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Biomedical subjects

E Ajanović

Publications and source records attributed to E Ajanović.

16 recordsLinked to original sources
PubMed1999

[Diagnosis and treatment of acute pulmonary embolism].

Acute lung embolism is an uncommon but recognised complication of deep venous thrombosis. The parameters RTG, ECG, PaO2, PaCO2, LDH, CPK, SGOT, SGPT and pulmonary ventilation/perfusion scan have been examined in 200 patients with pulmonary thromboembolism. For that purpose discrimination values of synopticly relevant RTG findings, arterial blood gas and enzymes analysis results and pulmonary ventilation/perfusion scintigraphy, were observed in a comparative analysis of numerous data that could be integrated as an unique finding in sense of qualitative diagnosis. The most frequent symptom was dyspnea and tachypnea, often accompanied with other symptoms (84%), chest pain (65%), cough (53%), tachycardia (41%), hemoptysis (26%). In 74% of patients pulmonary thromboembolism the significant simultaneous increase of all the mentioned enzymes, except CPK, was found 75%. However, according to the results in 58% of the examined persons the pathologic changes on RTG (infiltrates of the lung, with or without affection of the pleura and changed position of diaphragma) were found, and 71% on ECG. Pulmonary ventilation/perfusion scintigraphy is the precise examination for acute lung embolia. For the routine clinical examination measurement of PaO2, PaCO2, LDH, ECG, x-rays is sufficient (correlation test + 0.56). In this paper we have presented our own diagnostic-therapeutic protocol in of lung emboly.

Acute Disease↗
PubMed1999

[Y2K in medical practice].

The data in computing programs could make two types of problems, functioning of medical equipment and analyses of medical datas. The first one is not use limiting problem. The troubles could be performed in calculation of pregnancy dates but the final calculation in up to medical practitioners. The former situation, analyses of medical datas, could be limited without complete and correct datas, mainly in analyses of life expectancy tables, and related fields.

Chronology as Topic↗
PubMed1999

[Use of actual medical information in daily practice].

Use of medical information in everyday practice has been described in this paper. Importance of systematic collection, analysis and use, including correct "data management" is noticed. Information system is formed of every noted information, not only in computing form. Use of databases allows us connection to many information, but rational use should allow us to select only these in number an quality which are necessary for decision making.

Databases as Topic↗
PubMed1998

[Clinical aspects of pulmonary thromboembolism].

This paper is a review of the patients with pulmonary thromboembolism hospitalized at General hospital in Teanj starting from the first case recorded in 1980 till now and 172 patients were subjects of this study. Thromboembolism was a direct cause of death in 43.7% (75 patients). Clinical and laboratory records, etiology, chest radiography, ECG data of 89 patients hospitalised and treated in the last five years were analyzed in detail. The most frequent symptoms were dyspnea and tachypnea, often accompanied with other symptoms (84.2%), chest pain (65.2%), cough (52.4%), tachycardia (40.5%), hemoptysis (25.8%). At 74% of patients with pulmonary thromboembolism a significant simultaneous increase of all examined enzymes, except CPK was found. Pulmonary insufficiency (global or partial) was found at 75% of patients. According to our results, in 57.2% of the subjects the pathologic changes on Radiography (infiltrates of the lung, with or without affection of the pleura and changed position of diaphragm) were found, and 70.9% had changes on the ECG.

Humans↗
PubMed1996

[Pulmonary abscess treated with postural drainage].

Case record of patients with lung abscess treated by postural drainage is presented in this paper. In young man with multiple explosive injuries lung abscess was formed two months after injury. A postural drainage with parenteral application of antibiotics has been performed. The expectoration was painful. At the seventh day there was no temperature, ESR was described at the tenth day. The general status was becoming better. At the seventeenth day patient was discharged from Hospital. Rig imaging was shown nearly completely resolution of lung abscess. Postural drainage was effective because of favorable localisation of abscess near the large bronchus and basely part of the lung.

Adult↗
PubMed1995

[Symptomatology in bronchial carcinoma].

The essential characteristic on carcinoma of the lung are presented. With 100 patients with Ca bronche diagnosed by pathology, we evaluated the significance of the clinical manifestation of this disease. The most frequent symptoms are: cough (83%), pectoral pain (65%), dyspnoea (60%), temperature (57%), haemoptysis (29%). It is presented the etiopathogenesis of these symptoms. The significance of history and physical findings in forming a preliminary diagnosis is analysed. This in turn is the basis for the programming examinations and diagnostic procedures.

Carcinoma, Bronchogenic↗
PubMedDate not supplied

[Possibilities of diagnosis of bronchial obstruction].

The functional parameters Raw, Rrs, FEV1, RV, FEF25 and FEF50 have been examined in 1000 patients with bronchial obstruction. Measurement of airway resistance is the precise examination for bronchial obstruction. For the routine clinical examination the interruptional measurement of Rrs is sufficient (correlation test + 0.56). Resistance may be measured indirectly by dynamic pulmonary volume testing (correlation FEV1: Raw = -0.55; FEF50: Raw = -0.63).

Adult↗
PubMedDate not supplied

[Radiographic appearance of fluid in the pleural space].

Observations of the diagnostic procedures of 397 patients treated due to the pleural effusion have been presented. Some of the methods were very differential. Pleural effusions were not only an etiological problem but sometimes the morphological identification is very difficult because of the atypical view of the radiologic appearance. X-ray examinations of the effusion in many projections enables differentiation from other cases. In cases where clinical and X-ray examinations cannot be performed different procedures like transthoracic tap and explorative thoracotomy should be performed.

Humans↗
PubMedDate not supplied

[Modern approach to the classification and diagnosis of pneumonia].

New classification of pneumonia is pragmatic since a significant criterion is a condition in which an infection may develop: inflammations of the lungs in the home environment, immunodeficient patients, hospital infections, as a result of iatrogen complication, epidemics, etc. The principle of etiologic differentiation is reasonable when the therapy is indicated with certainty. Due to the difficulties in isolation and identification of sputum as well as the disappearance of the agent on onset of treatment because of specific therapy, the pathogenetic evolution and morphologic definition of the process is of great importance in the diagnostics and classification of pneumonia. In most patients the pneumonia has a clear course and the diagnosis is mostly established either by epidemiologic and clinical finding, laboratory testing and radiographically or by the response on empiric therapy. In some cases the invasive methods of diagnostics should be applied (BAL, transtracheal biopsy) in order to avoid false positive findings from the upper respiratory tract.

Humans↗
PubMedDate not supplied

[Tuberculous pericarditis].

A case of specific tuberculous pericarditis is described. A short clinical and etiological classification of pericarditis is given. There are so many new forms of pericarditis today, like autoimmune, postirradiation, drug induced, etc. Specific tuberculous pericarditis is rarely registered today. One must intend to specify TB pericarditis almost if pericardial effusion is present. Pericardial punction is of much help in the diagnosis and treatment of pericardial effusion. Steroid therapy is very important in prevention of forming pericardial adhesions.

Female↗