Stroke in a Pediatric Immune Thrombocytopenia Case

60th Annual Meeting of the American-Society-of-Hematology (ASH) -- DEC 01-04, 2018 -- San Diego, CAWOS: 000454842805280…Amer Soc Hemato

Interpretation of chest radiographs in both cancer and other critical care patients with acute respiratory distress syndrome

Acute respiratory distress syndrome is a clinical, pathophysiological and radiographic pattern that has signs of pulmonary edema occur without elevated pulmonary venous pressures. Clinical presentation and progression of acute respiratory distress syndrome are followed by frequently ordered portable chest X-ray in critically ill patients. We evaluated chest radiographs of ten cancer and other six critical care pediatric patients. The parenchymal imaging of lung in patients with cancer was reported the same as that of other critically ill children despite underlying pathophysiological variations in our investigation. [Cukurova Med J 2013; 38(2.000): 270-273

Five Years Experience In Surgical Treatment of Wilms Tumor

Purpose: To evaluate the treatment results of the patients operated with diagnosis of Wilms' tumor . Materials and Methods: The records of patients operated for Wilms' tumor in 2008-2012 were evaluated retrospectively. Sex, age, additional anomalies, tumor stages, preoperative biopsy and chemotherapy history, histopathological features, preoperative tumor rupture, complications and survival rates were reviewed Results: Male/Female ratio of total 31 patients operated due to Wilms' tumor was 0.7 and mean age was 3.1 years (6 months and ndash; 11 years). Five of the patients had additional congenital anomalies. Thirteen patients had stage I tumor, 6 had stage II, 6 had stage III, 3 had stage IV and 3 had stage V. Eleven of the patients underwent immediate nephrouretectomy as a first intervention, eleven patients went through delayed nephrouretectomy after neoadjuvant chemotherapy without biopsy, eight patients were diagnosed via biopsy and underwent delayed nephrectomy after neoadjuvant chemotherapy. One of the patients went through immediate nephrouretectomy with biopsy. The histopathologic examination of 68,9% of the patients reported as triphasic Wilms' tumor. Three patients had positive surgical margins. Peroperative spillage was experienced in two patients. Two patients had postoperative complications (pneumonia and meningitis) and three patients had tumor relapses. Mean follow-up period was 2.9 years (1-6 years) and no mortality was observed. Conclusion: Increased surgical experience, development of radiologic imaging techniques and chemotherapeutic reduction of tumor size make treatment of Wilms' tumor easier and increase the survival rate. [Cukurova Med J 2014; 39(3.000): 546-549

Ultrasonographic measurement of the dimensions of proximal and distal patellar fragments after Niebauer-King Procedure for the management of congenital dislocation of the knee

Objective: The aim of this study was to ultrasonographically measure the dimensions of the proximal and distalpatellar fragments to determine whether postoperative growth differences existbetween the fragments in children with congenital dislocation of the kneetreated by Niebauer Kings quadricepsplasty. Methods: This retrospective study included six congenitaldislocated knees of four children with arthrogryposis multiplex congenita (AMC)(3 girls; mean age = 40 months; age range = 9-44 months), presented with severe hyperextension knee contractures,which were treated by Niebauer-King's quadricepsplasty.The transverse, craniocaudal, and anteroposterior dimensions of the patellaewere measured ultrasonographically 20 (range = 6-42) months postoperatively by a singleradiologist. Results: The mean transverse, craniocaudal, and anteroposteriordimensions of proximal and distal halves of the patellae were: 11.46 (7.0-16.9)-10.5 (8.0-14.4); 17.4 (14.0-21.0) -16.68 (14.5-19.3); 6.76 (5.6-7.9) -7.76 (7.0-9.4) mm respectively. There was no significantdifference in craniocaudal and transverse dimensions, but the anteroposteriordimension (thickness) of the distal patellae articulating the knee joint had agreater thickness (P = 0,01). Conclusion: Evidence from this study has shown that a bettergrowth can be expected in the distal fragment of the patella compared with theproximal fragment following treatment with Niebauer-King's quadricepsplasty in children with congenital dislocation ofthe knee