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Biomedical subjects

J I Polin

Publications and source records attributed to J I Polin.

9 recordsLinked to original sources
PubMed1987

Management of common gynecologic problems encountered during abdominal exploration.

Although general surgeons receive little training in the management of gynecologic conditions, they should be able to make intraoperative decisions about unexpected gynecologic abnormalities encountered during abdominal exploration. This report examines the six most common gynecologic problems found during abdominal exploration (salpingitis, tubo-ovarian abscess, ectopic gestation, endometriosis, uterine mass, and ovarian mass) and reviews their proper management with particular emphasis on conserving reproductive function.

Abdomen↗
PubMed1986

Leiomyomatosis peritonealis disseminata. A case report and literature review.

Leiomyomatosis peritonealis disseminata is a rare disorder characterized by the presence of multiple small nodules, consisting of benign smooth muscle, scattered over the abdominopelvic viscera and peritoneum. The case described below is the 21st reported in the medical literature to our knowledge. The condition generally occurs in menstruating, parous women in the third decade of life, and the symptoms are similar to those of uterine leiomyomata. There is a very high association with excess exogenous and endogenous female gonadal steroids, specifically estrogen and progesterone. Leiomyomatosis peritonealis disseminata is a benign condition for which conservative management is indicated, particularly if fertility is desired.

Adult↗
PubMed1983

Congenital chylothorax presenting as hydrops fetalis. A case report.

A case of congenital chylothorax presented as polyhydramnios and massive fetal edema. The diagnosis was suspected prior to delivery on the basis of ultrasonography. Ultrasound was helpful in localizing the fluid for postnatal thoracentesis. Congenital chylothorax is part of the differential diagnosis of nonimmune hydrops fetalis.

Adult↗
PubMed1981

Use of umbilical cord blood culture for detection of neonatal bacteremia.

Rapid and accurate detection of neonatal bacteremia is an important part of the management of the neonate with suspected sepsis. This study compared the incidence of positive umbilical cord blood cultures (UCBCs) to the incidence of positive peripheral venous blood cultures and determined whether a meticulous UCBC technique prevented contamination of culture specimens. Six UCBCs of the 200 sampled were positive. Three cultures exhibited delayed growth (more than 48 hours) and were not considered clinically significant. In 2 of the 3 remaining positive cultures were organisms considered contaminants; the third culture correlated to the infant's peripheral venous blood culture (alpha-hemolytic streptococcus), showing evidence of bacteremia. From these data the authors conclude that 1) meticulous and fastidious collection of UCBCs prevents contamination of culture specimens, and 2) the UCBC may prove to be a satisfactory alternative to the postnatal peripheral venous blood culture for detection of neonatal bacteremia.

Blood Specimen Collection↗
PubMed1979

An unusual cause of postoperative fever: a case report.

A typical gynecologic approach to postoperative fever and its theoretical as well as practical shortcomings is discussed. Difficulties in establishing a specific diagnosis in the gynecologic patient with postoperative fever are explored. A case of exacerbation of dermatomyositis in the immediate postoperative period illustrates the failings of our current approach to postoperative fever.

Adult↗