Technical success is not the same as good patient outcome

Mesenteric lymphangioma is a benign cystic tumour of the lymphatic vessels that occurs rarely in adults. Due to the infrequency of cases and the insidious presentation, these tumours can be diagnosed late and become massive. Resection of mesenteric lymphangioma in its entirety is the recommended management in order to prevent recurrence. This case report describes the finding of a massive mesenteric lymphangioma (dimensions 420×470×100 mm) in a young man, the investigations leading to diagnosis, and the subsequent surgical management. The substantial size of this tumour produced considerable challenges for the surgical team, including involvement of adjacent small bowel and mesenteric vasculature. Preoperative diagnosis and assessment of the anatomy was pivotal in achieving a complete resection and a good patient outcome.

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104. The false negative rate (FNR) for 99mTc-tilmanocept is crucially low across breast cancer (BC), melanoma (ME), and head/neck squamous cell carcinoma (HNSCC), portending good patient outcome

European Journal of Surgical Oncology ◽

10.1016/j.ejso.2014.08.100 ◽

2014 ◽

Vol 40 (11) ◽

pp. S49 ◽

Cited By ~ 1

Author(s):

F. Cope ◽

W. Metz ◽

C. Reininger ◽

B. Potter ◽

J. Shuping ◽

...

Keyword(s):

Breast Cancer ◽

Patient Outcome ◽

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

False Negative ◽

False Negative Rate ◽

Good Patient ◽

Good Patient Outcome ◽

Head Neck

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Cultural research deconstructs the psychosocial construct ‘expressed emotion’

The British Journal of Psychiatry ◽

10.1192/bjp.2020.148 ◽

2020 ◽

pp. 1-4

Author(s):

Alison M. Heru

Keyword(s):

Patient Outcome ◽

Chronic Illness ◽

Expressed Emotion ◽

Important Predictor ◽

Good Patient ◽

Poor Outcome ◽

Good Patient Outcome ◽

Research Challenges ◽

Cultural Research ◽

Original Component

Summary Expressed emotion (EE) is a highly researched psychosocial construct. Cultural research challenges the assumption that high family criticism is a universal determinant of poor outcome, especially for chronic illness. The concept of warmth, an original component of EE, was dropped owing to the complexity of its measurement. Warmth has now been resurrected as an important predictor of good patient outcome. Cultural scrutiny and appropriate adaptation of any psychosocial construct is necessary before its acceptance into the medical lexicon of healthcare.

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Management of COVID-19-Positive Patient with Bilateral Longitudinal Petrous Fractures: A Case Report

Indian Journal of Neurotrauma ◽

10.1055/s-0040-1718474 ◽

2020 ◽

Author(s):

Mohamed Ragab Nagy ◽

Mohamed Abdelrahman Ibrahim

Keyword(s):

Patient Outcome ◽

Case Report ◽

Head Injury ◽

Temporal Bone ◽

Bone Fractures ◽

Positive Patient ◽

Good Patient ◽

Good Patient Outcome ◽

Special Concern ◽

High Index Of Suspicion

AbstractTemporal bone fractures are bilateral in 8 to 29% of cases. High index of suspicion of coronavirus disease 2019 (COVID-19) infection is important while dealing with any patient with special concern to the surgical and traumatized patients to reach a good patient outcome especially during the pandemic of COVID-19. We describe in this report the management of COVID-19-positive patient with bilateral longitudinal petrous fractures and moderate head injury.

