Skull Repair after Major Crush Injury

H. Sudhoff, 1 ,* H. J. Hoff, 2 and M. Lehmann 1 Case Report A 48-year-old German safety officer suffered compression injury to his cranial vault whilst examining a pressing machine (Figure 1(a)). The accidental onset of the machine resulted in severe compression of his skull. This led to compound comminuted skull and facial fractures (parietal, sphenoid, frontal, orbital rim, ethmoid, […]

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RECONSTRUCTION OF THE MAXILLA AND SKULL BASE

ERIC G. HALVORSON, DUC T. BUI, AND PETER G. CORDEIRO Following vertical rectus abdominis myocutaneous flap coverage of a type IIIB defect, this patient had too much bulk in the orbit preventing placement of an ocular prosthesis. Direct excision combined with liposuction improved flap contour and provided an appropriate platform for prosthetic fitting. A staged “nasolabial” […]

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Coronary Artery Aneurysms and Thrombosis in Kawasaki Disease

A 7-month-old male infant was brought to the hospital after being found by his foster parents to be inconsolable and crying. He was up-to-date on his immunizations and met all his developmental milestones. Significant birth history included intrauterine exposure to methamphetamine, with a positive methamphetamine drug screen at birth, and subsequent removal from his mother […]

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Giant Lipoma of Posterior Neck with Bleeding Decubitus Ulcer: A Rare Entity

Satyajeet Verma, Manish Varma, Sanjay Kala, and RK Singh CASE REPORT A 68-year-old male presented to our surgical outpatient department with a huge lump at the back of his neck for the last 11 years. There was an ulcer at the top of the lump for the last 9 months. Episodic bleeding was also reported from the ulcer for […]

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The hand of a doctor after removing his medical precautionary suit and gloves after 10 hours of duty.

Background The use of examination gloves is part of the standard precautions to prevent medical staff from transmission of infectious agents between patients. Gloves also protect the staff from infectious agents originating from patients. Adequate protection, however, depends on intact gloves. The risk of perforation of examination gloves is thought to correlate with duration of […]

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Anticoagulant-induced priapism progressing to penile gangrene: a devastating complication!

Case presentation A 35-year-old man, non-diabetic, non-hypertensive, married, having two children with normal erectile function, presented 4 h after sustaining gunshot injury to the left side of chest and left upper limb (figure 1). There were no injuries to the external genitalia. On evaluation, he had left pneumo-haemothorax which was relieved with insertion of intercostal chest […]

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Ambulance charges patient 8000$ for a 20 mile trip

Devin Hall, a 67-year-old retired postal inspector in Northern California. While he faces stage 3 prostate cancer, Hall is also fighting a $7,109.70 out-of-network ambulance bill from American Medical Response, the nation’s largest ambulance provider. On Dec. 27, 2016, Hall went to a local hospital with rectal bleeding. Since the hospital didn’t have the right specialist to […]

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The Big Bang: Facial Trauma Caused by Recreational Fireworks

Authors: Josher Molendijk, BSc, MSc,1 Bob Vervloet, BSc, MSc,1 Eppo B. Wolvius, DDS, MD, PhD,1 and Maarten J. Koudstaal, MD, DDS, PhD1 Case 1 A 29-year-old man was hit directly in the face by a rocket in the night of January 1, 2011. The patient was seen at the emergency department of our institution according to the Advanced Trauma […]

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Giant ovarian cyst masquerading as a massive ascites: a case report

Eugene Vernyuy Yeika, Derrick Tembi Efie, Paul Nkemtendong Tolefac, and Joseph Nkeangu Fomengia Case presentation Herein, we present the case of a 65-year-old black African woman, who was referred to their centre for the management of a massive ascites. She presented with a 5-year history of progressive abdominal distension. She had no abdominal pain, nausea, vomiting or […]

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