13,743 results match your criteria Paracentesis


Paracentesis Model for Junior Doctors.

Clin Liver Dis (Hoboken) 2018 Sep 2;12(3):89-92. Epub 2018 Oct 2.

Western Sussex Hospitals NHS Foundation Trust Worthing Hospital Worthing BN11 2DH United Kingdom.

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http://dx.doi.org/10.1002/cld.734DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385920PMC
September 2018
1 Read

Successful percutaneous embolization of refractory chylous ascites following peritoneal lymph node dissection.

Radiol Case Rep 2019 Jun 30;14(6):708-710. Epub 2019 Mar 30.

Department of Radiology, Madigan Army Medical Center, 9040A Jackson Avenue, Joint Base Lewis-McChord, WA 98431, USA.

Chylous leaks are an uncommon complication in patients undergoing surgical procedures with the majority of cases responding to conservative therapies. Described is a case of a 23-year-old male who developed debilitating refractory chylous ascites as a complication after retroperitoneal lymph node dissection for testicular cancer. Prior to being evaluated by interventional radiology, he required weekly large-volume paracentesis in addition to standard conservative therapies. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446071PMC
June 2019
1 Read

Design and rationale of a randomized-controlled trial of home-delivered meals for the management of symptomatic ascites: the SALTYFOOD trial.

Gastroenterol Rep (Oxf) 2019 04 11;7(2):146-149. Epub 2019 Mar 11.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Background: When patients with cirrhosis develop ascites, it is associated with sharply increased mortality and healthcare utilization with decreased quality of life. Dietary salt restriction is first-line therapy for ascites but it is limited by poor adherence.

Methods: We will recruit 40 patients with cirrhosis and ascites who have received a recent paracentesis or hospitalization for a 1:1 randomized trial of standard care (education on salt restriction) versus home-delivered meals. Read More

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http://dx.doi.org/10.1093/gastro/goz005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454849PMC
April 2019
1 Read

Albumin in Cirrhosis: More Than a Colloid.

Curr Treat Options Gastroenterol 2019 Apr 9. Epub 2019 Apr 9.

Division of Nephrology (Kidney-Liver Program), Department of Medicine, University of Washington, 356521, 1959 NE Pacific Street, Seattle, WA, 98195-6521, USA.

Purpose Of Review: Albumin has repeatedly been shown to be beneficial in treating patients with decompensated cirrhosis. We reviewed the medical literature regarding indications for the use of intravenous albumin in cirrhosis, with particular focus on the ways in which albumin can help mitigate hepatorenal physiology.

Recent Findings: Albumin has long been used as the preferred agent for volume expansion in patients with decompensated cirrhosis. Read More

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http://dx.doi.org/10.1007/s11938-019-00227-4DOI Listing
April 2019
1 Read

Treat-and-Release Emergency Department Utilization by Patients With Gynecologic Cancers.

J Oncol Pract 2019 Apr 9:JOP1800639. Epub 2019 Apr 9.

1 University of Pennsylvania Health System, Philadelphia, PA.

Purpose: Seventeen percent of patients with cancer visit the emergency department (ED) annually, often with nonemergent complaints. We sought to describe the burden of treat-and-release ED utilization by patients with gynecologic cancers and to identify opportunities for improved triage.

Materials And Methods: Patients with gynecologic cancer diagnoses who were treated and released were identified within the Nationwide Emergency Department Sample, a stratified sample of US hospital-based ED visits, from 2009 to 2013. Read More

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http://dx.doi.org/10.1200/JOP.18.00639DOI Listing
April 2019
1 Read

Interventional Pulmonology: A Focused Review for Primary Care Physicians.

Med Clin North Am 2019 May;103(3):399-412

Interventional Pulmonology, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado-Denver, University of Colorado Anschutz, 12700 East 19th Avenue, Research Complex 2, C272, Aurora, CO 80045, USA.

Interventional pulmonology (IP) has evolved in recent decades, and recent advances have greatly expanded the services offered by IP physicians. IP is best defined as the use of advanced techniques for the evaluation and treatment of benign and malignant pulmonary disorders. The field has further advanced with the recent establishment of a board certification via the American Association of Bronchology and Interventional Pulmonology and the release in 2017 of accreditation standards for specialized fellowship training. Read More

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http://dx.doi.org/10.1016/j.mcna.2018.12.001DOI Listing
May 2019
2 Reads

Rapid displacement of subretinal hemorrhage from a choroidal neovascular membrane with intravitreal C3F8 gas and face-down positioning.

Am J Ophthalmol Case Rep 2019 Jun 14;14:79-82. Epub 2019 Mar 14.

