[Bilateral peritonsillar abscess].
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Biomedical subjects
Publications and source records attributed to A Juul.
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A case of cervical intervertebral disc calcification in a child is presented. The condition is rare, the aetiology unknown and the prognosis good. Possibility for differential diagnosis are discussed and the importance of the otolaryngologist having a knowledge of the condition is emphasized.
Lipomas of the oral cavity are rare and in most cases asymptomatic. A case of lipoma in the floor of the mouth in a 89-year-old man, causing severe dysphagia and difficulty with speech, is presented. After surgical excision of the lipoma, the symptoms disappeared. Histologically, lipomas are composed of mature fat cells. Their aetiology is uncertain. Recurrence after surgical excision is unusual.
A case of papillary thyroid carcinoma arising in a thyroglossal duct cyst is presented. The tumour is rare and is generally not expected preoperatively. The clinical and pathological characteristics are emphasized, the treatment is discussed, and the importance of excision of thyroglossal duct cysts is stressed.
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Several clinical studies have associated nasal packing in the treatment of epistaxis with hypoxemia on the basis of a possible nasopulmonary reflex. In 10 patients with epistaxis using a pneumatic nasal pack with central airway that allows a limited airflow, no changes in arterial blood gas tensions were observed. Forced expiratory volume measures were also without significant changes. The results indicate that the nasal packs used do not cause any clinically important alveolar hypoventilation or changes in arterial oxygenation. None of the patients had chronic obstructive pulmonary disease, and it is therefore still important to be aware of hypoxemia as a possible complication to nasal packing, especially in old patients with chronic obstructive pulmonary disease, irrespective of the kind of nasal pack used.
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A review of a mediocolegal autopsy material comprising 6,283 cases revealed a very low incidence of unrecognized active tuberculosis, namely 0.05%. The incidence appears to be lower than among non-forensic autopsies. The three cases showed uniform characteristics, being middle-aged men who could be classified as destitute.
The incidence of clinically undiagnosed active tuberculosis (CUDAT) was 0.1% in an autopsy material comprising about 75% of all autopsies carried out in Denmark during the period 1.1.1969-1.1.1974. This incidence, corresponding to one case in every 895 autopsies, is a minimum value. From the present study it is apparent that the miliary form is predominant. CUDAT is most often found in elderly patients from medical units. The most common cause of death is the active tuberculosis, especially the miliary form. Fever often occurs during the stay in the hospital and is an almost invariable sign in miliary tuberculosis. Many of the patients had been treated with corticosteroids and/or cytostatics for associated diseases, especially malignancies.
Urinary density can be determined by measuring the change in the natural frequency of a hollow oscillator when filled with liquids of different density. The method requires only 0.6 ml of sample, and the precision is plus or minus 2. 5 - 10-4 g/cm-3. For clinical use a determination rate of approximately 60 samples an hour with a precision of 1 - 10-3 g/cm-3 may be reached.