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Sinus Transillumination

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1. Sinus Transillumination

Sinus Transillumination Sinus Transillumination Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Sinus Transillumination Sinus (...) Transillumination Aka: Sinus Transillumination II. Indication: Acute Sinusitis Evaluation itis itis III. Equipment Otoscope with transillumination attachment IV. Technique ral Completely darken the room Decreased light transmission suggests Position patient Patient's neck in sniffing position Neck slightly extended back Patient keeps mouth open (remove upper dentures) Place transilluminator over the lower orbital rim Apply light source below inner aspect of eye Applied just lateral to nose Direct light source

2018 FP Notebook

2. Sinus Transillumination

Sinus Transillumination Sinus Transillumination Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Sinus Transillumination Sinus (...) Transillumination Aka: Sinus Transillumination II. Indication: Acute Sinusitis Evaluation itis itis III. Equipment Otoscope with transillumination attachment IV. Technique ral Completely darken the room Decreased light transmission suggests Position patient Patient's neck in sniffing position Neck slightly extended back Patient keeps mouth open (remove upper dentures) Place transilluminator over the lower orbital rim Apply light source below inner aspect of eye Applied just lateral to nose Direct light source

2015 FP Notebook

3. Intraoperative Transillumination to Determine the Extent of Frontal Sinus in Subcranial Approach to Anterior Skull Base (PubMed)

Intraoperative Transillumination to Determine the Extent of Frontal Sinus in Subcranial Approach to Anterior Skull Base We sought to determine the extent of the frontal sinus by intraoperative transillumination through the superomedial orbital wall in a subcranial approach to the anterior skull base. After raising a bicoronal flap, the frontal sinus was transilluminated through the superomedial orbital wall with a fiber-optic light source, delineating the extent of the frontal sinus (...) , a subcranial approach was employed using the transillumination technique. Transillumination was successful in delineating the frontal sinus periphery in all 13 patients. Intraoperative transillumination of the frontal sinus through the superomedial orbital wall is a simple and effective method to delineate the frontal sinus periphery in a subcranial approach to the anterior skull base.

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2011 Skull Base

4. Paediatric Urology

. Testicular teratoma presenting as a transilluminating scrotal mass. Urology, 2006. 67: 1290.e3. 115. Skoog, S.J. Benign and malignant pediatric scrotal masses. Pediatr Clin North Am, 1997. 44: 1229. 116. Koski, M.E., et al. Infant communicating hydroceles--do they need immediate repair or might some clinically resolve? J Pediatr Surg, 2010. 45: 590. 117. Stringer, M.D., et al., Patent processus vaginalis. , in Pediatric urology, J.P. Gearhart, R.C. Rink & P.D. Mouriquand, Editors. 2001, WB Saunders

2019 European Association of Urology

5. Paediatric Urology

. Testicular teratoma presenting as a transilluminating scrotal mass. Urology, 2006. 67: 1290.e3. 115. Skoog, S.J. Benign and malignant pediatric scrotal masses. Pediatr Clin North Am, 1997. 44: 1229. 116. Koski, M.E., et al. Infant communicating hydroceles--do they need immediate repair or might some clinically resolve? J Pediatr Surg, 2010. 45: 590. 117. Stringer, M.D., et al., Patent processus vaginalis. , in Pediatric urology, J.P. Gearhart, R.C. Rink & P.D. Mouriquand, Editors. 2001, WB Saunders

2018 European Association of Urology

7. Paediatric Urology

that vacillates in size, and is usually related to ambulation. It may be diagnosed by history and physical investigation. Transillumination of the scrotum makes the diagnosis in the majority of cases, keeping in mind that fluid-filled intestine and some prepubertal tumours such as teratomas may transilluminate as well [61, 62]. If the diagnosis is that of a hydrocele, there will be no history of reducibility and no associated symptoms; the swelling is translucent, smooth and usually non-tender

2015 European Association of Urology

8. Canadian clinical practice guidelines for acute and chronic rhinosinusitis

the document. These guidelines have been copublished in both Allergy, Asthma & Clinical Immunology and the Journal of Otolaryngology-Head and Neck Surgery . Allergic Rhinitis Sinusitis Budesonide Moxifloxacin Fluticasone Propionate Sinusitis refers to inflammation of a sinus, while rhinitis is inflammation of the nasal mucous membrane. The proximity between the sinus cavities and the nasal passages, as well as their common respiratory epithelium, lead to frequent simultaneous involvement of both structures (...) imaging is not required for the diagnosis of uncomplicated ABRS. When performed, radiological imaging must always be interpreted in light of clinical findings as radiographic images cannot differentiate other infections from bacterial infection and changes in radiographic images can occur in viral URTIs. Moderate Strong Criteria for diagnosis of ABRS are presence of an air/fluid level or complete opacification. Mucosal thickening alone is not considered diagnostic. Three-view plain sinus X-rays remain