Retina Consultants of Orange County, Fullerton, CA, USA.

Purpose: To describe a case of rapid displacement of subretinal hemorrhage (SRH) from a choroidal neovascular membrane (CNV) with intravitreal injection of C3F8 gas.

Observations: A 66-year-old patient presented in clinic with count fingers (CF) vision from a fibrovascular scar in the right eye (OD) and 20/30 vision in the left eye (OS) with butterfly dystrophy. His left eye developed a CNV and was managed with monthly intravitreal anti-VEGF agents for 29 months. Read More

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http://dx.doi.org/10.1016/j.ajoc.2019.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428934PMC
June 2019
4 Reads

Initial misdiagnosis of Vogt-Koyanagi-Harada disease.

Saudi J Ophthalmol 2019 Jan-Mar;33(1):52-55. Epub 2018 Dec 7.

The Eye Center and the Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia.

Purpose: To report the initial misdiagnosis of patients with Vogt-Koyanagi-Harada (VKH) disease.

Methods: The medical records of 76 consecutive patients diagnosed with VKH disease were reviewed retrospectively at The Eye Center, Riyadh, Saudi Arabia. Patients were referred to The Eye Center from Saudi Arabia and other Middle Eastern countries. Read More

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http://dx.doi.org/10.1016/j.sjopt.2018.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424695PMC
December 2018
2 Reads

[Ethanol Instillation for Mediastinal Cyst].

Kyobu Geka 2019 Mar;72(3):213-215

Department of Thoracic Surgery, Matsusaka Chuo General Hospital, Matsusaka, Japan.

Mediastinal cyst rarely becomes symptomatic due to compression of adjacent organs. In such case, treatment has to be considered. Either surgical extirpation or percutaneous decompression is the treatment of choice. Read More

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March 2019
1 Read

Paracentesis-induced acute kidney injury in decompensated cirrhosis - prevalence and predictors.

Clin Exp Hepatol 2019 Mar 20;5(1):55-59. Epub 2019 Feb 20.

Gleneagles Global Health City, India.

Aim Of The Study: A subgroup of cirrhotic patients undergoing therapeutic paracentesis develop acute kidney injury (AKI) despite adequate colloidal replacement.The aim of the study was to determine the prevalence and predictors of paracentesis-induced AKI in cirrhotic patients with normal baseline renal parameters and adequate colloidal replacement.

Material And Methods: This prospective, observational analytical study was undertaken between April 2015 and April 2017. Read More

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https://www.termedia.pl/doi/10.5114/ceh.2019.83157
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http://dx.doi.org/10.5114/ceh.2019.83157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431093PMC
March 2019
3 Reads

Prenatal findings and molecular cytogenetic analyses of a de novo interstitial deletion of 1q23.3 encompassing PBX1 gene.

Taiwan J Obstet Gynecol 2019 Mar;58(2):292-295

Prenatal Diagnostic Center, Dongguan Maternal and Children Health Hospital, Dongguan, Guangdong, People's Republic of China. Electronic address:

Objectives: To present the prenatal findings and the molecular cytogenetic analyses of a de novo interstitial deletion of 1q23.3 encompassing PBX1 gene.

Case Report: A 32-year-old woman (gravida 1, para 0) underwent amniocentesis at 26 weeks' gestation because of constant small fetal kidneys on prenatal ultrasound. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.01.022DOI Listing
March 2019
2 Reads

Otorhinolaryngological manifestations and delayed diagnosis in Kawasaki disease.

Int J Pediatr Otorhinolaryngol 2019 Feb 26;121:137-142. Epub 2019 Feb 26.

Service d'ORL Pédiatrique, Hôpital Femme Mère Enfants, Centre Hospitalier et Universitaire, Lyon, France; Service d'ORL, Hôpital Edouard Herriot, Centre Hospitalier et Universitaire, Lyon, France.

Objectives: Kawasaki disease (KD) is a febrile multisystemic vasculitis of unknown etiology whose coronary prognosis is improved by early diagnosis and management. The objective of this study was to describe ENT manifestations encountered and to look for a delayed diagnosis associated with these manifestations.

Methods: A retrospective descriptive single-center study was conducted in Lyon between January 2009 and December 2017. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.02.035DOI Listing
February 2019
1 Read

Palliation of malignant ascites.

J Surg Oncol 2019 Mar 22. Epub 2019 Mar 22.

