Articles

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More than 200 results
Article

Pulmonary infarction

Pulmonary infarction occurs secondary to vascular obstruction or occlusion 11. It is one of the key complications of pulmonary embolism (PE).  Epidemiology Pulmonary infarction occurs in the minority (10-15%) of patients with PE 1. However, in a necropsy study of those with lethal PE, 60% of c...
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Honeycombing (lungs)

Honeycombing describes small adjacent subpleural cystic structures in the context of established pulmonary fibrosis with destruction of lung parenchyma and loss of architecture 11. A single layer of cysts is now considered sufficient to apply this descriptor if other signs of pulmonary fibrosis ...
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Maxillary sinus

The maxillary sinus (or antrum of Highmore) is a paired pyramid-shaped paranasal sinus within the maxillary bone which drains via the maxillary ostium into the infundibulum, then through hiatus semilunaris into the middle meatus. It is the largest of the paranasal sinuses. Summary location: pa...
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Vein of Galen aneurysmal malformation

Vein of Galen aneurysmal malformations (VGAMs), probably better termed median prosencephalic arteriovenous fistulas, are uncommon intracranial anomalies that tend to present dramatically during early childhood with features of a left-to-right shunt and high-output cardiac failure. Epidemiology ...
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Familial multiple cavernous malformation syndrome

The familial multiple cavernous malformation syndrome, or familial cerebral cavernous malformation syndrome, is uncommon, accounting for only a minority of cavernous malformations. Epidemiology It has been more frequently reported in patients of Hispanic descent 1. Diagnosis The definition o...
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Renal cell carcinoma

Renal cell carcinomas (RCC) (historically also known as hypernephroma or Grawitz tumor) are primary malignant adenocarcinomas derived from the renal tubular epithelium and are the most common malignant renal tumor. They usually occur in 50-70-year old patients and macroscopic hematuria occurs in...
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Perianal abscess

Perianal abscess refers to a formed infective-inflammatory collection within the perianal region. It forms part of the broader group of anorectal abscesses. They are often associated with perianal fistulae and are components of grades 2 and 4 fistulae of the St James’ University Hospital classif...
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Transient ischemic attack

Transient ischemic attacks (TIAs) describe a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction. Terminology  In the past, transient ischemic attack was arbitrarily distinguished from stroke by the duration of neurolo...
Article

Septate gallbladder

Septate gallbladder is a congenital variant where there may be a single septum or multiple septa in the gallbladder splitting its lumen into several parts. Terminology When there are multiple septa subdividing the gallbladder the condition is also known as multiseptate or honeycomb gallbladder...
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Wirsungocele

Wirsungocele refers to a cystic dilatation of the pancreatic duct of Wirsung, which is the portion of ventral duct between the dorsal-ventral junction and major duodenal papilla. It is believed to be analogous to a choledochocele and santorinicele. Clinical presentation It may be an incidental...
Article

Periapical granuloma

Periapical granuloma (plural: granulomas or granulomata) refers to a localized mass-like region of chronic granulation tissue in relation to teeth formed in response to infection. It often results in relation to chronic apical periodontitis. Terminology The name of this condition is a misnomer...
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FABER test

The FABER (Flexion, ABduction and External Rotation) test and also sometimes called the Patrick test) is a diagnostic test for pathology of the hip joint or sacroiliac joint. It is done by having the leg flexed and thigh abducted and externally rotated with the patient lying supine. The knee a...
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Orbital epidermoid cyst

Orbital epidermoid cysts are a rare cause of an orbital mass.  Clinical presentation Patients most commonly present with a mass and lid swelling 1.  Pathology Orbital epidermoid cysts can be congenital, acquired (e.g. post-surgery, trauma), or lacrimal gland duct obstruction 3. They can be a...
Article

Strasberg classification of bile duct injury

The Strasberg classification of bile duct injury is a widely used system to anatomically define bile duct injuries occurring during laparoscopic surgery. The classification is based on the location of injury 1,4,5.  Classification The classification is divided into five types, with type E inco...
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Renal transplant torsion

Renal transplant torsion is a very rare complication of renal transplant, occurring mostly in intraperitoneal transplants because of the increased mobility compared to extraperitoneal transplants, which are less mobile.  Clinical presentation Non-specific clinical symptoms such as nausea, abdo...
Article

Peritoneal loose body

Peritoneal loose bodies or peritoneal mice are calcified pieces of necrotic tissue in the peritoneal cavity. They are usually asymptomatic and small, ranging from 0.5 to 2.5 cm in size, but rarely may be up to 5 to 10 cm.  Clinical presentation Loose bodies are usually asymptomatic 1. Patholo...
Article

Celiac artery dissection

Celiac artery dissection is a type of arterial dissection. Dissection of the celiac artery is rarely seen as a primary phenomenon and is most often encountered due to propagation of an aortic dissection. Epidemiology Celiac artery dissection is usually iatrogenic but may also be secondary to: ...
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Necrobiotic pulmonary nodules

Necrobiotic pulmonary nodules are sterile cavitating lung nodules associated with rheumatoid arthritis and inflammatory bowel disease (more often with ulcerative colitis than Crohn disease).  Epidemiology They are more common in men 5.  Associations Caplan syndrome Clinical presentation Us...
Article

Rubinstein-Taybi syndrome

Rubinstein-Taybi syndrome (RTS) is a very rare genetic multi-system disorder primarily characterized by intellectual disability, broad and often angulated thumbs and halluces, and distinctive facial features. Epidemiology The estimated incidence is 1 in 100,000-125,000 live births 5. Clinical...
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Empty sella

An empty sella, also known as an empty pituitary fossa, refers to the appearance of the sella turcica when the pituitary gland appears shrunken or invisible and CSF fills the space instead. It is commonly an incidental finding of no clinical significance, but there exists a well-established asso...
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