Posted on 11/01/2004 9:49:26 PM PST by neverdem
yuck!
Wow, I just can't wait until the rotation at the UN puts this country in charge of the world's health problems.
Then you read about Africa, where they are behaving as if the last 100 years of bacteriology. genetic science, virology simply does not exist. WTF is wrong with these people?
Oh, this can't be good.
That can't be Kerry's xray. I distinctly see guts in that image.
It's not looking good, but what exactly are we looking at, if you please? Is this a case of schistosomiasis or trauma?
FReepmail me if you want on or off my health and science ping list.
F i g u r e i t o u t.(hint: it's not trauma)
Clinical History: Born in Egypt along the Nile Valley, child presents with frequency, urgency, dysuria and hematuria.
Findings:
1. Calcification of the distal two thirds of both ureters.
2. Bladder calcifications.
3. Seminal vesicle calcifications superimposed on bladder calcifications.
Diagnosis: Schistosomiasis GU tract.
Discussion: The causative organism is S. haematobium. The female parasite discharges eggs into the urine and feces. In fresh water, ova hatch into an intermediate form (miracidia) that infects the intermediate host, fresh water snails (genera Bulimus and Physopsis). The next form, cercaria, pass from the snail to water and penetrate human skin and pass into the lymphatics and migrate to the pelvic venous plexus. Ultimately eggs are deposited and eventually erode the bladder mucosa and the cycle begins again.
Infection results in a thickened and ulcerated mucosa initially and progresses to scarring and muscular hypertrophy. Pedunculated papillomas develop. Bladder capacity decreases. Involvement of distal 1/3 of ureters causes obstruction and subsequent hydronephrosis. 10% of cases develop calculi. Prostate and seminal vesicles may be affected. Calcifications of the bladder wall (4-56%), distal ureters (39%) and seminal vesicles late in the disease. Squamous cell carcinoma of the bladder is a late complication. Dahnert summarizes radiographic findings as follows:
Thanks for posting that. I sent the URL to my baby son in case he hasn't seen it. That's his line of work.
Diagnostic Imaging and Radiology
http://www.uhrad.com/
This certainly puts the prospect of an enlarged prostate at middle age in perspective.
F i g u r e i t o u t.
(hint: it's not trauma)
I don't pretend to have expertise as a radiologist. The possibility of acetabular fracture in each hip joint because of the discontinuities in the image struck me. I don't recall that many pelvic Xrays. It could be an artifact of developmental age or the angle at which the image was made. IIRC, radiology is an optional rotation in medical school. I always want to see the report from the radiologists.
While I was a resident, I had a patient present in extremis with Sheehan's Syndrome. Only after the lab results and history supported that diagnosis, after multiple CT and MRI studies were performed, did the radiology report mention an empty sella tursica, i.e. where you should have found a normal pituitary gland.
African AND Muslim ... that is about as backwards as you can get without being a liberal Democrat.
The pills cost 7 cents each, yet wages can be $3 a day; but they can't afford the pills? And dear old dad says "you'll have to wait until we get the drugs for free"?
I LOVE how the UN rations the health care, so that if only 19% of kids in a village have schisto, you get nothing. Typical bureaucrat thinking.
Well, so much for breakfast...
I wonder the same about people who swim in the water in Coney Island sometimes.
What are children supposed to bathe then if that's the only water?
The world is not ready to provide chlorinated pools, and even a widely heralded United Nations plan from the 1980's to provide clean wells in every country never came close to reaching its goals.
** That should be the government's responsibility not the world. The muslim run Nigerian government has its priorities in order, no women in swimming suits and swimming pools for boys lest they have any fun disease free.
BTW, there's nothing wrong with the people except the opportunities and choices that the government gives them. The governement has made radical muslim religion more of a priorities than providing medicine since they've also denied vaccines to children. I live in New York, and no African I know swims in a dirty pool of mud. In fact, after getting their own house a swimming pool is the next thing they get.
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