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Malignant ascites (MA) carries a poor prognosis. It can have a significant impact on quality of life (QOL), with increasing abdominal distention, pain, and dyspnea. Diuretics typically do not work well for MA. Read More

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http://dx.doi.org/10.1002/jso.25453DOI Listing
March 2019
1 Read

Anterior chamber paracentesis during intravitreal injections in observational trials: effectiveness and safety and effects.

Int J Retina Vitreous 2019 6;5. Epub 2019 Mar 6.

9Bascom Palmer Eye Institute, University of Miami, Miami, FL USA.

A paracentesis prior to an intravitreal injection is a very safe procedure and can prevent IOP-spikes after injections. As these spikes pose the risk of inducing glaucomatous changes particularly in patients with frequent injections and/or with a risk profile, a regular paracentesis prior to an injection may be considered and discussed with the patient. Read More

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http://dx.doi.org/10.1186/s40942-019-0157-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402161PMC
March 2019
2 Reads

Concurrent acute retinal necrosis and orbital inflammation: Report of 2 cases.

Am J Ophthalmol Case Rep 2019 Jun 13;14:47-50. Epub 2019 Feb 13.

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, 33136, USA.

Purpose: To describe the rare entity of concurrent herpetic acute retinal necrosis (ARN) and orbital inflammation.

Observations: Two cases of ARN with simultaneous orbital inflammation are described. A 40-year old male presented with a painful left eye and hand motion visual acuity (VA). Read More

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http://dx.doi.org/10.1016/j.ajoc.2019.01.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393694PMC
June 2019
1 Read

Central Venous Catheter as Peritoneal Indwelling Catheter for the Management of Recurrent Malignant Ascites: A Case Series.

Indian J Palliat Care 2019 Jan-Mar;25(1):57-60

Department of Oncoanaesthesia and Palliative Medicine, Dr. B.R. Ambedkar IRCH, AIIMS, New Delhi, India.

Background: Malignant ascites is an accumulation of fluid in the peritoneal cavity due to the manifestation of terminal metastatic malignancies. Accumulation of ascitic fluid could cause abdominal distention, early satiety, and shortness of breath. The onset and progression of these symptoms are not only distressing but also cause deterioration of the quality of life. Read More

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http://dx.doi.org/10.4103/IJPC.IJPC_145_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388607PMC
March 2019
5 Reads

Performance of automated multiplex polymerase chain reaction (mPCR) using synovial fluid in the diagnosis of native joint septic arthritis in adults.

Bone Joint J 2019 Mar;101-B(3):288-296

Medical University of Vienna, Department of Orthopaedics and Trauma Surgery, Vienna, Austria.

Aims: This study aimed to assess the performance of an automated multiplex polymerase chain reaction (mPCR) technique for rapid diagnosis of native joint septic arthritis.

Patients And Methods: Consecutive patients with suspected septic arthritis undergoing aseptic diagnostic joint aspiration were included. The aspirate was used for analysis by mPCR and conventional microbiological analysis. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
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http://dx.doi.org/10.1302/0301-620X.101B3.BJJ-2018-0868.R1DOI Listing
March 2019
5 Reads

Peritoneal lymphoma with ascites mimicking portal hypertensive ascites: A case report.

Medicine (Baltimore) 2019 Feb;98(8):e14583

Division of Hematology and Medical Oncology, Department of Internal Medicine, E-Da Hospital.

Rationale: Lymphoma with an initial manifestation of ascites and peritoneal invasion is rare.

Patient Concerns: A 65-year-old woman presented to the emergency department with a 3-week history of abdominal distention, anorexia, and night sweating, and a 2-week history of melena. She was a silent hepatitis B virus carrier. Read More

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http://dx.doi.org/10.1097/MD.0000000000014583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408046PMC
February 2019
3 Reads

Expression of platelet-derived growth factor-C in aqueous humor of patients with neovascular glaucoma and its correlation with vascular endothelial growth factor.

Eur J Ophthalmol 2019 Feb 26:1120672119832785. Epub 2019 Feb 26.

1 Eye Institute of Chinese PLA and Department of Ophthalmology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

Aim:: The aim of this study was to investigate the expression of platelet-derived growth factor-C in aqueous humor of patients with neovascular glaucoma and its correlation with vascular endothelial growth factor.

Methods:: This study involved 62 eyes of 62 patients with advanced neovascular glaucoma requiring transscleral cyclophotocoagulation. Aqueous humor was collected through paracentesis. Read More

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http://dx.doi.org/10.1177/1120672119832785DOI Listing
February 2019
1 Read

Paracentesis Simulation: A Comprehensive Approach to Procedural Education.

MedEdPORTAL 2018 Aug 30;14:10747. Epub 2018 Aug 30.

