Case reports in internal medicine最新文献_第5页

Prostate cancer metastatic to the planum sphenoidale presenting as sequential bilateral vision loss 前列腺癌症转移至蝶窦平面，表现为连续性双侧视力丧失

Case reports in internal medicine Pub Date : 2018-08-15 DOI: 10.5430/CRIM.V5N4P5

B. Yohannan, M. Feldman

引用次数: 0

UnMASking the diagnosis: Acute severe necrotizing pancreatitis in the setting of systemic lupus erythematosus complicated by macrophage activation syndrome 揭示诊断:急性重症坏死性胰腺炎在系统性红斑狼疮并发巨噬细胞激活综合征的设置

Case reports in internal medicine Pub Date : 2018-08-13 DOI: 10.5430/crim.v5n4p1

C. Askin, J. Edelson, G. Dooley, A. Stratton

引用次数: 0

“Air” on the side of caution: The importance of early recognition and intervention in Ludwig’s angina 谨慎的“空气”：早期识别和干预Ludwig心绞痛的重要性

Case reports in internal medicine Pub Date : 2018-08-02 DOI: 10.5430/CRIM.V5N3P40

Sallie M Long, Talha Demirci, S. Kruse

引用次数: 0

Vasopressin-induced hyponatremia in a patient with pulmonary hypertension and right heart failure treated for septic shock 加压素诱导的低钠血症在肺动脉高压和右心衰患者感染性休克治疗中的应用

Case reports in internal medicine Pub Date : 2018-07-18 DOI: 10.5430/CRIM.V5N3P36

A. Peters, Y. Brailovsky, V. Lakhter, P. Forfia

引用次数: 0

Acute hydrocephalus secondary to meningioma with psychiatric symptoms as initial manifestation 以精神症状为首发表现的脑膜瘤继发急性脑积水

Case reports in internal medicine Pub Date : 2018-07-04 DOI: 10.5430/crim.v5n3p32

Marta Valentim, I. Velez, C. Neto, S. Almeida, A. Gameiro, I. Fernandes

引用次数: 0

Diagnosis, management and prophylaxis of bleeding related to post-esophageal variceal band ligation ulcer in cirrhotic patients 肝硬化患者食管静脉曲张破裂带结扎后溃疡出血的诊断、处理和预防

Case reports in internal medicine Pub Date : 2018-07-03 DOI: 10.5430/CRIM.V5N3P23

T. Lima, G. Silva, F. Romeiro

{"title":"Diagnosis, management and prophylaxis of bleeding related to post-esophageal variceal band ligation ulcer in cirrhotic patients","authors":"T. Lima, G. Silva, F. Romeiro","doi":"10.5430/CRIM.V5N3P23","DOIUrl":"https://doi.org/10.5430/CRIM.V5N3P23","url":null,"abstract":"Esophageal varices develop in half of cirrhotic patients. Endoscopic variceal band ligation is the current treatment for acute bleeding and applicable for primary and secondary prophylaxis. However, there is a risk of complications, including ligationinduced ulcer bleeding. The aim of this study is to review the current diagnosis, management and prophylaxis of bleeding related to post-esophageal variceal band-ligation ulcers in cirrhotic patients. PubMed and Google Scholar were searched for English language articles about the theme. The main findings were that Child-Pugh class C, higher model of end-stage liver disease, emergency ligation, presence of hepatocellular carcinoma, peptic esophagitis and bacterial infection were reported as the most important risk factors for post-banding ulcer hemorrhage. There are few studies with proton pump inhibitors and sucralfate showing size reduction of post-banding ulcers. Many treatment modalities have been used to control post band ulcer bleeding, such as band local injection of epinephrine or cyanoacrylate, balloon tamponade, stent placement and ligation of the ulcerated bleeding site. However, the optimal management remains uncertain. The principal conclusions of the study were that post-banding ulcer bleeding is potentially life-threatening and must be suspected in the presence of hematemesis, melena or anemia after endoscopic variceal band ligation (EVL). Predictors of rebleeding must be assessed and controlled as much as possible before band ligation. The post-banding treatment with proton pump inhibitors or sucralfate seems advisable, in particular for high-risk patients. Further investigation and new approaches are still required to achieve optimal management of this complication.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V5N3P23","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42168061","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: 1

A case of recurrent acute aortic syndrome: Beyond emergency diagnosis and treatment 复发性急性主动脉综合征1例:急诊诊断与治疗

Case reports in internal medicine Pub Date : 2018-06-27 DOI: 10.5430/CRIM.V5N3P18

M. Amaradio, E. Mascheroni, L. Luca, R. Sbrojavacca

{"title":"A case of recurrent acute aortic syndrome: Beyond emergency diagnosis and treatment","authors":"M. Amaradio, E. Mascheroni, L. Luca, R. Sbrojavacca","doi":"10.5430/CRIM.V5N3P18","DOIUrl":"https://doi.org/10.5430/CRIM.V5N3P18","url":null,"abstract":"Introduction: Acute aortic syndromes (AAS) are emergency conditions with a common pathway but various clinical manifestations. In order to reduce the extremely poor prognosis, these syndromes require a rapid diagnosis and decision making.Case report: We report the case of a young black woman with recurrent aortic dissection (RAD), presenting to the Emergency Department (ED) with an atypical symptom: ankle soreness. After the surgical treatment, several exams were performed in order to investigate underlying conditions for recurrence: after a first suspicion of tuberculous aortitis, the final diagnosis was Takayasu’s arteritis.Discussion: The aim of this article is to underline the extremely heterogeneous presentation of AAS that worsens the already complicated process in diagnosing the syndromes. Despite uncommon signs and symptoms, identifying patients with a high pre-test likelihood for the disease is crucial to promptly get a correct diagnosis. Once the diagnosis has been confirmed, since AAS may be a spy for important systemic diseases, conditions such as congenital disease, autoimmune and infectious aortitis need to be excluded and treated to prevent any recurrence or systemic implications.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V5N3P18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46090991","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

