home *** CD-ROM | disk | FTP | other *** search
| Unknown | 1992-06-05 | 331.6 KB |
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MacOS 8.1
|
Win98
|
DOS
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| Confidence | Program | Detection | Match Type | Support
|
|---|
| 66%
| dexvert
| OS/2 Installation Package (archive/os2InstallPackage)
| ext
| Supported |
| 1%
| dexvert
| BeOS Installation Package (archive/beOSInstallPackage)
| ext
| Unsupported |
| 1%
| dexvert
| Newton Package (archive/newtonPackage)
| ext
| Unsupported |
| 1%
| dexvert
| Independence War 2 mod Package (other/independenceWar2ModPackage)
| ext
| Unsupported |
| 100%
| file
| data
| default
|
|
hex view+--------+-------------------------+-------------------------+--------+--------+
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|00000470| 04 00 ce 0d 00 00 38 30 | 00 00 00 01 42 50 04 00 |......80|....BP..|
|00000480| a5 08 00 00 38 31 00 00 | 00 01 e7 58 04 00 69 0a |....81..|...X..i.|
|00000490| 00 00 38 32 00 00 00 01 | 50 63 04 00 c9 09 00 00 |..82....|Pc......|
|000004a0| 38 33 00 00 00 01 19 6d | 04 00 84 0d 00 00 38 34 |83.....m|......84|
|000004b0| 00 00 00 01 9d 7a 04 00 | 9c 0b 00 00 38 35 00 00 |.....z..|....85..|
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|00000500| 00 00 39 30 00 00 00 01 | 8b c4 04 00 31 0c 00 00 |..90....|....1...|
|00000510| 39 31 00 00 00 01 bc d0 | 04 00 72 0a 00 00 39 32 |91......|..r...92|
|00000520| 00 00 00 01 2e db 04 00 | 52 0d 00 00 39 33 00 00 |........|R...93..|
|00000530| 00 01 80 e8 04 00 74 0a | 00 00 39 34 00 00 00 01 |......t.|..94....|
|00000540| f4 f2 04 00 64 0a 00 00 | 39 35 00 00 00 01 58 fd |....d...|95....X.|
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|00000560| c4 0a 00 00 39 37 00 00 | 00 01 a6 11 05 00 53 08 |....97..|......S.|
|00000570| 00 00 39 38 00 00 00 01 | f9 19 05 00 b2 0b 00 00 |..98....|........|
|00000580| 39 39 00 00 00 01 ab 25 | 05 00 9c 08 00 00 00 00 |99.....%|........|
|00000590| 00 00 00 00 47 2e 05 00 | 00 00 00 00 24 55 6e 69 |....G...|....$Uni|
|000005a0| 71 75 65 5f 49 44 7b 59 | 52 42 30 30 35 30 30 7d |que_ID{Y|RB00500}|
|000005b0| 0d 0a 24 54 69 74 6c 65 | 7b 4e 6f 6e 73 75 72 67 |..$Title|{Nonsurg|
|000005c0| 69 63 61 6c 20 46 61 6c | 6c 6f 70 69 61 6e 20 54 |ical Fal|lopian T|
|000005d0| 75 62 65 20 52 65 63 61 | 6e 61 6c 69 7a 61 74 69 |ube Reca|nalizati|
|000005e0| 6f 6e 20 66 6f 72 20 54 | 72 65 61 74 6d 65 6e 74 |on for T|reatment|
|000005f0| 20 6f 66 20 49 6e 66 65 | 72 74 69 6c 69 74 79 7d | of Infe|rtility}|
|00000600| 0d 0a 24 41 75 74 68 6f | 72 7b 0d 0a 54 68 75 72 |..$Autho|r{..Thur|
|00000610| 6d 6f 6e 64 2c 20 41 53 | 0d 0a 52 6f 73 63 68 2c |mond, AS|..Rosch,|
|00000620| 20 4a 7d 0d 0a 24 41 66 | 66 69 6c 69 61 74 69 6f | J}..$Af|filiatio|
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|00000640| 53 63 69 65 6e 63 65 73 | 20 55 6e 69 76 2c 20 50 |Sciences| Univ, P|
|00000650| 6f 72 74 6c 61 6e 64 7d | 0d 0a 24 4a 6f 75 72 6e |ortland}|..$Journ|
|00000660| 61 6c 7b 52 61 64 69 6f | 6c 6f 67 79 7d 0d 0a 24 |al{Radio|logy}..$|
|00000670| 56 6f 6c 75 6d 65 7b 31 | 37 34 7d 0d 0a 24 50 61 |Volume{1|74}..$Pa|
|00000680| 67 65 7b 33 37 31 2d 33 | 37 34 7d 0d 0a 24 44 61 |ge{371-3|74}..$Da|
|00000690| 74 65 7b 31 39 39 30 7d | 0d 0a 24 59 42 56 6f 6c |te{1990}|..$YBVol|
|000006a0| 7b 31 39 39 31 20 59 65 | 61 72 20 42 6f 6f 6b 20 |{1991 Ye|ar Book |
|000006b0| 6f 66 20 44 69 61 67 6e | 6f 73 74 69 63 20 52 61 |of Diagn|ostic Ra|
|000006c0| 64 69 6f 6c 6f 67 79 7d | 0d 0a 24 43 68 61 70 74 |diology}|..$Chapt|
|000006d0| 65 72 7b 32 2d 35 35 7d | 0d 0a 24 59 42 45 64 69 |er{2-55}|..$YBEdi|
|000006e0| 74 6f 72 7b 44 72 73 2e | 20 48 65 6e 64 65 65 2c |tor{Drs.| Hendee,|
|000006f0| 20 4b 65 61 74 73 2c 20 | 4b 69 72 6b 70 61 74 72 | Keats, |Kirkpatr|
|00000700| 69 63 6b 2c 20 4d 69 6c | 6c 65 72 2c 20 4f 73 62 |ick, Mil|ler, Osb|
|00000710| 6f 72 6e 2c 20 52 65 65 | 64 2c 20 61 6e 64 20 54 |orn, Ree|d, and T|
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|00000730| 7b 54 61 62 6c 65 20 4f | 6d 69 74 74 65 64 7d 0d |{Table O|mitted}.|
|00000740| 0a 24 43 6f 6d 6d 65 6e | 74 61 74 6f 72 7b 7d 0d |.$Commen|tator{}.|
|00000750| 0a 0d 0a 43 6f 70 79 72 | 69 67 68 74 20 28 43 29 |...Copyr|ight (C)|
|00000760| 20 59 65 61 72 20 42 6f | 6f 6b 20 4d 65 64 69 63 | Year Bo|ok Medic|
|00000770| 61 6c 20 50 75 62 6c 69 | 73 68 65 72 73 2c 20 49 |al Publi|shers, I|
|00000780| 6e 63 2e 20 31 39 39 31 | 0d 0a 0d 0a 31 39 39 31 |nc. 1991|....1991|
|00000790| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 44 69 | Year Bo|ok of Di|
|000007a0| 61 67 6e 6f 73 74 69 63 | 20 52 61 64 69 6f 6c 6f |agnostic| Radiolo|
|000007b0| 67 79 0d 0a 0d 0a 43 68 | 61 70 74 65 72 20 32 20 |gy....Ch|apter 2 |
|000007c0| 2d 2d 20 43 61 72 64 69 | 6f 76 61 73 63 75 6c 61 |-- Cardi|ovascula|
|000007d0| 72 20 61 6e 64 20 49 6e | 74 65 72 76 65 6e 74 69 |r and In|terventi|
|000007e0| 6f 6e 61 6c 20 52 61 64 | 69 6f 6c 6f 67 79 0d 0a |onal Rad|iology..|
|000007f0| 0d 0a 4d 69 73 63 65 6c | 6c 61 6e 65 6f 75 73 20 |..Miscel|laneous |
|00000800| 50 72 6f 63 65 64 75 72 | 65 73 0d 0a 0d 0a 2d 2d |Procedur|es....--|
|00000810| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000820| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000830| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000840| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000850| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 0d 0a 4e 6f |--------|----..No|
|00000860| 6e 73 75 72 67 69 63 61 | 6c 20 46 61 6c 6c 6f 70 |nsurgica|l Fallop|
|00000870| 69 61 6e 20 54 75 62 65 | 20 52 65 63 61 6e 61 6c |ian Tube| Recanal|
|00000880| 69 7a 61 74 69 6f 6e 20 | 66 6f 72 20 54 72 65 61 |ization |for Trea|
|00000890| 74 6d 65 6e 74 20 6f 66 | 20 49 6e 66 65 72 74 69 |tment of| Inferti|
|000008a0| 6c 69 74 79 0d 0a 0d 0a | 54 68 75 72 6d 6f 6e 64 |lity....|Thurmond|
|000008b0| 20 41 53 3b 20 52 6f 73 | 63 68 20 4a 0d 0a 28 4f | AS; Ros|ch J..(O|
|000008c0| 72 65 67 6f 6e 20 48 65 | 61 6c 74 68 20 53 63 69 |regon He|alth Sci|
|000008d0| 65 6e 63 65 73 20 55 6e | 69 76 2c 20 50 6f 72 74 |ences Un|iv, Port|
|000008e0| 6c 61 6e 64 29 0d 0a 52 | 61 64 69 6f 6c 6f 67 79 |land)..R|adiology|
|000008f0| 20 31 37 34 3a 33 37 31 | 2d 33 37 34 2c 20 31 39 | 174:371|-374, 19|
|00000900| 39 30 0d 0a 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |90..----|--------|
|00000910| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000920| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000930| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000940| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000950| 2d 2d 0d 0a 0d 0a 41 62 | 73 74 72 61 63 74 0d 0a |--....Ab|stract..|
|00000960| 0d 0a 20 20 20 20 20 50 | 72 6f 78 69 6d 61 6c 20 |.. P|roximal |
|00000970| 6f 62 73 74 72 75 63 74 | 69 6f 6e 20 6f 66 20 74 |obstruct|ion of t|
|00000980| 68 65 20 66 61 6c 6c 6f | 70 69 61 6e 20 74 75 62 |he fallo|pian tub|
|00000990| 65 20 63 61 75 73 65 73 | 20 69 6e 66 65 72 74 69 |e causes| inferti|
|000009a0| 6c 69 74 79 20 69 6e 20 | 61 62 6f 75 74 0d 0a 32 |lity in |about..2|
|000009b0| 30 25 20 6f 66 20 77 6f | 6d 65 6e 20 77 69 74 68 |0% of wo|men with|
|000009c0| 20 74 75 62 61 6c 20 64 | 69 73 65 61 73 65 2e 20 | tubal d|isease. |
|000009d0| 20 46 6c 75 6f 72 6f 73 | 63 6f 70 69 63 20 74 72 | Fluoros|copic tr|
|000009e0| 61 6e 73 63 65 72 76 69 | 63 61 6c 20 66 61 6c 6c |anscervi|cal fall|
