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Biomedical subjects

P Goodman

Publications and source records attributed to P Goodman.

At least 109 records · Page 6Linked to original sources
PubMedDate not supplied

Patterns of fluid accumulation in splenic trauma: demonstration by CT.

Detection of hemoperitoneum in splenic trauma is as important as detection of the visceral injury itself. Observation of a consistent spectrum of fluid accumulation in patients with splenic trauma prompted us to investigate the patterns in more detail. Twenty-three computed tomographic (CT) scans in 20 patients were evaluated with respect to presence of fluid collections in various peritoneal and retroperitoneal compartments. These were correlated with severity of injury and operative and pathologic findings. Hemoperitoneum was detected in the pelvis (65%), paracolic gutters (52%), left subphrenic space (48%), perihepatic space (48%), Morison's pouch (17%) and in the lesser sac (9%). In addition to free fluid, pleural fluid (39%) and retroperitoneal hematoma in the left anterior pararenal space (13%) were also encountered. These ancillary findings may help to substantiate the diagnosis of splenic trauma in equivocal cases, particularly when the spleen itself is obscured by artifacts. Early detection may reduce mortality and morbidity associated with splenic trauma.

Hemoperitoneum↗
PubMedDate not supplied

Lymphoepithelial cyst of the pancreas.

Lymphoepithelial cyst of the pancreas is a rare lesion which may mimic a pancreatic pseudocyst or mucinous cystic neoplasm. To our knowledge, this lesion has never been reported in the radiologic literature. We present a patient with lymphoepithelial cyst of the pancreas, and we discuss the radiographic and pathologic findings.

Aged↗
PubMedDate not supplied

Leiomyoma involving the gastrocolic ligament: CT demonstration.

A case of a large leiomyoma involving both the transverse colon and the greater curvature of the stomach is presented. Computed tomography (CT) demonstrated contiguous extension of the mass along the gastrocolic ligament. Although similar findings have been described in colonic and gastric carcinoma and in omental metastases, this is the first report in which these findings were due to a leiomyoma.

Adult↗
PubMedDate not supplied

Spontaneous necrosis and hemorrhage in an enlarged accessory spleen: CT demonstration.

Enlargement of an accessory spleen following splenectomy may be due to compensatory hypertrophy or recurrence of hematologic or other disorders. Spontaneous necrosis and hemorrhage in an accessory spleen are rarely described. We report a case in which an enlarged accessory spleen complicated by spontaneous hemorrhage was identified on computed tomography (CT) and confirmed at surgery.

Adult↗
PubMedDate not supplied

Diffuse neonatal hemangiomatosis: imaging findings in two patients.

Diffuse neonatal hemangiomatosis is a rare condition in which cutaneous and visceral hemangiomas may coexist. Intra-abdominal involvement occurs commonly and, if untreated, may result in high-output cardiac failure and other life-threatening conditions. We report two neonates with this disease and discuss the radiographic findings and the role of vascular embolization in the treatment of hepatic hemangiomatosis.

Abdominal Neoplasms↗
PubMedDate not supplied

Uterine perforation by an intracavitary tandem: CT demonstration.

Perforation of the uterus by a tandem device is an important complication of intracavitary radiotherapy for cervical carcinoma. Although the sonographic appearance of this complication is well recognized, its demonstration by computed tomography (CT) has been reported in only a single case. We report a second case and discuss the CT findings.

Aged↗
PubMedDate not supplied

Influence of demographic variables in prehospital treatment of patients with chest pain.

OBJECTIVE: To determine whether the number of interventions requested by EMS personnel for patients with acute, nontraumatic chest pain varied with the patient's gender or race. METHODS: The authors conducted a retrospective chart review of the care requested for patients 17 years old or older complaining of acute, nontraumatic chest pain by one EMS squad in a city of 50,000 people over a six-month period. Interventions recorded for each patient included oxygen administration, artificial airway placement, intravenous fluid administration, defibrillation, and use of lidocaine and nitroglycerin. RESULTS: Of the 169 patients in this study, 54% (n = 92) were white and 56% (n = 95) were female. Age was missing for two patients; of the remainder, 75% (n = 127) were 40 years old or older. The numbers of interventions requested ranged from 0 to 4. EMS personnel requested supplemental oxygen for 163 patients. 81% of the females had i.v. lines placed or attempted, compared with 70% of the males; EMS personnel requested orders for nitroglycerin for 43% of the females and 29% of the males. Whites were more likely than nonwhites to have requests for i.v. lines or nitroglycerin. Overall, the numbers of interventions were similar among young females and among older patients, regardless of race or gender. The pattern for young males was different, with significantly more requests for interventions for young white males than for young non-white males (1.89 vs 1.34). CONCLUSIONS: Among older patients and among young females, EMS personnel requested similar numbers of interventions for patient complaining of acute, nontraumatic chest pain regardless of patients race. Patterns of care appeared to differ for young males, a finding that warrants further study.