Program Director, Internal Medicine-Pediatrics Residency Program, University of Cincinnati College of Medicine.

Introduction: Structured procedural education and assessment of competency are growing needs for residency and fellowship programs. Simulation is a useful way to learn, experience, and practice procedural skills with competence. Paracentesis is a common procedure encountered in internal medicine. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342366PMC
August 2018
1 Read

Preventive effects of tyrosol, a natural phenolic compound, on anterior uveitis induced by anterior chamber paracentesis in healthy beagle dogs.

J Vet Med Sci 2019 Apr 25;81(4):573-576. Epub 2019 Feb 25.

Department of Small Animal Internal Medicine II, School of Veterinary Medicine, Kitasato University, Towada, Aomori 034-8628, Japan.

We investigated the effects of tyrosol (Tyr) on anterior chamber paracentesis (ACP)-induced anterior uveitis in beagle dogs, as determined by protein and prostaglandin E2 (PGE2) concentrations in the aqueous humor (AH). Tyr at a dose of 100 or 200 mg/kg or 2.2 mg/kg of carprofen as a positive control was administered orally twice daily from 2. Read More

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http://dx.doi.org/10.1292/jvms.18-0723DOI Listing
April 2019
2 Reads

An update on the pathogenesis and clinical management of cirrhosis with refractory ascites.

Expert Rev Gastroenterol Hepatol 2019 Apr 12;13(4):293-305. Epub 2018 Dec 12.

a Division of Gastroenterology, Department of Medicine, Toronto General Hospital , University of Toronto , Toronto , Ontario , Canada.

Introduction: Ascites commonly complicates cirrhosis, becoming refractory to treatment with diuretics and sodium restriction in approximately 10% of patients. Pathogenesis of refractory ascites (RA) is multifactorial, the common final pathway being renal hypoperfusion and avid sodium retention. Refractory ascites has a negative prognostic implication in the natural history of cirrhosis. Read More

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http://dx.doi.org/10.1080/17474124.2018.1555469DOI Listing
April 2019
2 Reads

Reversed Pulsus Paradoxus in Right Ventricular Failure.

Methodist Debakey Cardiovasc J 2018 Oct-Dec;14(4):298-300

MCGOVERN MEDICAL SCHOOL, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, HOUSTON, TEXAS.

Reversed pulsus paradoxus was first described in 1973 as a rise in peak systolic pressure on inspiration in patients with idiopathic hypertrophic subaortic stenosis or isorhythmic ventricular rhythm and in patients with left ventricular systolic dysfunction on positive pressure ventilation. Positive pressure ventilation, for example, may impel blood from the pulmonary capillaries and venules into the left atrium. This may increase left ventricular preload and accelerate ventricular emptying, which in turn may cause the systolic arterial pressure to rise during inspiration. Read More

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http://dx.doi.org/10.14797/mdcj-14-4-298DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369612PMC
April 2019
1 Read

THE OLD ONE TECHNIQUE IN A NEW STYLE: DEVELOPING PROCEDURAL SKILLS IN PARACENTESIS IN A LOW COST SIMULATOR MODEL.

Arq Gastroenterol 2018 Oct-Dec;55(4):375-379

Universidade de Fortaleza, Centro de Ciências da Saúde, Curso de Medicina, Programa de Educação Tutorial, Fortaleza, CE, Brasil.

Background: Paracentesis is a routine medical procedure quite relevant in clinical practice. There are risks of complications related to paracentesis, so it is essential a proper trainee for the younger practicer.

Objective: The article describes the construction and the application of a low cost paracentesis simulator for undergraduate medical students and it also describes the perception of students about the simulator as well. Read More

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http://dx.doi.org/10.1590/S0004-2803.201800000-81DOI Listing
March 2019
1 Read

Iatrogenic retinal central artery occlusion after a cerebral digital subtraction angiography.

Arch Soc Esp Oftalmol 2019 Feb 12. Epub 2019 Feb 12.

Consorcio Hospital General Universitario de Valencia, Valencia, España.

Digital subtraction angiography (DSA) is a technique used in interventional radiology for the diagnosis of vascular cerebral conditions. Central retinal artery occlusion (CRAO) is a complication of endovascular procedures that involve atherosclerotic plaque removal with subsequent embolisation. The case is presented on a patient who noticed a sudden vision loss during a DSA. Read More

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http://dx.doi.org/10.1016/j.oftal.2018.12.008DOI Listing
February 2019
1 Read

Value for money in self-regulated procedural simulation.

Clin Teach 2019 Feb 13. Epub 2019 Feb 13.

