[The knee in children and adolescents].
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
We report the case of a 69-year-old woman, with a BMI of 42.9, suffering from bilateral struvite calculi and who raised end stage renal failure. Urease-synthesizing bacteria, leading to the hydrolysis of urea into ammonium and to an alkaline urine (pH > 7.2), are required for struvite stone formation in humans. Struvite component constitutes the ma...
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
We identified 40 pediatric patients with urolithiasis. There were 27 boys and 13 girls. Initial symptoms were abdominal pain, with or without microscopic hematuria in 40% of the cases, and urinary tract infection/pyelonephritis in 25% of the cases. Stones were made of struvite (35% of the cases), calcium-phosphate (25%) or calcium-oxalate (20%). Th...
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
Clinical investigations of a patient with urolithiasis include a careful history and radiological and biochemical evaluation. Stone analysis by infrared spectrophotometry remains the most important step. These investigations are essential in order to understand why a patient developed urolithiasis and, most importantly, how to avoid its recurrence ...
Published in Revue médicale de la Suisse romande
This paper answers to the main questions the surgeon is asking before an intervention on a cardiac valve. The optimal timing of surgery, the type of intervention (repair versus replacement), the complementary investigations and the treatment of associated arythmias are discussed. Particular emphasis is put on the best technique to solve these probl...