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  • 1
    ISSN: 1432-1998
    Keywords: Dental dysplasia ; aortic calcification ; anemia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two children showing the unusual features of dental dysplasia, thoracic aortic calcification, osteoporosis and radiographic changes of the hands similar to that seen in severe anemia are reported. The etiology is unknown, although both children had a history of fever of unknown origin in early infancy. There were no hematologic, genetic or biochemical abnormalities. This combination of clinical and radiographic features has not been previously reported.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 1 (1973), S. 24-27 
    ISSN: 1432-1998
    Keywords: Ectopic pancreas ; pain ; diabetes mellitus ; pyloric stenosis ; pancreatic insufficiency ; metaphyseal chondrodysplasia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Details of four patients who had ectopic pancreatic tissue are reported. One patient had diabetes mellitus and the ectopic pancreas was situated in the pyloric antrum. The pyloric antrum was also the location of the ectopic pancreas in the second child who had dyspeptic symptoms. In a third patient, in whom the ectopic pancreatic tissue lay in the pyloric canal, there was associated hypertrophy of the pyloric muscle and obstruction to gastric emptying. The fourth child had ectopic pancreatic tissue in the duodenum: this was not associated with obstruction but there was, coincidentally, exocrine pancreatic insufficiency neutropenic and metaphyseal chondrodysplasia.
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  • 3
    ISSN: 1432-1998
    Keywords: Congenital heart disease ; cardiac surgery ; systemic-pulmonary shunts
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The various central vascular shunting operations used for palliation of patients with congenital heart disease plus decreased pulmonary blood flow are discussed. The status of each in current practice is outlined in order to provide an up-to-data reference for the pediatric radiologist. In general, the Waterston shunt is preferred for infants under six months and the Blalock-Taussig anastomosis for patients older than this.
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 1 (1973), S. 53-58 
    ISSN: 1432-1998
    Keywords: Benign renal masses ; hydronephrosis ; urography ; contrast medium dose in pediatric urography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract An account is given of the findings obtained at urography in benign expanding lesions of the kidney encountered in infancy and early childhood. Special emphasis is laid on the observation of any abnormality revealed in the nephrographic phase of excretion of the contrast medium, and on the appearance of the ureter and the bladder during early urography. In addition, the benefit drawn from prolongation of the urographic procedure in pertinent conditions is pointed out. Differential diagnostic aspects and technique are also considered.
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 1 (1973), S. 75-86 
    ISSN: 1432-1998
    Keywords: Hypertension ; fibromuscular hyperplasia ; coarctation ; neurofibromatosis ; phaeochromocytoma ; chronic pyelonephritis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract An outline of the clinical features of hypertension in children is presented. The pathogenesis of hypertension and its radiological investigation is discussed. Disorders responsible for hypertension have been considered in four groups, namely, vascular constrictions, tumours, chronic pyelonephritis and developmental anomalies. Many of these lesions are amenable to surgical treatment. The clinical presentation, radiological investigation and management of patients with hypertension is discussed with illustrative cases drawn from experience over the last 10 years.
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  • 6
    ISSN: 1432-1998
    Keywords: Transposition great arteries ; left ventricle outflow obstruction ; mitral valve ; interventricular septum ; angiocardiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Left ventricular angiocardiograms were examined from a series of patients with transposition of the great arteries (TGA). Forty-one patients with systolic pressure gradients of 15 mm Hg or more between the left ventricle and pulmonary artery were selected. Seventeen of these had the combination of a pressure gradient at subvalvar level and characteristic angiographic findings. In the anteroposterior projection, there was a persistent, irregular, linear radiolucency in the region of the mitral valve during systole. It was probably produced by the close apposition of the face of the closed mitral valve leaflets to an accentuated bulge of the interventricular septum. Two of the 17 patients subsequently died. Both hearts had endocardial fibrous thickening of the septum at the predicted site of apposition. It is suggested that in TGA the small afterload caused by a relatively low pulmonary vascular resistance may contribute to exaggerated left ventricular emptying, and that this favours mitral-septal apposition.
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  • 7
    ISSN: 1432-1998
    Keywords: Pediatrics, pneumo-mediastinum ; mediastinal emphysema ; Hamman's sign asthma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This report reviews forty-one cases of non-iatrogenic pneumomediastinum in children beyond the neonatal period. In about one-third of the children, the adventitious air was associated with asthma. Respiratory infection, unrelated to asthma, was found to be of significance in about one-fourth of the remaining patients. Another twenty-five percent of the patients had a history of recent injury, which in the majority of instances was minor accidental neck trauma. Reported for the first time is the association of leukemia and adventitious air in the mediastinum. Hamman's sign was heard in only 10 percent of the patients and invariably led to a misdiagnosis of pericarditis since it was usually interpreted as a pericardial friction rub. In our experience the course was benign. Surgical drainage was unnecessary and effective treatment of the associated illness resulted in rapid clinical improvement within days, and radiologic evidence of resorption of the air usually within a week.
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  • 8
    ISSN: 1432-1998
    Keywords: Hyaline membrane ; interstitial emphysema ; PEP pneumomediastinum ; pneumopericardium ; pneumothorax
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A retrospective radiological study of 35 babies with hyaline membrane disease (HMD) is presented. There were twelve out of 19 cases who had adequate pre-PEP-films and who were radiologically in Stage IV or Stage III initially: these twelve infants showed a spectacular improvement to Stage II or Stage I within 24 hours. Although there was, in general, a good correlation between radiological and clinical/biochemical improvement, these parameters did, on occasion, diverge completely. Following the introduction of PEP ventilation there has been a dramatic fall in mortality from 56% to 26%. Fourteen out of 35 cases showed interstitial emphyscma. Eight out of 35 cases had mediastinal emphysema of some degree. Pneumothorax occurred in 10 of the 35 infants and pneumopericardium occurred in 3 of the 35 infants. These complications are clinically the most important but they can be treated successfully without discontinuing PEP ventilation. Alveolar ventilation is only one link in the chain which ensures adequate oxygenation of the blood. However, anoxia secondary to alveolar collapse has ceased to be, in our experience, a cause of death in hyaline membrane disease.
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 1 (1973), S. 161-163 
    ISSN: 1432-1998
    Keywords: Colonic obstruction ; constipation ; fecaloma ; Hirschsprung's disease, megacolon
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Fecaloma, a discrete mass of intestinal debris and fecal material usually occurring in the colon, is a rare finding in children. The case of a six-year-old boy is presented who developed signs of partial colonic obstruction which was due to a large, calcified fecaloma of the rectosigmoid. Barium enema revealed changes indicating Hirschsprung's disease which were confirmed with rectal biopsy. Any child presenting with fecaloma should be evaluated for Hirschsprung's disease.
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  • 10
    ISSN: 1432-1998
    Keywords: Juvenile nephronophthisis ; medullary cystic disease ; hypertension ; renal failure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Six children who had juvenile nephronophthisis were of short stature and passed large volumes of dilute urine. Excessive salt intake and excessive salt loss have been observed. Intravenous urography showed slight reduction in kidney size with a protracted nephrogram. Early in the nephrographic phase cystic radiolucencies were shown in one patient. Histological examination has confirmed the diagnosis in all patients. The question of renal biopsy in patients with this disorder is discussed.
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