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94年7月小兒科X-RayConference(07/25)報告者:兒科丁瑋信/放射科施君鏻醫師
94年7月小兒科X-RayConference(07/21Case1廖x博6Y/OMaleCC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/15PErevealedtendernessoverRLQwithmuscleguardingandreboundingpain.Therefore,plainabdomenandabdominalCTwasarrangedCase1207/07
Plainabdomen07/07
Plainabdomen307/09
Abd.CT07/09
Abd.CT407/09Abd.CT
Pusaccumulation07/09Abd.CT
Pusaccumulatio5Case2王x云9Y/OfemaleCC:cocacola-coloredurinewasnotedtodayPH:
Shewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.Surveyatotherhospitalshowednormocyticanemia.Urinalysis:RBC:Numerous/HPFWBC:65/HPFCase26Case2PulmonaryrenalsyndromewassuspectedD/D:microscopicpolyangiitis,HSPAutoimmunesurvey:C3:129MG/DL;C4:30MG/DL;(WNL)AntinuclearFactor:160+,Anti-dsDNA:negativeIGA:198MG/DL;(WNL)PerinuclearANCA:PositiveCytoplasmicANCA:negativeCXRandChestCTwasarrnaged.Case27PelvicMRIwasarrangedforherAbdominalecho:07/15
PelvicMRI07/15
PelvicMRIsolitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/07
CXR
PulmonaryhemorrhageAntinuclearFactor:160+,Anti-dsDNA:negativeShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.07/09
Abd.07/09ChestCT
PulmonaryhomorrhageCC:Drycoughnotedsince12y/oandbecameproductivesince13y/o,acuteexacerbationtwiceinrecent1/2years廖x博6Y/OMalePelvicMRIwasarrangedforher07/09
Abd.PelvicMRIwasarrangedforherPerinuclearANCA:PositiveAbdominalecho:PerinuclearANCA:PositiveC3:129MG/DL;C4:30MG/DL;(WNL)07/07
CXR
PulmonaryhemorrhagePelvicMRIwasarrangedforhe807/09ChestCT
Pulmonaryhomorrhage07/09ChestCT
Pulmonaryhomor907/09ChestCT07/09ChestCT10ConsistentwithHSP.CC:cocacola-coloredurinewasnotedtodayCytoplasmicANCA:negativeCC:IntermittentabdominalpainoverRLQandinfraumbilicalareaatintervalof1monthsince6monthsago07/20ChestCT
Bronchiectasispicture廖x博6Y/OMaleCC:cocacola-coloredurinewasnotedtodayCT
Pusaccumulation07/15
PelvicMRI邱x華11Y/Ofemale07/20ChestCT
BronchiectasispicturePH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/15
PelvicMRI07/15
PelvicMRIAbdominalecho:07/07
CXR
PulmonaryhemorrhageCC:cocacola-coloredurinewasnotedtodayShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.CC:cocacola-coloredurinewasnotedtoday陳x任15Y/Omale07/09ChestCT07/15
PelvicMRI07/09
ChestCTConsistentwithHSP.07/09
Che11Case2Renalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.ConsistentwithHSP.Finaldiagnosis:Henoch-SchonleinpurpuraCase212Case3陳x任15Y/OmalePH:cysticfibrosisdiagnosedon2004-12CC:Drycoughnotedsince12y/oandbecameproductivesince13y/o,acuteexacerbationtwiceinrecent1/2yearsCXRandChestCTwasarrnaged.Case31307/06
CXR07/06
CXR1407/20ChestCT
Bronchiectasispicture07/20ChestCT
Bronchiectasis1507/20ChestCT
Bronchiectasispicture07/20ChestCT
Bronchiectasis1607/20
ChestCT07/20
ChestCT17Case4邱x華11Y/OfemaleCC:IntermittentabdominalpainoverRLQandinfraumbilicalareaatintervalof1monthsince6monthsagoAbdominalecho:1.amultilocularcysticmass(12*11*10cm)inpelvis2.solitaryhypertrphicL'tkidneywithR'tkidneyagenesisPelvicMRIwasarrangedforherCase41807/15
PelvicMRI07/15
PelvicMRI1907/15
PelvicMRI07/15
PelvicMRI2007/15
PelvicMRI07/15
PelvicMRI2107/09
Abd.07/20
ChestCTIGA:198MG/DL;(WNL)07/15
PelvicMRICC:cocacola-coloredurinewasnotedtoday07/20
ChestCT07/09
Abd.CC:cocacola-coloredurinewasnotedtodayamultilocularcysticmass(12*11*10cm)inpelvis07/15
PelvicMRIsolitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/15
PelvicMRI07/09
Abd.CC:cocacola-coloredurinewasnotedtodayAbdominalecho:CT
PusaccumulationPelvicMRIwasarrangedforhersolitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/20ChestCT