Acute Disease↗
PubMedDate not supplied

Postoperative atrophy of abdominal wall musculature: CT demonstration.

Eleven cases in which CT demonstrated severe unilateral atrophy of abdominal wall musculature were reviewed. All patients had undergone surgery on the ipsilateral side 6 months to 28 years prior to CT. The patterns of muscular atrophy correlated well with the type of incision made and the nature of surgery performed. Denervation injury resulting from surgical incision is the most likely explanation for this finding on CT. Normal innervation of abdominal wall muscle groups is discussed, and the relationship of unilateral muscular atrophy to previous surgical incision is emphasized.

Abdominal Muscles↗
PubMedDate not supplied

Postoperative atrophy of posterolateral chest wall musculature: CT demonstration.

We review five cases in which CT demonstrated severe unilateral atrophy of the latissimus dorsi muscle. In four of these cases, similar findings were also seen in the inferior portion of the serratus anterior muscle. All patients had undergone thoracic surgery on the ipsilateral side 10 months to 3 1/2 years prior to CT. All patients had undergone posterolateral thoracotomy, including one who had undergone successive right and left posterolateral thoracotomies. The most likely explanation for the CT finding of atrophy is denervation injury resulting from surgical incision. We discuss normal innervation of the posterolateral chest wall musculature, with emphasis on the relationship of unilateral atrophy of posterolateral chest wall musculature to previous surgical incision.

Adult↗
PubMedDate not supplied

Descriptive study of community based agencies serving the elderly in one urban area.

This pilot project explored the characteristics, services, clientele, concerns, and networks of community based agencies serving the elderly in Memphis and Shelby County, TN. Self-administered questionnaires were mailed to a total of 75 social and home health agencies during the summer of 1986. Data analysis was based upon returns from 31 agencies (43% return) from 23 social service and 9 home health agencies. Descriptive statistics were used in the analysis although the sample of home health agencies limited sequential analysis. Differences between these two major agency types were found in all major areas of study. Gaps were found in service provision; however the major contribution of this study was in illustrating the two rather different conceptual and operational frameworks under which these two agency types operate and the general lack of coordination between these two agency types, most especially by home health agencies, and the need for improvement in connecting linkages.

Aged↗
PubMedDate not supplied

Bronchitis symptoms in young teenagers who actively or passively smoke cigarettes.

This study was undertaken to examine the prevalence of bronchitis (cough with phlegm) symptoms in teenagers who either smoked cigarettes on a regular basis (active smokers) or were non-smokers but who are exposed to passive smoking (passive smokers) in the home. The study was undertaken in 1995 and repeated in 1998. The 1995 study was a cross sectional questionnaire survey of smoking habits in secondary school children aged 13-14 years and was undertaken as part of the ISAAC questionnaire survey. Thirty representative and randomly selected schools from throughout the Republic of Ireland took part in the study. In the 1995 study, 3066 students completed a questionnaire on their current smoking habits and symptoms of cough and phlegm. We found that 634 (20.7%) of these young teenagers actively smoked cigarettes with significantly more females smoking than males with 23.3% of girls compared to 17.6% boys (p = 0.0001). We found that 46.3% of non-smoking children were exposed to smoking in the home (passive smokers) with parental smoking accounting for most of the passive smoking. Bronchitis symptoms were more commonly reported in active smokers compared to non-smokers with an odds ratio of 3.02 (95% CI 2.34-3.88) (p < 0.0001) or in passive smokers compared to those not exposed to smoking with odds ratio of 1.82 (95% CI 1.32-2.52) (p < 0.0001). The 1998 study showed similar results for smoking habits, passive smoking and prevalence of bronchitis symptoms as with the 1995 study. These results document that increased bronchitis symptoms occur in teenagers exposed to active or passive smoking.

Adolescent↗