|000009f0| 6f 70 69 61 6e 20 74 75 | 62 65 0d 0a 63 61 74 68 |opian tu|be..cath|
|00000a00| 65 74 65 72 69 7a 61 74 | 69 6f 6e 20 77 61 73 20 |eterizat|ion was |
|00000a10| 75 73 65 64 20 72 65 63 | 65 6e 74 6c 79 20 74 6f |used rec|ently to|
|00000a20| 20 6f 70 65 6e 20 74 68 | 65 20 66 61 6c 6c 6f 70 | open th|e fallop|
|00000a30| 69 61 6e 20 74 75 62 65 | 73 20 6e 6f 6e 73 75 72 |ian tube|s nonsur|
|00000a40| 67 69 63 61 6c 6c 79 2c | 0d 0a 77 68 69 63 68 20 |gically,|..which |
|00000a50| 61 6c 6c 6f 77 65 64 20 | 77 6f 6d 65 6e 20 74 6f |allowed |women to|
|00000a60| 20 63 6f 6e 63 65 69 76 | 65 20 6e 61 74 75 72 61 | conceiv|e natura|
|00000a70| 6c 6c 79 2e 20 20 41 6e | 20 69 6e 69 74 69 61 6c |lly. An| initial|
|00000a80| 20 65 78 70 65 72 69 65 | 6e 63 65 20 77 69 74 68 | experie|nce with|
|00000a90| 20 74 68 69 73 0d 0a 70 | 72 6f 63 65 64 75 72 65 | this..p|rocedure|
|00000aa0| 20 77 61 73 20 65 76 61 | 6c 75 61 74 65 64 2e 0d | was eva|luated..|
|00000ab0| 0a 20 20 20 20 20 4f 6e | 65 20 68 75 6e 64 72 65 |. On|e hundre|
|00000ac0| 64 20 63 6f 6e 73 65 63 | 75 74 69 76 65 20 70 61 |d consec|utive pa|
|00000ad0| 74 69 65 6e 74 73 20 77 | 69 74 68 20 69 6e 66 65 |tients w|ith infe|
|00000ae0| 72 74 69 6c 69 74 79 20 | 61 6e 64 20 70 72 6f 78 |rtility |and prox|
|00000af0| 69 6d 61 6c 20 74 75 62 | 61 6c 0d 0a 6f 62 73 74 |imal tub|al..obst|
|00000b00| 72 75 63 74 69 6f 6e 20 | 64 6f 63 75 6d 65 6e 74 |ruction |document|
|00000b10| 65 64 20 62 79 20 68 79 | 73 74 65 72 6f 73 61 6c |ed by hy|sterosal|
|00000b20| 70 69 6e 67 6f 67 72 61 | 70 68 79 20 77 65 72 65 |pingogra|phy were|
|00000b30| 20 74 72 65 61 74 65 64 | 20 77 69 74 68 20 66 6c | treated| with fl|
|00000b40| 75 6f 72 6f 73 63 6f 70 | 69 63 0d 0a 74 72 61 6e |uoroscop|ic..tran|
|00000b50| 73 63 65 72 76 69 63 61 | 6c 20 66 61 6c 6c 6f 70 |scervica|l fallop|
|00000b60| 69 61 6e 20 74 75 62 65 | 20 72 65 63 61 6e 61 6c |ian tube| recanal|
|00000b70| 69 7a 61 74 69 6f 6e 2e | 20 20 41 74 20 6c 65 61 |ization.| At lea|
|00000b80| 73 74 20 31 20 74 75 62 | 65 20 77 61 73 20 6f 70 |st 1 tub|e was op|
|00000b90| 65 6e 65 64 20 69 6e 20 | 38 36 0d 0a 77 6f 6d 65 |ened in |86..wome|
|00000ba0| 6e 2e 20 20 54 77 65 6e | 74 79 2d 73 69 78 20 6f |n. Twen|ty-six o|
|00000bb0| 66 20 74 68 6f 73 65 20 | 77 68 6f 20 68 61 64 20 |f those |who had |
|00000bc0| 73 75 63 63 65 73 73 66 | 75 6c 20 72 65 63 61 6e |successf|ul recan|
|00000bd0| 61 6c 69 7a 61 74 69 6f | 6e 20 73 75 62 73 65 71 |alizatio|n subseq|
|00000be0| 75 65 6e 74 6c 79 20 68 | 61 64 0d 0a 69 6e 74 72 |uently h|ad..intr|
|00000bf0| 61 75 74 65 72 69 6e 65 | 20 70 72 65 67 6e 61 6e |auterine| pregnan|
|00000c00| 63 69 65 73 2e 20 20 41 | 20 73 75 62 73 65 74 20 |cies. A| subset |
|00000c10| 6f 66 20 32 30 20 77 6f | 6d 65 6e 20 77 61 73 20 |of 20 wo|men was |
|00000c20| 61 73 73 65 73 73 65 64 | 20 74 6f 20 62 65 74 74 |assessed| to bett|
|00000c30| 65 72 20 64 65 66 69 6e | 65 0d 0a 74 68 65 20 74 |er defin|e..the t|
|00000c40| 72 65 61 74 6d 65 6e 74 | 20 65 66 66 65 63 74 20 |reatment| effect |
|00000c50| 6f 66 20 66 61 6c 6c 6f | 70 69 61 6e 20 74 75 62 |of fallo|pian tub|
|00000c60| 65 20 72 65 63 61 6e 61 | 6c 69 7a 61 74 69 6f 6e |e recana|lization|
|00000c70| 2e 20 20 41 6c 6c 20 32 | 30 20 77 6f 6d 65 6e 20 |. All 2|0 women |
|00000c80| 68 61 64 0d 0a 62 69 6c | 61 74 65 72 61 6c 20 70 |had..bil|ateral p|
|00000c90| 72 6f 78 69 6d 61 6c 20 | 74 75 62 61 6c 20 6f 62 |roximal |tubal ob|
|00000ca0| 73 74 72 75 63 74 69 6f | 6e 20 77 69 74 68 6f 75 |structio|n withou|
|00000cb0| 74 20 6f 74 68 65 72 20 | 74 75 62 61 6c 20 64 69 |t other |tubal di|
|00000cc0| 73 65 61 73 65 2e 0d 0a | 52 65 63 61 6e 61 6c 69 |sease...|Recanali|
|00000cd0| 7a 61 74 69 6f 6e 20 6f | 66 20 61 74 20 6c 65 61 |zation o|f at lea|
|00000ce0| 73 74 20 31 20 74 75 62 | 65 20 77 61 73 20 73 75 |st 1 tub|e was su|
|00000cf0| 63 63 65 73 73 66 75 6c | 20 69 6e 20 31 39 20 6f |ccessful| in 19 o|
|00000d00| 66 20 74 68 65 73 65 20 | 70 61 74 69 65 6e 74 73 |f these |patients|
|00000d10| 2c 20 61 6e 64 0d 0a 39 | 20 63 6f 6e 63 65 69 76 |, and..9| conceiv|
|00000d20| 65 64 20 77 69 74 68 6f | 75 74 20 61 6e 79 20 6f |ed witho|ut any o|
|00000d30| 74 68 65 72 20 74 68 65 | 72 61 70 79 2e 20 20 54 |ther the|rapy. T|
|00000d40| 68 65 20 61 76 65 72 61 | 67 65 20 74 69 6d 65 20 |he avera|ge time |
|00000d50| 66 72 6f 6d 20 70 72 6f | 63 65 64 75 72 65 20 74 |from pro|cedure t|
|00000d60| 6f 0d 0a 63 6f 6e 63 65 | 70 74 69 6f 6e 20 77 61 |o..conce|ption wa|
|00000d70| 73 20 34 20 6d 6f 6e 74 | 68 73 20 28 46 69 67 20 |s 4 mont|hs (Fig |
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|00000f30| 41 75 74 68 6f 72 7b 0d | 0a 4c 61 73 6c 65 74 74 |Author{.|.Laslett|
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|00000f70| 2c 20 44 61 76 69 73 3b | 20 55 6e 69 76 20 6f 66 |, Davis;| Univ of|
|00000f80| 20 43 61 6c 69 66 6f 72 | 6e 69 61 20 4d 65 64 20 | Califor|nia Med |
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|00000fa0| 0d 0a 24 4a 6f 75 72 6e | 61 6c 7b 43 61 74 68 65 |..$Journ|al{Cathe|
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|00000fc0| 67 6e 7d 0d 0a 24 56 6f | 6c 75 6d 65 7b 31 37 7d |gn}..$Vo|lume{17}|
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|00000fe0| 0d 0a 24 44 61 74 65 7b | 31 39 38 39 7d 0d 0a 24 |..$Date{|1989}..$|
|00000ff0| 59 42 56 6f 6c 7b 31 39 | 39 31 20 59 65 61 72 20 |YBVol{19|91 Year |
|00001000| 42 6f 6f 6b 20 6f 66 20 | 44 69 61 67 6e 6f 73 74 |Book of |Diagnost|
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|00001020| 43 68 61 70 74 65 72 7b | 32 2d 35 36 7d 0d 0a 24 |Chapter{|2-56}..$|
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|00001060| 2c 20 4f 73 62 6f 72 6e | 2c 20 52 65 65 64 2c 20 |, Osborn|, Reed, |
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|00001120| 0a 43 68 61 70 74 65 72 | 20 32 20 2d 2d 20 43 61 |.Chapter| 2 -- Ca|
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|00001140| 20 49 6e 74 65 72 76 65 | 6e 74 69 6f 6e 61 6c 20 | Interve|ntional |
|00001150| 52 61 64 69 6f 6c 6f 67 | 79 0d 0a 0d 0a 4d 69 73 |Radiolog|y....Mis|
|00001160| 63 65 6c 6c 61 6e 65 6f | 75 73 20 50 72 6f 63 65 |cellaneo|us Proce|
|00001170| 64 75 72 65 73 0d 0a 0d | 0a 2d 2d 2d 2d 2d 2d 2d |dures...|.-------|
|00001180| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
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|000011a0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
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|000011e0| 6b 73 20 4e 6f 74 20 4e | 65 63 65 73 73 61 72 79 |ks Not N|ecessary|
|000011f0| 20 44 75 72 69 6e 67 20 | 43 61 72 64 69 61 63 20 | During |Cardiac |
|00001200| 43 61 74 68 65 74 65 72 | 69 7a 61 74 69 6f 6e 0d |Catheter|ization.|
|00001210| 0a 0d 0a 4c 61 73 6c 65 | 74 74 20 4c 4a 3b 20 53 |...Lasle|tt LJ; S|
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|00001250| 66 6f 72 6e 69 61 20 4d | 65 64 20 43 74 72 2c 20 |fornia M|ed Ctr, |
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|00001270| 68 65 74 20 43 61 72 64 | 69 6f 76 61 73 63 20 44 |het Card|iovasc D|
|00001280| 69 61 67 6e 20 31 37 3a | 31 35 38 2d 31 36 30 2c |iagn 17:|158-160,|
|00001290| 20 31 39 38 39 0d 0a 2d | 2d 2d 2d 2d 2d 2d 2d 2d | 1989..-|--------|
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|000012e0| 2d 2d 2d 2d 2d 0d 0a 0d | 0a 41 62 73 74 72 61 63 |-----...|.Abstrac|
|000012f0| 74 0d 0a 0d 0a 20 20 20 | 20 20 50 65 72 63 75 74 |t.... | Percut|