Department of Internal Medicine, Haut-Leveque Hospital, University Hospital Center of Bordeaux, Pessac cedex, France.

Background: In self-regulated procedural simulation, learners practise on many simulators (e.g. paracentesis), self-regulating their choice of simulators, time and goals. Read More

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http://dx.doi.org/10.1111/tct.13001DOI Listing
February 2019
8 Reads

Sensitivity of a bedside reagent strip for the detection of spontaneous bacterial peritonitis in ED patients with ascites.

Am J Emerg Med 2019 Jan 25. Epub 2019 Jan 25.

Department of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, CA, United States of America.

Study Objective: To determine the sensitivity of a highly sensitive bedside leukocyte esterase reagent strip (RS) for detection of spontaneous bacterial peritonitis (SBP) in emergency department (ED) ascites patients undergoing paracentesis.

Methods: We conducted a prospective, observational cohort study of ED ascites patients undergoing paracentesis at two academic facilities. Two practitioners, blinded to each other's results, did a bedside RS analysis of the peritoneal fluid in each patient and documented the RS reading at 3-min according to manufacturer-specified colorimetric strip reading as either "negative", "trace", "small", or "large". Read More

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http://dx.doi.org/10.1016/j.ajem.2019.01.044DOI Listing
January 2019
6 Reads

Knee Arthritis in Children: When Can It Be Safely Treated With Needle Joint Aspiration? A Large Children's Tertiary Hospital Study.

J Pediatr Orthop 2019 Mar;39(3):130-135

Department of Paediatric Orthopaedic Surgery, Maternal and Child Hospital, Sant Joan de Déu of Barcelona.

Background: Early joint decompression associated to antibiotic therapy is the most important procedure to reduce joint damage in septic knee arthritis in children. Several joint decompression methods have been described such as arthrotomy with open debriding, arthroscopic drainage or needle joint aspiration. The aim of the present study was to determinate which patients with acute septic knee arthritis could be safely treated with needle joint aspiration. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000883DOI Listing
March 2019
2 Reads

Real-Time Ultrasound-Guided Paracentesis by Radiologists: Near Zero Risk of Hemorrhage without Correction of Coagulopathy.

J Vasc Interv Radiol 2019 02;30(2):259-264

Department of Radiology, Banner University Medical Center Phoenix, Phoenix, Arizona; University of Arizona College of Medicine-Phoenix, Phoenix, AZ 85004. Electronic address:

Purpose: To evaluate the rate and risk factors for hemorrhage in patients undergoing real-time, ultrasound-guided paracentesis by radiologists without correction of coagulopathy.

Materials And Methods: This was a retrospective study of all patients who underwent real-time, ultrasound-guided paracentesis at a single institution over a 2-year period. In total, 3116 paracentesis procedures were performed: 757 (24%) inpatients and 2,359 (76%) outpatients. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.11.001DOI Listing
February 2019
3 Reads

Comparison of early posttreatment effects of two steroidal anti-inflammatory ophthalmic drugs on the ocular inflammatory response induced by paracentesis in healthy canine eyes.

Vet Ophthalmol 2019 Feb 4. Epub 2019 Feb 4.

Department of Small Animal Internal Medicine II, School of Veterinary Medicine, Kitasato University, Towada, Aomori, Japan.

Objective: We investigated the early posttreatment effects of two steroidal anti-inflammatory ophthalmic drugs on blood-aqueous barrier (BAB) breakdown by paracentesis in dogs.

Animal Studies: We studied 21 healthy beagles with normal eyes.

Procedures: Controlled anterior chamber paracentesis (0. Read More

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http://dx.doi.org/10.1111/vop.12629DOI Listing
February 2019
2 Reads

Whole-exome sequencing in the evaluation of fetal structural anomalies: a prospective cohort study.

Lancet 2019 02 31;393(10173):758-767. Epub 2019 Jan 31.

Institute for Genomic Medicine, Columbia University Medical Center, New York, NY, USA; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA. Electronic address:

Background: Identification of chromosomal aneuploidies and copy number variants that are associated with fetal structural anomalies has substantial value. Although whole-exome sequencing (WES) has been applied to case series of a few selected prenatal cases, its value in routine clinical settings has not been prospectively assessed in a large unselected cohort of fetuses with structural anomalies. We therefore aimed to determine the incremental diagnostic yield (ie, the added value) of WES following uninformative results of standard investigations with karyotype testing and chromosomal microarray in an unselected cohort of sequential pregnancies showing fetal structural anomalies. Read More

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http://dx.doi.org/10.1016/S0140-6736(18)32042-7DOI Listing
February 2019
11 Reads

Central retinal artery occlusion - a new, provisional treatment approach.

