Abstract
Objective-To compare inhibitory effects of topically applied 1% prednisolone acetate suspension, 0.03% flurbiprofen solution, 0.1% dexamethasone suspension, and 0.1% diclofenac solution on paracentesis-induced blood-aqueous barrier breakdown in cats. Animals-9 healthy cats. Procedures-Paracentesis of...
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PMID: 21627530
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Abstract
We report a case of nephrotic range proteinuria with 24-hour urine protein level of 335.7 mg/kg/day which developed following dengue hemorrhagic fever. Due to prolonged hypoalbuminemia from renal loss, right pleural effusion persisted and required pleuracentesis. The patient did not have classical ne...
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PMID: 21706936
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Abstract
We communicate the case of a 30 years old woman with history of primary infertility; she was in treatment with controlled ovarian hyperstimulation. The patient developed ovarian hyperstimulation syndrome and arterial thrombosis in the right femoral artery....
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PMID: 21966797
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Abstract
We report the case of a 75-year-old male with high-grade urothelial carcinoma with signet ring features, who was status-post chemoradiation and radical cystoprostatectomy. The patient subsequently developed an abdominal mass and ascites. The paracentesis cytology revealed a hypercellular specimen wi...
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PMID: 21254462
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Abstract
Tuberculosis is still a major global health problem. Nowadays nucleic acid amplification tests which are recommended by the World Health Organization (WHO) become popular methods for the rapid detection of Mycobacterium tuberculosis complex (MTC). Recently introduced commercial Xpert MTB/RIF (Cepheid...
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PMID: 21341158
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Abstract
Accessing the subarachnoid space via intrathecal needle placement can be done in nonhuman primates (NHPs) and other species to collect cerebral spinal fluid (CSF) or to deliver agents into the CSF. Researchers can use a variety of techniques for intrathecal collection and administration. Drawing on...
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PMID: 20859278
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Abstract
OBJECTIVE: To compare and contrast the pathophysiology of ovarian hyperstimualtion syndrome (OHSS) with known syndromes of increased intraabdominal pressure (IAP), and to explore the relationship of increased IAP with symptom severity in OHSS. DESIGN: Literature review. MAIN OUTCOME MEASURE(S): Corr...
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PMID: 19836016
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Abstract
Ascites is the most common complication of cirrhosis, and it often leads to hospitalization. Quality of life and mortality are negatively impacted by ascites. This article highlights the management of this potentially deadly complication.
(c) 2010 Elsevier Inc. All rights reserved.
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PMID: 20691381
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Abstract
Ascites is a frequent complication of cirrhosis and portal hypertension, because of the increase of the sinusoidal hydrostatic pressure. Cirrhosis accounts for over 75% of episodes of ascites. Cirrhotic patients with ascites have marked alterations in the splanchnic and systemic haemodynamics, causi...
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PMID: 20492521
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Abstract
Refractory ascites is a frequent complication of advanced cirrhosis and is associated with hepatorenal syndrome and hepatic hydrothorax. Large volume paracentesis and pleurodesis are regarded as first-line treatments in patients who do not respond adequately to diuretics. These treatments, however,...
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PMID: 20581246
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Abstract
We report a case of urinary ascites secondary to rupture of a neuropathic bladder, which was successfully diagnosed via fetal paracentesis at 37 weeks. The infant was delivered by elective cesarean section and managed immediately with therapeutic paracentesis and bladder catheterization. Voiding cys...
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PMID: 20389051
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Abstract
This article outlines the different modalities that have been used for the diagnosis of intraabdominal visceral injury. The methods span decades, and their development was driven by the need to provide an accurate and rapid diagnosis of intraabdominal injury for the patient. Some of these modalities...
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PMID: 20453755
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Abstract
We investigated the potential of molecular techniques to provide rapid and accurate characterisation of the bacteria present in ascitic fluid. Ascites samples were obtained from 29 cirrhotic patients undergoing clinically indicated therapeutic paracentesis. Bacterial content was determined by termin...
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PMID: 20238135
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Abstract
OBJECTIVES: To (1) determine the demographics of Chinese children admitted with primary spontaneous pneumothorax, (2) suggest how they may be quantified radiologically, (3) compare the difference in outcomes after their primary management by thoracentesis and chest tube insertion, and (4) review the...
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PMID: 20354242
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Abstract
OBJECTIVE-To determine the effect of treatment approach on outcome and the appropriateness of initial empirical antimicrobial treatment in dogs with pyothorax. DESIGN-Retrospective case series. ANIMALS-46 dogs with pyothorax confirmed by either (n = 15) or both (31) of the following: intracellular b...
