scholarly journals Post Traumatic Isolated Ureteropelvic Junction Avulsion in a Child

2016 ◽  
Vol 10 (3) ◽  
pp. 160-162 ◽  
Author(s):  
Tanveer I. Dar ◽  
Muddasar H. Rather ◽  
Abdul R. Khawaja ◽  
Mujahid A. Mir ◽  
Syed S. Nazir
Keyword(s):  
Blunt Trauma ◽  
High Index ◽  
Initial Presentation ◽  
Ureteropelvic Junction ◽  
Post Traumatic ◽  
High Index Of Suspicion

Isolated ureteropelvic junction injuries due to blunt trauma are very rare and are missed at initial presentation in more than 50% patients. Hence they need high index of suspicion for diagnosis which is the main aim of reporting this case.

scholarly journals Postvaginal Delivery Caecal Volvulus and Perforation

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
M. M. Abdullah Agha
Keyword(s):  
Intestinal Obstruction ◽  
Vaginal Delivery ◽  
Adverse Outcomes ◽  
High Index ◽  
Initial Presentation ◽  
Common Causes ◽  
The Common ◽  
High Index Of Suspicion ◽  
Caecal Perforation ◽  
Uncommon Complication

Intestinal obstruction is an uncommon complication of pregnancy and pueperium. It has different etiologies and voluvlus is one of the common causes. High index of suspicion is needed to diagnose it as initial presentation is nonspecific and that is critical to avoid adverse outcomes. We presented here one of these cases that followed vaginal delivery and ended with caecal perforation and hemicolectomy.

scholarly journals Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Jalal Eddine El Ammari ◽  
Youness Ahallal ◽  
Mohammed Jamal El Fassi ◽  
M. Hassan Farih
Keyword(s):  
Blunt Trauma ◽  
Multiple Organ ◽  
Ureteropelvic Junction ◽  
Current Status ◽  
Tender Mass ◽  
Trauma Case ◽  
High Index Of Suspicion ◽  
Delays In Diagnosis ◽  
Retrograde Ureteropyelography ◽  
Made In

Partial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will be determined by the severity of the disruption. We present herein a 24-year-old man who was admitted to the Emergency Room with multiple organ injuries caused by a severe blunt trauma. Emergency celiotomy was performed for massive hemoperitoneum and shattered spleen which led to splenectomy. The diagnosis of partial UPJ disruption was missed preoperatively and suspected in CT scan after appearance of flank tender mass. Confirmation was obtained in retrograde ureteropyelography and treated conservatively with indwelling ureteral stent. We present herein an extensive review of the literature to examine the current status of this entity and to determine if improvements could be made in the diagnosis and treatment.

Pharyngoesophageal Perforations after Blunt Trauma to the Neck

1983 ◽  
Vol 91 (6) ◽  
pp. 620-626 ◽  
Author(s):  
Warren E. Hagan
Keyword(s):  
Blunt Trauma ◽  
Clinical Experience ◽  
Treatment Protocol ◽  
Aerodigestive Tract ◽  
High Index ◽  
Surgical Drainage ◽  
Upper Aerodigestive Tract ◽  
High Index Of Suspicion

The neck with cartilaginous framework left intact still requires a high index of suspicion of a pharyngoesophageal perforation after blunt trauma. If the diagnosis is missed and/or prompt surgical drainage of the perforation is delayed, increased morbidity from deep neck abscesses and/or death may result. This is the first reported series of pharyngoesophageal perforations that follow blunt trauma. On the basis of this clinical experience and the literature, I have formulated a treatment protocol for upper aerodigestive tract perforations secondary to blunt trauma.

Thigh Compartment Syndrome: Return to Competitive Sport is Possible

2008 ◽  
Vol 53 (4) ◽  
pp. 1-8
Author(s):  
Cj Tollan ◽  
D J M Macdonald ◽  
Michael P Kelly
Keyword(s):  
Compartment Syndrome ◽  
Blunt Trauma ◽  
Surgical Intervention ◽  
High Index ◽  
Soccer Players ◽  
Competitive Sport ◽  
Professional Soccer ◽  
High Index Of Suspicion

Thigh compartment syndrome is a relatively rare but potentially devastating condition. We present three cases in semi-professional soccer players and demonstrate that satisfactory results can be obtained with timely surgical intervention. Clinicians and team doctors should have a high index of suspicion for thigh compartment syndrome following blunt trauma and should be aware that it can develop many hours or days after injury.

