Pulmonary Aspiration Presenting with Generalised Convulsions

1983 ◽  
Vol 28 (4) ◽  
pp. 368-370 ◽  
Author(s):  
R. J. Northcote
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
Case History ◽  
Pulmonary Aspiration ◽  
High Index ◽  
Grand Mal ◽  
High Index Of Suspicion ◽  
Epileptiform Seizures ◽  
Symptoms And Signs

Foreign body in the tracheobroncial tree is a relatively infrequent, but, potentially fatal event, requiring rapid and expert intervention. The symptoms and signs may be mistaken for asthma and pneumonia, — or, as in the case described, with grand mal epileptiform seizures. This emphasises the need to take a thorough case history, and to have a high index of suspicion in a case presenting with convulsion associated with cough, wheezing or respiratory distress.

scholarly journals Foreign body stone in oesophagus: a unique case

2015 ◽  
Vol 12 (2) ◽  
pp. 140-142 ◽  
Author(s):  
B P Sah ◽  
S T Chettri ◽  
J N. Prasad ◽  
P P Gupta ◽  
S P Shah ◽  
...  
Keyword(s):  
Foreign Body ◽  
High Risk ◽  
Rare Case ◽  
Mentally Retarded ◽  
Risk Groups ◽  
High Index ◽  
Common Occurrence ◽  
Unique Case ◽  
History Of ◽  
High Index Of Suspicion

Foreign body ingestion is a common occurrence in children and in specific high-risk  groups. It is usually diagnosed based on a history of ingestion given by the patient  or an observer. However, children and mentally retarded adults may be unable to  give an accurate history, and a high index of suspicion must be maintained in these  groups. We report a rare case of foreign body stone in an mentally retarded adult  which presented with drooling and impaired feeds, thence enabling for high index  for suspicion.  Health Renaissance 2014;12(2): pp: 140-142

Pneumomediastinum due to tracheal foreign body granuloma

2005 ◽  
Vol 119 (12) ◽  
pp. 998-1000
Author(s):  
H Kishore Chandra Prasad ◽  
Suja S Sreedharan ◽  
Sydney D’Souza ◽  
Naveen Kumar ◽  
Sampath Chandra Prasad
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Rare Case ◽  
High Index ◽  
Foreign Body Granuloma ◽  
Differential Diagnoses ◽  
Granulomatous Reaction ◽  
Intubation Granuloma ◽  
Malignant Lesions ◽  
High Index Of Suspicion

Primary tracheal masses are rare. Secondary masses of the trachea are commonly foreign body granuloma, intubation granuloma or viral granuloma. The differential diagnoses given in such cases include both benign and malignant lesions. The otolaryngologist is often asked to perform a biopsy of the lesion to arrive at a diagnosis. However, even malignant processes can cause a granulomatous reaction. The timely diagnosis of tracheal masses depends upon maintaining a high index of suspicion. A rare case of tracheal granuloma leading to pneumomediastinum in a 53-year-old female is presented. The clinical features, investigations and treatment are detailed. The tracheal granuloma was managed by excision through bronchoscopy and the pneumomediastinum was managed conservatively.

scholarly journals Clozapine-induced liver injury and pleural effusion

2014 ◽  
Vol 6 (2) ◽  
pp. 36-37
Author(s):  
Joseph P.M. Kane ◽  
Francis A. O'Neill
Keyword(s):  
Pleural Effusion ◽  
Liver Injury ◽  
Liver Enzymes ◽  
Clinical Symptoms ◽  
Acute Liver Injury ◽  
Case Reports ◽  
High Index ◽  
Documented Case ◽  
High Index Of Suspicion ◽  
Symptoms And Signs

Clozapine, whilst associated commonly with a transient and benign increase in liver enzymes, has also been associated with varying presentations of hepatitis in existing case reports. This report describes what we believe to be the first documented case of acute liver injury and pleural effusion associated with clozapine, resolving after cessation of the agent. The case supports existing literature in advocating a high index of suspicion, particularly in the 4-5 weeks following clozapine initiation, when considering nonspecific clinical symptoms and signs.

The needle and the damage done: pericardial effusion with tamponade after needle ingestion in an infant

2009 ◽  
Vol 123 (12) ◽  
pp. 1396-1398 ◽  
Author(s):  
B G Fennessy ◽  
R Rahbar ◽  
N Bunker ◽  
F Pigula ◽  
A Casta
Keyword(s):  
Foreign Body ◽  
Pericardial Effusion ◽  
Foreign Bodies ◽  
Pericardial Tamponade ◽  
High Index ◽  
Ingested Foreign Body ◽  
High Index Of Suspicion

AbstractObjective:Paediatric foreign bodies may present with vague and nonspecific symptoms. It is important to have a high index of suspicion when managing such cases.Method:We report the case of a nine-month-old infant who presented with a wheeze, cough and fever following ingestion of a needle.Results:This patient developed pericardial tamponade as a consequence of the needle ingestion, and required a thoracotomy for retrieval. We discuss the pathophysiology involved and the surgery required.Conclusion:Pericardial tamponade is a rare but potentially fatal manifestation of an ingested foreign body.

Perforation after rigid pharyngo-oesophagoscopy: when do symptoms and signs develop?