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|000013c0| 63 61 70 73 20 61 6e 64 | 20 6d 61 73 6b 73 20 64 |caps and| masks d|
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|00001540| 20 6f 66 20 33 32 20 22 | 79 65 73 22 20 72 65 73 | of 32 "|yes" res|
|00001550| 70 6f 6e 73 65 73 20 28 | 54 61 62 6c 65 20 31 29 |ponses (|Table 1)|
|00001560| 2e 20 20 48 6f 77 65 76 | 65 72 2c 20 6e 6f 6e 65 |. Howev|er, none|
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|000015a0| 72 20 63 68 61 72 74 20 | 72 65 76 69 65 77 2c 20 |r chart |review, |
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|00001640| 69 72 65 20 69 6e 63 6c | 75 64 65 64 20 70 61 74 |ire incl|uded pat|
|00001650| 69 65 6e 74 0d 0a 63 6f | 6e 66 75 73 69 6f 6e 20 |ient..co|nfusion |
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|000017c0| 70 65 72 63 75 74 61 6e | 65 6f 75 73 20 63 61 72 |percutan|eous car|
|000017d0| 64 69 61 63 20 63 61 74 | 68 65 74 65 72 69 7a 61 |diac cat|heteriza|
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|00001b30| 6f 6e 2c 20 52 41 7d 0d | 0a 24 41 66 66 69 6c 69 |on, RA}.|.$Affili|
|00001b40| 61 74 69 6f 6e 7b 4f 74 | 74 61 77 61 20 43 69 76 |ation{Ot|tawa Civ|
|00001b50| 69 63 20 48 6f 73 70 7d | 0d 0a 24 4a 6f 75 72 6e |ic Hosp}|..$Journ|
|00001b60| 61 6c 7b 43 61 72 64 69 | 6f 76 61 73 63 20 49 6e |al{Cardi|ovasc In|
|00001b70| 74 65 72 76 65 6e 74 20 | 52 61 64 69 6f 6c 7d 0d |tervent |Radiol}.|
|00001b80| 0a 24 56 6f 6c 75 6d 65 | 7b 31 32 7d 0d 0a 24 50 |.$Volume|{12}..$P|
|00001b90| 61 67 65 7b 32 39 30 2d | 32 39 31 7d 0d 0a 24 44 |age{290-|291}..$D|
|00001ba0| 61 74 65 7b 31 39 38 39 | 7d 0d 0a 24 59 42 56 6f |ate{1989|}..$YBVo|
|00001bb0| 6c 7b 31 39 39 31 20 59 | 65 61 72 20 42 6f 6f 6b |l{1991 Y|ear Book|
|00001bc0| 20 6f 66 20 44 69 61 67 | 6e 6f 73 74 69 63 20 52 | of Diag|nostic R|
|00001bd0| 61 64 69 6f 6c 6f 67 79 | 7d 0d 0a 24 43 68 61 70 |adiology|}..$Chap|
|00001be0| 74 65 72 7b 32 2d 35 37 | 7d 0d 0a 24 59 42 45 64 |ter{2-57|}..$YBEd|
|00001bf0| 69 74 6f 72 7b 44 72 73 | 2e 20 48 65 6e 64 65 65 |itor{Drs|. Hendee|
|00001c00| 2c 20 4b 65 61 74 73 2c | 20 4b 69 72 6b 70 61 74 |, Keats,| Kirkpat|
|00001c10| 72 69 63 6b 2c 20 4d 69 | 6c 6c 65 72 2c 20 4f 73 |rick, Mi|ller, Os|
|00001c20| 62 6f 72 6e 2c 20 52 65 | 65 64 2c 20 61 6e 64 20 |born, Re|ed, and |
|00001c30| 54 68 6f 6d 70 73 6f 6e | 7d 0d 0a 24 54 61 62 6c |Thompson|}..$Tabl|
|00001c40| 65 7b 54 61 62 6c 65 20 | 4f 6d 69 74 74 65 64 7d |e{Table |Omitted}|
|00001c50| 0d 0a 24 43 6f 6d 6d 65 | 6e 74 61 74 6f 72 7b 46 |..$Comme|ntator{F|
|00001c60| 2e 4a 2e 20 4d 69 6c 6c | 65 72 2c 20 4a 72 2e 2c |.J. Mill|er, Jr.,|
|00001c70| 20 4d 2e 44 2e 7d 0d 0a | 0d 0a 43 6f 70 79 72 69 | M.D.}..|..Copyri|
|00001c80| 67 68 74 20 28 43 29 20 | 59 65 61 72 20 42 6f 6f |ght (C) |Year Boo|
|00001c90| 6b 20 4d 65 64 69 63 61 | 6c 20 50 75 62 6c 69 73 |k Medica|l Publis|
|00001ca0| 68 65 72 73 2c 20 49 6e | 63 2e 20 31 39 39 31 0d |hers, In|c. 1991.|
|00001cb0| 0a 0d 0a 31 39 39 31 20 | 59 65 61 72 20 42 6f 6f |...1991 |Year Boo|
|00001cc0| 6b 20 6f 66 20 44 69 61 | 67 6e 6f 73 74 69 63 20 |k of Dia|gnostic |
|00001cd0| 52 61 64 69 6f 6c 6f 67 | 79 0d 0a 0d 0a 43 68 61 |Radiolog|y....Cha|
|00001ce0| 70 74 65 72 20 32 20 2d | 2d 20 43 61 72 64 69 6f |pter 2 -|- Cardio|
|00001cf0| 76 61 73 63 75 6c 61 72 | 20 61 6e 64 20 49 6e 74 |vascular| and Int|
|00001d00| 65 72 76 65 6e 74 69 6f | 6e 61 6c 20 52 61 64 69 |erventio|nal Radi|
|00001d10| 6f 6c 6f 67 79 0d 0a 0d | 0a 4d 69 73 63 65 6c 6c |ology...|.Miscell|
|00001d20| 61 6e 65 6f 75 73 20 50 | 72 6f 63 65 64 75 72 65 |aneous P|rocedure|
|00001d30| 73 0d 0a 0d 0a 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |s....---|--------|
|00001d40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001d50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001d60| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001d70| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001d80| 2d 2d 2d 0d 0a 4f 75 74 | 70 61 74 69 65 6e 74 20 |---..Out|patient |
|00001d90| 54 72 61 6e 73 66 65 6d | 6f 72 61 6c 20 41 6e 67 |Transfem|oral Ang|
|00001da0| 69 6f 67 72 61 70 68 79 | 20 57 69 74 68 20 61 20 |iography| With a |
|00001db0| 54 77 6f 2d 48 6f 75 72 | 20 4f 62 73 65 72 76 61 |Two-Hour| Observa|
|00001dc0| 74 69 6f 6e 20 50 65 72 | 69 6f 64 0d 0a 0d 0a 4d |tion Per|iod....M|
|00001dd0| 69 6c 6c 77 61 72 64 20 | 53 46 3b 20 4d 61 72 73 |illward |SF; Mars|
|00001de0| 68 20 4a 49 3b 20 50 65 | 74 65 72 73 6f 6e 20 52 |h JI; Pe|terson R|
|00001df0| 41 0d 0a 28 4f 74 74 61 | 77 61 20 43 69 76 69 63 |A..(Otta|wa Civic|
|00001e00| 20 48 6f 73 70 29 0d 0a | 43 61 72 64 69 6f 76 61 | Hosp)..|Cardiova|
|00001e10| 73 63 20 49 6e 74 65 72 | 76 65 6e 74 20 52 61 64 |sc Inter|vent Rad|
|00001e20| 69 6f 6c 20 31 32 3a 32 | 39 30 2d 32 39 31 2c 20 |iol 12:2|90-291, |
|00001e30| 31 39 38 39 0d 0a 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |1989..--|--------|
|00001e40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001e50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001e60| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001e70| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00001e80| 2d 2d 2d 2d 0d 0a 0d 0a | 41 62 73 74 72 61 63 74 |----....|Abstract|
|00001e90| 0d 0a 0d 0a 20 20 20 20 | 20 50 65 72 63 75 74 61 |.... | Percuta|
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|00001eb0| 61 6c 20 61 6e 67 69 6f | 67 72 61 70 68 79 20 77 |al angio|graphy w|
|00001ec0| 69 74 68 20 61 20 34 20 | 46 72 65 6e 63 68 20 6f |ith a 4 |French o|
|00001ed0| 72 20 35 20 46 72 65 6e | 63 68 0d 0a 63 61 74 68 |r 5 Fren|ch..cath|
|00001ee0| 65 74 65 72 20 63 61 6e | 20 62 65 20 70 65 72 66 |eter can| be perf|
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|00001f00| 61 6e 20 6f 75 74 70 61 | 74 69 65 6e 74 20 70 72 |an outpa|tient pr|
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|00001f30| 70 6f 73 74 70 72 6f 63 | 65 64 75 72 61 6c 20 6f |postproc|edural o|
|00001f40| 62 73 65 72 76 61 74 69 | 6f 6e 2e 20 20 41 20 72 |bservati|on. A r|
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|00001f70| 63 69 6e 67 0d 0a 74 68 | 65 20 73 74 61 6e 64 61 |cing..th|e standa|
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|00001fa0| 20 61 20 32 31 2d 67 61 | 75 67 65 20 6e 65 65 64 | a 21-ga|uge need|
|00001fb0| 6c 65 20 6d 69 67 68 74 | 20 66 75 72 74 68 65 72 |le might| further|
|00001fc0| 0d 0a 69 6e 63 72 65 61 | 73 65 20 74 68 65 20 70 |..increa|se the p|
|00001fd0| 72 6f 63 65 64 75 72 65 | 27 73 20 73 61 66 65 74 |rocedure|'s safet|
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|00002000| 61 72 74 65 72 69 61 6c | 20 74 72 61 75 6d 61 2e |arterial| trauma.|
|00002010| 0d 0a 54 68 65 20 65 66 | 66 65 63 74 20 6f 66 20 |..The ef|fect of |
|00002020| 72 65 64 75 63 69 6e 67 | 20 6e 65 65 64 6c 65 20 |reducing| needle |
|00002030| 73 69 7a 65 20 77 61 73 | 20 65 78 61 6d 69 6e 65 |size was| examine|
|00002040| 64 20 69 6e 20 6f 75 74 | 70 61 74 69 65 6e 74 20 |d in out|patient |
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|00002060| 67 69 6f 67 72 61 70 68 | 69 63 20 70 72 6f 63 65 |giograph|ic proce|
|00002070| 64 75 72 65 73 20 70 65 | 72 66 6f 72 6d 65 64 20 |dures pe|rformed |
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|00002090| 39 20 77 6f 6d 65 6e 20 | 61 67 65 64 20 32 37 20 |9 women |aged 27 |
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|000020b0| 61 6e 20 61 67 65 2c 20 | 36 33 20 79 65 61 72 73 |an age, |63 years|
