scholarly journals Ischemic priapism due to coagulopathy of severe COVID-19 infection

2021 ◽  
pp. 205141582110259
Author(s):  
Dominic C Grimberg ◽  
Rohit Tejwani ◽  
Armand Allkanjari ◽  
Michael T Forrester ◽  
Bryan D Kraft ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Disease ◽  
Disease Process ◽  
Hypercoagulable State ◽  
Management Approach ◽  
Single Center ◽  
Level Of Evidence ◽  
Ischemic Priapism

Initially thought to be a primarily respiratory disease process, the hypercoagulable state associated with COVID-19 has been associated with myriad clinical sequelae. We report a case of stuttering ischemic priapism associated with COVID-19, and describe a management approach to achieve detumescence in patients undergoing ventilatory proning limiting penile access. Level of evidence: Not applicable for this single center case report.

Anatomic and Functional Outcome Following Distal Shunt and Tunneling for Treatment İschemic Priapism: A Single-Center Experience

2019 ◽  
Vol 16 (8) ◽  
pp. 1290-1296
Author(s):  
Mazhar Ortaç ◽  
Gökhan Çevik ◽  
Hakan Akdere ◽  
Bahadır Ermeç ◽  
Ateş Kadıoğlu
Keyword(s):  
Functional Outcome ◽  
Single Center ◽  
Single Center Experience ◽  
Ischemic Priapism

scholarly journals Delayed hypercoagulable state in COVID ‐19 adolescent patient: a case report

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Desdiani Desdiani ◽  
Nita Yulianti ◽  
Anindita Basuki
Keyword(s):  
Case Report ◽  
Hypercoagulable State ◽  
Adolescent Patient

scholarly journals Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

2017 ◽  
Vol 8 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Brent Matthews ◽  
Kaushik Hazratwala ◽  
Sergio Barroso-Rosa
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Treatment Options ◽  
The Elderly ◽  
Fracture Pattern ◽  
Patella Fracture ◽  
Level Of Evidence ◽  
Fixation Failure ◽  
Number Of Patients ◽  
Mesh Augmentation

Objectives: To review comminuted patella fracture in the elderly patients and examine the surgical options to avoid complications such as fixation failure and poor functional outcome. To provide an example of mesh augmentation in comminuted patella fracture in the elderly patients. Data Sources: A literature review was conducted by the authors independently using Ovid, Medline, Cochrane, PubMed, and Clinical Key in English. We aimed to review data on patients older than 65 with comminuted patella fracture. Search conducted between July and December 2015. Study Selection: Search terms included patella fracture, elderly, and fixation failure. Abstracts were included if they were a case report, cohort series, or randomized control trial. Further inclusion criteria were that they were available in full text and included patient age(s), operative details, follow-up, and outcome discussion. Data Extraction: Each study was assessed according to its level of evidence, number of patients, age of patients, fracture patterns described, complications of treatment, and results summarized. Data Synthesis: Paucity of data and heterogeneity of studies limited statistical analysis. Data are presented as a review table with the key points summarized. Conclusion: In patella fracture, age >65 years and comminuted fracture pattern are predictors of increased fixation failure and postoperative stiffness, warranting special consideration. There is a trend toward improved functional outcomes when augmented fixation using mesh or plates is used in this group. Further level 1 studies are required to compare and validate new treatment options and compared them to standard surgical technique of tension band wire construct.

scholarly journals Schwannoma of the medial plantar nerve: a case report

2021 ◽  
Vol 15 (2) ◽  
pp. 171-174
Author(s):  
Adriano Machado Filho ◽  
Jefferson Soares Martins ◽  
Paulo Victor de Souza Pereira ◽  
Ademir Freire de Moura Júnior
Keyword(s):  
Case Report ◽  
Surgical Planning ◽  
Level Of Evidence ◽  
Medial Plantar Nerve ◽  
Plantar Surface ◽  
Patient Level ◽  
Red Flag ◽  
Plantar Region ◽  
Second Toe ◽  
Multiple Schwannomas

We report the case of a 60-year-old woman with a schwannoma of the medial plantar nerve. She presented with the complaint of pain for about 2 years and a painful lesion in the medial plantar region of the left forefoot and on the second toe. Physical examination showed well-defined, firm tumor masses painful to palpation on the medial and plantar surface of the left forefoot and second toe. We surgically explored the area and excised 3 lesions, resulting in complete pain relief and no aesthetic complaints. Schwannomas of the medial plantar nerve are rare tumors, with only a few reports of cases extending to the forefoot. The finding of multiple schwannomas may be a red flag for the possible existence of local, painful, nerve lesions despite a negative Tinel sign. Appropriate surgical planning contributed to our successful intervention, without aesthetic, painful, or functional sequelae for the patient. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Inhaled Budesonide vis-à-vis Inhaled Mometasone in Chinese Children with Mild Persistent Asthma: A Single-Center, Retrospective Study

