The Diagnosis of Unilateral Diaphragmatic Paralysis Using M-mode: A Case Report from Palestine

Background: Diaphragmatic paralysis is one the causes of dyspnoea and difficulty in breathing. There are many causes of diaphragmatic paralysis, especially trauma and iatrogenic injury of phrenic nerve. Usually, diaphragmatic paralysis diagnosis depends on fluoroscopic examination of diaphragmatic displacement during sharp sniffs. However, due to disadvantages of fluoroscopic examination, the trend for less radiation examination by using ultrasound is increasing especially using M-mode for detection of diaphragmatic motion during respiration. Case: A new-born baby boy with uneventful pregnancy and normal delivery with good general condition, developed severe respiratory distress at 3rd day of life and was diagnosed to have bilateral pneumothorax. Bilateral chest tubes were inserted with improvement of his condition. The baby then started to develop desaturation with serial chest x-rays done and showed elevated left hemi-diaphragm. Suspicion toward left hemi-diaphragm paralysis increased and due to his general condition, fluoroscopic examination was difficult. So that, Ultrasound with M-mode was used with diagnosis of the patient with left hemi-diaphragmatic paralysis. Conclusion: Ultrasound and the using of M-mode in detection of diaphragmatic motion is one of the most important and applicable diagnostic procedure for diagnosis of diaphragmatic weakness and paralysis.

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Microsurgical DREZ lesions for the control of cancer-related pain

Neurosurgical Focus: Video ◽

10.3171/2020.7.focvid2033 ◽

2020 ◽

Vol 3 (2) ◽

pp. V14 ◽

Cited By ~ 1

Author(s):

Edoardo Mazzucchi ◽

Andrei Brinzeu ◽

Patrick Mertens ◽

Marc Sindou

Keyword(s):

General Condition ◽

Dorsal Root ◽

Lateral Part ◽

Entry Zone ◽

Dorsal Root Entry Zone ◽

Patients With Cancer ◽

Root Entry Zone ◽

Refractory Pain ◽

Pain Pathways ◽

Good General Condition

Pain in patients with cancer is a major problem, and sometimes it is necessary to surgically interrupt pain pathways to effectively control refractory pain. Surgical lesion of the dorsal root entry zone (DREZ) was first performed in 1972 for the treatment of pain related to a Pancoast-Tobias tumor. The rationale of DREZotomy is to preferentially interrupt the nociceptive inputs in the lateral part of the DREZ and the ventrolateral (excitatory) part of the dorsal horn. Microsurgical DREZotomy is one technique for DREZ lesioning that is suited for tailored control of pain in patients in good general condition who are experiencing pain in a well-defined territory.The video can be found here: https://youtu.be/JtLQDP7gYSQ

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New size record for Snapping Turtle (Chelydra serpentina) in southern Quebec, Canada

The Canadian Field-Naturalist ◽

10.22621/cfn.v132i4.2021 ◽

2019 ◽

Vol 132 (4) ◽

pp. 378-381

Author(s):

Patrick Galois ◽

Ève-Lyne Grenier ◽

Martin Ouellet

Keyword(s):

Population Structure ◽

Adult Male ◽

General Condition ◽

Carapace Length ◽

Maximum Size ◽

Chelydra Serpentina ◽

Snapping Turtle ◽

Good General Condition ◽

Turtle Population ◽

Local Habitat

We report a new size record for a Snapping Turtle (Chelydra serpentina) in Quebec, Canada. We captured an adult male in good general condition in the Rivière du Sud in the southern Montérégie region. Its straight midline carapace length was 43.2 cm (maximum carapace length 45.1 cm), and it weighed 19.8 kg. This record contributes to our understanding of the maximum size of this species at the northeastern part of its range. More intensive effort will be necessary to document the Snapping Turtle population structure in Quebec to allow for sound comparisons with other populations, as well as a better understanding of the effects of elevation, latitude, and local habitat on Snapping Turtle growth and size.

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Respiratory Failure Associated with Ascariasis in a Patient with Immunodeficiency

Case Reports in Infectious Diseases ◽

10.1155/2016/4070561 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Lanocha Aleksandra ◽

Zdziarska Barbara ◽

Lanocha-Arendarczyk Natalia ◽

Kosik-Bogacka Danuta ◽

Guzicka-Kazimierczak Renata ◽

...

