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Query: UMLS:C0010200 (cough)
 23,843 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The effects of fentanyl (1 microgram/kg) supplementing an alfathesin infusion technique were assessed in a double blind study in 53 healthy unpremedicated female patients undergoing therapeutic abortion as outpatients. The addition of fentanyl reduced the tachycardia, tachypnoea and hyperventilation seen in those patients receiving alfathesin alone, without unduly prolonging recovery time. Two patients receiving alfathesin alone developed marked coughing or laryngospasm. Fentanyl would seem to be a desirable addition to an alfathesin infusion technique in unpremedicated patients presenting for outpatient anaesthesia.
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PMID:The influence of fentanyl on an alfathesin infusion technique. 66 76

32 women received intramuscular injections of 15(S)-15-methyl-prostaglandin F2 alpha(15SMPGF2A) to terminate pregnancy. 27 of the women, average age 23.4 years, underwent legal abortion due to medical indications, mostly in the second trimester of pregnancy. There were also 3 cases of missed abortion and 2 cases of hydatidiform moles. The initial dosage was 250mcg which was repeated, increased, or decreased evey 2 hours, depending on how effectively abortion was induced. A success rate of 90% was recorded, and the remaining 10% were all nulliparae. The average induction-abortion interval was 16 hours, higher among nulliparae and for pregnancies from the 16th to the 21st weeks. No complications, i.e. cervical injuries or serious bleeding, were observed. Increased bowel activity was the most common side effect observed, and can be used as a dosage indicator. Vomiting, heat flashes, and coughing were other observed side effects. Intramuscular 15SMPGF2A injections are easy to administer, show decreased induction-abortion intervals, and are especially advantageous in treating missed abortion and hydatidiform moles.
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PMID:[Comparative studies on the termination of intact and disturbed pregnancies by intramuscular application of 15(s)-15-methyl-prostaglandin F2alpha (author's transl)]. 70 Mar 44

A 37-year-old woman who had developed diabetes insipidus after an abortion, requiring nasal substitution treatment with desmopressin (Minirin), began to suffer from fatigue, nocturnal sweating, cough and dyspnoea on exertion. Exogenous-allergic alveolitis was demonstrated by chest x-ray, lung function tests, blood gas analysis, broncho-alveolar lavage and transbronchial lung biopsy. After changing the treatment to an intramuscularly administered preparation and starting steroid therapy the clinical, radiological and lung function findings rapidly improved.
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PMID:[The so-called pituitary snuff-taker's lung. A case contribution]. 337 Dec 14

The characteristics features of right-sided endocarditis are summarized in this case report of a 30-year-old female admitted with a history of high grade, continuous, fever, breathlessness, and dry cough over a 10-day period. The patient had had an incomplete abortion 15 days earlier for which dilatation and curettage was performed. On examination, the patient was toxic, febrile with a pulse of 118/minute and respiration 36/minute. Her blood pressure was 110/70 mm Hg. There was soft, tender hepatomegaly and soft splenomegely. There also were scattered coarse crepitations over both lungs. The vaginal examination revealed posterior fornicial bogginess and tenderness. Urine and cervical pus swab showed growth of klebsiella. The blood culture was negative. A plan chest X-ray revealed multiple, small, basal, pulmonary infiltrates. Posterior colopuncture revealed a small quantity of clear, yellowish fluid. Abdominopelvic ultrasonography revealed an ill-defined haziness in the parauterine region. The patient was treated with ampicillin, gentamycin, and metronidazole, but she continued to deteriorate. An urgent exploratory laparotomy was performed. The patient died on the 2nd postoperative day. The autopsy findings revealed that the heart was normal in size and shape. The tricuspid valve showed a large vegetation projecting into the ventricle. Microscopic examination revealed polymorphonuclear infiltration with clumps of gram-negative bacillifocal areas of myocarditis also were seen. In lungs the right lower lobe showed a small, hemorrhagic infarct. Both the liver and spleen were congested. Kidneys showed multiple petechiae on the external surface and on the cut section. Endocarditis during pregnancy may be because of perinatal infections, urinary tract infection, or septic thrombophlebitis of pelvi veins. Septic abortion of pelvic infection secondary to IUD also can provide portal of entry for bacteria. The common organisms are streptococcus, staphylococci, and occasionally bacteroides and gram negative bacilli. Clinical suspicion of right-sided endocarditis is justified in any patient with prolonged fever, cough, pleuritic pain, tachycardia, and multiple pulmonary infiltrates. Heart murmurs are usually absent and if present are soft and may be heard at atypical sites.
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PMID:Tricuspid valve endocarditis following septic abortion. 371 Oct 12