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|000020d0| 63 74 75 72 65 20 77 61 | 73 20 70 65 72 66 6f 72 |cture wa|s perfor|
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|00002160| 20 41 6c 6c 20 70 72 6f | 63 65 64 75 72 65 73 20 | All pro|cedures |
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|000021c0| 6d 65 61 6e 20 6e 75 6d | 62 65 72 20 6f 66 20 6e |mean num|ber of n|
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|00002210| 77 61 73 20 32 2e 32 20 | 66 6f 72 20 74 68 65 20 |was 2.2 |for the |
|00002220| 31 38 2d 67 61 75 67 65 | 20 6e 65 65 64 6c 65 2c |18-gauge| needle,|
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|00002320| 20 20 54 68 65 20 64 69 | 66 66 65 72 65 6e 63 65 | The di|fference|
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|00002880| 2e 2d 2d 46 2e 4a 2e 20 | 4d 69 6c 6c 65 72 2c 20 |.--F.J. |Miller, |
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|00002a00| 69 63 6b 2c 20 4d 69 6c | 6c 65 72 2c 20 4f 73 62 |ick, Mil|ler, Osb|
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|00002b10| 6e 65 6f 75 73 20 50 72 | 6f 63 65 64 75 72 65 73 |neous Pr|ocedures|
|00002b20| 0d 0a 0d 0a 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |....----|--------|
|00002b30| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002b40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002b50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002b60| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
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|00002b90| 72 61 6c 20 43 61 6c 63 | 75 6c 69 3a 20 20 52 65 |ral Calc|uli: Re|
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|00002bc0| 67 74 6d 65 79 65 72 20 | 43 4a 3b 20 4a 65 6e 6b |gtmeyer |CJ; Jenk|
|00002bd0| 69 6e 73 20 41 44 0d 0a | 28 55 6e 69 76 20 6f 66 |ins AD..|(Univ of|
|00002be0| 20 56 69 72 67 69 6e 69 | 61 2c 20 43 68 61 72 6c | Virgini|a, Charl|
|00002bf0| 6f 74 74 65 73 76 69 6c | 6c 65 29 0d 0a 52 61 64 |ottesvil|le)..Rad|
|00002c00| 69 6f 6c 6f 67 79 20 31 | 37 34 3a 31 30 33 2d 31 |iology 1|74:103-1|
|00002c10| 30 38 2c 20 31 39 39 30 | 0d 0a 2d 2d 2d 2d 2d 2d |08, 1990|..------|
|00002c20| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002c30| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002c40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002c50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00002c60| 2d 2d 2d 2d 2d 2d 2d 2d | 0d 0a 0d 0a 41 62 73 74 |--------|....Abst|
|00002c70| 72 61 63 74 0d 0a 0d 0a | 20 20 20 20 20 45 78 74 |ract....| Ext|
|00002c80| 72 61 63 6f 72 70 6f 72 | 65 61 6c 20 73 68 6f 63 |racorpor|eal shoc|
|00002c90| 6b 2d 77 61 76 65 20 6c | 69 74 68 6f 74 72 69 70 |k-wave l|ithotrip|
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|00002cb0| 74 65 72 61 6c 20 63 61 | 6c 63 75 6c 69 20 74 68 |teral ca|lculi th|
|00002cc0| 61 74 20 63 61 6e 0d 0a | 62 65 20 6d 61 6e 69 70 |at can..|be manip|
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|00002cf0| 73 75 61 6c 6c 79 20 73 | 75 63 63 65 73 73 66 75 |sually s|uccessfu|
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|00002d10| 74 75 0d 0a 45 53 57 4c | 20 6f 66 20 69 6d 70 61 |tu..ESWL| of impa|
|00002d20| 63 74 65 64 20 75 72 65 | 74 65 72 61 6c 20 73 74 |cted ure|teral st|
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|00002d90| 6e 67 20 61 20 73 69 6e | 67 6c 65 20 69 6d 70 61 |ng a sin|gle impa|
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|00002db0| 74 6f 6e 65 20 74 72 65 | 61 74 65 64 20 77 69 74 |tone tre|ated wit|
|00002dc0| 68 20 45 53 57 4c 2e 20 | 20 4f 66 20 32 36 31 20 |h ESWL. | Of 261 |
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|00002e30| 75 78 74 61 76 65 73 69 | 63 75 6c 61 72 0d 0a 75 |uxtavesi|cular..u|
|00002e40| 72 65 74 65 72 20 28 54 | 61 62 6c 65 20 31 29 2e |reter (T|able 1).|
|00002e50| 20 20 52 65 74 72 6f 67 | 72 61 64 65 20 75 72 65 | Retrog|rade ure|
|00002e60| 74 65 72 61 6c 20 63 61 | 74 68 65 74 65 72 73 20 |teral ca|theters |
|00002e70| 77 65 72 65 20 69 6e 20 | 70 6c 61 63 65 20 64 75 |were in |place du|
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|00002ea0| 2e 0d 0a 20 20 20 20 20 | 49 6e 20 73 69 74 75 20 |... |In situ |
|00002eb0| 45 53 57 4c 20 77 61 73 | 20 73 75 63 63 65 73 73 |ESWL was| success|
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|00002f00| 72 20 31 20 74 72 65 61 | 74 6d 65 6e 74 2c 20 33 |r 1 trea|tment, 3|
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|00002f30| 72 20 33 20 74 72 65 61 | 74 6d 65 6e 74 73 0d 0a |r 3 trea|tments..|
|00002f40| 28 54 61 62 6c 65 20 32 | 29 2e 20 20 49 6e 74 65 |(Table 2|). Inte|
|00002f50| 72 76 65 6e 74 69 6f 6e | 73 20 61 66 74 65 72 20 |rvention|s after |
|00002f60| 45 53 57 4c 20 69 6e 63 | 6c 75 64 65 64 20 70 65 |ESWL inc|luded pe|
|00002f70| 72 63 75 74 61 6e 65 6f | 75 73 20 6e 65 70 68 72 |rcutaneo|us nephr|
|00002f80| 6f 73 74 6f 6d 79 20 69 | 6e 20 31 33 0d 0a 70 61 |ostomy i|n 13..pa|
|00002f90| 74 69 65 6e 74 73 2c 20 | 75 72 65 74 65 72 61 6c |tients, |ureteral|
|00002fa0| 20 63 61 74 68 65 74 65 | 72 69 7a 61 74 69 6f 6e | cathete|rization|
|00002fb0| 20 69 6e 20 33 39 2c 20 | 61 6e 64 20 75 72 65 74 | in 39, |and uret|
|00002fc0| 65 72 6f 73 63 6f 70 79 | 20 69 6e 20 31 32 20 28 |eroscopy| in 12 (|
|00002fd0| 54 61 62 6c 65 20 33 29 | 2e 0d 0a 4e 69 6e 65 74 |Table 3)|...Ninet|
|00002fe0| 79 2d 66 69 76 65 20 28 | 33 37 25 29 20 75 72 65 |y-five (|37%) ure|
|00002ff0| 74 65 72 73 20 77 65 72 | 65 20 66 72 65 65 20 6f |ters wer|e free o|
|00003000| 66 20 63 61 6c 63 75 6c | 75 73 20 66 72 61 67 6d |f calcul|us fragm|
|00003010| 65 6e 74 73 20 61 74 20 | 64 69 73 63 68 61 72 67 |ents at |discharg|
|00003020| 65 2e 0d 0a 20 20 20 20 | 20 4c 6f 6e 67 2d 74 65 |e... | Long-te|
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|00003040| 69 6f 67 72 61 70 68 73 | 20 77 65 72 65 20 61 76 |iographs| were av|
|00003050| 61 69 6c 61 62 6c 65 20 | 66 6f 72 20 35 34 20 70 |ailable |for 54 p|
|00003060| 61 74 69 65 6e 74 73 20 | 69 6e 20 77 68 6f 6d 0d |atients |in whom.|
|00003070| 0a 61 6c 6c 20 66 72 61 | 67 6d 65 6e 74 73 20 68 |.all fra|gments h|
|00003080| 61 64 20 6e 6f 74 20 62 | 65 65 6e 20 63 6c 65 61 |ad not b|een clea|
|00003090| 72 65 64 20 61 74 20 64 | 69 73 63 68 61 72 67 65 |red at d|ischarge|
|000030a0| 20 28 54 61 62 6c 65 20 | 34 29 2e 20 20 41 74 20 | (Table |4). At |
|000030b0| 39 20 77 65 65 6b 73 20 | 61 66 74 65 72 0d 0a 45 |9 weeks |after..E|
|000030c0| 53 57 4c 2c 20 33 39 20 | 70 61 74 69 65 6e 74 73 |SWL, 39 |patients|
|000030d0| 20 77 65 72 65 20 66 72 | 65 65 20 6f 66 20 66 72 | were fr|ee of fr|
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|00003120| 73 69 74 75 20 45 53 57 | 4c 20 66 6f 72 20 75 72 |situ ESW|L for ur|
|00003130| 65 74 65 72 61 6c 20 63 | 61 6c 63 75 6c 69 20 74 |eteral c|alculi t|
|00003140| 68 61 74 20 63 61 6e 6e | 6f 74 20 62 65 20 6d 61 |hat cann|ot be ma|
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|00003170| 65 6c 76 69 73 20 69 73 | 20 66 65 61 73 69 62 6c |elvis is| feasibl|
|00003180| 65 20 61 6e 64 20 69 73 | 20 63 6c 65 61 72 6c 79 |e and is| clearly|
|00003190| 20 70 72 65 66 65 72 61 | 62 6c 65 20 74 6f 20 6f | prefera|ble to o|
|000031a0| 70 65 6e 0d 0a 75 72 65 | 74 65 72 6f 6c 69 74 68 |pen..ure|terolith|
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|000031c0| 6f 6d 6d 65 6e 74 0d 0a | 0d 0a 20 20 20 20 20 54 |omment..|.. T|
