scholarly journals Polytraumatic injury with splenic rupture and unilateral avascular renal necrosis: A case report

2017 ◽  
Vol 7 (1) ◽  
pp. 58-61
Author(s):  
Smit Shah ◽  
Praful Shah
Keyword(s):  
Public Health ◽  
Case Report ◽  
Splenic Injury ◽  
Motor Vehicle ◽  
Splenic Rupture ◽  
Treatment Plan ◽  
Standard Of Care ◽  
Exploratory Laparotomy ◽  
Colles Fracture ◽  
Renal Necrosis

In this paper, we present a patient who underwent an emergency exploratory laparotomy after Motor Vehicle Collison (MVC) leading to splenic injury, avascular necrosis of kidney and right upper extremity Colles’ fracture. Goal of the paper is to present a patient of polytrauma along with its treatment plan in terms of prioritizing the standard of care. We also discuss various radiographical findings along with gross surgical findings that were found intraoperatively.South East Asia Journal of Public Health Vol.7(1) 2017: 58-61

scholarly journals Delayed Rupture of Occult Splenic Injury: a Case Report

2003 ◽  
Vol 10 (3) ◽  
pp. 188-190 ◽  
Author(s):  
CKM Chan ◽  
HS Chiu ◽  
CH Chung
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Splenic Injury ◽  
Splenic Rupture ◽  
Emergency Physicians ◽  
Delayed Rupture

We report on a case of splenic rupture that presented eleven days after a trivial injury. Possible explanations of the delay in presentation and ways for early detection are discussed. Emergency physicians should always bear this entity in mind before discharging patients with left thoracoabdominal injury.

Successful anesthetic management in a case of grade V splenic injury in covid 19 positive patient: A case report

2021 ◽  
Vol 8 (4) ◽  
pp. 49-53
Author(s):  
Anupama Kumari ◽  
Farah Husain ◽  
Anjili Sethi ◽  
Kirti Nath Saxena
Keyword(s):  
Case Report ◽  
Splenic Injury ◽  
Anesthetic Management ◽  
Exploratory Laparotomy ◽  
Anaesthetic Management ◽  
The Body ◽  
Splenic Trauma ◽  
Trauma Patients ◽  
Emergency Unit ◽  
Antigen Test

Splenic injuries are amongst the most frequent trauma-related injuries which requires emergency surgeries demanding meticulous surgical and anesthetic management. The aim while managing splenic trauma patients, is to restore homeostasis and normal pathophysiology in the body by achieving hemostasis with an emergency splenectomy. To date, there have been few reports describing the anaesthetic management of COVID-19 patients presenting for emergency surgery. In this article, we outline the anaesthetic management for a case with hemoperitoneum, posted for emergency exploratory laparotomy and splenectomy in our operating theatre who was incidentally diagnosed to be COVID positive in the emergency unit by a rapid antigen test.

scholarly journals Dandy-Walker Malformation in an Asymptomatic 27-Year-Old Woman. A Case Report

2018 ◽  
Vol 6 (3) ◽  
pp. 110-113
Author(s):  
Joyce Antonella Jiménez ◽  
Daniel Francisco Landívar ◽  
Fernando Xavier Posligua ◽  
Jorge Rigoberto González
Keyword(s):  
Case Report ◽  
Fourth Ventricle ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Incidental Finding ◽  
Left Kidney ◽  
Exploratory Laparotomy ◽  
Dandy Walker Malformation ◽  
Asymptomatic Patients ◽  
Walker Malformation

