OA Case Reports最新文献

{"title":"Pre-medication with controlled-release oxycodone in the management of postoperative pain after ambulatory laparoscopic gynaecological surgery","authors":"B. Lim, S. Thong, H. Zhu, Y. Lim","doi":"10.13172/2052-0077-2-4-581","DOIUrl":"https://doi.org/10.13172/2052-0077-2-4-581","url":null,"abstract":"ability to walk unassisted. ROC curves showed specificity of 88%, 90%, 92% and 50% for, Knee, Hip, Ankle and Bromage respectively and Prediction probabilities of 0.901, 0.948 , 0.958 and 0.752 in the same order P< 0.001. The possible explanation is the fact that lower degree of muscle weakness could not be fully detected by the Bromage test. Conclusion(s): Quantitative measurements of the degree of recovery of the motor power of the Knee, Hip, or Ankle flexors are more accurate and superior to Bromage score, as predictors of patient ability to safely ambulate af ter spinal anesthesia. References: 1 .Graham A. C and McClure J. H. Quantitative assessment of motor block in labouring women receiving epidural analgesia. Anesthesia 2001; 56:470-76 2 .Imarengiaye CO, Song D, Prabhu AJ. Spinal anesthesia functional balance is impaired af ter clinical recovery. Anesthesiology. 2003 Feb;98(2):511-5","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82220581","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":"Pancreatic tuberculosis: a case report","authors":"Umesh Jethwani, G. Singh, R. Mohil, V. Kandwal, J. Chouhan, R. Saroha, N. Bansal","doi":"10.13172/2052-0077-2-5-587","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-587","url":null,"abstract":"","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89553002","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":"Enthesophyte on the radius: a case report","authors":"R. Singh","doi":"10.13172/2052-0077-2-5-634","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-634","url":null,"abstract":"Introduction Radius is a lateral bone of the fore- arm. The upper end of the radius consists of head, neck and radial tuberosity. Tendon of the biceps bra- chi muscle is inserted into the poste- rior rough part of radial tuberosity. The anterior smooth part of radial tuberosity is separated from the posterior part by bursa. In this case, bony projection from the posterior rough part of radial tuberosity was observed. Case report During examination of radii in the osteology lab of King George's Medi- cal University, three radii (two radii of left hands and one of right hand) out of 100 assorted radii were observed having longitudinal and trans- verse enthesophytes. The lengths, heights and thicknesses of these longitudinal enthesophytes in the left two radii were 2.2/0.7/0.2 cm, 1.9/0.7/0.4 cm and 2.2/0.6/0.4 cm in one right radius. The lengths, heights and thicknesses of these transverse enthesophytes in the left two radii were 1.1/0.3/0.2 cm, 0.8/0.2/0.2 cm and 0.7/0.1/0.1 cm in one right radius. Discussion Enthesophytes may be formed due to overuse of the biceps brachi muscle. This extra bony growth may impinge on the surrounding structures lead- ing to neurovascular complications and restriction of biomechanical movements of forearm.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73539338","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":"Ceruminous gland adenoma of the external auditory canal: A case report","authors":"K. Koulia, A. Tsavari, D. Myoteri, A. Zisi, E. Skafida, X. Grammatoglou, T. Vasilakaki","doi":"10.13172/2052-0077-2-5-632","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-632","url":null,"abstract":"Ceruminous gland adenoma is a very rare bening neoplasm of the external auditory canal. This tumour composed of the ceruminous gland cell (modified apocrine sweat glands). We report a case of a 39 year old man who presented with signs of scratching at the left ear. Otoscopic examination revealed an exophytic skin covered smooth nodule 1,2 cm in greatest dimension on the posterior wall of the external auditory canal. Local wide resection of the lesion was performed. Microscopically the lesion composed of oxyphil glands and small cysts in a hyalinized stroma. The glandular epithelium was bilayered. In the immunohistochemical study the luminal cells were strongly positive with CK7 while the basal cells were highlighted with CK5/6, p63 and S100 protein. The diagnosis was ceruminous gland adenoma. Three years later there was no evidence of recurrence. Complete surgical excision is therefore the treatment of choise.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76686582","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 different clinical scenarios of left ventricular non-compaction: report of three cases","authors":"M. Bolognesi, D. Bolognesi","doi":"10.13172/2052-0077-2-5-629","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-629","url":null,"abstract":"Abstract Introduction Left ventricular non-compaction is a morphological abnormality of exces-sive trabeculation of the left ventricle, and often, but not always, complicated by cardioembolism, arrhythmias and ventricular dysfunction. Since its irst mention in the 1980s, left ventricular non-compaction cardiomyopathy has gained increasing awareness and atten-tion. Thirty or more years of research and an ever-increasing number of published articles have improved our understanding of this rare cardiomyo-pathy, yet many issues remain unre-solved. In particular, the phenotypic and clinical expression of the same genetic cardiomyopathy assumes dif-ferent forms depending on the type of subjects involved. These case reports describe the different clinical evolu-tions of the same cardiomyopathy inde-pendently of the anatomical substrate and illustrate two aspects of the same disease in different types of patients. Case report Isolated left ventricular non-com-paction cardiomyopathy has been observed both as a sporadic and a familiar form, but newly diagnosed patients have been stratiied for symp-toms found at the time of diagnosis.