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Biomedical subjects

K T Tung

Publications and source records attributed to K T Tung.

23 records · Page 2Linked to original sources

The value of the lateral projection in preoperative assessment of abdominal aortic aneurysms by IV-DSA.

25 consecutive patients with known abdominal aneurysms were examined pre-operatively by IV-DSA. In all patients a lateral view was taken in addition to the standard posteroanterior view. The state of the visceral arteries was best assessed on the lateral projection. In 24% of examinations the renal arteries could not be visualised satisfactorily in the lateral view. In 37% of the 19 patients in which the distance between the renal arteries and the aneurysm neck could be measured there was a greater than 1 cm discrepancy between the two projections indicating that both views are necessary for accurate measurement. It is concluded that both a lateral and a postero-anterior projection should be routinely taken for IV-DSA in pre-operative assessment of abdominal aortic aneurysms.

Aged↗

Prostatic involvement in Wegener's granulomatosis.

Prostatic involvement is an unusual complication of Wegener's granulomatosis. We report two cases with this complication and emphasize the importance of recognizing this manifestation in diagnosis and management of the disease condition.

Adult↗

Clinical and bronchoscopic diagnosis of suspected pneumonia related to AIDS.

In a series of 25 patients with suspected pneumonia related to the acquired immune deficiency syndrome (AIDS) the first 12 underwent routine fibreoptic bronchoscopy and bronchoalveolar lavage with or without transbronchial biopsy before treatment. Eight were found to have Pneumocystis carinii pneumonia and had typical clinical presentations with a prolonged history of symptoms, including a dry cough, and bilateral diffuse alveolar or interstitial shadowing in chest radiographs. Among the subsequent 13 cases, 11 had similar clinical presentations and were treated with high doses of intravenous co-trimoxazole without bronchoscopy first. Bronchoscopy was performed in those who deteriorated at any stage or failed to improve by the fifth day of treatment. Nine patients recovered and were discharged. In two patients who died P carinii pneumonia was confirmed in one but no diagnosis was made in the other. The early and late survival in both groups of patients was similar. In patients at high risk for AIDS who have clinical features suggestive of P carinii pneumonia starting treatment with intravenous co-trimoxazole is justified. The few patients who deteriorate or fail to respond should undergo bronchoscopy with bronchoalveolar lavage and transbronchial biopsy.

Acquired Immunodeficiency Syndrome↗