A question of scale.
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Biomedical subjects
Publications and source records attributed to L A Kory.
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OBJECTIVE: To evaluate endometrial stripe thickness (EST) among patients with tubal pregnancy (TP) and intrauterine pregnancy (IUP). DESIGN: Historical cohort. SETTING: City hospital. PATIENT(S): Ninety-four women suspected to have TP. INTERVENTION(S): Serum betaHCG and sonographic EST measurements. MAIN OUTCOME MEASURE(S): Comparison of age, gestational age (GA), EST, and log beta HCG. RESULT(S): The two groups of women, 65 with TP and 29 with IUP, had similar mean ages (+/-SD) of 28.6 +/- 5.7 and 28.6 +/- 6.1, respectively. The median values of GA in the 2 groups were similar, 46.6 and 44.6 d, respectively. The mean values for EST (+/-SD), adjusted for GA, were significantly different: 9.9 +/- 5.9 mm in the TP group and 12.6 +/- 5.3 mm in the IUP group. The mean values (+/-SD) of log beta HCG in the 2 groups also differed significantly: 6.90 +/- 1.29 and 7.52 +/- 0.97, respectively. No correlation was found between EST and GA or log beta HCG within either group. CONCLUSION(S): The mean EST in women with TP was significantly smaller than in women with IUP. The wide range of EST values and their overlap precludes the utilization of EST as a single feature in the diagnosis of a tubal pregnancy.
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Intradural lipomas are rare tumors of the spinal canal. We report the occurrence of this neoplasm in a 19-year-old girl. Magnetic resonance accurately depicted both the exact location within the spinal canal and the precise tumor histology and was more informative than myelography. This case illustrates the value of magnetic resonance imaging in patients presenting with myelopathy. In many instances, this modality may be all that is needed in preoperative planning.
A patient with a right cervical aortic arch and ventricular septal defect is presented. This is the second reported case to have this rare combination of defects and the first to have survived corrective surgery. The x-ray film findings are discussed, and the similarity to the right posterior aortic arch is stressed.
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