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Biomedical subjects

J Q Trounce

Publications and source records attributed to J Q Trounce.

25 records · Page 2Linked to original sources

Sugar intolerance complicating acute gastroenteritis.

Sugar intolerance occurred in 31 of 200 children admitted to hospital with acute gastroenteritis. In 28 this was transient and settled rapidly, but in the remaining three it indicated a more serious and persistent problem. The most important predisposing factor was viral infection, in particular with rotavirus. The current regimen for the management of sugar intolerance complicating acute gastroenteritis at this hospital is outlined.

Acute Disease↗

Diagnosis and outcome of subcortical cystic leucomalacia.

Three children who had suffered prolonged hypotension or severe asphyxia and who subsequently developed cystic subcortical leucomalacia are reported. This condition fits into the spectrum of perinatal ischaemic brain disease but the diagnosis in life has not previously been reported. Aetiological factors and neurodevelopmental outcome, which was poor in all cases, are discussed.

Asphyxia Neonatorum↗

Eosinophilic gastroenteritis.

We report two children with eosinophilic gastroenteritis--a 14 month old atopic boy with persistent vomiting and aspiration pneumonitis illustrates the mucosal variety of the disorder, and a 9 year old boy with eosinophilic ascites typifies serosal involvement.

Child↗

External hydrocephalus--diagnosis by ultrasound.

We describe five infants with the appearance of external hydrocephalus diagnosed by real-time cranial ultrasound. The indication for scanning in all cases was a head circumference crossing the 90th centile. The interhemispheric fissure is widened with the falx usually visible and the cortical surface can be seen beneath the anterior fontanelle. There is minimal, if any, ventricular dilatation and none of the children went on to develop internal hydrocephalus. Two children had minor motor problems but there were no other neurodevelopmental sequelae.

Female↗

A case of hepatocellular carcinoma complicating hepatitis B infection in a nine-year-old boy.

A 9-year-old boy born of Chinese parents in England, and adopted by English parents at an early age, presented with primary hepatocellular carcinoma in a non-cirrhotic liver. His serum contained hepatitis B surface antigen and 'e' antibody, a probable result of perinatal infection from an HBsAg carrier mother. The management of infants at risk of perinatal hepatitis B virus transmission should now include active and passive immunisation.

Carcinoma, Hepatocellular↗

Late fetal pontine destruction.

A child with an absent pons is described who died 8 weeks after birth. At postmortem examination, the defect was consistent with a vascular event in the last trimester.

Basilar Artery↗