Electrical injuries

2019 ◽  
pp. 171-176
Author(s):  
Jong Lee ◽  
David N. Herndon ◽  
Celeste C. Finnerty
Keyword(s):  
Clinical Features ◽  
High Mortality ◽  
Inpatient Care ◽  
Electrical Injury ◽  
Electrical Injuries

Electrical injuries extend deep into tissues and are characterized by high mortality and complications. This chapter will discuss classification of electrical injuries and the major mechanisms of electrical injury. It will describe clinical features of these injuries, concentrating on the integumentary, neurological, cardiovascular, respiratory, musculoskeletal, and renal systems. It will then describe investigation and treatment of these injuries, with a discussion of immediate care and inpatient care. The chapter will conclude with a list of complications commonly seen after electrical injury.

Severe Injury and Death Associated With Home Infant Cardiorespiratory Monitors

PEDIATRICS ◽  
1986 ◽  
Vol 78 (5) ◽  
pp. 775-779
Author(s):  
Murray L. Katcher ◽  
Mary Melvin Shapiro ◽  
Connie Guist
Keyword(s):  
Young Children ◽  
Severe Injury ◽  
Electrical Injury ◽  
Anticipatory Guidance ◽  
Home Monitor ◽  
Injury Control ◽  
Electrical Injuries

Five cases of electrical injury to young children caused by misuse of components of home cardiorespiratory monitors are reported. The injuries, which included one electrocution, occurred when partially or completely disconnected electrode wires were inserted, by an older monitored child or preschool-aged sibling, into a live power cord or an uncovered wall outlet. Anticipatory guidance of home monitor users should emphasize potential electrical injuries and appropriate injury-control behaviors.

scholarly journals US and CT of the Liver after Electric Shock

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Amela Sofić ◽  
Nermina Bešlić ◽  
Alma Efendić ◽  
Aladin Čarovac ◽  
Jusuf Šabanović ◽  
...  
Keyword(s):  
Cell Membrane ◽  
High Voltage ◽  
High Mortality ◽  
Electric Shock ◽  
Electrical Current ◽  
Coagulation Necrosis ◽  
Electrical Injury ◽  
Mortality And Morbidity ◽  
Right Hand ◽  
Liver Injuries

Liver injuries caused by high voltage electricity are rare and result in high mortality and morbidity. They are produced by the resistance to the passage of electrical current through the tissue, which creates heat that leads to coagulation necrosis and rupture of the cell membrane. We present a case of an electrical injury to the liver, diagnosed by ultrasound and CT in a 39-year-old man who presented with skin burns on his right hand and right hemiabdomen. Injuries occurred after the contact with 220 kV high voltage electricity.

Clinical features of meningococcal infection in children during the epidemic upsurge in 2018

2020 ◽  
Vol 1-2 (211-212) ◽  
pp. 55-60
Author(s):  
Madina Kaldybayeva ◽  
◽  
Raushan Idrissova ◽  
Zinaidy Urikbaeva ◽  
Sergey Khokhulya ◽  
...  
Keyword(s):  
Septic Shock ◽  
Clinical Features ◽  
High Mortality ◽  
Blood Parameters ◽  
Meningococcal Meningitis ◽  
Meningococcal Infection ◽  
Laboratory Examination ◽  
Mixed Form ◽  
Retrospective Assessment ◽  
Red Flag

