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Biomedical subjects

L Gillespie

Publications and source records attributed to L Gillespie.

35 records · Page 2Linked to original sources

The diaphragm: an accomplice in recurrent urinary tract infections.

Sexually related recurrent urinary tract infections were caused by a method of contraception, the diaphragm, in 74 per cent of the women in this study. Urodynamic studies demonstrated severe alteration in urinary flow and elevation of the bladder neck angles. By altering the fit of the diaphragm, or changing to another form of birth control, 96 per cent of these women were infection-free at one year without antibiotic suppression.

Adult↗

Use of saralasin to detect renovascular hypertension in childhood.

Current methods to evaluate renovascular hypertension in the pediatric population often requires a general anesthetic. Saralasin, an angiotensin II competitive inhibitor, is a safe, noninvasive technique which can be utilized at the bedside in a salt-depleted child off antihypertensive medication. Two illustrative cases are presented.

Aldosterone↗

Aortoenteric fistula. A complication of renal artery bypass graft.

The incidence of gastrointestinal bleeding secondary to aortoenteric fistula has increased in recent years consequent to more frequent aortic reconstructive procedures. It is necessary to approach any such patient with this diagnostic consideration in mind, since early specific therapy may decrease the mortality. In this setting, there is usually sufficient time available to perform definitive tests to establish the correct diagnosis. We report a 37-year-old patient in whom aortoenteric fistula developed following a renal artery bypass graft.

Adult↗