[Spondylo-metaphyseal dysplasia type I (Kozłowski)].
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Biomedical subjects
Publications and source records attributed to S Winnicki.
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Upper calyx syndrome in children was first described in 1968. It may be caused by dysmorphy, organic narrowing and vascular compression. The purpose of this report is estimation the frequency of this syndrome in children with chronic pyelonephritis, its clinical significance and determination the test of roentgenological diagnosis. In 21 cases (5% children with chronic pyelonephritis) there were changes in upper calyx. The main cause of this changes was vascular compression (4,3%). Clinical significance of upper calyx syndrome is big, because in all the cases there was chronic infection of genitourinary tract. The roentgenological signs of upper calyx syndrome are; obstruction at the infundibulum, significant distending of calyx and delayed emptying at intravenous pyelography.
The purpose of this report is estimation of influence of Metoclopramidum on gastrointestinal tract in children and advantages of its administration in gastrointestinal examination. Between October 1980 and August 1981 70 children had contrast gastrointestinal studies with administrations Metoclopramidum. In the cases of suspicion pylorostenosis administration Metoclopramidum make possible correct diagnosis with minimal irradiation of child. After administration Metoclopramidum the roentgenological sing of hiatus hernia and reflux gastro-oesophageal are better visible.
In the years 1972-1979, 63 infants with spina bifida and myelomeningocele were under observation: in this group there were 29 boys and 34 girls, newborns and infants constituted 51% of this group. In 54 children spina bifida is observed in lumbar and/or lumborsacral segments of spine. In the roentgenographic evaluation the congenital malformations of urinary tract were present in 13% cases. Congenital skeletal malformations were coexistent in 9% children. In the first I.V.P. the roentgen appearance of hydronephrosis were manifested in 33%, in cystography abnormal picture was observed in 80% cases. The changes in neurogenic bladder were: trabeculated wall, obstructions of the flow of urine, residual urine and in 38% cases reflux into the kidney. Spontaneous flow of urine and normal micturition cystography is observed only in children, in which spina bifida was stated below second lumbar vertebral segment. No correlation exists between the level of spina bifida and radiological image of urinary tract.
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