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Craniovertebral Junction

Neurosurgery ◽

10.1227/01.neu.0000366109.85796.42 ◽

2010 ◽

Vol 66 (suppl_3) ◽

pp. A7-A12 ◽

Cited By ~ 57

Author(s):

Michael P. Steinmetz ◽

Thomas E. Mroz ◽

Edward C. Benzel

Keyword(s):

Patient Outcome ◽

Cervical Spine ◽

Craniovertebral Junction ◽

Normal Anatomy ◽

Complex Region ◽

Good Patient ◽

Good Patient Outcome ◽

Bony Fixation

Abstract THE CRANIOVERTEBRAL JUNCTION is a complex region that incorporates the occiput–C1–C2 portions of the spine. It is a transition between the cranium and the mobile cervical spine that permits significant motion. The motions afforded and the anatomy are vastly different at the occiput–C1 and C1–C2 articulations. These differences make treating pathology in this region very difficult. Problems include bony fixation of the cranium and the cervical spine (specifically C1 and C2), which limits complex motions, and limited bony sites available for arthrodesis. A thorough knowledge of the normal anatomy and biomechanics is required for fixation of this region. Moreover, an understanding of pathologic motions and the biomechanics of fixation is needed for successful construct design and good patient outcome.

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Lightning Injury with Multi-System Involvement

Case Reports in Acute Medicine ◽

10.1159/000509456 ◽

2020 ◽

Vol 3 (2) ◽

pp. 56-62

Author(s):

Ashwini Ramesh Patankar ◽

Smita Patil ◽

Santwana Chandrakar

Keyword(s):

Patient Outcome ◽

Hearing Loss ◽

Cardiac Arrest ◽

Cardiac Arrhythmia ◽

Kidney Injury ◽

System Involvement ◽

Good Patient ◽

Good Patient Outcome ◽

Lightning Injury

Lightning leads to trauma and disability such as burns, hearing loss, blindness, cardiac arrhythmia, cardiac arrest, stroke, kidney injury, and can also lead to death. Such cases are seldom reported, and hence their database is scanty. We present a case of a 40-year-old female with lightning injury with four such manifestations, which is not commonly encountered. We have elaborated on these complications of lightning injury and their timely management, which has led us to good patient outcome.

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Successful Modified Therapy in a Patient with Probable Infection-Associated Hemophagocytic Lymphohistiocytosis

Case Reports in Oncological Medicine ◽

10.1155/2019/9781065 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Carl L. Kay ◽

Matthew J. Rendo ◽

Paul Gonzales ◽

Sead G. Beganovic ◽

Magdalena Czader

Keyword(s):

Hemophagocytic Lymphohistiocytosis ◽

Clinical Course ◽

Clinical Signs ◽

Signs And Symptoms ◽

Good Patient ◽

Good Patient Outcome ◽

Distributive Shock ◽

Probable Infection ◽

Clinical Signs And Symptoms ◽

Baseline Renal Function

Hemophagocytic lymphohistiocytosis (HLH) is a rare, hyperinflammatory syndrome characterized by clinical signs and symptoms of extreme inflammation. In adults, HLH is typically a complication of infections, autoimmune diseases, and malignancies. While the disease is often fatal, classic management of HLH revolves around early diagnosis and initiation of protocolized therapy. We present a case of a previously healthy 56-year-old female who developed distributive shock requiring intubation, vasopressors, and continuous venovenous hemofiltration. In the setting of multiple infectious syndromes, severe cytopenias, and rising direct hyperbilirubinemia, her diagnosis of HLH was confirmed. Therapy was initiated with dexamethasone and two doses of reduced-intensity etoposide based on the patient’s clinical course. Over the next few weeks, she continued to improve on dexamethasone monotherapy and has maintained remission up to the present with complete resolution of her cytopenias and return of baseline renal function. Our case highlights the variability in the management of probable infection-associated HLH (IHLH) with a good patient outcome. We demonstrate the potential to treat IHLH with partial protocols and minimal chemotherapeutics.

