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Biomedical subjects

D Westphal

Publications and source records attributed to D Westphal.

27 records · Page 2Linked to original sources
PubMed1978

[Infected median and lateral neck cysts and fistulas].

During the last 10 years, 50 patients with congenital anomalies of the neck were treated in the Hospital for Oral and Plastic Surgery in Düsseldorf. Acute or chronic infection was observed in one third of the median and lateral cervical cysts and all cervical fistulas. Most of the cysts and fistulas were not diagnosed or considered in the differential diagnosis at the time of referral. The most frequent false diagnoses were: odontogenous abcess, odontogenous fistula, phlegmon of the floor of the mouth, specific lymphoma, abcess of the lymph node.

Adolescent↗
PubMed1978

[Infected dermoid and epidermoid cysts in the maxillofacial region. Differential diagnosis and therapy].

More than 30% of the patients with dermoid and epidermoid cysts treated on an in-patient basis during the last 10 years in the Düsseldorf Hospital for Jaw and Plastic Surgery showed symptoms of acute or chronic inflammation. The difficulties involved in the clinical diagnosis of infected dermoid or epidermoid cysts were illustrated by example cases. Infected dermoid and epidermoid cysts may be mistaken for ondontogenous abscesses, infected atheromas, furuncles, superinfected tumors, and specific inflammations.

Abscess↗
PubMed1977

Sinuscopy for the diagnosis of blow-out fractures.

Between 1973 and 1976 thirty-one patients with the symptoms of a blow-out fracture underwent sinuscopy. In all these cases a precise diagnosis was not possible from the clinical and x-ray findings alone without exploratory surgery. In 28 cases an exact diagnosis could be made using sinuscopy; 21 patients with blow-out fractures underwent reconstructive surgery to the orbital floor. In the remaining 7 cases fracture of the orbital floor was ruled out and the patients were spared more extensive diagnostic procedures. In 3 cases the diagnosis of a fracture could not be definitely established. Exploratory surgery of the orbital floor showed blow-out fractures which needed treatment. These findings were photographed; 5 typical photographs of fractures are presented. Sinuscopy provides a simple and sure method in the diagnosis of blow-out fractures. Its early application is recommended in cases of suspected fractures of the orbital floor, since reconstructive surgery of blow-out fractures yields the best functional results when performed within 2 weeks after the accident.

Adolescent↗
PubMedDate not supplied

Comparison of conductivity measured hematocrit to microhematocrit.

Two electrical conductivity methods of hematocrit (H) measurement, Coulter Counter (CCH) and lonometer (IH), were compared to the microhematocrit (MH) with two different anticoagulants, Li Heparin (Li) and EDTA. The results showed MH-Li is higher than MH-EDTA (mean difference 1.7 vol%). The IH-Li is 1.8 vol% higher than CC H-EDTA. These differences are attributed to osmotic shrinking of red cells by EDTA. The MH-Li and IH-Li correlate very closely (r = .992), and are considered to provide the truest hematocrit values.

Erythrocyte Volume↗
PubMedDate not supplied

An on-line monitor of dialyzer Na and K flux in hemodialysis.

A closed loop Na kinetic model is developed which permits 1) prescription of precise profiles of Na removal from its extracellular volume of distribution ((dVeCe)/dt), while 2) assuring that the total interdialytic accumulation of Na is removed during each dialysis. The model requires precise continuous measurement of Na flux in the dialysate stream, and a device to accomplish this (Ionflow) was developed and evaluated. In vivo studies showed that changes in body content of Na agreed to +/- 40 mEq, with total Na flux measured by Ionoflow. This agreement is excellent, considering that +/- 1 mEq/L in blood Na represents approximately 40 mEq in the average patient. The Ionoflow is considered accurate to +/- 10 to 20 mEq Na over a dialysis. The Ionoflow fulfills monitoring requirements necessary to implement clinical trials of closed loop Na modeling.

Dialysis Solutions↗