International Journal of Medical Reviews and Case Reports最新文献_第6页

ATYPICAL INTERPRETATION OF MEDULLOBLASTOMA 髓母细胞瘤的不典型解释

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1671277484

R. Panda, Pratosh Paul, S. Mishra, S. Mishra

{"title":"ATYPICAL INTERPRETATION OF MEDULLOBLASTOMA","authors":"R. Panda, Pratosh Paul, S. Mishra, S. Mishra","doi":"10.5455/ijmrcr.172-1671277484","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1671277484","url":null,"abstract":"Introduction: Medulloblastoma is a midline posterior fossa mass that typically develops from the vermis in children. It shows up on a CT scan as a hyperdense, homogeneously enhancing mass and is linked to the clinical profile of posterior fossa syndrome. Although this distinct clinical-radiological pattern is regarded as \"typical,\" medulloblastomas frequently do not follow the normal clinico-radiological pattern. Methods: To identify the abnormal clinical-radiological features, 28 patients were retrospectively analyzed and 12 cases were prospectively studied. Only 21 of the 40 patients showed the typical radiological feature of a hyperdense homogeneously enhancing mass, while the other four had hypodense nonenhancing masses, 12 had cystic alterations, and five had calcifications in their tumors. Three patients arrived with tumors in the cerebellopontine angle cistern, which is a rather rare position. Results: Patients who underwent follow-up for a minimum of 6 months and a maximum of 1 year returned with metastases in very odd places. There were 2 patients who had a cervical intramedullary metastasis, and there were 4 occurrences of metastases in the frontal and subfrontal area. One year following final surgery and ventriculoperitoneal shunting, abdominal metastases and ascites occurred in 3 individuals. But after surgery, each of these 3 patients had had a complete course of craniospinal irradiation. Conclusion: There were other cases that had atypical clinical, radiological, and metastatic patterns.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88924775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lesser Omental Infarction Presenting with ST-Segment Changes on Electrocardiography in A 37-Year Old Male: Coincidence or Causation? 37岁男性小网膜梗死伴心电图st段改变:巧合还是因果关系?

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1684347260

Lila Hilal, Yumna Njoum, Suha Sulaiman, Bilal Adwan, Farah Jabbarin, S. Mtour

{"title":"Lesser Omental Infarction Presenting with ST-Segment Changes on Electrocardiography in A 37-Year Old Male: Coincidence or Causation?","authors":"Lila Hilal, Yumna Njoum, Suha Sulaiman, Bilal Adwan, Farah Jabbarin, S. Mtour","doi":"10.5455/ijmrcr.172-1684347260","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1684347260","url":null,"abstract":"Background: Omental infarction is a rare cause of acute abdominal pain. While the clinical presentation and diagnostic workup of omental infarction have been well-described in the literature, there is currently no published data on the relationship between omental infarction and Electrocardiogram (ECG) changes. Case presentation: A 37-year-old male presented with acute onset of epigastric pain, He had associated ECG changes, including ST elevation in V1 (1 mm), ST depression in leads II, aVF, and V4 so he was diagnosed with omental infarction after exclusion of acute coronary syndrome (ACS) via cardiac catheterization and echocardiography. The patient was managed conservatively with pain control and close observation and was discharged home in stable condition, The ECG changes resolved on follow-up 2 weeks later. Conclusion: Omental infarction should be considered in the differential diagnosis of patients presenting with acute abdominal pain and ECG changes. Further studies are needed to elucidate the pathophysiology of ECG changes in omental infarction and to develop optimal management strategies for these patients.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91484832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing visual symptoms related to dry eye and refractive error in school students before and after online classes during COVID-19 pandemic 评估学生在COVID-19大流行期间在线课程前后与干眼和屈光不正相关的视力症状

