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Diagnosis of Obstructive Sleep Apnea (OSA) in Adults and Children Print E-mail
Written by G. Firman MD   
Friday, 29 January 2010 12:50

 

Obstructive sleep apnea syndrome (OSAS) is defined as repeated episodes of obstructive apneas and hypopneas during sleep, frequently followed by transient hemoglobin desaturation (hypoxemia) and unconscious (EEG) arousals.

Last Updated ( Thursday, 04 February 2010 10:04 )
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Diagnostic Criteria for Progressive Multifocal Leukoencephalopathy (PML) Print E-mail
Written by G. Firman MD   
Wednesday, 20 January 2010 09:04

 

Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system caused by the reactivation of a ubiquitous polyomavirus JC (JCV). PML was for many years a rare disease occurring only in patients with underlying severe impaired immunity.

Last Updated ( Thursday, 04 February 2010 08:46 )
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Recommendations for the Use of Ambulatory Blood-Pressure Monitoring Print E-mail
Written by G. Firman MD   
Saturday, 26 December 2009 18:20

 

In addition to the prediction of cardiovascular risk, ambulatory blood-pressure monitoring, when used in conjunction with clinic blood-pressure assessments, is of potential value in a variety of other clinical conditions. Some of these conditions are:

 

Last Updated ( Monday, 28 December 2009 23:10 )
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Definition of Postdiarrheal Hemolytic Uremic Syndrome (HUS) Print E-mail
Written by G. Firman MD   
Friday, 20 November 2009 09:56

 

1996 Case Definition

Clinical description
Hemolytic uremic syndrome (HUS) is characterized by the acute onset of microangiopathic hemolytic anemia, renal injury, and a low platelet count. Thrombotic thrombocytopenic purpura (TTP) also is characterized by these features but can include central nervous system (CNS) involvement and fever and may have a more gradual onset. Most cases of HUS (but few cases of TTP) occur after an acute gastrointestinal illness (usually diarrheal).
Last Updated ( Friday, 20 November 2009 11:25 )
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Diagnostic Criteria for Sporadic Creutzfeldt-Jakob Disease (CJD) Print E-mail
Written by G. Firman MD   
Friday, 08 January 2010 08:50

 

Zerr et al. modifying the current clinical diagnostic criteria for sporadic CJD to include the detection of either hyperintensity in the basal ganglia (both caudate nucleus and putamen) or in at least two cortical regions (from either the temporal, parietal or occipital cerebral cortices). This implies that the detection of the specified high signal abnormalities in FLAIR or DWI MRI will be considered at the same level of diagnostic importance as periodic sharp wave complexes on the EEG or 14-3-3 protein detection in the CSF

Last Updated ( Saturday, 09 January 2010 15:28 )
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Color Doppler Ultrasound Diagnosis of Varicocele Print E-mail
Written by G. Firman MD   
Wednesday, 25 November 2009 08:47

 

In accordance with Sarteschi, varicocele can be divided into five grades according to the characteristics of the reflux and its length, and to changes during Valsalva’s manoeuvre.

Last Updated ( Thursday, 03 December 2009 09:42 )
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