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79690580","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 wide awake approach to ulnar nerve entrapment: results of an integrated one stop wide awake surgical pathway","authors":"Qmk Bismil, S. Lowe, L. Viner, Msk Bismil","doi":"10.13172/2052-0077-2-5-631","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-631","url":null,"abstract":"Introduction The wide awake approach to hand surgery is gaining increasing popularity worldwide, but PubMed search does not reveal any publications on wide awake ulnar nerve surgery. In this research study, we describe our surgical experience, techniques and results of the wide awake management of ulnar nerve entrapment at both elbow and wrist. This study is based on a background of having established the world’s first totally one stop wide awake (OSWA) hand surgery service, with published outcomes. Materials and methods We performed a retrospective review of our 2011/12 ulnar nerve entrapment cases, which comprised 40 patients with ulnar nerve dysfunction. Results The main outcome measures were sensorimotor improvement, including improvement of the QuickDASH score, patient satisfaction and cost-effectiveness and efficiency. Discussion No surgical complications were experienced by the patients and all of them were satisfied with their treatment. All patients were followed-up to a good outcome including objective sensorimotor improvement in ulnar nerve function. Conclusion The wide awake approach to ulnar nerve decompression is safe, effective and comparable to the historical approach; and is amenable to a one stop patient pathway. Introduction Wide awake hand surgery enables treatment in one management stop, through a patient-centric pathway, which is broadly more akin to dental treatment than a traditional multistop surgical approach. The one stop wide awake (OSWA) hand surgery service is now well-described in the worldwide published literature1,2. Wide awake hand surgery, is hand surgery, without general anaesthesia or regional anaesthesia or sedation or tourniquets. There have been great advances in the technique(s) for hand surgery, over the last decade. It is now over 30 years, since the first peer reviewed publications on wide awake hand surgery3, and despite inherent potential advantages (lower risk, a more convenient pathway for the patient and costsavings for national state-funded healthcare)1,2, the worldwide transition to the technique has been slow, according to the published literature1–22. The published literature on ulnar nerve compression/decompression, reflects that there are two encouraging case series, each comprising 20 cases, which were performed using a local anaesthetic technique in 2001 and 198223,24. However, a contemporaneous search on PubMed for the relevant terms is instructive: Ulnar Nerve and Local An(a)esthesia or local an(a)esthetic; or wide awake ulnar nerve; or wide awake cubital tunnel; or wide awake ulnar tunnel; or ulnar nerve entrapment. This demonstrates that there has been little recent progress with wide awake ulnar nerve surgery as would have been expected; despite the recent advances with wide awake hand surgery. There is no previous description of an all-encompassing or totally OSWA surgical pathway for the totality of ulnar nerve entrapment, irrespective of site. The aim of this research study was to d","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79881068","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":"Giant intrathoracic goitre: a case report","authors":"Y. Lin, Hc Chang","doi":"10.13172/2052-0077-2-4-564","DOIUrl":"https://doi.org/10.13172/2052-0077-2-4-564","url":null,"abstract":"Introduction Goitre, an enlargement of the thyroid gland, is a common endocrine abnormality. Goitres can result from biosynthetic defects, iodine deficiency, autoimmune disease or nodular diseases. If left untreated, they can compress the trachea or oesophagus and cause clinical symptoms such as dyspnea or dysphagia. We present a case of a giant intrathoracic goitre. Case report A 68-year-old woman presented a slowly growing mediastinal mass for three years. The huge mass was surgically removed without complications, proven pathologically an intrathoracic goitre. The possible optimal surgical approach for this kind of huge mass and postoperative medical treatment were discussed. Conclusion Given that most intrathoracic goitres arise from and maintain some attachment to the cervical thyroid gland and most of its blood supply would originate from the neck, the optimal surgical approach should start with a cervical approach to reduce the possibility of uncontrollable bleeding.