The case of a 20 month-old girl that was admitted to the emergency ward because of worsening of her general condition in the setting of acute non-bloody gastroenteritis is reported. The clinical examination revealed signs of severe dehydration and a prominent tender abdomen. Laboratory evaluation showed leucocytosis, elevated C-reactive protein and severe hypochromic microcytic anemia. Abdominal X-ray revealed diffuse meteorism. The child underwent laparascopic evaluation. A perforated Meckel's diverticulum was found. Perforation and anemia due to occult bleeding are unusual presentations of Meckel's diverticulum. The differential diagnosis of children presenting with an acute abdomen with special focus on Meckel's diverticulum is discussed.
The main purpose of this paper is to analyze the energy consumption and the efficiency of heating systems in two multi-family buildings and one collective residence equipped with residential thermal stations (RTSs) that are used for supplying individual dwellings with heat as well as hot and cold water. An additional aspect of the analysis is a presentation of the structure of total energy consumption for particular purposes in the analyzed buildings.
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