档案的案例报告

腹部钝伤十二指肠解剖:一个案例报告

07/28/2021

& lt; h2> Abstract< / h2>

We describe a new case of duodenal wound with complete transection in a 22-year-old patient following a motorcycle accident. He presented to the emergency room of the rural Regional Hospital of Edéa in Cameroon with a clinical picture of acute abdomen and post-trauma hemodynamic instability. A peritoneal puncture brought back an incoagulable blood. An exploratory laparotomy revealed a large hemoperitoneum mixed with food debris. A tear of the omentum and transverse mesocolon and a complete section of the third duodenum at the beginning of its free portion were observed. The surgeon performed emergency closure of both duodenal stumps and performed an isoperistaltic lateral gastrojejunal bypass. A transfer to a specialized center for a more anatomical continuity was considered, but the imminence of a humanitarian mission in the hospital prompted the surgeon to seize the opportunity of this mission for the reoperation. This surgical revision was performed on the fifth postoperative day. A resection of the distal duodenal stump and the adjacent jejunal segment including the anastomosis was performed. Continuity was restored by a mechanical duodenal-jejunal anastomosis. The patient was discharged on the 18th postoperative day. This type of lesion is difficult to manage in an emergency situation in a structure with limited technical resources. Unfortunately, surgeons treating polytraumatized civilians are encountering an increasing number of blunt duodenal wounds requiring laborious management.

胆石性肠梗阻和穿孔小肠憩室炎有关

07/16/2021

Gallstone ileus is a rare complication of cholelithiasis and a type of mechanical obstruction involving impaction of a gallstone within the intestinal tract [1,2]. This entity occurs in 0.15% - 1.5% of cholelithiasis cases and < 0.1% of ileus cases overall [1]. Gallstone ileus is more common in the elderly and up to 80% - 90% of affected patients have medical comorbidities [2]. The ratio of occurrence in females to males is 3.5:1 [3].

最小的与整体植入治疗方案

05/26/2021

Aim

The aim of this publication is to present case reports to show what is possible with pterygoid implants for the rehabilitation of edentulous space in the jaw (maxilla) while avoiding sinus lifts and bone grafting procedures. In addition, the added value of one-piece implants for screwed retention is elucidated.

Oncocytic乳头状囊腺瘤的喉心室

04/30/2021

& lt; h2> Abstract< / h2>

A case of oncocytic papillary cystadenoma in a 72-year old woman, a rare tumor of laryngeal seromucinous glands of unclear nature is presented. The patient had a history of chronic inflammation of laryngeal mucosa and both her age and tumor location were typical. The lesion was resected transorally without complications. Histological findings are shown in the present study. The controversial status of oncocytic papillary cystadenoma as either a true neoplasm or a combination of metaplastic and hyperplastic changes, its resemblance to Warthin’s tumor and optimal approach to treatment are discussed.

监测巨细胞变体的移行细胞癌COVID——积极的病人:一种罕见的变异在一个不寻常的情况

04/13/2021

& lt; h2> Abstract< / h2>

Bladder carcinomas have a great propensity for divergent differentiation with more that 90% being Transitional cell carcinoma. Several histological variants have been have described so far; they are not only morphologically unique but also have significant prognostic and therapeutic differences making their timely identification of paramount importance. Osteoclastic giant cell variant of urothelial carcinoma is very rare type with controversial management. Studies from China have documented higher incidence and severity of illness in COVID-19 positive cancer patients. We report an unusual case of Osteoclastic giant cell variant of urothelial carcinoma in a 63 yrs old male patient associated with simultaneous COVID-19 infection.

Ipratropium中诱导支气管哮喘:一个年轻一个案例报告

02/23/2021

Acute severe Asthma is a common paediatric emergency managed according to the BTS and SIGN guidelines. They recommend that if initial β2 agonist treatment bears no response, frequent Ipratropium Bromide doses can be given every 20-30 minutes [1]. We present a case of paradoxical bronchospasm to Ipratropium, an observed but rare side effect.

肢体缺血后线圈迁移用于下腹部的动脉瘤栓塞

02/10/2021

& lt; h2> Summary< / h2>

Hypogastric artery aneurysms are an uncommon entity. When the diameter achieves > 30-35 mm, they should be treated. Endovascular repair may be considered as first line therapy. One therapeutic option for internal iliac artery aneurysm exclusion is its embolization with or without covering the ostium with a covered stent. They may be some complications when it is not, as a distal coil migration that may produce ischemic symptoms.

We are presenting a 73-years-old male admitted to hospital with an acute right lower limb ischemia caused by a coil migration. He recently underwent a right hypogastric artery aneurysm endovascular treatment by coil embolization without covering the hypogastric ostium with a covered stent. The patient underwent an emergency surgery to remove the coil by a transfemoral surgical approach with posterior thrombectomy of the secondary thrombus. Actually, he remains asymptomatic and with right posterior tibial pulse.

Covered stent placement at the common iliac artery and external iliac artery could be the best option to avoid the risk of aneurysm rupture caused by endotension and the risk of distal coil migration.

PET / MRI,旨在改善目标分次立体定向放射治疗(FSRT)切除颅底脑膜瘤复发2年后:病例报告

01/12/2021

& lt; h2> Abstract< / h2>

The increasing use of highly conformal radiation deliberates a higher accurate targeting. Contouring and clinical judgment are presumably the crucial point, thus positron emission tomography/magnetic resonance imaging PET/MRI with somatostatin analogs appears to be useful in radiotherapy target definition. A case report of a 43-year-old woman presented with a recurrence of a meningioma (World Health Organization group I classification) in skull base, 2 years after resection. Magnetic resonance imaging (MRI) revealed a left sided skull base mass on sphenoid wing, anterior clinoid and with a soft tissue component in the lateral portion of the orbit.

