Case Reports in Emergency Medicine最新文献_第3页

Posttraumatic Pancreatitis Four Days after Renal Injury with Massive Retroperitoneal Hematoma. 创伤后胰腺炎肾损伤后四天，腹膜后大量血肿。

Case Reports in Emergency Medicine Pub Date : 2021-05-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6693259

Masamichi Kiriyama, Kei Jitsuiki, Ken-Ichi Muramatsu, Hoshiko Furusawa, Soshi Moriya, Youichi Yanagawa

{"title":"Posttraumatic Pancreatitis Four Days after Renal Injury with Massive Retroperitoneal Hematoma.","authors":"Masamichi Kiriyama, Kei Jitsuiki, Ken-Ichi Muramatsu, Hoshiko Furusawa, Soshi Moriya, Youichi Yanagawa","doi":"10.1155/2021/6693259","DOIUrl":"https://doi.org/10.1155/2021/6693259","url":null,"abstract":"A 25-year-old man accidentally fell from a cliff and hit his right flank on the ground while camping. Initially, he was able to barely walk, but he ultimately became unable to walk at all due to severe flank pain. He had no remarkable personal or family history and was a social drinker. Upon arrival, he showed clear consciousness but was in a hemorrhagic shock state. Enhanced computed tomography (CT) revealed extravasation of contrast medium from the injured right kidney with massive retroperitoneal hematoma. He underwent massive blood transfusion and tracheal intubation followed by renal embolization. His vital signs stabilized on hospital day 2, and he was extubated on day 3. On days 4 and 5, a blood examination revealed increased levels of amylase (360 and 904 IU/L, respectively). Enhanced CT on day 5 did not show signs of severe acute pancreatitis. The maximum amylase level was 1041 IU/L on day 6 and decreased day by day without deterioration of the severity of his acute pancreatitis. He was discharged on day 14. The subacute phase of posttraumatic acute pancreatitis in the present case may have been induced not by direct injury to the pancreas but by several causative factors, such as shock, increased pressure of the retroperitoneal space, or the release of inflammatory mediators from injured tissues or hematoma.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38940903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Nearly Fatal Hydroxychloroquine Overdose Successfully Treated with Midazolam, Propofol, Sodium Bicarbonate, Norepinephrine, and Intravenous Lipid Emulsion. 咪达唑仑、异丙酚、碳酸氢钠、去甲肾上腺素和静脉脂质乳成功治疗几乎致命的羟氯喹过量。

Case Reports in Emergency Medicine Pub Date : 2021-04-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8876256

Goswin Onsia, Sarah Bots

{"title":"Nearly Fatal Hydroxychloroquine Overdose Successfully Treated with Midazolam, Propofol, Sodium Bicarbonate, Norepinephrine, and Intravenous Lipid Emulsion.","authors":"Goswin Onsia, Sarah Bots","doi":"10.1155/2021/8876256","DOIUrl":"https://doi.org/10.1155/2021/8876256","url":null,"abstract":"Background: In the context of the current COVID-19 pandemic, there has been renewed interest in the drug hydroxychloroquine. However, clinicians should be aware of the dangers of hydroxychloroquine intoxication, an insufficiently studied condition. Case Report. We present a case of autointoxication with 20 g hydroxychloroquine in a 35-year-old woman. Cardiac monitoring showed ventricular arrhythmias for which high-dose midazolam and propofol were initiated, resulting in a brief normalization of the cardiac rhythm. Because of the reoccurrence of these arrhythmias, intravenous lipid emulsion was administered with fast cardiac stabilization. Treatment with continuous norepinephrine, potassium chloride/phosphate, and sodium bicarbonate was initiated. On day 6, she was extubated and after 11 days, she was discharged from the hospital without complications.Conclusion: Since high-quality scientific evidence is lacking, treatment options are based on experience in chloroquine toxicity. Activated charcoal is advised if the patient presents early. Sedation with diazepam, early ventilation, and continuous epinephrine infusion are considered effective in treating severe intoxication. Caution is advised when substituting potassium. Despite the lack of formal evidence, sodium bicarbonate appears to be useful and safe in case of QRS widening. Intravenous lipid emulsion, with or without hemodialysis, remains controversial but appears to be safe. As a last resort, extracorporeal life support might be considered in case of persisting hemodynamic instability.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38964227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Clinical Considerations in Initial Evaluation and Treatment of Hardhead Catfish Spine Puncture Wounds. 硬头鲶鱼脊柱穿刺伤的初步评估和治疗的临床考虑。

