S1588 Extra Pancreatic Pseudocyst (EPP) as an Initial Presentation in an Alcoholic Woman With No Previous Medical History

Thromboprophylaxis following arthroscopic knee surgery (AKS) is not clear in the literature. The purpose of this study was to present the incidence of symptomatic deep vein thrombosis (DVT) following elective AKS over the age of 40. The secondary purpose was to investigate risk factors associated with venous thromboembolic events (VTEs). Surgical database and outpatient clinic follow-up charts of the patients who underwent AKS for any reason were included in the study. Odds for risk factors such as previous medical history of thrombosis, any family history for clotting disorders, diabetes mellitus (DM), oral contraceptive usage, body mass index, history of malignancy, and smoking were evaluated. The incidence of DVT following AKS significantly increased in the patients older than 40 years who had a previous medical history of VTE, DM, and smoking. A variety of guidelines exist for VTE prophylaxis; however, one should focus on risk factors related to the patient’s medical history and current medical conditions. In this study, smoking, DM, and previous history of DVT increased DVT risk significantly, and thromboprophylaxis should be kept in mind for these patients.

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Risk factors of vitamin K antagonist overcoagulation

Thrombosis and Haemostasis ◽

10.1160/th08-04-0265 ◽

2008 ◽

Vol 100 (10) ◽

pp. 685-692 ◽

Cited By ~ 11

Author(s):

Gwenaëlle Cadiou ◽

Rémi Varin ◽

Hervé Levesque ◽

Vanessa Grassi ◽

Jacques Benichou ◽

...

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Medical History ◽

Vitamin K ◽

Female Gender ◽

Vitamin K Antagonist ◽

High Morbidity ◽

Duration Of Hospitalization ◽

History Of ◽

Previous Medical History

SummaryThe aims of this case-control study were to identify in vitamin K antagonist (VKA)-treated unselected patients, factors associated with international normalised ratio (INR) values: (i) greater than 6.0.;and (ii) ranging from 4.0 to 6.0 complicated with bleeding. We also assessed VKA-related morbidity in these patients. During a two-month period, 4,188 consecutive and unselected patients were referred to our Emergency Department. At admission, the medical records of each patient and two age- and sex-matched controls were reviewed for: both duration and indication of VKA therapy, previous medical history of VKA-related haemorrhage, underlying co-morbidities, concomitant medications other than VKA, duration of hospitalization and deaths’ causes. Of these 4,188 subjects,50 case-patients (1.19%) were identified; both case-patients and controls did not differ as regards indications and patterns of VKA therapy. Interestingly, two-thirds of case-patients were women, suggesting that female gender may be a risk factor of VKA over-coagulation onset. We identified the following risk factors of VKA over-coagulation: previous medical history of INR levels over therapeutic range, therapy with antibiotics, amiodarone and proton pump inhibitors, as well as fever. A total of 88% of case-patients were hospitalized; mean duration of patients’ hospitalization was seven days [range:1–56 days];no patient died from major bleeding. Our study underscores that it is of utmost importance to consider the strength of indication before starting VKA therapy, as this therapy has been responsible for as high as 1.19% of admissions in unselected subjects referred to an Emergency Department. Our data therefore suggest that internists should be aware of VKA-related high morbidity, particularly in situations at risk of VKA over-coagulation.

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Mechanical Cardiac Tamponade as an Initial Presentation of Malignant Lymphoma: Case Report

Journal of Cardiology & Cardiovascular Therapy ◽

10.19080/jocct.2020.16.555938 ◽

2020 ◽

Vol 16 (3) ◽

Author(s):

Maha Bouziane

Keyword(s):

Case Report ◽

Malignant Lymphoma ◽

Cardiac Tamponade ◽

Medical History ◽

Pericardial Fluid ◽

Initial Presentation ◽

Neoplastic Disease ◽

Mediastinal Lymphoma ◽

Cardiac Filling ◽

Pericardial Involvement

Cardiac tamponade results from an accumulation of pericardial fluid under pressure, leading to impaired cardiac filling and haemodynamic compromise. In malignant lymphoma, cardiac and pericardial involvement, even though relatively uncommon, can be one early manifestations of this neoplastic disease. We describe a case of a 21 year old female with no medical history, whose first presentation for mediastinal lymphoma was a mechanical cardiac tamponade.