Contrast-enhanced MRI and a computed tomography (CT) dedicated were used to the radiotherapy planning. Aiming an improvement on target volume delineation, 68Ga-DOTATOC-PET/MRI was also performed due the difficult localization of the tumor in skull base. Was treated using intensity-modulated radiotherapy (IMRT) to a total dose of 54 Gy in 28 fractions. It was prescribed to the planning target volume (PTV), defined based of both imaging modalities. In our case PET/MRI helped to define the target, which volume becomes bigger than that based exclusively on MRI and CT.

脐尿管囊肿的恶性转化

11/04/2020

& lt; p>一名27岁男子向我们医院腹部疼痛和干酪出院脐lasted< br /比;几天。你们;/ p>

特殊的术中方面肠系膜静脉气体

09/08/2020

A 73-year-old female patient presented to the emergency department with a 3-day history of acute abdominal pain and diarrhea.

面部伤口管理与失踪的软组织局部皮瓣

09/01/2020

Avulsive injuries to the face can be challenging. Soft tissue defects secondary to trauma and bites nessecitate local tissue transfer and the tissue closely resembles the missing skin in color and texture. These flaps can be rotated, advanced or transposed into a tissue defect and include:

不同寻常的顶叶胸疼的原因:一个案例报告

07/15/2020

& lt; h2> Abstract< / h2>

We report the radio-clinical observation of a 21-year-old patient, referred for anterior chest parietal discomfort evolving for 3 months ago, with the notion of trauma.

The chest CT (computed tomography) scan detected a costal cartilage fracture without associated traumatic pulmonary or mediastinal changes.

This case illustrates the usefulness of imaging in the diagnosis and management of costal cartilage fractures, and for screening out differential diagnoses.

The aim of this study is to determine the interest of imaging in the study of fractures of the chrondro-costal cartilage.

Is to determine the CT value in chrondro-costal cartilage fracture.

儿童与外神经系的转移瘤肺:病例报告和文献综述

06/16/2020

& lt; h2> Abstract< / h2>

Ependymomas, which account for 10% of pediatric central nervous system (CNS) tumors, arise from the ependymal cells that line the cerebral ventricles and the central canal of the spinal cord. Extraneural metastasis to lung is rare for ependymomas primary tumors. Repeated surgeries that disrupt the blood-brain barrier may contribute to haematogenous spread, but the mechanism remains unclear. We present a case of ependymoma with extraneural metastasis to lung in a child and discuss reported cases of extracranial metastatic ependymoma with this presentation.

泪的意想不到的鼻腔鼻窦乳头状瘤细菌内潜在的鳞状细胞癌

06/15/2020

鼻腔鼻窦乳头状瘤细菌& lt; p> (SIP)是一种良性肿瘤,起源于鼻腔鼻窦Schneiderian粘膜和细菌的占0.5%到4%的鼻和鼻窦肿瘤[1]。病态,SIP上皮颠倒到粘膜下层的基质,它不同于其他类型的鼻乳头状瘤。不像其他良性肿瘤,SIP展现非凡的攻击性行为,包括侵袭性、复发和恶性转化[2]。;/ p>

慢性硬脑膜下血肿与蛛网膜囊肿的窝在一个足球运动员:病例报告和文献回顾

05/16/2020

& lt; h2> Abstract< / h2>& lt; p> & lt; strong>简介:& lt; / strong>Arachnoid cyst (AC) is a congenital, benign, extra-axial lesion often found incidentally on intracranial imaging and makes up almost 1% of all intracranial masses. It arises from the splitting of arachnoid membranes with components similar to the cerebrospinal fluid. It’s reported that AC can be complicated by chronic subdural haematoma in athletes with repeated head injuries.

Case report: We describe a case of a soccer player with an AC that underwent surgery for a chronic subdural haematoma with full recovery.

Material and method: From a PubMed research, we found 14 relevant studies reporting a total of 15 patients who met the inclusion criteria: playing soccer, subdural hematoma and arachnoid cyst.

Results: Patients underwent different surgical treatment. In the case of hygroma with no midline shift, a conservative treatment was performed. In all cases the reported follow up was a full recovery.

Discussion: Soccer is not usually considered a contact sport related to a high risk of head trauma or shaking head. From our review we can postulate that a soccer player with AC has an augmented risk to have a subdural haemorrhage, more rarely intracerebral haemorrhage.

Conclusion: ACs are common meningeal abnormalities. They may bleed after minor head trauma, although it is rare. Asymptomatic patients with known AC should be monitored by a neurosurgeon and decision to engage this patient in soccer sport participation is still controversial.

烧伤患者急性和整形外科手术的女性躯干与人工真皮来促进健康的怀孕

05/04/2020

The sequelae of deep and extensive burns to the abdomen can lead to serious complications during pregnancy. Studies and publications covering this subject are scarce and outdated. The complications described arise during the 3rd trimester of pregnancy, and surgical treatments to address these complications can initiate premature labor with a risk of fetal demise. We felt it would be of interest to prevent these complications through surgical treatments performed before the pregnancy. The need to reconstruct large regions of abdominal scar tissue prompted us to turn to the Integra® dermal equivalent for preventative surgical treatments.