Keyword(s):

Intensive Care Unit ◽

Bone Marrow ◽

Intensive Care ◽

Respiratory Failure ◽

General Condition ◽

Risk Groups ◽

Parasitic Diseases ◽

Industrialized Countries ◽

Recent Immigrants ◽

Good General Condition

In industrialized countries, risk groups for parasitic diseases include travelers, recent immigrants, and patients with immunodeficiency following chemotherapy and radiotherapy and AIDS. A 66-year-old Polish male was admitted in December 2012 to the Department of Haematology in a fairly good general condition. On the basis of cytological, cytochemical, immunophenotypic, and cytogenetic analysis of bone marrow, the patient was diagnosed with acute myeloblastic leukemia. On the 7th day of hospitalization in the Department of Haematology, patient was moved to the Intensive Care Unit (ICU) due to acute respiratory and circulatory failure. In March 2013, 3 months after the onset of respiratory failures, a mature form ofAscarisspp. appeared in the patient’s mouth. This report highlights the importance of considering anAscarisinfection in patients with low immunity presenting no eosinophilia but pulmonary failure in the central countries of Europe.

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Estudio de las fachadas de inmuebles protegidos del casco urbano de Cieza (Murcia) = Study of the facades of protected buildings in the urban area of Cieza (Murcia)

Anales de Edificación ◽

10.20868/ade.2018.3734 ◽

2018 ◽

Vol 4 (1) ◽

pp. 56

Author(s):

Eloisa González Ponce ◽

Nuria Rosa Roca ◽

Silvia Spairani Berrio ◽

Borja Perez Pardos

Keyword(s):

Urban Area ◽

General Condition ◽

Research Work ◽

The State ◽

Architectural Heritage ◽

Good General Condition ◽

Sustainable Materials ◽

The City

ResumenEl propósito principal de este trabajo de investigación se centra en el estudio del estado de conservación de las fachadas de 34 inmuebles pertenecientes al Catálogo de Bienes Inmuebles y Elementos Protegidos del Plan General del Ayuntamiento de Cieza (Murcia), concretamente de aquellos situados en el casco urbano, para aportar directrices que garanticen una intervención con materiales sostenibles coherente y respetuosa con el patrimonio arquitectónico de la ciudad. Evidentemente, un desarrollo correcto del estudio diagnóstico constructivo de las fachadas de inmuebles protegidos debe llevarse a cabo en 2 fases: la caracterización constructiva de la arquitectura de sus fachadas y el estudio de lesiones o estado actual que presentan las mismas. Tras analizar los 34 inmuebles se establece una metodología y un modelo sistemático para la documentación del grado de deterioro que presentan las fachadas de los inmuebles del Catálogo de la ciudad. Destacamos que los resultados de materiales propuestos en las fachadas dan unos niveles de deterioro “bajo” o “muy bajo” en el 70 % de los casos analizados, corroborándose el buen estado general de las mismas.AbstractThe main intention of this research work focus interest on the 34 building’s facade from the state of preservation belonging a Municipalities Heritage Catalogue of Cieza's Town (Murcia), it specifically those that located in the urban area from to comply with the guidelines established by sustainable materials coherent and respectful with the architectural heritage of the city. Evidently, a correct development of the diagnostic constructive study of the 34 building’s facade must be carried out in 2 phases: the constructive characterization of the architecture of his building’s facade and the study of the state of conservation or current condition that the same ones present. After analyzing 34 building’s facade methodology and a systematic model it establish for the documentation of a Municipalities Heritage Catalogue of Cieza's Town of the city. We emphasize that the results of proposed materials building’s facade give a few levels of low or very low deterioration in 70 % of the analyzed cases, there being corroborated the good general condition of the same ones.

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Propofol-Induced Hepatitis

European Journal of Case Reports in Internal Medicine ◽

10.12890/2020_001921 ◽

2020 ◽

Author(s):

Hanna Raisi ◽

Thomas Longerich ◽

Bernardo Moreira Assuncao ◽

Sebastian Mueller ◽

Peter Schirmacher ◽

...

Keyword(s):

Liver Biopsy ◽

Acute Hepatitis ◽

General Condition ◽

Rare Case ◽

Toxic Hepatitis ◽

Liver Stiffness ◽

Radical Scavenger ◽

Liver Necrosis ◽

Good General Condition ◽

Acetyl Cysteine

Objectives:To present a rare case of propofol-induced hepatitis. Materials and methods: A 59-year old man was referred to our department because of suspicion of toxic hepatitis after propofol anaesthesia for endoscopic colonoscopy. Results: The patient had jaundice, increased transaminases demonstrating liver necrosis, and liver stiffness of 18 kPa. Liver biopsy revealed bridging necrosis and initial post-collapse fibrosis. Following therapy with steroids and N-acetyl cysteine, the patient was discharged on the seventh day after admission in good general condition. Conclusion: Although propofol is considered safe, it can cause acute hepatitis, the seventh published case of which is reported here. Importantly, treatment with N-acetyl cysteine, a radical scavenger, but especially with steroids resulted in hepatic improvement.