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PMID: 20225978
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Abstract
Critical care nurses have a vital role in caring for patients undergoing centesis studies. Any centesis procedure involves puncturing a body cavity, joint, organ, or space with a hollow needle to withdraw fluid. All centesis studies are invasive procedures, typically performed for either therapeutic...
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PMID: 20193884
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Abstract
In group 1, 73% of patients needed thoracentesis in the pre-transplant course (55% more than once) and none of the patients needed thoracenthesis in the post-transplant course. Comparing the postoperative period between the three groups, no significant differences in the duration of mechanical venti...
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PMID: 19779352
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Abstract
We describe the development of acute pulmonary oedema and cardiac arrest after therapeutic ascitic paracentesis, in a gentleman with decompensated liver cirrhosis. There was no previous history of cardiorespiratory symptoms or disease. Postmortem examination revealed oedematous and congested lungs w...
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PMID: 19801941
PDF is available here.
Abstract
This study is the first to describe symptom clusters in MA. Studies in MA should include measurement of the more global symptoms of fatigue, wellbeing, depression, and anxiety in addition to shortness of breath, abdominal distension, and mobility. Patients presenting with MA require a comprehensive...
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PMID: 19866240
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Abstract
We evaluated 33 cases (25 males and 8 females; mean age, 74.2 years). The mean percent safe space at the total site was 58.6%. The percent safe space at the total site tended to decrease with advancing age, but the correlation was low (p=0.0378, r=-0.3631). The percent safe space at the lateral site...
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PMID: 20154433
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Abstract
A total of 300 thoracenteses performed on 237 patients were analyzed, of which 137 were large volume (>1 liter) and 163 were small volume (<1 liter). There was no statistically significant increase in risk of pneumothorax, hypotension, or bleeding with large-volume thoracentesis. One case of radiogr...
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PMID: 20175369
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Abstract
We sought to determine if continuous paracentesis via placement of an indwelling catheter for the management of ascites is safe and effective.
We placed 38 peritoneal drainage catheters in 30 patients for durations ranging from 1-10 days. Patients underwent ascites fluid culture and...
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PMID: 21409900
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Abstract
We report a typical case of normotensive ischemic AKI as a manifestation of IAH following abdominal surgery....
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PMID: 18953663
PDF is available here.
Abstract
Ascites and hyponatremia are frequent complications of advanced liver cirrhosis. Over 50 % of cirrhotic patients develop ascites and about one third gets hyponatremic. The development of ascites is due to an increased sodium retention in the kidneys, leading to expansion of extracellular volume and...
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PMID: 19885792
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Abstract
A systematic review of randomized, controlled, prospective clinical studies is described (8 trials; N = 1674 patients), with > 100 patients in each, which evaluated functional outcomes with hylan G-F 20 in secondary analyses. Hylan G-F 20 significantly improved Western Ontario and McMaster Universit...
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PMID: 20048527
PDF is available here.
Abstract
Renal failure in cirrhosis poses unique diagnostic and therapeutic challenges. Laboratory values and predictive equations grossly overestimate renal function in patients with cirrhosis. Development of renal failure connotes a worse prognosis; mortality is especially high with hepator...
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PMID: 19577118
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Abstract
Ascites is the pathologic accumulation of fluid in the peritoneal cavity and is a common manifestation of liver failure, being one of the cardinal signs of portal hypertension. The diagnostic evaluation of ascites involves an assessment of its cause by determining the serum-ascites albumin gradient...
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PMID: 19577115
PDF is available here.
Abstract
This column describes the etiology, diagnosis, and management of pleural effusions.
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PMID: 19639912
PDF is available here.
Abstract
Internal derangements of the temporomandibular joint (TMJ) are characterized by displacement of the intra-articular disc, which acts as an obstacle to normal joint movement and results in clicking and popping sounds or locking and an inability to open the mouth widely. These conditio...
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PMID: 19591327
PDF is available here.
Abstract
We report a 20-year-old male patient, with no underlying disease, who was diagnosed as peritonitis due to brucellosis mimicking tuberculosis, with ascites with pleocytosis, lymphocytic predominance and high levels of adenosine deaminase....
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PMID: 19530047
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Abstract
Intra-abdominal pressure was measured directly through the paracentesis catheter using a scaled measurement gauge. Simultaneously, intra-gastric measurements were performed with the CiMon device (Pulsion Medical Systems, Munich, Germany), by means of a ballon-tipped nasogastric tube connected to a p...
