Chest
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DVT/PE PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Thrombolytic therapy is used for acute pulmonary embolism complicated by shock or cardiopulmonary arrest. Its efficacy is limited by the lack of systemic perfusion required for lysis of the thrombus in the pulmonary vasculature. The only efficacious form of circulatory support may be temporary extracorporeal membrane oxygenator (ECMO) use with venous-arterial cannula. In the absence of ECMO support, prolonged chest compressions after thrombolysis may be required to support the circulation. ⋯ The following authors have nothing to disclose: Carla Nobre, Dinis Mesquita, Boban ThomasNo Product/Research Disclosure Information.
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Infectious Diseases CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Fournier's Gangrene is a life-threatening necrotizing infection of the perineum which affects immunocompromised patients, including those with diabetes and alcoholism. It is usually polymicrobial in nature, but occasionally results from atypical organisms. We report a rare case of tuberculous Fournier's Gangrene from a presumed prostatic source. ⋯ In our patient, the tuberculous abscesses were presumed to be local prostatic seeding given the occult nature of this disease and lack of active pulmonary tuberculosis or evidence of wide-spread dissemination.Reference #1: Clin Infect Dis(2009) 49: 1350-7Reference #2: World J Urol(2012) 30:15-21Reference #3: Int J Urol(2008) 15: 827-832DISCLOSURE: The following authors have nothing to disclose: Jason Schnack, Aarti Mittal, Ching-Fei ChangNo Product/Research Disclosure Information.
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Critical Care CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: The use of recombinant activated Factor VIIa(rFVIIa) was first approved in the United States in 1999 for treating bleeding episodes in patients with congenital and acquired Hemophilia A and B, hemophilia with inhibitors to factor VIII and IX, and surgical prophylaxis. The indications have been limited due to its risk of thrombosis. We are reporting a case of rFVIIa use for life threatening diffuse alveolar hemorrhage. ⋯ The following authors have nothing to disclose: Felix Hernandez, Michael Alvarez, Jose Ramirez, Gustavo FerrerNo Product/Research Disclosure Information.
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Lung Ventilation/Perfusion Scan With SPECT-CT on Two Patients With Congenital Thoracic Malformation.
Congenital Disorder Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Poland syndrome was first describe by Alfred Poland in 1941, as the presence of syndactyly and the partial or complete absence of ipsilateral chest muscle, although is more common to find absence on its sternocostal portion, with or without absence of the minor pectoral. Pectus excavatum is a congenital deformity of the anterior wall of the thorax, in which the costal cartilages grow abnormally. In previous studies the quantitative evaluation of the lung volume has been reported with scintigraphy with the SPECT-CT technique with 99m Tc macroaggregates formulation, having as a goal to determine the favorable changes of the surgical reconstruction by Thoracoscopy assisted NUSS procedure on patients with pectus excavatum. After the bibliographic review, there were no reports found for the lung function evaluation by the SPECT-CT technique on any thoracic malformation. ⋯ Is expected to provide, beside the morphological evaluation by conventional imaging tests, a functional technique with nuclear medicine by the lung ventilation/ perfusion scan with SPECT-CT technique to determine the lung function and changes of the secondary lung parenchymal to congenital alterations of the thoracic cage, keep monitoring and reevaluate the lung function after surgical treatment.Reference #1: Pearl, Pediatric Radiology Poland Syndrome 1971;101:619-62 2. Pinedo Presentación de un caso de corrección cosmética de pectus excavatum Rev INER 2005;18:117-122 3. Mansour Ann Thorac Surg 2003;76:391-395 4. Protopapas, Journal of Cardiothoracic Surgery 2008,3:40 5. Onur, Ann Saudi Med 2006;26(5):370-374 6. Schanberger, General Thoracic Surgery, 2005 6th ed, Chapter 41DISCLOSURE: The following authors have nothing to disclose: Sigelinda Sandoval Borrego, Francina BolanosI agree.
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ILD Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Wegener's granulomatosis (WG) is a systemic vasculitis that usually involves the lungs, upper respiratory tract and kidneys. Histological manifestations in the lung are typically characterized by necrotizing granulomatous inflammation alongwith extensive parenchymal necrosis and necrotizing vasculitis. Several histological variants have been recognized and are characterized by bronchocentric inflammation, marked eosinophil infiltrate, alveolar hemorrhage or interstitial fibrosis. A more uncommon variant of Wegener's is a "BOOP-like" variant primarily consisting of bronchiolitis obliterans-organizing pneumonia like fibrosis; only 16 such cases have been described in the literature to date. ⋯ The following authors have nothing to disclose: Deepankar Sharma, Neil AggarwalNo Product/Research Disclosure Information.