scholarly journals Report of a Rare Case of Trauma-Induced Thyroid Storm

2002 ◽  
Vol 81 (8) ◽  
pp. 570-574 ◽  
Author(s):  
Neil M. Vora ◽  
Fred Fedok ◽  
Brendan C. Stack
Keyword(s):  
Nervous System ◽  
Rare Case ◽  
Hepatic Dysfunction ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Definitive Treatment ◽  
Thyroid Storm ◽  
Vehicle Accident ◽  
Hyperthyroid State ◽  
Life Threatening

Thyroid storm is a potentially life-threatening endocrinologic emergency characterized by an exacerbation of a hyperthyroid state. Several inciting factors can instigate the conversion of thyrotoxicosis to thyroid storm; trauma is one such trigger, but it is rare. Patients with thyroid storm can manifest fever, nervous system disorders, gastrointestinal or hepatic dysfunction (e.g., nausea, vomiting, diarrhea, and/or jaundice), and arrhythmia and other cardiovascular abnormalities. Treatment of thyroid storm is multimodal and is best managed by the endocrinologist and medical intensivist. Initial medical and supportive therapies are directed at stabilizing the patient, correcting the hyperthyroid state, managing the systemic decompensation, and treating the underlying cause. Once this has been achieved, definitive treatment in the form of radioactive ablation or surgery should be undertaken. We describe a case of thyroid storm in a young man that was precipitated by a motor vehicle accident.

scholarly journals Double Trouble: Two Scapulothoracic Dissociation in a Single Head-On Collision

2019 ◽  
Vol 3 (3) ◽  
pp. 169
Author(s):  
Ng Bing Wui ◽  
Ong Kean Long ◽  
Mohammad Fittry Bin Safian ◽  
Abdul Muttalib Bin Abdul Wahid
Keyword(s):  
Upper Limb ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
High Energy ◽  
Health Sciences ◽  
Vehicle Accident ◽  
Life Threatening ◽  
Scapulothoracic Dissociation

Scapulothoracic dissociation is a potentially limb-threatening and life-threatening high energy injury. Diagnosis could be obscured due to other associated trauma sustained by the patient. We present a rare case of motor vehicle accident involving 2 motorcyclists who collided onto each other, resulting in both victims sustaining left upper limb scapulothoracic dissociation.International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 169-171

scholarly journals A case of traumatic thoracic aorta rupture - A life threatening emergency

2019 ◽  
Vol 11 (3) ◽  
pp. 248-250
Author(s):  
Rupesh Kumar ◽  
Javid Raja ◽  
Ganesh Kumar Munirathinam ◽  
Anand Kumar Mishra ◽  
Rana Sandeep Singh ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Aortic Rupture ◽  
Medical Attention ◽  
Vehicle Accident ◽  
Complete Tear ◽  
Life Threatening ◽  
Injury Treatment ◽  
Aorta Rupture ◽  
Aortic Transection

Traumatic aortic transection is a life threatening emergency where there is a near-complete tear through all the layers of the aorta due to trauma. This condition is most often lethal and requires immediate medical attention. Symptoms of an aortic rupture may include severe chest pain, back pain, abdominal pain and signs of external chest injury. Treatment should be prompt in hemodynamically unstable patient in the form of endovascular or open surgical technique. We present a twenty nine year old male with aortic transection following motor vehicle accident where an interposition tube graft was placed after trimming the lacerated segments of the aorta under cardiopulmonary bypass. The patient is doing well with two years of follow up at our institution.

scholarly journals A Rare Case of Spontaneous Bilateral Subcapsular Renal Hematoma

2020 ◽  
Vol 8 ◽  
pp. 232470962091809
Author(s):  
Tushar Bajaj ◽  
Ngon Trang ◽  
Faisal Nasrawi ◽  
Sabitha Eppanapally
Keyword(s):  
Diabetic Ketoacidosis ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Disease Stage ◽  
Close Monitoring ◽  
Invasive Approach ◽  
Subcapsular Hematoma ◽  
Vehicle Accident ◽  
History Of

Spontaneous bilateral renal subcapsular hematoma is a rare condition. On literature review, only 2 case reports have elucidated possible etiologies for such a presentation; however, no definite conclusions have been made. We present a rare case of a 52-year-old female with diabetes mellitus type 2, chronic kidney disease stage 4, hypertension, hyperlipidemia, prior traumatic brain injury via motor vehicle accident, who presented to our hospital with diabetic ketoacidosis and clinical signs of pyelonephritis; subsequently, imaging demonstrated spontaneous bilateral renal subcapsular hematoma. Risk factors for the rare presentation in this patient included pyelonephritis, history of bilateral ureteral stent placement, and a remote history of a mild unilateral renal laceration secondary to a motor vehicle accident. Typically, patients with this condition achieve spontaneous resolution with conservative management. Our patient initially presented with diabetic ketoacidosis and pyelonephritis but gradually developed retroperitoneal bleeding and hemorrhagic shock. Our patient’s critical condition required close monitoring in an intensive care unit and a more invasive approach including unilateral left renal artery embolization followed by a unilateral left nephrectomy. The patient ultimately recovered and continued to be followed outpatient without any serious long-term complications.

