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Biomedical subjects

S A Bashi

Publications and source records attributed to S A Bashi.

9 recordsLinked to original sources

Uncommon scintigraphic findings of multiple hepatic hemangiomas.

Tc-99m labeled red blood cell scintigraphy is a valuable, noninvasive technique for differentiating hepatic hemangioma from other lesions by demonstrating a "perfusion blood pool mismatch." The characteristic finding on dynamic CT scan of peripheral and subsequent central enhancement is not usually seen on Tc-99m RBC angiography, probably due to rapid mixing and dilution of the radionuclide and low resolution of the gamma camera. A case of multiple hepatic hemangioma is presented in which Tc-99m RBC dynamic angiography demonstrated peripheral enhancement with subsequent central filling. In addition, delayed static images showed more hepatic lesions.

Adult↗

The urethral syndrome.

The urethral syndrome is defined as lower urinary tract symptoms in women in the absence of bladder bacteriuria. It is a common disorder in general practice in Saudi Arabia. The aetiology and pathogenic factors involved in its development are still incompletely understood. Many factors have been suggested as causative of this syndrome, including non-specific infections, urethral obstruction and spasm, senile atrophy, psychosomatic and traumatic factors. An aetiological diagnosis should be made if possible and this will depend on clinical examination, mid-stream urine specimen for quantitative culture and microscopy. Cervical and urethral swabs for microscopy and culture are necessary when infection with urethral pathogens such as C. trachomatis and N. gonorrhoea is suspected. Urethral calibration and uroflowmetry may be needed in some patients. Treatment with a course of tetracycline is indicated for patients with urethral syndrome who have pyuria, urethral dilatation for patients with urethral syndrome secondary to stenosis, and skeletal and smooth muscle relaxants when spasm is found to be the cause. Local vaginal oestrogen application is effective in the treatment of urethral syndrome secondary to hypoestrogenaemia.

Adult↗

Value of medium-thickness CT in the diagnosis of bronchiectasis.

The usefulness of CT with 4-mm-thickness cuts at 5-mm intervals in the diagnosis of bronchiectasis was studied by comparing the results of CT with those of bronchography in 323 segmental bronchi in 20 patients. No bronchiectasis was found on either study in 222 segmental bronchi. Of the 101 segmental bronchi showing bronchiectasis on bronchography, CT correctly identified bronchiectasis in 98 segments (97%). Bronchography showed cystic bronchiectasis in 35 and varicose bronchiectasis in 14 segmental bronchi, all of which were correctly identified on CT. Of the 52 segmental bronchi showing cylindrical bronchiectasis on bronchography, CT correctly identified these changes in 49 segments but failed to detect it in three. The presence of interstitial lung disease with emphysema and very localized mild bronchiectasis in one case each made the identification of cylindrical bronchiectasis difficult and caused the false-negative results. When bronchography is used as the criterion, CT with medium-thickness cuts and medium slice intervals appears to be 100% specific for all types of bronchiectasis, 100% sensitive for cystic and varicose bronchiectasis, and 94% sensitive for cylindrical bronchiectasis.

Adolescent↗

Cryotherapy versus podophyllin in the treatment of genital warts.

572 patients with solitary or multiple genital warts attending the Department of Genitourinary Medicine at the Royal Victoria Hospital, Bournemouth, U.K. between January 1981 and December 1981 were allocated to either podophyllin or cryotherapy for the treatment of their warts. Of 350 patients successfully treated for their warts and returned for a follow-up examination 6 weeks or more after completing their treatment, 206 (139 men and 67 women) were treated with podophyllin, and 144 (86 men and 58 women) with cryotherapy. One hundred five (51%) of those treated with podophyllin and 114 (79%) treated with cryotherapy were free of warts at their follow-up examination. Patients treated with podophyllin required a mean of 6.7 +/- SD 3.5 treatments over a mean of 4.7 +/- SD 2.4 weeks, whereas those receiving cryotherapy required a mean of 2.6 +/- SD 2.0 applications over a mean of 2.3 +/- SD 1.2 weeks.

Cryosurgery↗

Tuberculous oesophagopulmonary communication: effectiveness of antituberculous chemotherapy. A case report and review of literature.

A patient with tuberculous oesophagopulmonary communication diagnosed by oesophagography and confirmed by endoscopy was successfully treated by medical means: a tuberculous aetiology was suggested by the detection of tubercle bacilli in the gastric washings and on culture. On reviewing the medical literature, successful results were reported in 3 adults and 2 children.

Adult↗