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PURPOSE Contrast-enhanced ultrasonography (CEUS) displays high sensitivity and specificity in characterizing focal liver lesions (FLLs). We attempted to determine how often CEUS provides an unequivocal diagnosis of FLLs that does not require additional imaging studies. MATERIALS AND METHODS Seventy-three patients with 146 FLLs were scanned with B-mode,… (More)
Eleven patients with classical clinical features of mumps presented to one practice over a three month period. Initial laboratory testing for mumps virus specific IgM was positive in only two of the eleven cases. On subsequent testing by an additional system, four additional cases were IgM positive. Five were IgM negative by both assays. Some currently used… (More)
When selecting enteral feedings for infants and children on continuous peritoneal dialysis care should be taken to meet individual needs to provide for nutritional adequacy and normal growth rates. This requires a combination of complete feedings plus modules. The feedings should be evaluated frequently to adjust for growth and changes in renal function or… (More)
In Mathematical terminology a prime number is a number such that its only divisor is one. For example 3, 5, and 7 are all prime numbers. Straying away from the mathematical gobbledygook, prime can take on many different meanings and the word manifests daily in the English language. When I type the word prime into my Franklin Language Master one of the… (More)
Advance directives such as do not resuscitation orders are becoming more common place in Irish Hospitals. A questionnaire was completed by all 44 interns working in St James' Hospital in January 2010 and by 49/50 Senior House Officers in June 2010.3/44 of interns (6%) and 5/49 (10%) SHO believe that there is no difference between palliative patients and NFR… (More)
Gas gangrene is a well recognised complication of contaminated military wounds. A case of Clostridial myonecrosis following elective inguinal hernia repair is described. The pathology, clinical features and management of this life-threatening condition are reviewed.
The phenomenon of subclavian steal syndrome has recently been found to have a subset group that has been described as partial or "pre-steal" in physiology. Our case of a Marine Corps pilot with this partial subclavian steal physiology is reviewed, in addition to the maneuvers we performed to temporarily convert him to complete steal physiology. A discussion… (More)