Pharmacology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Pei Gao ◽  
Ying Ding ◽  
Bingru Yin ◽  
Haoxiang Gu
Keyword(s):  
Retrospective Study ◽  
Asthma Exacerbation ◽  
Inhaled Corticosteroids ◽  
Persistent Asthma ◽  
Forced Expiratory Volume ◽  
Single Center ◽  
Level Of Evidence ◽  
Asthmatic Children ◽  
Technical Efficacy ◽  
Mild Persistent Asthma

<b><i>Introduction:</i></b> A very limited option of inhaled corticosteroids (ICSs) is approved for pediatric use in China because in children the use of ICSs for long periods is associated with dose-dependent growth reduction. Due to the lack of consensus on which is the best ICS-based treatment option to manage mild persistent asthma in children, the present study was performed to evaluate the efficacy and safety of budesonide (BUD)-based therapy vis-à-vis mometasone-based therapy in children with mild persistent asthma. <b><i>Methods:</i></b> A single-center, retrospective study was conducted in asthmatic children aged between 6 and 11 years. BUD and mometasone furoate (MF) were administered as per the approved dosing regimen using pressurized metered-dose inhalers via oral inhalation route for a period of 12 weeks. The study outcome was assessed in terms of the forced expiratory volume in 1 s (FEV<sub>1</sub>), symptom scores, and nonoccurrence of side effects. <b><i>Results:</i></b> Among the 77 asthmatic children, 71 completed the study treatment and were used in carrying out the analysis. The improvement of spirometric parameters like FEV<sub>1</sub>, Tiffeneau-Pinelli index (FEV1/forced vital capacity [FVC]), and peak expiratory flow (PEF) values observed in the MF cohort was significantly greater than those of the BUD cohort (<i>p</i> &#x3c; 0.05 for all). An increase of approximately 12%/child was observed for FEV<sub>1</sub>/FVC ratios for the BUD cohort and MF cohorts. After the 12-week study, the PEF<sub>m</sub> and PEF<sub>e</sub> values increased to about 50 L/min/child for the BUD cohort and about 98 L/min/child for the MF cohort. During the study, no asthma exacerbation event was observed in the MF cohort, whereas 1 child in the BUD cohort had asthma exacerbation in week 4. The use of rescue medication during the study was required for 16.2 and 6% of children, respectively, for BUD and MF cohorts. Owing to low dosing frequency, MF could provide a better treatment approach than BUD due to improved patient compliance. <b><i>Conclusions:</i></b> Although both drugs showed improvement in the quality of life of asthmatic children with manageable treatment-emergent adverse effects, the improvement was augmented in MF-treated children. <b><i>Level of Evidence:</i></b> The level of evidence was III. <b><i>Technical Efficacy Stage:</i></b> The technical efficacy stage was 4.

A Minimally Invasive Management Approach to Tetracycline Staining of Adult Dentition

2021 ◽  
Vol 8 (4) ◽  
pp. 26-30
Author(s):  
Pallavi Tewari ◽  
Vineeta Nikhil ◽  
Isha Sajjanhar
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Broad Spectrum ◽  
Management Approach ◽  
Continuous Exposure ◽  
The Sun ◽  
Broad Spectrum Antibiotic ◽  
Major Drawback ◽  
Brownish Black ◽  
Invasive Management

Tetracyclines were introduced as broad spectrum antibiotic for the treatment of various infections, both in children and adults. One of the major drawback with tetracycline is its incorporation into the tooth that are calcifying leading to discoloration which ranges from yellow grey to brownish black as they have the ability to chelate calcium. There is a possibility that this discoloration may not be limited to developing tooth but may also affect adult dentition after eruption. When given over long periods of time in adults, the tetracycline molecule is incorporated into the continuously forming secondary dentin. It is possible that continuous exposure of the incorporated tetracycline to the sun might lead to the formation of oxidation product and lead to discoloration. This case report suggests minimally invasive strategies to manage tetracycline staining in adult dentition. Keywords: Tetracycline stains, Adult dentition, Bleaching, Microabrasion, Direct Veneers.

Sign in / Sign up

Export Citation Format

Share Document