scholarly journals A Case Report of Fungicial Poisoning

2021 ◽  
Vol 11 (4-S) ◽  
pp. 1-2
Author(s):  
Uma Malaika Rapolu ◽  
Nabeela Tarannum ◽  
Enara Bawani ◽  
Mohd Danish
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Acute Toxicity ◽  
Animal Study ◽  
Food Crops ◽  
Loss Of Consciousness ◽  
Reproductive Ability ◽  
Chief Complaints ◽  
Commercial Landscape

Myclobutanil may be a conazole class fungicide. Mostly employed in food crops(like apple, banana, asparagus, beans, cranberry, grape, plum, soybean, tomato, strawberry) and in other commercial landscape. Moreover it’s lower acute toxicity is seen. In animal study, it can effect reproductive ability. Workers in fields are mostly affected. Common symptoms include headache, eye irritation, itching, nausea, vomiting, abdominal pain, nose bleeding. A 39 year old male patient was brought to emergency department with chief complaints nausea, vomiting, seizures, loss of consciousness, and nose bleeding. Patient was provided with treatment upon admission. Keywords: Myclobutanil, conazole, fungicide.

scholarly journals Ovarian Torsion in a 5-Year Old: A Case Report and Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Bobby K. Desai
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Clinical Suspicion ◽  
Ovarian Torsion ◽  
Surgical Emergencies ◽  
High Clinical Suspicion ◽  
Tract Infections ◽  
Prompt Diagnosis

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.

A Rake’s Progress

2020 ◽  
pp. 169-174
Author(s):  
Pat Croskerry
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Shoulder Pain ◽  
Heart Attack ◽  
Correct Diagnosis ◽  
Uneventful Recovery ◽  
Left Shoulder ◽  
Loss Of Consciousness ◽  
Middle Aged ◽  
Rake's Progress

This case discusses a middle-aged male who experiences abdominal pain and loss of consciousness at a mall. His wife believes he is having a heart attack and rushes him to a nearby emergency department. He is also experiencing some left shoulder pain and diaphoresis, which is misinterpreted at triage. This communication error leads to him being misassigned to a cardiac area. Eventually, the correct diagnosis is made, and the patient makes an uneventful recovery.

scholarly journals Status of Geriatric Patients with Abdominal Pain Presented To Emergency Department

2019 ◽  
Vol 9 (2) ◽  
pp. 90-96
Author(s):  
Daya Ram Lamsal ◽  
Jeetendra Bhandari
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Care Center ◽  
Tertiary Care ◽  
Medical Officer ◽  
Common System ◽  
Life Expectancy At Birth ◽  
Chief Complaints ◽  
Life Threatening ◽  
The Common

Background: As the development of better health facilities with advanced tools for diagnosis and management our country is not away from global trend. Nepal’s life expectancy at birth is increasing at its pace, it has in­creased in about 30 years in last 4 decades. Among the various problem presenting to ED abdominal pain is one of the common complain elderly patients are greater risk of missing life-threatening causes during evalua­tion and investigation. The aim of the study wasEdit to identify the frequency, cause and outcome of patient presenting in Emergency department with abdominal pain. Methods: It is a retrospective study conducted in tertiary care center at Chitwan, Nepal during the period from 01/09/2017 to 30/08/2018. Elec­tronic data entered by medical officer were retrieved and analyzed. Statis­tical analysis of the record was done using SPSS 16 software. Results: Elderly population who presented with chief complaints of ab­dominal pain was 1160 (21.79%). Among the patient presented with ab­dominal pain 605(52.2%) were male and 555(47.8%) were female. Mean age of patients was 71.72±8.50 years. Most common system involved was gastrointestinal and biliary problem 730(62.93%). Most common diagno­sis was Urinary tract infection 269 (23.2%) among them, 487(41.98%) re­quired hospital admission. Conclusions: Abdominal pain is one of the common presentations of el­derly to emergency department. Disorders of Gastrointestinal and biliary system were among leading causes of emergency visit. Emergency phy­sician should be tactful to identify life threatening conditions and emer­gency management.

scholarly journals Retenção Urinária Como Manifestação de Hematocolpos

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Íris Santos Silva ◽  
Renata Martello ◽  
António Mendes ◽  
Albertino Chaves
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Retention ◽  
Genital Tract ◽  
Rare Condition ◽  
Tanner Stage ◽  
Imperforate Hymen ◽  
Uncommon Condition ◽  
Rare Symptom

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 – 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). A rare symptom of hematocolpos could be urinary retention. Our case report is about a 12-year-old girl, with no menarche and Tanner stage M4/P5, who was admitted to our emergency department with abdominal pain and urinary retention. A brief review of this rare condition is presented, in order to remind clinicians about its existence, so that it can be diagnosed and treated as quickly as possible.

scholarly journals Bladder Diverticulitis: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Michael Silberman ◽  
Rebecca Jeanmonod
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Tract Infection ◽  
Acute Urinary Retention ◽  
Disease Process ◽  
Multifactorial Disease ◽  
Bladder Diverticulum

Bladder diverticulum, an outpouching of the mucosa through the muscular wall of the bladder, is a multifactorial disease process that can be either acquired or congenital. Although small diverticuli are usually asymptomatic, a large diverticulum may result in hematuria, urinary tract infection, acute abdomen due to its rupture, acute urinary retention, or neoplasm formation. We describe the case of an elderly gentleman who presented to the emergency department with abdominal pain and was ultimately diagnosed with bladder diverticulitis, a disease not previously described in the literature.

