Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0023380 (lethargy)
 5,697 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The current use of heated wax as a surface contact heating source to induce whole-body hyperthermia (WBH) in the anesthetized patient is described. Heated anesthetic gases and epidural block are no longer routinely used. Hemodynamic, physiological, and biochemical changes are described. Deaths due to cardiac arrhythmias, disseminated intravascular coagulopathy, and liver failure have occurred rarely. Other complications included peripheral nerve palsies, mental disorientation, subclinical liver damage, decubitus ulceration, anemia, circumoral herpes simplex, lethargy, and anorexia. Transverse myelitis and coma occurred in 2 patients who had previously received high-dose irradiation to the spinal cord and cerebral region, respectively. The 232 patients in 4 centers have undergone 682 heating sessions. The method to produce prolonged WBH of 41.8 degrees C is simple and reliable.
 ...
PMID:Pettigrew technique of inducing whole-body hyperthermia. 675 54

We present the case of a 59 year old female with history of severe neurologic dysfunction from advanced multiple sclerosis who presented with lethargy and oliguria several hours after urethral Foley catheterization. A contrast-enhanced CT scan of the abdomen/pelvis showed an aberrantly placed Foley catheter with its balloon inflated in the proximal left ureter, a rare complication of Foley catheterization with only 5 other cases reported. Incomplete ureteral rupture was demonstrated and confirmed by a followup CT scan in the urographic phase. One of our institution's Interventional Radiologists then placed a nephroureteral stent across the injured ureter to facilitate healing. The patient expired 9 days after the procedure from unrelated sepsis from a chronic stage IV decubitus ulcer, so long term monitoring could not be performed. Following description of our case, we conduct a literature review of presentations, imaging characteristics, and treatment of ureteral Foley catheter placement.
 ...
PMID:Ureteral rupture from aberrant Foley catheter placement: a case report. 2337 73