scholarly journals Gunshot wound to the lumber spine – Autopsy based case report

2021 ◽  
Vol 8 (2) ◽  
pp. 72-74
Author(s):  
Mukul Sharma ◽  
Biplab Rath ◽  
Kimi Soumya Padhi ◽  
Maharshi Ranjan Sahoo ◽  
Manas Ranjan Sahu

Since their origin from China, firearms have gained popularity because of easy techniques and effectiveness. This has made them a popular choice of homicide and suicide. Here we present a case where the death is by shooting from a pistol from a point blank range. Bullet takes a crazy course once entered inside the body due to the variation in fluid flow, densities of various organs and air filled cavities. It becomes all the more difficult if there is surgical manipulation. Radiographs were done to have an idea about the place of lodgment of bullet in body. The advent of various radiographic methods like computer tomography and radiography have made the job of autopsy surgeon a little bit easier.

2006 ◽  
Vol 54 (1) ◽  
pp. 39
Author(s):  
Jun Hyun Yun ◽  
Hyun Jun Choi ◽  
Ji Hyeo Choi ◽  
Ju Hyun Im ◽  
Se Jong Kim ◽  
...  
Keyword(s):  

2018 ◽  
Vol 2 (02) ◽  
pp. 59-60
Author(s):  
Farida Yasmin ◽  
Md. Anwarul Karim ◽  
Chowdhury Yakub Jamal ◽  
Mamtaz Begum ◽  
Ferdousi Begum

Epistaxis in children is one of the important presenting symptoms for attending emergency department in paediatric patients. Recurrent epistaxis is common in children. Although epistaxis in children usually occurred due to different benign conditions, it may be one of the important presenting symptoms of some inherited bleeding disorder. Whereas most bleeding disorders can be diagnosed through different standard hematologic assessments, diagnosing rare platelet function disorders may be challenging. In this article we describe one case report of platelet function disorders on Glanzmann’s thrombasthenia (GT). Our patient was a 10-year old girl who presented to us with history of recurrent severe epistaxis. She had a bruise on her abdomen and many scattered petechiae in different parts of the body. Her previous investigations revealed no demonstrable haemostatic anomalies. After performing platelet aggregation test, she was diagnosed as GT.


2020 ◽  
Vol 15 (3) ◽  
pp. 222-226 ◽  
Author(s):  
Asha K. Rajan ◽  
Ananth Kashyap ◽  
Manik Chhabra ◽  
Muhammed Rashid

Rationale: Linezolid (LNZ) induced Cutaneous Adverse Drug Reactions (CADRs) have rare atypical presentation. Till date, there are very few published case reports on LNZ induced CADRs among the multidrug-resistant patients suffering from Infective Endocarditis (MDR IE). Here, we present a rare case report of LNZ induced CARs in a MDR IE patient. Case report: A 24-year-old female patient was admitted to the hospital with chief complaints of fever (101°C) associated with rigors, chills, and shortness of breath (grade IV) for the past 4 days. She was diagnosed with MDR IE, having a prior history of rheumatic heart disease. She was prescribed LNZ 600mg IV BD for MDR IE, against Staphylococcus coagulase-negative. The patient experienced flares of cutaneous reactions with multiple hyper-pigmented maculopapular lesions all over the body after one week of LNZ therapy. Upon causality assessment, she was found to be suffering from LNZ induced CADRs. LNZ dose was tapered gradually and discontinued. The patient was prescribed corticosteroids along with other supportive care. Her reactions completely subsided and infection got controlled following 1 month of therapy. Conclusion: Healthcare professionals should be vigilant for rare CADRs, while monitoring the patients on LNZ therapy especially in MDR patients as they are exposed to multiple drugs. Moreover, strengthened spontaneous reporting is required for better quantification.


Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.


