Initial workup showed an apparent retroperitoneal hematoma thought to be secondary to a complication from the lumbar epidural steroid injection. Progressive pain and abdominal pain required further workup that showed lymphadenopathy and metastatic testicular
cancer. There was never a hematoma. This individual was diagnosed and successfully treated for the underlying metastatic disorder.
Conclusion. Any diagnosis found following a procedure must always be scrutinized and reassessed to assure accuracy. Any event that presents following a procedure is often presumed to be caused by a complication from the procedure. The differential diagnosis should always be expanded to consider and explore other possible etiologies.”
“To learn more investigate the impact of anticoagulation on short-term outcome (1 month) in neonates with cerebral sinovenous thrombosis, the authors conducted a retrospective chart review of neonates admitted to 2 tertiary hospitals over a 5- and 8-year period, respectively. Neonates with confirmed radiographic evidence of cerebral sinovenous thrombosis were included. Eighteen total patients treated with hydration only were identified.
Approximately 50% of these neonates showed clot extension or other complications on follow-up imaging selleck compound that were obtained within 72 hours with either magnetic resonance imaging or computed topography. Five neonates were treated with anticoagulation, and none of these patients developed new infarcts or hemorrhages. The results of this retrospective study suggest that anticoagulation is safe in neonates with cerebral sinovenous thrombosis. Early follow-up scans can help treatment decision. Larger studies are
needed to develop standardized guidelines for the evaluation and treatment of neonatal cerebral sinovenous thrombosis.”
“Background: When the resting energy expenditure (REE) of overweight and obese adolescents cannot be measured by indirect calorimetry, it has to be predicted with an equation.
Objective: The aim of this study was to examine 3-MA the validity of published equations for REE compared with indirect calorimetry in overweight and obese adolescents.
Design: Predictive equations based on weight, height, sex, age, fat-free mass (FFM), and fat mass were compared with measured REE. REE was measured by indirect calorimetry, and body composition was measured by dual-energy X-ray absorptiometry. The accuracy of the REE equations was evaluated on the basis of the percentage of adolescents predicted within 10% of REE measured, the mean percentage difference between predicted and measured values (bias), and the root mean squared prediction error (RMSE).
Results: Forty-three predictive equations (of which 12 were based on FFM) were included. Validation was based on 70 girls and 51 boys with a mean age of 14.5 y and a mean (+/- SD) body mass index SD score of 2.93 +/- 0.45.