Cruciate paralysis

1986 ◽  
Vol 65 (1) ◽  
pp. 108-110 ◽  
Author(s):  
Daniel Dumitru ◽  
James E. Lang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Cervical Spinal Cord ◽  
Content Type ◽  
Vehicle Accident ◽  
Cord Injury ◽  
Fine Print

✓ A rare case of cruciate paralysis is reported in a 39-year-old man following a motor-vehicle accident. The differentiation of this syndrome from a central cervical spinal cord injury is delineated.

An uncommon potentially lethal injury: Traumatic pericardial rupture with herniation of the heart

Trauma ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 139-141
Author(s):  
TA Yuvaraj Davidson ◽  
Parma Nand
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Fatal Outcome ◽  
Traumatic Rupture ◽  
Trauma Patients ◽  
Vehicle Accident ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Treatable Condition ◽  
Insight Into

Traumatic rupture of the pericardium with herniation of the heart can be a potentially lethal injury that can be easily overlooked. Prompt diagnosis and repair can be lifesaving. We report such a case with successful repair of this injury in a 45-year-old male who sustained multiple injuries following a motor vehicle accident. CT scan revealed rupture of the pericardium with herniation of the heart. The pericardial tear was promptly repaired by primary closure. This report gives an insight into this life threatening, yet promptly treatable condition, which can be easily missed resulting in a fatal outcome. Having a high index of suspicion while treating thoracic trauma patients can prevent fatalities. Immediate referral to a cardiothoracic service or closure of the tear through a thoracotomy, if the expertise is available, can be lifesaving.

scholarly journals Complete Traumatic Talus Dislocation: A Rare Case Report

2020 ◽  
Vol 2 (6) ◽  
pp. 1-2
Author(s):  
Tariq A Shaheed ◽  
Keyword(s):  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Injury Pattern ◽  
Review Of The Literature ◽  
Distal Fibula ◽  
Rare Injury ◽  
Vehicle Accident ◽  
Rare Case Report ◽  
Management Recommendations

A complete traumatic talus dislocation is an exceedingly rare injury pattern. A case of reimplantation of an open traumatic complete intact talus dislocation and distal fibula fracture following a motor vehicle accident is reported. A review of the literature and emergency medicine management recommendations follows.

scholarly journals Dentures that keeps airway patent: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
Siti F. A. Razak ◽  
Stacy A. Jamarun ◽  
Siti H. Sanudin
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Foreign Body Aspiration ◽  
Main Complaint ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>

scholarly journals Bilateral basal ganglia haemorrhage following motor vehicle accident: A Case report

2014 ◽  
Vol 21 (2) ◽  
pp. 231-233 ◽  
Author(s):  
Pankaj Gupta ◽  
R.S. Mittal ◽  
Devendra Purohit ◽  
Jitendra Singh Shekhawat ◽  
Ugan Singh Meena
Keyword(s):  
Basal Ganglia ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Axonal Injury ◽  
Diffuse Axonal Injury ◽  
Anterior Choroidal Artery ◽  
Vehicle Accident ◽  
Anterior Choroidal ◽  
Choroidal Artery

Abstract Bilateral basal ganglia haemorrhage following motor vehicle accident is extremely rare in field of neurosurgery. This is presumed to be secondary to rupture of lenticulostriate or Anterior Choroidal artery by shearing, as a result of acceleration/deceleration forces. Although the exact mechanism is still not known. Isolated bilateral basal ganglia haemorrhage carries favourable prognosis. We report a rare case of 50 years old lady having bilateral basal ganglia haemorrhage with diffuse axonal injury following motor vehicle accident. Patient was managed conservatively and improved.

scholarly journals Decreasing adhesions and avoiding further surgery in a pediatric patient involved in a severe pedestrian versus motor vehicle accident

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Amanda D. Rice ◽  
Leslie B. Wakefield ◽  
Kimberley Patterson ◽  
Evette D'Avy Reed ◽  
Belinda F. Wurn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Pediatric Patient ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Therapy Regimen ◽  
Vehicle Accident ◽  
Life Threatening ◽  
Subjective Reports

In this case study, we report the use of manual physical therapy in a pediatric patient experiencing complications from a life-threatening motor vehicle accident that necessitated 19 surgeries over the course of 12 months. Post-surgical adhesions decreased the patient’s quality of life. He developed multiple medical conditions including recurrent partial bowel obstructions and an ascending testicle. In an effort to avoid further surgery for bowel obstruction and the ascending testicle, the patient was effectively treated with a manual physical therapy regimen focused on decreasing adhesions. The therapy allowed return to an improved quality of life, significant decrease in subjective reports of pain and dysfunction, and apparent decreases in adhesive processes without further surgery, which are important goals for all patients, but especially for pediatric patients.

scholarly journals Blunt traumatic aortic injury: CT angiography images and short review of current literature

2021 ◽  
Vol 0 (Ahead of Print) ◽  
Author(s):  
Sok-Sithikun Bun ◽  
Duygu Ozgul ◽  
Yasin Guzel ◽  
Erol Aksungur
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Short Review ◽  
High Energy ◽  
Aortic Injury ◽  
Vehicle Accidents ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
Blunt Traumatic Aortic Injury

Blunt traumatic aortic injury in high-energy motor vehicle accidents is a rare but life-threatening condition. Proper treatment after prompt and accurate diagnosis is critical to reduce the death rate. The purpose of this article was to highlight the points to be considered in blunt traumatic aortic injury due to high-energy motor vehicle accident.

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