24 research outputs found
Differential diagnosis of diseases of the chest. By Robert G. Fraser, J.A. Peter Pare, P.D. Pare, and Richard S. Fraser. Philadelphia: W.B. Saunders Company, 1991, 146 pp.
No Abstract.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/38597/1/1950120316_ftp.pd
Atlas of chest imaging correlated anatomy with MRI and CT. By Marvin Wagner and Thomas L. Lawson. New York: Raven Press, 1992, 134 pp
No Abstract.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/38598/1/1950140409_ftp.pd
Knee maturation as a differentiating sign between congenital rubella and cytomegalovirus infections
Knee epiphyseal maturation is retarded in most neonates with congenital rubella infection, whereas neonates with congenital cytomegalovirus infection have relatively normal maturation. Assessment of knee maturation is useful in differentiating rubella from cytomegalovirus infection in the neonate.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46720/1/247_2004_Article_BF00973813.pd
Iodixanol Pharmacokinetics in Children
The objective of this report was to study the elimination pharmacokinetics of iodixanol in children. Iodixanol (V isipaque ®, Nycomed Inc., Wayne, PA, USA) is a new iso-osmolar iodinated radiocontrast agent. We hypothesized that elimination of this agent would be dependent on age-related differences in renal clearance. Seven centers enrolled 43 patients. Cardiac catheterization was performed in 41 patients and cranial computed tomography in 2. Patients were entered into 5 age groups: newborn to 6 months of age that is comparable to normal adults. Prolonged elimination in children <6 months of age is related to renal immaturity.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/42384/1/246-22-3-223_10220223.pd
Consensus statement on abusive head trauma in infants and young children
Abusive head trauma (AHT) is the leading cause of fatal head injuries in children younger than 2Â years. A multidisciplinary team bases this diagnosis on history, physical examination, imaging and laboratory findings. Because the etiology of the injury is multifactorial (shaking, shaking and impact, impact, etc.) the current best and inclusive term is AHT. There is no controversy concerning the medical validity of the existence of AHT, with multiple components including subdural hematoma, intracranial and spinal changes, complex retinal hemorrhages, and rib and other fractures that are inconsistent with the provided mechanism of trauma. The workup must exclude medical diseases that can mimic AHT. However, the courtroom has become a forum for speculative theories that cannot be reconciled with generally accepted medical literature. There is no reliable medical evidence that the following processes are causative in the constellation of injuries of AHT: cerebral sinovenous thrombosis, hypoxic-ischemic injury, lumbar puncture or dysphagic choking/vomiting. There is no substantiation, at a time remote from birth, that an asymptomatic birth-related subdural hemorrhage can result in rebleeding and sudden collapse. Further, a diagnosis of AHT is a medical conclusion, not a legal determination of the intent of the perpetrator or a diagnosis of murder. We hope that this consensus document reduces confusion by recommending to judges and jurors the tools necessary to distinguish genuine evidence-based opinions of the relevant medical community from legal arguments or etiological speculations that are unwarranted by the clinical findings, medical evidence and evidence-based literature