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Article
Chest Radiographic Finding in Neonatal Dyspnea

Authors: Raed Haleem Al-Saad --- Falah Diab Salih
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2008 Volume: 4 Issue: 2 Pages: 40-44
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Respiratory distress is one of the commonest disorders within the firs 48 - 72 hours of live and any sign of postnatal respiratory distress is an indication for roentgenogram of the chest.
Objectives: Is to show the range of chest radiographic findings in full term newborn babies suffering from respiratory distress, at or soon after birth.
Method: This is a prospective study that was conducted in the special care baby units in Baghdad teaching hospital and Children welfare teaching hospital during 2002. Anteroposterior chest radiograph in supine position of (129) full term newborn babies, presented with a chief complaint of respiratory distress were examined.
Results: The commonest cause of respiratory distress was transient tachypnea of newborn (41.8%), most of these showed hyperinflation (77%) and prominent pulmonary markings (68%) .Normal chest films seen in (16%). Pulmonary infection seen in (17.8%) of cases, with findings of bronchopneumonia (43%), and lobar consolidation affecting mostly the right upper lobe (34%). Other causes were respiratory distress syndrome (13.1%), meconium aspiration (13.1%), congenital heart disease (9.3%). Less frequent causes were pneumothorax, congenital lobar emphysema, congenital diaphragmatic hernia and pleural effusion.
Conclusion: Any sign of post– natal respiratory distress is an indication for roentgenogram of the chest which should be taken as early as possible. In addition, chest radiograph should be read by an expert radiologist.
Key words: chest radiography neonatal dyspnea


Article
The Role of NT- Probnp in The Diagnostic Workup of Patient with Chronic Dyspnea of Unexplained Etiology

Author: Karim Obais Al-Naffi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 3 Pages: 711-720
Publisher: Babylon University جامعة بابل

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Abstract

Dyspnea is a common clinical complaint of diverse causes, it may be of acute or chronic onset. Diagnosis of dyspnea should depend on good history, proper physical examination with the logistic use of laboratory &radiological investigation. Yet some time, especially in patient with chronic dyspnea, we may be left with patient without clear clinical diagnosis. NT- proBNP is which is a hormone produced from the heart whenever there is stretch of cardiac muscle is proved of diagnostic value in acute dyspnea. This study is to examine the diagnostic value of NT-proBNP in the etiology of chronic dyspnea with unapparent clinical cause.From 425 patient presented complaining of chronic dyspnea, after full history, physical examination &conventional investigation, Sixty-two patient have no evident cause for their dyspnea. Those patients were studied to assess the value of NT- proBNP in the work up for the cause of their dyspnea &its relation to their BMI, age, HT, DM & IHD.Significant high level of NT- proBNP was found in patient who have higher grade of dyspnea &in those with chronic disease as HT, DM&IHD especially if they have IHD. Although many of the patient have high BMI but it does not significantly related to the level of dyspnea.NT- proBNP is a helpful diagnostic mean in patient with chronic dyspnea although other limitation factors as age, sex & BMI should considered.

Keywords

NT-proBNP --- Chronic Dyspnea


Article
Effect of Therapeutic Thoracocentesis on Short Term Peripheral Oxygen Saturation and other Hemodynamics, in Al-Najaf

Authors: Munketh AbdulMuhsen --- Ali H. Almusawy --- Sadiq Jebar Almohana
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2012 Volume: 9 Issue: 4 Pages: 786-791
Publisher: Babylon University جامعة بابل

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Abstract

AbstractBackground: Pleural effusion often causes abnormal pulmonary gas exchange. Thoracentesis is commonly used to relieve dyspnea in patient with pleural effusion, but its effect upon arterial oxygenation is varied and poorly understood. Aim of study: To determine the effect of therapeutic thoracentesis on arterial O2 saturation and other hemodynamics.Patients and methods: We studied thirty patients (20 men and 10 women) mean age 44.5 year with unilateral pleural effusion of varied causes. The diagnosis of pleural effusion was depend on clinical and radiological bases. Patients with large pleural effusion were included in this study. At the time of investigation, all patients were clinically stable and each patient was informed about the possible side effect of the Procedure .Results: This study reveals that the arterial O2 saturation was significantly decreased after thoracentesis The pulse rate was significantly decreased after thoracentesis . But no significant changes were found in either blood pressure or respiratory rate . Conclusion: There was a significant reduction in arterial O2 saturation after thoracentesis . There was significant reduction in pulse rate after thoracentesis . while there was no change in blood pressure and respiratory rate .

الخلاصةاستسقاء الجنب غالبا ما يسبب اعتلال تبادل غازات الرئة , إن سحب ذلك الاستسقاء يستخدم بصورة شائعة لإزالة ضيق التنفس الناتج عن استسقاء الجنب, ولاكن تأثير ذلك السحب على أوكسجين الدم متغير وغير مفهوم .الغرض من الدراسة هو لتحديد تأثير عملية سحب الاستسقاء على نسبة إشباع الأوكسجين الشرياني وبعض الفعاليات الحيوية .تضمنت الدراسة ثلاثين مريضا (عشرون رجلا وعشرة نساء ) معدل أعمارهم 44.5 سنة والذي يعانون من استسقاء الجنب آحادي الجانب , والمتسبب عن مختلف الأمراض , إن تشخيص ذلك الاستسقاء مبني على أسس سريريه وإشعاعية .هذه الدراسة بينت إن نسبة إشباع الأوكسجين الشرياني انخفض بصورة مهمة بثلثي المرضى , وارتفع بصورة مهمة بثلث من المرضى , كما بينت الدراسة انخفاض مهم في سرعة النبض الشرياني بعد عملية السحب , ولا يوجد تأثير لعملية السحب على كل من ضغط الدم وسرعة التنفس .استنتجنا من هذه الدراسة بان تأثير عملية سحب استسقاء الجنب على نسبة إشباع الأوكسجين الشرياني كانت مختلفة , وهذا الاختلاف ربما نتج عن اختلاف أسباب الاستسقاء , وكذلك فان سرعة النبض الشرياني انخفضت بصوره ملحوظة , ولا تغيير في كل من ضغط الدم ومعدل التنفس.


