Archives of clinical and medical case reports最新文献_第3页

Telehealth Advance Care Planning Cost Effectiveness 远程医疗推进护理计划成本效益

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550595

Marvin J. Gordon, Tao Le, Ferdous Kabir

引用次数: 0

Colorectal Cancer Screening History, Methods and Future Perspectives 结直肠癌筛查史、方法及未来展望

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550604

M. Anipindi, Shriya Doreswamy, R. Ali, Aysha Jilani, Daniel Bitetto

引用次数: 0

Oral Lichenoid Lesions May Regress after Amalgama Removal: A Case Report Becomes a Proof of the Concept 口腔苔藓样病变可能在汞合金去除后消退:一个病例报告成为概念的证明

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550626

Bettoni E, Bellucci G, Damiani G, Crescentini M

引用次数: 0

Perceptions and Experiences of Rare Diseases among General Practitioners: An Exploratory Study in NI 全科医生对罕见病的认知和经验:NI的一项探索性研究

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550607

J. Mcmullan, Ashleen L Crowe, Taylor McClenaghan, H. McAneney, Amy Jayne McKnight

{"title":"Perceptions and Experiences of Rare Diseases among General Practitioners: An Exploratory Study in NI","authors":"J. Mcmullan, Ashleen L Crowe, Taylor McClenaghan, H. McAneney, Amy Jayne McKnight","doi":"10.26502/acmcr.96550607","DOIUrl":"https://doi.org/10.26502/acmcr.96550607","url":null,"abstract":"Objective: To gain an understanding of GP’s perception and experience of rare diseases. Design: This is an exploratory study with GPs from Northern Ireland. Setting: An online survey was hosted within Smart Survey, available for 6 weeks in early 2019, which queried: GPs career to date, interaction with rare disease patients, challenges faced, the exchange of information with patients, priorities for the future, support for such patients and finally training. The survey contained open-ended and closed-ended questions and both qualitative (narrative) and quantitative analyses were carried out. Participants: Sixty-six GPs engaged with the survey with 15 completing the survey. Results: Many frustrations were mentioned by GPs when caring for such patients including finding a diagnosis, lack of specialist services and lack of awareness of rare diseases. Seventy-nine percent of GPs responding did not feel adequately trained to care for patients with a rare disease, while 93% were interested in undertaking training to enable them to improve their care for rare disease patients. Conclusions: More effective and convenient ‘rare disease’ focused training programs would help GPs manage patients with rare diseases. Enabling efficient, effective communication between GPs and individual medical specialists is of paramount importance to give GPs access to information on how to effectively manage patients living with a rare disease. Awareness should be raised for effective support mechanisms such as charities and support groups for rare disease patients.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344213","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

Massive Pulmonary Embolism Presenting as Obstructive Shock in a Nigerian Woman: A Case Report 大面积肺栓塞表现为梗阻性休克在尼日利亚妇女:一个病例报告

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550613

Bernard B Akpu, Chidimma A. Ahaneku, Agbo J Etim, Ezoke J Epoke, D. E. Elem, B. Ekeng, Edikan B Bassey, C. Njoku, V. Ansa, C. O. Odigwe

{"title":"Massive Pulmonary Embolism Presenting as Obstructive Shock in a Nigerian Woman: A Case Report","authors":"Bernard B Akpu, Chidimma A. Ahaneku, Agbo J Etim, Ezoke J Epoke, D. E. Elem, B. Ekeng, Edikan B Bassey, C. Njoku, V. Ansa, C. O. Odigwe","doi":"10.26502/acmcr.96550613","DOIUrl":"https://doi.org/10.26502/acmcr.96550613","url":null,"abstract":"Background: Massive pulmonary embolism is a life-threatening emergency associated with high mortality if prompt diagnosis and urgent intervention is delayed, especially in patients presenting in obstructive shock. It usually requires advanced therapies such as systemic thrombolysis, pharmaco-mechanical catheter-directed therapy, surgical embolectomy and inferior vena cava filter placement. The dearth in skilled manpower, delay in diagnosis, relative unavailability and high cost of fibrinolytics especially in resource poor environments may account for poor clinical outcomes and eventually death in such patients. Case Presentation: We present a 50-year-old Nigerian woman of Bahumono ethnicity who was admitted into our hospital with complains of sudden onset breathlessness. On presentation, she was tachypneic, tachycardic and hypotensive. D-Dimer and Troponin I levels were elevated. Computed tomography pulmonary angiography (CTPA) with intravenous contrast confirmed the diagnosis of massive pulmonary embolism. She was initially treated with low molecular weight heparin, then thrombolyzed with intravenous alteplase and later discharged on tablet dabigatran. Her symptoms had resolved at the time of discharge and she has remained stable for over 3 months. Conclusion: Pulmonary embolism, the most serious clinical presentation of venous thromboembolism can become catastrophic when it presents as the massive type. Prompt diagnosis and urgent appropriate medical intervention ensures good clinical outcomes.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344304","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

