Effect of position and weight force on inferior vena cava diameter-implications for arrest-related death / // Forensic Science International, 212 (1-3), 256-259.
Background. Recent decades in Ukraine have been characterized by a significant increase in the number of tuberculosis patients, often with forming cavities of destruction. X-ray diagnosis of lung cavitary lesions is one of the current issues of modern pulmonology and thoracic surgery. Pulmonary abscesses resemble other diseases with destruction and cavities substantiating the need for differential diagnosis with tuberculosis.
Purpose – specifying particular scenarios of X-ray presentation of lung abscess and determining the capability of differential diagnosis of pseudotuberculosis with cavities of tuberculosis etiology.
Materials and methods. The paper deals with the analysis of X-ray examination of thoracic viscera provided for 252 patients with lung abscess, aged 18 and up to 78. X-ray radiography in two projections, linear and computed tomography (56 patients involved) were performed. All patients underwent a study over time.
Results. Almost in most lung abscess cases, there is a need for differential diagnosis with a range of medical entities. The obtained data have made it possible to suggest a classification of X-ray scenarios of lung abscess. The scenarios of X-ray presentation of acute pulmonary abscess are typical and atypical, among those: cystoid, pseudotuberculous, affected 38 patients (15 %), and pulmonary-pleural. The peculiarities of X-ray presentation of pseudotuberculous scenario along with the differences and signs allowing to make an accurate diagnosis have been specified.
Conclusions. X-ray study remains an essential in diagnosing purulent-destructive diseases. Being familiar with the scenarios mentioned above and pseudotuberculous one, in particular, will make it possible to significantly improve diagnosis as well as differential diagnosis of pulmonary abscess.
The group of causative agents of some infections that associate with comprehensive stage of HIV-infection is strictly distinguished. It is called HIV-associated diseases that must be considered as opportunistic. Pneumocystic pneumonia dominates in clinical presentation of about half of patients, the others have candidal injuries, cytomegaloviral pneumonia, chlamidia trachomatic pneumonia and so on. The aim of this research is to detect clinic and radiographic peculiarities of changes in lungs at pneumocystosis in patients with AIDS. Materials and methods. Radiographs dates in frontal and additional projections of thorax in 42 patients 18-56 years old were studied.Results. An analysis of dates allowed group the detected changes into radiographic symptom complexes. Conclusion. 1) Radiography of thorax stays is the main objective method of diagnostics of changes in lungs in patients with AIDS; 2) peculiarities of radiographic manifestations of the modern course of pneumocystic pneumonia from an initial changes of lung pattern to an apparent picture are ascertained, the complications and dynamics of treatment are given Keywords: radiography of thoracic organs, pneumocystic pneumonia, HIV-infected, patients with AIDS Пневмоцистоз найвідоміше опортуністичне захворювання у хворих СНІДом, рентгенологічний метод основний з найоб'єктивніших при встановленні правильного діагнозу. Вивчення рентгенологічних проявів у легенях дозволило нам констатувати у 21,4 % відсутність виявлених патологічних відхилень. Проведений аналіз даних дозволив нам згрупувати виявлені зміни у 3 рентгенологічні симптомокомплекси та розробити класифікацію рентгенологічних змін органів грудної клітки при пневмоцистній пневмонії Ключові слова: рентгенографія органів грудної клітки, пневмоцистна пневмонія, ВІЛ-інфіковані, хворі СНІД
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