpatients CRP and D-dimer test were performed and clinical probability of PE was assessed. Patients with D-dimer levels<500 microg/l and clinical probability indicating 'PE unlikely' were followed for 3 months. Ventilation-perfusion scan or spiral computerized tomography was performed in patients with D-dimer levels>or=500 microg/l or clinical probability indicating 'PE likely'. The CRP had a sensitivity of 95.7% [95% confidence interval (CI): 90-100] and negative predictive value (NPV) of 98.4% (96-100). CRP<5 mg/l with clinical probability score indicating 'PE unlikely' (n=108, 30%), had a sensitivity of 96.7% (90-100), a specificity of 43.0% (37-49) and NPV of 99.1% (97-100). D-dimer<500 microg/l with clinical probability score indicating 'PE unlikely' (n=170, 51%), had a sensitivity of 96.7% (90-100), a specificity of 67.9% (62-74) and NPV of 99.4% (98-100). Based on retrospective data it was concluded that a standard CRP test can potentially be used to safely exclude PE, either as a sole test or combined with clinical probability assessment. Prospective studies are needed to confirm these findings.

Adolescent↗
PubMed1995

Erroneous diagnosis of distal intestinal obstruction syndrome in cystic fibrosis: clinical impact of abdominal ultrasonography.

OBJECTIVE: To describe the use of abdominal ultrasonography in the differential diagnosis of distal intestinal obstruction syndrome (DIOS). DESIGN: Four case reports. SETTING: Adult cystic fibrosis centre (140 patients). PATIENTS: Four cystic fibrosis patients presenting over 18 months with clinical symptoms suggestive of a DIOS which could not be substantiated. OUTCOME: In all cases abdominal ultrasound was valuable in making a diagnosis. CONCLUSION: Abdominal ultrasound is a useful diagnostic tool for differentiating a DIOS from other abdominal conditions.

Adolescent↗
PubMed1993

An unusual cause of myocardial infarction?

A young woman is described with acute inferior myocardial infarction due to a thrombus in the ascending aorta. The aetiology, the role of risk factors, the diagnostic value of transoesophageal echocardiography and angiography, and therapy, are discussed.

Aorta, Thoracic↗
PubMed1991

Legionella pneumonia complicated by adult respiratory distress syndrome.

Two patients with sporadic Legionella pneumonia complicated by adult respiratory distress syndrome (ARDS) are described. Details about the clinical course and follow-up of their chest films are provided. The outcome in both patients was favourable. Literature concerning Legionella pneumonia complicated by ARDS is reviewed.

Aged↗
PubMed1983

[Cave fungos!].

Explore the source record for details and available documents.

Adult↗