Emergency thoracotomy

Thoracotomy is an incision into the pleural space of the chest. The procedure allows immediate direct access to the thoracic cavity, permitting rescuers to control hemorrhage, relieve cardiac tamponade, repair or control major injuries to the heart, lungs or thoracic vasculature, and perform direct cardiac massage or defibrillation Technique A left anterolateral thoracotomy is the common method of opening the chest, as […]

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Polycystic kidney

Polycystic kidney disease (PKD) is an inherited disorder in which clusters of cysts develop primarily within your kidneys, causing your kidneys to enlarge and lose function over time. Cysts are noncancerous round sacs containing fluid. The cysts vary in size, and they can grow very large. Having many cysts or large cysts can damage your […]

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Patient with penetrated Wooden Stick

Case Report A 15-year-old boy reported to emergency department with history of fall from a tree onto a wooden fence and sustained a penetrating injury from a wooden piece [Fig-1]. There was no evidence of facial nerve injury. CT scan revealed that the foreign body was superficial to the investing layer of deep cervical fascia […]

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Pencil into the orbit

Case Study In 2011, a 6 year old boy with orbital trauma in the form of a foreign object having penetrated his right eye attended the Ophthalmology Department of Imam Khomeini Hospital in Kermanshah. According to his parents, he suddenly fell when playing and a pencil went directly into the upper part of his right […]

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Fournier’s Gangrene and Intravenous Drug Abuse

Abstract Fournier’s gangrene is a potentially fatal emergency condition characterized by necrotizing fasciitis and supported by an infection of the external genital, perineal and perianal region, with a rapid and progressive spread from subcutaneous fat tissue to fascial planes. Keywords: Fournier’s gangrene, Necrotizing Fasciitis, Surgery, Infection Case report A 52 year old man with a history […]

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Deodorant bottle in the rectum

Abstract Encountering a foreign object in the rectum is rare; however, the incidence has greatly increased in recent years. Treatment of these patients requires a multidisciplinary approach because this condition may have serious complications. Presently described is management of 2 cases of rectal foreign body treated in the clinic. Keywords: Complication, foreign body, perforation, rectum Case Report A 40 […]

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A bullet lodged in the neck

Case Report: A 27-year-old African-Ugandan woman of Nilotic ethnicity presented to the Accident and Emergency Department of a tertiary hospital, following a GSI to her face. The injury was the result of a ‘stray’ bullet, shot from an AK-47 submachine gun at a distance of about 70m. Resuscitation and a surgical wound toilet were done […]

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Tetanus in an unvaccinated child

In 2017, a boy aged 6 years who had received no immunizations sustained a forehead laceration while playing outdoors on a farm; the wound was cleaned and sutured at home. Six days later, he had episodes of crying, jaw clenching, and involuntary upper extremity muscle spasms, followed by arching of the neck and back (opisthotonus) […]

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Conquering the odds: Cirsoid aneurysm with holocranial feeders-staged embolization, excision and grafting

Authors: Sunil Munakomi, Binod Bhattarai, and Iype Cherian A 38-year-old female presented with the complaint of slowly progressive swelling over scalp since last 20 years. There was no history of trauma, loss of consciousness, headache vomiting, altered sensorium or weakness of body parts. Surgical intervention was tried twice but abandoned due to heavy bleeding on both the occasions. […]

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Glass bottle in the rectum

Case Report A 52 year old male patient contacted emergency services with abdominal and anal pain that had gradually increased over nearly 6 hours. Detailed medical history of patient revealed that he had inserted a foreign object into rectum and that he had occasionally done so to achieve sexual satisfaction over period of nearly 2 […]

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Limb salvage after gas gangrene

Case report: A 35-year-old Caucasian man with a history of chronic intravenous drug use presented to the emergency department with right upper limb pain and swelling lasting 24 hours. His initial vital signs were notable for temperature of 39°C, respiratory rate of 25 breaths per minute, heart rate of 120 beat per minute and blood […]

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Ruptured desmoid tumor in the jejunum

Abstract Desmoid tumors, also known as aggressive fibromatosis, are extremely rare, accounting for less than 3% of soft-tissue sarcomas and less than 0,03% of all neoplasms. The diagnosis is usually delayed because of the lack of specific symptoms, and can sometimes lead to serious and, even fatal complications. Case presentation The case report was prepared […]

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Did you know that Viagra was originally developed for the treatment of hypertension and angina pectoris ?

The sildenafil compound was originally developed by Pfizer for the treatment of hypertension (high blood pressure) and angina pectoris (chest pain due to heart disease). During the heart clinical trials, researchers discovered that the drug was more effective at inducing erections than treating angina. Pfizer realized ED was an unmet medical need and a major opportunity for […]

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Elephantiasis tropica

Elephantiasis is the enlargement and hardening of limbs or body parts due to tissue swelling.[1][2] It is characterised by edema, hypertrophy, and fibrosis of skin and subcutaneous tissues, due to obstruction of lymphatic vessels.[2] It may affect the genitalia.[2] The term elephantiasis is often used in reference to (symptoms caused by) parasitic worm infections,[1][2] but may refer to variety of diseases […]

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