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1667489653

Dakin Paul, D. Rajan, D. Chokkalingam, Dr Gnaneswaran, Dr Matheen

{"title":"Assessing visual symptoms related to dry eye and refractive error in school students before and after online classes during COVID-19 pandemic","authors":"Dakin Paul, D. Rajan, D. Chokkalingam, Dr Gnaneswaran, Dr Matheen","doi":"10.5455/ijmrcr.172-1667489653","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1667489653","url":null,"abstract":"Background: During the COVID-19 pandemic, there was a major change in the mode of education from offline to online classes for the school students. Objectives: To determine if school students have developed symptoms related to dry eye. Methodology: Its descriptive cross-sectional study. This study was conducted in a reputed school in the city and 1000 students who had attended online classes during the covid-19 pandemic by the Department of Ophthalmology, Chettinad hospital and research institute, Kelambakkam, Tamil nadu, India Results: About 41% experienced redness of eye, 38% experienced blurring of vision, 36.6% had eye pain, 32% had burning sensation of eyes signs of dryness of eye. 50.2% had adequate distance between your gadget and eyes, 36.1 % had too close to eyes and 13.7 % had too far from eyes. Regarding the eye checkup, 43.7% never checked up their eyes, 11.6% does annual examination and 44.7% does rarely. Comparison between duration of Electronic Gadget usage per day during online class and offline class was significantly reduced after the offline class commencement. P value is 0.000001. Conclusion: There is significant Digital screen exposure time difference is observed during online and in offline classes. And its impact in visual refractive errors and computer vision syndrome","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81114341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A cross-sectional study in a tertiary care facility examined the prevalence, risk factors, mother health, and perinatal outcomes in eclampsia 一项在三级医疗机构开展的横断面研究探讨了子痫的发病率、风险因素、母亲健康和围产期结局

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1681728141

Gupteswar Mishra, S. Mohanty, Prabir Biswal

引用次数: 0

Acute oleander poisoning treated successfully without Fab fragments- a case series and literature review 无Fab片段治疗急性夹竹桃中毒成功-个案系列及文献回顾

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1651109705

Prakash sanniboyina, thejaswi R, C. L., S. S

{"title":"Acute oleander poisoning treated successfully without Fab fragments- a case series and literature review","authors":"Prakash sanniboyina, thejaswi R, C. L., S. S","doi":"10.5455/ijmrcr.172-1651109705","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1651109705","url":null,"abstract":"ABSTRACT Background- Nerium oleander (common oleander grown as an ornamental plant) and Cerbera Thevetia (yellow oleander grows wildly on the roadside). All parts of these plants, including nectar, are potentially lethal. Suicidal poisoning by the products of these plants is a toxicologic emergency in tropical and subtropical regions. They contain cardiac glycosides, namely Oleandrin, Oleandrigenin, Nerifolin, ThevetinA, and ThevetinB, which act like digoxin in addition to gastrointestinal symptoms. Ingestion of oleander results in nausea, vomiting, abdominal pain, diarrhoea, dysrhythmias, and hyperkalemia. Cardiac toxicity includes a variety of ventricular dysrhythmias and A-V Blocks, muscular twitching, tetanic spasms, lockjaw, coma and respiratory paralysis. The cause of death is usually cardiogenic shock and respiratory arrest. Some cases have been reported with acute kidney injury and hepatic damage. Case report – We have successfully managed 3 cases of acute oleander poisoning. All three patients were young and did not have comorbid conditions. 2 patients presented with mainly abdominal pain and vomiting and had hyperkalemia. The third patient had symptomatic bradycardia and several episodes of vomiting. Most cases can be managed by Multidose activated charcoal and supportive care with IV fluids and symptomatic treatment. Some patients require respiratory support, atropine and pacing for symptomatic bradycardia. Insulin-dextrose is the most effective method of treating hyperkalemia. Calcium chloride is contraindicated in this instance. Specific management is digoxin specific Fab fragments. As emergency physicians may encounter these cases, they should have sound knowledge about symptoms and management. Oleander poisoning should be considered in the differential for any young patient presenting with bradycardia.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81302537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Life-threatening Hypercalcaemic Crisis Due to Benign Primary Hyperparathyroidism, a Case Report 由良性原发性甲状旁腺功能亢进引起的危及生命的高血钙危机1例报告

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1656142184

L. Castro, F. Coelho, R. Mendes, Andreia Silva, Leonor Santos

引用次数: 0

ELECTROCARDIOGRAM PATTERN PRE AND 24 HOURS POST THERAPY IN HYPONATREMIA WITH HEART FAILURE PATIENT 低钠血症合并心力衰竭患者治疗前后24小时的心电图特征

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1671075092

Iswina Baharuddin, Pendrik Tandean, Idar Mappangara, S. Bakri, H. Rasyid, A. Aman, A. Seweng

