Polydactyl is a malformation which is usually associated with the radial or ulnar end of the forearm. The various anatomical malformations in relation to nerve supply and tendons are discussed. The importance of a careful functional assessment is essential in relation to the indication for surgery. 25 personal cases are reported and various techniques evaluated.

Child↗

PubMed1979

[Multiple pregnancy and preventive tocolysis with ritodrine].

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Female↗

PubMed1979

[Clinical results in the control of diabetic pregnancies using amniotic fluid insulin values].

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Amniotic Fluid↗

PubMed1979

[Prenatal diagnosis of trisomy-18-fetus of two women with chromosomal aberrations (author's transl)].

In two pregnant women a prenatal diagnosis was performed because of their advanced age. In both cases trisomy 18 was found. The mothers had chromosomal variations, not known until then. In one woman a structural aberrant chromosome No. 9 was found, the other woman had a gonosomal mosaic. In connection with the advanced maternal age these chromosomal findings possibly induced the trisomies in the children.

Adult↗

PubMed1979

[Genetic amniocentesis in early pregnancy].

212 amniocentesis were performed at the Gynecological Clinic of the University Graz in cooperation with the Institute for Human Genetics of the same University from 1.7.1974 to 1.4.1978 for prenatal detection of genetic disorders or inherited disorders of metabolism. In 9 cases (4,2%) pathological results or special chromosomal aberrations were found. Five pregnancies (2,3%) had to be interrupted with prostaglandins. One case of Down-Syndrome ended by spontaneous abortion. Three women had a miscarriage following amniocentesis up to 6 weeks afterwards. In two cases (0,9%) a primary connection of puncture and loss of pregnancy could be documented. 4 cases (1,8%) suffered of amniotic fluid leakage after amniocentesis. Three patients delivered healthy term babies. This study demonstrates the high accuracy of the described diagnostic procedures.

Abortion, Spontaneous↗

PubMed1979

[Prenatal diagnosis by ultrasound of a very large heart (author's transl)].

Ultrasound diagnosis enabled identification of a congenitally very large heart. Due to this finding, no obstetric intervention was performed despite a foetal emergency situation. Hence, unnecessary surgery was avoided. The principal signs enabling clarification of the case by ultrasound were a vena umbilicalis of 2 cm thickness and the highly dilated heart which occupied 75% of the cross-sectional area of the thorax, besides the clinical clues, hydramnion and hydrops fetus.

Adult↗

PubMed1979

[Glomangioma in the eyelid. A clinical and histological case report (author's transl)].

A glomangioma of the eyelid is presented. This localisation of such a tumor is considered to be an extremely exceptional one. Clinical and histological details are described. The differential diagnosis is discussed.

Adult↗

PubMed1979

[Complaints after gastroscopy and their cause (author's transl)].

The various complaints after gastroscopy and the acceptability of the procedures are verified by a questionnaire in 300 consecutively examined patients with or without gastric lesions. The extent of psychic lability, neurosis and extraversion was determined by the Maudsley Personality Inventory test of Eysenck. The time necessary for the passage of the instrument (swallowing time) and the time taken by gastroscopy were registered on each patient. More than half of the patients complained of sore throat lasting more than 1 day. Less than a quarter had abdominal dyspepsia. The intensity of the sore throat was correlated with the swallowing time but not with the extent of neurosis or gastroscopy time. 98% of the patients consented to a control examination. The necessity of a gastroscope with less diameter and a non mucosal damaging top is stressed.

Adult↗