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L Salzman

Publications and source records attributed to L Salzman.

At least 19 recordsLinked to original sources

Gallium uptake in myositis ossificans. Potential pitfalls in diagnosis.

Seven cases of gallium uptake in myositis ossificans are described. Gallium scans are done frequently in paraplegics, quadriplegics, and comatose patients to look for occult infection. It is important to be aware of possible gallium uptake in myositis ossificans, particularly in the extremities, which is frequent in these patients. Gallium uptake may be present prior to any abnormalities seen on plain films or CT scans. It is important to correlate roentgenograms with abnormal gallium scans, particularly in the extremities, to avoid potential pitfalls in diagnosis and prevent unnecessary antibiotic treatment. A bone scan should be obtained whenever possible, particularly when roentgenograms are negative, to confirm the diagnosis.

Adult

Rotational artifact in phase imaging of cardiac scans: potential pitfalls in diagnosis.

In the past few years, we have occasionally observed linear bands in the phase images of gated cardiac blood-pool scans along the interventricular septum region among patients with normal septal motions. Our retrospective study investigated the cause of out-of-phase bands of 12 patients. We documented through review of cines, computer analysis of gated cardiac blood-pool scintigraphy data, and correlation with echocardiograms that this phenomenon was artifact introduced by rotational movements of the heart. It is important for nuclear physicians to recognize this rotational artifact on the phase analysis image in order to avoid the erroneous misdiagnosis of wall motion abnormalities of the septum.

Adult

Pseudoomphalocele: pitfall in fetal sonography.

Compression of the fetal abdomen between the walls of the uterus or placenta can result in an appearance that mimics that of omphalocele on sonography. This may be caused by oligohydramnios or by a transient compression of the fetal abdomen with a normal amount of amniotic fluid. Four cases of pseudoomphalocele and one case of true omphalocele are presented.

Amniotic Fluid

Psychotherapeutic management of obsessive-compulsive patients.

Psychotherapy of the obsessive-compulsive patient requires a modified psychoanalytic approach utilizing the concepts of a short-term therapy, which include focusing on relevant issues with limited goals. The therapist must be active, confronting, and must deal with here-and-now issues. The use of psychopharmacological agents to reduce anxiety and depression should be encouraged.

Aggression

Psychotherapy of the obsessional.

Obsessional defenses require a confronting, active therapist in order to break through the intellectualized, ritualized, and highly distracting productions of the patients. The tendency to obfuscate through details and rigid adherence to the instructions demands a loose, flexible, and direct interaction from a therapist who is not too obessional and willing to forego his own perfectionistic expectations from therapy.

Anxiety

Guilt.

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Authoritarianism