scholarly journals Staghorn Calculus: A Stone out of Proportion to Pain

2021 ◽  
Vol 5 (3) ◽  
pp. 360-361
Author(s):  
John Malone ◽  
Riley Gebner ◽  
Jonathan Weyand
Keyword(s):  
Clinical Course ◽  
Flank Pain ◽  
Urinary Urgency ◽  
High Likelihood ◽  
Computed Tomography Imaging ◽  
Case Presentation ◽  
Tomography Imaging ◽  
Staghorn Calculi ◽  
Staghorn Calculus ◽  
Low Threshold

Case Presentation: A 25-year-old woman presented to the emergency department with two weeks of crampy right-flank pain, and urinary urgency and frequency. She was found to have a staghorn calculus filling her entire right renal pelvis on computed tomography imaging. Discussion: In contrast to ureteral calculi, staghorn calculi are more commonly observed in female patients and typically present with an indolent clinical course. A low threshold for imaging should be maintained, as prompt referral to urology for stone removal or treatment is necessary. Staghorn calculi have a high likelihood of leading to renal failure or urosepsis without treatment.

scholarly journals Point-of-care Ultrasound in the Diagnosis of Calciphylaxis

2020 ◽  
Vol 4 (3) ◽  
pp. 495-496
Author(s):  
Natasha Tobarran ◽  
Mark Collin
Keyword(s):  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Emergency Physicians ◽  
Computed Tomography Imaging ◽  
Case Presentation ◽  
Tomography Imaging ◽  
History Of ◽  
Calcium Deposits ◽  
Stage Renal Disease ◽  
End Stage

Case Presentation: A 63-year-old male with a past medical history of end stage renal disease presented to the emergency department with painful, lower-extremity necrotic ulcerations. Ultrasound and computed tomography imaging showed concerns for calcium deposits. Biopsy confirmed the diagnosis of calciphylaxis, a rare lethal disease. Discussion: Emergency physicians should keep this disease on their differential due to the high mortality rate.

scholarly journals Paradoxical Contralateral Herniation Detected by Pupillometry in Acute Syndrome of the Trephined

2020 ◽  
Vol 185 (3-4) ◽  
pp. 532-536 ◽  
Author(s):  
Victoria E Fischer ◽  
Jason H Boulter ◽  
Randy S Bell ◽  
Daniel S Ikeda
Keyword(s):  
Pressure Monitoring ◽  
Computed Tomography Imaging ◽  
Case Presentation ◽  
Surgical Decision ◽  
Tomography Imaging ◽  
Medical Facilities ◽  
Intracranial Pressures ◽  
General Surgeons ◽  
Surgical Decision Making ◽  
Syndrome Of The Trephined

Abstract Severe traumatic brain injury has historically been a non-survivable injury. Recent advances in neurosurgical care, however, have demonstrated that these patients not only can survive, but they also can recover functionally when they undergo appropriate cerebral decompression within hours of injury. At the present, general surgeons are deployed further forward than neurosurgeons (Role 2 compared to Role 3) and have been provided with guidelines that stipulate conditions where they may have to perform decompressive craniectomies. Unfortunately, Role 2 medical facilities do not have access to computed tomography imaging or intracranial pressure monitoring capabilities rendering the decision to proceed with craniectomy based solely on exam findings. Utilizing a case transferred from downrange to our institution, we demonstrate the utility of a small, highly portable quantitative pupillometer to obtain reliable and reproducible data about a patient’s intracranial pressures. Following the case presentation, the literature supporting quantitative pupillometry for surgical decision-making is reviewed.

scholarly journals Evaluation of the clinical course of a non-hemorrhagic cerebral artery dissection using multimodal computed tomography imaging: A case report

Nosotchu ◽  
2011 ◽  
Vol 33 (2) ◽  
pp. 275-281
Author(s):  
Mitsunori Ozaki ◽  
Tatsuya Ogino ◽  
Toshiaki Osato ◽  
Kenji Kamiyama ◽  
Jyoji Nakagawara ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cerebral Artery ◽  
Clinical Course ◽  
Artery Dissection ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Cerebral Artery Dissection

Fever in the returning traveller: Dual infection with SARS-CoV-2 and Plasmodium falciparum malaria

2020 ◽  
pp. 105-108
Author(s):  
MA Parker ◽  
E Nell ◽  
A Mowlana ◽  
MS Moolla ◽  
S Karamchand ◽  
...  
Keyword(s):  
Plasmodium Falciparum ◽  
Falciparum Malaria ◽  
Clinical Course ◽  
Febrile Illness ◽  
Plasmodium Falciparum Malaria ◽  
Dual Infection ◽  
Pneumocystis Pneumonia ◽  
Case Presentation ◽  
Presenting Symptoms ◽  
Uncomplicated Plasmodium Falciparum Malaria

Background: More than 90% of the global 400 000 annual malaria deaths occur in Africa. The current SARS-CoV-2 pandemic has resulted in more than 830 000 deaths in its first 10 months. Case presentation: This case describes a patient who had travelled from Mozambique to Cape Town, presented with a mild febrile illness, and was diagnosed with both COVID-19 and uncomplicated Plasmodium falciparum malaria infection. She responded well to malaria treatment and had an uneventful COVID-19 admission. Her blood smear showed a low malaria parasitaemia and a relatively high gametocyte load. Conclusion: We postulate that her clinical course and abnormal smear could well be due to reciprocal disease-modifying effects of the infections. The presenting symptoms of COVID-19 may mimic endemic infectious diseases including malaria, tuberculosis, pneumocystis pneumonia and influenza thus there is a need for clinical vigilance to identify and treat such co-infections.

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