Pickering syndrome: a rare presentation in emergency department

2021 ◽  
Vol 14 (2) ◽  
pp. e239421
Author(s):  
Prawal Shrimal ◽  
Ankit Kumar Sahu ◽  
Roshan Mathew ◽  
Abhinav Bansal
Keyword(s):  
Emergency Department ◽  
Renal Artery ◽  
Pulmonary Edema ◽  
Young Patient ◽  
Renal Artery Stenosis ◽  
Early Recognition ◽  
Hypertensive Emergency ◽  
Acute Pulmonary Edema ◽  
Rare Presentation ◽  
Life Threatening

Sympathetic crash acute pulmonary edema (SCAPE) is a life-threatening injury, which requires early recognition and intervention to prevent mortality. We present a case of 18-year-old woman with no previous comorbidity, presenting with SCAPE who was successfully resuscitated and eventually diagnosed with renal artery stenosis. Pickering syndrome is a rare cause of hypertensive emergency and should be considered in a young patient presenting with SCAPE in emergency department.

scholarly journals A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Yaying Eileen Xu ◽  
Rasika Hendahewa
Keyword(s):  
Early Recognition ◽  
Correct Diagnosis ◽  
Clinical Settings ◽  
Ectopic Kidney ◽  
Rare Presentation ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Life Threatening ◽  
Rare Diagnosis

Abstract Acute appendicitis is one of the top differential diagnoses of right lower quadrant pain in the emergency department. There are many other conditions that may mimic appendicitis such as diverticulitis, colitis and gynecological conditions. We report a rare diagnosis of a patient who presents with characteristic clinical and laboratory features of appendicitis with severe sepsis, but later showed acute pyelonephritis of a malrotated right ectopic kidney on computer tomography. An ectopic kidney is very rare with an incidence of 1 in 3000. It is usually asymptomatic, although it may also associate with obstruction, infection and urolithiasis. This case report raises the importance of early recognition of the correct diagnosis using imaging in appropriate clinical settings, and prompt antibiotic treatment can avoid unnecessary surgical intervention, preserve renal function and prevent a life-threatening catastrophe.

scholarly journals Hypertensive crisis induced acute pulmonary edema in emergency care unit Sumbawa hospital: a case report

2018 ◽  
Vol 6 (12) ◽  
pp. 4122
Author(s):  
Muhammad Ahmad Syammakh ◽  
Franky Renato Anthonius
Keyword(s):  
Emergency Department ◽  
Pulmonary Edema ◽  
Noninvasive Ventilation ◽  
Scientific Evidence ◽  
Hypertensive Crisis ◽  
Noninvasive Positive Pressure Ventilation ◽  
Clinical Importance ◽  
Acute Pulmonary Edema ◽  
Positive Pressure ◽  
Acute Cardiogenic Pulmonary Edema

Acute cardiogenic pulmonary edema is a common cause of respiratory distress in emergency department (ED) patients. Pulmonary edema is a problem of major clinical importance resulting from a persistent imbalance between forces that drive water into the air space of the lung and the biological mechanisms for its removal. A patient 66 years old female, with a history hypertency stage II and osteoarthritis admitted to emergency department with acute pulmonary edema. On evaluation, the patient had intense dyspnoe, agitated, diaphoresis without cyanosis, the pulse pressure was normal, rapid and regular. Noninvasive ventilation by noninvasive positive pressure ventilation or continuous positive airway pressure has been studied as a treatment strategy. Noninvasive ventilation and intravenous nitrates are the mainstay of treatment which should be started within minutes of the patient's arrival to the ED. Use of morphine and intravenous loop diuretics, although popular, has poor scientific evidence. We critically evaluate the evidence for the use of noninvasive ventilation on rates of hospital mortality and endotracheal intubation. Although is often results from atrial fibrillation, acute myocardial infarction, hypertension crisis, discontinuation of medication edema. It is important to understand this disease, rapid diagnostic with ultrasound and when treated promptly and effectively, these patients will rapidly recovery. Good oxygenation, intravenous nitrates, intravenous diuretics and low dose sedation which should be started within minutes of the patients arrival to emergency department.

