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Volume 93 Number 2
2014 - 2015 VOLUME 93, NUMBER 2 TABLE OF CONTENTS Journal of the PHILIPPINE MEDICAL ASSOCIATION 2014 - 2015 VOLUME 93, NUMBER 1 THE MYSTERY OF SALIVARY GLAND TUMORS 1 Kathleen M. Rodriguez, M.D., Celso V. Ureta, M.D., FPSOHNS, FPCS INFLAMMATORY CONDITION OF THE LARYNX VERSUS A 11 NEOPLASTIC LARYGEAL MASS: A DIAGNOSTIC DILEMMA Jeffrey A. Pangilinan, M.D, Celso V. Ureta, M.D., FPSOHNS, FPCS A CASE OF ACTINOMYCETOMA TREATED WITH CO-TRIMOXAZOLE 22 (TRIMETHOPRIM + SULFAMETHOXAZOLE) Subekcha Karki, M.D., Ma. Luisa Abad-Venida, M.D. EVALUATION OF SUPRACRICOID PARTIAL LANGECTOMY WITH 30 CRICOHYOIDOEPIGLOTTOPEXY IN A TERTIARY HOSPITAL Kathleen M. Rodriquez, M.D., Jeffrey A. Pangilinan, M.D. Celso V. Ureta, M.D., FPSOHNS, FPCS MIDLINE NECK FISTULA: 4TH BRANCHIAL CLEFT FISTULA vs. 48 INFECTED THYROGLOSSAL CYST Kathleen M. Rodriquez, M.D., Celso V. Ureta, M.D., FPSOHNS, FPCS LARGE ERYTHEMATOUS MASS OF THE AURICLE IN A 17-YEAR OLD 61 MALE: AN UNCOMMON PRESENTATION OF ACTURE MYELOGENOUS LEUKEMIA Eleanor P. Bernas, M.D., Natividad Almazan, M.D., FPSOHNS, FPCS Celso V. Ureta, M.D., FPSOHNS, FPCS A RARE CASE OF PARATHYROID CARCINOMA MANIFESTING AS 71 RECURRENT NEPHROLITHIASIS Ma. Melizza S. Villalon, M.D., Celso V. Ureta, M.D., FPSOHNS, FPCS REHABILITATION OF A DIGITAL VIDEOSTROBOSCOPY SYSTEM: 84 A PRACTICAL SOLUTION TO AN INOPERABLE AND UNSERVICEABLE DIGITAL VIDEOSTROBOSCOPY UNIT Jeffrey A. Pangilinan, M.D., Celso V. Ureta, M.D., FPSOHNS, FPCS RANDOMIZED DOUBLE BLIND PLACEBO-CONTROLLED CLINICAL 101 ON THE EFFICACY AND SAFETY OF MORINGA OLEIFERA (MALUNGGAY) 1% CREAM IN THE TREATMENT OF TINEA CORPORIS: A PILOT STUDY Charo Fionna F. -
Cystic Hygroma
Further Information We hope this information leaflet has been useful and will help you to understand all about your child's condition. However some medical information can be difficult to understand. If you need more information or have any concerns please speak to a member of Information for Parents / Carers the medical team caring for you or your baby. Looking after and sharing information about you and your child Cystic Information is collected about your child relevant to their diagnosis, treatment and care. We store it in Hygroma written records and electronically on computer. As a necessary part of that care and treatment we may have to share some of that information with other people and organisations that are either responsible for or directly involved with your child's care. If you have any questions please talk to the people looking after your child or contact PALS (Patient Advice and Liaison Service) - you can do this by calling the hospital main number and asking to be put through to PALS. © Clinical Photography & Design Services, Birmingham Children's Hospital NHS Foundation Trust, Steelhouse Lane, Birmingham B4 6NH Produced May 2010 Website: www.bch.nhs.uk Your baby has been diagnosed with a cystic hygroma. Please use this space to write down any notes This means that there are one or more collections of or questions you might have fluid around the neck. These can sometimes lead to complications. The picture below shows what this might look like. This leaflet will give you more information on the condition and what you can expect during pregnancy, delivery and after the baby is born. -
Association Between Selected Structural Defects and Chromosomal Abnormalities
ARTÍCULO ORIGINAL Association between selected structural defects and chromosomal abnormalities Sandra Acevedo-Gallegos,* Mónica García,* Andrés Benavides-Serralde,* Lisbeth Camargo-Marín,* Mónica Aguinaga-Ríos,** José A. Ramírez-Calvo,* Berenice Velázquez-Torres,* Juan M. Gallardo-Gaona,* Mario E. Guzmán-Huerta* *Departamento de Medicina Materno-Fetal. Unidad de Investigación en Medicina Fetal. **Departamento de Genética, Instituto Nacional de Perinatología Isidro Espinoza de los Reyes. ABSTRACT Asociación entre defectos estructurales seleccionados y anormalidades cromosómicas Objective. To determine the association between some major structural abnormalities detected prenatally by ultrasound RESUMEN and chromosomal abnormalities. Material and methods. The present study was a retrolective, transversal study. We Objetivo. Determinar la asociación entre algunos defectos analyzed case records of patients during the fetal follow-up at estructurales mayores detectados prenatalmente por ultraso- the Department of Maternal Fetal Medicine from January nido y anormalidades cromosómicas. Material y métodos. 