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OSAKA METHOD (0.01 mol/l DTT) EFFECTIVELY NEGATES DARATUMUMAB INTERFERENCE: A PATIENT WITH MULTIPLE MYELOMA AND DIFFICULT-TO-OBTAIN PREVIOUS MEDICAL HISTORY

Japanese Journal of Transfusion and Cell Therapy ◽

10.3925/jjtc.65.600 ◽

2019 ◽

Vol 65 (3) ◽

pp. 600-605

Author(s):

Mika Hosokawa ◽

Hirokazu Kashiwagi ◽

Kotarosumitomo Nakayama ◽

Mikiko Sakuragi ◽

Mayumi Nakao ◽

...

Keyword(s):

Multiple Myeloma ◽

Medical History ◽

Previous Medical History

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Benign Fibrohistiocytoma (Xanthomatous Variant) of the Acromion

Archives of Pathology & Laboratory Medicine ◽

10.5858/2002-126-0599-bfxvot ◽

2002 ◽

Vol 126 (5) ◽

pp. 599-601

Author(s):

Denis Macdonald ◽

Victor Fornasier ◽

Richard Holtby

Keyword(s):

Differential Diagnosis ◽

Medical History ◽

Fibrous Histiocytoma ◽

Left Shoulder ◽

Benign Fibrous Histiocytoma ◽

Diagnostic Confusion ◽

Previous Medical History

Abstract A number of fibrous lesions involving bone display almost identical histologic appearances yet may represent either reactive or neoplastic conditions, resulting in a confusing nomenclature and possible diagnostic confusion. We report the case of a young man with no significant previous medical history who presented with a painful lesion in the left shoulder, which consisted almost entirely of xanthomatous material. We discuss the possible differential diagnosis of this lesion and why benign fibrous histiocytoma is the preferred terminology for this lesion. To our knowledge, this is the first reported case of a benign fibrous histiocytoma involving the acromion in an adult.

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Picture Quiz: A Case of Sudden Severe Chest Pain

Acute Medicine Journal ◽

10.52964/amja.0149 ◽

2007 ◽

Vol 6 (1) ◽

pp. 27-27

Author(s):

Mustafa Abu Rabia ◽

◽

P Sullivan ◽

Stavros M Stivaros. ◽

◽

...

Keyword(s):

Chest Pain ◽

Medical History ◽

Chest Wall ◽

Epigastric Pain ◽

Anterior Chest Wall ◽

Sudden Onset ◽

Severe Chest Pain ◽

History Of ◽

Previous Medical History

An 18-year-old male with no previous medical history presented to hospital with sudden onset of acute epigastric pain radiating to the anterior chest wall and both shoulders. There was no history of recent trauma and he had not been vomiting.

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Colonic Necrosis in a 4-Year-Old with Hyperlipidemic Acute Pancreatitis

Case Reports in Pediatrics ◽

10.1155/2016/9123163 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3

Author(s):

Tiffany J. Patton ◽

Timothy A. Sentongo ◽

Grace Z. Mak ◽

Stacy A. Kahn

Keyword(s):

Acute Pancreatitis ◽

Abdominal Pain ◽

Severe Acute Pancreatitis ◽

Pancreatic Pseudocyst ◽

Fluid Collection ◽

Initial Presentation ◽

Metabolic Abnormalities ◽

Pediatric Case ◽

Severe Pancreatitis ◽

Colonic Necrosis

Here we report the case of a 4-year-old male with severe acute pancreatitis due to hyperlipidemia, who presented with abdominal pain, metabolic abnormalities, and colonic necrosis. This colonic complication was secondary to the extension of a large peripancreatic fluid collection causing direct serosal autodigestion by pancreatic enzymes. Two weeks following the initial presentation, the peripancreatic fluid collection developed into a mature pancreatic pseudocyst, which was percutaneously drained. To our knowledge, this is the youngest documented pediatric case of colonic necrosis due to severe pancreatitis and the first descriptive pediatric case of a colonic complication due to hyperlipidemia-induced acute pancreatitis.

