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Biomedical subjects

S C Reddy

Publications and source records attributed to S C Reddy.

At least 55 records · Page 3Linked to original sources

Recurrence of a left ventricular thrombus after surgical excision in a young patient with normal left ventricular systolic function--a case report.

The case report of a young patient with recurrence of intraventricular thrombus represents an unusual presentation with no apparent clinical explanation despite echocardiographic, surgical, and pathologic confirmation. The other unusual feature of this case is the absence of predisposing factors for intraventricular thrombus. The patient developed the second left ventricular thrombus after he stopped taking anticoagulants. The authors' recommendation for such a patient is that he continue to receive anticoagulants for life.

Adult↗

Ovarian vein thrombophlebitis diagnosed by computerized tomography.

Ovarian vein thrombophlebitis is often misdiagnosed because of vague symptoms leading to unnecessary surgery, morbidity, and mortality. CT findings in such a case are very useful in making a definite diagnosis of ovarian vein thrombophlebitis. We consider CT the preferred method for evaluating pain in the right lower quadrant associated with a mass in the postpartum patient.

Adolescent↗

Subcapsular hepatic abscess: a rare complication of ventriculoperitoneal shunt.

Abdominal complications of ventriculoperitoneal shunts include fluid collections and migration of the peritoneal end of the shunt tube, producing a wide spectrum of symptoms and signs. Cross-sectional imaging methods have proved to be very useful in the early diagnosis of these complications. I have described the diagnosis and management of an unusual case of intrahepatic abscess from migration of a ventriculoperitoneal shunt.

Cerebrospinal Fluid Shunts↗

Results of penetrating keratoplasty with cataract extraction and intraocular lens implantation in Fuchs' dystrophy.

Combined procedure was performed in 25 eyes and triple procedure in 32 eyes of Fuchs' dystrophy. Pre-operative visual acuity was 20/100 or less in 63.2% of eyes. The graft was clear in 76% of combined procedure and in 97% of triple procedure eyes. Post-operative visual acuity of 20/40 or better was obtained in 57.9% of eyes. The common cause of graft failure was allograft reaction. The other causes attributable to visual failure were opacification of posterior capsule, secondary glaucoma, macular degeneration and pre-existing glaucomatous cupping. Intraocular lens insertion at the time of surgery helps in rapid visual rehabilitation.

Aged↗

Delayed CT myelography in spinal intramedullary metastasis.

Solitary intramedullary metastasis to the spinal cord is rare and difficult to diagnose clinically. We report a case of lung carcinoma metastasizing to cervical spinal cord with an unusual feature of delayed metrizamide enhancement of the widened portion of the spinal cord. The role of CT in the diagnosis is well demonstrated in this case.

Carcinoma, Small Cell↗

Pneumonia caused by Pittsburgh pneumonia agent: radiologic manifestations.

Using an objective scoring system, chest radiographs were reviewed in 23 cases of pneumonia due to the Pittsburgh pneumonia agent (PPA, Tatlockia micdadei, Legionella micdadei), including six cases of pneumonia with simultaneous isolation of PPA and L pneumophila (Legionnaires' disease). Infiltrates were typically segmental to lobar; nodular infiltrates were noted in three cases. Spread to additional lobes after presentation occurred in four of 17 PPA infections. Pneumonia caused by both PPA and L pneumophila was unusually severe, with involvement of all lobes occurring in four of six cases, compared with one of 17 cases of PPA infection (p less than 0.02). Radiographic severity did not correlate with underlying disease, immune status, or outcome. The majority of patients receiving erythromycin demonstrated objective radiologic improvement. In a patient population that included nonimmunosuppressed patients, nodule formation and rapid radiologic progression were not found to be characteristic of PPA pneumonia.

Aged↗

Pseudoaneurysm of cystic artery with upper gastrointestinal hemorrhage.

Pseudoaneurysms of the pancreaticoduodenal arteries commonly occur in pancreatitis. Pseudoaneurysms of the hepatic artery and its branches usually occur due to trauma. I report a pseudoaneurysm of the cystic artery resulting from cholecystitis and successful surgical treatment of the pseudoaneurysm.

Aneurysm↗

Clinicoradiographic correlation with the extent of Legionnaire disease.

Serial chest radiographs from 34 confirmed cases of legionnaire disease diagnosed between February 1979 and June 1981 were reviewed. Initial involvement was most often a peripheral patchy alveolar infiltrate (76%, 26/34) with progression to consolidative pneumonia in 70% (18/26) of these cases. Initial or eventual involvement of noncontiguous lobes (50%, 17/34) was common. Bilateral changes developed in 50% of cases and bilateral diffuse disease developed in 12%. Pleural effusions attributable to legionnaire disease occurred in 32% of the patients. Definite clearing took longer than 2 weeks in 50% of treated patients. The severity of radiographic abnormality correlated with the presence of Legionella pneumophila detectable in sputum by direct immunofluorescence (p less than 0.001). No correlation of radiographic severity to smoking, immunosuppression, advanced age, race, or underlying disease, nor to symptoms of abdominal pain, diarrhea, neurologic abnormalities or high fever, nor to laboratory data including hyponatremia, leukocytosis, or hematuria was found. A comparative review of the literature is provided.

Adult↗