1994 to May 2010 to identify fetal patients with a diagnosis of El diseño del estudio fue transversal retrolectivo. Se anali- holoprosencephaly, diaphragmatic hernia, omphalocele, cystic zaron expedientes de pacientes que tuvieron seguimiento en hygroma, hydrops and cardiac defects. We analyzed patients el Departamento de Medicina Fetal de enero de 1994 hasta who had a prenatal invasive diagnosis procedure to obtain mayo 2010 para identificar -
ICD-9-CM to ICD-10 Common Codes for Endocrinology
Diagnostic Services ICD-9-CM to ICD-10 Common Codes for Endocrinology ICD-9 ICD-10 ICD-9 ICD-10 Diagnoses Diagnoses Code Code Code Code Adrenal Disorders 253.9 Pituitary lesions E23.7 Galactorrhea, not associated with 227.0 Pheochromocytoma of adrenal D35.00 611.6 N64.3 childbirth 255.0 Cushing’s syndrome E24.9 Thyroid Disorders 255.10 Aldosteronism E26.9 193 Thyroid cancer C73 255.10 Primary aldosteronism E26.09 240.0 Simple nontoxic goiter E04.0 Glucocorticoid-remediable 255.11 E26.02 aldosteronism 241.0 Nontoxic uninodular goiter E04.1 255.12 Conn’s syndrome E26.01 241.0 Thyroid nodule E04.1 255.13 Bartter’s syndrome E26.81 241.1 Nontoxic multinodular goiter E04.2 255.14 Secondary aldosteronism E26.1 242.00 Graves’ disease E05.00 255.2 Adrenal virilism E25.9 242.00 Primary thyroid hyperplasia E05.00 255.2 Adrenogenital disorder E25.9 242.00 Toxic diffuse goiter E05.00 255.2 Congenital adrenal hyperplasia E25.0 242.01 Graves’ disease with thyrotoxic crisis E05.01 Uninodular goiter - Thyrotoxic crisis 255.41 Addison’s disease E27.1 242.10 E05.10 (Hyperthyroidism) 255.41 Adrenal insufficiency E27.40 242.80 Drug induced hyperthyroidism E05.80 255.41 Glucocorticoid insufficiency E27.40 242.90 Hyperthyroidism E05.90 255.42 Hypoaldosteronism E27.40 242.91 Hyperthyroidism with thyrotoxic crisis E05.91 255.42 Mineralcorticoid deficiency E27.49 243 Congenital hypothyroidism E03.1 Carbohydrate Metabolism Disorders 244.0 Postsurgical hypothyroidism E89.0 251.0 Hypoglycemic coma E15 Hypothyroidism, secondary to 244.8 E03.8 251.2 Hypoglycemia E16.2 -
Traumatic Arteriovenous Malformation of Cheek
AIJOC 10.5005/jp-journals-10003-1138 CASE REPORT Traumatic Arteriovenous Malformation of Cheek: A Case Report and Review of Literature Traumatic Arteriovenous Malformation of Cheek: A Case Report and Review of Literature Vadisha Srinivas Bhat, Rajeshwary Aroor, B Satheesh Kumar Bhandary, Shama Shetty ABSTRACT CASE REPORT Arteriovenous malformations (AVM) are congenital vascular A 31-year-old woman presented with swelling on right anomalies but are usually first noticed in childhood or adulthood. cheek of 6 months duration, which was insidious in onset Head and neck is the most common location for AVM. Extracranial lesions are rare compared to intracranial lesions. and gradually increasing in size. She had a history of The rapid enlargement of the malformation leading to symptoms undergoing dental treatment on the right upper premolar is usually triggered by trauma or hormonal changes of puberty tooth 1 month before the onset of swelling. There was no or pregnancy. Traumatic AVM of the head and neck are very history of any other trauma to the face. There were no rare. Here we report a case of AVM of cheek in an adult woman developed following a dental treatment. The diagnosis was symptoms of nasal disease. On examination, her general confirmed by imaging and was treated surgically after health state was good. There was a swelling measuring angiography and embolization. 3 × 2 cm on the right cheek near the nasolabial grove which Keywords: Arteriovenous malformation, Cheek, Dental was soft, compressible and nontender. The swelling was procedure, Angiography, Embolization. pulsatile (Figs 1 and 2). Nasal cavity and paranasal sinuses How to cite this article: Bhat VS, Aroor R, Bhandary BSK, were within normal limits. -
