Revue médicale de Liège
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Revue médicale de Liège · Feb 2013
Case Reports[Atypical clinical presentation of a neuroblastoma in an infant].
A babygirl, aged six weeks, was hospitalized for rectal prolapse and isolated constipation. The investigation revealed a neuroblastoma (NB) inducing a medullar compression responsible for the sphincter disorders. ⋯ A new staging, based on imaging, has recently been proposed by the International Neuroblastoma Risk Group. With the exception of its localized, easily resectable forms, NB is best treated by chemotherapy.
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Revue médicale de Liège · Jan 2013
Review[Are the concerns regarding metal-on-metal total hip arthroplasties founded in 2012?].
Metal-on-metal total hip arthroplasty (MOM THA) fuels debate in the orthopedic community after statistics showed higher-than-expected short-term failures in comparison with metal-on-polyethylene THA. The problem of early failure in the young, active patient with a metal-on-polyethylene implant has prompted the research of another couple. Multiple studies showed the advantages of MOM THA. ⋯ The most recent statistics indicate that the results are disappointing, particularly with specific types of implants. Several institutions, in the USA and in Europe, are developing protocols for the follow-up of patients with MOM hip implants. Today, we are headed towards imposing a moratorium on using MOM THA.
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Revue médicale de Liège · Dec 2012
[Presentation of ELISA: a new triage algorithm suitable for emergency department].
Emergency departments are frequently overcrowded due to the imbalance between need and availability of care. It results that influx patients should be regulated by using a triage tool located at the entrance area. ⋯ Such a stratification of the state of emergency is associated with a time-delay for the first medical contact (immediate to 120 min) and a corresponding track for providing optimal care (emergency care unit, B sector or bed, A sector or ambulatory and waiting room) which together fit the sorting for the right patient to the right resources in the right place at the right time. Our algorithm has a confident efficiency as evidenced by the comparison between initial score of emergency and patient's follow up (intensive care, hospital recovery and discharge).
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Revue médicale de Liège · Oct 2012
[2011 European guidelines for the management of cardiovascular diseases during pregnancy. Part II: management of hypertension].
In this article, we report the 2011 European guidelines on the management of cardiovascular diseases during pregnancy, with particular attention to the management of hypertension as hypertensive disorders are the most frequent cardiovascular complications in pregnancy.
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Revue médicale de Liège · Sep 2012
Practice Guideline[2011 European Society of Cardiology guidelines for the management of cardiovascular diseases during pregnancy. Part 1].
In this article, we describe the 2011 European guidelines on the management of cardiovascular diseases during pregnancy, with particular attention to the management of valvular heart disease and anticoagulation. We will also describe cardiologic conditions in which pregnancy is contraindicated and the preferred way of delivery.