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PMID: 19242674
PDF is available here.
Abstract
Physical examination revealed a markedly distended abdomen and systolic heart murmur. Thoracic radiography revealed cardiomegaly and hepatomegaly. Doppler echocardiography revealed severe eccentric and concentric hypertrophy of the right ventricle with systolic dysfunction, moderate regurgitation th...
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PMID: 19366339
PDF is available here.
Abstract
Peritoneal fluid adipokine concentrations are characterized by individual SARs, depend on the presence of peritonitis, and correlate with underlying disease, BMI and systemic inflammation. The data open a new field of research on the role of the peritoneum and visceral adipokines in gastrointestinal...
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PMID: 19260952
PDF is available here.
Abstract
We describe an 89-year-old human immunodeficiency virus (HIV)-negative male patient with HHV8-unrelated PEL-like lymphoma in the pleura. No hepatosplenomegaly or lymphadenopathy was detected. Chest radiography and computed tomography revealed right pleural effusion, but no evidence of tumor mass or...
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PMID: 19245595
PDF is available here.
Abstract
The average maximum mouth opening (MMO) was increased and the average pain during MMO was decreased significantly after treatment. The disc position, disc mobility, and joint effusion were significantly improved after treatment. CONCLUSION: The results in this study indicate that arthrocentesis and...
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PMID: 19138604
PDF is available here.
Abstract
We describe the evaluation and management of patients with refractory ascites from the prospective of the practicing physician....
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PMID: 19115470
PDF is available here.
Abstract
The results of application of the puncture methods of treatment, applied in 28 patients, suffering hepatic abscesses of various etiology and localization, were adduced. The methods of transcutaneous transhepatic puncture and drainage were applied. The data obtained witness a high efficacy of the pro...
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PMID: 19670748
PDF is available here.
Abstract
We report a case of a full-term baby diagnosed with respiratory distress after 1 week of life. An X-ray of his chest showed a left pleural effusion. Moreover, a thoracentesis combined with a biochemical study of the pleural fluid confirmed the diagnosis of chylothorax. In our case, the conservative...
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PMID: 19526181
PDF is available here.
Abstract
Neonatal primary peritonitis should always be taken into account in such circumstances. The final outcome, despite the initial clinical severity, is favorable with the appropriate conservative therapy...
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PMID: 19537122
PDF is available here.
Abstract
The levels of fibronectin and collagen I in the TMJ disc and synovial fluid may be influenced by the stage of disease. The results did not provide a clear understanding of fibronectin and collagen I involvement with tissue repair in closed-lock cases. Detection of fibronectin fragments may provide m...
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PMID: 19070755
PDF is available here.
Abstract
Multidirectional diagnostic approach is essential for the implementation of causal treatment of NHF. In case of idiopathic NHF the only management is symptomatic therapy, fetal monitoring and preterm delivery....
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PMID: 20010490
PDF is available here.
Abstract
We present a case of an 88 year-old receiving home hospice care with refractory ovarian cancer and severe symptomatic ascites. We performed a paracentesis and treated her with intraperitoneal bevacizumab with dramatic improvement in her ascites and the quality of her final weeks of life. CONCLUSION:...
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PMID: 18561992
PDF is available here.
Abstract
Cirrhosis combined with chronic liver failure ranks 12th as a leading cause of death in the United States. Ascites, the most common complication of cirrhosis-induced liver failure, is reviewed, including its pathogenesis, evaluation, diagnosis, and management.
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PMID: 19248401
PDF is available here.
Abstract
The case-fatality rate of the multi-point puncture group was 10.87, significantly lower than that of the one-point puncture group (20.83, P < 0.05). The superiority rate of recovery of the multi-point group was 78.26%, significantly higher than that of the one-point puncture group (64.58%, P < 0.05)...
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PMID: 19080457
PDF is available here.
Abstract
We report herein a case with OHSS treated by serial vaginal paracentesis. A 31-year-old patient was hospitalized due to severe OHSS after in vitro fertilization (IVF)-embryo transfer. Transvaginal drainage was performed with a standard 17-gauge IVF needle connected to a vacuum pump through a drainag...
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PMID: 19031224
PDF is available here.
Abstract
What should be known in order to practice safely a joint aspiration and/or infiltration is summarized in the following article. This summary includes various aspects, such as the indications and contraindications, the procedure itself, and the possible complications. The arthrocentesis of the knee i...
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PMID: 19055150
PDF is available here.