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Clinical Manifestations and Survival Rates among Patients with Saccular Intracranial Aneurysms: Population-based Study in Olmsted County, Minnesota, 1965 to 1995

Neurosurgery ◽

10.1097/00006123-200108000-00003 ◽

2001 ◽

Vol 49 (2) ◽

pp. 251-258 ◽

Cited By ~ 2

Author(s):

Vanessa V. Menghini ◽

Robert D. Brown ◽

JoRean D. Sicks ◽

W. Michael O'Fallon ◽

David O. Wiebers

Keyword(s):

Medical History ◽

Intracranial Aneurysms ◽

Clinical Symptoms ◽

Survival Rates ◽

Clinical Manifestations ◽

Population Based ◽

Olmsted County ◽

Term Survival ◽

Related Symptom ◽

Previous Medical History

Abstract OBJECTIVE To report presenting clinical symptoms, previous medical history, and survival rates for people with saccular intracranial aneurysms (IAs), in a defined population. METHODS The medical records of all residents of Olmsted County, Minnesota, with possible IAs were reviewed. Clinical manifestations at the time of diagnosis, previous medical history, demographic factors, and survival rates after diagnosis were determined. RESULTS Of 270 people with IAs detected between 1965 and 1995, 188 exhibited symptoms at the time of diagnosis, including 74% of women and 63% of men (P = 0.054). Intracranial hemorrhage (ICH) was the most common presenting symptom (60% of all patients and 86% of patients who exhibited symptoms), followed by cranial nerve palsy, transient ischemic attacks, and seizures. Survival rates after detection (with the exclusion of cases that were first detected during autopsies) were dependent on the occurrence of ICH; 23% of patients who presented with ICH died by 1 day after diagnosis, compared with 5% of those who did not exhibit symptoms or exhibited symptoms but without ICH at presentation. At 5 years, 44.7% of patients with hemorrhage had died, compared with 29.4% of patients with symptoms other than hemorrhage. After the first 24 hours after detection, survival rates did not differ significantly for those presenting with or without hemorrhage. Predictors of better survival rates also included lower age and later calendar year of presentation. CONCLUSION This study provides the first data on aneurysm characteristics, clinical symptoms, and survival rates among people with IAs in a defined population. During the study period, most aneurysms were detected in the context of an aneurysm-related symptom (particularly among women), with a large proportion of patients presenting with ICH. After the acute phase of hemorrhage, long-term survival rates among people with IAs were similar for those presenting with or without ICH.

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BENIGN FIBROUS HISTOCYTOMA OF THE DISTAL RADIUS: A REPORT OF A CASE AND A REVIEW OF THE LITERATURE

Hand Surgery ◽

10.1142/s0218810410004722 ◽

2010 ◽

Vol 15 (02) ◽

pp. 127-129 ◽

Cited By ~ 2

Author(s):

J. Al-Jamali ◽

U. V. Gerlach ◽

H. Zajonc

Keyword(s):

Case Report ◽

Medical History ◽

Distal Radius ◽

Wrist Joint ◽

Ossifying Fibroma ◽

Review Of The Literature ◽

Rare Tumour ◽

Incision Biopsy ◽

Previous Medical History ◽

Metaphyseal Fibrous Defect

Benign fibrous histocytoma of bones is a very rare tumour and only a few cases have been reported. We report a case of 40-year-old patient with no significant previous medical history who presented with a painful lesion in his right wrist joint. Incision biopsy was done and there was a histological picture similar to a metaphyseal fibrous defect (non-ossifying fibroma). This was managed with excision of the lesion and filling the defect with cancellous and cortical bone grafts from the left iliac bone. To our knowledge, this is the second case report of a benign fibrous histocytoma involving the distal radius in adult. In this case report, we review similar cases in the literature and discuss the differential diagnoses of this lesion.

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