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General Paediatric Surgery: A Model of Care for Ireland 2024. 普通儿科手术：2024 年爱尔兰的医疗模式。
Irish medical journal Pub Date : 2024-09-26
K Mealy
{"title":"General Paediatric Surgery: A Model of Care for Ireland 2024.","authors":"K Mealy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1006"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390557","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
The Stable Acute Vertebral (SAVe) compression fracture study. 稳定型急性椎体压缩骨折（SAVe）研究。
Irish medical journal Pub Date : 2024-09-26
P McCaroll, M Alhazmi, M Kostka, S Mooya, P Coughlan, M Curtin, L Smith, C Byrne, A Ryan, F Rowan, M Cleary
{"title":"The Stable Acute Vertebral (SAVe) compression fracture study.","authors":"P McCaroll, M Alhazmi, M Kostka, S Mooya, P Coughlan, M Curtin, L Smith, C Byrne, A Ryan, F Rowan, M Cleary","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1008"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390570","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
Safety concerns with the use of the Maxillary Lift Technique for Difficult Airway Management. 使用上颌提升技术处理困难气道的安全问题。
Irish medical journal Pub Date : 2024-09-26
K Brosnan
{"title":"Safety concerns with the use of the Maxillary Lift Technique for Difficult Airway Management.","authors":"K Brosnan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1021"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390566","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
Proximal Renal Artery Stenosis Presenting as Uncontrolled Hypertension. 肾动脉近端狭窄表现为无法控制的高血压。
Irish medical journal Pub Date : 2024-09-26
N Onwasigwe, T M Chia, H O'Neill, C Donagh, D Nagi
{"title":"Proximal Renal Artery Stenosis Presenting as Uncontrolled Hypertension.","authors":"N Onwasigwe, T M Chia, H O'Neill, C Donagh, D Nagi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>We present a case of 50-year-old lady who present with 1-month history of uncontrolled hypertension.</p><p><strong>Diagnosis: </strong>Magnetic resonance angiography showed stenosis of the left renal artery just beyond the ostium extending over approximately 7mm in length. Computed tomography angiography show focal narrowing of the proximal renal artery just distal to vessel origin, approximately 60% stenosis.</p><p><strong>Treatment: </strong>Anti-hypertensive medication was initiated in the ward. She was referred to vascular surgeon for renal bypass.</p><p><strong>Discussion: </strong>Renal artery stenosis is common cause of hypertension but may go unrecognised. The focus of this case is on the evaluation and necessity for a complete evaluation of the patient who is presenting with uncontrolled hypertension. To rule out renal artery stenosis, patient should be examined using CT-angiography or, if possible, arteriography.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1017"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390564","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
Sternal plating for traumatic sternal non-union. 胸骨钢板治疗创伤性胸骨不连。
Irish medical journal Pub Date : 2024-09-26
J D Kehoe, S Barrett, P Higgins, J Dilworth, D Tuite, J Hinchion
{"title":"Sternal plating for traumatic sternal non-union.","authors":"J D Kehoe, S Barrett, P Higgins, J Dilworth, D Tuite, J Hinchion","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Sternal non-union is a rare complication of sternal fracture but one which may impact patients symptomatically or cosmetically. Should conservative measures fail, the indications for operative intervention have become more defined in recent years and new techniques have been developed to restore sternal position and thus correct chest wall shape and function.</p><p><strong>Cases: </strong>We present two cases of aseptic sternal non-union. Case 1 involved a young patient with a protracted history of sternal pain owing to an injury induced by repeated low-grade stress. Case 2 refers to another young individual who presented with persistent pain 1 year after suffering a fractured sternum in a motor bike accident.</p><p><strong>Outcome: </strong>Despite polarising inciting events, both were found to have non-union injuries to the sternum with evidence of pseudoarthrosis. We examine their management with parallel locking compression plate sternal fixation.</p><p><strong>Discussion: </strong>We also evaluate the current literature with respect to sternal plating, novel operative and non-operative alternatives, including recombinant human parathyroid hormone, and peri-operative considerations, such as closed incision negative pressure therapy. With ever improving access to axial imaging, particularly in the setting of trauma, these injuries are likely to increase in prevalence.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1007"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390567","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
Isolated Transient Global Amnesia Following Hippocampal Stroke. 海马区中风后的孤立性短暂性全面遗忘症
Irish medical journal Pub Date : 2024-09-26
M Hag, J Miranda, J Lavinskas
{"title":"Isolated Transient Global Amnesia Following Hippocampal Stroke.","authors":"M Hag, J Miranda, J Lavinskas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1020"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390560","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