2011 CPG Infobase

9. Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

breath, fatigue, headache, and decreased appetite, although common, are not specific indicators of acute sinusitis. Physical examination findings are also not particularly helpful in distinguishing sinusitis from uncomplicated URIs. Erythema and swelling of the nasal turbinates are nonspecific findings. Percussion of the sinuses is not useful. Transillumination of the sinuses is difficult to perform correctly in children and has been shown to be unreliable. , Nasopharyngeal cultures do not reliably (...) that is made on the basis of stringent clinical criteria that describe signs, symptoms, and temporal patterns of a URI. Although historically imaging has been used as a confirmatory or diagnostic modality in children suspected to have acute bacterial sinusitis, it is no longer recommended. The membranes that line the nose are continuous with the membranes (mucosa) that line the sinus cavities, the middle ear, the nasopharynx, and the oropharynx. When an individual experiences a viral URI

2013 American Academy of Pediatrics

10. Acute Rhinosinusitis in Adults

speech 45 73 34 1.7 0.8 Abnormal transillumination 73 54 56 1.6 0.5 Sinus tenderness 48 65 39 1.4 0.8 1 Adapted from Williams, et. al., Ann. Int. Med. 1992;117:705-710. 2 Sensitivity = % of patients with sinusitis who have the symptom/sign. Specificity = % of patients without sinusitis who do not have the symptom/sign 3 A likelihood ratio expresses the odds that a sign or symptom would occur in a patient with, as opposed to a patient without, rhinosinusitis. When a likelihood ratio is above 1.0 (...) of rhinosinusitis persist for more than three weeks despite antibiotics or recur more than three times per year, a sinus CT scan should be performed while the patient is symptomatic to reassess the diagnosis and determine need for referral. [I C/D*] CT scans provide much better definition than a plain sinus x-ray series. Plain sinus x-rays, therefore, are not recommended. New low dose CT scanners have substantial radiation dose reduction. * Strength of recommendation: I = generally should be performed; II = may

2013 University of Michigan Health System

11. Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia Background Paper

. It has a role as a ventilation/oxygenation bridge and secondary rescue device. 81 The Combitube™ has demonstrated superiority over other supraglottic ventilation devices in resuscitation in relation to ease of ventilation and insertion. 82,83 The device has advantages in patients with massive bleeding, regurgitation and limited mouth opening. 84 It also minimises the risk of aspiration. 55 Complications are rare 85,86 but include piriform sinus perforation, oesophageal laceration and tongue (...) that the stylet is positioned at least 2 cm from the tip of the ETT. 137 Intubation is enhanced by a “straight to cuff” configuration with a distal bend of 35°. 138 Light wand Intubation of the trachea under direct vision using a lighted introducer was first described by Macintosh and Richards in 1957. 139 Transillumination for nasotracheal intubation was described by Berman in 1959. 140 These techniques rely on transillumination of the anterior neck to identify the location of the tip of the endotracheal

2012 Australian and New Zealand College of Anaesthetists

12. Allergic Rhinitis

(Rule out associated ) Dull, immobile Sinus (Rule out ) Purulent discharge Tender Impaired transillumination XI. Labs: Gold standard ( Test) Use if unable to skin test contraindicated as above Nasal Smears s supportive of a diagnosis Normal Increased s IgE elevated XII. Differential Diagnosis See XIII. Management: General Measures Decrease s Reduces symptoms and overall allergy medication use s May be reasonable to use as first-line if taken as needed only occasionally If regular use needed, then s

2018 FP Notebook

13. Cranial Dysraphism

Nodule Nontraumatic scalp As many as 37% communicate with CNS (hair collar sign) Ring of denser, darker, coarser hair around Associated dermatologic findings See Capillary malformation s Skin dimpled or sinus evident V. Diagnosis Transillumination Identifies neural tissue within sac XRay for anatomic definition Cranial Identifies sac contents VI. Complications Cranial carries good prognosis Encephalocele complications Vision disorders disorder VII. References Behrman (2000) Nelson Pediatrics

2018 FP Notebook

14. iPhone App Compared to Standard RR-measurement

measurements at the same arm will be performed (Cuff/iPhone/Cuff/iPhone/Cuff/iPhone/Cuff). The Cuff measurement results will be documented in the source documents (mmHg) and transferred to a trial database. The iPhone data will be transferred with patient ID to "Preventicus" for calculation of the systolic blood pressure values (mmHg) based on the pulse waves recorded by transillumination of the index fingers of the participants. "Preventicus" will have NO access to the Cuff-measurement data (...) deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: able to give informed consent in Sinus rhythm no anatomical limitation to take blood pressure Exclusion Criteria: Atrial fibrillation