2009 ◽  
Vol 124 (2) ◽  
pp. 171-174 ◽  
Author(s):  
M Daniel ◽  
T Kamani ◽  
C Nogueira ◽  
M-C Jaberoo ◽  
P Conboy ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Patient Monitoring ◽  
Foreign Body Ingestion ◽  
Close Monitoring ◽  
Food Bolus ◽  
Risk Patients ◽  
High Index Of Suspicion ◽  
Contrast Swallow ◽  
Symptoms And Signs

AbstractBackground:Perforation after pharyngo-oesophagoscopy is a serious complication, and its identification, through close patient monitoring, is essential. Yet little is known about when symptoms and signs develop, and thus how long any close monitoring should last.Aim:To examine the timing of individual symptoms and signs of perforation after rigid pharyngo-oesophagoscopy.Methodology:Three-centre, retrospective study.Results:Of 3459 patients undergoing rigid pharyngo-oesophagoscopy, 10 (0.29 per cent) developed perforations, nine of which were suspected intra-operatively. Symptoms and signs developed at 1.5 hours post-operatively at the earliest, and at 36 hours at the latest. Three patients were asymptomatic. The majority of procedures (n = 8) were undertaken for food bolus obstruction or foreign body ingestion.Conclusion:Pharyngo-oesophagoscopy for food bolus obstruction and foreign body ingestion accounts for a large number of perforations, but symptoms and signs may take longer than 24 hours to develop. A contrast swallow should be considered in high risk patients, and a high index of suspicion maintained in order to detect this complication.

scholarly journals Occult Foreign Bodies in ENT

2015 ◽  
Vol 23 (2) ◽  
pp. 73-76
Author(s):  
Bijan Kumar Adhikary ◽  
Subhra Deb Biswas ◽  
Avick Das ◽  
Swapan Kumar Ghosh
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Foreign Bodies ◽  
High Index ◽  
X Ray ◽  
High Index Of Suspicion ◽  
Separate Incision

IntroductionForeign bodies are common ENT emergencies. Histories are usually forthcoming from the patient himself or the relatives . Three occult foreign bodies are reported here, which were missed even by treating doctors, with discussion about steps to avoid such errors in future. Case SeriesCase 1: Though the history was apparent, the foreign body was removed only after 13 years from the Zygomatic region.Case 2: The parents were aware of the foreign body but inadequate investigations led to a delayed diagnosis.Case 3: The history clinched the diagnosis. Pre operative localization and separate incision to remove the foreign body saved the vital structures. DiscussionA high index of suspicion, meticulous history and proper investigation like x-ray or CT scan or MRI of the diseased area may help in locating the hidden foreign bodies in the ENT region.

True grit? Learning points from a facial soft tissue wound

2020 ◽  
Vol 11 (4) ◽  
pp. 196-197
Author(s):  
Zachary Cole-Healy ◽  
Damian Broderick ◽  
Richard M Graham
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Maxillofacial Surgery ◽  
High Index ◽  
Oral And Maxillofacial Surgery ◽  
Facial Soft Tissue ◽  
Junior Staff ◽  
High Index Of Suspicion ◽  
Learning Points ◽  
Foreign Body Implantation

We write this short piece regarding a recently referred case to our oral and maxillofacial surgery (OMFS) unit, which highlights several important learning points for OMFS junior staff. We describe a pertinent case in which the importance of history, examination and relevant investigations during the workup of soft tissue facial injuries is illustrated. Fundamentally, all facial traumatic wounds require a thorough assessment that is performed with a high index of suspicion of foreign body implantation. This case report highlights that all facial traumatic wounds require a thorough assessment performed with a high index of suspicion for foreign body implantation.

Unusual cause of subglottic stenosis in an adult

2000 ◽  
Vol 114 (7) ◽  
pp. 543-544
Author(s):  
A. R. D’Souza ◽  
J. E. Fenton ◽  
J. D. Russell
Keyword(s):  
Foreign Body ◽  
Granulation Tissue ◽  
Foreign Bodies ◽  
Subglottic Stenosis ◽  
High Index ◽  
High Index Of Suspicion ◽  
Careful History

Subglottic foreign bodies presenting, as chronic subglottic stenosis is extremely rare in adults. A high index of suspicion and a careful history is of paramount importance in the diagnosis of a subglottic foreign body. Laser should not be used to excise granulation tissue to expose the foreign body because of the danger and potential of a fire particularly when the nature of the foreign body is not known. Rigid bronchoscopes are more beneficial than flexible ones in the removal of foreign bodies especially in long-standing cases.

scholarly journals Clozapine-induced liver injury and pleural effusion

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Joseph P.M. Kane ◽  
Francis A. O’Neill
Keyword(s):  
Pleural Effusion ◽  
Liver Injury ◽  
Liver Enzymes ◽  
Clinical Symptoms ◽  
Acute Liver Injury ◽  
Case Reports ◽  
High Index ◽  
Documented Case ◽  
High Index Of Suspicion ◽  
Symptoms And Signs

Clozapine, whilst associated commonly with a transient and benign increase in liver enzymes, has also been associated with varying presentations of hepatitis in existing case reports. This report describes what we believe to be the first documented case of acute liver injury and pleural effusion associated with clozapine, resolving after cessation of the agent. The case supports existing literature in advocating a high index of suspicion, particularly in the 4-5 weeks following clozapine initiation, when considering nonspecific clinical symptoms and signs.

scholarly journals Foreign body ingestion in an infant: A high index of suspicion is required

2019 ◽  
Vol 3 (3) ◽  
pp. 188-190
Author(s):  
Luqman Afiq Mohamad Ishak ◽  
Kee Guan Khor ◽  
Shi Nee Tan
Keyword(s):  
Foreign Body ◽  
High Index ◽  
Foreign Body Ingestion ◽  
High Index Of Suspicion
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