Surv Ophthalmol 2019 Jan 29. Epub 2019 Jan 29.

Department of Ophthalmology, University Hospitals and School of Medicine, Geneva, Switzerland.

The retinal ganglion cells infarcted in central retinal artery occlusion (CRAO) are the somata of the optic nerve axons, part of the central nervous system. Consequently, CRAO with inner retinal infarction is a small vessel stroke, usually with the devastating consequence of severe visual loss in the affected eye. At present, there is no generally accepted, evidence-based therapy of non-arteritic CRAO in contrast to ischemic cerebral stroke that has well accepted treatment protocols. Read More

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http://dx.doi.org/10.1016/j.survophthal.2019.01.011DOI Listing
January 2019
1 Read

Needle aspiration versus intercostal tube drainage for pneumothorax in the newborn.

Cochrane Database Syst Rev 2019 02 1;2:CD011724. Epub 2019 Feb 1.

Department of Paediatrics, Lund University, Skåne University Hospital, Lund, Sweden.

Background: Pneumothorax occurs more frequently in the neonatal period than at any other time of life and is associated with increased mortality and morbidity. It can be treated with either aspiration with a syringe (using a needle or an angiocatheter) or a chest tube inserted in the anterior pleural space and then connected to a Heimlich valve or an underwater seal with continuous suction.

Objectives: To compare the efficacy and safety of needle aspiration (either with immediate removal of the needle or with the needle left in situ) to intercostal tube drainage in the management of neonatal pneumothorax (PTX). Read More

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http://doi.wiley.com/10.1002/14651858.CD011724.pub3
Publisher Site
http://dx.doi.org/10.1002/14651858.CD011724.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357997PMC
February 2019
16 Reads

Acute otitis media in infants younger than two months of age: Epidemiologic and microbiologic characteristics in the era of pneumococcal conjugate vaccines.

Int J Pediatr Otorhinolaryngol 2019 Apr 23;119:123-130. Epub 2019 Jan 23.

Division of Pediatrics, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Pediatric Infectious Disease Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Electronic address:

Objectives: To evaluate the epidemiology, microbiology, Streptococcus pneumoniae serotypes distribution and serious bacterial infections (SBIs) occurrence in infants <2 months of age with tympanocentesis-documented acute otitis media (AOM), before and after the introduction of pneumococcal conjugate vaccines (PCVs).

Methods: The medical records of all hospitalized infants with AOM who underwent tympanocentesis during 2005-2014 were reviewed.

Results: Of the 303 infants with AOM who were diagnosed by an ENT specialist, 182 underwent tympanocentesis, 92 during 2005-2009 (prevaccine period) and 90 during 2010-2014 (postvaccine period). Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.01.031DOI Listing
April 2019
3 Reads

Differential diagnosis of ascites in internal medicine: clinical case.

Ter Arkh 2018 Aug;90(8):74-80

B.V. Petrovsky Russian Scientific Center of Surgery, Moscow, Russia.

Ascites and hydrothorax may be the symptoms of congestive heart failure and do not always reflects presense of the decompensated liver cirrhosis. Clinical examination of patient with chronic hepatitis C which cyanosis of the lips, cervival veins pulsation, a triple heart rhythm indicated on pathology of the heart (constrictive pericarditis), which was confirmed by instrumental methods. Congestive heart failure has lead to the congestive liver in a young female patient. Read More

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http://dx.doi.org/10.26442/terarkh201890874-80DOI Listing
August 2018
14 Reads

Use of Peritoneovenous Shunt for the Management of Refractory Ascites.

Transplant Proc 2019 Jan - Feb;51(1):41-43. Epub 2018 Jun 30.

Unit of Hepatobiliary Surgery and Liver Transplantation, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Instituto Maimónides de Investigación Biomédica de Córdoba, University Hospital Reina Sofía, Córdoba, Spain.

Background: Guidelines for the management of refractory ascites (RA) recommend transjugular intrahepatic portosystemic shunting (TIPS), diuretics, and paracentesis as the main strategies, discouraging use of surgical peritoneovenous shunts (PVSs). However, PVSs, including both Denver (DS) or saphenoperitoneal (SPS) modalities, may still have indications. Herein we report our experience with PVSs in the context of modern surgical and anesthetic management. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183088
Publisher Site
http://dx.doi.org/10.1016/j.transproceed.2018.04.089DOI Listing
March 2019
11 Reads

Pleural amyloidosis with recurrent pleural effusion and pulmonary embolism: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14151

Department of Respiratory Medicine, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Foushan, Guangdong Province, China.

