scholarly journals What happens after an oral ingestion of haloperidol decanoate? – A case report

2019 ◽  
Vol 68 (1) ◽  
pp. 56-58
Author(s):  
João Perestrelo ◽  
Ana Coutinho ◽  
Georgina Lapa
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
First Generation ◽  
Oral Intake ◽  
Schizophrenic Disorder ◽  
Antipsychotic Therapy ◽  
Haloperidol Decanoate ◽  
Oral Ingestion ◽  
Outpatient Unit

ABSTRACT Haloperidol decanoate is a first generation antipsychotic drug used to treat patients with schizophrenic disorder who require prolonged parenteral antipsychotic therapy. Cases of oral haloperidol decanoate are rare, and only one has been reported in foreign literature. In this report, we present a case of an oral ingestion of haloperidol decanoate of a male with schizophrenic disorder who presented to the emergency department following an oral ingestion of 1 ampoule of haloperidol decanoate 100 mg. At presentation he was hemodynamically stable. He was maintained on vigilance for 12 hours after what was discharged to the outpatient unit for psychiatric follow-up. The bioavailability and pharmacokinetic of oral intake of haloperidol decanoate are unknown. Although there is a report of treatment with oral activated charcoal in this case there was no need of intervention.

scholarly journals Primary Meningococcal Type C Arthritis: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Maximiliano Barahona ◽  
Jaime Catalan ◽  
Yoshiro Sato ◽  
Jaime Hinzpeter
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Literature Review ◽  
Neisseria Meningitidis ◽  
Functional Results ◽  
Clinical Problem ◽  
Short Term ◽  
Type C ◽  
Common Clinical Problem

Acute septic arthritis is a common clinical problem in emergency departments. Primary meningococcal arthritis (PMA) is very rare and few cases are reported in literature. D. B. M. consulted the emergency department for knee pain and fever; analysis showed that the cause was a Neisseria meningitidis type C infection. He received a treatment consisting of 2 arthroscopies and 5 weeks of antibiotics. At five weeks he returned to work and at 2 months he resumed sports (jogging and soccer) without complaints. Primary arthritis of the knee caused by Neisseria meningitidis is very rare. It has a very good response to antibiotics and arthroscopy procedure. Short-term follow-up and functional results are often good or excellent.

scholarly journals Case Report: Disposition of Symptomatic Probable COVID-19

2020 ◽  
Vol 4 (3) ◽  
pp. 336-339
Author(s):  
Aleq Jaffery ◽  
John Slakey ◽  
David Zodda ◽  
Douglas Finefrock
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Distress Syndrome ◽  
Healthcare Providers ◽  
The Novel ◽  
Moderate Risk ◽  
Risk Of Progression ◽  
Novel Coronavirus ◽  
Tools And Techniques

Introduction: The novel coronavirus disease 2019 (COVID-19) presents a challenge for healthcare providers in terms of diagnosis, management, and triage of cases requiring admission. Case Report: A 47-year-old male with symptoms suspicious for COVID-19, pulse oximetry of 93% on room air, and multifocal pneumonia was risk stratified and safely discharged from the emergency department (ED) despite having moderate risk of progression to acute respiratory distress syndrome. He had resolution of his symptoms verified by telephone follow-up. Conclusion: Various risk-stratifying tools and techniques can aid clinicians in identifying COVID-19 patients who can be safely discharged from the ED.

scholarly journals Flecainide toxicity: a presentation to the emergency department with literature review

2020 ◽  
Vol 13 (2) ◽  
pp. e232691 ◽  
Author(s):  
Rashpal Ghataoura ◽  
Shashank Patil
Keyword(s):  
Patient Outcome ◽  
Emergency Department ◽  
Case Report ◽  
Literature Review ◽  
Ecg Changes ◽  
Alter Patient ◽  
Cardiovascular Instability ◽  
Successful Recovery ◽  
Flecainide Overdose

Flecainide toxicity can result in increased cardiovascular instability which can significantly alter patient outcome if not recognised early. In this case report, the management of a 68-year-old woman who took an unintentional overdose of flecainide is detailed. We look at the management she received in the emergency department and her successful recovery and follow-up since the admission. In addition, the case report outlines the ECG changes that are most commonly documented in flecainide overdose and reviews the frequently used treatment methods for the overdose as summarised in current literature.

scholarly journals Keratolysis Exfoliativa: Description of a Case Report

2020 ◽  
Author(s):  
Sónia Silva ◽  
Isabel Mendes ◽  
Maria José Dinis
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Long Period ◽  
Volar Aspect