Article
Arm Span to Height Ratio in Relation to Severity of Dyspnea
العلاقة بين مدى اتساع الذراعين الى الطول مع شدة عسر التنفس

Author: Amar K. Muhamad عمار قاسم محمد
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2012 Volume: 54 Issue: 2 Pages: 131-133
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Arm span is the closest physiologic measurement to standing height. Increased arm span to standing height ratio, which indicates a possible loss of height, due to aging, often results from osteoporosis-related vertebral collapse or other causes. This has possible consequences on lung functions. Objective: To evaluate the effects of aging related loss of height to severity of dyspnea.Method:Patients visited pulmonary function test laboratoryat Baghdad teaching hospital outpatient clinic department from first of November 2009 to thirty first of December 2010 for preoperative assessment were recruited to participate in our study. All recruited subjects were evaluated with a clinical history and physical examination followed by measurements of arm span, standing height, weight, forced expiratory volume in one second (FEV1) and forced vital capacity (FVC). Patients 40 years old of age and older were included .Patients with chronic disabilities (cardiac, respiratory or systemic diseases) were excluded. Patients were classified according to their gender and Medical Research Council severity of dyspnea.Results: one hundred thirty one subjects aged 40 years and older were recruited for this study. Arm span to height ratio was significantly negatively correlated with FEV1/FVC ratio, FVC, and posi-tively correlated with severity of dyspnea. Conclusion:There is a significant association between increased arm span to height ratio with in-creased severity of dyspnea. The role of arm span measurements in assessment of pulmonary func-tion tests in older patients and the association between loss of height and dyspnea deserves further evaluation. Keywords:Arm Span,height ratio, dyspnea.

الخلفية :امتداد الذراعين هو اقرب قياس فسلجي للطول.زيادة نسبة الطول الى امتدادالذراعين,التي قد تعني احتمال نقص الطول نتيجة للتقدم في السن ,والذي قد ينتج عن وهن العضام المؤدي الى تهشم الفقرات,او اسباب اخرى.مما قد يكون له علاقة بوضائف الرئة.الطرائق: المشاركين الذين راجعوا مختبر فحص وضائف الرئة في العيادة الاستشارية لمستشفى بغداد التعليمي للفترة من1/11/2009ولغاية31/12/2011,لاسباب متعددة,تم ادخالهم في هذه الدراسة.كل المشاركين تم اخذ التاريخ الطبي وفحصهم سريريا وقياس طولهم,مع قياس امتداد الذراعين . .FEV1, و FVC, وزنهم,فقط المشاركين 40 سنة فاكثر تم شمولهم. المشاركين الذين يعانون من اعاقات مزمنة (سواء كانت قلبية ,تنفسية اوعامة) تم استثناؤهم من هذه الدراسة.تم تقسيم المشاركين حسب الجنس وحسب تقييم مجلس البحوث الطبية لشدة عسر التنفس. النتائج:مئة وواحد وثلاثون مشاركا في هذه الدراسة,اعمارهم تتراوح من40 سنة فاكثر. نسبة الطول الى امتدادالذراعين ارتبطت بشكل سلبي احصائيا مع قياس السعة الحيوية القسرية قياس حجم الزفير القسري في الثانية الاولى /قياس السعة الحيوية القسري وارتبطت بشكل ايجابي احصائيا مع شدة عسر التنفس. الاستنتاجات:هذه الدراسة توصلت الى وجود ارتباط احصائي وثيق بين. نسبة الطول الى امتدادالذراعين معشدة عسر التنفس, ان دور قياس امتدد الذراعين واهميته في تقييم نتائج فحص وضائف الرئة عند كبار السن والعلاقة بين عسر التنفس مع خسارة الطول تحتاج الى مزيد من التقييم. مفتاح الكلمات: اتساع الذراعين ,الطول ,عسر التنفس


Article
Survey of Pulmonary Embolism Characteristics, A Hospital Based Study

Author: Salman Hachim Al-Nuami *, Basil Fawzi Jameel **, Asaad Abdullah Abbas
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 1 Pages: 58-64
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Pulmonary embolism is a common complication of hospitalization and contributes to 5 to 10 percent of deaths in hospitalized patients, making it one of the leading causes of preventable hospital deaths.OBJECTIVE:Is to evaluate patients with pulmonary embolism admitted to Ibn Alnafees Hospital, Baghdad, Iraq.PATIENTS AND METHOD: Cross-sectional study in one year( 2016) , We treated 52 cases of Pulmonary embolism in Ibn Alnafees Hospital in the CCU and we collected their data on admission to the hospital on different age group, gender, sign and symptoms, investigation, predisposing factors, treatments with thrombolytic therapy and the outcome of the patient. Seven patients died after admission, two of them same of day of admission.RESULT: In this study, the surgery was the most common risk factor for pulmonary embolism followed by deep Venus thrombosis. However, there was no obvious risk factor present in 11.5% of cases, and 28.7% of cases had have more than one risk factor. CONCLUSION: The surgery was the most common risk factor for pulmonary embolism followed by deep vein thrombosis. The CT pulmonary angiography is positive in vast majority of cases, so it's useful and effective diagnostic tool for pulmonary embolism.

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