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Freya Stephenson posted a blog.
Intraluminal Radiotherapy
At that time, CT scans of the cranium, thorax, and abdomen, along with bone scan, were negative for tumor metastasis. He had a diagnosis of nonmetastatic proximal tibial osteosarcoma and was treated w...
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- September 25, 2014 9:59 am
Freya Stephenson posted a blog.
Endobronchial Metastasis
Osteosarcoma is the most common primary skeletal malignancy of childhood, typically occurring between the ages of 10 and 20 years. For patients treated with surgery alone or with surgery and adjuvant ...
Freya Stephenson posted a blog.
LVRS
The curve after the development of giant bulla is shifted to the right with decreased flow rates. Progressive narrowing and/or distortion of airways surrounding the expanding bulla may explain this.
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Freya Stephenson posted a blog.
Emphysematous destruction
Ting et al studied isolated bullae after resection and found that bullae were very compliant with a sharp elastic limit and that the inflation pressures for bullae are less than they are for surroundi...
Freya Stephenson posted a blog.
Lung Volume
The 3-year curve showed decreased maximal recoil pressure compared with 3 months, but it was still greater than it was before the LVRS. Static recoil-maximum flow curves (Fig 2, right, B) demonstrated...
Freya Stephenson posted a blog.
Development of a Giant Bulla
Case Presentation
A 58-year-old white woman with severe emphysema was evaluated in our LVRS clinic. Her CT scan (Fig 1, left) showed centrilobular emphysema predominantly involving the upper lobes. A...
A 58-year-old white woman with severe emphysema was evaluated in our LVRS clinic. Her CT scan (Fig 1, left) showed centrilobular emphysema predominantly involving the upper lobes. A...
Freya Stephenson posted a blog.
Lung Volume Reduction Surgery
Emphysema is characterized by a reduced maximum expiratory flow due to a combination of airway disease and loss of elastic recoil. The latter leads to an increase in static pulmonary compliance, stati...
Freya Stephenson posted a blog.
Burkholderia cepacia
In the 6 months preceding this patient's presentation, only one other isolate of B cepacia was cultured at our hospital. This isolate was resistant to ofloxacin, cefotaxime, and piperacillin. On the b...
Freya Stephenson posted a blog.
Pneumonia
Oxygen saturation was 97% by oximetry. He had no clubbing but had coarse crackles at the left posterior lung base on chest auscultation. There were no other abnormal findings. Laboratory studies showe...
Freya Stephenson posted a blog.
Community-Acquired Pneumonia
We report what we believe is the first case of community-acquired pneumonia (CAP) due to Burkholderia cepacia (formerly Pseudomonas cepacia) described in an immunocompetent adult. Although well recogn...