An 8 year-old boy, previously healthy, presented on the emergency department, during the summer, with air-filled blisters on the volar aspect of the extremities of fingers on the hands (Fig. 1). On follow-up as an outpatient, he showed resolution of the first lesions but with various relapses associated with contact with water for a long period of time, showing posterior peeling of the skin and posterior resolution. What is your diagnosis?

scholarly journals Traumatic Elbow Arthrotomy Pediatric Case Report: The Saline Load Test is a Reliable Method of Detection

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Tyler D. Kupchick ◽  
Jacob Carl ◽  
Eric Wall
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Reliable Method ◽  
Pediatric Patients ◽  
Emergency Department Visits ◽  
Load Test ◽  
Definitive Treatment ◽  
Anterolateral Approach ◽  
Irrigation And Debridement

Introduction: Lacerations and open elbow injuries are common emergency department visits which necessitate an orthopedic surgery evaluation for a traumatic elbow arthrotomy (TEA). A delay in this diagnosis can lead to septic arthritis, requiring more invasive surgical procedures, prolonged antibiotics, and possible long-term sequelae. To date, there is scarce literature on TEA. The purpose of this case report is to better educate the orthopedic community on a reliable method of detection for a TEA, including pediatric patients. Case Report: Case 1 – Twelve-year-old boy sustained a traumatic dog bite to the right elbow by a large stray dog. Evaluation in the emergency department revealed five 1 centimeter or smaller lacerations over the lateral elbow and another 1 cm laceration to the volar and proximal forearm. A saline load test (SLT) was performed from a posterior approach and was positive after 20cc of normal saline was injected into the joint. An arthroscopic irrigation and debridement were performed as definitive treatment. He was discharged with Augmentin BID for 7 days. Follow-up appointments at 1 and 4 weeks post-operatively revealed no signs of infection. Case 2 – Seven-year-old boy who was in a bicycle accident and sustained a large laceration over the posterior elbow. Evaluation in the emergency department revealed an approximately 15 by 4 cm laceration over the posterior elbow. A SLT was positive after 30cc’s was injected from the anterolateral approach. He underwent arthroscopic irrigation and debridement as definitive treatment and was discharged home with Cephalexin BID for 7 days. Follow-up appointments at 1 and 4 weeks post-operatively showed no signs of infection. Conclusion: Performing a SLT is a reliable method of detection to evaluate for a TEA. Our case report demonstrated confirmation of TEA in two pediatric patients based on positive SLT. We were able to treat these injuries appropriately with early surgical intervention and prophylactic anti

scholarly journals Subclinical pericarditis long after SARS-CoV-2 infection: a case report

2021 ◽  
Vol 17 (2) ◽  
Author(s):  
Anna Giulia Falchi ◽  
Sergio Leonardi ◽  
Giovanni Cappa ◽  
Stefano Perlini
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Physical Examination ◽  
Sinus Tachycardia ◽  
Rare Complication ◽  
Initial Reduction ◽  
St Elevation ◽  
Electrocardiogram Ecg ◽  
Pericardial Involvement

We describe a rare complication of COVID-19 long after infection in a 76-years-old man presented to the Emergency Department with dyspnea and palpitations. A 12-lead Electrocardiogram (ECG) showed sinus tachycardia PR depression in the inferior leads associated with an apparent pseudo ST elevation. In the absence of elevation of inflammatory indices, considering the lack of symptoms neither NSAIDs nor colchicine were prescribed, and the patient was referred for clinical follow-up. After ten days ECG documented initial reduction of the widespread concave STE and PR depression, and the 1-month follow- up visit, the patient was asymptomatic with unremarkable physical examination, and a 12-lead ECG showed almost complete normalization of the ST and PR segments. Although pericardial involvement after COVID-19 infection has been already described, the incidence of subclinical pericarditis has not and may have implications for the monitoring of patients with uncomplicated COVID-19 infection managed as outpatients.

scholarly journals Pneumatocele Induced Pneumothorax in a patient with Post-COVID-19 Pneumonitis. A Case Report

2021 ◽  
Author(s):  
Kevin O. Wortman II ◽  
Kevin O. Wortman
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Respiratory Distress ◽  
Medical Professionals ◽  
Lung Collapse ◽  
Ventilator Support

Background: The COVID-19 pandemic has been challenging medical professionals and facilities for over a year now. Much of the literature describes pathologic lung changes and complications associated with SARS-CoV-2, with pneumothorax and pneumatoceles not being uncommon. The Case: We describe a case involving a patient that presented to the emergency department with a pneumothorax. Three weeks prior, the patient was hospitalized for 10 days in acute respiratory distress secondary to COVID-19 pneumonitis, which did not require ventilator support. Follow up imaging revealed a 7 cm (AP) x 4.6 cm (transverse) x 2.5 (cc) cm pneumatocele. Conclusion: We speculate that antecedent rupture of an unrecognized pneumatocele likely caused lung collapse leading to the patient’s pneumothorax. This review delves into the etiology of both pneumothoraces and pneumatoceles along with their relation to COVID-19 pneumonia.