BronchiectasispictureAntinuclearFactor:160+,Anti-dsDNA:negativeRenalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.Laparotomywasarrangedon94/0707/15
PelvicMRI07/09
Abd.07/15
PelvicMRI2207/15
PelvicMRI07/15
PelvicMRI23CC:cocacola-coloredurinewasnotedtodayCC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)07/20ChestCT
BronchiectasispicturePH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/15solitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/15
PelvicMRIPelvicMRIwasarrangedforherConsistentwithHSP.AntinuclearFactor:160+,Anti-dsDNA:negative07/15
PelvicMRI07/09
Abd.CXRandChestCTwasarrnaged.PerinuclearANCA:Positive07/15
PelvicMRIsolitaryhypertrphicL'tkidneywithR'tkidneyagenesisTherefore,plainabdomenandabdominalCTwasarranged07/20
ChestCT07/15
PelvicMRIAntinuclearFactor:160+,Anti-dsDNA:negativeCC:cocacola-coloredurinewasnotedtodayAntinuclearFactor:160+,Anti-dsDNA:negative廖x博6Y/OMaleCC:cocacola-coloredurinewasnotedtodayAntinuclearFactor:160+,Anti-dsDNA:negativeCC:cocacola-coloredurinewasnotedtodayPelvicMRIwasarrangedforherCC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)Therefore,plainabdomenandabdominalCTwasarrangedamultilocularcysticmass(12*11*10cm)inpelvisPelvicMRIwasarrangedforhersolitaryhypertrphicL'tkidneywithR'tkidneyagenesisRenalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.CC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)Abdominalecho:PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/15
PelvicMRICC:cocacola-coloredurinewasnotedtoday07/09
ChestCTShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.Abdominalecho:C3:129MG/DL;C4:30MG/DL;(WNL)Therefore,plainabdomenandabdominalCTwasarrangedSurveyatotherhospitalshowednormocyticanemia.CC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)07/09ChestCT
PulmonaryhomorrhageAbdominalecho:CT
PusaccumulationIGA:198MG/DL;(WNL)CT
Pusaccumulation陳x任15Y/OmalePH:cysticfibrosisdiagnosedon2004-12PelvicMRIwasarrangedforheramultilocularcysticmass(12*11*10cm)inpelvis07/15
PelvicMRI07/20ChestCT
BronchiectasispictureConsistentwithHSP.PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/20ChestCT
Bronchiectasispicture07/09
Abd.07/20
ChestCT07/15
PelvicMRI07/20ChestCT
Bronchiectasispicture07/15
PelvicMRIAbdominalecho:solitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/09
Abd.Abdominalecho:CT
PusaccumulationIGA:198MG/DL;(WNL)07/20
ChestCTRenalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.07/09
Abd.PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/15
PelvicMRI07/07
CXR
PulmonaryhemorrhageShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.PH:cysticfibrosisdiagnosedon2004-12Therefore,plainabdomenandabdominalCTwasarranged07/15
PelvicMRIAbdominalecho:CXRandChestCTwasarrnaged.94年7月小兒科X-RayConference(07/25)07/15
PelvicMRICXRandChestCTwasarrnaged.PelvicMRIwasarrangedforher07/20
ChestCTsolitaryhypertrphicL'tkidneywithR'tkidneyagenesisConsistentwithHSP.王x云9Y/OfemaleCT
PusaccumulationPelvicMRIwasarrangedforher07/15
PelvicMRICC:cocacola-coloredurinewasnotedtodayCT
PusaccumulationAntinuclearFactor:160+,Anti-dsDNA:negativePerinuclearANCA:Positive07/20ChestCT
BronchiectasispicturePerinuclearANCA:Positive07/20ChestCT
BronchiectasispictureCC:Drycoughnotedsince12y/oandbecameproductivesince13y/o,acuteexacerbationtwiceinrecent1/2yearsCytoplasmicANCA:negative07/15
PelvicMRIShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.07/07
CXR
Pulmonaryhemorrhage07/07
CXR
Pulmonaryhemorrhage07/15
PelvicMRIPerinuclearANCA:PositiveCT
PusaccumulationAbdominalecho:CT
PusaccumulationCC:Drycoughnotedsince12y/oandbecameproductivesince13y/o,acuteexacerbationtwiceinrecent1/2years94年7月小兒科X-RayConference(07/25)07/07