Development of Acute Pulmonary Edema and Death in Dogs With Aortic Insufficiency Following Renal Artery Constriction

1956 ◽  
Vol 185 (3) ◽  
pp. 474-478 ◽  
Author(s):  
Edward W. Hawthorne ◽  
Gwendolyn V. Brownlee ◽  
Robert S. Jason
Keyword(s):  
Renal Artery ◽  
Pulmonary Edema ◽  
Aortic Insufficiency ◽  
Acute Pulmonary Edema ◽  
Partial Removal ◽  
Renal Artery Constriction

A standardized type of experimental aortic insufficiency was produced in dogs by partial removal of the aortic ‘noncoronary’ valve. A transventricular approach was used to perform the valvulectomies. All dogs with this type of aortic insufficiency, when subjected to renal artery constriction died in 2 days on the average with acute massive pulmonary edema and congestion.

Clinical profile of patients presenting to the emergency department with acute pulmonary edema

2020 ◽  
Vol 16 (3) ◽  
pp. 120
Author(s):  
MannaMaria Theresa ◽  
FathimaS Nissar ◽  
TP Sreekrishnan ◽  
BS Dhanasekaran ◽  
KP Gireesh Kumar
Keyword(s):  
Emergency Department ◽  
Pulmonary Edema ◽  
Clinical Profile ◽  
Acute Pulmonary Edema

More Than Just A Gastroenteritis - Bottle gourd (Lagenaria Siceraria) Toxicity Diagnosed in the Emergency Department

2021 ◽  
Author(s):  
Wey Ting Lee ◽  
Guoyi Geoffrey Ng ◽  
Dong Haur Phua
Keyword(s):  
Emergency Department ◽  
Traditional Medicine ◽  
Complementary Medicine ◽  
Early Recognition ◽  
Public Awareness ◽  
General Medicine ◽  
Bottle Gourd ◽  
Local Context ◽  
Lagenaria Siceraria ◽  
Rare Presentation

Abstract BackgroundBottle gourd (Lagenaria siceraria) is sometimes used in complementary medicine practice for the treatment of chronic ailments. It belongs to the Cucurbitaceae family. However, there have been reports of toxicity due to consumption of bottle gourd juice leading to severe abdominal upset and upper gastrointestinal bleeding. As emergency physicians we need to be aware of such complementary medicine induced haemorrhagic gastroenteritis as possible etiology of gastrointestinal haemorrhage. Case presentationWe present a case of a 41-year-old gentleman who presented to the emergency department (ED) with multiple episodes of vomiting, hematemesis and diarrhoea after consuming bottle gourd juice. The patient was resuscitated and stabilized with fluids, proton pump inhibitors and antiemetics. He was subsequently admitted to General Medicine ward for further management. He continued to receive symptomatic treatment in the ward and underwent esophagogastroduodenoscopy (OGD) during his hospitalization stay. His symptoms improved and he was discharged stable five days later. ConclusionEarly recognition of this rare presentation of bottle gourd toxicity is important in our local context especially where traditional medicine is widely prevalent nowadays. Treatment is supportive. Public awareness of dangerous effects from the consumption of bitter bottle gourd juice and complementary medicine without proper consultation with practitioner plays a crucial role to prevent further cases. Physicians need to advise patients on the use of traditional medicine and their potential side effects.

scholarly journals Flash Pulmonary Edema in a Patient With Unilateral Renal Artery Stenosis and Bilateral Functioning Kidneys

2010 ◽  
Vol 40 (1) ◽  
pp. 42 ◽  
Author(s):  
Hye Jin Noh ◽  
Hyun Chul Jo ◽  
Ji Hyun Yang ◽  
Sang Min Kim ◽  
Hyun Jong Lee ◽  
...  
Keyword(s):  
Renal Artery ◽  
Pulmonary Edema ◽  
Renal Artery Stenosis ◽  
Artery Stenosis
Sign in / Sign up

Export Citation Format

Share Document