Infectious mononucleosis - not always a benign condition: a case report of infectious mononucleosis–associated acute acalculous cholecystitis

CJEM ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 154-156 ◽  
Author(s):  
Andrew Cameron ◽  
Kosalan Akilan ◽  
David Carr
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Critical Illness ◽  
Infectious Mononucleosis ◽  
Early Adulthood ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis ◽  
Benign Condition ◽  
Emergency Department Patients

AbstractInfectious mononucleosis is typically a self-limited viral infection of adolescence and early adulthood that resolves in a period of weeks, causing no major sequelae. We describe a case of a healthy 18-year-old female diagnosed with infectious mononucleosis who also presented with right upper quadrant abdominal pain, moderate transaminitis, and cholestatic biochemistry. An ultrasound revealed acute acalculous cholecystitis, generally a condition seen in the context of critical illness. Further investigating emergency department patients with infectious mononucleosis is often not indicated, but may be important for those who present atypically.

scholarly journals Cannabinoid Hyperemesis Syndrome: An Unexpected Problem in an Unusual Setting—A Case Report

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1894-e1896
Author(s):  
Rory Stuart ◽  
John Ray Richards
Keyword(s):  
Emergency Department ◽  
Acute Kidney Injury ◽  
Abdominal Pain ◽  
Case Report ◽  
Kidney Injury ◽  
Southwest Asia ◽  
Severe Dehydration ◽  
Military Hospitals ◽  
Us Military ◽  
Cannabinoid Hyperemesis Syndrome

Abstract Cannabinoid hyperemesis syndrome presents with abdominal pain, nausea, and intractable vomiting caused by phytogenic and synthetic cannabinoid use. Complications associated with this disorder range from severe dehydration to acute kidney injury and rhabdomyolysis. This syndrome mimics many acute surgical and emergency medical conditions and can present several diagnostic and treatment challenges. While this syndrome is increasingly recognized as a common clinical entity in civilian emergency departments, there is little data concerning experience at military hospitals. We present a case of cannabinoid hyperemesis syndrome that was diagnosed and treated in a combat-zone US military emergency department in Southwest Asia.

scholarly journals Jejunogastric Intussusception: A Case Report

2012 ◽  
Vol 30 (1) ◽  
pp. 44-47 ◽  
Author(s):  
MM Hussain ◽  
A Rahman ◽  
MR Abedin ◽  
MA Habib
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Prompt Treatment ◽  
Jejunogastric Intussusception ◽  
Acute Form

Jejunogastric intussusception is an established complication following any type of gastroenterostomy. In its acute form it presents with abdominal pain and lump suggestive of obstruction. It is also a rare cause of haematemesis. Chronic and intermittent presentation has also been described. It is a surgical emergency in its acute form. Early diagnosis and prompt treatment is required to avoid mortality. We report here a case that had a history suggestive of recurrent symptoms and ultimately presented as an acute emergency in the emergency department of Dhaka Medical College Hospital, Dhaka, Bangladesh   DOI: http://dx.doi.org/10.3329/jbcps.v30i1.11366   J Bangladesh Coll Phys Surg 2012; 30: 44-47  

scholarly journals Calcified stone in intestinal blind loop after 60 years of surgical treatment of complex jejunal atresia: an attempt to understand an enigma

2020 ◽  
Vol 13 (1) ◽  
pp. e231992
Author(s):  
Syed H Raza ◽  
Elamin Elshaikh ◽  
Mohamed H Ahmed ◽  
Mazhar Raja
Keyword(s):  
Rheumatoid Arthritis ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Previous Surgery ◽  
Jejunal Atresia ◽  
First Case ◽  
Operative Findings

A 60-year-old woman was presented in emergency department with abdominal pain and vomiting for 1 day. She was known to have seropositive rheumatoid arthritis. Importantly, she was treated surgically for complex jejunal atresia and duplication surgery, when she was 6 days old. CT scan showed intestinal obstruction secondary to intussception. Patient had lapartomy and operative findings revealed side-to-side anastomosis with gut duplication 10 cm distal to duodenal jejunum junction (due to her previous surgery during infancy). Redundant part of the loop dilated up to 300 mL with large hard stone (4×3.5 cm) was excised. Patient recovered well postoperatively and was discharged to go home. To our knowledge, this is the first case report to show formation of large stone 60 years after surgical treatment of complex jejunal atresia and duplication surgery in infancy.

Homicidal poisoning by injection of methidathion: The first ever report

2009 ◽  
Vol 28 (8) ◽  
pp. 521-524 ◽  
Author(s):  
Caglar Ozdemir ◽  
Hakan Kar ◽  
Yasar Bilge ◽  
Gokhan Batuk ◽  
Hulya Isler Batuk
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Crime Scene ◽  
Postmortem Examination ◽  
Toxic Substances ◽  
Organophosphate Insecticide ◽  
Chief Complaints ◽  
Scene Investigation ◽  
Dermal Lesions ◽  
Postmortem Examinations

We present the first ever case of homicidal poisoning due to injection of methidathion, an organophosphate insecticide. Case: A 4-month-old baby presented to the emergency department with chief complaints of unconsciousness and irregular respiration. A bitter odour and an injection site with a greenish blue colouration and two bullaous lesions were noticed by the emergency department physicians. Postmortem examinations revealed a wide shiny blue colouration of the antecubital region with oedematous muscular fascia and focal liquefaction necrosis. Blood and tissue levels were positive for methidathion. Our case report emphasizes the necessity of a detailed crime scene investigation and postmortem examination for the possibility of homicide in such cases. Although injection sites may be the expected results of medical treatment, dermal lesions also may be associated with injections of toxic substances.

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