Arthroscopic Removal of Shoulder Joint Embedded Gunshot Bullet: A Case Report 关节镜下肩关节内嵌子弹取出1例

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550586

Joseph E Nassar, Yehia Tfayli, M. Issa, Akram Al Ramlawi, A. Naja

引用次数: 0

Tapia syndrome: an Unusual Complication to Recognize at the Time of the COVID-19 Pandemic Tapia综合征:在COVID-19大流行时期要识别的不寻常并发症

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550589

M. Piagnerelli, Delphine Ranwez, Perrine Arnould, Chloe d’Adesky, P. Biston, Myriam Houa

{"title":"Tapia syndrome: an Unusual Complication to Recognize at the Time of the COVID-19 Pandemic","authors":"M. Piagnerelli, Delphine Ranwez, Perrine Arnould, Chloe d’Adesky, P. Biston, Myriam Houa","doi":"10.26502/acmcr.96550589","DOIUrl":"https://doi.org/10.26502/acmcr.96550589","url":null,"abstract":"Guidelines for acute respiratory distress syndrome (ARDS) management include sedation, neuromuscular blockade for protective ventilation and the need for the prone position. This technique can lead to neurologic sequelae like the Tapia syndrome following the patient position. We reported two ARDS COVD-19 patients with Tapia syndrome due to prone position. Both patients, a white European 57 year-old female and a Black African 50 year-old male, were intensive care unit (ICU) admitted for ARDS due to COVID-19. They were orotracheal intubated and mechanical ventilated for respectively 23 and 68 days with 7 and 4 sessions of prone position. Both were tracheotomized during their ICU stay. We observed during the respiratory weaning, swallowing difficulties associated with a tongue deviation during protusion and paralysis of the ipsilateral vocal cord suggesting a Tapia syndrome. Prone position for the treatment of hypoxic ARDS COVID-19 patients with lateral flexion of the head could induce a compression on the lower cranial nerves and their collateral branches and lead to the Tapia syndrome with long neurologic sequelae: swallowing disorder, dysarthria and dysphagia due to difficulty to move the tongue with paralysis of the vocal cord. Because mechanical ventilation on prone position is a cornerstone of the treatment of hypoxic COVID-19 patients, the number of patients with Tapia syndrome may increase in the future.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344001","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

Femur Neck Fracture in a Patient with Klippel-Trenaunay Syndrome- Case Report Klippel-Trenaunay综合征患者股骨颈骨折1例报告

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550584

Fabio Seiji Mazzi Yamaguchi, Leandro Ejnisman, Julio Parente, D. Bussius, B. A. Rudelli, Helder de Souza Miyhara, Henrique Melo de Campos Gurgel

{"title":"Femur Neck Fracture in a Patient with Klippel-Trenaunay Syndrome- Case Report","authors":"Fabio Seiji Mazzi Yamaguchi, Leandro Ejnisman, Julio Parente, D. Bussius, B. A. Rudelli, Helder de Souza Miyhara, Henrique Melo de Campos Gurgel","doi":"10.26502/acmcr.96550584","DOIUrl":"https://doi.org/10.26502/acmcr.96550584","url":null,"abstract":"Klippel-Trenaunay Syndrome (KTS) is a rare congenital disorder characterized by a triad of capillary malformation with port-wine stain, varicose veins, or venous malformation of the lower limbs, and bony and soft tissue hypertrophy. In this case report, we present the case of a 47-year-old woman who was diagnosed with KTS in her left lower limb at the age of 22. She was admitted to the Hip Group Ambulatory at the Hospital das Clinicas of Sao Paulo, Brazil, due to osteoarthritis in her left hip joint caused by KTS. The patient suffered a Garden 4 left femoral neck fracture after falling from a standing position. Based on imaging, physical examination, and vascular evaluation, our initial surgical plan was Total Hip Arthroplasty (THA) with bone graft and acetabular cage via the posterior approach. However, due to significant blood loss, hemodynamic instability, and the presence of large vessels close to the acetabulum, we decided to abort the initial plan of THA and instead opted for Resection Arthroplasty of Girdlestone. KTS is a challenge for orthopedic surgeons and requires a multidisciplinary evaluation. Patients with KTS who undergo THA require a radiologic study of malformations to choose an appropriate surgical approach, despite the high risk of bleeding.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343944","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

Physical Effects of Hippotherapy on Balance and Gross Motor Function of a Child with Cerebral Palsy 海马疗法对脑瘫儿童平衡和大运动功能的物理影响

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550597

Faruq Ahmed, Md Abdullah Al Zubayer, Suria Akter, Mst. Hosneara Yeasmin, Mohammad Nazmul Hasan, Z. Mawa, A. Islam

引用次数: 0

Changes in Blood Thallium Concentration during and after Prussian Blue Administration 普鲁士蓝给药前后血铊浓度的变化

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550606

M. Onodera, Y. Fujita, Y. Fujino, Y. Inoue

引用次数: 0