Journal of Academic Emergency Medicine Case Reports最新文献

{"title":"Missing Radiopaque Foreign Body in Plain X-ray","authors":"Direkt Grafide, Görülmeyen Radyoopak, M. Demir, Yabancı Cisim, A. Emir, Kubilay Kınoğlu, Ali Tavaslı, Habib Bostan","doi":"10.5152/JAEMCR.2015.1111","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1111","url":null,"abstract":"Introduction: The radiological investigations that will be performed after the hemodynamic stabilization of trauma cases presenting to the emergency room are of vital importance when deciding on the treatment to be administered to the patient. Posteroanterior chest radiography was not applied in the proper position, to include all the soft tissues of the chest and shoulder, after an injury caused by a sharp object in our case. Therefore, a radiopaque foreign object retained within the body was not detected.Case Report: Our case was brought to the emergency room because of a stabbing injury, but no pathological findings were determined at the initial examination or based on the X-graphs taken. Approximately 1 year after discharge, the patient presented to another hospital because of a persistent swelling and pain in the left armpit. A metallic image consistent with a knife point 7–8 cm in length was determined to be under the left armpit. Conclusion: The radiographs not taken in the proper position may lead to undesirable consequences. Therefore, we recommend that great attention should be paid while taking the radiographs, ensuring the proper position and careful evaluation","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"7 1","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90952708","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}

{"title":"The Thin Border between Life and Death","authors":"E. Değirmenci, O. Tutar, Abdullah Gulbagci, I. Ikizceli, C. Aktaş","doi":"10.5152/jaem.2015.94834","DOIUrl":"https://doi.org/10.5152/jaem.2015.94834","url":null,"abstract":"We aimed to represent the case of a gunshot injury which was so close to the center that it could have affected the vital functions. Here you will find the imaging studies regarding this case. A 17-year-old male patient presented to the emergency department with the claim of a gunshot injury. It was observed that the patient was conscious, cooperative, and oriented. During examination, a defect, consistent with a 5 × 5 mm bullet inlet, was seen in the left zygomatic region as an extracranial finding. Minimal tenderness was elicited with palpation on left zygomatic region and his Glascow coma score was 15/15. His pupils were isocoric, light reflex was bilaterally positive, eye movements and vision were normal, diplopia was not present, and otorrhea and rhinorea were absent. Cranial nerves and motor function examinations were intact. When the patient was admitted to the hospital, his vital signs were as follows: blood pressure, 100/60; pulse, 80/min; inspiration rate, 22/min; temperature, 26.6°C; and oxygen saturation, 97%. Laboratory revealed no significant pathological findings. Cranial and maxillofacial computed tomography revealed that the bullet inlet was located anteriorly in the left maxillary sinus, the bullet was located in the left suboccipital condyle, and the lateral wall was destroyed (Figure 1, 2a, b). The patient was referred to the neurology clinic. His neurological examination revealed no sign of any deficit. Radiological imaging revealed that the bullet was located in a place which could not be easily reached with surgical instruments; therefore, a conservative approach was thought to be suitable for this case (Figure 3a-c, 4). Surgery for a gunshot head injury is intended to achieveof revitalized in the entrance and exit wounds, evacuation of all significant mass lesions, hemostasis, and meticulous dural and scalp closure (1). The indication for surgery to remove a bullet is controversial because presence of retained bullets or bone fragments do not increase intracranial infection rate and removal of the same to prevent infection is unnecessary (1, 2). However, the common complications of retained intracranial foreign bodies are abscess formation, cerebrospinal fluid fistulas, post-traumatic epilepsy, hematomas, and infection (3). The patient was observed for 24 h in our emergency clinic and then discharged. He was instructed to come back for follow-up visits for 3 months. During the follow-up visits, no pathology was observed.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"16 1","pages":"160-161"},"PeriodicalIF":0.0,"publicationDate":"2015-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87705414","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}