Introduction: Dandy-Walker malformation (DWM) is a rare congenital disorder that involves the cerebellum and fourth ventricle. Incidentally detected asymptomatic DWM is sparsely reported in literature at extremes of age (from 1 to 75 years) in association with different diseases. We aim to report the case of a patient with an incidental finding of a DWM after a road traffic accident, reinforcing the importance of suspicion, investigation, diagnosis of clinical presentations. The Case: This case report describes a 27-year-old female patient who presented to the emergency room after a motor vehicle collision. She suffered a left kidney and spleen injury. The patient’s brain CT scan revealed an enlarged cisterna magna with normal cerebellum, partial hypoplasia of the cerebellar vermis and enlargement of the fourth ventricle compatible with DWM. Neurological examination was unremarkable. An exploratory laparotomy was performed, and the left kidney and spleen showed hemorrhage, so a left nephrectomy and splenectomy was done. Conclusions: This case report aimed to characterize the DWM, which is a congenital malformation of the central nervous system. Asymptomatic patients do not require surgical treatment; however, these patients should be followed up once a year.

Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Patient Treatment ◽  
Treatment Results ◽  
Dental Hospital ◽  
Proper Diagnosis ◽  
The Aesthetic ◽  
Smile Aesthetics ◽  
Crown Lengthening ◽  
Gummy Smile

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

Managing the Transition to Edentulousness Using Partial Transitional Dentures for First Time Prosthodontic Patients: Addressing Unrealistic Expectations – A Case Report

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Case Report ◽  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Sequential Treatment ◽  
Aesthetic Result ◽  
Abutment Teeth ◽  
First Time ◽  
Unrealistic Expectations

Aim: The aim of this report is to describe the management of a prosthodontic patient expressing unrealistic expectations with respect to the transition to edentulousness. Objectives: To outline (1) the diagnosis and explicit expectations of the patient on presentation (2) considerations made during treatment planning to address the wishes of the first time prosthodontic patient (3) a sequential treatment plan utilizing transitional partial removable dentures to manage the change to edentulousness (4) functional and aesthetic result achieved. Results: Delivery of immediate removable partial dentures retaining key abutment teeth in upper and lower arches was a viable prosthodontic solution in the transition to edentulousness of a patient expecting unrealistic treatment outcomes. Conclusions: Addressing impractical expectations and devising a treatment plan amenable to both clinician and patient is difficult. Strategies to manage these wishes in prosthodontic dentistry can include transitional partial dentures. Clinical relevance: Practitioners who encounter similar situations may consider this report valuable.

Cirurgia de aumento de coroa clínica e confecção de facetas diretas em resina composta orientadas por mock-up.

2020 ◽  
Vol 12 (45) ◽  
pp. 24-33
Author(s):  
Fábio Shiniti Mizutani ◽  
Atila de Freitas ◽  
Adriano Sapata ◽  
Claudio Sato
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Treatment Plan ◽  
Diagnostic Information ◽  
Good Treatment ◽  
Restorative Dentistry ◽  
Laboratory Technician ◽  
Crown Length ◽  
Anterior Teeth ◽  
Anterior Posterior

Keeping in mind the final result is the basis of any type of treatment, especially those in which the morphology, size and proportion of the anterior teeth will be changed. This is where a good treatment plan based on a diagnostic wax-up tested with a mock-up and approved by the patient becomes crucial. This case report aims to exemplify how to transfer the diagnostic information to the patient’s mouth and direct it not only to the restorative dentistry, but also to the surgeon when performing the crown length. Diagnostic waxing was performed by the laboratory technician, obeying anterior posterior incisal and gingival criteria and curvatures, which were transported to an aesthetic guide through mock up to mark the surgical points. Then, surgery to increase the clinical crown with bone access and after healing, direct venners in composite resin also guided by waxing. In conclusion, a workflow can be established using the wax-up / mock-up that serves as a guide for the periodontist in the approach to surgical lengthening of the crown and for the rehabilitator who uses it to produce changes in the shape of dental dimensions .

