scholarly journals A left-sided cerebrospinal fluid hydrothorax and a right ventricular-peritoneal shunt: a unique clinical case study

2019 ◽  
Vol 12 (9) ◽  
pp. e230236
Author(s):  
David Hopkins ◽  
Stewart Pattman ◽  
Rhian Jones ◽  
Avinash Aujayeb

We describe the case of a 84-year-old woman with a right ventricular-peritoneal shunt and a left-sided pleural effusion, the analysis of which was positive for cerebrospinal fluid. We consider the potential causative mechanisms. Our patient was managed conservatively due to her frailty, the effusion being asymptomatic and her preference not to pursue further invasive diagnostic testing. This case report is unique due to the contralateral nature of the effusion to the shunt, which has not been described before in the literature.

1991 ◽  
Vol 81 (8) ◽  
pp. 429-434
Author(s):  
EW Wolf ◽  
S Lango ◽  
FC Fittanto

The authors describe a case involving an isolated posterior fibular malleolar fracture in an 80-year-old female, which was identified on multiple lateral radiographs of the involved ankle and confirmed by computed tomography. The patient was treated conservatively with 10 weeks of walking cast immobilization, resulting in poorly acceptable radiographic and clinical results. The authors review the anatomy of the area of involvement. A literature review, the clinical case study, and a discussion of the difficulty in evaluation of these types of fibular fractures are presented along with a protocol for the diagnosis and treatment of these fractures.


2021 ◽  
Vol 42 (3) ◽  
pp. 403-411
Author(s):  
Won Jung Ha ◽  
Yu Jin Lee ◽  
Geun Young Kim ◽  
Ki-Ho Cho ◽  
Sang-Kwan Moon ◽  
...  

Background: This case report shows the effect of Hyulbuchuko-tang on a patient with a contraindication to anticoagulants who complained about dyspnea caused by pulmonary embolism (PE).Case report: A PE patient with dyspnea was treated with herbal medication, Hyulbuchuko-tang, for 28 days. Evaluations took place by assessing time for oxygen application time per day, follow-up chest CT, and D-dimer test results. Oxygen application time per day decreased, and oxygen therapy ended on the 14th day of Hyulbuchuko-tang treatment. Follow-up chest CT showed resolution of PE. The D-dimer level decreased on the 24th day and decreased more after 1 month later.Conclusion: This clinical case study suggests that Hyulbuchuko-tang might be effective in the resolution of PE and can be an option as a treatment for PE patients with contraindications to anticoagulants.


1995 ◽  
Vol 22 ◽  
pp. 29-35
Author(s):  
Jennifer Gutierrez ◽  
Anthony Caruso

2017 ◽  
Vol 10 (38) ◽  
pp. 78-83
Author(s):  
João Batista de Paiva ◽  
Daniele Sigal Linhares ◽  
José Rino ◽  
Lindalva Gutierrez

1980 ◽  
Vol 51 (3) ◽  
pp. 853-854
Author(s):  
Arthur Mac Neill Horton ◽  
Carl H. Johnson

Rational-emotive group and bibliotherapy were used to treat a depressed patient in a clinical setting. Psychological test data document a dramatic improvement. It is suggested that rational-emotive therapy may prove efficacious for the treatment of some depressed patients in clinical settings.


2014 ◽  
Vol 56 (2) ◽  
pp. 295-312 ◽  
Author(s):  
Brian M Lucey ◽  
Charles Larkin ◽  
Constantin Gurdgiev

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