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Biomedical subjects

T E Herman

Publications and source records attributed to T E Herman.

At least 73 records · Page 4Linked to original sources

Case report 691. Radiation-induced osteochondromas (RIO) arising from the neural arch and producing compression of the spinal cord.

A case of a 16-year-old girl with a RIO of the T11 neural arch compressing the spinal cord is presented. The radiation therapy had been given after removal of a Wilms' tumor at 1 year of age. RIOs usually occur in the long bones and are diagnosed about 8 years following irradiation. Spinal cord or nerve root compression is usually associated with multiple cartilaginous exostoses.

Adolescent↗

Epiglottic enlargement: two unusual causes.

We present two patients with airway obstruction due to supraglottic swelling; one was caused by a brown spider bite on an ear (loxoscelism) and the other from eating buffalo fish. In the latter patient it was likely due to scrombroid poisoning, a histamine-like reaction, but may have been an anaphylaxic reaction.

Acute Disease↗

Neurosonographic abnormalities in chromosomal disorders.

A retrospective study of cranial sonograms in infants with autosomal trisomies excluding Down's syndrome was performed. A range of abnormalities was found including structural anomalies, vascular changes and hydrocephalus. Although nonspecific, many of these abnormalities can suggest a specific chromosomal abnormality in the appropriate clinical setting.

Abnormalities, Multiple↗

CT of the pancreas in children.

CT has become a frequently used imaging method for evaluating suspected pancreatic disease in children. Although the spectrum of CT findings in pancreatic disease is well documented in adults, there is a paucity of such information in children. Familiarity with CT patterns of pancreatic disease in childhood is important for diagnosis. In this essay, we illustrate the CT findings of pancreatic lesions in children.

Adolescent↗

Inherited diseases of bone density in children.

In this article the radiographic manifestations of various genetic diseases predominately affecting bone mineralization are considered. Osteogenesis imperfecta and other diseases of diffuse osteopenia, hereditary rickets and rachiticlike conditions, and osteopetrosis and other diseases of increased bone density are emphasized. Recognition of the radiographic manifestations allows accurate diagnosis, therapeutic intervention when possible, and determination of recurrence risk for genetic counseling.

Bone Density↗

Radiographic manifestations of congenital anomalies of the lower urinary tract.

The evaluation of anomalies of the lower urinary tract (ureter, bladder, and urethra) requires high quality ultrasonography, voiding cystourethrography, and, occasionally, intravenous urography and contrast sinography. Infants with these anomalies present because of abnormal intrauterine ultrasonographic examinations, urinary tract infections, or obvious external malformations. With a solid embryologic knowledge of the development of the lower urinary tract the radiologist can tailor the imaging procedures to demonstrate almost all aspects of the anomaly and the presence or absence of frequently associated malformations.

Humans↗

Focal fibrocartilaginous dysplasia associated with tibia vara.

Focal fibrocartilaginous dysplasia of the tibia at the insertion of the pes anserinus (the expanded tendinous insertion of the gracilis, sartorius, and semitendinous muscles) is a rare unilateral lesion with a characteristic deformity of the proximal tibial metadiaphysis. It is associated with unilateral tibia vara in toddlers. Three cases of this entity are described, and the radiologic features are presented. Recognition of this disease is important because the response to conservative therapy is excellent.

Child, Preschool↗

Retrograde colostomy and ileostomy enemas in neonates and infants: a simple combination of techniques.

A combination of previously known techniques for retrograde opacification of ileostomies and colostomies has been used successfully in neonates and infants. This combination of techniques used on very small stomas allows easy retrograde opacification of bowel. The technique uses a small feeding tube, a larger Foley catheter with an inflatable balloon, and a Lucite compression device, the construction and use of which are discussed here.

Barium Sulfate↗

Determination of leg length discrepancy. A comparison of weight-bearing and supine imaging.

Leg length discrepancy (LLD) may be determined by comparison of leg (lower extremity) lengths measured during physical examination or by radiographic means. Leg lengths may be measured with the patient in standing, weight-bearing position or in supine position. We used a low dose digital radiographic unit to test the hypothesis that there is a difference in LLD determined from radiographs obtained with the patient standing and those obtained with the patient supine. Conventional physical examination measurements also were compared with the radiographic measurements. The amount of LLD that is clinically meaningful has not been established, although 10 to 12 mm has been used as a threshold difference of clinical meaningfulness in the past. Analysis of our data, using 10 mm as the threshold of difference, reveals high level correlation by linear regression analysis and no significant difference by t-test between measurements obtained from standing and supine radiographs. A weak correlation and statistical difference existed between each set of radiographic measurements and physical examination measurements.

Adult↗