Nobuhiro Takeuchi

14 Questions 27 Answers 0 Followers

Questions related from Nobuhiro Takeuchi

Do you think HCC of this patient derived from occult HBV?

(A case) A 68-year male with maintenance dialysis presented appetite loss and general fatigue. Ultrasonography revealed a 10cm sized tumor at the segment S7 in the liver, suggesting HCC. Retention...

02 December 2016 3,663 12 View

Does anybody know about pneumoperitoneum that develops after the colonic stent implantation in patients with severe malignant colonic stenosis?

Within the last few years, I experienced three cases of pneumoperitoneum with and without pneumomediastinum developed immediately after the colonic stent implantation in patients with severe...

28 September 2016 4,810 5 View

Is it likely that the case below has some association between bacteremia by Streptococcus bovis and colon adenoma?

An 82-year-old male with a medical history of type 2 diabetes mellitus visited our department with consciousness disturbance, worsening dyspnea, and high grade fever. Chest X-ray revealed...

18 September 2016 1,721 5 View

Does anybody know the mechanism that serum Troponin T levels remarkably elevate under septicemia without any evidence of ischemic heart disease?

I sometimes experience that Troponin T levels remarkably elevate although there is no evidence of ischemic heart disease; ECG is normal and USG shows no abnormal cardiac motion. Recently, I have...

14 September 2016 5,327 8 View

Does anybody know the mechanism of gall bladder wall thickening in the case of heart failure?

Recently, I experienced two cases of heart failure presenting with remarked wall thickening of gall bladder detected by ultrasonography. One case is a 83-year-old male visited our hospital with...

27 December 2015 4,373 7 View

Does anybody have an idea whether right-sided kidney is more vulnerable to bacterial infection than left-sided kidney?

I am sorry if this question does not make sense, but I am really curious about this. Recently, I experienced two cases of acute focal bacterial nephritis (an acute localized non-liquefactive...

01 December 2015 4,424 3 View

Does anybody know mechanisms in which liver dysfunction or cholestasis are presented in patients with urinary traction infection without cholangitis?

I experienced several cases in which data shows liver dysfunction or cholestasis in patients with urinary traction infection without cholangitis. My impression about this phenomenon is that blood...

30 November 2015 4,669 9 View

Is there any possibility that contrast agents may trigger the rupture of thoracic aortic dissection (Stanford A type)?

Actually, I am concerned with the association between the use of contrast agents and rupture of thoracic aortic dissection (Stanford A type). Here is the case I experienced recently. A 57-year-old...

28 November 2015 5,322 6 View

Is there any possibility that epidermis staphylococcus may be a cause of sepsis in a healthy individual?

Here is the case that I need your advice. A 41-year-old female was brought to our emergency department with high fever and conscious disturbance. Her vital signs on admission suggested that she...

25 November 2015 252 9 View

Does anyone have an idea about abrupt neck movements in martial arts that could cause cerebral infarction (thrombus in the internal carotid artery) ?

Does anyone have an idea or that overuse of the neck can cause cerebral infarction resulted from thrombus in the internal carotid artery? A 61-year-old male was brought to the emergency department...

14 October 2015 2,409 13 View

What do you think is the indication of branchial angiography (BAG) and hemostasis for a patient with hemoptysis?

What do you think is the indication of branchial angiography (BAG)? Recently, I saw a patient who visited our hospital with a complaint of blood from mouth (initially, origin of blood was...

01 October 2015 288 2 View

Does anyone know any mechanisms in which patients with bacteremia are likely to present with severe headache without the evidence of meningitis?

Do you know any mechanisms in which patients with bacteremia are likely to present with severe headache, although following cerebrospinal fluid examination reveals no evidence of meningitis?

27 September 2015 4,189 2 View

Do you researchers use levels of Troponin T as an indicator of severity of septic patients?

I am very concerned with if researchers are using values of Troponin T as an indicator of severity of septic patients. Reflecting on my experiences in intensive care unit, patients with septic...

14 September 2015 6,284 11 View

Do you consider administering iv steroid treatment in the case of severe septic shock?

Do you consider administering iv steroid treatment in the case of severe septic shock? Actually, I was dubious about the effectiveness of steroid treatment in the case of severe bacterial...

14 September 2015 9,153 4 View