CXR
PulmonaryhemorrhageCytoplasmicANCA:negativeamultilocularcysticmass(12*11*10cm)inpelvis07/09
Abd.07/15
PelvicMRICC:IntermittentabdominalpainoverRLQandinfraumbilicalareaatintervalof1monthsince6monthsagoIGA:198MG/DL;(WNL)PelvicMRIwasarrangedforherAbdominalecho:CXRandChestCTwasarrnaged.PulmonaryrenalsyndromewassuspectedSurveyatotherhospitalshowednormocyticanemia.IGA:198MG/DL;(WNL)CytoplasmicANCA:negativePelvicMRIwasarrangedforherPH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/20
ChestCTCT
PusaccumulationAntinuclearFactor:160+,Anti-dsDNA:negativeCC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)Case4Laparotomywasarrangedon94/07Finaldiagnosis:DuplicationofuterusandVagina,rightsideobstructionandhydrometrocolpousCC:cocacola-coloredurinewa2494年7月小兒科X-RayConference(07/25)報告者:兒科丁瑋信/放射科施君鏻醫師
94年7月小兒科X-RayConference(07/225Case1廖x博6Y/OMaleCC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/15PErevealedtendernessoverRLQwithmuscleguardingandreboundingpain.Therefore,plainabdomenandabdominalCTwasarrangedCase12607/07
Plainabdomen07/07
Plainabdomen2707/09
Abd.CT07/09
Abd.CT2807/09Abd.CT
Pusaccumulation07/09Abd.CT
Pusaccumulatio29Case2王x云9Y/OfemaleCC:cocacola-coloredurinewasnotedtodayPH:
Shewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.Surveyatotherhospitalshowednormocyticanemia.Urinalysis:RBC:Numerous/HPFWBC:65/HPFCase230Case2PulmonaryrenalsyndromewassuspectedD/D:microscopicpolyangiitis,HSPAutoimmunesurvey:C3:129MG/DL;C4:30MG/DL;(WNL)AntinuclearFactor:160+,Anti-dsDNA:negativeIGA:198MG/DL;(WNL)PerinuclearANCA:PositiveCytoplasmicANCA:negativeCXRandChestCTwasarrnaged.Case231PelvicMRIwasarrangedforherAbdominalecho:07/15
PelvicMRI07/15
PelvicMRIsolitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/07
CXR
PulmonaryhemorrhageAntinuclearFactor:160+,Anti-dsDNA:negativeShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.07/09
Abd.07/09ChestCT
PulmonaryhomorrhageCC:Drycoughnotedsince12y/oandbecameproductivesince13y/o,acuteexacerbationtwiceinrecent1/2years廖x博6Y/OMalePelvicMRIwasarrangedforher07/09
Abd.PelvicMRIwasarrangedforherPerinuclearANCA:PositiveAbdominalecho:PerinuclearANCA:PositiveC3:129MG/DL;C4:30MG/DL;(WNL)07/07
CXR
PulmonaryhemorrhagePelvicMRIwasarrangedforhe3207/09ChestCT
Pulmonaryhomorrhage07/09ChestCT
Pulmonaryhomor3307/09ChestCT07/09ChestCT34ConsistentwithHSP.CC:cocacola-coloredurinewasnotedtodayCytoplasmicANCA:negativeCC:IntermittentabdominalpainoverRLQandinfraumbilicalareaatintervalof1monthsince6monthsago07/20ChestCT
Bronchiectasispicture廖x博6Y/OMaleCC:cocacola-coloredurinewasnotedtodayCT
Pusaccumulation07/15
PelvicMRI邱x華11Y/Ofemale07/20ChestCT
BronchiectasispicturePH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/15
PelvicMRI07/15
PelvicMRIAbdominalecho:07/07
CXR
PulmonaryhemorrhageCC:cocacola-coloredurinewasnotedtodayShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.CC:cocacola-coloredurinewasnotedtoday陳x任15Y/Omale07/09ChestCT07/15
PelvicMRI07/09
ChestCTConsistentwithHSP.07/09
Che35Case2Renalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.ConsistentwithHSP.Finaldiagnosis:Henoch-SchonleinpurpuraCase236Case3陳x任15Y/OmalePH:cysticfibrosisdiagnosedon2004-12CC:Drycoughnotedsince12y/oandbecameproductivesince13y/o,acuteexacerbationtwiceinrecent1/2yearsCXRandChestCTwasarrnaged.Case33707/06
CXR07/06
CXR3807/20ChestCT
Bronchiectasispicture07/20ChestCT
Bronchiectasis3907/20ChestCT
Bronchiectasispicture07/20ChestCT
Bronchiectasis4007/20
ChestCT07/20