Clinical Implications of the Center of Balance for a Veteran with Traumatic Brain Injury

2015 ◽  
pp. 280-289
Keyword(s):  
Traumatic Brain Injury ◽  
Case Report ◽  
Brain Injury ◽  
Benign Paroxysmal Positional Vertigo ◽  
Medical Center ◽  
Treatment Plan ◽  
Successful Outcome ◽  
Model Case ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Background: It is known that traumatic brain injury (TBI), even of the mild variety, can cause diffuse multisystem neurological damage. Coordination of sensory input from the visual, vestibular and somatosensory pathways is important to obtain proper balance and stabilization in the visual environment. This coordination of systems is potentially disrupted in TBI leading to visual symptoms and complaints of dizziness and imbalance. The Center of Balance (COB) at the Northport Veterans Affairs Medical Center (VAMC) is an interprofessional clinic specifically designed for patients with such complaints. An evaluation entails examination by an optometrist, audiologist and physical therapist and is concluded with a comprehensive rehabilitative treatment plan. The clinical construct will be described and a case report will be presented to demonstrate this unique model. Case Report: A combat veteran with a history of a gunshot wound to the skull, blunt force head trauma and exposure to multiple explosions presented with complaints of difficulty reading and recent onset dizziness. After thorough evaluation in the COB, the patient was diagnosed with and treated for severe oculomotor dysfunction and benign paroxysmal positional vertigo. Conclusion: Vision therapy was able to provide a successful outcome via improvement of oculomotor efficiency and control. Physical therapy intervention was able to address the benign paroxysmal positional vertigo. The specific evaluation and management as pertains to the aforementioned diagnoses, as well as the importance of an interprofessional rehabilitative approach, will be outlined.

Replacement of Congenitally Missing Bilateral Maxillary Canines with Dental Implants: A Rare Case Report and Mini Review

2019 ◽  
Vol 13 (1) ◽  
pp. 371-376
Author(s):  
Abduljabbar Mohammed Alsameai ◽  
Basema Abdullah Khabaz ◽  
Mohammed Abdo Alraawi ◽  
Mohammed M Al Moaleem
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Young Female ◽  
Normal Function ◽  
Short Term Result ◽  
Osseointegrated Implants ◽  
All Ceramic ◽  
Rare Case Report ◽  
Ceramic Crowns ◽  
Congenitally Missing

Introduction: Maxillary canines play strategic roles in maintaining the normal function and visibility of teeth. However, rare cases of bilateral permanent congenitally missing maxillary canines were occurring. Replacing these missing canines with dental implant prostheses is an optimal treatment plan for aesthetics and functions. Case Report: In this case report, we described the replacement of bilateral maxillary canines with osseointegrated implants to support all-ceramic prostheses for a young female patient. This treatment avoids the conventional preparation of adjacent teeth as a part of prosthetic reconstructions. In addition to that, all-ceramic crowns are biocompatible with oral cavity structures. Conclusion: The stable short-term result has been achieved with the replacement of the bilateral congenitally missed canines with an implant and cemented all-ceramic crowns, with 3-years cumulative success rate.

A Diagnosed Case of COVID-19 Treated with Homoeopathy: A Case Report

2020 ◽  
Vol 33 (03) ◽  
pp. 241-243
Author(s):  
Rajesh Kovilacar ◽  
Pankhuri Misra
Keyword(s):  
Public Health ◽  
Case Report ◽  
Sore Throat ◽  
Female Patient ◽  
Public Health Emergency ◽  
Positive Patient ◽  
Number Of Patients ◽  
Precautionary Measures ◽  
Day By Day

Abstract Introduction The outbreak of coronavirus disease 2019 (COVID-19) has been declared as public health emergency of international concern. India is also facing this crisis with increasing number of patients being reported day by day. Here, we present a case report of COVID-19-positive patient treated with homoeopathy. Case Profile A 60-year-old female patient with fever for 4 days, cough and difficulty in breathing, headache, sore throat, loose stools and frequent urination with burning and generalised weakness for 7 days was considered for treatment in the present study. Based on the symptomatology, Arsenicum album 30 and Bryonia alba 30 were prescribed to her. Conclusion A patient of COVID-19 was successfully treated by homoeopathic medicines based on symptom similarity. Individualised homoeopathic intervention with precautionary measures can be an answer to the ongoing crisis.

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