To clarify the epidemiology of pulmonary embolism in adolescents, a retrospective analysis of adolescent admissions to a general hospital over a 15-year period was performed. Eighteen patients had 19 episodes of pulmonary embolism, an incidence of 78 per 100,000 hospitalized adolescents. There were twice as many female as male patients. Common complaints were chest pain, dyspnea, cough, and hemoptysis. Common findings were hypoxemia and deepvein thrombosis. Major risk factors were oral contraceptive use and elective abortion in 75% of female patients and trauma in 67% of male patients. Unlike its effect in adults, pulmonary embolism is rarely fatal in adolescents. Although clinical features in adolescents are similar to those in adults, there is a high incidence of both overdiagnosis and underdiagnosis. The early use of pulmonary arteriography in difficult diagnostic situations is suggested.
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PMID:Pulmonary embolism in adolescents. 371 6

This is a review of known periods in utero during which drugs alter the process of growth; effects may be shown on the fetus or the newborn and vary with the stage of development of the fetus when exposed. Other variables are the mother and the placenta. There is no safe animal screening mechanism, the human test is by ordeal, and more clinical monitoring and reporting are needed. Cancer chemotherapeutic agents exert their maximal effects on rapidly dividing cells and are therefore hazardous during pregnancy; the greatest risk is in the 1st trimester. In the thalidomide experience the critical days were the 22nd and 23rd days after conception. Masculinizing drugs such as testosterone and other androgenic steroids have been implicated as affecting the female fetus when given early in pregnancy. Oral contraceptives taken by an already pregnant woman are a hazard because of these progestational agents. Progesterone alone is unlikely to cause masculinization but other progestins may cause such changes. Carcinogenesis may develop later in females born of mothers who are treated with diethylstilbestrol to prevent miscarriage. Many antithyroid drugs have caused neonatal goiter. Maternal ingestion of iodides during pregnancy (preparations for treating asthma, cough syrups, radio-contrast media used in diagnoses) is the most frequent cause. Goiter is relatively common in infants whose mothers were treated with propylthiouracil and other antithyroid drugs, yet they usually show normal thyroid function. However, hypothyroidism with cretinism can occur. Lithium, used in psychiatry and as a salt substitute, may alter iodine metabolism and thyroid gland function. It also passes into the milk to continue the potential toxicity. Teratogenic effects in experimental animals suggest other possible effects on infants from lithium and similar drugs.
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PMID:Human experiences related to adverse drug reactions to the fetus or neonate from some maternally administered drugs. 414 Jun 79

50 aspirotomy dilatation and evacuation (D and E) procedures in women whose durations of gestation varied from 14-18 menstrual weeks were followed by hysteroscopy in a test to determine whether the use of local anesthesia with uterotonic drugs could alleviate the problem of low intrauterine pressure caused by anesthesia-related uterine atony. Anesthesia was achieved by paracervical and intracervical block with lidocaine 1% with adrenaline 1:200,000, which provides a vasoconstrictive effect on the vessels of the lower uterine segment. Routine hysteroscopy was performed. The rate of flow of CO2 averaged 50-75 ml/min and never exceeded 75 ml/min. The average amount of CO2 used was 300 ml. Intrauterine pressure varied from 40-60 mmHg and the time required to complete the procedure ranged from 2-5 minutes. The major hysteroscopic observation was that the uterine cavity was almost always thoroughly evacuated. In 6 cases blood obscuring the hysteroscope lens seriously impaired visibility. 4 patients developed a cough shortly after the initiation of CO2 insufflation, probably due to CO2 microembolization. Although no incidence of serious morbidity or side effects occurred, further well documented studies are necessary to assess the safety of CO2 hysteroscopy after 2nd trimester abortion. It is however recommended that postabortion hysteroscopy be performed under local anesthesia to which adrenaline has been added.
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PMID:Carbon dioxide hysteroscopy immediately after second trimester abortion. 613 31