Cystic Hygroma
Great Ormond Street Hospital for Children NHS Foundation Trust: Information for Families Cystic hygroma This information sheet explains about cystic hygromas, how they can be treated and what to expect when your child comes to Great Ormond Street Hospital (GOSH). What is a cystic hygroma? A cystic hygroma is a collection fluid-filled sacs known as cysts that result from a malformation in the lymphatic system. A cystic hygroma is also known as a lymphatic malformation. The lymphatic system is a network of vessels within the body which form part of the immune system. Lymph nodes are located in the neck, armpits and groin areas and filter the lymph fluid. Before treatment What does a cystic hygroma look like? Cystic hygromas can develop anywhere in the body, but are commonly found in the neck and armpits. It appears as a painless soft lump, which may be translucent. What causes a cystic hygroma and can it be prevented? A cystic hygroma forms when the lymph vessels fail to form correctly during the first few weeks of pregnancy. It cannot be prevented as it occurs so early in pregnancy, usually before the pregnancy is confirmed. Nothing you did or did not do during pregnancy caused the cystic hygroma to develop. The exact cause of cystic hygromas is not clear. They occur in approximately one per cent of children and can affect children of any race and both boys and girls. After treatment Sheet 1 of 3 Ref: 2015F0163 © GOSH NHS Foundation Trust April 2015 How is it diagnosed? Both surgical removal and sclerotherapy are carried out while your child is under Cystic hygromas may be seen on scans during a general anaesthetic. -
Surgery Team
Common Neck Swellings With all courtesy to our colleagues, Raslan and his team, a lot of our work is based on their Manual to Surgery Booklet. Important Mentioned by doctors but not in slides Additional notes from Surgical Recall 6th edition or Raslan's booklet Not mentioned by the doctor 431 SURGERY TEAM Done By: Revised By: Fatema Sara Almutairi Abdulkarim Leaders Abeer Al-Suwailem Mohammed Alshammari Surgery Team 431 Primary hyperparathyroidism (Surgical Approach): There is a problem in diagnosis and management of primary hyperthyroidism in KSA, and in 3rd world countries in general. What are parathyroids? General characteristics: We have four parathyroid glands in the posterior aspect of the thyroid gland. They are very small corn-size, yellow with brownish and pinkish color glands. Both the superior and the inferior parathyroid glands receive blood supply from the inferior thyroid artery. Embryology of The parathyroid glands: The upper parathyroid glands originate from the 4th pharyngeal pouch. The lower parathyroid glands originate from the 3rd pharyngeal pouch. Physiology of the Parathyroid: Ca2+ homeostasis: release of Parathormone/Parathyroid hormone (PTH) to raise Ca2+ levels in the blood (PTH is not responsible of the levels of calcium in bones only in the serum). Whenever the serum calcium goes down, immediately PTH will be secreted from the parathyroids to calcium in the serum. Vitamin D regulation: PTH induces Vit.D hydroxylation in the kidney,and this process is necessary for Vit.D activation. Calcitonin: is released from the c-cells of the thyroid gland decrease Ca2+ levels. These are not of physiological significance. Parathermone hormone (PTH) affects three systems: 1) Direct affect on bones to get the calcium into the serum. -
Surgical Management of Adult-Onset Cystic Hygroma in the Axilla
