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Query: UMLS:C0034067 (emphysema)
 11,506 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Five calves, seven to nine months of age, were put on pasture in the target area of a shooting range in early May. Acute lead poisoning occurred in one of the calves after five days of grazing, the remainder became ill one to three days later. The most important symptoms consisted of neurological disturbances and included maniacal movements, opisthotonos, drooling, rolling of the eyes, convulsions, licking, champing of the jaws, bruxism, bellowing and breaking through fences All but one calf, which was euthanatized, died within several hours of the occurrence of the first symptoms. In one calf, the concentration of lead in samples of whole blood (940 micrograms/l), liver (38 mg/kg wet weight) and kidney (30 mg/kg wet weight) were markedly increased Post mortem examination of this calf revealed acute cardiac, renal and pulmonary haemorrhage, acute tubulonephrosis and acute severe pulmonary emphysema. The concentration of lead in the dry matter of a grass and a soil sample from the target zone of the shooting range were 29550 mg/kg and 3900 mg/kg, respectively. Further investigation revealed that this area had been used as a military shooting range for many years, and in the previous year, approximately 20000 bullets with lead contents of either 3.05 g or 8.55 g had been fired. The results of this study indicate that the target area of shooting ranges must not be used for pasture or for food production for animals or humans.
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PMID:Lead poisoning of calves pastured in the target area of a military shooting range. 929 21

Parapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. His condition deteriorated gradually, and he transferred to the operation theater quickly for abscess drainage and because of the difficulty in orotracheal intubation; a tracheostomy was performed. His respiratory condition deteriorated 2 days after PICU admission, and the medical team noticed an unexplainable respiratory distress. A chest x ray obtained and showed a right side pneumothorax and subcutaneous emphysema around theneck area. The case presented here, had not been diagnosed at the first examination; however, there were enough clinical clues (such as respiratory distress, drooling, torticollis, bulging of theneck, previous viral respiratory infection, possible pharyngeal trauma). The story of this case reminds us the importance of the precise physical exam and history taking which could be life-saving.
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PMID:A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report. 2812 May 94