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Biomedical subjects

J F Redman

Publications and source records attributed to J F Redman.

At least 91 records · Page 5Linked to original sources

Pneumoscrotum following tracheal intubation.

We report a case of pneumoscrotum following the placement of an endotracheal catheter. The mechanism was most probably a blowout of an alveolus as a result of mechanical ventilation. The air dissected by vascular sheaths to the lung, then into the mediastinum and, thus, to the subcutaneous tissue of the neck, along the chest and abdominal wall to reach the scrotum. With cessation of mechanical ventilation, the subcutaneous emphysema resolved without sequelae.

Adult↗

Ureteropelvic junction obstruction presenting with recurrent abdominal pain: diagnosis by ultrasound.

Three cases of ureteropelvic junction obstruction are presented in which the only symptom was recurrent abdominal pain. Results of physical examination and urinalysis were normal. Ultrasound established the correct diagnosis in the two patients in whom it was performed. Because it is safe, involves no radiation exposure, and is useful in evaluating the gallbladder, pancrease, and liver, as well as both kidneys, abdominal ultrasound should be performed prior to contrast radiography in the evaluation of children with recurrent abdominal pain.

Abdomen↗

Papulosquamous lesions of glans penis.

The presentation of a scaly papule or plaque on the glans penis should suggest more wide-spread papulosquamous disease. Careful examination of the remaining body surface, including the oral mucosa and nails, in almost all cases will yield clues to the correct diagnosis. Papulosquamous disease which may present as a penile lesion include psoriasis, Reiter syndrome, lichen planus, lichen nitidus, seborrheic dermatitis, secondary syphilis, fixed drug eruption, erythroplasia of Queyrat, plasma cell balanitis of Zoon, bowenoid papulosis, and discoid and lichenoid chronic dermatosis of Sulzberger and Garbe.

Adult↗

Histologic study of kidneys drained by short ileal conduits in dogs.

The ileal conduit with a refluxing ureteroileal anastomosis is considered by many to be a factor in the development of pyelonephritis and renal deterioration in patients so diverted. This opinion is supported by previous experimental work utilizing dogs. A histologic study of dog kidneys drained by a short ileal conduit is presented which shows an incidence of pyelonephritis of 17.6 per cent. Pyelonephritis occurred only when obstruction was present.

Animals↗

Simple eosinophilic granulomatous prostatitis.

A case of simple eosinophilic granulomatous prostatitis is presented. The simple variety shows an abundant eosinophilic infiltrate of the prostate without peripheral eosinophilia, allergic history or vasculitis. No treatment has been recommended to date. The use of a low-dose steroid provided symptomatic relief in our patient.

Eosinophilic Granuloma↗

The role of excretory urography in the evaluation of girls with urinary tract infection.

Excretory urography and cystography were done in 200 girls from less than 1 year to 14 years old with a history of urinary tract infections. In 147 girls (73.5 per cent) the excretory urogram and cystogram were normal. Reflux was demonstrated on voiding cystourethrography in 19.5 per cent of the patients. Only 3 patients were found to have a normal voiding cystourethrogram and a significant abnormal excretory urogram. In only 1 patient (0.5 per cent) was an abnormality (an ectopic obstructed ureter) identified, which was amenable to intervention. We conclude that in the evaluation of girls with urinary tract infection an excretory urogram is indicated only in the presence of vesicoureteral reflux.

Adolescent↗

Megacystis-microcolon-intestinal hypoperistalsis syndrome: case report and review of the literature.

We report a case of the megacystis-microcolon-intestinal hypoperistalsis syndrome and review the literature. Generally, this disease affects female neonates and is usually fatal within the first year of life. All patients have microcolon megacystis, intestinal hypoperistalsis, abdominal distention and dilated small bowel. Although the dilated bowel and urinary tract suggest an obstruction, such is not usually the case and surgical intervention is not always necessary. The abdominal distension results primarily from distension of the urinary tract.

Colon↗

Anatomy of the retroperitoneal connective tissue.

For the urologist, especially, a knowledge of the anatomy of the retroperitoneum is important. Anatomical and surgical texts frequently do not describe the retroperitoneal anatomy, particularly the retroperitoneal connective tissue, clearly enough to facilitate clinical applications. The anatomy of the retroperitoneal connective tissue is reviewed and clinical applications are provided.

Connective Tissue↗

Renovascular hypertension in an infant with segmental renal artery stenosis and hypoplasia of the abdominal aorta.

Hypoplasia of the abdominal aorta is a rare cause of renovascular hypertension. Arteriographic studies of the renal vasculature are presented from an infant with hypoplasia of the abdominal aorta and segmental renal artery stenosis. The renovascular hypertension was cured by partial nephrectomy. There was no difference in the parenchymal histology in the tissue from the congenitally ischemic lower pole of the kidney and the vascularized upper pole. In this unique case with decreased renal blood flow during fetal development there was no evidence that parenchymal ischemia can cause renal parenchymal hypoplasia.

Aorta, Abdominal↗

Torsion of the penis: a gross anatomic study.

A prospective gross anatomic study of the elements that permit correction of torsion of the penis is presented. Torsion most frequently is corrected by reflection of the skin and dartos tunic only. In some cases resection of Buck's fascia will provide correction. Careful alignment of the skin during closure gives an excellent cosmetic result even when the torsion is not corrected by reflection of the penile investments.

Child↗