Case study. Acute opioid withdrawal precipitated by ingestion of crushed Embeda (morphine extended release with sequestered naltrexone): Case report and the focused review of the literature

Complications of peripheral nerve injury arising from the surgical treatment of carpal tunnel syndrome are not uncommon. No documented report of the association of ulnar nerve injury with carpal tunnel decompression has been found. This case-study describes partial laceration of the ulnar nerve as a complication of carpal tunnel surgery and reviews the literature on this subject.

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A case study and review of the literature on advanced extrauterine pregnancy: case report

Obstetrics and Gynaecology Forum ◽

10.4314/ogf.v14i3.30518 ◽

2004 ◽

Vol 14 (3) ◽

Author(s):

G Essilfie ◽

J Moodley ◽

DM Mazibuko

Keyword(s):

Case Report ◽

Review Of The Literature ◽

Extrauterine Pregnancy

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Odontoma composto associado canino incluso no palato: relato de caso

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v8i11.4750 ◽

2020 ◽

Vol 8 (11) ◽

Author(s):

Breno dos Reis Fernandes ◽

Darah Ligia Marchiori ◽

Daniel de Lima e Sá Medronho ◽

Gabriel Mulinari-Santos ◽

Patrick Peloso Pereira Figueira ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Clinical Manifestations ◽

Surgical Removal ◽

Review Of The Literature ◽

Second Molar ◽

Clinicopathologic Study ◽

Complex Odontoma ◽

Compound Odontoma

Odontoma refere-se a tumores de origem odontogênica. Sua etiologia envolve distúrbios de desenvolvimento, traumatismos e infecções. Embora o crescimento seja lento e geralmente assintomático, complicações de ordem estética e funcional podem advir da permanência desta lesão. Os odontomas podem ser classificados como complexos e compostos, e o seu tratamento envolve a remoção cirúrgica conservadora com posterior exame histopatológico. Neste artigo é relatado um caso clínico de uma remoção de um canino incluso no palato associado a um odontoma com posterior enxertia utilizando enxerto do ramo mandibular particulado.Descritores: Odontoma; Cirurgia Bucal; Dente Canino.ReferênciasTeruhisa U, Murakami J, Hitasomi M, Yanagi Y, Asaumi J. A case of unerupted lower primary second molar associated with compound odontoma. Open Dent J. 2009;3:173-76.Ladeinde AL, Ajayi OF, Ogunlewe MO, Adeyemo WL, Arotiba GT, Bamgbose BO et al. Odontogenic tumors: a review of 319 cases in a Nigerian teaching hospital. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(2):191-95.Hidalgo-Sánchez O, Leco-Berrocal MI, Martínez-Gonzáles JM. Metaanalysis of the epidemiology and clinical manifestations of odontomas. Med Oral Patol Oral Cir Bucal. 2008;13(11):730-34.Pires LD, Krüger MLB, Viana ES, Kramer PF, Ferreira SL. Odontoma: estado da arte e relato de caso clínico. Stomatos. 2007;13(24):21-9.Chang JY, Wang JT, Wang YP, Liu BY, Sun A, Chiang CP. Odontoma: a clinicopathologic study of 81 cases. J Formos Med Assoc. 2003;102(12):876-82.Hisatomi M, Asaumi JI, Konouchi H, Honda Y, Wakasa T, Kishi K. A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas. Oral Dis. 2002;8(2):100-5.Sheehy EC, Odell EW, Al-Jaddir G. Odontomas in the primary dentition: literature review and case report. J Dent Child (Chic). 2004;71(1):73-6.Sasaki PS, Biancalana H, Duarte DA. Odontoma em pacientes odontopediátricos: repercussöes clínicas e proposiçäo de tratamento Rev Assoc Paul Cir Dent. 2002;56(5):382-86.Serra-Serra G, Berini-Aytés L, Gay-Escoda C. Erupted odontomas: a report of three cases and review of the literature. Med Oral Patol Oral Cir Bucal. 2009;14(6):299-303.Cardoso LC, Miyahara GI, Magro Filho O, Garcia Junior IR, Soubhia AMP. Odontoma combinado associado a dentes não-irrompidos: relato de casos clínicos. Rev Odontol Araçatuba. 2003;24:47-51.Lukes SM, Wachter KM. Compound odontoma: a case study. J Dent Hyg. 2003;77(1):47-9.Chrcanovic RB, Jaeger F, Freire-Maya B. Two-stage surgical removal of large complex odontoma. Oral Maxillofac Surg. 2010;14(4):247-52.

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Lipoma of Piriform Sinus: A Case Report and Review of the Literature

Case Reports in Otolaryngology ◽

10.1155/2016/2521583 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Gilberto Acquaviva ◽

Theodoros Varakliotis ◽

Stefano Badia ◽

Francesco Casorati ◽

Alberto Eibenstein ◽

...