第一次治疗2019年宁夏新型冠状病毒的情况下,中国

04/17/2020

& lt; p> 1月19日,2020年,28岁的男性给医院为期两天的热历史,偶尔咳嗽和头痛。他透露,他在武汉工作[1],中国(新型冠状病毒疫情的中心)和入学当天飞往银川。你们;/ p>

Diffusion-Weighted成像的作用更好的描述脑弥漫性轴索损伤的程度在儿科病人:一个案例报告和简短的文献回顾

04/09/2020

& lt; h2> Abstract< / h2>& lt; p> & lt; strong>简介:& lt; / strong>Diffuse axonal injury (DAI) is a major cause of disability in the pediatric patient. Herein we describe the MRI/DWI findings in a case with DAI. We also discuss the current role of CT and MRI with DWI in the evaluation of DAI.

Aim of the study: To stress the role of diffusion-weighted imaging in diffuse axonal injury.

Methods: A pediatric patient, who was hospitalized in the ICU, was submitted to MRI with DWI for the evaluation of brain lesions. The patient was scanned with T1-weighted images, T2-weighted images, FLAIR, T2*-weighted images and diffusion weighted images.

Result: Brain lesions caused by DAI were more conspicuous on diffusion-weighted images compared to FLAIR images. T2*-weighted images were a helpful adjunct in showing micro-hemorrhages.

Conclusion: T2*-weighted images and FLAIR images alone underestimate the true extent brain lesions in DAI compared to DWI.

CT perfusion-guided血管内治疗症状性脑血管痉挛的患者perimesencephalic non-aneurysmal蛛网膜下腔出血

03/31/2020

Symptomatic vasospasm represents an uncommon complication of perimesencephalic nonaneurysmal subarachnoid hemorrhage (SAH) which is a benign form of SAH without any recognizable source of bleeding accounting for about 15% of non-traumatic SAH [1,2].

巴尔感染引起中毒性表皮坏死松解症,hemophagocytic lymphohistiocytosis和大脑炎儿科病人

03/18/2020

& lt; h2> Abstract< / h2>

Toxic epidermal necrolysis -the most serious variant of Steven Johnson Syndrome -arises as the result of cell-mediated cytotoxic reaction against keratinocytes. Most common inciting factors include drugs, and infections. On the other hand, Hemophagocytic lymphohistiocytosis (HLH), is a syndrome characterized by enormous immune response in the absence of down-regulation of activated immune cells resulting in cytokine storm causing severe tissue damage.

Up to date, several cases of concomitance of Toxic Epidermal Necrolysis (TEN) and Hemophagocytic Lympohystiocytosis (HLH) in pediatric patients have been reported. Both situations can be fatal and pediatricians should be aware that these two clinical entities are not mutually exclusive, to the contrary they may coexist.

We herein describe a case of Toxic Epidermal Necrolysis, complicated with Hemophagocytic Lymphohistiocytosis with Central Nervous System involvement due to EBV infection.

由于卡麦角林巨泌乳素瘤与副作用

03/16/2020

& lt; h2> Abstract< / h2>

Dopamine agonists should usually be the first treatment for patients with prolactinomas of all sizes, because these drugs decrease serum prolactin concentrations and decrease the size of most lactotroph adenomas. Cabergoline is preferred first. When cabergoline develops side effects bromokriptin is switched. Cabergoline is more efficient than bromocriptine. Its side effect profile more favorable than bromocriptine. Cabergoline is an ergot dopamine agonist that is administered once or twice a week. Cabergoline can have rarely serious psychiatric adverse effects, including psychosis, impulse control disorders, dyskinesia, pulmonery fibrosis and valvular heart disease.
Prolactinomas are the most common pituitary tumors, 93%-95% of the cases are microadenomas. Macroprolactinomas larger than 40 mm, known as giant prolactinomas, are exceptionally rare, accounting for 0.5%–4% of all prolactin-hypersecreting adenomas.

In our case, after the 7 x 6 cm giant macroprolactinoma operated we report the manic episode occuring during the second week of cabergoline treatment. In the treatment of patients with prolactinoma, cabergoline is a first choice drug because it has a better tolerance profile and is more effective, however, bromocriptine can be switched to when drug resistance or side effects develop to cabergoline.

Zoona€™s外阴炎:病例报告

03/04/2020

& lt; h2> Background< / h2>& lt; p> Zoon&,外阴炎或浆细胞外阴炎(PCV)是一种罕见的良性外阴的粘膜的炎症状态[1]。amp;,PCV可以表现为一个无症状的病变,或会引起不适,性交困难和瘙痒[2]。这样,PCV可以模仿其他女阴的粘膜的病变,如扁平苔癣。;/ p>

Acrometastasis作为第一肺腺癌的迹象

02/26/2020

& lt; h2> Abstract< / h2>

Lung cancer is a major cause of morbidity and mortality worldwide. Metastasis can be seen in many organs in advanced-stage disease. Acral metastasis rate in cancer is quite low. However, because of the direct opening of the arterial circulation, the risk of acral metastasis stem from lung cancer is higher than any other cancers. Although the mechanism is not known exactly, acral metastases occur in dominant extremities. Here, we present a case with lung adenocarcinoma metastasis of the left hand in the second phalanx. We presented this case which is rarely seen in the literature to emphasize acral metastases.

