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Padraic Dixon - One of the best experts on this subject based on the ideXlab platform.
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A long-term study of 277 cases of equine sinonasal disease. Part 1: details of horses, historical, clinical and ancillary diagnostic findings.
Equine veterinary journal, 2010Co-Authors: W. H. Tremaine, Padraic DixonAbstract:Summary The clinical and ancillary diagnostic findings in equine sinnasal disease were studied. The diagnoses in 277 referred (1984–1996) cases of equine sinonasal disease included the following (% all cases): 67 cases (24.2%) primary sinusitis, 61 (22.0%) dental sinusitis, 37 (13.4%) sinus cysts, 22 (7.9%) sinonasal neoplasia, 21 (7.6%) progressive ethmoid haematoma, 17 (6.1%) sinonasal trauma, 13 (4.7%) sinonasal mycosis, 11 (4.0%) rostral maxillary cheek Tooth Infection, 7 (2.5%) sinonasal polyps, 7 (2.5%) cases of nasal epidermal inclusion cysts and 14 (5.1%) miscellaneous sinonasal disorders. Many disorders showed similar clinical signs including nasal discharge (present in 88% of all cases) and facial swelling (46%). Most disorders were chronic, with a median duration of signs of 12 weeks (range 3 days-6 years) priorto referral. Sinus cysts and sinonasal neoplasia were significantly (P
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a long term study of 277 cases of equine sinonasal disease part 1 details of horses historical clinical and ancillary diagnostic findings
Equine Veterinary Journal, 2010Co-Authors: W. H. Tremaine, Padraic DixonAbstract:Summary The clinical and ancillary diagnostic findings in equine sinnasal disease were studied. The diagnoses in 277 referred (1984–1996) cases of equine sinonasal disease included the following (% all cases): 67 cases (24.2%) primary sinusitis, 61 (22.0%) dental sinusitis, 37 (13.4%) sinus cysts, 22 (7.9%) sinonasal neoplasia, 21 (7.6%) progressive ethmoid haematoma, 17 (6.1%) sinonasal trauma, 13 (4.7%) sinonasal mycosis, 11 (4.0%) rostral maxillary cheek Tooth Infection, 7 (2.5%) sinonasal polyps, 7 (2.5%) cases of nasal epidermal inclusion cysts and 14 (5.1%) miscellaneous sinonasal disorders. Many disorders showed similar clinical signs including nasal discharge (present in 88% of all cases) and facial swelling (46%). Most disorders were chronic, with a median duration of signs of 12 weeks (range 3 days-6 years) priorto referral. Sinus cysts and sinonasal neoplasia were significantly (P<0.05) more frequently associated with gross distortion of the nasal passages and facial bones than the other sinonasal disorders. Endoscopic changes were detected per nasum in 91% of cases, but contributed to the exact diagnosis in only 20%. Radiography revealed abnormalities in 81% of cases but was diagnostically useful in only 36%. Sinoscopy was diagnostically useful in 70% of the 61 cases where used.
W. H. Tremaine - One of the best experts on this subject based on the ideXlab platform.
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A long-term study of 277 cases of equine sinonasal disease. Part 1: details of horses, historical, clinical and ancillary diagnostic findings.
