Book ReviewThe Clinical Encounter: A guide to the medical interview and case presentation

1990 ◽  
Vol 322 (2) ◽  
pp. 138-139
Author(s):  
Bernadine Z. Paulshock
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Satoshi Sato ◽  
Shunsuke Tachibana ◽  
Kayoko Okazaki ◽  
Hitoshi Namba ◽  
Takahiro Ichimiya ◽  
...  

Abstract Background Trigger point blocks are now widely practiced, especially in pain treatment. Among the complications of lumbar trigger point injection, reports of medically induced kidney injury are very rare, and diagnosis during emergency treatment is rare. Case presentation A 78-year-old woman on antiplatelet medication following a stroke was diagnosed with treatable type A aortic dissection at another hospital after undergoing lumbar trigger point injection. On arrival at our hospital, there were no signs of hemodynamic deterioration. Additional careful medical re-interview and ultrasonography by anesthesiologists enabled a definitive diagnosis of acute kidney damage and hematoma caused by lumbar trigger point injection, and aortic dissection surgery was abandoned. Conclusion This clinical case demonstrates the importance of awareness of potential kidney injury and hematoma during lumbar trigger point injection.


1999 ◽  
Vol 11 (4) ◽  
pp. 355-373 ◽  
Author(s):  
Dennis D. Cali ◽  
Carlos Estrada

Author(s):  
W.T. Gunning ◽  
G.D. Haselhuhn ◽  
E.R. Phillips ◽  
S.H. Selman

Within the last few years, adrenal cortical tumors with features concordant with the diagnostic criteria attributed to oncocytomas have been reported. To date, only nine reported cases exist in the literature. This report is the tenth case presentation of a presumptively benign neoplasm of the adrenal gland with a rare differentiation. Oncocytomas are well recognized benign tumors of the thyroid, parathyroid, and salivary glands and of the kidney. Other organs also give rise to these types of tumors, however with less frequency than the former sites. The characteristics generally used to classify a tumor as an oncocytoma include the following criteria: the tumor is 1) usually a solitary circumscribed mass with no gross nor microscopic evidence of metastasis (no tissue nor vascular invasion), 2) fairly bland in terms of mitotic activity and nuclear morphology, and 3) composed of large eosinophillic cells in which the cytoplasm is packed full of mitochondria (Figure 1).


2009 ◽  
Author(s):  
Kristin A. R. Osborn ◽  
Maneet Bhatia ◽  
Leigh McCullough

Sign in / Sign up

Export Citation Format

Share Document