Impact of a new paediatric pleural empyema guideline on outcomes. 新的儿科胸膜腔积液指南对治疗效果的影响。
Irish medical journal Pub Date : 2024-09-26
F Jneibi, D W Cox
{"title":"Impact of a new paediatric pleural empyema guideline on outcomes.","authors":"F Jneibi, D W Cox","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1009"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390558","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
Loperamide induced acute pancreatitis in pediatrics. 洛哌丁胺诱发儿科急性胰腺炎。
Irish medical journal Pub Date : 2024-09-26
G Bruno, G Marinotti
{"title":"Loperamide induced acute pancreatitis in pediatrics.","authors":"G Bruno, G Marinotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>A 13-year-old boy was admitted to the hospital following an accidental ingestion of 12 mg of loperamide hydrochloride. His main complaint was abdominal pain, especially in his right hypochondrium and epigastrium.</p><p><strong>Diagnosis: </strong>He was diagnosed with acute pancreatitis secondary to the use of loperamide. His lipase and amylase were indeed raised showing an acute and reversible trend. Infections and cholelithiasis were ruled out by blood tests and US abdomen.</p><p><strong>Treatment: </strong>The patient was treated with a single dose of activated charcoal and improved with no further treatment.</p><p><strong>Discussion: </strong>Loperamide is an opioid-receptor agonist and acts on the μ-opioid receptor. This causes spasms and dysfunction of the sphincter of Oddi resulting in obstruction of the pancreatic drainage and leading to acute pancreatitis. This case report shows the first case of loperamide induced acute pancreatitis in pediatrics.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1016"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390562","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
Persistent Postural Perceptual Dizziness In The Neurology Clinic. 神经科门诊中的持续性姿势感知性头晕。
Irish medical journal Pub Date : 2024-09-26
K Radhakrishna, M Gaughan
{"title":"Persistent Postural Perceptual Dizziness In The Neurology Clinic.","authors":"K Radhakrishna, M Gaughan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To determine the proportion of referrals to a General Neurology New Patient Clinic which meet the diagnostic criteria of Persistent Postural Perceptual Dizziness (PPPD) and to gauge patient-perceived response to treatment.</p><p><strong>Methods: </strong>Referral letters, n=1315, to a General Neurology New Patient Clinic from 2021-2023 were screened for terms 'dizziness', 'vertigo', 'unsteadiness' and 'vestibular'. A chart review was performed to establish study outcomes.</p><p><strong>Results: </strong>202 (15.4%) patients were referred with 'dizziness', 'vertigo' or 'unsteadiness', 22 (11%) of which fulfilled the diagnostic criteria. Venlafaxine was offered in 10 (45.5%) patients and conferred ≥50% benefit in 8 (80%). Vestibular physiotherapy improved symptoms by ≥25% in all 7 (100%) patients with access to the intervention. Cognitive behavioural therapy and effective communication of the diagnosis alleviated symptoms by 50% in 3 (14%) patients respectively.</p><p><strong>Discussion: </strong>PPPD is increasingly recognised in patients with chronic vestibular symptoms and can cause significant functional morbidity. Venlafaxine may independently improve symptoms1.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1014"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390563","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
Successful Delayed Amputated Split-Thickness Dermis Reattachment of a Fingertip Injury in the Home Setting without Sutures. 无需缝合，在家庭环境中成功完成指尖损伤的延迟截肢真皮层裂开再接合。
Irish medical journal Pub Date : 2024-09-26
M Waterstone, S Keogh, E J Kelly
{"title":"Successful Delayed Amputated Split-Thickness Dermis Reattachment of a Fingertip Injury in the Home Setting without Sutures.","authors":"M Waterstone, S Keogh, E J Kelly","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>This case reports details a fingertip amputation injury. The patient was vitally stable post-injury and blood loss was controlled with direct pressure.</p><p><strong>Diagnosis: </strong>The injury was inspected and found to involve the finger pulp and nailbed, without exposure of the terminal phalanx (Allen 2).</p><p><strong>Treatment: </strong>The avulsed tissue was initially placed in situ at the site of the injury. At day 3 the viable dermis from the avulsed tissue was dissected away and a split-thickness dermal graft was performed. The graft was held in place with antibacterial dressings. Epithelialisation was complete at two weeks, sensation returned to normal at five months and progress was tracked with interval photography. Overall there was an excellent cosmetic and functional outcome.</p><p><strong>Discussion: </strong>Split-thickness grafting of the dermis has been previously described, but there are no reports of this technique being applied to fingertip injuries. De-epithelialisation may enhance the likelihood of graft survival when compared to composite grafting techniques.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1015"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390568","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
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