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|000031e0| 76 69 65 77 20 6f 66 20 | 32 36 31 20 75 72 65 74 |view of |261 uret|
|000031f0| 65 72 61 6c 20 63 61 6c | 63 75 6c 69 2e 20 20 54 |eral cal|culi. T|
|00003200| 68 65 20 6e 65 77 65 72 | 20 73 68 6f 63 6b 20 77 |he newer| shock w|
|00003210| 61 76 65 0d 0a 75 6e 69 | 74 73 20 68 61 76 65 20 |ave..uni|ts have |
|00003220| 66 6c 75 6f 72 6f 73 63 | 6f 70 79 20 61 6e 64 20 |fluorosc|opy and |
|00003230| 74 68 65 72 65 66 6f 72 | 65 20 76 69 73 75 61 6c |therefor|e visual|
|00003240| 69 7a 61 74 69 6f 6e 20 | 6f 66 20 74 68 65 73 65 |ization |of these|
|00003250| 20 73 74 6f 6e 65 73 2c | 20 77 69 74 68 20 6f 72 | stones,| with or|
|00003260| 0d 0a 77 69 74 68 6f 75 | 74 20 63 6f 6e 74 72 61 |..withou|t contra|
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|00003280| 68 65 20 75 72 65 74 65 | 72 2c 20 73 68 6f 75 6c |he urete|r, shoul|
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|000032a0| 20 6d 6f 73 74 20 63 61 | 73 65 73 2e 20 20 41 74 | most ca|ses. At|
|000032b0| 0d 0a 61 6e 79 20 72 61 | 74 65 2c 20 77 68 65 6e |..any ra|te, when|
|000032c0| 20 75 6e 73 75 63 63 65 | 73 73 66 75 6c 2c 20 74 | unsucce|ssful, t|
|000032d0| 68 65 20 75 73 65 20 6f | 66 20 65 6c 65 63 74 72 |he use o|f electr|
|000032e0| 6f 68 79 64 72 61 75 6c | 69 63 20 6c 69 74 68 6f |ohydraul|ic litho|
|000032f0| 74 72 69 70 73 79 20 28 | 45 48 4c 29 0d 0a 74 65 |tripsy (|EHL)..te|
|00003300| 63 68 6e 69 71 75 65 73 | 20 6f 72 2c 20 6e 6f 77 |chniques| or, now|
|00003310| 2c 20 70 75 6c 73 65 64 | 20 64 79 65 20 6c 61 73 |, pulsed| dye las|
|00003320| 65 72 20 74 65 63 68 6e | 69 71 75 65 73 20 74 6f |er techn|iques to|
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|00003340| 20 69 6e 20 74 68 65 0d | 0a 75 72 65 74 65 72 20 | in the.|.ureter |
|00003350| 73 68 6f 75 6c 64 20 76 | 69 72 74 75 61 6c 6c 79 |should v|irtually|
|00003360| 20 72 65 70 6c 61 63 65 | 20 61 6e 79 20 6f 70 65 | replace| any ope|
|00003370| 6e 20 73 75 72 67 69 63 | 61 6c 20 70 72 6f 63 65 |n surgic|al proce|
|00003380| 64 75 72 65 2e 0d 0a 20 | 20 20 20 20 49 20 68 61 |dure... | I ha|
|00003390| 76 65 20 72 65 63 65 6e | 74 6c 79 20 73 65 65 6e |ve recen|tly seen|
|000033a0| 20 45 48 4c 20 75 73 65 | 64 20 73 75 63 63 65 73 | EHL use|d succes|
|000033b0| 73 66 75 6c 6c 79 20 69 | 6e 20 74 68 65 20 75 72 |sfully i|n the ur|
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|000033e0| 73 68 6f 72 74 20 64 75 | 72 61 74 69 6f 6e 20 6f |short du|ration o|
|000033f0| 66 20 74 68 65 20 70 72 | 6f 63 65 64 75 72 65 20 |f the pr|ocedure |
|00003400| 61 6e 64 20 61 6c 73 6f | 20 62 79 20 74 68 65 20 |and also| by the |
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|00003420| 63 65 20 6f 66 20 61 70 | 70 61 72 61 74 75 73 20 |ce of ap|paratus |
|00003430| 72 65 71 75 69 72 65 64 | 20 66 6f 72 20 74 68 69 |required| for thi|
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|00003470| 65 6c 79 20 24 38 2c 30 | 30 30 20 66 6f 72 20 74 |ely $8,0|00 for t|
|00003480| 68 65 20 67 65 6e 65 72 | 61 74 6f 72 2e 2d 2d 46 |he gener|ator.--F|
|00003490| 2e 4a 2e 20 4d 69 6c 6c | 65 72 2c 20 4a 72 2e 2c |.J. Mill|er, Jr.,|
|000034a0| 20 4d 2e 44 2e 0d 0a 24 | 55 6e 69 71 75 65 5f 49 | M.D...$|Unique_I|
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|000034e0| 73 74 20 41 62 73 63 65 | 73 73 65 73 20 69 6e 20 |st Absce|sses in |
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|00003510| 72 0d 0a 42 69 73 73 65 | 74 2c 20 47 53 2c 20 49 |r..Bisse|t, GS, I|
|00003520| 49 49 0d 0a 54 6f 77 62 | 69 6e 2c 20 52 42 7d 0d |II..Towb|in, RB}.|
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|00003580| 7b 52 61 64 69 6f 6c 6f | 67 79 7d 0d 0a 24 56 6f |{Radiolo|gy}..$Vo|
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|000035a0| 7b 34 33 31 2d 34 33 34 | 7d 0d 0a 24 44 61 74 65 |{431-434|}..$Date|
|000035b0| 7b 31 39 38 39 7d 0d 0a | 24 59 42 56 6f 6c 7b 31 |{1989}..|$YBVol{1|
|000035c0| 39 39 31 20 59 65 61 72 | 20 42 6f 6f 6b 20 6f 66 |991 Year| Book of|
|000035d0| 20 44 69 61 67 6e 6f 73 | 74 69 63 20 52 61 64 69 | Diagnos|tic Radi|
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|000035f0| 7b 32 2d 35 39 7d 0d 0a | 24 59 42 45 64 69 74 6f |{2-59}..|$YBEdito|
|00003600| 72 7b 44 72 73 2e 20 48 | 65 6e 64 65 65 2c 20 4b |r{Drs. H|endee, K|
|00003610| 65 61 74 73 2c 20 4b 69 | 72 6b 70 61 74 72 69 63 |eats, Ki|rkpatric|
|00003620| 6b 2c 20 4d 69 6c 6c 65 | 72 2c 20 4f 73 62 6f 72 |k, Mille|r, Osbor|
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|00004430| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004440| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004450| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004460| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004470| 2d 2d 2d 2d 0d 0a 4d 61 | 73 73 69 76 65 20 42 6c |----..Ma|ssive Bl|
|00004480| 65 65 64 69 6e 67 20 41 | 66 74 65 72 20 46 69 6e |eeding A|fter Fin|
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|000044d0| 4a 3b 20 5a 69 72 6b 69 | 6e 20 48 0d 0a 28 42 65 |J; Zirki|n H..(Be|
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|00004520| 64 69 6f 6c 20 31 35 3a | 34 33 2d 34 36 2c 20 31 |diol 15:|43-46, 1|
|00004530| 39 39 30 0d 0a 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |990..---|--------|
|00004540| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004550| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004560| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004570| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004580| 2d 2d 2d 0d 0a 0d 0a 41 | 62 73 74 72 61 63 74 0d |---....A|bstract.|
|00004590| 0a 0d 0a 20 20 20 20 20 | 4f 70 65 6e 20 6f 72 20 |... |Open or |
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|00004660| 20 20 20 57 6f 6d 61 6e | 2c 20 33 36 2c 20 77 61 | Woman|, 36, wa|
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|00004800| 69 6e 74 72 61 76 65 6e | 6f 75 73 20 63 6f 6e 74 |intraven|ous cont|
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|00004830| 6c 65 73 69 6f 6e 73 20 | 77 65 72 65 20 61 6c 6d |lesions |were alm|
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|00004900| 0a 41 20 64 72 6f 70 20 | 69 6e 20 68 65 6d 6f 67 |.A drop |in hemog|
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|00004980| 20 62 65 63 61 75 73 65 | 20 74 68 65 20 66 69 6e | because| the fin|
|00004990| 65 2d 6e 65 65 64 6c 65 | 0d 0a 62 69 6f 70 73 79 |e-needle|..biopsy|
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|00004c40| 64 20 63 6f 6e 74 69 6e | 75 6f 75 73 6c 79 2e 0d |d contin|uously..|
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|00004dc0| 65 70 69 73 6f 64 65 20 | 6f 66 20 6d 61 73 73 69 |episode |of massi|
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|00004de0| 72 68 61 70 73 20 69 6e | 20 61 20 63 61 73 65 20 |rhaps in| a case |
|00004df0| 6c 69 6b 65 20 74 68 69 | 73 20 61 6e 20 61 72 74 |like thi|s an art|
|00004e00| 65 72 69 6f 67 72 61 6d | 20 77 69 74 68 6f 75 74 |eriogram| without|
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|00004f10| 0a 61 6c 77 61 79 73 20 | 70 6f 73 73 69 62 6c 65 |.always |possible|
|00004f20| 20 77 69 74 68 6f 75 74 | 20 73 69 67 6e 69 66 69 | without| signifi|
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|00005110| 65 61 72 20 42 6f 6f 6b | 20 6f 66 20 44 69 61 67 |ear Book| of Diag|
|00005120| 6e 6f 73 74 69 63 20 52 | 61 64 69 6f 6c 6f 67 79 |nostic R|adiology|