Rational: Clinical and radiologic manifestations of pleural amyloidosis are non-specific. And it can easily be missed or misdiagnosed. Meanwhile, few studies document amyloidosis presenting with pulmonary infarcts at the same time. Read More

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http://dx.doi.org/10.1097/MD.0000000000014151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370127PMC
January 2019
4 Reads

Utility of gray-scale histogram analysis in the assessment of treatment response in patients with infected cirrhotic ascites.

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):509-516

Department of Oncology, University of Health Sciences Antalya Training and Research Hospital, Antalya; Turkey.

Objective: To evaluate the utility of B-mode gray-scale histogram analysis in the management of patients with infected cirrhotic ascites.

Methods: A total of 97 patients (mean(SD) age : 66.8(14. Read More

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January 2019
3 Reads

Intra-Articular Catheter Placement: A Novel Approach for Simulating Ankle Effusions in Cadaver Models.

West J Emerg Med 2019 01 13;20(1):92-93. Epub 2018 Nov 13.

Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina.

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http://dx.doi.org/10.5811/westjem.2018.9.39810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324721PMC
January 2019
3 Reads

Screening for 22q11.2 deletion syndrome by two non-invasive prenatal testing methodologies: A case with discordant results.

Taiwan J Obstet Gynecol 2019 Jan;58(1):40-42

Genetics and Genome Sciences, UCONN Health, 263 Farmington Avenue, E3050, Farmington, CT, USA.

Objective: Non-invasive prenatal testing (NIPT) through the analysis of cell-free DNA in maternal plasma has bee expanded to include clinically-relevant microdeletions such as the 22q11.2 deletion syndrome (22q11.2DS). Read More

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http://dx.doi.org/10.1016/j.tjog.2018.11.006DOI Listing
January 2019
3 Reads

A rare case of partial trisomy 8q24.12-q24.3 and partial monosomy of 8q24.3: Prenatal diagnosis and clinical findings.

Taiwan J Obstet Gynecol 2019 Jan;58(1):36-39

Regional Center of Medical Genetics Timis, Clinical Emergency Hospital for Children "Louis Turcanu" Timisoara, Timisoara, Romania. Electronic address:

Objective: We describe a rare case of "pure" 8q duplication diagnosed prenatally by conventional karyotyping, that was further characterized by array comparative genomic hybridization (aCGH).

Case Report: A 39-year-old, primigravida woman underwent amniocentesis at 23 weeks of gestation because of an abnormal second trimester maternal serum screening for Down syndrome. Conventional cytogenetic analysis demonstrated a karyotype of 46,XX,der(8) (q24. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10284559183027
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http://dx.doi.org/10.1016/j.tjog.2018.11.005DOI Listing
January 2019
6 Reads

Retrospectively investigating the 12-year experience of prenatal diagnosis of small supernumerary marker chromosomes through array comparative genomic hybridization.

Taiwan J Obstet Gynecol 2019 Jan;58(1):139-144

Department of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan. Electronic address:

Objective: This study retrospectively evaluated the incidences of small supernumerary marker chromosomes (sSMCs) in prenatal diagnoses and detected with gain of pathogenic copy number variation through array comparative genomic hybridization (CGH) in a laboratory in Taiwan.

Materials And Methods: We retrospectively searched and reviewed the sSMC cases detected during prenatal diagnoses in the Youthgene medical laboratory, between 2004 and 2015 and used array CGH to successfully analyze 45 of 47,XN,+mar or 47,XN + mar/46,XN.

Results: A total of 68,087 cases of amniocentesis were analyzed, of which 59 were identified as sSMCs. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.11.026DOI Listing
January 2019
1 Read

Management of Anterior Chamber Dislocation of a Dexamethasone Implant.

Klin Monbl Augenheilkd 2019 Apr 7;236(4):412-414. Epub 2019 Jan 7.

Department of Ophthalmology - University of Lausanne, Hôpital Ophtalmique Jules-Gonin, Lausanne, Switzerland.

Purpose: To characterise the surgical removal technique of a dislocated dexamethasone implant in the anterior chamber and to gauge its success by analysing corneal transparency and subsequent visual acuity recovery in the postoperative phase.

Methods: Description of a patient who presented with an anterior chamber dexamethasone implant migration through an inferior iridotomy performed previously for a silicone oil fill in aphakia. Visual acuity had dropped to counting fingers due to marked corneal oedema. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0808-1847
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http://dx.doi.org/10.1055/a-0808-1847DOI Listing
April 2019
6 Reads

Cytomegalovirus Corneal Endotheliitis After Descemet Membrane Endothelial Keratoplasty.