Equine veterinary journal, 2010Co-Authors: W. H. Tremaine, Padraic DixonAbstract:Summary The clinical and ancillary diagnostic findings in equine sinnasal disease were studied. The diagnoses in 277 referred (1984–1996) cases of equine sinonasal disease included the following (% all cases): 67 cases (24.2%) primary sinusitis, 61 (22.0%) dental sinusitis, 37 (13.4%) sinus cysts, 22 (7.9%) sinonasal neoplasia, 21 (7.6%) progressive ethmoid haematoma, 17 (6.1%) sinonasal trauma, 13 (4.7%) sinonasal mycosis, 11 (4.0%) rostral maxillary cheek Tooth Infection, 7 (2.5%) sinonasal polyps, 7 (2.5%) cases of nasal epidermal inclusion cysts and 14 (5.1%) miscellaneous sinonasal disorders. Many disorders showed similar clinical signs including nasal discharge (present in 88% of all cases) and facial swelling (46%). Most disorders were chronic, with a median duration of signs of 12 weeks (range 3 days-6 years) priorto referral. Sinus cysts and sinonasal neoplasia were significantly (P
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a long term study of 277 cases of equine sinonasal disease part 1 details of horses historical clinical and ancillary diagnostic findings
Equine Veterinary Journal, 2010Co-Authors: W. H. Tremaine, Padraic DixonAbstract:Summary The clinical and ancillary diagnostic findings in equine sinnasal disease were studied. The diagnoses in 277 referred (1984–1996) cases of equine sinonasal disease included the following (% all cases): 67 cases (24.2%) primary sinusitis, 61 (22.0%) dental sinusitis, 37 (13.4%) sinus cysts, 22 (7.9%) sinonasal neoplasia, 21 (7.6%) progressive ethmoid haematoma, 17 (6.1%) sinonasal trauma, 13 (4.7%) sinonasal mycosis, 11 (4.0%) rostral maxillary cheek Tooth Infection, 7 (2.5%) sinonasal polyps, 7 (2.5%) cases of nasal epidermal inclusion cysts and 14 (5.1%) miscellaneous sinonasal disorders. Many disorders showed similar clinical signs including nasal discharge (present in 88% of all cases) and facial swelling (46%). Most disorders were chronic, with a median duration of signs of 12 weeks (range 3 days-6 years) priorto referral. Sinus cysts and sinonasal neoplasia were significantly (P<0.05) more frequently associated with gross distortion of the nasal passages and facial bones than the other sinonasal disorders. Endoscopic changes were detected per nasum in 91% of cases, but contributed to the exact diagnosis in only 20%. Radiography revealed abnormalities in 81% of cases but was diagnostically useful in only 36%. Sinoscopy was diagnostically useful in 70% of the 61 cases where used.
Joyee Vachani - One of the best experts on this subject based on the ideXlab platform.
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One Approach to Facial Swelling: Tooth or Fiction
Hospital pediatrics, 2013Co-Authors: Daniel Y. Wang, Joyee VachaniAbstract:Facial swelling is a common problem in the pediatric population with a variety of causes, ranging from congenital to acquired diseases. A fundamental understanding of typical clinical presentation helps in narrowing this broad differential. A 35-month-old, previously healthy, African American boy presented with 2 weeks of intermittent nightly leg pain and 1 week of unilateral, progressive nontender facial swelling. He had severe, achy right leg pain relieved by ibuprofen, which was diagnosed as a sprain at an outside emergency center 2 days before admission. The patient had developed mild, nontender right facial swelling 1 week before admission and had started amoxicillin for a suspected Tooth abscess (Fig 1). He developed a fever of 38.7°C 2 days before admission. Because the patient failed to improve with outpatient management, he was admitted for further evaluation. FIGURE 1 Patient at initial presentation with predominantly right facial swelling. On admission, the patient appeared well nourished with mild fever of 38.1°C, pulse rate of 108 beats per minute, and blood pressure of 107/64 mm Hg. His physical examination showed enlarged tonsils with no exudates and 1-cm, firm, nonerythematous soft tissue swelling overlying the right maxilla with no evidence of dental caries or decay. No cervical, axillary, or inguinal lymph nodes were palpated. There were no other signs of constitutional symptoms such as weight loss, night sweats, diarrhea, nausea, or vomiting. What should be included in an initial differential diagnosis of a patient who presents with facial swelling, and when is imaging indicated? Cases of facial swelling can be divided into 4 groups: acute swelling with inflammation, nonprogressive swelling, slowly progressive swelling, and rapidly progressive swelling.1 The most common form of facial swelling is acute swelling with inflammation, which typically is caused by lymphadenitis, sinusitis, or a Tooth Infection. Children who have severe systemic symptoms, concern for …
D Schilling - One of the best experts on this subject based on the ideXlab platform.