延迟的延迟表示阴茎假体植入术缺血性阴茎异常勃起

02/06/2020

& lt; h2> Abstract< / h2>& lt; p>阴茎持续勃起症目前定义为长期痛苦的勃起没有性刺激,如果阴茎异常勃起持续下去,gt;36个小时,保守治疗不会导致消肿。你们,br /比;最常见的病因是:药物全集海绵体,药物,抗高血压,血液疾病(慢性骨髓性白血病)。;/ p>& lt; p>阴茎假体治疗后恢复勃起功能选择保守治疗的失败。;/ p>& lt; p>但下士纤维化使它非常困难,高并发症的风险[1]。;/ p>

一个案例研究在Erdheim€切斯特疾病

01/06/2020

& lt; h2> Abstract< / h2>& lt; p>在这篇简短的文章,哈拉尔德Koeck Jakob Erdheim教授提供了一个介绍,维也纳的著名病理学家。Koeck不同病理部门是一个独立的研究员(病理学系圣滕教授汉斯银行医学病理学系MSMC纽约医学博士与教授阿兰·l·席勒病理学系与教授Minsik Jurij Bandaschewski Jakob Erdheim研究所的医学博士自2008年以来,维也纳医院Hietzing,椅子上大学。教授沃尔特·乌尔里希MD。你们;/ p>

性交高潮引起死胎通过胎盘早剥:一个案例报告

12/23/2019

& lt; h2> Summary< / h2>

Sexual activity during healthy pregnancy is safe. There are little data on how coital activity affects outcome of the high-risk pregnancies. Hereby we report a case demonstrating that orgasmic coitus triggered placental abruption resulting in preterm stillbirth.

A 38-year-old 8-para, 12-gravida woman lived unmarriedly with a constant partner in low socioeconomic conditions. Her previous pregnancies included 7 deliveries without complication, two early miscarriages and two pregnancy terminations. Her present pregnancy was complicated with gestational hypertension successfully treated with nifedipine. She had coitus 2 to 4 times a month, mostly without orgasm. The last coitus which happened in side-by-side position was accompanied by orgasm which continued in uterine hypertonicity and massive vaginal bleeding at 29 weeks gestation. Two hours subsequently, on admission to hospital, placental abruption and fetal demise were diagnosed. At the emergency cesarean section, a dead female infant weighing 1,510 g was born. Fetal pathology was not discovered. Placental histopathology showed retroplacental hematoma, intervillous and decidual hemorrhages, focal distal villous hypoplasia and avascular villuses. Patient’s recovery rapidly occurred after intensive care.

Placental abruption complicates 0.4% - 1.0% of deliveries. It is known that most cases of abruption cannot be predicted and prevented. Our report suggests that orgasmic coitus may be a trigger for placental abruption in those women who have gestational hypertension and multiple risks for placental abruption. We infer from the above case that sexual intercourse is advised to avoid during pregnancy of such women in order to prevent placental abruption.

成就与Flu-Bu疗法治疗后同种异体HSCT患者严重的蕈样和Sezary综合症

12/06/2019

Letter to Editor

Experience with allogeneic hematopoietic stem cell transplantation (HSCT) in mycosis fungoides/Sezary syndrome (MF/SS) is limited to a small number of case reports and case series [1,2]. The advantage of allogeneic HSCT has been indicated in progressive disease in the review of CIBMTR study groups [3]. A consensus is still not available about the intensity and the content of the conditioning regimen due to the rarity of the disease and heterogeneous patient groups.

刮细胞学和扫描电镜诊断和治疗角膜溃疡分枝杆菌的感染

12/06/2019

& lt; h2> Abstract< / h2>

Purpose: This work is aimed at demonstrating that scraping cytology and scanning electron microscopy can successfully assist in the diagnosis of nontuberculous mycobacteria infection. For this purpose, we report the use of both these techniques in the diagnosis of cornel ulcer in a previously healthy young man.

Methods: Cytological samples were achieved by scraping technique on the mucosa, both sub palpebral and temporal area of the eye tarsal conjunctiva. The obtained sample was affixed to a sanded rectangular slide, stained with the Pappenheim method, washed in bidistilled water, treated in Giemsa solution, washed again and subsequently dried on a hot plate and observed with a microscope at various magnifications.

Results: After a therapy based on a 500 mg clarithromycin tablet administered every 12 hours for 30 days as systemic therapy, a complete recovery of the patient from left eye inflammation was observed and SEM cytology showed that NTM colonies had disappeared.

Conclusion: Conjunctival cytology scraping and SEM technologies can be therefore exploited as new tools in diagnosis and fast identification of these newly discovered mycobacteria. In fact, they have a new way for studying ocular pathology, because of the simple execution and remarkable accuracy in the diagnosis. In fact, this technique allows to gather valuable information about all pathogens expression and the cellular action involved in pathology. As a further plus, this technique provides clinicians with the opportunity to repeat the SEM cytology for monitoring patients during therapy, hence leading to evaluate the efficacy of the pharmaceutical regimen in real time.

弗利导管气球填塞的方法控制重做胸外科医源性肺动脉出血

11/20/2019

& lt; h2> Abstract< / h2>

Background: Pulmonary artery bleeding secondary to iatrogenic injury is a troublesome intraoperative complication. The likelihood of encountering this complication is significantly higher in redo surgery for a number of reasons, including distortion of anatomical structures, adhesions and loss of tissue planes. Significant blood loss, although rare, remains a concern, and can occasionally be life-threatening. When significant bleeding from the pulmonary artery occurs, it can be a challenging situation to manage.

Case Report: A 65 year old female was undergoing redo thoracic surgery in the setting of a completion lobectomy for biopsy-proven primary adenocarcinoma of the lung. Iatrogenic injury to the pulmonary artery resulted in significant bleeding that could not be managed by gaining proximal control due to dense adhesions. The novel decision to utilize a Foley catheter for balloon tamponade was taken, in order to provide sufficient haemostasis for definitive surgical repair of the defect to be undertaken.

Conclusion: The increased technical difficulties of redo thoracic surgery are well recognised. We describe the first case of Foley catheter balloon tamponade being utilized in the context of iatrogenic pulmonary artery bleeding during thoracic surgery.

