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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 6 (1978), S. 215-221 
    ISSN: 1432-1998
    Keywords: Radiology ; Trisomy 9 ; Nail Patella syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The clinical and radiological features of Trisomy of the short arm of the ninth chromosome and of the Nail Patella Syndrome, both of which conditions are related to abnormalities of the ninth chromosome, are compared. Dislocation of the head of radius is seen in both conditions, as is a diminished patello condylar ratio. Several of the features described as being sporadic anomalies in the Nail Patella Syndrome are also seen in some patients with Trisomy of the Ninth Chromosome. The Trisomy 9 group also have several anomalies which are shared with Trisomy 21, Trisomy 17/18, Trisomy 13/15 and Trisomy 4, suggesting that some of these changes are a non-specific result of chromosome abnormality rather than being specific to the Trisomy 9.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 8 (1993), S. 480-484 
    ISSN: 1437-9813
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The conventional radiological techniques for the diagnosis of malrotation are prone to widely varying interpretation and may be both hazardous and impractical in the seriously ill infant. The superior mesenteric vein normally lies on the right ventral aspect of the artery, but is found on the left side in malrotation; this change in orientation can be demonstrated by ultrasound, which can provide a rapid and less invasive indication of midgut malrotation. In 19 of 39 patients with suspected malrotation, an abnormal mesenteric axis was demonstrated, and in each case the diagnosis was confirmed at surgery. Of the 20 children in whom malrotation was refuted by ultrasound, normal rotation was supported by oral contrast studies in 14 and an alternative diagnosis established in 6. A further 20 patients were scanned as a control group, and all were found to have normal vascular anatomy. This study supports the hypothesis that as a sensitive and specific investigation for midgut malrotation, the ultrasonographic appearance of the orientation of the superior mesenteric vessels is a safe and non-invasive alternative to conventional contrast studies.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 520-520 
    ISSN: 1435-2451
    Keywords: Pathogenesis ; Hypovolemic, cardiogenic, septicemic shock ; Pathogenese ; Hypovolämischer, kardiogener, septischer Schock
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Voraussetzung für eine gezielte Behandlung des Schocks ist stets die Kenntnis der auslösenden Ursache und der daraus folgenden Reaktionen sowohl von seiten der Hämodynamik als auch im cellulären Bereich. Da die bekannte Schocksymptomatik eher Ausdruck der exzessiven Sympathicusaktivierung als der auslösenden Störung ist, liefern dieüblichen klinischen Zeichen oft keine ausreichende Grundlage für eine genaue Diagnose. Das Verständnis der Pathophysiologie, die zu der Schocksymptomatik führt, ist eine wesentliche Voraussetzung für die Diagnose und das Überleben des Patienten.
    Notes: Summary The treatment of shock is always based on consideration of the underlying disorder, the body's response, and the attending threats to cellular oxygenation and metabolism. Since the well-known shock syndrome is evidence of sympathetic discharge rather than of the disorder evoking it, obvious clinical features are often insufficient for precise diagnosis. An understanding of the pathophysiology leading to the shock syndrome is basic to diagnosis and to the patient's survival.
    Type of Medium: Electronic Resource
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