{"title":"The Relationship Between Suicide Attempts and Menstrual Cycles in the Emergency Department and the Sociodemographic and Clinical Characteristics of These Patients","authors":"Y. Zengin, M. Çalık, F. Buyukcam, J. Şen, Senay Akpinar, A. Erdem, A. Ceylan, Ö. Odabaş","doi":"10.5152/JAEM.2015.91069","DOIUrl":"https://doi.org/10.5152/JAEM.2015.91069","url":null,"abstract":"Aim: Suicidal behavior is defined as choosing death in the conflict between life and death. The aim of this study is to investigate the suspected relationship between suicide attempts and menstrual cycles and to evaluate the sociodemographic and clinical characteristics of the non-pregnant female patients of reproductive age who have presented to our hospital after attempting suicide. Materials and Methods: In this study, 102 female patients (aging 16–45 years) of reproductive age with regular menstrual cycles who presented to the emergency department because of suicide attempts were enrolled. The study was designed as prospective, cross-sectional, and descriptive. The patients’ sociodemographic, clinical, and laboratory biochemical parameters were recorded. For the purposes of this study, 100 healthy women who fulfilled the criteria formed the control group and underwent the same procedures as the patient group. Results: Among the patients who presented to the hospital after attempting suicide, 64 (62.7%) were in their menstrual period, six (5.9%) were outside their menstrual period during the follicular phase, five (4.9%) were at the mid-cycle peak, and 27 (26.4%) were at the luteal phase, as determined on the basis of the date of their last menstrual period and their blood hormone levels. Conclusion: The majority of suicide attempts by women occurred during their menstrual period when the estradiol and progesterone levels are at their lowest. (JAEM 2015 DOI: 10.5152/jaem.2015.91069)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"45 6","pages":"118-122"},"PeriodicalIF":0.0,"publicationDate":"2015-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91474641","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}

{"title":"Bilateral Ureteral Stones Causing Anuria: A Case Report","authors":"A. Gur, M. G. Turtay, S. Gurbuz, H. Oguzturk, M. Sarihan, F. Oğuz, S. Derya","doi":"10.5152/JAEMCR.2015.768","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.768","url":null,"abstract":"Giris: Bilateral ureter tasi sonucu anuri acil serviste cok karsilasilan bir durum degildir. Olgu Sunumu: 18 yasinda erkek hasta ani idrar yapamama sikayeti ile acil servise basvurdu. Bu sikayeti disinda ek baska bir sikayeti olmadigini belirtti. Yapilan fizik muayenesinde herhangi bir patolojik bulgu saptanmadi. Yapilan kan tetkiklerinde hastanin potasyum degeri 6.4 mmol/lt, kreatinin degeri ise 9.81 mg/dL’di. Daha sonrasinda yapilan ultrasonografi ve kontrasiz spiral tomografide bilateral ureter tasi tespit edildi. Uroloji konsultasyonu istendi. Uroloji tarafindan acil cerrahiye alinan hastaya ureterorenoskopi ve DJ stent takilan hastanin bobrek fonksiyonlarinin iyilesmesi ve idrar cikisinin olmasi ile hasta taburcu edildi. Sonuc: Anuri sikayeti ile basvuran hastalarda, bilateral ureter tasi olabilecegi ve buna bagli olarak akut bobrek yetmezligi ve sonrasinda acil cerrahi mudahale gerekebilecegi akilda tutulmalidir","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"30 1","pages":"72-74"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74037419","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}

