scholarly journals Bone Cutting Forceps: A Safe Approach for Saving Strangulated Penis

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Mohamed Ahmed Abd El Salam ◽  
Ahmed Gamal ◽  
Hossam Elenany
Keyword(s):  
Mental Retardation ◽  
Case Report ◽  
Emergency Room ◽  
Uneventful Recovery ◽  
Sexual Preferences ◽  
Penile Strangulation ◽  
Wide Range ◽  
Metallic Ring ◽  
Safe Approach

Penile strangulation is considered a rare andrological emergency that may lead to a wide range of complications. Penile strangulation may be related to mental retardation in children or hypersexuality, abnormal sexual preferences in adults. This case report shows a 23-year-old male who presented to the emergency room with agonizing pain related to a metallic ring placed at the base of the penis for more than 8 hours during an attempt of masturbation. Removing this metallic ring and saving the patient’s penis from gangrene without causing injury were very challenging. Patient was successfully managed and had an uneventful recovery.

scholarly journals R1352Q CACNA1A Variant in a Patient with Sporadic Hemiplegic Migraine, Ataxia, Seizures and Cerebral Oedema: A Case Report

2021 ◽  
pp. 123-130
Author(s):  
Anker Stubberud ◽  
Emer O’Connor ◽  
Erling Tronvik ◽  
Henry Houlden ◽  
Manjit Matharu
Keyword(s):  
Mental Retardation ◽  
Case Report ◽  
Genetic Testing ◽  
Head Trauma ◽  
Cerebral Oedema ◽  
De Novo ◽  
Minor Head Trauma ◽  
Hemiplegic Migraine ◽  
Wide Range ◽  
History Of

Mutations in the <i>CACNA1A</i> gene show a wide range of neurological phenotypes including hemiplegic migraine, ataxia, mental retardation and epilepsy. In some cases, hemiplegic migraine attacks can be triggered by minor head trauma and culminate in encephalopathy and cerebral oedema. A 37-year-old male without a family history of complex migraine experienced hemiplegic migraine attacks from childhood. The attacks were usually triggered by minor head trauma, and on several occasions complicated with encephalopathy and cerebral oedema. Genetic testing of the proband and unaffected parents revealed a de novo heterozygous nucleotide missense mutation in exon 25 of the <i>CACNA1A</i> gene (c.4055G&#x3e;A, p.R1352Q). The R1352Q <i>CACNA1A</i> variant shares the phenotype with other described <i>CACNA1A</i> mutations and highlights the interesting association of trauma as a precipitant for hemiplegic migraine. Subjects with early-onset sporadic hemiplegic migraine triggered by minor head injury or associated with seizures, ataxia or episodes of encephalopathy should be screened for mutations. These patients should also be advised to avoid activities that may result in head trauma, and anticonvulsants should be considered as prophylactic migraine therapy.

scholarly journals A metallic ring penile foreign body causing penile strangulation: a rare case report

2020 ◽  
Vol 8 (1) ◽  
pp. 378
Author(s):  
Shivalingaiah Maregowda ◽  
Suraj Muralidhar
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Foreign Body ◽  
Rare Case ◽  
Foreign Bodies ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Penile Strangulation ◽  
Rare Case Report ◽  
Metallic Ring

Strangulation of penis is a rare clinical entity, which requires urgent urological management to prevent its devastating outcomes. The treatment of penile strangulation is immediate decompression of the constricted penis to facilitate free blood flow. Many different techniques have been described in literature to remove the constricting penile foreign bodies, but there is no universally accepted technique. Each case needs individualized handling in removing the foreign body. The procedure should be done with as little discomfort to the patient as possible and under anesthesia. Here we present to you a case report on a rare case of a metallic ring penile foreign body causing penile strangulation.

scholarly journals DANGEROUS SITE TO WEAR A METALLIC RING: A CASE REPORT AND REVIEW OF LITERATURE OF PENILE STRANGULATION

2018 ◽  
Vol 2 (Reports in Surgery and Dermatolo) ◽  
pp. 1
Author(s):  
KUSUMMEENA KUSUMMEENA ◽  
SUJATA SUJATA ◽  
PAWANKUMAR PAWANKUMAR
Keyword(s):  
Case Report ◽  
Review Of Literature ◽  
Penile Strangulation ◽  
Metallic Ring

scholarly journals Psychosis as the sole presenting feature of hyperthyroidism: a case report

2018 ◽  
Vol 6 (11) ◽  
pp. 3773
Author(s):  
Vinay Tuteja ◽  
C. L. Nawal ◽  
Aradhana Singh ◽  
R. S. Chejara ◽  
Rajbeer Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Emergency Room ◽  
Thyroid Disease ◽  
Wide Range

Thyroid disease is a very common entity with a wide range of presentation, We report a case of twenty six year old female presented to emergency room with frank psychosis over the course of her stay in hospital we investigated thoroughly and finally she turned out to be a case of hyperthyroidism with psychosis as the only presenting symptom and after starting her on carbimazole patient responded to the treatment remarkably.