CASE REPORT – OPEN ACCESS International Journal of Surgery Case Reports 7 (2015) 29–31 Contents lists available at ScienceDirect International Journal of Surgery Case Reports journal homepage: www.casereports.com Surgical management of adult-onset cystic hygroma in the axilla Francesca McCaffrey a,∗, Joseph Taddeo b a Togus VA Medical Center, Augusta, ME, United States b Central Maine Surgical Associates, 12 High Street Suite 401, Lewiston, ME 04240, United States article info abstract Article history: INTRODUCTION: Lymphatic malformations are commonly recognized as relatively benign congenital Received 16 October 2014 masses affecting infants and children in the perinatal period. In children, these masses are most commonly Accepted 2 November 2014 found in the neck, and are occasionally seen in other areas of the body. Available online 11 November 2014 PRESENTATION OF CASE: A 58-year-old man presented with an acute axillary swelling measuring approxi- mately 20 cm in length, 12 cm in AP width, and 7 cm in depth. Biopsy and cytology analysis demonstrated Keywords: this mass to be a cystic hygroma of adult-onset. Cystic hygroma DISCUSSION: Given its multi-loculated nature and size, it was surgically excised and one year later the Lymphangioma Lymphatic malformation patient is without evidence of recurrence. Axillary mass CONCLUSION: As the incidence of adult-onset cystic hygroma is rare, the nature and reporting of their management is limited. This case report contributes to the body of literature which serves to elucidate the optimal management of this perinatal condition in adults. © 2015 Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). -
Vascular Anomalies Center Patient Information
VASCULAR ANOMALIES CENTER Patient Intake Form Phone: (832) 822-3800 Fax: (832) 825-9500 e-mail: [email protected] *** THIS FORM CAN BE COMPLETED BY A PARENT OR PHYSICIAN *** *** COMPLETED REFERRALS WILL BE REVIEWED WITHIN 5 BUSINESS DAYS *** ***IF SUBMITTED BY A PHYSICIAN, PLEASE INCLUDE THE CLINIC FACE SHEET WITH THE PATIENT’S DEMOGRAPHIC INFORMATION*** DATE OF REQUEST: ____________ COMPLETED BY: _________________ TCH MRN: ________________ PATIENT INFORMATION (PLEASE PRINT AND FILL OUT ALL BLANKS COMPLETELY) Last Name First Name & MI Age Date of Birth ☐M ☐F Home Address (Street) City, State and Zip Interpreter needed? ☐ Yes ☐ No If yes, what language? _______________ Parent/Guardian(s) Home Phone (check preferred) Work Phone Cell Phone ☐ ☐ ☐ Referring Physician Name (PCP and/or Subspecialist) Practice Contact Office Phone Office Fax CLINICAL INFORMATION (OVERVIEW OF VASCULAR ANOMALY) My child’s vascular anomaly is located:ALSKDJHFASKDHAKSDGASKHASKDFHASDKJHVASDKJFHASKDJFHSLDJHSDFH Left Right Both IF SKIN INVOLVEMENT OR DISCOLORATION Head and/or neck ☐ ☐ ☐ PRESENT, PLEASE SUBMIT A PHOTO. Upper extremity ☐ ☐ ☐ Lower extremity ☐ ☐ ☐ Trunk and/or abdomen ☐ ☐ ☐ My child’s vascular anomaly first appeared? Since then, the vascular anomaly has: ☐ on a prenatal exam ☐ become smaller ☐ at birth ☐ stayed the same ☐ within 1 month of birth ☐ become larger ☐ within 1 year of birth ☐ at ______ years of age Does your child have a specific diagnosis? (Check all that have been told to you.) ☐ Hemangioma ☐ Port wine stain (capillary -
Physical Assessment of the Newborn: Part 3
Physical Assessment of the Newborn: Part 3 ® Evaluate facial symmetry and features Glabella Nasal bridge Inner canthus Outer canthus Nasal alae (or Nare) Columella Philtrum Vermillion border of lip © K. Karlsen 2013 © K. Karlsen 2013 Forceps Marks Assess for symmetry when crying . Asymmetry cranial nerve injury Extent of injury . Eye involvement ophthalmology evaluation © David A. ClarkMD © David A. ClarkMD © K. Karlsen 2013 © K. Karlsen 2013 The S.T.A.B.L.E® Program © 2013. Handout may be reproduced for educational purposes. 1 Physical Assessment of the Newborn: Part 3 Bruising Moebius Syndrome Congenital facial paralysis 7th cranial nerve (facial) commonly Face presentation involved delivery . Affects facial expression, sense of taste, salivary and lacrimal gland innervation Other cranial nerves may also be © David A. ClarkMD involved © David A. ClarkMD . 5th (trigeminal – muscles of mastication) . 6th (eye movement) . 8th (balance, movement, hearing) © K. Karlsen 2013 © K. Karlsen 2013 Position, Size, Distance Outer canthal distance Position, Size, Distance Outer canthal distance Normal eye spacing Normal eye spacing inner canthal distance = inner canthal distance = palpebral fissure length Inner canthal distance palpebral fissure length Inner canthal distance Interpupillary distance (midpoints of pupils) distance of eyes from each other Interpupillary distance Palpebral fissure length (size of eye) Palpebral fissure length (size of eye) © K. Karlsen 2013 © K. Karlsen 2013 Position, Size, Distance Outer canthal distance -