2015 Clinical Trials

15. Arytenoid repositioning device. (PubMed)

) imaging of cadaveric larynges were done to evaluate the surgical technique.Testing of prototypes identified the ideal implant to be a 0.36-mm wire with a distal spring-wound coil placed through a trocar via a small drill hole in the anterior thyroid cartilage. An endoscopic view of transilluminated light through the pyriform sinus mucosa identified the tip location of the trocar adjacent to the muscular process of the arytenoid cartilage. Placement of the device through the trocar permitted rotation

2014 Rhinology and Laryngology

16. Ureterocele (Diagnosis)

and trigone. The most commonly accepted theory behind ureterocele formation is the obstruction of the ureteral orifice during embryogenesis, with incomplete dissolution of Chwalla's membrane. This is a primitive, thin membrane that separates the ureteral bud from the developing urogenital sinus. Failure of this membrane to completely perforate during development of the ureteral orifice is thought to explain the occurrence of a ureterocele. Previous Next: Pathophysiology It is important to make (...) with the metanephric blastema, a primitive analog of the kidney, and begins to induce nephron formation. The ureteral bud subsequently branches into the renal pelvis and the calyces and induces nephron formation. Caudally, the mesonephric duct and the ureteral bud are incorporated into the anterior portion of the cloaca (urogenital sinus) as it forms the bladder trigone. At this point, Chwalla's membrane perforates to allow the formation of a normal ureteral orifice. If the membrane does not completely perforate

2014 eMedicine.com

17. Sinusitis, Acute (Overview)

rhinosinusitis 10 days or more beyond the onset of upper respiratory symptoms Worsening of symptoms or signs of acute rhinosinusitis within 10 days after an initial improvement The following signs may be noted on physical examination: Purulent nasal secretions Purulent posterior pharyngeal secretions Mucosal erythema Periorbital edema Tenderness overlying sinuses Air-fluid levels on transillumination of the sinuses (60% reproducibility rate for assessing maxillary sinus disease) Facial erythema See for more (...) and accounts for close to 16 million office visits per year. [ ] See the image below. Air-fluid level (arrow) in the maxillary sinus suggests sinusitis. Signs and symptoms Clinical findings in acute sinusitis may include the following: Pain over cheek and radiating to frontal region or teeth, increasing with straining or bending down Redness of nose, cheeks, or eyelids Tenderness to pressure over the floor of the frontal sinus immediately above the inner canthus Referred pain to the vertex, temple

2014 eMedicine.com

18. Ureterocele (Overview)

theory behind ureterocele formation is the obstruction of the ureteral orifice during embryogenesis, with incomplete dissolution of Chwalla's membrane. This is a primitive, thin membrane that separates the ureteral bud from the developing urogenital sinus. Failure of this membrane to completely perforate during development of the ureteral orifice is thought to explain the occurrence of a ureterocele. Previous Next: Pathophysiology It is important to make a distinction between orthotopic and ectopic (...) of the kidney, and begins to induce nephron formation. The ureteral bud subsequently branches into the renal pelvis and the calyces and induces nephron formation. Caudally, the mesonephric duct and the ureteral bud are incorporated into the anterior portion of the cloaca (urogenital sinus) as it forms the bladder trigone. At this point, Chwalla's membrane perforates to allow the formation of a normal ureteral orifice. If the membrane does not completely perforate, a ureterocele results. Importantly

2014 eMedicine.com

19. Neonatal Resuscitation (Follow-up)

. The desaturated blood returning from the liver and lower body streams into the IVC to the right atrium. In the right atrium, the desaturated blood mixes with blood returning from the coronary sinus and superior vena cava (SVC) and flows into the right ventricle. The more highly oxygenated blood that crosses the foramen ovale mixes with the small amount of pulmonary venous return and then crosses the mitral valve into the left ventricle. The output from the left ventricle passes into the ascending aorta

2014 eMedicine Pediatrics

20. Sinusitis (Overview)

rhinosinusitis 10 days or more beyond the onset of upper respiratory symptoms Worsening of symptoms or signs of acute rhinosinusitis within 10 days after an initial improvement The following signs may be noted on physical examination: Purulent nasal secretions Purulent posterior pharyngeal secretions Mucosal erythema Periorbital edema Tenderness overlying sinuses Air-fluid levels on transillumination of the sinuses (60% reproducibility rate for assessing maxillary sinus disease) Facial erythema See for more (...) and accounts for close to 16 million office visits per year. [ ] See the image below. Air-fluid level (arrow) in the maxillary sinus suggests sinusitis. Signs and symptoms Clinical findings in acute sinusitis may include the following: Pain over cheek and radiating to frontal region or teeth, increasing with straining or bending down Redness of nose, cheeks, or eyelids Tenderness to pressure over the floor of the frontal sinus immediately above the inner canthus Referred pain to the vertex, temple

2014 eMedicine Pediatrics

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