{"title":"Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department","authors":"Ahmet Yıldırım, O. Akdur, Serdal Balcı, Halil Beggi","doi":"10.5152/JAEMCR.2015.1188","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1188","url":null,"abstract":"Giris: Biceps proksimal uzun tendon (PBUT) rupturu direk ve indirek travma sonrasi gorulen nadir bir klinik tablodur. Bu yazida acil serviste fizik muayene ve yatak basi ultrasonografi (USG) ile tani koyulan bir PBUT rupturu olgusu sunuldu. Olgu Sunumu: 55 yasinda sag elini kullanan bir erkek hasta acil servise sag omuzda agri ve dirsegi bukmede gucsuzluk sikayeti ile basvurdu. Oykusunde 2 gun once yerden yaklasik 5 kg’lik bir agirligi kaldirirken sag omuzda ani agri, yanma hissi ve carpma sesi meydana geldigi ogrenildi. Fizik muayenede palpasyonla sag omuz anteriorda agri ve hassasiyet dirsek fleksiyonunda distal yerlesimli biseps kasi kitlesi tespit edildi. Acil servis hekimi tarafindan 7.5-12 MHz linear prob ile yapilan yatak basi USG'de sag omuz bicipital olukta tendon liflerinin olmadigi bir hipoekoik alan goruntulendi. Fizik muayene ve USG bulgulari ile hastaya PBUT ruptur tanisi konuldu. Sonuc: Acil servislerde PBUT total ruptur tanisinda yatak basi USG hizli, yeterli ve ucuz bir tani yontemidir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"34 1","pages":"78-80"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89770903","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}

{"title":"Blue Vision and Sinus Tachycardia: Sildenafil Citrate Overdose","authors":"S. Güler, İrfan Gökçek, Ibrahim Guven, H. Aytar, Hayri Ramadan","doi":"10.5152/JAEMCR.2015.1232","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1232","url":null,"abstract":"Giris: Sildenafil sitrat (SS) gunumuzde erektil disfonksiyon ve pulmoner arteriyel hipertansiyon tedavisinde kullanilan bir ilactir. Ilacin asiri alimi ile ilgili en sik bildirilen yan etkiler; ciltte kizariklik, bas donmesi, bas agrisi, tasikardi, vertigo ve gogus agrisidir. Ilacin kullanimina bagli oftalmik yan etkilerin gorulebilecegi belirtilmekle beraber, literaturde SS asiri alimina bagli mavi renkte gormenin bildirildigi bir olgu yoktur. Olgu Sunumu: SS’nin intihar amacli asiri alimina bagli olarak gelisen ve yaklasik 4 saat suresince mavi renkte gorme ve sinus tasikardisi klinigiyle takip edilen ve bu durumlarin spontan geriledigi 27 yasinda bir erkek hastayi sunuyoruz. Bu klinik durum, herhangi bir mudahale gerektirmeksizin spontan sonlandi. Hasta intihar amaciyla yaklasik 1500 mg SS icmisti. Gorme algisindaki bu durumun duzelmesinden sonra yaklasik 6 saat daha acil servis gozlem unitesinde takip edilen hasta herhangi bir komplikasyon veya sekel olmaksizin taburcu edildi. Sonuc: Sonuc olarak SS asiri aliminda hastalarda oftalmik sistem ve gorme ile ilgili yan etkiler gorulebilir. Altta yatan santral veya vaskuler bir neden yoksa bu gorme rengi degisiklikleri spontan gerileyebilir","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"1 1","pages":"87-89"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89561524","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}

{"title":"Diabetic Ketoacidosis Presenting with Metabolic Alkalosis","authors":"M. Erdoğan, Seydahmet Akin, S. Kazan, M. Aliustaoğlu, O. Keskin","doi":"10.5152/JAEMCR.2015.1191","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1191","url":null,"abstract":"Giris: Diyabet sikligi ve prevelansi giderek artan bir hastaliktir. Diyabetin kronik ve akut komplikasyonlari morbidite, mortalite ve artmis saglik harcamalarina neden olmaktadir. Diyabetin onemli bir akut komplikasyonu genellikle ciddi organik asidoz ile ortaya cikan diyabetik ketoasidozdur. Olgu Sunumu: Vakamizda diyabetik alkaloz ile tani konan bir diyabetik ketoasidoz vakasini sunuyoruz. Sonuc: Biz bu vaka uzerinden, acil sartlarda miks kan gazi bozukluklarinin degerlendirilmesine dikkat cekmeyi amacladik.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"41 1","pages":"84-86"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75080102","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}