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Rupture of a superior mesenteric artery aneurysm
Deutsche Medizinische Wochenschrift, 2010Co-Authors: B Rumstadt, D SchillingAbstract:HISTORY AND ADMISSION FINDINGS: A 54-year-old patient presented with acute abdominal pain that had started after having a bowel movement. INVESTIGATIONS AND DIAGNOSIS: Ultrasound examination revealed free intraabdominal fluid with no signs of organ rupture. CT-scan showed a peripherally located ruptured aneurysm of a branch of the superior mesenteric artery. TREATMENT AND COURSE: Intraoperatively the aneurysm was then ligated. A vascular reconstruction or bowel resection was not necessary. After an uneventful postoperative course, the patient could be discharged from the hospital on postoperative day four. Two weeks later the patient was readmitted, with fever and dyspnea. Transesophageal echocardiogram suggested the presence of bacterial growth on the aortic and mitral valves. Blood cultures and valvular vegetations grew Streptococcus viridans. The diagnosed infective endocarditis was caused by a Tooth-Infection, that had been recurrent for one year. After treatment of the Tooth Infection, the mitral and aortic valves were replaced without any complications. CONCLUSION: Because of the high mortality associated with rupture, it is important that visceral aneurysms are taken into consideration in the differential diagnosis of unexplained abdominal pain. It should also be kept in mind that the aneurysm could be due to an infective endocarditis. Therefore, echography should be carried out in each case, to avoid further complications and to give optimal treatment.
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Rupture of a superior mesenteric artery aneurysm
Deutsche Medizinische Wochenschrift, 2010Co-Authors: B Rumstadt, D SchillingAbstract:HISTORY AND ADMISSION FINDINGS: A 54-year-old patient presented with acute abdominal pain that had started after having a bowel movement. INVESTIGATIONS AND DIAGNOSIS: Ultrasound examination revealed free intraabdominal fluid with no signs of organ rupture. CT-scan showed a peripherally located ruptured aneurysm of a branch of the superior mesenteric artery. TREATMENT AND COURSE: Intraoperatively the aneurysm was then ligated. A vascular reconstruction or bowel resection was not necessary. After an uneventful postoperative course, the patient could be discharged from the hospital on postoperative day four. Two weeks later the patient was readmitted, with fever and dyspnea. Transesophageal echocardiogram suggested the presence of bacterial growth on the aortic and mitral valves. Blood cultures and valvular vegetations grew Streptococcus viridans. The diagnosed infective endocarditis was caused by a Tooth-Infection, that had been recurrent for one year. After treatment of the Tooth Infection, the mitral and aortic valves were replaced without any complications. CONCLUSION: Because of the high mortality associated with rupture, it is important that visceral aneurysms are taken into consideration in the differential diagnosis of unexplained abdominal pain. It should also be kept in mind that the aneurysm could be due to an infective endocarditis. Therefore, echography should be carried out in each case, to avoid further complications and to give optimal treatment.
Daniel Y. Wang - One of the best experts on this subject based on the ideXlab platform.
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One Approach to Facial Swelling: Tooth or Fiction
Hospital pediatrics, 2013Co-Authors: Daniel Y. Wang, Joyee VachaniAbstract:Facial swelling is a common problem in the pediatric population with a variety of causes, ranging from congenital to acquired diseases. A fundamental understanding of typical clinical presentation helps in narrowing this broad differential. A 35-month-old, previously healthy, African American boy presented with 2 weeks of intermittent nightly leg pain and 1 week of unilateral, progressive nontender facial swelling. He had severe, achy right leg pain relieved by ibuprofen, which was diagnosed as a sprain at an outside emergency center 2 days before admission. The patient had developed mild, nontender right facial swelling 1 week before admission and had started amoxicillin for a suspected Tooth abscess (Fig 1). He developed a fever of 38.7°C 2 days before admission. Because the patient failed to improve with outpatient management, he was admitted for further evaluation. FIGURE 1 Patient at initial presentation with predominantly right facial swelling. On admission, the patient appeared well nourished with mild fever of 38.1°C, pulse rate of 108 beats per minute, and blood pressure of 107/64 mm Hg. His physical examination showed enlarged tonsils with no exudates and 1-cm, firm, nonerythematous soft tissue swelling overlying the right maxilla with no evidence of dental caries or decay. No cervical, axillary, or inguinal lymph nodes were palpated. There were no other signs of constitutional symptoms such as weight loss, night sweats, diarrhea, nausea, or vomiting. What should be included in an initial differential diagnosis of a patient who presents with facial swelling, and when is imaging indicated? Cases of facial swelling can be divided into 4 groups: acute swelling with inflammation, nonprogressive swelling, slowly progressive swelling, and rapidly progressive swelling.1 The most common form of facial swelling is acute swelling with inflammation, which typically is caused by lymphadenitis, sinusitis, or a Tooth Infection. Children who have severe systemic symptoms, concern for …