scholarly journals Melanotan-induced priapism: a hard-earned tan

2019 ◽  
Vol 12 (2) ◽  
pp. e227644 ◽  
Author(s):  
Barend Albert Dreyer ◽  
Tarik Amer ◽  
Michael Fraser
Keyword(s):  
Surgical Intervention ◽  
Therapeutic Agents ◽  
Low Flow ◽  
Therapeutic Application ◽  
Intracavernosal Injection ◽  
Accident And Emergency ◽  
Artificial Tanning ◽  
Accident And Emergency Department

Melanocortin analogues, such as melanotan, are illegally used for artificial tanning. They have also been suggested as possible therapeutic agents in the treatment of erectile dysfunction. This case study presents a patient attending the accident and emergency department, in a tertiary urology centre, with acute priapism after abdominal subcutaneous injection of melanotan. The priapism was diagnosed as ‘low-flow’ and managed with cavernosal aspiration, irrigation and subsequent intracavernosal injection of phenylephrine. The patient avoided requiring surgical shunting but had not yet recovered erectile function at 4-week follow-up. Acute priapism is an unreported side effect of melanocortin analogue use and this case report presents a patient managed without surgical intervention. Future therapeutic application of these agents will need to take this potential life altering complication into consideration.

Hand Infections: An Audit of 160 Infections Treated in an Accident and Emergency Department

1993 ◽  
Vol 18 (1) ◽  
pp. 115-118 ◽  
Author(s):  
J. STEVENSON ◽  
I. W. R. ANDERSON
Keyword(s):  
Emergency Department ◽  
Complete Resolution ◽  
Wound Care ◽  
Duration Of Treatment ◽  
Mean Delay ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
The Mean ◽  
Careful Assessment

160 consecutive hand infections presented to an Accident and Emergency department over a four-month period. All but one were treated solely on an out-patient basis. The mean delay to presentation was three days, the mean duration of treatment was six days. Follow-up to complete resolution was achieved in 89% of cases. No patients were treated with parenteral antibiotics. The need for careful assessment, early aggressive surgery, and meticulous attention to the principles of wound care by experienced clinicians is emphasized.

Impacted urethral stone presenting as urinary retention in a child

2021 ◽  
Vol 14 (1) ◽  
pp. e235022
Author(s):  
Kelly Storm Hoffmann ◽  
Alok Godse
Keyword(s):  
Urinary Retention ◽  
Urethral Catheter ◽  
Calcium Oxalate Stone ◽  
Accident And Emergency ◽  
Urethral Catheterisation ◽  
History Of ◽  
Accident And Emergency Department ◽  
Urethral Stone ◽  
Definitive Management

A seven-year-old boy was referred to our Accident and Emergency department with a history of urinary retention secondary to urinary tract infection and an inability to pass a urethral catheter. He had been treated a month before for suspected pyelonephritis by the referring hospital. Attempts at urethral catheterisation failed, and he was taken to theatre for cystourethroscopy and catheter placement. At this time, an impacted urethral stone was discovered. Because it could not be dislodged, a suprapubic catheter was placed, and the child was brought back at a later date for definitive management. Investigations revealed a pure calcium oxalate stone that was secondary in origin. There has been no recurrence during a follow-up period of 6 months.This illustrates that while rare, urethral stones do occur in children and should be considered in children presenting with urinary retention, haematuria and/or abdominal pain.

The Accident and Emergency Department Management of Deliberate Self-Poisoning

1988 ◽  
Vol 152 (6) ◽  
pp. 830-833 ◽  
Author(s):  
David W. Owens ◽  
Susan J. Jones
Keyword(s):  
Emergency Department ◽  
Psychiatric Morbidity ◽  
Patient Characteristics ◽  
Psychiatric Services ◽  
Case Register ◽  
Accident And Emergency ◽  
Emergency Department Management ◽  
Previous Contact ◽  
Accident And Emergency Department

Consecutive attenders (525) presenting at the Nottingham Accident and Emergency (A & E) department with deliberate self-poisoning were identified retrospectively. Their case-notes were examined for patient characteristics and clinical management. The Nottingham Psychiatric Case Register was examined for previous contact and use of psychiatric services over a 2-year follow-up period. Significant differences were found between those patients admitted to a ward and those who returned home from the A & E Department, in respect of likelihood of psychiatric morbidity and use of psychiatric services. One in three self-poisoning patients returns home directly from the accident department, and there seemed to be appropriate selection.

A Case Study of a Self-Help Intervention With Telephone Support for a Smoker With Weak Motivation to Quit

2007 ◽  
Vol 2 (2) ◽  
pp. 73-74
Author(s):  
Carmen Míguez ◽  
Elisardo Becoña
Keyword(s):  
Surgical Intervention ◽  
Telephone Support ◽  
Quit Smoking ◽  
Self Help ◽  
Cessation Intervention ◽  
Stop Smoking ◽  
Motivation To Quit ◽  
The Subject

AbstractSmokers who need help to stop smoking cannot always attend clinical treatment sessions, so it is important for other alternatives to be offered. We report a case study of a smoking cessation intervention administered to a 29-year-old male cigarette smoker who had made no previous attempts to quit and who did not want to stop smoking, but who was obliged to because he was about to undergo a surgical intervention. The intervention was a mailed behavioural program combined with telephone support, administered over a six-week period. The subject quit smoking after 4 weeks, and remained abstinent at 3-, 6-, and 12-month follow-ups. At the 12-month follow-up the carbon monoxide in expired air was used to verify his abstinence.

Advanced lung cancer on CT pulmonary angiogram in a patient presenting to an accident and emergency department with chest pain and breathlessness

2018 ◽  
pp. 20-23
Author(s):  
Adam Ainley ◽  
Himender Makker
Keyword(s):  
Lung Cancer ◽  
Emergency Department ◽  
Chest Pain ◽  
Advanced Lung Cancer ◽  
Pulmonary Angiogram ◽  
Accident And Emergency ◽  
Ct Pulmonary Angiogram ◽  
Accident And Emergency Department

This case study looks at Advanced lung cancer on CTPA in a patient presenting to Accident & Emergency department with chest pain and breathlessness, and provides questions with model answers.

Motives and Intent: A Comparison of Views of Overdose Patients and Their Key Relatives/Friends

1986 ◽  
Vol 31 (7) ◽  
pp. 621-624 ◽  
Author(s):  
R. Varadaraj ◽  
J.D. Mendonca ◽  
P.M. Rauchenberg
Keyword(s):  
Emergency Department ◽  
General Hospital ◽  
District General Hospital ◽  
Suicidal Intent ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Selection Of

The purpose of the study was to compare the perceptions of patients with those of key relatives or friends as regards motives for self-poisoning and intent to die, in ninety-eight overdose cases. Patients admitted to the accident and emergency department of a district general hospital in the county of Warwickshire, England, were interviewed following their recovery, Their key relatives/friends were also interviewed concerning their views of the emergency. Analysis of the responses of patients and key persons indicated that there was a significant association between the perceptions of the two classes of subjects as regards selection of escape/relief motives, warning prior to the attempt and intention to die. There was also a significant association between patient and relative perceptions of suicidal intent and relief at being alive. The implication of these findings as regards follow-up therapy is discussed.

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