|00005130| 7d 0d 0a 24 43 68 61 70 | 74 65 72 7b 33 2d 31 7d |}..$Chap|ter{3-1}|
|00005140| 0d 0a 24 59 42 45 64 69 | 74 6f 72 7b 44 72 73 2e |..$YBEdi|tor{Drs.|
|00005150| 20 48 65 6e 64 65 65 2c | 20 4b 65 61 74 73 2c 20 | Hendee,| Keats, |
|00005160| 4b 69 72 6b 70 61 74 72 | 69 63 6b 2c 20 4d 69 6c |Kirkpatr|ick, Mil|
|00005170| 6c 65 72 2c 20 4f 73 62 | 6f 72 6e 2c 20 52 65 65 |ler, Osb|orn, Ree|
|00005180| 64 2c 20 61 6e 64 20 54 | 68 6f 6d 70 73 6f 6e 7d |d, and T|hompson}|
|00005190| 0d 0a 24 54 61 62 6c 65 | 7b 7d 0d 0a 24 43 6f 6d |..$Table|{}..$Com|
|000051a0| 6d 65 6e 74 61 74 6f 72 | 7b 4a 2e 43 2e 20 52 65 |mentator|{J.C. Re|
|000051b0| 65 64 2c 20 4d 2e 44 2e | 7d 0d 0a 0d 0a 43 6f 70 |ed, M.D.|}....Cop|
|000051c0| 79 72 69 67 68 74 20 28 | 43 29 20 59 65 61 72 20 |yright (|C) Year |
|000051d0| 42 6f 6f 6b 20 4d 65 64 | 69 63 61 6c 20 50 75 62 |Book Med|ical Pub|
|000051e0| 6c 69 73 68 65 72 73 2c | 20 49 6e 63 2e 20 31 39 |lishers,| Inc. 19|
|000051f0| 39 31 0d 0a 0d 0a 31 39 | 39 31 20 59 65 61 72 20 |91....19|91 Year |
|00005200| 42 6f 6f 6b 20 6f 66 20 | 44 69 61 67 6e 6f 73 74 |Book of |Diagnost|
|00005210| 69 63 20 52 61 64 69 6f | 6c 6f 67 79 0d 0a 0d 0a |ic Radio|logy....|
|00005220| 43 68 61 70 74 65 72 20 | 33 20 2d 2d 20 54 68 65 |Chapter |3 -- The|
|00005230| 20 54 68 6f 72 61 78 0d | 0a 0d 0a 45 66 66 69 63 | Thorax.|...Effic|
|00005240| 61 63 79 20 53 74 75 64 | 69 65 73 0d 0a 0d 0a 2d |acy Stud|ies....-|
|00005250| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005260| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005270| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005280| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005290| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 0d 0a 45 |--------|-----..E|
|000052a0| 66 66 69 63 61 63 79 20 | 61 6e 64 20 42 65 6e 65 |fficacy |and Bene|
|000052b0| 66 69 74 20 6f 66 20 4d | 65 64 69 61 73 74 69 6e |fit of M|ediastin|
|000052c0| 61 6c 20 43 6f 6d 70 75 | 74 65 64 20 54 6f 6d 6f |al Compu|ted Tomo|
|000052d0| 67 72 61 70 68 79 20 61 | 73 20 61 20 53 65 6c 65 |graphy a|s a Sele|
|000052e0| 63 74 69 6f 6e 20 4d 65 | 74 68 6f 64 0d 0a 66 6f |ction Me|thod..fo|
|000052f0| 72 20 4d 65 64 69 61 73 | 74 69 6e 6f 73 63 6f 70 |r Medias|tinoscop|
|00005300| 79 0d 0a 0d 0a 54 68 65 | 72 6d 61 6e 6e 20 4d 3b |y....The|rmann M;|
|00005310| 20 42 6c 75 65 6d 6d 20 | 52 3b 20 53 63 68 72 6f | Bluemm |R; Schro|
|00005320| 65 64 65 72 20 55 3b 20 | 57 61 73 73 6d 75 74 68 |eder U; |Wassmuth|
|00005330| 20 45 3b 20 44 6f 68 6d | 61 6e 6e 20 52 0d 0a 28 | E; Dohm|ann R..(|
|00005340| 43 6f 6d 6d 75 6e 69 74 | 79 20 48 6f 73 70 20 42 |Communit|y Hosp B|
|00005350| 69 65 6c 65 66 65 6c 64 | 20 43 74 72 3b 20 41 63 |ielefeld| Ctr; Ac|
|00005360| 61 64 65 6d 69 63 20 54 | 65 61 63 68 69 6e 67 20 |ademic T|eaching |
|00005370| 48 6f 73 70 2c 20 42 69 | 65 6c 65 66 65 6c 64 2c |Hosp, Bi|elefeld,|
|00005380| 20 57 65 73 74 0d 0a 47 | 65 72 6d 61 6e 79 29 20 | West..G|ermany) |
|00005390| 41 6e 6e 20 54 68 6f 72 | 61 63 20 53 75 72 67 20 |Ann Thor|ac Surg |
|000053a0| 34 38 3a 35 36 35 2d 35 | 36 37 2c 20 31 39 38 39 |48:565-5|67, 1989|
|000053b0| 0d 0a 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |..------|--------|
|000053c0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000053d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000053e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000053f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005400| 0d 0a 0d 0a 41 62 73 74 | 72 61 63 74 0d 0a 0d 0a |....Abst|ract....|
|00005410| 20 20 20 20 20 4e 69 6e | 65 74 79 2d 66 69 76 65 | Nin|ety-five|
|00005420| 20 63 6f 6e 73 65 63 75 | 74 69 76 65 20 70 61 74 | consecu|tive pat|
|00005430| 69 65 6e 74 73 20 77 69 | 74 68 20 70 72 6f 76 65 |ients wi|th prove|
|00005440| 6e 20 6f 72 20 73 75 73 | 70 65 63 74 65 64 20 62 |n or sus|pected b|
|00005450| 72 6f 6e 63 68 69 61 6c | 0d 0a 63 61 72 63 69 6e |ronchial|..carcin|
|00005460| 6f 6d 61 20 77 65 72 65 | 20 73 74 75 64 69 65 64 |oma were| studied|
|00005470| 20 70 72 6f 73 70 65 63 | 74 69 76 65 6c 79 20 74 | prospec|tively t|
|00005480| 6f 20 64 65 74 65 72 6d | 69 6e 65 20 77 68 65 74 |o determ|ine whet|
|00005490| 68 65 72 20 69 74 20 69 | 73 20 6a 75 73 74 69 66 |her it i|s justif|
|000054a0| 69 61 62 6c 65 20 74 6f | 0d 0a 70 65 72 66 6f 72 |iable to|..perfor|
|000054b0| 6d 20 6d 65 64 69 61 73 | 74 69 6e 6f 73 63 6f 70 |m medias|tinoscop|
|000054c0| 79 20 6f 6e 6c 79 20 69 | 6e 20 70 61 74 69 65 6e |y only i|n patien|
|000054d0| 74 73 20 77 69 74 68 20 | 6d 65 74 61 73 74 61 73 |ts with |metastas|
|000054e0| 65 73 20 6f 6e 20 6d 65 | 64 69 61 73 74 69 6e 61 |es on me|diastina|
|000054f0| 6c 20 43 54 2e 0d 0a 49 | 66 20 74 68 65 20 43 54 |l CT...I|f the CT|
|00005500| 20 73 63 61 6e 20 73 68 | 6f 77 65 64 20 4e 32 20 | scan sh|owed N2 |
|00005510| 6f 72 20 4e 33 20 6d 65 | 74 61 73 74 61 73 69 73 |or N3 me|tastasis|
|00005520| 20 69 6e 20 74 68 65 20 | 75 70 70 65 72 20 6d 65 | in the |upper me|
|00005530| 64 69 61 73 74 69 6e 75 | 6d 2c 20 61 20 63 65 72 |diastinu|m, a cer|
|00005540| 76 69 63 61 6c 0d 0a 6d | 65 64 69 61 73 74 69 6e |vical..m|ediastin|
|00005550| 6f 73 63 6f 70 79 20 77 | 61 73 20 70 65 72 66 6f |oscopy w|as perfo|
|00005560| 72 6d 65 64 2e 20 20 50 | 61 74 69 65 6e 74 73 20 |rmed. P|atients |
|00005570| 77 69 74 68 20 70 65 72 | 69 6e 6f 64 61 6c 20 4e |with per|inodal N|
|00005580| 32 20 6f 72 20 4e 33 20 | 6d 65 74 61 73 74 61 73 |2 or N3 |metastas|
|00005590| 65 73 20 61 74 0d 0a 6d | 65 64 69 61 73 74 69 6e |es at..m|ediastin|
|000055a0| 6f 73 63 6f 70 79 20 77 | 65 72 65 20 6e 6f 74 20 |oscopy w|ere not |
|000055b0| 63 6f 6e 73 69 64 65 72 | 65 64 20 63 61 6e 64 69 |consider|ed candi|
|000055c0| 64 61 74 65 73 20 66 6f | 72 20 6f 70 65 72 61 74 |dates fo|r operat|
|000055d0| 69 6f 6e 2e 20 20 54 68 | 65 20 6d 65 64 69 61 73 |ion. Th|e medias|
|000055e0| 74 69 6e 75 6d 0d 0a 77 | 61 73 20 64 65 63 6c 61 |tinum..w|as decla|
|000055f0| 72 65 64 20 6e 65 67 61 | 74 69 76 65 20 6f 6e 6c |red nega|tive onl|
|00005600| 79 20 77 68 65 6e 20 69 | 6e 74 72 61 6f 70 65 72 |y when i|ntraoper|
|00005610| 61 74 69 76 65 20 6d 65 | 64 69 61 73 74 69 6e 61 |ative me|diastina|
|00005620| 6c 20 6c 79 6d 70 68 20 | 6e 6f 64 65 0d 0a 64 69 |l lymph |node..di|
|00005630| 73 73 65 63 74 69 6f 6e | 20 73 68 6f 77 65 64 20 |ssection| showed |
|00005640| 74 75 6d 6f 72 2d 66 72 | 65 65 20 6e 6f 64 65 73 |tumor-fr|ee nodes|
|00005650| 2e 0d 0a 20 20 20 20 20 | 54 77 65 6c 76 65 20 70 |... |Twelve p|
|00005660| 61 74 69 65 6e 74 73 20 | 68 61 64 20 62 65 6e 69 |atients |had beni|
|00005670| 67 6e 20 6c 65 73 69 6f | 6e 73 20 61 6e 64 20 32 |gn lesio|ns and 2|
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|00005690| 66 72 6f 6d 20 74 68 65 | 20 66 69 6e 61 6c 0d 0a |from the| final..|
|000056a0| 65 76 61 6c 75 61 74 69 | 6f 6e 2e 20 20 4f 66 20 |evaluati|on. Of |
|000056b0| 74 68 65 20 37 35 20 65 | 76 61 6c 75 61 62 6c 65 |the 75 e|valuable|
|000056c0| 20 70 61 74 69 65 6e 74 | 73 2c 20 32 32 20 28 32 | patient|s, 22 (2|
|000056d0| 39 25 29 20 75 6e 64 65 | 72 77 65 6e 74 20 6d 65 |9%) unde|rwent me|
|000056e0| 64 69 61 73 74 69 6e 6f | 73 63 6f 70 79 0d 0a 61 |diastino|scopy..a|
|000056f0| 6e 64 20 31 34 20 6f 66 | 20 74 68 65 73 65 20 68 |nd 14 of| these h|
|00005700| 61 64 20 69 6e 6f 70 65 | 72 61 62 6c 65 20 64 69 |ad inope|rable di|
|00005710| 73 65 61 73 65 2e 20 20 | 46 69 66 74 79 2d 74 68 |sease. |Fifty-th|