与促红细胞生成素治疗自身免疫性溶血性贫血:一个案例报告

11/20/2019

在本文中,我们描述的情况下五十岁患者自身免疫性溶血性贫血(并发)宪法的症状,没有量化发烧和黄疸,进行性呼吸困难。吸烟和甲型肝炎病人的历史和物理考试后她被发现在一个常规条件下,黄疸,但没有其他进一步的迹象。Her laboratory tests revealed hemolytic anemia with a hemoglobin of 8.5 g/dL, an increase of total and indirect bilirubin, an elevated ferritin, a decreased transferrin and haptoglobin and a positive result for direct Coomb’s test. Considering this, an immune profile was ordered finding a negative result of ANAs and ENAs and a decrease of complement C3 and C4. The patient was diagnosed with AIHA and as an initial step a corticosteroid treatment was administrated however the patient showed no clinical nor chemical improvement. At her third day of hospitalization, she was unstable hemodynamically requiring transfer to Intensive Care Unit (ICU) to optimize management. After 24 hours on ICU, due to persistence of deterioration of the patient, it was decided to manage with erythropoietin (EPO). In the following days, the patient showed a rise in her hemoglobin and an overall improvement made possible the transfer to hospitalization service. The AIHA is an uncommon disease and is not the first option that comes to mind with these symptoms, currently there are not controlled studies to the treatment due to its complexity and the heterogeneity of the results. We strongly support the use of EPO in refractory cases of this pathology.

儿童髌骨折

11/19/2019

我们描述一例少见的髌骨折在一个七岁的女孩。情况等各个方面综述了临床诊断,成像测试和最合适的治疗。

肠道malrotation呈现与中肠肠扭结在成人

10/16/2019

一名36岁的没有以前的病史的人呈现给急诊急性发作的腹痛和呕吐。他的生命体征稳定,没有发烧。腹部勘探发现膨胀在触诊疼痛。实验室测试是正常的。腹部x光显示胃和小肠扩张。鼻胃管被放置和液体治疗开始。计算机断层扫描显示肠道malrotation,没有十二指肠跨越中线和绞痛框架安排在左边hemiabdomen(图1),复杂的中肠肠扭结漩涡为代表的标志(图2中,箭头)。Ladd’ s程序使用中线开放的方式进行。肠系膜淋巴结病和乳糜性腹水被发现(图3)。肠扭结降低了逆时针反扭转不需要肠道切除术和Ladd’ s波段划分以及延长Kocher策略(图4)允许肠系膜的有利位置。阑尾切除术也进行了。术后当然是平淡无奇的病人出院了第五天,后肠功能的恢复。 No alterations were detected at follow up one month later.

致命的粒细胞缺乏症与Metamizole治疗一个16岁的女孩

10/02/2019

粒细胞缺乏症的常见原因之一是血液学的磋商。It’s life-threatening because of an infection risk. The metamizole is a drug, known for its potential rare danger of inducing a severe agranulocytosis. However, it remains widely used because of its beneficial effect analgesic and antipyretic. We report in this study, a case of a girl who was 16 years old, referred for severe agranulocytosis, and appeared two weeks after treatment with Novalgin. The clinico-biological symptoms were dominated by Streptococcal septicemia with an infectious pulmonary and digestive focus. The blood cell count confirmed a severe agranulocytosis with total disappearance of neutrophils. Despite broad-spectrum antibiotic therapy and stimulation with hematopoietic growth factor, the clinical evolution was fatal in the short term. What motivates us to add this case to those of the literature in order to remind practitioners about the danger of this drug, and to promote has doubled of vigilance during use.

自动心跳监测系统

09/30/2019

扩散和流行的开源硬件和软件,如Arduino和覆盆子π,与物联网、嵌入式系统,带来了健康产业快速发展,创建可移植的、低成本的医疗设备监控重要的信号。心电图(ECG)设备起着至关重要的作用,对心脏疾病的诊断。然而,该设备的成本是巨大的,操作过于复杂,不能提供更好的服务,发展中国家的人口多。在本文中,我设计并实现了一个低成本的完全使用android智能手机和Arduino便携式心电监护系统。设备测试的结果进行比较与那些来自传统心电图用于临床实践在70人,在休息和主要条件。每分钟节拍(BPM)的价值观,心电图波形和心电图参数相同,呈现敏感性为97.8%,特异性为78.52%。

一种罕见的复发性尿路感染的情况下由于毛孢子菌属物种在免疫糖尿病女性患者

09/24/2019

< em > Trichosporonosis < / em >是< em >毛孢子菌属引起的疾病< / em >种虫害的无处不在的变形的酵母,通常居住在土壤。在人类中发现的皮肤、胃肠道和呼吸道。在全球范围内,< em >毛孢子菌属< / em >种虫害感染是罕见的和仍然穿着暴露在尿路感染和传播侵入性感染在免疫功能不全的和癌症患者中性粒细胞减少。< em >毛孢子菌属asahii < / em >是最常报道的物种。毒力因素如蛋白酶、脂肪酶和磷脂酶可能是疾病表现负责。我们报告一例反复泌尿系感染由于< em >毛孢子菌属< / em >种虫害的62岁高龄的免疫活性的糖尿病女性误诊停留了很长一段时间。病人后来成功治疗,口服氟康唑药物。