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Rhabdomyolysis and influenza a (H3N2) infection: A case report

Medicinski pregled ◽

10.2298/mpns1706173s ◽

2017 ◽

Vol 70 (5-6) ◽

pp. 173-175

Author(s):

Anja Stojsin ◽

Vedrana Petric ◽

Grozdana Canak ◽

Vesna Turkulov ◽

Sinisa Sevic ◽

...

Keyword(s):

Case Report ◽

General Condition ◽

Influenza A ◽

Polymerase Chain Reaction Analysis ◽

Reference Ranges ◽

Laboratory Findings ◽

Progressive Muscle Weakness ◽

Good General Condition ◽

Life Threatening ◽

Acute Polyneuropathy

Introduction. Extrapulmonary complications of influenza infections are often unrecognized. The aim of this paper is to point to rhabdomyolysis as a potentially life threatening complication of influenza. Case Report. A month after the onset of influenza complicated by bronchopneumonia, the general condition of a nineteen year old female deteriorated with development of progressive muscle weakness and dark-colored urine. Despite intensive hydration and antibiotic therapy, her condition got worse, laboratory findings showed pancytopenia, hypoalbuminemia and creatine phosphokinase about 1000 times higher than normal. Influenza A H3N2 was confirmed by polymerase chain reaction analysis of the throat swab sample. Electromyoneurography showed severe acute polyneuropathy of muscles innervated by perineal nerve and signs of polymyositis; pathohistological examination of gastrocnemius muscle biopsy sample confirmed chronic myositis with necrotic neurogenic atrophy. In spite of intense hydration, the patient?s status continued deteriorating, so methylprednisolone was administered. Six weeks later, the patient was discharged in a good general condition, with blood test results within reference ranges, with weakness of foot dorsiflexors and tilting of the pelvis to the left during verticalization. Conclusion. Rhabdomyolysis caused by influenza-A is on the increase, and given the degree of morbidity and mortality, thorough assessment of patients is necessary.

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Hepatic Failure following Metronidazole in Children with Cockayne Syndrome

Case Reports in Pediatrics ◽

10.1155/2020/9634196 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Pedram Ataee ◽

Avat karimi ◽

Kambiz Eftekhari

Keyword(s):

Liver Failure ◽

General Condition ◽

Autosomal Recessive ◽

Cockayne Syndrome ◽

Premature Aging ◽

Dental Infection ◽

Abnormal Growth ◽

First Case ◽

Good General Condition ◽

Very High

Cockayne syndrome is an uncommon autosomal recessive disease characterized by microcephaly, abnormal growth, and pathologic premature aging. The purpose of this report is to evaluate liver failure in children with Cockayne syndrome following metronidazole administration. The first case was a 2-year-old boy with Cockayne syndrome. He had been treated with metronidazole for gastroenteritis. 48 hours after treatment initiation, he was hospitalized due to jaundice, intractable vomiting, and agitation. Unfortunately, he died of acute liver failure. The second case was a 5-year-old boy with Cockayne syndrome as well, who had been treated with amoxicillin and metronidazole for a dental infection. He developed jaundice, drowsiness, lethargy, and anorexia after treatment. At hospital, the child received supportive treatment, and his general condition gradually improved. The liver enzyme levels decreased. He was finally discharged in good general condition. The mortality after metronidazole consumption in patients with Cockayne syndrome due to liver failure is very high. The awareness of the dangers of using metronidazole in these patients is valuable.