Keyword(s):

Case Report ◽

Postoperative Recovery ◽

Review Of The Literature ◽

Piriform Sinus ◽

Adjacent Structure ◽

Slow Growing ◽

Nose And Throat ◽

Optimal Visualization

The lipomas of oropharynx, hypopharynx, and larynx are so rare that up to now approximately there have been 100 cases reported. The lipomas are slow-growing lesions that are capable of reaching considerable dimensions and are often detected at a late stage. The symptoms can vary both in dimension and in location, semiobstructing the aerodigestive tract or exerting compression on adjacent structure. In this case, the lesion, which originated from the piriform sinus, was removed endoscopically urgently due to obvious signs of tissue suffering caused by stretching of the pedicle as a result of displacement of the mass. The two aims of this case report are to expose an interesting and rare case study mainly for an Emergency Room Specialist and an ENT (Ear, Nose, and Throat) Specialist involved in solving the problem and to demonstrate that the choice of an endoscopic approach is useful in order to have an optimal visualization of the lesion and to perform a total eradication. The use of endoscopic devices also allows a rapid postoperative recovery, compared to external access and optimum locoregional control in the follow-up procedures to prevent possible relapses.

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Spontaneous rupture of splenic artery aneurysm in pregnancy: A case report and review of the literature

Polish Annals of Medicine ◽

10.29089/2020.20.00139 ◽

2020 ◽

Author(s):

Wojciech Tomasz Zdanowski ◽

Maciej Eliszewski ◽

Janina Lipińska ◽

Mariusz Przybyłowicz ◽

Piotr Malinowski ◽

...

Keyword(s):

Case Report ◽

Splenic Artery ◽

Hypovolemic Shock ◽

Artery Aneurysm ◽

Study Patient ◽

Review Of The Literature ◽

Fetal Survival ◽

Visceral Artery Aneurysms ◽

In Pregnancy

Introduction: Splenic artery aneurysms (SAAs) are the most common (60%) of visceral artery aneurysms with the possibility of rupture. SAA rupture is associated with 20% mortality, which increases disproportionately to 75% in pregnant women, with fetal the mortality rate of 95%. Aim: We present a discussion based on the case report with a review of the literature on ruptured SAA in pregnancy as well as possible treatment options, complications and prognosis. Case study: Patient, 40-year-old pregnant woman, gravida 2, para 1, 33 week of pregnancy, with ruptured SAA, underwent cesarean section, splenectomy, and hypovolemic shock treatment. The outcomes of the mother and neonates were good. Postoperative recovery was complicated by right-sided pneumothorax. Results and discussion: 87% of patients with SAA are females. In our analysis of cases, with ruptured SAA in pregnancy, the parity may be the factor that influences the maternal and fetal outcomes. In third trimester of pregnancy (as in our case study) the most often mistaken indication for laparotomy was a suspected placental abruption. Conclusions: Ruptured SAA during pregnancy should be considered as one of the non-obstetric causes of intraabdominal bleeding. Careful observation of the patient from the onset of symptoms is a key approach that increases maternal and fetal survival.

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Olanzapine as a possible replacement choice for paliperidone-induced Pisa syndrome: a case report

Australasian Psychiatry ◽

10.1177/1039856216665285 ◽

2016 ◽

Vol 24 (6) ◽

pp. 545-547 ◽

Cited By ~ 2

Author(s):

Chang-Chih Tsou ◽

San-Yuan Huang

Keyword(s):

Case Report ◽

Extended Release ◽

Anticholinergic Drug ◽

Review Of The Literature ◽

Treatment Experience ◽

Pisa Syndrome ◽

Physical Position ◽

Paranoid Type ◽

Paliperidone Extended Release

Objective: The aim of this paper is to present a case of paliperidone-induced Pisa syndrome and provide treatment experience. Method: The case report is combined with a review of the literature. Results: A 37-year-old man had been diagnosed with paranoid-type schizophrenia for about 10 years. He received three-month treatment of paliperidone extended release (ER) at 6 mg per day, but showed a progressively Pisa-like physical position. We initially added an anticholinergic drug, but saw no improvement. The paliperidone ER was replaced by olanzapine at 10 mg per day, and the Pisa-like symptom improved after 1 month of the drug replacement. Conclusions: We propose olanzapine as a possible replacement choice for patients with paliperidone-related Pisa syndrome.

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Misophonia: An Evidence-Based Case Report

American Journal of Audiology ◽

10.1044/2020_aja-19-00111 ◽

2020 ◽

Vol 29 (4) ◽

pp. 685-690

Author(s):

C. S. Vanaja ◽

Miriam Soni Abigail

Keyword(s):

Quality Of Life ◽

Case Report ◽

Case History ◽

Pure Tone ◽

Physiological Responses ◽

Evidence Based ◽

Management Option ◽

Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd21.1.11 ◽

2011 ◽

Vol 21 (1) ◽

pp. 11-21 ◽

Cited By ~ 2

Author(s):

Farzan Irani ◽

Rodney Gabel

Keyword(s):

Case Report ◽

Therapeutic Intervention ◽

Intensive Therapy ◽

Positive Outcome ◽

Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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