Lambl’s excrescences and a review of therapeutic strategies Lambl的排泄物及其治疗策略综述

Case reports in internal medicine Pub Date : 2018-06-25 DOI: 10.5430/CRIM.V5N3P13

B. Osorio, Linle Hou, Jack Xu, E. Pagan, Michael Piscopiello

{"title":"Lambl’s excrescences and a review of therapeutic strategies","authors":"B. Osorio, Linle Hou, Jack Xu, E. Pagan, Michael Piscopiello","doi":"10.5430/CRIM.V5N3P13","DOIUrl":"https://doi.org/10.5430/CRIM.V5N3P13","url":null,"abstract":"Background: Lambl’s excrescences (LEx) are thin, filiform structures that arise on the lines of closure of heart valves. Although rare, we have come across various case reports in the literature describing thromboembolic events associated with LEx. We report the case of a 63-year-old female who presented with TIA-like symptoms and was found to have a LEx on the aortic side of native aortic valve. We conducted a comprehensive literature review with emphasis on different therapeutic strategies utilized to provide insight for future encounters.Case presentation: A 63-year-old female with a past medical history significant for hypertension and hyperlipidemia presented to the emergency room with symptoms of dysarthria and unsteady gait. While in the hospital, the patient returned to her baseline gait and speech without intervention. Work-up for including computed tomography of the head, magnetic resonance imaging, and carotid doppler, as well as prolonged telemetry monitoring was negative. A transthoracic echocardiogram showed a 0.81 cm linear echodensity attached to the aortic side of the aortic valve, highly suggestive of LEx that was later confirmed on transesophageal echocardiogram. Patient was placed on clopidogrel alone for antiplatelet therapy due to an aspirin allergy and she was subsequently discharged home.Discussion: No standard management for LEx currently exists. We aim to add to the evidence of effective management and explore the literature of patients who have experienced TIA/CVA symptoms secondary to LEx.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V5N3P13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48374699","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: 4

Mediastinal neuroendocrine tumour presenting with ECG changes: An unusual ST-Elevation Myocardial Infarction mimic 伴有心电图变化的纵隔神经内分泌肿瘤：一种不寻常的ST段抬高心肌梗死模拟

Case reports in internal medicine Pub Date : 2018-06-21 DOI: 10.5430/CRIM.V5N3P10

A. Borrie, T. Pegg

引用次数: 0

Life threatening pericardial and neurologic presentations in systemic lupus erythematosus 系统性红斑狼疮的危及生命的心包和神经系统表现

Case reports in internal medicine Pub Date : 2018-06-13 DOI: 10.5430/CRIM.V5N3P6

Linle Hou, Seung Eun Lee, F. DeMichele, B. Osorio, N. Nagella

{"title":"Life threatening pericardial and neurologic presentations in systemic lupus erythematosus","authors":"Linle Hou, Seung Eun Lee, F. DeMichele, B. Osorio, N. Nagella","doi":"10.5430/CRIM.V5N3P6","DOIUrl":"https://doi.org/10.5430/CRIM.V5N3P6","url":null,"abstract":"Background: Posterior reversible encephalopathy syndrome (PRES) is characterized by altered mental status, visual perception abnormalities and seizures. Systemic lupus erythematosus (SLE) is a rare etiology of PRES and affects less than 1% of SLE patients. We present a unique case of a new-onset SLE patient presenting with borderline cardiac tamponade requiring emergent pericardiocentesis and hospital course complicated by intractable seizures found to have PRES on imaging.Case presentation: A 21-year-old female underwent outpatient evaluation for new-onset SLE presenting to the emergency room with dyspnea. She was found to have a large circumferential pericardial effusion with borderline tamponade features requiring emergent pericardiocentesis. On her fifth hospital day, she developed generalized motor seizure (tonic-clonic) with magnetic resonance imaging (MRI) revealing bilateral parieto-occipital edema consistent with a radiographic diagnosis of PRES. Induction therapy with mycophenolate was started and follow-up studies showed improvement in the cortical and subcortical regions on MRI with no evidence of recurrent pericardial effusion.Conclusions: PRES is a rare complication of lupus and has been infrequently described in literature. It is thought that the association is secondary to the effect of SLE on endothelial dysfunction and the effect of cytotoxic medication on the loss of autoregulation of systemic hypertension. It is important to recognize this condition and its significant associations as early detection and intervention often lead to favorable outcomes. To our knowledge, this is the first case report of SLE with associations of both PRES and circumferential pericardial effusion with tamponade physiology, both of which are rare in the SLE patient population.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V5N3P6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48375788","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: 1