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The Diagnostic Value of Clinical, Radiological and Bone Scintygraphy Investigation With 99mTc-MPD Used in Early Period of the Finger Felon

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Sokołowski D., Sosada K., Pichurski J., Krasowski G.
Polish Journal of Surgery
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2008
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vol. 80
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issue 12
664-670
EN
The aim of the study was an assessment of the early stage of felon - non exceeded 72 hours from the first symptoms - with 99mTc-MPD (metylendiphosphonien marked by Technetium) in relation to patient physical investigation and radiological hand investigation.Material and methods. 72 patients with the one finger felon were classified to the research. All patients were on the base of clinical investigations classified to the surgical intervention. Then they were divided on to two groups: one (A) where decision about final treatment method was based on 99mTc-MPD result. In the group X-ray was made also. The B group where the recognition verifying investigation was hand X-ray picture.Results. of investigations. In the A group on the basis of 99mTc-MPD to the surgical incision only 11 from 30 patients (36%) were classified. A pathological content was affirmed in 26% (at 8 patients). However in group B on the basis of X-ray examination only 5 patients (11%) from 42 were classify to surgical finger incision. Furthermore pathological content was affirmed in 14 patients (33%) after incision.Conclusion. In the early stage of finger felon the 99mTc-MPD investigation could be useful for verifying treatment method only.
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The Use of Ultrasonography in the Diagnosis of Ambiguous Cases of Appendicitis in Adults

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Bielaczyc G., Krasowski G., Sokołowski D., Tukiendorf A.
Polish Journal of Surgery
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2007
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vol. 79
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issue 10
629-634
EN
Appendicitis inflicts diagnostic difficulties, particularly in ambiguous morbid symptoms defined in the scale ALVARDO in the section 4-6 pt.The aim of the study was the comparison of the diagnostic values of the classic method of recognizing appendicitis and those improved by ultrasonographic examination.Material and methods. Patients were classified in this investigation according to symptoms from the section compartment 4-6 pt of the ALVARADO scale. Qualification for the treatment was determined according to the medical investigation and laboratory examinations. Ultrasonography (US) was executed in all patients with the aim of the evaluation of the appendix. The percentage of correct recognitions by means of the classic diagnostics was compared to the percentage determined with the aid of US.Results. It was affirmed that in ambiguous clinical cases of appendicitis, the addition of US to the traditional investigational diagnostics improoves the percentage of correct recognitions of appendicitis from 62.8% to 86.2% (p<0.01).Conclusion. With the US supplementing the classic diagnostics, the percentage of correct recognitions of appendicitis enlarges in adult patients with the suspicion of appendicitis with so-called "grey zone" symptoms comprised in the scoring 4-6 pt of the ALVARADO scale.
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