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Acute Idiopathic Scrotal Edema: Systematic Literature Review

European Journal of Pediatric Surgery ◽

10.1055/s-0037-1603089 ◽

2017 ◽

Vol 28 (03) ◽

pp. 222-226 ◽

Cited By ~ 7

Author(s):

Maristella Santi ◽

Sebastiano Lava ◽

Giacomo Simonetti ◽

Gregorio Milani ◽

Mario Bianchetti

Keyword(s):

Abdominal Pain ◽

Literature Review ◽

Children And Adolescents ◽

General Condition ◽

Case Series ◽

Acute Scrotum ◽

Good General Condition ◽

Scrotal Edema ◽

Limiting Condition ◽

Made In

Introduction Existing information on acute idiopathic scrotal edema relies on small case series and textbooks. Methods We searched reports with no date limits on acute idiopathic scrotal edema. Results Thirty-seven studies were included. Sixteen case series addressed the prevalence of acute idiopathic scrotal edema among males with acute scrotum: among 3,403 cases, the diagnosis of acute idiopathic scrotal edema was made in 413 cases (12%). Twenty-four reports addressed history, findings, management, and course of acute idiopathic scrotal edema in 311 patients. The patients mostly ranged in age from 5 to 8 years, presented with acute scrotal redness and swelling, associated or not with mild pain. Ninety percent or more of the cases developed in patients without atopic diathesis and were not preceded by inguinoscrotal surgery, acute febrile illnesses, or trauma. They were afebrile; in good general condition; and presented without pruritus, nausea or vomiting, or abdominal pain. The lesions were bilateral in two-thirds and unilateral in one-third of the cases. The condition resolved spontaneously within 2 to 3 days without sequelae. Approximately 10% of the cases experienced a recurrence. Conclusion Acute idiopathic scrotal edema is a self-limiting condition that accounts for ≥ 10% of cases of acute scrotum in children and adolescents.

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Characterization of Small Dosimeters Used for Measurement of Eye Lens Dose for Medical Staff during Fluoroscopic Examination

Diagnostics ◽

10.3390/diagnostics11020150 ◽

2021 ◽

Vol 11 (2) ◽

pp. 150

Author(s):

Kosuke Matsubara ◽

Sayu Yoshida ◽

Ayaka Hirosawa ◽

Thunyarat Chusin ◽

Yasushi Furukawa

Keyword(s):

Energy Dependence ◽

Medical Staff ◽

Vertical Direction ◽

Eye Lens ◽

X Rays ◽

Air Kerma ◽

Fluoroscopic Examination ◽

Dose Linearity ◽

Fluoroscopic Time ◽

The Right

This study aimed to evaluate the property of small dosimeters used for measuring eye lens doses for medical staff during fluoroscopic examination. Dose linearity, energy dependence, and directional dependence of scattered X-rays were evaluated for small radiophotoluminescence glass dosimeters (RPLDs), those with a tin filter (Sn-RPLDs), and small optically stimulated luminescence dosimeters (OSLDs). These dosimeters were pasted on radioprotective glasses, and accumulated air kerma was obtained after irradiating the X-rays to a patient phantom. Strong correlations existed between fluoroscopic time and accumulated air kerma in all types of dosimeters. The energy dependence of Sn-RPLD and OSLD was smaller than that of RPLD. The relative dose value of the OSLD gradually decreased as the angle of the OSLD against the scattered X-rays was larger or lower than the right angle in the horizontal direction. The ranges of relative dose values of RPLD and Sn-RPLD were larger than that of OSLD in the vertical direction. The OSLDs showed lower doses than the RPLDs and Sn-RPLDs, especially on the right side of the radioprotective glasses. These results showed that RPLDs, Sn-RPLDs, and OSLDs had different dosimeter properties, and influence measured eye lens doses for the physician, especially on the opposite side of the patient.

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Epiglottic abscess as a rare cause of muffled voice

Pediatria i Medycyna Rodzinna ◽

10.15557/pimr.2021.0014 ◽

2021 ◽

Vol 17 (1) ◽

pp. 80-83

Author(s):

Nur Adillah Lamry ◽

◽

Norhafizah Saifuddin ◽

Irfan Mohamad ◽

◽

...

Keyword(s):

Antibiotic Therapy ◽

Airway Obstruction ◽

General Condition ◽

Upper Airway ◽

Disease Status ◽

Upper Airway Obstruction ◽

Flexible Laryngoscopy ◽

Good General Condition

A 42-year-old male presented with fever and symptoms of impending upper airway obstruction on the day of presentation. He required immediate intubation due to swollen epiglottis. The condition responded to antibiotic and steroids, and he was able to be extubated after 3 days. Two days later, however, the epiglottis started to swell up again, this time with pus discharge. Emergency exploration and drainage of the epiglottic abscess were executed, and the patient was kept intubated for a few days afterwards for the swollen epiglottis to reduce in size. Daily flexible laryngoscopy was commenced to monitor the disease status. After completing the antibiotic therapy the patient was discharged in good general condition.

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