Four rounds of treatments/measurements were performed in three patients who were receiving nebulized treatments in our ICU; three of four cases were treated first with the catheter in the system during nebulization, followed by a second treatment with the catheter and connector removed from the system. One patient received two rounds of measurements (both with the catheter in the system for the...

Communications to the Editor 5 Aoki T, Inoue H, Sasaki H, Shimura S. Maeda S, Tomioka M, et al. Relation between selective alveolo-bronchograms and pulmonary function tests in patients with chronic obstructive lung disease. Am Rev Respir Dis 1984; 129:465-72 6 Honda I, Shimura S, Sasaki T, Sasaki H, Takishima T, Nakamura M. Airway mucosal permeability in chronic bronchitis and bronchial asthmat...

The term phantom tumor may be used to describe a well-demarcated opacity resulted from pleural effusion. Phantom tumors are commonly associated with congestive heart failure causing transudative pleural effusion within pulmonary fissures. The figure may bring about inaccurate invasive diagnostic interventions. We report a heavy smoker patient with multiple phantom tumors in the right lung resol...

Paracetamol is the most widely used and prescribed drug word-wide. It common cause of poisoning fatality due to toxic administration throughout world. A 34-year-old female patient applied our ED with complaint swallowing 33 g paracetamol. After routine toxicity treatment, on third day hospitalization, dyspnea pain right hemithorax flank occurred. Chest X-ray showed blunted sinus. CT revealed bi...

Pleural effusion, the pathological accumulation of fluid in pleural space, is very common. It has a wide differential diagnosis, and delayed etiological diagnosis can be associated with markedly higher morbidity mortality. divided into two main types: Transudative Exudative, depending on mechanism accumulation. The most common causes effusion are: Congestive heart failure, infections, malignanc...

Light's criteria (protein and LDH) have been used to the present to differentiate exudative pleural effusion from transudative. This is both time consuming and relatively more expensive as compared to measuring cholesterol. During 1992-1993, a prospective study on 70 patients with effusion was carried out measuring fasting LDH, protein, cholesterol, alkaline phosphatase and glucose. All pa...