7 documents found, page 1 of 1
Treatment Of Post-Operative Chylothorax: The Role Of Intranodal Lymphangiograph...
Torres, Tiago Paulino; Costa, Pedro; Moreira, Herculano; Dionísio, Teresa; Sousa, PedroThoracic duct embolization has been increasingly adopted as a first-line therapy of chylothorax and this procedure includes lipiodol lymphangiography, thoracic duct access and embolization. Lymphangiography itself has a therapeutic role, with volume-dependent success rates of 37%-97% and even a reported 100% success rate in outputs of < 500 mL/day. We present a clinical case of a 48-years-old man diagnosed w...
Cardiac Arrest Post Voluntary Intoxication with Propafenone
Matos, Eugénia Martins de; Dionísio, Teresa; Dinis, Alexandra; Milet, Igor; Pires, António; Carvalho, LeonorWe report the case of a 17-year-old girl, observed in the emergency room 1.5 hours after voluntary ingestion of 6 grams of propafenone and 1.5 grams of ibuprofen. On arrival, she was conscious and without arrhythmias noted in the electrocardiogram. Gastric lavage was performed and activated charcoal administered. Fifteen minutes later, a convulsive episode was followed by sudden asystole, from which she recover...
Morel-Lavallée Lesion
Vieira, Filipa; Dionísio, Teresa; Rocha, Diogo; Vaz, Carlos PinaMorel-Lavallée lesion is a closed degloving injury that results of separation of skin and subcutaneous tissue from the underlying fascia. This lesion is more common on the thigh and trauma is the most frequent cause. MRI is the preferred imaging technique for its evaluation. Early detection is important to avoid complications such as bacterial growth or extensive skin necrosis. The authors report two cases of M...
Injeção Ecoguiada de Toxina Botulínica em Crianças com Sialorreia: Procedimento...
Dionísio, Teresa; Veiros, Iolanda; Noruegas, Maria José; Caseiro-Alves, FilipeIntrodução: A sialorreia, ou seja, o derrame involuntário de saliva para além da margem da boca, é considerada patológica a parti r dos 4-6 anos e associa-se frequentemente a doenças neurológicas. A injeção de toxina botulínica nas glândulas salivares major diminui a secreção de saliva por interrupção temporária das inervações secreto-motoras, pelo que se tem vindo a tornar uma das principais técnicas usadas no...
Invasive Meningococcal Disease: Application of Base Excess and Platelets Score ...
Martins, Luis; Mação, Patrícia; Pinto, Carla; Dionísio, Teresa; Dias, Andrea; Dinis, Alexandra; Carvalho, Leonor; Neves, José FarelaIntroduction: Meningococcal infection has a high mortality and morbidity. Recently a new prognostic scoring system was developed for paediatric invasive meningococcal disease, based on platelet count and base excess – base excess and platelets score. The main objective of this study was to evaluate the accuracy of base excess and platelets score to predict mortality in children admitted to intensive care due to...
Meningococcal Disease Admissions in a Paediatric Intensive Care Unit
Mação, Patrícia; Januário, Gustavo; Ferreira, Sofia; Dias, Andrea; Dionísio, Teresa; Pinto, Carla; Carvalho, LeonorIntroduction: Meningococcal infection has a high mortality and morbidity in children. Aggressive initial shock approach, early referral, secondary transport and vaccination are potential factors with impact in reducing its mortality. Objectives were to characterize children admitted to intensive care due to invasive meningococcal disease, to evaluate their prognostic scores and mortality.Material and Methods: O...
Laryngeal cleft - A diagnostic and treatment challenge
Brett, Ana; Dionísio, Teresa; Carvalho, Leonor; Félix, Miguel; Maricato, Felisberto; Sandhu, Guri; Neves, FarelaLaryngeal clefts are a rare, underdiagnosed, with variable severity but potentially fatal disease. We report the case of an infant submitted on his first day of life to surgical repair of long hiatus oesophageal atresia with associated tracheoesophageal fistula. At 26 days of life he began enteral feeding by mouth, presenting six days later, whilst feeding, with an episode of dessaturation and extreme bradycard...