Oral Rehydration in Children with Acute Diarrhoea and Moderate Dehydration—Effectiveness of an ORS Tolerance Test

2019 ◽  
Vol 65 (6) ◽  
pp. 583-591
Author(s):  
Rhondi Kauna ◽  
Kone Sobi ◽  
Wendy Pameh ◽  
John D Vince ◽  
Trevor Duke
Keyword(s):  
Emergency Department ◽  
Health Workers ◽  
Acute Diarrhoea ◽  
Oral Intake ◽  
Tolerance Test ◽  
Home Treatment ◽  
Watery Diarrhoea ◽  
Oral Rehydration ◽  
At Home

Abstract Oral rehydration solution (ORS) is the mainstay of treatment of acute watery diarrhoea, but it is underutilized in many hospitals, resulting in children with moderate degrees of dehydration being unnecessarily hospitalized and receiving intravenous fluids. We aimed to assess the utility of an ORS tolerance test on initial presentation to an emergency department, and determine the volume of ORS a child with diarrhoea and moderate dehydration needed to tolerate to be successfully managed at home. One hundred and twenty-nine children with acute watery diarrhoea and moderate dehydration were given ORS and observed in a Children’s Emergency Department (CED) over a period of 2–4 h. Patients were admitted, kept in the CED for further management or discharged, based on the assessment of oral intake and the clinical judgement of the treating health workers. Seventy-nine (61.2%) patients tolerated ORS well. They drank a median [interquartile range (IQR)] of 24.4 ml (IQR 12.5–28.8) ml/kg, were judged to have passed the ORS test and were discharged to continue oral rehydration treatment at home. At follow-up on days 2 and 5, 63/79 (79.7%) children had improved, were adequately hydrated and the diarrhoea had reduced. Sixteen of the 79 (20.3%) failed oral home treatment, with persisting diarrhoea, vomiting, hypokalaemia and/or weakness. The 63 who succeeded had tolerated a median of 25.8 (IQR 18.4–30.0) ml/kg of ORS in the CED, whilst the 16 who failed oral home treatment had tolerated 11.1 (IQR 9.1–23.0) ml/kg ORS (p < 0.001).

scholarly journals Spectacularly Successful Microsurgical Penile Replantation in an Assaulted Patient: One Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-2
Author(s):  
Mohammed Fadl Tazi ◽  
Youness Ahallal ◽  
Abdelhak Khallouk ◽  
Mohammed Jamal Elfassi ◽  
Moulay Hassan Farih
Keyword(s):  
Emergency Department ◽  
Wound Healing ◽  
Case Report ◽  
Erectile Function ◽  
Rare Condition ◽  
Urinary Function ◽  
Penile Amputation ◽  
Penile Replantation

Penile amputation is a rare condition for which immediate surgical replantation is warranted. We present herein one case of a 27-year-old male who presented to the Emergency Department after his wife cut his penis. The penis was replanted microsurgically. The deep dorsal penile veins and superficial veins were anastomosed. Although we could not reanastomose the arteries, wound healing occurred without any problem one week postoperatively and the patient regained erectile function 4 weeks after surgery. At 1-year follow-up examinations he reported on restored erectile function and a normal urinary function.

scholarly journals Pathological Proximal Femoral Fracture in Mc-Cune Albright Syndrome: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Apoorv Sehgal ◽  
Pratyush Shahi ◽  
Aarushi Sudan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Proximal Femur ◽  
Proximal Femoral Fracture ◽  
Mccune Albright Syndrome ◽  
The Face ◽  
History Of ◽  
Albright Syndrome ◽  
Mccune Albright

A 25-year-old female present to us in the emergency department with atraumatic fracture of the proximal femur. She had a cafe-au-lait spot on the face and gave history of precocious puberty. A skeletal survey showed polyostotic fibrous dysplasia.A clinico-radiological diagnosis of McCune-Albright syndrome was made which was further confirmed on biopsy. An extra-medullary fixation was done and at 6 months follow-up, the fracture had united and the patient could walk without support.

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