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The Importance of Health Information on the Internet: How It Saved My Life and How it Can Save Yours (Preprint)

10.2196/preprints.16690 ◽

2019 ◽

Author(s):

Andre Kushniruk

Keyword(s):

Patient Outcome ◽

Health Information ◽

Information Needs ◽

The Internet ◽

Related Factors ◽

Patient Journey ◽

Joint Decision ◽

Factors Affecting ◽

Good Patient Outcome ◽

Access To Health

UNSTRUCTURED The Internet holds the promise of helping to lead to improved patient outcomes, especially when one is faced with a critical or life-threatening disease or condition. Appropriate and timely access to health information can support more informed negotiation of optimal treatments, optimal management and expedited recovery and ultimately an improved patient outcome. However, there are many human and technical barriers that may prevent or hinder the application of the best possible information for both patient and provider alike, making the patient journey complex and potentially dangerous. In this editorial the author reflects on a personal patient journey where use of the Internet facilitated a means to reach a good patient outcome in the face of a variety of informational and organizational limitations and gaps. The journey illustrates the importance of human related factors affecting access to health information. The application of a range of Internet information resources, applied at critical points can result in a positive patient outcome, as the case illustrates. This editorial reflects on how the experience highlights a number of information needs and concerns. It also highlights the need for improved access to appropriate health information along the patient journey that can support patient and provider joint decision making. This access to information can literally make the difference between positive clinical outcomes and death, illustrating how health information on the Internet can be both critical and life saving.

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Recto-Femoral Fistula Presenting as Emphysematous Cellulitis of the Knee: A Case Report & Literature Review

Case Reports in Emergency Medicine ◽

10.1155/2011/479209 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3

Author(s):

P. K. Karampinas ◽

D. S. Evangelopoulos ◽

I. S. Benetos ◽

E. Kavroudakis ◽

J. Vlamis

Keyword(s):

Early Identification ◽

Nerve Palsy ◽

Postoperative Morbidity ◽

Low Back ◽

Sciatic Nerve Palsy ◽

Case Presentation ◽

Good Patient ◽

Good Patient Outcome ◽

The Right ◽

Caucasian Female

Purpose. The rectofemoral fistula represents a devastating complication of colorectal surgery. Its early diagnosis and treatment are critical to obtain a good patient outcome.Case Presentation. A 75-year-old Caucasian female patient presented with high fever, ileus, low back pain, sciatic nerve palsy, and infection of the right knee. After numerous surgical debridements and antibiotic therapies, a rectofemoral fistula was diagnosed.Conclusion. Increased doctors' alertness is mandatory for the early identification and surgical treatment of patients suffering from a rectofemoral fistula before the stage of diffuse infection has significantly decreases their postoperative morbidity and mortality.

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Anaphylactic Reactions in Radiology Procedures

10.5772/intechopen.95784 ◽

2021 ◽

Author(s):

Callen Kwamboka Onyambu ◽

Angeline Anyona Aywak ◽

Sarah Kemunto Osiemo ◽

Timothy Musila Mutala

Keyword(s):

Radiology Department ◽

Metered Dose Inhalers ◽

Good Patient ◽

Prompt Treatment ◽

Good Patient Outcome ◽

Iodinated Contrast ◽

Metered Dose ◽

Response Team ◽

Life Threatening ◽

Beta 2

Reactions to contrast agents are uncommon but range from mild urticaria to life threatening anaphylactic reactions. Majority of these reactions occur due to intravenous administration of iodinated contrast media. Acute reactions to MRI gadolinium-based contrast are much less common but they do occur and thus have to be managed. Usual presentations include urticaria, nausea, vomiting, angioedema, bronchospasm, laryngospasm and systemic hypotension. Majority of these reactions occur within the first twenty minutes after administration of contrast. Therefore, their recognition and prompt treatment are critical for good patient outcome. Attendant to this the radiology department must be adequately prepared to handle these emergencies as and when they do occur. This means an up to date emergency tray must be checked regularly before the start of the procedure, ensure there is epinephrine, antihistamines, beta-2-agonists metered dose inhalers, IV fluids, and ready supply of oxygen. Close collaboration of radiology staff with the hospital emergency response team is critical since severe reactions will need the intervention of this team.

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