In the Repiblic of Kazakhstan in 2018, there was an increase in generalized meningococcal infection (GFMI), which potentially has a risk of high mortality. The aim of the study was to study the clinical features of generalized meningococcal infection (meningococcal meningitis, meningococcal meningitis and mixed-form meningococcal meningitis) during the epidemic upsurge, as well as to evaluate early symptoms of the disease according to new international criteria, 2018. Material and methods. The article describes 59 children aged from 5 months. up to 16 years old. Of these, 35 children (26 boys) with generalized meningococcal infection (GMI): 1 group, age from 0.5 to 10 years with meningitis and meningococcemia (combined GMI) and 2 group, age from 2 to 16 years with meningococcemia - 24 (15 boys). All children underwent a complete clinical and laboratory examination. All children with a retrospective assessment of "red flag" symptoms was performed according to the latest recommendations supported by who the Severity of combined GMI and isolated meningococcemia is almost identical in mortality (8.6% for combined meningitis and meningococcemia and 8.4% for isolated meningococcemia). Results and discussion. In combined GMI, the severity is determined by pleocytosis in the CSF and correlates with inflammatory blood parameters; in isolated meningococcemia, the severity is due to symptoms of shock, primarily cardiovascular insufficiency. Conclusions. Red flag symptoms are particularly significant in children over 3 years of age and adolescents and are specific predictors of septic shock, especially in isolated meningococcemia (83%), but to a slightly lesser extent in combined GMI (71%). Keywords: generalized meningococcal infection, children, epidemic upsurge, meningococcemia, meningitis.

scholarly journals Clinical Profile of Parkinson's Disease: Experience of Niger

2018 ◽  
Vol 09 (02) ◽  
pp. 214-218 ◽  
Author(s):  
Hamid Assadeck ◽  
Moussa Toudou Daouda ◽  
Fatimata Hassane Djibo ◽  
Djibo Douma Maiga ◽  
Eric Adehossi Omar
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Clinical Features ◽  
Outpatient Clinic ◽  
Clinical Profile ◽  
Stage Ii ◽  
Stage Iii ◽  
The Mean ◽  
Mean Time

ABSTRACT Background: Parkinson's disease (PD) is a chronic neurodegenerative pathology with unknown etiology. It is characterized clinically by the classic triad that associated tremors, bradykinesia, and rigidity. In Niger, there are no data on PD. Aims: We aimed to provide the demographic and clinical profile of PD in patients from Niger to create a database on PD in Niger. Patients and Methods: We conducted a retrospective study at the Neurology Outpatient Clinic of the Hôpital National de Niamey (HNN, Niger) over a period of 4.42 years from February 2009 to July 2013 collecting all cases of PD. The demographic and clinical features of all patients were collected and analyzed. Results: During the period of the study, 1695 patients consulted at the Neurology Outpatient Clinic of the HNN, among which 76 patients (4.48%) had secondary parkinsonism and 25 patients (1.47%) had features compatible with PD. Only patients with PD were included in this study. The mean age at onset of symptoms was 58 years (range: 42–74 years). The male sex was predominant (60%) with a sex ratio of 1.5. The mean time interval from the onset of symptoms to diagnosis of PD was 1.8 years (range: 1–5 years). The tremor was the most common symptom (84%). Bradykinesia represented 64% of the symptoms and rigidity 20%. At the time of the diagnosis of PD, 8 patients (32%) were in Stage I of the classification of Hoehn and Yahr, 16 patients (64%) in Stage II, and 1 patient (4%) in Stage III. The levodopa/carbidopa combination was the most used antiparkinsonian drug in our patients (88%). The mean time of follow-up of the patients was 2.5 years (range: 1–4.42 years). During the course of the disease, 9 patients (36%) were in Stage II of the classification of Hoehn and Yahr, 13 patients (52%) in Stage III, and 3 patients (12%) in Stage IV. Conclusion: Our study provides demographic and clinical data of PD in patients from Niger and shows that the hospital frequency of this disease is low (1.47%). The demographic and clinical features of our patients are similar to those of the patients of the prior studies reported in sub-Saharan Africa.

Bone Dysplasias

2018 ◽  
Author(s):  
Jürgen W. Spranger ◽  
Paula W. Brill ◽  
Christine Hall ◽  
Gen Nishimura ◽  
Andrea Superti-Furga ◽  
...  
Keyword(s):  
Bone Density ◽  
Clinical Features ◽  
Differential Diagnoses ◽  
Short List ◽  
Age Related ◽  
Bone Dysplasias ◽  
Text Presentation ◽  
Skeletal Disorders

This is a unique atlas presenting age-related radiographs on more than 250 rare constitutional skeletal diseases (dysplasias, dysostoses, osteolyses, disorders of bone density, and more) focusing on diagnostically essential radiographic and clinical features. Each chapter is supplemented with prognostic and therapeutic information, a guide to differential diagnoses, and a short list of the most relevant publications. A major advantage is the systematic conformation of chapters, sparing the reader a cumbersome read-through of longer text. Presentation in accordance with the most recent International Nosology and Classification of Genetic Skeletal Disorders.