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74663201","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":"Native aortic valve endocarditis and multisystem embolization despite adequate antibiotic treatment: a case report","authors":"S. Datta, P. Takahashi","doi":"10.13172/2052-0077-2-4-558","DOIUrl":"https://doi.org/10.13172/2052-0077-2-4-558","url":null,"abstract":"our patient experienced endocarditis. Ultimately, there has been little evidence that restricting antibiotic use has resulted in increased rates of endocarditis. Providers must remember that there are inherent risks of antibiotic use including allergy, microbial resistance, cost and Clostridium dif�‘ icile infection, among other potential side effects. Conclusion Medical providers and scientists must continue to evaluate the potential risks and benefits of antibiotic prophylaxis in patients with native valvular disease. This case report adds to that discussion.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73625811","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":"Post-traumatic retrocaecal appendicitis","authors":"I. Wani","doi":"10.13172/2052-0077-2-4-556","DOIUrl":"https://doi.org/10.13172/2052-0077-2-4-556","url":null,"abstract":"Introduction Blunt abdominal trauma (BAT) leading to appendicitis is rare. This can be challenging for diagnosis. The aim of this study was to investigate appendicitis occurring after BAT. Materials and methods A three-year study was performed to investigate appendicitis developing after BAT. Results A total of 8 patients were studied. All had isolated post-traumatic appendicitis without any other associated abdominal injury. Retrocaecal position was observed in all; one patient had perforated appendicitis and one had an appendicular lump. Fecalith was present in 5 patients. Grossly, all patients had characteristics of appendicitis. Conclusion BAT leading to appendicitis is rare. Retrocaecal position of the appendix is commonly affected.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84739316","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 use of McGrath ® Mac for awake laryngoscopy and intubation in an obese patient with a predicted diffi cult airway","authors":"S. Thong, S. Chong, S. Goh","doi":"10.13172/2052-0077-2-4-560","DOIUrl":"https://doi.org/10.13172/2052-0077-2-4-560","url":null,"abstract":"Introduction We present a case in which the McGrath® Mac videolaryngoscope was used for awake intubation. Case report An obese 38-year-old female, planned for elective surgery, was assessed to have a possible difficult airway. Awake intubation using the McGrath® Mac was planned. An antisialogogue was administered and the airway was anaesthetised. Remifentanil infusion was used for conscious sedation. Laryngoscopy was performed, which showed a Cormack and Lehane grade 1 view of the larynx. Intubation, performed without complications, was followed by the induction of anaesthesia. In the recovery, the patient reported that the intubation process was not unpleasant. Conclusion McGrath® Mac is able to facilitate awake intubation well. Introduction Awake fiberoptic intubation is the gold standard for a difficult airway. However, there are recent reports of awake intubation facilitated by videolaryngoscopes1,2. We present a case in which the McGrath® Mac (Aircraft Medical Limited, Edinburgh, UK) videolaryngoscope was used for awake intubation in an obese patient with an anticipated difficult airway. Case report The patient was a 38-year-old -female planned for elective orthopaedic surgery in an ambulatory facility within a tertiary hospital. Her medical history included obesity (body mass index 36 kgm-2, body weight 89 kg) and hypertension. Assessment of the airway indicated a possible difficult intubation–she had a receding chin and a short neck. Treatment, intervention and outcome Awake intubation using the McGrath® Mac videolaryngoscope was planned. After the application of routine monitoring, oxygen was administered via a nasal cannula. Intravenous glycopyrrolate at a dose of 0.2 mg and midazolam at a dose of 1.5 mg were administered. Lignocaine gel 2%, 10 mL was gargled and lignocaine 10% was sprayed twice on the tongue and in the hypopharynx via an atomisation device (Long Flexi Nozzle, ENT Technologies, Victoria, Australia). Remifentanil target-controlled infusion at a dose of 2 ng/mL was commenced. Verbal contact was maintained throughout. Laryngoscopy performed with minimal force and without cervical manipulation showed a Cormack and Lehane grade 1 view of the larynx. After two sprays of lignocaine 10% on the vocal cords, a 7.0 mm tracheal tube was passed through the larynx over a malleable stylet. There were no complications such as coughing, gagging or bleeding. Capnographic confirmation of successful tracheal intubation was followed by the induction of anaesthesia with intravenous propofol. In the post anaesthetic care unit, she reported that she could recall the intubation process; however, it was not unpleasant. Discussion As visualisation of the glottis during videolaryngoscopy is not dependent on aligning the oral-pharyngeallaryngeal axes, there is less airway and cervical manipulation. This allows better patient tolerance and less cervical spine movements. These are obvious advantages in difficult airways or unstable cervical spines req","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"SE-4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84631125","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}