临床、组织病理学和手术评估持续口咽膜小牛

08/05/2019

一男,4天20公斤老西门塔尔牛小腿被评估为返流和超诞生以来的唾液分泌。母亲通过人工受精方式怀孕和怀孕的第二个母亲。膜封闭的咽和憩室背膜被认为在口咽检查检查。膜也被全身麻醉下内镜。喉咙和食道成像通过膜的背面支气管镜检查。这些应用程序之后,它决定软腭坚持坚定的根舌头造成先天性闭锁。手术治疗口咽膜在全身麻醉下进行。首先,放松呼吸和膜进行了气管切开术被电烙术应用程序。密集的积液和水肿形成切口区域经内视镜检查发现以下操作和小腿有严重呼吸困难操作和两天后死于呼吸衰竭。在验尸,严重的炎症反应,喉水肿和密集的唾液分泌在外科方面确定。 Direct imaging techniques should be used to determine in the closed oropharyngeal lumen. Moreover, nasopharyngoscopy should be considered to image larynx and oesophageal way. Present case is the first report with concern to pharyngeal membrane formation together with direct imaging and surgical procedures. Therefore, it was considered that this case report could be useful for colleagues and literatures.

II型心肌梗死和潜在LVOT梗阻由于二尖瓣收缩期前运动

08/02/2019

左心室流出道梗阻肥厚性心肌病是一个公认的特性,但也可能发生在其他临床场景当解剖易感的心受到宽容的生理条件,引发收缩期二尖瓣的前运动(SAM):即降低前负荷,增加收缩状态,和后负荷降低。这份报告描述了一个案例的血液流动显著的潜在LVOTO低血压,晕厥,急性心肌缺血性心电图改变,和增加心脏酶。(II型心肌梗死)的一个非HCM患者过度前二尖瓣组织。

全身水肿在一个35岁的男人——一个诊断困境

07/17/2019

全身水肿是广义肿胀的身体后积累细胞外液的隔间。它可能从多个主要病原学结果肾,肝或心血管的起源。 The aim of this case report is to highlight the challenges encountered in making diagnosis in a patient with anarsaca. We report a case of a 34 year old transporter who presented with anasarca. He had clinical features and risk factors suggestive of renal, hepatic and cardiovascular disease. However investigations ruled out renal, hepatic or cardiovascular diseases as the aetiology of the anarsaca. The anarsarca was also noted to be unresponsive to diuretics. The diagnosis of the disease causing the anarsaca was therefore a dilemma.

臂假动脉瘤与正中神经损伤并发症的外围地插入中心导管:一个案例报告

06/04/2019

<强>简介:< /强>外围地插入中心静脉导管(picc)越来越多地作为替代传统的长期管理中央静脉导管化疗,抗生素、肠外营养,和水化困难患者静脉访问。创伤并发症为PICC动脉和神经毗邻静脉选择位置已经很少了。<强>案例演示:< /强>我们报告的情况下向右上肢肱静脉的位置的一个78岁的女人,导致肱动脉假性动脉瘤和正中神经损伤。<强>讨论:< /强>假动脉瘤与凝血酶注射成功修复,但手造成神经损伤神经赤字持续甚至术后4个月。

总数扩大切除后局部复发

04/05/2019

局部复发孤立肾肾癌的小屋根除性肾脏切除手术后罕见,预后不良。手术切除,有时甚至延伸到邻近器官,是目前唯一有效的治疗肾癌的局部复发。新医学疗法的利益还有待定义。我们报告一例根除性肾脏切除手术患者的局部复发。

例急性周围性眩晕:使用提示考试指导诊断

03/08/2019

急性头晕/眩晕最常见的原因为来访的急诊室或初级保健医生。虽然大多数的这些演讲代表急性外围vestibulopathy (APV),侧髓,横向桥的,小脑梗死可以模仿APV密切。我们提供了一个典型的积极APV和轮廓构建良好的床边神经疾病评估如何区分中央和周边的眩晕急性设置。

McArdlea€™s疾病(糖原存储疾病类型V):一个临床病例

12/31/2018

Resume

McArdle’s Disease, or Glycogen Storage Disease Type V, is the result of a deficiency in one of the enzymes responsible for the metabolism of glycogen in the body. Individuals with this disease, lack or produce very small concentrations of the myophosphorylase or glycogen phosphorylase enzyme.

McArdle’s disease is a metabolic and recessive genetic disease caused by a mutation on the PYGM gene located on chromosome 11q13. This gene is responsible for the synthesis of the myophosphorylase (or glycogen phosphorylase) enzyme. It is the most common form of muscular glycogenesis. We present here the clinical case of a 35 years old woman diagnosed with McArdle’s disease at the age of 21 after a visit to a Neurologist. It was confirmed that the patient had shown symptoms of this disease at least 10 years before definitive diagnosis: intolerance to exercise, asthenia and muscular weakness. In this report we describe the different signs and symptoms of the disease, as well as the tests performed to confirm the diagnosis by muscle biopsy and genetic analysis. McArdle’s disease is classified as a rare disease and often its diagnosis is delayed due to a lack of knowledge about its symptoms and signs. Our intention is to make, with the description of our clinical case, the information about this disease more available to physicians to prevent future misinterpretations and delayed diagnosis. A medical documentary we have created on “McArdle’s Disease” can be seen in YouTube using the following links: https://youtu.be/HAhoZ7jxz7Q (English version) and https://youtu.be/uZopzSHOl20 (Spanish version).

Brooke-Spiegler综合症:一种罕见的皮肤appendageal肿瘤

11/01/2018

& lt; h2> Abstract< / h2>

A 51-year-old women presented with asymptomatic multiple polypoidal nodules over scalp with simultaneous papularnodular skin eruptions involving nose, nasolabial folds and forehead for 40 years duration. Her daughter also noted to be having multiple papularnodular skin eruptions involving nose, nasolabial folds and forehead which raised curiosity of possible familial condition. The punch biopsy of polypoidal nodule indicating histological evidence of spiradenoma was favour in diagnosis of Brook Spienger Syndrome. We report this case as this is a rare clinical entity.