{"title":"A Rare Finding of Pulmonary Trauma: Pseudocyst","authors":"Isa Döngel, H. E. Çamaş, A. Dur","doi":"10.5152/JAEMCR.2013.59455","DOIUrl":"https://doi.org/10.5152/JAEMCR.2013.59455","url":null,"abstract":"Kunt toraks travmasi sonrasi meydana gelen akciger parankim yaralanmalari basit kontuzyondan, laserasyonlara kadar degisir. Post-travmatik akciger psodokisti kunt toraks travmalarinin nadir gorulen bir komplikasyonu olup, kendine ait epiteli olmayan benign karekterli lezyonlardir. Cogunlukla cocuklar ve genc eriskinlerde gorulur. Ortalama uc ay icerisinde rezolusyona ugrar, fakat nadirde olsa abse formasyonuna veya progresif olarak buyuyerek tansiyon kistine donusebilir. Bilgisayarli tomografi psodokistlerin goruntulenmesinde onemlidir. Travmatik pulmoner psodokistlerin buyuk bir kismi spesifik bir tedaviye gerek gostermeksizin kendini sinirlayan iyi huylu lezyonlardir. Cerrahi tedavi endikasyonu nadir olup yalnizca komplikasyonlar gelistiginde uygulanabilir. Biz burada yuksekten dusmeye bagli, kunt toraks travmasinin nadir bir bulgusu olan psodokist olgusunu literatur bilgileri isiginda sunmayi amacladik.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"8 1","pages":"90-93"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78476312","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}

{"title":"A Rare Orthopedic Emergency: Both Fracture- Dislocation of the Shoulder and Hip in a Patient","authors":"Murat Gurger, Mehtap Gurger, Omer Cihan Batur, S. Çelik, M. Ateşçelik","doi":"10.5152/JAEMCR.2015.966","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.966","url":null,"abstract":"Giris: Travmatik omuz ve kalca kirikli cikiklari yuksek enerjili travmalar sonucu olusan ve uzun sureli morbiditeye yol acabilen ciddi yaralanmalardir. Olgu Sunumu: Bu olgu sunumunda, 72 yasindaki erkek hastada, arac ici trafik kazasi sonucu olusan, sag kalca cikigi, asetabulum kirigi, pertrokanterik femur kirigi, sol inferior omuz cikigi ve sol proksimal humerus kiriginin birlikte oldugu nadir bir ortopedik acil olguyu sunduk. Sonuc: Oldukca nadir gorulen kirik ile birlikte inferior omuz cikigi (luxatio erecta) ve kalcanin kirikli cikigi daha once ayni hastada tariflenmemistir. Her iki durumunda da komplikasyon ve ek yaralanma oranlari yuksektir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"45 1","pages":"75-77"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75218865","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}

{"title":"A Young Patient with Acute Cauda Equina Syndrome Due to Traumatic Disc Herniation","authors":"Nursah Basol, F. Deniz, E. Gokce, F. Şahin","doi":"10.5152/JAEMCR.2015.1156","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1156","url":null,"abstract":"Giris: Akut kauda ekuina sendromu klinikte nadir gorulen bir durumdur. Etyolojisinde; spinal hematom, lomber anestezi, spinal girisimler, intraspinal yerlesimli tumorler, enfeksiyonlar veya lomber disk herniasyonlari yer almaktadir. Lomber disk herniasyonuna bagli gelisen akut kauda ekuina sendromu vakalarin %1-2’sinde olmak uzere nadiren gorulmektedir. Olgu Sunumu: Bu vakada, genc bir hastada travma sonrasi gelisen ve hizli belirti veren bir akut kauda ekuina sendromu sunuldu. Sonuc: Bununla birlikte, klinikte nadir gorulen bu duruma dikkat cekmek amaclandi.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"82 1","pages":"81-83"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85550389","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}