Case Reports in Emergency Medicine Pub Date : 2021-03-09 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8841234

Hannah Gordon, Benjamin J Cousins, Mark A Newberry, David A Farcy

引用次数: 0

ACE Inhibitor Induced Isolated Angioedema of the Small Bowel: A Rare Complication of a Common Medication. ACE抑制剂引起的孤立性小肠血管性水肿:一种常见药物的罕见并发症。

Case Reports in Emergency Medicine Pub Date : 2021-02-13 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8853755

Marc D Squillante, Anna Trujillo, Joseph Norton, Saurabh Bansal, David Dragoo

{"title":"ACE Inhibitor Induced Isolated Angioedema of the Small Bowel: A Rare Complication of a Common Medication.","authors":"Marc D Squillante, Anna Trujillo, Joseph Norton, Saurabh Bansal, David Dragoo","doi":"10.1155/2021/8853755","DOIUrl":"https://doi.org/10.1155/2021/8853755","url":null,"abstract":"Angioedema is a subcutaneous or submucosal tissue swelling due to capillary leakage and transudation of fluid into the interstitial tissue. It can be localized or generalized as part of a widespread reaction known as anaphylaxis. Millions of people in United States and all over the world receive ACEI antihypertensive therapy. ACEI is known to cause angioedema with an incidence of 0.7 percent. We present a case of 40-year-old female who was started on lisinopril three days prior to presentation for newly diagnosed hypertension. She presented with nonspecific severe abdominal pain, nausea, and vomiting. She denied having difficulty breathing or swelling anywhere in the body. On exam, she did not have facial, lip, tongue, or throat swelling. Her abdomen was tender without guarding or rigidity. Laboratory examination was unrevealing except for mild leukocytosis. Computed tomography scan (CT scan) of the abdomen with oral and IV contrast revealed a moderate amount of ascites with diffuse wall thickening, hyperenhancement, and mucosal edema of the entire small bowel. In the absence of any other pathology, matching history, and imaging findings highly suggestive of angioedema, she was diagnosed with isolated small bowel angioedema as a result of ACEI therapy. She was managed conservatively, and lisinopril was discontinued. A week later on follow-up, all her symptoms had resolved, and repeat CT scan showed resolution of all findings.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25401536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

A Case of Bedside Ultrasound in COVID-19 to Prognosticate Functional Lung Recovery. 1例床边超声对COVID-19患者肺功能恢复的预测。

Case Reports in Emergency Medicine Pub Date : 2021-01-23 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8847887

Kathryn B Bartlett, Lexis T Laubach, Elizabeth M Evans, Kevin R Roth

引用次数: 0

Analysis of Sudden Death of Sympathetic Storm Caused by Coronary Artery Muscle Bridge 冠状动脉肌桥致交感风暴性猝死分析

Case Reports in Emergency Medicine Pub Date : 2021-01-01 DOI: 10.12677/ACREM.2021.91001

张震东

引用次数: 0

Effects of Tanhinone IIA on Mice with Endotoxin-Caused Acute Lung Injury 丹参酮IIA对内毒素致小鼠急性肺损伤的影响

Case Reports in Emergency Medicine Pub Date : 2021-01-01 DOI: 10.12677/ACREM.2021.92003

张建国

引用次数: 0

Expression and Role of NLRP3 Inflammasome in Tissues and Organs of Mouse with Candida albicans Sepsis NLRP3炎性体在白色念珠菌脓毒症小鼠组织器官中的表达及作用

Case Reports in Emergency Medicine Pub Date : 2021-01-01 DOI: 10.12677/ACREM.2021.92002

泽田王

引用次数: 0

Acute Myocardial Infarction (AMI) Treated with Snake Antivenom. 抗蛇毒血清治疗急性心肌梗死(AMI)。

Case Reports in Emergency Medicine Pub Date : 2021-01-01 DOI: 10.1155/2021/9945296

Waleed Salem, Mohamed Gafar Abdelrahim, Layth Al Majmaie, Mohammed Dahdaha, Faten Al-Bakri, Amr Elmoheen

引用次数: 1

Research Advances in Epilepsy Related to SCN2A Gene Mutation SCN2A基因突变与癫痫的研究进展

Case Reports in Emergency Medicine Pub Date : 2021-01-01 DOI: 10.12677/ACREM.2021.92004

王潇颖

引用次数: 0