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Chest pain as the main manifestation of acute cholecystitis

To. The biopsy diagnosis of abdominal wall fat biopsy dependence is the most valuable diagnostic methods. And has easy to operate, sensitive and safety advantages, the positive rate of rectal biopsy in 50% to 90% positive rate of biopsy site, such as the negative, then the right ventricle or left ventricular endomyocardial biopsy helpful make a diagnosis of cardiac amyloidosis. When the diagnosis of certain post. Also used immunofluorescence to further define the type of material amyloidosis. The main reason for misdiagnosis is lack of knowledge of the disease. Looking for more when the cause of serous effusions. The exception of hepatic, renal,[link widoczny dla zalogowanych], immunogenicity, endocrine, and other common causes of cancer, the positive results of PPD alone, and has a history of exposure to TB patients. To give anti-TB treatment, neglect patients on cardiac echocardiography changes in the nature of pleural effusion and the absence of TB symptoms of performance. (Received Time :2003-09-26) · 226 · T-ring ectopic posterior uterine serosa embedded Yangsheng Yu, Zhenghua Lin Wudang SAR hospital. Hubei. Wudang Mountain. 442714 Key words: R7l3.9 Document code: B Article ID :1002 -3429 (2004) 03-0226 ~ 1 【Case】 woman, 3l years old. Motherhood. . Place the IUD for 4 years and found that people ring ectopic 2 years hospital. Patients in September 1999 after 42 days eutocia placed a T-ring,[link widoczny dla zalogowanych], smooth operation, postoperative pain was not significantly in March 2001 due to induced abortion of intrauterine pregnancy, surgical success. Surgery was no ring-tailed wire cervix, uterine cavity ring no sense. Suspected ring of natural shedding. Le Central has placed a parent. 1 month underwent x-ray found in the uterus area has two rings, music ring Suiyou remove the parent B-ultrasonic examination showed posterior uterine serosa see a similar T-loop, no T-type intrauterine ring. May the same year, the line hysteroscopy. See no ring intrauterine shadow. Bilateral tubal normal. Line diagnostic curettage, after not touching the ring to the long-acting contraceptive pill. April 2003 to be because of pregnancy induced abortion patients from Central Canada. See review B-serosal uterine wall almost see the T ring. Intrauterine pregnancy. But success has not yet taken ring, admitted to our hospital. Specialist examination: Married production-type vulva vaginal, cervical smooth Palace forward flexion. Normal size, no tenderness. No abnormal bilateral annex. Laparotomy, intraoperative see the uterus normal size. Anterior. The posterior wall of the uterus near the right level of uterine isthmus see a T-ring. Central vertical bar in the subserosa,[link widoczny dla zalogowanych], we can see the end of wire, loop incarcerated at some adhesion with the rectal wall cut serosal layer. Remove the complete T-ring. Smooth operation. Conventional anti-infection after treatment. Discharged 5 days later. This case, ectopic T-ring embedded in the uterus wall. Ring consideration set when the uterus caused by wear larvae L: set ring in patients with positive lactation, uterine wall is thin, soft. Prone to cause intraoperative perforation; combined forward flexion for the patients with endometriosis, may not find out the set ring uterus. Cause uterine wall perforation, ectopic IUD; second postnatal 42 days. Uterine involution, if not, set the ring too early (natural labor practices should be set to ring 3 months after delivery). May have its incentives. Low incidence of ectopic IUD, but the medical personnel against a large prompt identification of preoperative location and size of the uterus. Master the indications and contraindications, Sheung Wan, Central, put check regularly, set rings to prevent complications. (Received, asked: 2O04-01.15) uterine isthmus Misdiagnosis Wang Wen-screen pregnancy Luxi County People's Hospital, Yunnan. Luxi. 652400 Key words: R714.22 Document code: B Article ID :1002 -3429 (2004) 03-0226-02 【Case】 Female, 28 years old. 42 days due to menopause. Vaginal bleeding caused by medical abortion patients admitted to hospital in September 2001 cesarean section for breech presentation at term pregnancy. Last menstrual period May 22, 2002. July 4 rows B ultrasonic examination of early pregnancy (about 7 weeks),[link widoczny dla zalogowanych], then to my hospital medical abortion; to 150mg of mifepristone with misoprostol for termination of early pregnancy 600I-tg oral, oral misoprostol 600I -tg 2 hours after a small amount of vaginal bleeding. Vaginal bleeding after 10 minutes, a sudden increase in income homes examination: body temperature of 37 ℃. Pulse 96/min, respiratory 20/rain. Blood pressure 90/60mmHg acute blood loss sickly. Abdomen flat, non-gastric peristalsis wave. Middle of the lower abdomen shows a longitudinal length of 12cm surgical scar; abdomen without tenderness. No rebound tenderness, muscle tension, liver and spleen not palpable. Shifting dullness negative,[link widoczny dla zalogowanych], normal bowel sounds Ming, no air over the water sounds and metal sound specialist examination: bloody vulva, uterus anterior. Increased if more than 40 days pregnant, soft, tender; cervix is not open, we can see a lot of blood pouring from the cervix, was sprayed. Newly Diagnosed: incomplete abortion. Fu Qing-line operation. Technique

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