Cornea 2019 Apr;38(4):413-418

Corneal and External Eye Disease Department, Singapore National Eye Centre, Singapore.

Purpose: To describe 4 cases of cytomegalovirus (CMV) corneal endotheliitis occurring after Descemet membrane endothelial keratoplasty (DMEK).

Methods: This is a retrospective, interventional case series. Case records of 4 patients (one eye each) diagnosed with CMV corneal endotheliitis after DMEK were reviewed retrospectively. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001847DOI Listing
April 2019
13 Reads

Recommendations on the Use of Ultrasound Guidance for Adult Abdominal Paracentesis: A Position Statement of the Society of Hospital Medicine.

J Hosp Med 2019 Jan 2;14:E7-E15. Epub 2019 Jan 2.

Divisions of General and Hospital Medicine and Pulmonary and Critical Care Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.

1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. Read More

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http://dx.doi.org/10.12788/jhm.3095DOI Listing
January 2019
3 Reads

No Increased Mortality After TIPS Compared with Serial Large Volume Paracenteses in Patients with Higher Model for End-Stage Liver Disease Score and Refractory Ascites.

Cardiovasc Intervent Radiol 2019 May 2;42(5):720-728. Epub 2019 Jan 2.

Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Box 3808, 2301 Erwin Road, Durham, NC, 27710, USA.

Purpose: To compare survival after transjugular intrahepatic portosystemic shunt (TIPS) creation versus serial large volume paracenteses (LVP) in patients with refractory ascites and higher Model for End-Stage Liver Disease (MELD) scores.

Materials And Methods: In this retrospective study, from 1/1/2013 to 10/1/2018, 478 patients (294 male; mean age 58, range 23-89) underwent serial LVP (n = 386) or TIPS (n = 92) for ascites. Propensity-matched cohorts were constructed based on age, MELD, Charlson comorbidity index, varices, and hepatic encephalopathy. Read More

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http://dx.doi.org/10.1007/s00270-018-02155-9DOI Listing
May 2019
3 Reads

NECROSIS OF THE RETINA AND UVEAL TRACT SECONDARY TO EXPANDING GAS TAMPONADE.

Retin Cases Brief Rep 2018 Dec 27. Epub 2018 Dec 27.

Retina Specialists of Alabama, Birmingham, Alabama.

Purpose: To present a case of retinal and uveal necrosis caused by expanding gas tamponade after pars plana vitrectomy.

Methods: Single case report.

Results: An otherwise healthy 66-year-old woman underwent pars plana vitrectomy with intended 20% sulfur hexafluoride (SF6) tamponade for macular hole repair of her pseudophakic left eye. Read More

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http://dx.doi.org/10.1097/ICB.0000000000000841DOI Listing
December 2018
2 Reads

RETINAL FINDINGS IN PRESUMED INFECTIOUS POSTERIOR UVEITIS AND CORRELATION WITH POLYMERASE CHAIN REACTION RESULTS.

Retina 2018 Dec 27. Epub 2018 Dec 27.

Department of Ophthalmology, the Icahn School of Medicine at Mount Sinai, New York, New York.

Purpose: To correlate demographics, retinal lesion characteristics, and host immune status with the pathogen found on polymerase chain reaction analysis of aqueous fluid in patients with suspected infectious posterior uveitis.

Methods: Medical records of patients who underwent anterior chamber paracentesis for suspected infectious posterior uveitis and had retinal photographs between 2014 and 2016 at a single institution were reviewed. Data collection included demographics, clinical appearance of the lesions, and polymerase chain reaction results. Read More

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http://dx.doi.org/10.1097/IAE.0000000000002423DOI Listing
December 2018
3 Reads

Acute Kidney Injury Due to Ovarian Hyperstimulation Syndrome.

Am J Kidney Dis 2019 Mar 29;73(3):416-420. Epub 2018 Dec 29.

Division of Nephrology, Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, Ontario, Canada; Kidney Research Centre, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada. Electronic address:

Ovarian hyperstimulation syndrome (OHSS) is a complication of assisted reproductive treatments such as in vitro fertilization (IVF). The pathophysiology of severe OHSS includes a humorally mediated capillary leak syndrome that is predominantly centered on the intra-abdominal space. Severe OHSS is frequently complicated by acute kidney injury (AKI), which can be due to any of a variety of mechanisms, each requiring a different management strategy. Read More

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http://dx.doi.org/10.1053/j.ajkd.2018.10.010DOI Listing
March 2019
6 Reads