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Biomedical subjects

H M Carty

Publications and source records attributed to H M Carty.

26 records · Page 2Linked to original sources
PubMed1989

The role of ultrasound in the management of ovarian masses in children.

A retrospective study of 64 girls with ovarian cysts and tumours, diagnosed by ultrasound over 4 years, was undertaken. Most ovarian cysts were benign and conservative management with serial ultrasound scans helped to avoid unnecessary surgery. The incidence of surgery decreased from 18 operations in the first 2 years of the study to 10 operations in the second 2 years. All children for whom surgery is considered should have a pre-operative scan to determine whether the cyst has resolved. Immediate surgery is indicated in children who have a palpable mass, a solid mass, a mass associated with calcification, or a mass associated with persistent pyrexia. Appendix abscesses may mimic ovarian masses and can be correctly diagnosed by ultrasound.

Adolescent↗
PubMed1988

Thyroid screening in congenital hypothyroidism: a review of 41 cases.

Forty-one infants have been referred for thyroid scintigraphy following routine screening for congenital hypothyroidism: 14 (35%) were athyreotic, 19 (45%) had an ectopic thyroid, four (10%) were normal and four (10%) demonstrated other abnormalities. There was a female: male ratio of 4:1. Thyroid scintigraphy is a useful adjunct to biochemical screening.

Congenital Hypothyroidism↗
PubMed1987

'Hunt the thimble': a study of the radiology of ingested foreign bodies.

The role of radiology in the management of patients with a history of ingested foreign bodies is reviewed in a retrospective study over a 2-year period in a Children's Hospital. If radiography was confined to those children who have a clinical history suggestive of foreign body impaction in the oesophagus, a foreign body aspiration or having swallowed a button battery, the work load and unnecessary radiation arising from this practice could be halved. This study demonstrates another misuse of radiological services.

Adolescent↗
PubMed1986

Gastrografin in acute meconium ileus equivalent.

Twenty-five (37%) patients with cystic fibrosis attending our clinic have experienced acute meconium ileus equivalent. In one year 37 of 40 episodes were treated with single dose oral Gastrografin with an 81% success rate, 75% being treated as outpatients. Patients found this treatment preferable to other recommended treatment.

Acute Disease↗
PubMed1983

Juvenile discitis.

Over a period of three years four girls and two boys presented with discitis. All were less than 5 years old at presentation, and each had a short history of symptoms. Three were initially thought to have pathological defects of the abdomen. All children showed abnormal posturing with exaggerated lumbar lordosis. Diagnosis was essentially clinical. All cultures were sterile. The erythrocyte sedimentation rate was increased in all the children and all had mild pyrexia. Symptoms lasted from two to 8 weeks. Discitis should be considered in any child with fever, abnormal posturing, and refusal to walk. Early recognition may avoid unnecessary diagnostic and treatment procedures.

Anti-Bacterial Agents↗
PubMed1981

Functional intestinal obstruction in the neonate.

The number of neonates with functional intestinal obstruction being admitted to this surgical unit is increasing. The obstruction may be transient and curable within a few days, or weeks or, more rarely, may be prolonged and intransigent, usually resulting in death despite parenteral nutrition. In the former group, the infants are often the result of an abnormal pregnancy or delivery. Recently, a small number of infants has been identified in whom prolonged jaundice is a notable feature, but the aetiology of this syndrome is not apparent. All of these infants must be screened to exclude mucoviscidosis, septicaemia, meningitis, and Hirschsprung's disease. Ideally, neonates suspected of having Hirschsprung's disease should not be submitted to surgery until after histological proof of the diagnosis. Infants with the rarer forms of intransigent ileus should be referred to special centres for intensive investigations, much of which would be somewhat experimental, in order to discover more about the aetiology of the various syndromes. For the adequate investigation and treatment of any these infants, an experienced team of clinicians, radiologists and pathologists is essential, and these infants should not be treated where the necessary facilities are unavailable.

Adrenal Gland Neoplasms↗