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Superficial lumps and bumps are extremely common in children, and the vast majority ultimately prove to be benign. Duplex/color Doppler ultrasound (US) has emerged as the first-line imaging modality for the evaluation of these superficial pediatric masses because it provides a means for rapid acquisition of information including size, shape, location, internal content and vascularity. More important, it does so without utilizing radiation, iodinated contrast material or sedation/anesthesia. In this review, we present the sonographic findings of a variety of cases ranging from head to toe that are either uncommonly seen or were diagnosed in an atypical fashion (i.e. ultrasound). In situations where the lesion is too deep, hyperechoic or large to be fully assessed within the field of view or if malignancy is suspected, then additional cross-sectional imaging is warranted for further evaluation. 相似文献
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Henrietta N. Barnes MD 《Substance Abuse》2013,34(4):203-209
Medical faculty committed to teaching about substance abuse face the challenges of teaching about a stigmatized disease. They often work with little support and few colleagues. These clinician educators must find tools to help sustain them in this work. Knowledge of emerging data on effective diagnosis and treatment of substance abuse in the primary care setting and excellent clinical skills in managing patients with substance abuse are key. More important is the ability to find sustenance and inspiration in working with the addicted patients who have been our teachers. 相似文献
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David Dunkin MD Keith J. Benkov MD Henrietta Kotlus Rosenberg MD 《Journal of ultrasound in medicine》2009,28(11):1575-1580
Objective. Intramural duodenal hematomas (IDHs) after nontherapeutic endoscopic biopsy are rare. Rectal hematomas (RHs) have not been reported previously. A review of the literature revealed 18 cases of IDHs. Methods. We reviewed 3 cases that occurred within a 4‐month period at our institution. Results. We report a series of 3 cases occurring within a 4‐month period. In addition, we report a concurrent RH in 1 of these cases. After becoming symptomatic, 2 of these patients had a diagnosis by computed tomography, the third by sonography. All patients had conservative management and were followed with sonography. Conclusions. Sonography was found to be an accurate, safe, and nonionizing way to diagnose and follow hematomas in pediatric patients. 相似文献
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Jesús Castro-Calvo Daniel L. King Dan J. Stein Matthias Brand Lior Carmi Samuel R. Chamberlain Zsolt Demetrovics Naomi A. Fineberg Hans-Jürgen Rumpf Murat Yücel Sophia Achab Atul Ambekar Norharlina Bahar Alexander Blaszczynski Henrietta Bowden-Jones Xavier Carbonell Elda Mei Lo Chan Chih-Hung Ko Philippe de Timary Magali Dufour Marie Grall-Bronnec Hae Kook Lee Susumu Higuchi Susana Jimenez-Murcia Orsolya Király Daria J. Kuss Jiang Long Astrid Müller Stefano Pallanti Marc N. Potenza Afarin Rahimi-Movaghar John B. Saunders Adriano Schimmenti Seung-Yup Lee Kristiana Siste Daniel T. Spritzer Vladan Starcevic Aviv M. Weinstein Klaus Wölfling Joël Billieux 《Addiction (Abingdon, England)》2021,116(9):2463-2475