罕见的糖尿病足的中年男性糖尿病足

10/13/2018

& lt; h2> Abstract< / h2>

A rare case of Diabetic Foot in male of middle age has been shown.

Meige Trofoedema:原发性淋巴水肿的一种形式

04/24/2018

& lt; h2> Abstract< / h2>& lt; p>淋巴系统由小non-contractile淋巴管收集流体从间隙空间,把它与阀门主要收缩淋巴管保持单向流动的淋巴结,并负责返回蛋白质,脂类和水从附近的小间隙静脉系统的结两侧锁骨下静脉、颈内静脉。淋巴水肿会失败的结果运输的进一步积累在间质流体富含蛋白质,尤其是四肢灵活;/ p>& lt; p>原发性淋巴水肿,影响1.15/100000的孩子(尤其是青春期前的女孩),出生时并不总是伴有明显,是一种遗传疾病,代表许多不同子集的表型:先天性或先天性淋巴管扩张,先天性trofoedema家人或Meige,先天性羊膜带和本质或特发性灵活;/ p>& lt; p>最常见的表现是由于先天性缺失或异常引起的淋巴组织的基因突变基因的淋巴管的发展特点是排水的困难淋巴管。这种基因改变可能是零星或继承。你们;/ p>

颈部创伤:表现原始区以外的伤害外伤病例的报告

02/06/2018

& lt; h2> Summary< / h2>& lt; p> 53岁男性出现在急诊室(ED)和多系统创伤和呼吸窘迫钝力损伤他的前离开后脖子。CT成像显示广泛的皮下气肿和纵隔气肿。胸部x光显示左偏侧膈高度显示膈神经损伤由床边超声检查确诊左偏侧膈。灵活的支气管镜检查显示气管破裂。病人治疗附和着没有手术治疗和恢复。伤害hemidiaphragmatic瘫痪很少报道。这种情况下代表了临床场景可演示的解剖关系,和临床提醒膈神经损伤应列入鉴别诊断呼吸窘迫的创伤病人。;/ p>

一个罕见的例子:先天性Megalourethra修剪肚子里综合症

01/30/2018

& lt; h2> Abstract< / h2>& lt; p> & lt; strong>简介:& lt; / strong>梅的肚子综合症是一种疾病,其特征是腹部肌肉缺陷,双边cryptorchidsim和泌尿系统异常(回流megaureter、肾盂积水等)。肺、心脏、胃肠道异常也可能存在。管理这些罕见的情况下是非常重要的。在这种情况下,病人的临床课程与梅的肚子综合症megaurethra了。你们;/ p>& lt; p> & lt; strong>案例:& lt; / strong>病人从第一妊娠和分娩出生体重2500克和38周住院,因为双边肾盂积水。他的物理检查发现隐睾症和一个大的阴茎。腹部肌肉没有萎缩。肾脏的规模很小,双边hydroureteronephrosis和宽后尿道超声。 Renal function tests were progressively disturbed and the patient underwent cystourethroscopy for diagnostic purposes in terms of posterior urethral valve. A large diverticulum was found in anterior urethra. Prune Belly Syndrome was thought because the orifices were in appearance of reflux. The vesicostomy was applied. After vesicostomy the renal function tests got better but he was hospitalized due to urosepsis two times. In cystoscopic examination, the diverticulum in the urethra was filled with urine and the drainage was very slow. Phimosis was opened with dorsal slit technique. Cutaneous urethrostomy was proximal to the anterior diverticulum.

Conclusion: Prune Belly syndrome should be considered in patients with megaurethra and postrenal or renal insufficiency although there are no obvious clinical findings. In Prune Belly cases, via a large penis with obstruction signs, anterior urethral diverticulum should be considered.

Catamenial气胸:病理学表现的罕见

12/20/2017

catamenial气胸被定义为空气的积累在胸膜腔,出现在女性很少,自发地与不同的临床表现。事实上,它被认为是一个极其罕见的实体与文献中描述的一些情况下,这就是为什么病因仍在讨论。然而,一个强大的协会与胸子宫内膜异位症综合症被发现。我们想要强调的重要性进行诊断和及时管理将提高病人的生活质量,给疾病的预后更好。因此,38岁女性病人的病例报告接受荷尔蒙疗法作为治疗腹壁子宫内膜异位症和反复气胸。在电视胸腔镜检查我们看到膈病变和气胸围手术期及术后期间。强调的重要性的详细检查每个胸廓内的器官在手术过程中,我们还展示了如何肋膜术中,网格的位置上的隔膜和激素治疗的连续性,似乎是一个有效的治疗,防止疾病的复发和有更好的控制。

巨大脂肪瘤前颈部:病例报告

12/14/2017

& lt; h2> Abstract< / h2>

Lipoma is a benign mesenchymal tumor with a thirteen percent incidence in head and neck region. Posterior triangle is the most common location while anterior neck lipoma is a rare one. Giant lipomas >10cm have been reported in different parts of the body but rarely in the anterior neck. Giant lipomas of the neck can present as a cosmetic disfigurement or can produce pressure symptoms. Most lipomas do not pose any difficulty in diagnosis. Surgical excision remains the treatment of choice. We here present a case of giant anterior neck lipoma.