Maedi-visna, a chronic viral disease of adult sheep characterized by progressive dyspnoea or neurological manifestations, was first recognized and described clinically in Canada in 1970. Seroepidemiological study was conducted in sheep and goats in various areas of Quebec. Sera of 10% of the animals of selected flocks were collected and specific antibodies against maedi-visna virus were tested by a modified direct complement fixation test. Results show seropositive rate of 67.6% for Sherbrooke sheep; of 40.5, 41.1 and 47.1% for Quebec, Saint-Hyacinthe and Nicolet sheep respectively and only 29.2 and 20.0% positive sera in l'Assomption and Rimouski animals. Prevalence rate of positive goats varied according to geographic areas (0 to 36.8%). Statistical analysis of various factors, e.g. age, breed, mode of raising, origin and size of flock showed no relation between these factors and the geographic areas. But, some clinical problems in the sheep flocks such as cough, rapid breathing, mortality and abortion were associated with high infection rate (greater than or equal to 50%) to maedi-visna virus. In goats, no correlation was demonstrated between these clinical signs and serological results. Our results suggest that it is important to consider this disease in an adequate program of preventive medicine in Quebec.
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PMID:Seroepidemiological survey of maedi-visna virus infection in sheep and goat flocks in Quebec. 631 98

This study evaluated the clinical efficacy, safety, and side effects of intramuscular administration of 15(S) methyl F2 alpha for midtrimester pregnancy termination. 25 healthy women, generally in the 14-6th weeks of pregnancy, were given repeated doses of 250 mcg of 15(S) followed by 300-600 mcg at 2-3 hour intervals, depending upon the uterine contractions and side effects. In addition, 15 women were given Lomotil tablets before prostaglandin administration to counteract gastrointestinal side effects. The mean required dosage of prostaglandin was 2.3 mg. The induction-abortion interval was 5-10 hours in 32%, 11-15 hours in 52%, 16-20 hours in 8%, and 21-25 hours in 8%, with a mean abortion time of 13.04 hours. 23 women (92%) has complete and spontaneous abortion. Women treated with Lomotil experienced fewer episodes of vomiting and diarrhea. Other side effects included nausea in 40% of cases, cough in 12%, and fever in 16%. These side effects were mild and well tolerated by the patients, however. It is concluded that serial intramuscular injection of prostaglandin 15(S) methyl F2 alpha is an effective method for midtrimester abortion. In view of the minimal blood loss and asepsis associated with this method, it is particularly suitable for centers where blood transfusion facilities are inadequate.
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PMID:Intramuscular administration of 15(S) methyl prostaglandins F2 alpha for midtrimester abortion. 638 10

The prevalence of precipitating antibody to A. fumigatus in 3509 sera from adult cattle in 44 herds was 25 per cent. Only 19 per cent of sera from grazing or recently housed animals were positive compared with 30 per cent of those taken towards the end of the winter. Mouldy hay was the most likely source of A. fumigatus antigens although a positive correlation between the prevalence of precipitins and either the mouldiness of the hay or the frequency of coughing in the springtime was not established. However, there was a positive correlation between the age of cattle sampled and the prevalence of antibodies. Mycotic abortion had been confirmed in only one of 6 herds in which more than 80 per cent of the cows were seropositive and so it can be inferred that the presence of serum precipitating antibody is of very little value in the diagnosis of mycotic abortion resulting from A. fumigatus infection.
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PMID:The prevalence of serum precipitating antibody to Aspergillus fumigatus in adult cattle in Britain. 639 58


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