Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0085693 (acute appendicitis)
 3,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Human monocytic ehrlichiosis (HME) is caused by Ehrlichia chaffeensis, an obligate intracellular bacterium that infects mononuclear phagocytic cells. We report a unique case of HME diagnosed in a woman who presented with abdominal pain and acute appendicitis during early pregnancy and whose condition progressively deteriorated to adult respiratory distress syndrome.
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PMID:Human monocytic ehrlichiosis presenting as acute appendicitis during pregnancy. 1458 79

A ProSeal laryngeal mask airway was used for anaesthesia for laparoscopic surgery in a 26 y old male patient with acute appendicitis. Perioperative aspiration of gastric contents resulted in severe ARDS. Invasive therapeutic options including ECMO had to be used to obtain full recovery. After critical evaluation of the chain of causation it must be postulated that an improper airway was chosen for an intervention that comprises a high risk of aspiration per se. Further risk factors were a long period of fasting, untimely removal of the mask before the patient regained full consciousness, the late confirmation of the diagnosis and the hesitant initial therapy. Since PLMA provides a higher airway occlusion pressure compared to the classic laryngeal mask airway (CLMA), the use of this device may be justified for elective laparoscopic surgery. In emergency patients with increased risk of regurgitation endotracheal intubation still remains the gold standard.
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PMID:[Severe ARDS following perioperative aspiration of gastric content associated with the use of a "ProSeal" laryngeal mask airway]. 1607 59

The aim of this study is to report the extrarenal computerized tomography (CT) findings in patients with acute pyelonephritis (APN). Twenty-one CT examinations of 20 patients [19 women and one man, with ages ranging from 18 to 57 years (mean -35.2 years)], presenting either with a clinical diagnosis of APN (n=17) or with a suspected acute appendicitis, fever of unknown origin, and adult respiratory distress syndrome, one in each, were retrospectively reviewed. None had a known preexisting systemic disease. Results showed that renal abnormalities were seen on CT in all patients. In addition, ascites was detected in all women patients associated with subcutaneous edema in five of them. A thickened gallbladder wall was found in 19 cases, all were women, and periportal tracking and a dilated inferior vena cava in 17 CTs. Pleural effusion and thickened interlobular septa were present in 16 and 15 studies, respectively. Relevant laboratory findings included hypoalbuminemia in 14, elevated liver enzymes in 11, hypocholesterolemia in nine, and elevated LDH levels in six cases. In conclusion, radiologists should be familiar with the extrarenal imaging features of APN that may be seen on CT, and on ultrasonography as well, and should look for renal abnormalities to diagnose a clinically unsuspected APN. Alternatively, APN should be included in the differential diagnosis of systemic diseases that cause gallbladder wall thickening to avoid misdiagnosing it as acute cholecystitis.
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PMID:Extrarenal manifestations of severe acute pyelonephritis: CT findings in 21 cases. 1694 Nov 12