胃粘膜钙质沉着

09/27/2017

& lt; h2> Abstract< / h2>

Gastric mucosal calcinosis is a very rare pathology of the gastric mucosa. It may develop secondary to several diseases but may also be idiopathic in some cases. In this case, gastric mucosal calcinosis was diagnosed with endoscopic biopsy performed for a patient who presented to our clinic with heartburn and abdominal discomfort. This case involves a very rare gastric pathology, and is being studied here with reference to literature data.

毛滴虫Vaginalis-A临床图像

07/21/2017

Case Report

A 32-year-old G4P301LC3 woman presents to the office for a visit, with a 6-day history of vaginal discharge with an unpleasant odor. On speculum examination, the discharge was green in color and frothy in appearance. Is noticed vulvar erythema, edema, and pruritus, also is noted the characteristic erythematous, punctate epithelial papillae or “strawberry” appearance of the cervix.Vaginal pH was 6.2. Diagnosis of Trichomonas vaginalis is made via wet prep microscopic examination of vaginal swabs.But also, for diagnosis help even the exam with the speculum, concretely “strawberry” appearance of the cervix. The diagnosis is confirmed by culture.Trichomoniasis is a sexually transmitted infection [1,2], that caused by trichomonas vaginalis. Trichomonas vaginalis is a unicellular, anaerobic flagellated protozoan, that inhabits the lower genitourinary tracts of women and men, but that can cause vaginitis. Clinical findings of Trichomonas vaginalis include a profuse discharge with an unpleasant odor. The discharge may be yellow, gray, or green in color and may be frothy in appearance. Vaginal pH is in the 6 to 7.Vulvar erythema, edema, and pruritus can also be noted. The characteristic erythematous, punctate epithelial papillae or “strawberry” appearance of the cervix is apparent in only 10% of cases. Symptoms are usually worse immediately after menses because of the transient increase in vaginal pH at that time. Diagnosis of Trichomonas vaginalis is made via wet prep microscopic examination of vaginal swabs.

档案的案例报告

腹部钝伤十二指肠解剖:一个案例报告

胆石性肠梗阻和穿孔小肠憩室炎有关

最小的与整体植入治疗方案

Aim

Oncocytic乳头状囊腺瘤的喉心室

监测巨细胞变体的移行细胞癌COVID——积极的病人:一种罕见的变异在一个不寻常的情况

Ipratropium中诱导支气管哮喘:一个年轻一个案例报告

肢体缺血后线圈迁移用于下腹部的动脉瘤栓塞

PET / MRI,旨在改善目标分次立体定向放射治疗(FSRT)切除颅底脑膜瘤复发2年后:病例报告

脐尿管囊肿的恶性转化

特殊的术中方面肠系膜静脉气体

面部伤口管理与失踪的软组织局部皮瓣

不同寻常的顶叶胸疼的原因:一个案例报告

儿童与外神经系的转移瘤肺:病例报告和文献综述

泪的意想不到的鼻腔鼻窦乳头状瘤细菌内潜在的鳞状细胞癌

慢性硬脑膜下血肿与蛛网膜囊肿的窝在一个足球运动员:病例报告和文献回顾

烧伤患者急性和整形外科手术的女性躯干与人工真皮来促进健康的怀孕

第一次治疗2019年宁夏新型冠状病毒的情况下,中国

Diffusion-Weighted成像的作用更好的描述脑弥漫性轴索损伤的程度在儿科病人:一个案例报告和简短的文献回顾

CT perfusion-guided血管内治疗症状性脑血管痉挛的患者perimesencephalic non-aneurysmal蛛网膜下腔出血

巴尔感染引起中毒性表皮坏死松解症,hemophagocytic lymphohistiocytosis和大脑炎儿科病人

由于卡麦角林巨泌乳素瘤与副作用

Zoona€™s外阴炎:病例报告

Acrometastasis作为第一肺腺癌的迹象

延迟的延迟表示阴茎假体植入术缺血性阴茎异常勃起

一个案例研究在Erdheim€切斯特疾病

性交高潮引起死胎通过胎盘早剥:一个案例报告

成就与Flu-Bu疗法治疗后同种异体HSCT患者严重的蕈样和Sezary综合症

Letter to Editor

刮细胞学和扫描电镜诊断和治疗角膜溃疡分枝杆菌的感染

弗利导管气球填塞的方法控制重做胸外科医源性肺动脉出血

与促红细胞生成素治疗自身免疫性溶血性贫血:一个案例报告

儿童髌骨折

肠道malrotation呈现与中肠肠扭结在成人

致命的粒细胞缺乏症与Metamizole治疗一个16岁的女孩

自动心跳监测系统

一种罕见的复发性尿路感染的情况下由于毛孢子菌属物种在免疫糖尿病女性患者

临床、组织病理学和手术评估持续口咽膜小牛

II型心肌梗死和潜在LVOT梗阻由于二尖瓣收缩期前运动

全身水肿在一个35岁的男人——一个诊断困境

臂假动脉瘤与正中神经损伤并发症的外围地插入中心导管:一个案例报告

总数扩大切除后局部复发

例急性周围性眩晕:使用提示考试指导诊断

McArdlea€™s疾病(糖原存储疾病类型V):一个临床病例

Resume

Brooke-Spiegler综合症:一种罕见的皮肤appendageal肿瘤

罕见的糖尿病足的中年男性糖尿病足

Meige Trofoedema:原发性淋巴水肿的一种形式

颈部创伤:表现原始区以外的伤害外伤病例的报告

一个罕见的例子:先天性Megalourethra修剪肚子里综合症

Catamenial气胸:病理学表现的罕见

巨大脂肪瘤前颈部:病例报告

胃粘膜钙质沉着

毛滴虫Vaginalis-A临床图像

Case Report

一个案例研究在Erdheim€切斯特疾病