2019 ◽  
pp. 211-215
Author(s):  
Peter Beale ◽  
Levi Kitchen ◽  
W.R. Graf ◽  
M.E. Fenton ◽  

The complete pathophysiology of decompression illness is not yet fully understood. What is known is that the longer a diver breathes pressurized air at depth, the more likely nitrogen bubbles are to form once the diver returns to surface [1]. These bubbles have varying mechanical, embolic and biochemical effects on the body. The symptoms produced can be as mild as joint pain or as significant as severe neurologic dysfunction, cardiopulmonary collapse or death. Once clinically diagnosed, decompression illness must be treated rapidly with recompression therapy in a hyperbaric chamber. This case report involves a middle-aged male foreign national who completed three dives, all of which incurred significant bottom time (defined as: “the total elapsed time from the time the diver leaves the surface to the time he/she leaves the bottom)” [2]. The patient began to develop severe abdominal and back pain within 15 minutes of surfacing from his final dive. This case is unique, as his presentation was very concerning for other medical catastrophes that had to be quickly ruled out, prior to establishing the diagnosis of severe decompression illness. After emergency department resuscitation, labs and imaging were obtained; abdominal decompression illness was confirmed by CT, revealing a significant abdominal venous gas burden.


2019 ◽  
Vol 59 ◽  
pp. 201-204 ◽  
Author(s):  
Gabriel A. Molina ◽  
William G. Aguayo ◽  
J. Marcelo Cevallos ◽  
Patricio F. Gálvez ◽  
Juan F. Calispa ◽  
...  
Keyword(s):  

1977 ◽  
Vol 79 (1) ◽  
pp. 127-156 ◽  
Author(s):  
Hans J. Lugt ◽  
Samuel Ohring

Numerical solutions are presented for laminar incompressible fluid flow past a rotating thin elliptic cylinder either in a medium at rest at infinity or in a parallel stream. The transient period from the abrupt start of the body to some later time (at which the flow may be steady or periodic) is studied by means of streamlines and equi-vorticity lines and by means of drag, lift and moment coefficients. For purely rotating cylinders oscillatory behaviour from a certain Reynolds number on is observed and explained. Rotating bodies in a parallel stream are studied for two cases: (i) when the vortex developing at the retreating edge of the thin ellipse is in front of the edge and (ii) when it is behind the edge.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Georgios Lianos ◽  
Georgios Baltogiannis ◽  
Avrilios Lazaros ◽  
Konstantinos Vlachos

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.


2021 ◽  
Vol 2 (1) ◽  
pp. 78-83
Author(s):  
Eka Sri Rahayu ◽  
Mardy Pangarungan

A B S T R A C TScurvy is a rare case found in many countries, but it is often found in refugeeareas, especially in Africa. Vitamin C deficiency varies based on season and occursmore in men with age. The purpose of this research is to avoid misdiagnosis so thatit can be a reference in the field of medicine to diagnose and provide management onscurvy. This prospective research was conducted with one sample of research.Observation had been carried out for two months, starting at one month after thepatient was suspected with the diagnosis of scurvy. Computer Tomography (CT) Scanlumbosacral to pelvic results were normal. Laboratory test of HB result was 9.5 g/dl,in which MCV was 63.2 fL, MCH was 20.3 pg, and MCHC was 32.1 g/dl. Scurvytreatment in the first visit was 3x1 tablets vitamin C, 3x5 ml ibuprofen Syr, andphysiotherapy. The results were that the patient still suffered swollen and bleedinggums, but the pain no longer existed, pale, behavioural disorders, unable to walk,and pain in both knees. After the second visit, the child got therapy of 4x50 mg vitaminC, 1x1 tablets vitamin B12, 1x150 IU vitamin E, 1x1 tablets cavit D3, andphysiotherapy. After two weeks of treatment, there were no complaints of swelling,painful or bleeding gums. The child could straighten her legs, but she was still unableto walk due to the trauma of feeling great pain while walking. Special attention isrequired to diagnose appropriately so the doctor can minimize and preventcomplications.


1970 ◽  
Vol 56 (3) ◽  
pp. 279-280
Author(s):  
Alec F. J. Smith

AbstractThis case report is presented to emphasise the importance of including the chronic granulomatous infections in the differential diagnosis of delayed post-extraction healing, and to show that to await natural exfoliation of the sequestrum would have been unwise in this instance.


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