Genital oedema in patients treated by continuous ambulatory peritoneal dialysis: an unusual presentation of inguinal hernia.

Author:

Cooper J C,Nicholls A J,Simms J M,Platts M M,Brown C B,Johnson A G

Publisher

BMJ

Subject

General Earth and Planetary Sciences,General Environmental Science,General Engineering

Reference5 articles.

1. Abdominal hernias in patients treated with CAPD;Francis, D.M.A.; Scholfield, I.; Veitch, P.S.;Br J Surg,1980

2. Abdominal hernias in patients receiving continuous ambulatory peritoneal dialysis;Chan, M.K.; Baillod, R.A.;Br MedJ,1981

3. Abdominal hernias in patients undergoing CAPD;Digenis, G.E.; Vibanna, R.; Mathews, R.; Oreopoulos, D.G.;Peritoneal Dialysis Bulletin,1982

4. (Accepted 29 March 1983)

5. Increase of the left ventricular filling pressure is one of the earliest and most sensitive responses of the ischaemic myocardium and is observed before the onset of electrocardiographic ST depression or chest pain in stressed patients.5 We employed an echophonocardiographic method6f 7 to assess the expected rise in filling pressure after cold stimulation. This method has been validated by our own work (B I B Seneviratne, A Morton, I Linton, paper read at third ASEAN congress of cardiology, 1980) and later work by others.8 9 Employing this method, we found that of our patients who subsequently underwent angiography, those with proved coronary artery disease invariably showed at least a 30% rise in filling pressure during the test. In contrast, none of our normal controls showed a rise of more than 5%'

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