Lactic Acidosis in Children—Pathophysiology, Diagnosis, and Treatment: A Workbook Exercise

1983 ◽  
Vol 4 (7) ◽  
pp. 225-230
Author(s):  
Marc Yudkoff ◽  
Fred Burg
Keyword(s):  
Case Report ◽  
Lactic Acidosis ◽  
Emergency Room ◽  
Respiratory Rate ◽  
Rectal Temperature ◽  
Opportunity To Learn ◽  
Male Infant ◽  
Diagnosis And Treatment

This article is designed to give you an opportunity to learn how lactic acidosis affects children, and how to diagnose and treat a child with this disorder. The process we have utilized is an interactive one in which you will be presented with questions commingled with problems and discussion. CASE REPORT A 3-month-old male infant had been well until two days prior to admission, when he had developed fever, vomiting, and diarrhea. Initially the vomiting and diarrhea were mild, and a pediatrician recommended administration of clear liquids. On the day of admission the infant ate nothing at all, vomited every one to two hours, and had more than ten stools, all of which consisted primarily of water. The parents reported that by 5 PM the child became suddenly pale and his skin seemed cool, although when they took the rectal temperature it was 37.7 C(100 F). The baby became increasingly lethargic and limp. By 6 PM, when the parents rushed the child to the emergency room, he could not be awakened at all. The receiving physician in the emergency room found an unresponsive flaccid baby with a respiratory rate of 62 breaths per minute. A feeble pulse was 154 beats per minute and the rectal temperature was 38.1 C. The odor of acetone was apprent in the baby's breath.

Preventing Child Abuse and Neglect: A Randomized Trial of Nurse Home Visitation

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 65-78 ◽  
Author(s):  
David L. Olds ◽  
Charles R. Henderson ◽  
Robert Chamberlin ◽  
Robert Tatelbaum
Keyword(s):  
Child Abuse ◽  
Emergency Room ◽  
Low Socioeconomic Status ◽  
Child Abuse And Neglect ◽  
Home Visitation ◽  
Developmental Problems ◽  
Care Giving ◽  
Wide Range ◽  
Abuse And Neglect ◽  
First Year Of Life

A program of prenatal and infancy home visitation by nurses was tested as a method of preventing a wide range of health and developmental problems in children born to primiparas who were either teenagers, unmarried, or of low socioeconomic status. Among the women at highest risk for care-giving dysfunction, those who were visited by a nurse had fewer instances of verified child abuse and neglect during the first 2 years of their children's lives (P = .07); they were observed in their homes to restrict and punish their children less frequently, and they provided more appropriate play materials; their babies were seen in the emergency room less frequently during the first year of life. During the second year of life, the babies of all nurse-visited women, regardless of the families' risk status, were seen in the emergency room fewer times, and they were seen by physicians less frequently for accidents and poisonings than comparison group babies (P ≤ .05 for all findings, except where indicated.) Treatment differences for child abuse and neglect and emergency room visits were more significant among women who had a lower sense of control over their lives.

scholarly journals Incidental posterior mediastinal paraganglioma: The safe approach to management, case report

2017 ◽  
Vol 35 ◽  
pp. 25-28 ◽  
Author(s):  
Juan A. Muñoz-Largacha ◽  
Roan J. Glocker ◽  
Jacob Moalem ◽  
Michael J. Singh ◽  
Virginia R. Litle
Keyword(s):  
Case Report ◽  
Posterior Mediastinal ◽  
Mediastinal Paraganglioma ◽  
Safe Approach

scholarly journals A novel experimental method to characterise the shear strength of concrete based on pre-stressed samples. A comparison with existing techniques

2018 ◽  
Vol 183 ◽  
pp. 02049
Author(s):  
Pascal Forquin ◽  
Reem Abdul-Rahman ◽  
Dominique Saletti
Keyword(s):  
Experimental Method ◽  
Shear Fracture ◽  
Plain Concrete ◽  
Concrete Specimen ◽  
Compression Tests ◽  
Second Stage ◽  
Wide Range ◽  
Metallic Ring ◽  
Do So ◽  
Metallic Cell

Mode II shear fracture process can be observed in plain-concrete structures exposed to intensive loadings such as shock, blasting or projectile-impact. It is the reason why the quasi-static and dynamic shear fracturing properties of concrete need to be investigated. In previous works performed by Forquin and coauthors a passive confining cell was applied to PTS (Punch-Through-Shear) specimens in a similar way than in quasi-oedometric compression tests where metallic ring are used as passive confinement. However the change of confining level during the sample loading constitutes a main drawback of this technique. In the present work a novel testing method is proposed based on a pre-stressing of the sample. To do so, the concrete specimen is inserted into pre-stressed metallic cell. During the unloading stage confining stresses are transferred to the ligament of the sample. In a second stage, a differential displacement applied to the central part of the sample toward the side parts produces a shearing of the ligament. The experiments performed in static and dynamic conditions (SHPB testing) allow the shear response of concrete to be determined over a wide range of strain-rates. In the present communication, the testing technique and obtained results are compared to the obtained data with the previous experimental method.

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