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|00005730| 20 6e 6f 74 20 75 6e 64 | 65 72 67 6f 0d 0a 6d 65 | not und|ergo..me|
|00005740| 64 69 61 73 74 69 6e 6f | 73 63 6f 70 79 2e 20 20 |diastino|scopy. |
|00005750| 53 65 76 65 6e 20 70 72 | 6f 62 61 62 6c 79 20 69 |Seven pr|obably i|
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|00005770| 69 6f 6e 73 20 77 65 72 | 65 20 70 65 72 66 6f 72 |ions wer|e perfor|
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|00005790| 20 77 69 74 68 20 4e 32 | 20 64 69 73 65 61 73 65 | with N2| disease|
|000057a0| 2c 20 32 20 66 6f 72 20 | 70 61 6c 6c 69 61 74 69 |, 2 for |palliati|
|000057b0| 76 65 20 72 65 61 73 6f | 6e 73 2c 20 61 6e 64 20 |ve reaso|ns, and |
|000057c0| 32 20 74 68 6f 72 61 63 | 6f 74 6f 6d 69 65 73 2c |2 thorac|otomies,|
|000057d0| 0d 0a 77 69 74 68 6f 75 | 74 20 72 65 73 65 63 74 |..withou|t resect|
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|00005800| 6e 65 67 61 74 69 76 65 | 20 43 54 20 73 63 61 6e |negative| CT scan|
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|00005820| 69 6e 75 6d 20 77 61 73 | 20 39 34 25 2e 0d 0a 20 |inum was| 94%... |
|00005830| 20 20 20 20 4d 65 64 69 | 61 73 74 69 6e 61 6c 20 | Medi|astinal |
|00005840| 43 54 20 69 73 20 65 66 | 66 69 63 61 63 69 6f 75 |CT is ef|ficaciou|
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|00005880| 64 69 61 73 74 69 6e 6f | 73 63 6f 70 79 2e 20 20 |diastino|scopy. |
|00005890| 54 68 65 20 75 73 65 20 | 6f 66 20 61 20 6d 65 64 |The use |of a med|
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|000058d0| 75 6e 6e 65 63 65 73 73 | 61 72 79 20 6d 65 64 69 |unnecess|ary medi|
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|00005900| 74 6f 6d 69 65 73 20 69 | 6e 20 35 25 20 6f 66 0d |tomies i|n 5% of.|
|00005910| 0a 70 61 74 69 65 6e 74 | 73 2e 0d 0a 0d 0a 50 6f |.patient|s.....Po|
|00005920| 73 74 2d 43 6f 6d 6d 65 | 6e 74 0d 0a 0d 0a 20 20 |st-Comme|nt.... |
|00005930| 20 20 20 54 68 69 73 20 | 70 72 6f 73 70 65 63 74 | This |prospect|
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|00005950| 74 65 73 20 6d 65 64 69 | 61 73 74 69 6e 61 6c 20 |tes medi|astinal |
|00005960| 43 54 20 61 73 20 61 20 | 73 74 61 67 69 6e 67 20 |CT as a |staging |
|00005970| 70 72 6f 63 65 64 75 72 | 65 0d 0a 66 6f 72 20 70 |procedur|e..for p|
|00005980| 72 69 6d 61 72 79 20 6c | 75 6e 67 20 63 61 6e 63 |rimary l|ung canc|
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|000059a0| 66 20 6d 65 64 69 61 73 | 74 69 6e 6f 73 63 6f 70 |f medias|tinoscop|
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|000059c0| 0a 65 73 74 61 62 6c 69 | 73 68 65 64 2c 20 61 73 |.establi|shed, as|
|000059d0| 20 74 68 69 73 20 70 72 | 6f 63 65 64 75 72 65 20 | this pr|ocedure |
|000059e0| 72 65 64 75 63 65 73 20 | 74 68 65 20 6e 75 6d 62 |reduces |the numb|
|000059f0| 65 72 20 6f 66 20 74 68 | 6f 72 61 63 6f 74 6f 6d |er of th|oracotom|
|00005a00| 69 65 73 20 69 6e 20 70 | 61 74 69 65 6e 74 73 0d |ies in p|atients.|
|00005a10| 0a 77 68 6f 20 61 72 65 | 20 69 6e 63 75 72 61 62 |.who are| incurab|
|00005a20| 6c 65 2e 20 20 54 68 69 | 73 20 61 72 74 69 63 6c |le. Thi|s articl|
|00005a30| 65 20 74 61 6b 65 73 20 | 74 68 65 20 70 72 6f 63 |e takes |the proc|
|00005a40| 65 73 73 20 61 20 73 74 | 65 70 20 66 75 72 74 68 |ess a st|ep furth|
|00005a50| 65 72 20 62 79 20 75 73 | 69 6e 67 20 74 68 65 0d |er by us|ing the.|
|00005a60| 0a 43 54 20 73 63 61 6e | 20 74 6f 20 73 65 6c 65 |.CT scan| to sele|
|00005a70| 63 74 20 70 61 74 69 65 | 6e 74 73 20 66 6f 72 20 |ct patie|nts for |
|00005a80| 6d 65 64 69 61 73 74 69 | 6e 6f 73 63 6f 70 79 2c |mediasti|noscopy,|
|00005a90| 20 74 68 65 72 65 62 79 | 20 73 69 67 6e 69 66 69 | thereby| signifi|
|00005aa0| 63 61 6e 74 6c 79 20 72 | 65 64 75 63 69 6e 67 0d |cantly r|educing.|
|00005ab0| 0a 74 68 65 20 66 72 65 | 71 75 65 6e 63 79 20 6f |.the fre|quency o|
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|00005ad0| 79 2e 20 20 54 68 65 20 | 61 75 74 68 6f 72 73 20 |y. The |authors |
|00005ae0| 61 64 76 6f 63 61 74 65 | 20 75 73 69 6e 67 20 6d |advocate| using m|
|00005af0| 65 64 69 61 73 74 69 6e | 61 6c 20 43 54 0d 0a 61 |ediastin|al CT..a|
|00005b00| 73 20 74 68 65 20 73 65 | 6c 65 63 74 69 6f 6e 20 |s the se|lection |
|00005b10| 63 72 69 74 65 72 69 6f | 6e 20 66 6f 72 20 65 6c |criterio|n for el|
|00005b20| 65 63 74 69 76 65 20 6d | 65 64 69 61 73 74 69 6e |ective m|ediastin|
|00005b30| 6f 73 63 6f 70 79 2e 20 | 20 50 61 74 69 65 6e 74 |oscopy. | Patient|
|00005b40| 73 20 77 69 74 68 0d 0a | 70 6f 73 69 74 69 76 65 |s with..|positive|
|00005b50| 20 43 54 20 66 69 6e 64 | 69 6e 67 73 20 75 6e 64 | CT find|ings und|
|00005b60| 65 72 77 65 6e 74 20 6d | 65 64 69 61 73 74 69 6e |erwent m|ediastin|
|00005b70| 6f 73 63 6f 70 79 2e 20 | 20 4f 66 20 74 68 6f 73 |oscopy. | Of thos|
|00005b80| 65 20 73 75 62 6a 65 63 | 74 65 64 20 74 6f 0d 0a |e subjec|ted to..|
|00005b90| 74 68 6f 72 61 63 6f 74 | 6f 6d 79 20 62 61 73 65 |thoracot|omy base|
|00005ba0| 64 20 6f 6e 20 61 20 6e | 65 67 61 74 69 76 65 20 |d on a n|egative |
|00005bb0| 43 54 20 73 63 61 6e 2c | 20 6d 65 64 69 61 73 74 |CT scan,| mediast|
|00005bc0| 69 6e 6f 73 63 6f 70 79 | 20 77 6f 75 6c 64 20 68 |inoscopy| would h|
|00005bd0| 61 76 65 20 70 72 65 76 | 65 6e 74 65 64 0d 0a 6f |ave prev|ented..o|
|00005be0| 6e 6c 79 20 35 25 20 6f | 66 20 74 68 65 20 74 68 |nly 5% o|f the th|
|00005bf0| 6f 72 61 63 6f 74 6f 6d | 69 65 73 2e 2d 2d 4a 2e |oracotom|ies.--J.|
|00005c00| 43 2e 20 52 65 65 64 2c | 20 4d 2e 44 2e 0d 0a 24 |C. Reed,| M.D...$|
|00005c10| 55 6e 69 71 75 65 5f 49 | 44 7b 59 52 42 30 30 35 |Unique_I|D{YRB005|
|00005c20| 30 37 7d 0d 0a 24 54 69 | 74 6c 65 7b 52 6f 75 74 |07}..$Ti|tle{Rout|
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|00005c70| 75 6c 6d 6f 6e 61 72 79 | 20 44 69 73 65 61 73 65 |ulmonary| Disease|
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|00005ca0| 53 68 65 72 6d 61 6e 2c | 20 53 0d 0a 53 6b 6f 6e |Sherman,| S..Skon|
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|00005cc0| 68 6e 61 6e 2c 20 4b 50 | 7d 0d 0a 24 41 66 66 69 |hnan, KP|}..$Affi|
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|00005ce0| 42 65 61 75 6d 6f 6e 74 | 20 48 6f 73 70 2c 20 52 |Beaumont| Hosp, R|
|00005cf0| 6f 79 61 6c 20 4f 61 6b | 2c 20 4d 69 63 68 7d 0d |oyal Oak|, Mich}.|
|00005d00| 0a 24 4a 6f 75 72 6e 61 | 6c 7b 41 72 63 68 20 49 |.$Journa|l{Arch I|
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|00005d70| 69 6f 6c 6f 67 79 7d 0d | 0a 24 43 68 61 70 74 65 |iology}.|.$Chapte|
|00005d80| 72 7b 33 2d 32 7d 0d 0a | 24 59 42 45 64 69 74 6f |r{3-2}..|$YBEdito|
|00005d90| 72 7b 44 72 73 2e 20 48 | 65 6e 64 65 65 2c 20 4b |r{Drs. H|endee, K|
|00005da0| 65 61 74 73 2c 20 4b 69 | 72 6b 70 61 74 72 69 63 |eats, Ki|rkpatric|
|00005db0| 6b 2c 20 4d 69 6c 6c 65 | 72 2c 20 4f 73 62 6f 72 |k, Mille|r, Osbor|
|00005dc0| 6e 2c 20 52 65 65 64 2c | 20 61 6e 64 20 54 68 6f |n, Reed,| and Tho|
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|00005de0| 0d 0a 24 43 6f 6d 6d 65 | 6e 74 61 74 6f 72 7b 4a |..$Comme|ntator{J|
|00005df0| 2e 43 2e 20 52 65 65 64 | 2c 20 4d 2e 44 2e 7d 0d |.C. Reed|, M.D.}.|
|00005e00| 0a 0d 0a 43 6f 70 79 72 | 69 67 68 74 20 28 43 29 |...Copyr|ight (C)|
|00005e10| 20 59 65 61 72 20 42 6f | 6f 6b 20 4d 65 64 69 63 | Year Bo|ok Medic|
|00005e20| 61 6c 20 50 75 62 6c 69 | 73 68 65 72 73 2c 20 49 |al Publi|shers, I|
