Congenital hypothyroidism, hereinafter abbreviated as HK, is a state of decreased or non-functioning thyroid gland that acquired from birth onwards. This occurs due to anatomic abnormalities metabolic disorders in the formation hormone iodine deficiency. The Bintan health office has also implemented SHK program for newborns. In 2017 had not been at all Bintan. Whereas 2019 it was carried out bu...

Pulmonary gas exchange abnormalities and refractory hypoxemia cause myriad difficulties in patients with chronic liver disease. In addition to intrinsic cardiopulmonary diseases and hepatopulmonary syndrome, some unusual pathophysiological mechanisms in patients with portosystemic collaterals might contribute to hypoxemia. We report the clinical presentation of an unusual portosystemic anatomic...

A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these se...

Neonatal cholestasis results from a variety of etiologies, including anatomic, infectious, and metabolic abnormalities. Hyperthyroidism, in contrast to hypothyroidism, is infrequently associated with neonatal cholestasis. Newborn screening is an important tool to detect newborn metabolic disorders, including thyroid dysfunction. However, one must exercise caution when interpreting these reports...

BACKGROUND Gastric diverticula are infrequent anatomic abnormalities that are usually asymptomatic. AIM We report a case of large gastric diverticulum and discuss diagnostic and therapeutic challenges. CASE REPORT A 63-year-old man was admitted with vague epigastric discomfort. Physical examination and laboratory investigations were normal. Endoscopy revealed an erosive gastropathy and a po...

Hyponatremia with hyperkalemia in infancy is a rare presentation, but may be due to aldosterone deficiency or end organ resistance to its action. There are few cases associating this condition with urinary tract infections or anatomic abnormalities that predispose to infection. Clinicians should have a high index of suspicion in diagnosing secondary pseudohypoaldosteronism (PHA) due to its ofte...

Background The electrocardiogram and respiratory-gated 3D steadystate free precession (3D-SSFP) sequence acquired during free-breathing generates a high-resolution anatomic datasets of the entire thorax, allowing for a comprehensive evaluation of intracardiac, coronary, and vascular abnormalities. An important limitation of 3D-SSFP, however, is its long imaging time during which the patient’s h...

Correlation of electrocardiographic abnormalities occurring postoperatively with lesions of the conduction system found at autopsy was done in 20 dogs which had received cardiac homografts. The incidence of arrhythmias closely paralleled the severity of rejection injury found within the heart and specifically within the conduction system. Severe pathological changes in the conduction system (gr...

he sick sinus syndrome is a clinical entity charTacterized by disturbances of sinoatial impulse formation and conduction.13 Recent studies have demonstrated that abnormalities of conduction and automaticity at other specialized anatomic sites are common in subjects with symptomatic sinus node disease.'^^.^ We describe here the use of combined His bundle electrography and timed vectorcardiograph...

Non-coronary incidental findings are not rare. Kirsch et al found 67% non-coronary abnormalities with coronary computed tomography angiography (CCTA). Radiologists are expected to identify the extracoronary, intra- and para-cardiac anatomical structures and distinguish them from pathologic processes in CCTA. We have reviewed 2000 CCTA studies done at our institution with 64-MDCT. This pictorial...