ChestCT41Case4邱x華11Y/OfemaleCC:IntermittentabdominalpainoverRLQandinfraumbilicalareaatintervalof1monthsince6monthsagoAbdominalecho:1.amultilocularcysticmass(12*11*10cm)inpelvis2.solitaryhypertrphicL'tkidneywithR'tkidneyagenesisPelvicMRIwasarrangedforherCase44207/15
PelvicMRI07/15
PelvicMRI4307/15
PelvicMRI07/15
PelvicMRI4407/15
PelvicMRI07/15
PelvicMRI4507/09
Abd.07/20
ChestCTIGA:198MG/DL;(WNL)07/15
PelvicMRICC:cocacola-coloredurinewasnotedtoday07/20
ChestCT07/09
Abd.CC:cocacola-coloredurinewasnotedtodayamultilocularcysticmass(12*11*10cm)inpelvis07/15
PelvicMRIsolitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/15
PelvicMRI07/09
Abd.CC:cocacola-coloredurinewasnotedtodayAbdominalecho:CT
PusaccumulationPelvicMRIwasarrangedforhersolitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/20ChestCT
BronchiectasispictureAntinuclearFactor:160+,Anti-dsDNA:negativeRenalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.Laparotomywasarrangedon94/0707/15
PelvicMRI07/09
Abd.07/15
PelvicMRI4607/15
PelvicMRI07/15
PelvicMRI47CC:cocacola-coloredurinewasnotedtodayCC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)07/20ChestCT
BronchiectasispicturePH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/15solitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/15
PelvicMRIPelvicMRIwasarrangedforherConsistentwithHSP.AntinuclearFactor:160+,Anti-dsDNA:negative07/15
PelvicMRI07/09
Abd.CXRandChestCTwasarrnaged.PerinuclearANCA:Positive07/15
PelvicMRIsolitaryhypertrphicL'tkidneywithR'tkidneyagenesisTherefore,plainabdomenandabdominalCTwasarranged07/20
ChestCT07/15
PelvicMRIAntinuclearFactor:160+,Anti-dsDNA:negativeCC:cocacola-coloredurinewasnotedtodayAntinuclearFactor:160+,Anti-dsDNA:negative廖x博6Y/OMaleCC:cocacola-coloredurinewasnotedtodayAntinuclearFactor:160+,Anti-dsDNA:negativeCC:cocacola-coloredurinewasnotedtodayPelvicMRIwasarrangedforherCC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)Therefore,plainabdomenandabdominalCTwasarrangedamultilocularcysticmass(12*11*10cm)inpelvisPelvicMRIwasarrangedforhersolitaryhypertrphicL'tkidneywithR'tkidneyagenesisRenalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.CC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)Abdominalecho:PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/15
PelvicMRICC:cocacola-coloredurinewasnotedtoday07/09
ChestCTShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.Abdominalecho:C3:129MG/DL;C4:30MG/DL;(WNL)Therefore,plainabdomenandabdominalCTwasarrangedSurveyatotherhospitalshowednormocyticanemia.CC:abdominalpainsince2daysago(mailyRLQandlowerabdomen)07/09ChestCT
PulmonaryhomorrhageAbdominalecho:CT
PusaccumulationIGA:198MG/DL;(WNL)CT
Pusaccumulation陳x任15Y/OmalePH:cysticfibrosisdiagnosedon2004-12PelvicMRIwasarrangedforheramultilocularcysticmass(12*11*10cm)inpelvis07/15
PelvicMRI07/20ChestCT
BronchiectasispictureConsistentwithHSP.PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/20ChestCT
Bronchiectasispicture07/09
Abd.07/20
ChestCT07/15
PelvicMRI07/20ChestCT
Bronchiectasispicture07/15
PelvicMRIAbdominalecho:solitaryhypertrphicL'tkidneywithR'tkidneyagenesis07/09
Abd.Abdominalecho:CT
PusaccumulationIGA:198MG/DL;(WNL)07/20
ChestCTRenalbiopsywasarranged:RPGNwithcrescentformation,IgAdeposition.07/09
Abd.PH:SuspectAppendicitisunderantibioticstreatment94/03/10~94/03/1507/15
PelvicMRI07/07
CXR
PulmonaryhemorrhageShewasfoundpalelookingandoccasionalcoughwithblood-tingedsputum(hemoptysis)since6monthsago.PH:cysticfibrosisdiagnosedon2004-12Therefore,plainabdomenandabdominalCTwasarranged07/15
PelvicMRIAbdominalecho:CXRandChestCTwasarrnaged.94年7月小兒科X-RayConference(07/25)07/15
PelvicMRICXRandChestCTwasarrnaged.PelvicMR
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