|00005e30| 6e 63 2e 20 31 39 39 31 | 0d 0a 0d 0a 31 39 39 31 |nc. 1991|....1991|
|00005e40| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 44 69 | Year Bo|ok of Di|
|00005e50| 61 67 6e 6f 73 74 69 63 | 20 52 61 64 69 6f 6c 6f |agnostic| Radiolo|
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|00005e70| 2d 2d 20 54 68 65 20 54 | 68 6f 72 61 78 0d 0a 0d |-- The T|horax...|
|00005e80| 0a 45 66 66 69 63 61 63 | 79 20 53 74 75 64 69 65 |.Efficac|y Studie|
|00005e90| 73 0d 0a 0d 0a 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |s....---|--------|
|00005ea0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005eb0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005ec0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005ed0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005ee0| 2d 2d 2d 0d 0a 52 6f 75 | 74 69 6e 65 20 43 68 65 |---..Rou|tine Che|
|00005ef0| 73 74 20 52 61 64 69 6f | 67 72 61 70 68 73 20 69 |st Radio|graphs i|
|00005f00| 6e 20 45 78 61 63 65 72 | 62 61 74 69 6f 6e 73 20 |n Exacer|bations |
|00005f10| 6f 66 20 43 68 72 6f 6e | 69 63 20 4f 62 73 74 72 |of Chron|ic Obstr|
|00005f20| 75 63 74 69 76 65 20 50 | 75 6c 6d 6f 6e 61 72 79 |uctive P|ulmonary|
|00005f30| 0d 0a 44 69 73 65 61 73 | 65 3a 20 20 44 69 61 67 |..Diseas|e: Diag|
|00005f40| 6e 6f 73 74 69 63 20 56 | 61 6c 75 65 0d 0a 0d 0a |nostic V|alue....|
|00005f50| 53 68 65 72 6d 61 6e 20 | 53 3b 20 53 6b 6f 6e 65 |Sherman |S; Skone|
|00005f60| 79 20 4a 41 3b 20 52 61 | 76 69 6b 72 69 73 68 6e |y JA; Ra|vikrishn|
|00005f70| 61 6e 20 4b 50 0d 0a 28 | 57 69 6c 6c 69 61 6d 20 |an KP..(|William |
|00005f80| 42 65 61 75 6d 6f 6e 74 | 20 48 6f 73 70 2c 20 52 |Beaumont| Hosp, R|
|00005f90| 6f 79 61 6c 20 4f 61 6b | 2c 20 4d 69 63 68 29 0d |oyal Oak|, Mich).|
|00005fa0| 0a 41 72 63 68 20 49 6e | 74 65 72 6e 20 4d 65 64 |.Arch In|tern Med|
|00005fb0| 20 31 34 39 3a 32 34 39 | 33 2d 32 34 39 36 2c 20 | 149:249|3-2496, |
|00005fc0| 31 39 38 39 0d 0a 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |1989..--|--------|
|00005fd0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005fe0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005ff0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00006000| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00006010| 2d 2d 2d 2d 0d 0a 0d 0a | 41 62 73 74 72 61 63 74 |----....|Abstract|
|00006020| 0d 0a 0d 0a 20 20 20 20 | 20 54 68 65 20 64 69 61 |.... | The dia|
|00006030| 67 6e 6f 73 74 69 63 20 | 76 61 6c 75 65 20 61 6e |gnostic |value an|
|00006040| 64 20 63 6c 69 6e 69 63 | 61 6c 20 73 69 67 6e 69 |d clinic|al signi|
|00006050| 66 69 63 61 6e 63 65 20 | 6f 66 20 72 6f 75 74 69 |ficance |of routi|
|00006060| 6e 65 20 61 64 6d 69 73 | 73 69 6f 6e 20 63 68 65 |ne admis|sion che|
|00006070| 73 74 0d 0a 72 6f 65 6e | 74 67 65 6e 6f 67 72 61 |st..roen|tgenogra|
|00006080| 6d 73 20 69 6e 20 32 34 | 32 20 61 64 75 6c 74 73 |ms in 24|2 adults|
|00006090| 20 77 69 74 68 20 65 78 | 61 63 65 72 62 61 74 69 | with ex|acerbati|
|000060a0| 6f 6e 20 6f 66 20 63 68 | 72 6f 6e 69 63 20 6f 62 |on of ch|ronic ob|
|000060b0| 73 74 72 75 63 74 69 76 | 65 0d 0a 70 75 6c 6d 6f |structiv|e..pulmo|
|000060c0| 6e 61 72 79 20 64 69 73 | 65 61 73 65 20 28 43 4f |nary dis|ease (CO|
|000060d0| 50 44 29 20 77 65 72 65 | 20 61 73 73 65 73 73 65 |PD) were| assesse|
|000060e0| 64 20 72 65 74 72 6f 73 | 70 65 63 74 69 76 65 6c |d retros|pectivel|
|000060f0| 79 2e 20 20 52 6f 75 74 | 69 6e 65 20 63 68 65 73 |y. Rout|ine ches|
|00006100| 74 0d 0a 72 61 64 69 6f | 67 72 61 70 68 73 20 77 |t..radio|graphs w|
|00006110| 65 72 65 20 61 62 6e 6f | 72 6d 61 6c 20 69 6e 20 |ere abno|rmal in |
|00006120| 6f 6e 6c 79 20 33 35 20 | 70 61 74 69 65 6e 74 73 |only 35 |patients|
|00006130| 20 28 31 34 25 29 20 61 | 6e 64 20 72 65 73 75 6c | (14%) a|nd resul|
|00006140| 74 65 64 20 69 6e 20 6d | 61 6e 61 67 65 6d 65 6e |ted in m|anagemen|
|00006150| 74 0d 0a 63 68 61 6e 67 | 65 73 20 74 68 61 74 20 |t..chang|es that |
|00006160| 77 65 72 65 20 61 70 70 | 72 6f 70 72 69 61 74 65 |were app|ropriate|
|00006170| 20 61 6e 64 20 63 6c 69 | 6e 69 63 61 6c 6c 79 20 | and cli|nically |
|00006180| 73 69 67 6e 69 66 69 63 | 61 6e 74 20 69 6e 20 6f |signific|ant in o|
|00006190| 6e 6c 79 20 31 31 20 6f | 66 20 74 68 65 73 65 0d |nly 11 o|f these.|
|000061a0| 0a 28 34 2e 35 25 29 2e | 20 20 54 68 65 20 61 62 |.(4.5%).| The ab|
|000061b0| 6e 6f 72 6d 61 6c 20 66 | 69 6e 64 69 6e 67 73 20 |normal f|indings |
|000061c0| 74 68 61 74 20 6c 65 64 | 20 74 6f 20 73 69 67 6e |that led| to sign|
|000061d0| 69 66 69 63 61 6e 74 20 | 6d 61 6e 61 67 65 6d 65 |ificant |manageme|
|000061e0| 6e 74 20 63 68 61 6e 67 | 65 73 0d 0a 69 6e 63 6c |nt chang|es..incl|
|000061f0| 75 64 65 64 20 65 76 69 | 64 65 6e 63 65 20 6f 66 |uded evi|dence of|
|00006200| 20 63 6f 6e 67 65 73 74 | 69 76 65 20 68 65 61 72 | congest|ive hear|
|00006210| 74 20 66 61 69 6c 75 72 | 65 2c 20 70 6e 65 75 6d |t failur|e, pneum|
|00006220| 6f 6e 69 61 2c 20 61 6e | 64 20 73 70 6f 6e 74 61 |onia, an|d sponta|
|00006230| 6e 65 6f 75 73 0d 0a 70 | 6e 65 75 6d 6f 74 68 6f |neous..p|neumotho|
|00006240| 72 61 78 2e 20 20 55 6e | 69 76 61 72 69 61 74 65 |rax. Un|ivariate|
|00006250| 20 61 6e 61 6c 79 73 65 | 73 20 73 68 6f 77 65 64 | analyse|s showed|
|00006260| 20 34 20 76 61 72 69 61 | 62 6c 65 73 20 74 68 61 | 4 varia|bles tha|
|00006270| 74 20 77 65 72 65 20 70 | 72 65 64 69 63 74 69 76 |t were p|redictiv|
|00006280| 65 20 6f 66 0d 0a 72 61 | 64 69 6f 67 72 61 70 68 |e of..ra|diograph|
|00006290| 69 63 20 61 62 6e 6f 72 | 6d 61 6c 69 74 69 65 73 |ic abnor|malities|
|000062a0| 2c 20 69 6e 63 6c 75 64 | 69 6e 67 20 68 69 73 74 |, includ|ing hist|
|000062b0| 6f 72 79 20 6f 66 20 63 | 6f 6e 67 65 73 74 69 76 |ory of c|ongestiv|
|000062c0| 65 20 68 65 61 72 74 20 | 66 61 69 6c 75 72 65 2c |e heart |failure,|
|000062d0| 0d 0a 77 68 69 74 65 20 | 62 6c 6f 6f 64 20 63 65 |..white |blood ce|
|000062e0| 6c 6c 20 63 6f 75 6e 74 | 20 61 62 6f 76 65 20 31 |ll count| above 1|
|000062f0| 35 20 58 20 31 30 5e 39 | 2f 4c 20 61 6e 64 20 61 |5 X 10^9|/L and a|
|00006300| 20 70 6f 6c 79 6d 6f 72 | 70 68 6f 6e 75 63 6c 65 | polymor|phonucle|
|00006310| 61 72 20 63 6f 75 6e 74 | 20 61 62 6f 76 65 20 38 |ar count| above 8|
|00006320| 0d 0a 58 20 31 30 5e 39 | 2f 4c 2c 20 61 6e 64 20 |..X 10^9|/L, and |
|00006330| 65 64 65 6d 61 2e 20 20 | 54 77 6f 20 6f 74 68 65 |edema. |Two othe|
|00006340| 72 20 76 61 72 69 61 62 | 6c 65 73 20 74 68 61 74 |r variab|les that|
|00006350| 20 77 65 72 65 20 63 6c | 69 6e 69 63 61 6c 6c 79 | were cl|inically|
|00006360| 20 69 6d 70 6f 72 74 61 | 6e 74 20 77 65 72 65 0d | importa|nt were.|
|00006370| 0a 61 20 68 69 73 74 6f | 72 79 20 6f 66 20 63 6f |.a histo|ry of co|
|00006380| 72 6f 6e 61 72 79 20 61 | 72 74 65 72 79 20 64 69 |ronary a|rtery di|
|00006390| 73 65 61 73 65 20 61 6e | 64 20 63 68 65 73 74 20 |sease an|d chest |
|000063a0| 70 61 69 6e 2e 0d 0a 20 | 20 20 20 20 42 65 63 61 |pain... | Beca|
|000063b0| 75 73 65 20 6f 66 20 74 | 68 65 20 6c 6f 77 20 79 |use of t|he low y|
|000063c0| 69 65 6c 64 20 6f 66 20 | 63 6c 69 6e 69 63 61 6c |ield of |clinical|
|000063d0| 6c 79 20 73 69 67 6e 69 | 66 69 63 61 6e 74 20 61 |ly signi|ficant a|
|000063e0| 62 6e 6f 72 6d 61 6c 69 | 74 69 65 73 2c 20 72 6f |bnormali|ties, ro|
|000063f0| 75 74 69 6e 65 0d 0a 61 | 64 6d 69 73 73 69 6f 6e |utine..a|dmission|
+--------+-------------------------+-------------------------+--------+--------+
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