Neurobrucellosis associated with feral swine hunting in the southern United States

2020 ◽  
Vol 13 (12) ◽  
pp. e238216
Author(s):  
Harry Ross Powers ◽  
Jared R Nelson ◽  
Salvador Alvarez ◽  
Julio C Mendez
Keyword(s):  
United States ◽  
At Risk ◽  
High Index ◽  
Southern United States ◽  
Endemic Country ◽  
Feral Swine ◽  
Neurological Sequelae ◽  
Initial Symptoms ◽  
The Usa ◽  
High Index Of Suspicion

Although uncommon, Brucella infection can occur outside the areas of high endemicity, such as the USA. In the southern USA, hunters of wild swine are at risk for brucellosis. We present a case of a patient with fever, headache and constitutional symptoms that were ongoing for 11 months. He was diagnosed with neurobrucellosis. The patient was treated successfully with intravenous ceftriaxone, oral doxycycline and oral rifampin therapy. He had persistent neurological sequelae after completing treatment. This case illustrates the high index of suspicion needed to diagnose neurobrucellosis in a non-endemic country because initial symptoms can be subtle. The disease can be treated successfully, but long-lasting neurological sequelae are common.

Mycobacterium Fortuitum Infections of the Hand

1992 ◽  
Vol 17 (6) ◽  
pp. 675-677 ◽  
Author(s):  
F. K. IP ◽  
S. P. CHOW
Keyword(s):  
Correct Diagnosis ◽  
High Index ◽  
Mycobacterium Fortuitum ◽  
High Index Of Suspicion

Five cases are reported of infection due to Mycobactenum fortuitum involving the hand following contaminated injection or traumatic wounds. Synovectomy, debridement, or amputation together with prolonged chemotherapy using kanamycin or amikacin were required. Doxycycline and sulphamethoxasole also seemed to be the effective antibiotics for this organism. A high index of suspicion is important in order to obtain the correct diagnosis.

scholarly journals Acute permethrin neurotoxicity: Variable presentations, high index of suspicion

2014 ◽  
Vol 1 ◽  
pp. 1026-1028 ◽  
Author(s):  
Bonny Drago ◽  
Namrata S. Shah ◽  
Samir H. Shah
Keyword(s):  
High Index ◽  
High Index Of Suspicion

Benign ano-rectal disorders

2017 ◽  
Vol 10 (5) ◽  
pp. 253-261
Author(s):  
James Kynaston
Keyword(s):  
Primary Care ◽  
High Index ◽  
Diagnosis And Management ◽  
High Index Of Suspicion ◽  
Adult Presentation ◽  
Surgical Referral

Benign ano-rectal disorders are a common adult presentation to primary care; they also generate a significant number of secondary referrals. The exact prevalence of these conditions is difficult to determine, due to under-reporting of symptoms, which patients can find embarrassing and difficult to disclose. It can be challenging to distinguish between different ano-rectal disorders which present with similar symptoms. A high index of suspicion is required to detect serious malignant pathology. The aim of this article is to outline the epidemiology, pathophysiology, diagnosis and management of common benign ano-rectal disorders in primary care. The indications for surgical referral and important cancer referral guidelines are included.

Neonatal chikungunya encephalitis

2021 ◽  
pp. 004947552110632
Author(s):  
R. Sreekanth ◽  
Lakshmi Venugopal ◽  
B. Arunkrishnan ◽  
Somya chaturvedi ◽  
Shanmugha sundaram
Keyword(s):  
Skin Rash ◽  
Perinatal Transmission ◽  
Viral Disease ◽  
High Index ◽  
New Born ◽  
Laboratory Confirmation ◽  
High Index Of Suspicion

Chikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.

scholarly journals Bilateral Charcot hip Arthropathy Due to Tabes Dorsalis: A Case Report

2018 ◽  
Vol 25 (1) ◽  
pp. 21-23
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Luk Kristine Shik ◽  
Lam Polly Wy ◽  
Wong Kwok Ho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
High Index ◽  
Tabes Dorsalis ◽  
High Index Of Suspicion

This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.

Sign in / Sign up

Export Citation Format

Share Document