{"title":"ELECTROCARDIOGRAM PATTERN PRE AND 24 HOURS POST THERAPY \u0000IN HYPONATREMIA WITH HEART FAILURE PATIENT","authors":"Iswina Baharuddin, Pendrik Tandean, Idar Mappangara, S. Bakri, H. Rasyid, A. Aman, A. Seweng","doi":"10.5455/ijmrcr.172-1671075092","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1671075092","url":null,"abstract":"Background : Hyponatremia is the most common electrolyte disturbance in hospitalized heart failure patients, with a prevalence of around 19%-25%. The relationship between hyponatremia and cardiac conduction disorders has not been demonstrated yet. When there is a decrease in extracellular Na+ levels, there is a delay in the depolarization phase. This study was conducted to observe the ECG pattern in hyponatremic patients with heart failure (particularly in the P wave, PR interval, and QRS complex) and ECG changes after 24 hours of therapy. Methode: This study used a longitudinal observational descriptive method. Patients who were included in this study were hyponatremic patients with heart failure at the Wahidin Sudirohusodo Hospital Makassar from April to September 2021. The patient's electrocardiogram data when first admitted and after 24 hours of therapy. Statistical test using McNemar and Wilcoxon Signed Rank Test, where the test results are statistically significant when the p value <0.05. Result : This study included 51 subjects with a distribution of 68.6% men with an age range of 18-85 years. Pre-therapy ECG pattern showed 12 patients with prolonged P-R interval, and 4 patients with widening of the QRS complex. After 24 hours of therapy, 12 people became normonatremia and the mean P wave and P-R interval were lower than pre-therapy, while the QRS complex did not show any changes. Conclusion : The ECG pattern in hyponatremia with heart failure are prolonged P-R interval and widening of the QRS complex, but the ECG changes were not significant to Na+ levels changes.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74182756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Syndrome de démyélinisation osmotique : à propos de deux cas (typique et moins typique) et revue de la littérature 渗透脱髓鞘综合征:约2例(典型和不典型)和文献综述

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1682337735

Hanane Mouden, G. Lembarki, Sami Himri, M. Labied, M. Sabiri, S. Lezar, F. Essodegui

{"title":"Syndrome de démyélinisation osmotique : à propos de deux cas (typique et moins typique) et revue de la littérature","authors":"Hanane Mouden, G. Lembarki, Sami Himri, M. Labied, M. Sabiri, S. Lezar, F. Essodegui","doi":"10.5455/ijmrcr.172-1682337735","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1682337735","url":null,"abstract":"Le syndrome de démyélinisation osmotique (SDO) ou la myélinolyse centropontine et extrapontine correspond à un état neurologique sévère traduisant une démyélinisation axonale, localisée le plus souvent au niveau pontique, secondaire le plus souvent à une correction rapide d’une hyponatrémie. L’IRM joue un rôle essentiel dans le diagnostic positif et différentiel. Nous présentons deux cas de syndrome de démyélinisation osmotique, hospitalisés pour coma non fébrile. Nos deux cas étaient de sexe féminin avec des âges de 63 et 30 ans. L'évolution a été marquée par l'aggravation neurologique avec trouble de conscience et déficit moteur. Le diagnostic a été confirmé par une imagerie par résonance magnétique encéphalique. Le SDO chez le premier cas a fait suite à une correction rapide de l'hyponatrémie alors que chez le 2ème cas, le SDO est survenu dans un contexte d’hypokaliémie seule qui représente un facteur favorisant de ce syndrome. Le traitement a été principalement basé sur la correction de l’hypokaliémie et la correction prudente de l’hyponatrémie. L’association du syndrome de démyélinisation osmotique avec la correction rapide de l’hyponatrémie est bien connue. Toutefois l’implication de l’hypokaliémie dans la pathogénèse de ce syndrome est rarement rapportée dans la littérature.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79015002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Case of Testicular Infarction Secondary to Epididymo-Orchitis in a Patient with Spinal Cord Injury 脊髓损伤患者继发于附睾-睾丸炎的睾丸梗死一例

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1671082952

V. Chang, Tiffany Ho, Q. Ho, K. Leong

引用次数: 0

A case series of Extra-peritoneal spread of perianal abscess: a rare complication of perianal abscess - Experience from a tertiary care centre in India. 一个病例系列的腹膜外扩散的肛周脓肿:一个罕见的并发症的肛周脓肿-经验从三级保健中心在印度。

International Journal of Medical Reviews and Case Reports Pub Date : 2023-01-01 DOI: 10.5455/ijmrcr.172-1663568473

G. S, Paul D, Titus K, Beulah Roopavathana, S. Chase

引用次数: 0