Myelodysplasia

2018 ◽  
Author(s):  
Drew Provan ◽  
Trevor Baglin ◽  
Inderjeet Dokal ◽  
Johannes de Vos ◽  
Mammit Kaur
Keyword(s):  
Prognostic Factors ◽  
Clinical Features ◽  
Myelodysplastic Syndromes ◽  
Response Criteria ◽  
Myeloproliferative Diseases ◽  
Clinical Variants

Myelodysplastic syndromes (MDS) - Classification of MDS - Clinical features of MDS - Prognostic factors in MDS - Clinical variants of MDS - Management of MDS - Response criteria - Myelodysplastic/myeloproliferative diseases (MDS/MPD)

scholarly journals Acute Febrile Encephalopathy in Children: A Prospective Study of Clinical Features, Etiology, Mortality, and Risk Factors from Western India

2018 ◽  
Vol 09 (01) ◽  
pp. 019-025 ◽  
Author(s):  
Kirti Gupta ◽  
Charul S. Purani ◽  
Anirban Mandal ◽  
Amitabh Singh
Keyword(s):  
Risk Factors ◽  
Respiratory Failure ◽  
Clinical Features ◽  
High Mortality ◽  
Tertiary Care ◽  
Primary Objective ◽  
Medical Emergency ◽  
Western India ◽  
Care Hospital ◽  
Factors Associated

ABSTRACT Introduction: Acute febrile encephalopathy (AFE) in children is a medical emergency and could be a manifestation of many systemic and central nervous system pathologies. The clinical features of AFE are nonspecific and etiological spectrum variable depending on the studied population. Materials and Methods: A prospective, observational study was carried out including children aged between 1 month and 12 years with AFE admitted to the Pediatric Intensive Care Unit of a tertiary care hospital in Western India. The primary objective was to assess the clinical presentation and etiology of AFE while the secondary objectives were to correlate the clinical and etiological findings and to determine the risk factors associated with mortality. Results: Out of the ninety children with AFE included in this study, male:female ratio was 1.2:1; most of them were aged between 1 and 5 years and came with a history of <7 days (82.2%). All of them had altered sensorium, about 2/3rd had seizures and 47.8% having a Glasgow Coma Score (GCS) <8. Etiology remained elusive in about 40% of the cases, and viral infections were the most common among the ones with an identifiable cause. A variety of morbidity (shock, disseminated intravascular coagulopathy, respiratory failure, etc.) and high mortality (40%) was observed with risk factors associated with mortality being GCS <8, the presence of raised intracranial pressure, shock, and respiratory failure. Conclusion: AFE, though a rare diagnosis in children, is associated with significant morbidity and high mortality in a developing country like India.

Unilateral Keratoderma in a Mother and Her Son

2012 ◽  
Vol 16 (4) ◽  
pp. 288-290 ◽  
Author(s):  
Ashley O'toole ◽  
Maureen O'malley
Keyword(s):  
Case Report ◽  
Clinical Features ◽  
Rare Case ◽  
Clinical Presentation ◽  
History Taking ◽  
History Of ◽  
Soles Of The Feet

Background: Keratoderma is a group of conditions characterized by hyperkeratosis affecting the skin on the soles of the feet and palms of the hands bilaterally. The classification of keratodermas depends on whether it is inherited or acquired and on its clinical features, including diffuse or focal involvement of the skin and the morphology of lesions present. Case Report: We describe the rare case of a 54-year-old female who presented with a nearly 40-year history of punctate keratoderma on her right palm and sole. History taking revealed that her biologic son also has unilateral left-sided keratoderma. The clinical presentation of unilateral keratoderma has been reported only four times in the literature.

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