Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0018801 (heart failure)
 72,216 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

At the age of three months an infant rapidly developed signs of cardiac failure as well as in- and exspiratory stridor, caused by an intrathoracic tumor. Thoracotomy and biopsy revealed an intrapericardial tumor, histologically myxosarcoma. In spite of chemotherapy and radiation the infant died at the age of seven months due to multiple intracerebral metastases now histologically rhabdomyosarcoma. This is one of the rare cases of primarily malignant intrapericardial tumors in infancy, and also shows the possible pleomorphism of childhood rhabdomyosarcoma. We know only one further case of pericardial rhabdomyosarcoma where similar histologic changes have been observed.
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PMID:[Intrapericardial rhabdomyosarcoma in infancy (author's transl)]. 732 26

Bronchoscopy is a highly versatile technique in the context of intensive care and has many potentially valuable indications. Safety is of paramount importance and the risks in critically unstable patients are correspondingly greater than in more stable children. The main contraindication to bronchoscopy is if it will provide no useful information. The procedure is obviously more risky in children with severe hypoxia, uncontrolled bleeding diathesis, cardiac failure or severe pulmonary hypertension. Monitoring should include at least oxygen saturation, blood pressure (ideally by continuous, invasive monitoring) and preferably capnography. Indications for bronchoscopy in paediatric intensive care include endobronchial toilet, sometimes instilling recombinant human DNAase even in children who do not have cystic fibrosis; checking tube patency and position; assisting in a difficult intubation or tube change; achieving the selective intubation of a main bronchus; the diagnosis and management of ventilator-associated pneumonia or the ventilated, immunocompromised host; the assessment of lobar collapse or focal hyperinflation; airway stent assessment; assessment of stridor on extubation and the diagnosis of any associated disease. New iatrogenic complications are also likely to be discovered. The procedure is very safe if performed by experienced operators with back-up from doctors skilled in airway management and the monitoring of sick children.
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PMID:Bronchoscopy in paediatric intensive care. 1261 34

The points for differential diagnosis of asthma attack and other diseases are as follows. Acute heart failure (image analysis, BNP), hyperventilation syndrome (limbs numbness, low PaCO2), vocal cord dysfunction (stridor in the neck, normal SpO2), COPD exacerbation (smoking history, image analysis), pulmonary thromboembolism (contrasting CT, elevated D-dimer), spontaneous pneumothorax (chest pain, image analysis), large airway disease (inspi- ratory stridor, image analysis). Examinations for diagnosis of bronchial asthma in stable phase are respiratory function tests, increased eosinophils in sputum, FeNO, serum periostin and allergological examination (specific IgE, skin test). For differential diagnosis of stabled asthma and other diseases, important points are as follows. COPD(HRCT, DLco), ACOS(HRCT, DLco, increased eosinophils in sputum), chronic heart failure (BNP, ecohcardiogram), large airway disease(image analysis, flow-volume curves).
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PMID:Differential diagnosis. 3055 Dec 75