Formation of an Interdisciplinary Center of Vascular Anomalies
Review Strategies in Interventional Radiology: Formation of an Interdisciplinary Center of Vascular Anomalies – Chances and Challenges for Effective and Efficient Patient Management Strategien in der Interventionellen Radiologie: Gründung eines Interdisziplinäres Zentrum für Gefäßanomalien – Chancen und Herausforderungen für effektives und effizientes Patientenmanagement Authors Maliha Sadick1,FranzJosefDally1, Stefan O. Schönberg1, Christian Stroszczynski2, Walter A. Wohlgemuth3 Affiliations Method Interdisciplinary case management, a broad spec- 1 Interdisciplinary Center of Vascular Anomalies, Institute of trum of diagnostic imaging facilities and dedicated endovas- Clinical Radiology and Nuclear Medicine, University cular radiological treatment options are valuable tools that Medical Center Mannheim, Germany allow radiology to set up an interdisciplinary center for vascu- 2 Department of Radiology, University Hospital Regensburg, lar anomalies. Department of Radiology, Regensburg, Germany Results Image-based diagnosis combined with endovascular 3 Interdisciplinary Center for Vascular Anomalies, University treatment options is an essential tool for the treatment of Hospital Halle, University Clinic and Polyclinic of Radiology, patients with highly complex vascular diseases. These vascular Halle (Saale), Germany anomalies can affect numerous parts of the body so that a multidisciplinary treatment approach is required for optimal Key words patient care. vascular anomaly, center formation, interdisciplinary, epide- Conclusion This paper -
Genetic Syndromes with Vascular Malformations – Update on Molecular Background and Diagnostics
State of the art paper Genetics Genetic syndromes with vascular malformations – update on molecular background and diagnostics Adam Ustaszewski1,2, Joanna Janowska-Głowacka2, Katarzyna Wołyńska2, Anna Pietrzak3, Magdalena Badura-Stronka2 1Institute of Human Genetics, Polish Academy of Sciences, Poznan, Poland Corresponding author: 2Department of Medical Genetics, Poznan University of Medical Sciences, Poznan, Adam Ustaszewski Poland Institute of Human Genetics 3Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland Polish Academy of Sciences 32 Strzeszynska St Submitted: 19 April 2018; Accepted: 9 September 2018 60-479 Poznan, Poland Online publication: 25 February 2020 Phone: +48 61 65 79 223 E-mail: adam.ustaszewski@ Arch Med Sci 2021; 17 (4): 965–991 igcz.poznan.pl DOI: https://doi.org/10.5114/aoms.2020.93260 Copyright © 2020 Termedia & Banach Abstract Vascular malformations are present in a great variety of congenital syn- dromes, either as the predominant or additional feature. They pose a major challenge to the clinician: due to significant phenotype overlap, a precise diagnosis is often difficult to obtain, some of the malformations carry a risk of life threatening complications and, for many entities, treatment is not well established. To facilitate their recognition and aid in differentiation, we present a selection of notable congenital disorders of vascular system development, distinguishing between the heritable germinal and sporadic somatic mutations as their causes. Clinical features, genetic background and comprehensible description of molecular mechanisms is provided for each entity. Key words: arteriovenous malformation, vascular malformation, capillary malformation, venous malformation, arterial malformation, lymphatic malformation. Introduction Congenital vascular malformations (VMs) are disorders of vascular architecture development.