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Tale of fat and fib-cardiac lipoma managed with radiofrequency ablation: A case report

World Journal of Cardiology 2020年第6期12卷 285-290页

作者： swarna sri nalluru srinivas Nadadur Nitin Trivedi Sunita Trivedi Sanjeev Goyal Department of Internal Medicine Saint Vincent HospitalWorcesterMA 01604United States Department of Cardiology Saint Vincent HospitalWorcesterMA 01604United States

BACKGROUND Cardiac lipoma and lipomatous hypertrophy of interatrial septum(LHIS)are very rare disorders with distinct pathological *** cardiac lipoma is a well-circumscribed encapsulated tumor of mature adipocytes,LHIS is due to entrapment of fat cells in the interatrial septum during *** a biopsy is the definitive diagnostic test,these disorders can be differentiated by a cardiac magnetic resonance imaging(MRI).Treatment of LHIS is not warranted in asymptomatic *** symptomatic patients,surgical resection is the only recommended treatment,which has shown to improve good long-term *** SUMMARY A 63-year-old Caucasian woman with past medical history significant for hypertension,hypothyroidism,right breast ductal cell carcinoma treated with mastectomy and breast implant,platelet granule disorder,asthma requiring chronic intermittent prednisone use,presented to the outpatient cardiology office with recent onset exertional dyspnea,palpitations,weight gain and *** workup with electrocardiogram and holter monitor did not reveal significant *** the subsequent hospitalization for community acquired pneumonia,the patient developed symptomatic paroxysmal atrial *** echocardiogram showed a right ventricular mass.A biopsy was not pursued given the high risk of bleeding due to platelet granule *** MRI showed characteristic features consistent with cardiac lipoma and *** was *** testing for arrhythmogenic right ventricular dysplasia and 24-h urine cortisol test was *** multiple attempts at rhythm control failed with sotalol and flecainide,pulmonary vein isolation and right atrial isthmus radiofrequency ablation were *** is in follow-up with symptomatic relief and no recurrence of atrial fibrillation for 10 *** Benign fatty lesions in heart include solitary lipoma,lipomatous infiltration and lipomatous hypertrophy of intera

关键词： Cardiac lipoma Lipomatous hypertrophy of interatrial septum Atrial fibrillation Radiofrequency ablation Case report

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A Juvenile Sex Offender with Attention Deficit Hyperactivity Disorder

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Journal of Clinical and Nursing Research 2018年第1期2卷 13-16页

作者： Miyuru Chandradasa Darshani Hettiarachchi Roshan Fernando Malsha Gunathilake swarna Wijetunge Ajith Tennakoon Department of Psychiatry University of Kelaniya Faculty of Medicine Nursing and Health Sciences Monash UniversityAustralia Senior Registrar in Child&Adolescent Psychiatry Lady Ridgeway Hospital for ChildrenSri Lanka Department of Psychiatry University of KelaniyaSri Lanka National Institute of Mental Health Sri Lanka Consultant Child and Adolescent Psychiatrist Lady Ridgeway Hospital for Children Institute of Legal Medicine&Toxicology Colombo

Background:Attention deficit hyperactivity disorder(ADHD)is a neurodevelopmental disorder manifesting in early *** children are more vulnerable to sexual abuse as victims and *** we describe a teenager with previously undiagnosed ADHD presenting with an alleged act of sexual *** report:According to the 14-year-old accused,he has engaged in penetrative anal intercourse with another school *** also divulged past such incidents involving a teenage male relative and insertion of foreign bodies by him to his anus *** assessment the accused had features of inattention such as difficulty in sustaining attention,failing to finish work and features of impulsivity such as difficulty waiting for his turn and intruding on *** was diagnosed with ADHD according to DSM 5 clinical criteria which were supported by the Sinhalese adaptation of the Swanson,Nolan and Pelham *** assessment of the non-verbal intelligence was in the normal range,but his school performance was far below the ***:Undiagnosed ADHD contributes to academic impairment and inappropriate sexual *** is possible that the described adolescent’s impulsiveness and inattention contributed to his academic failure and risky sexual *** detection and proper management of this disorder may have reduced the risk of such behaviour in him.

关键词： Attention deficit disorder with hyperactivity Sexual abuse of child Juvenile Offender sri lanka

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