scholarly journals An Elderly Male with Amyand’s Hernia

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Saema Said ◽  
Roozbeh Houshyar
Keyword(s):  
Amyand’S Hernia ◽  
Elderly Male

Fournier's gangrene as Amyand's hernia complication

2019 ◽  
Vol 98 (7) ◽  
pp. 291-296
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Rare Condition ◽  
Sporadic Case ◽  
Fournier’S Gangrene ◽  
Amyand’S Hernia ◽  
Fournier's Gangrene ◽  
Randomized Controlled Studies ◽  
Based Medicine ◽  
Hernia Complication

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

Amyand’s hernia, a rare clinical presentation. Diagnostic and therapeutic update on the role of coelioscopy

2020 ◽  
Vol 41 (1) ◽  
pp. 42-45
Author(s):  
S Dobos ◽  
V Thill ◽  
K Mottart ◽  
L Bruyninx ◽  
E Creanga ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Amyand’S Hernia

Triamcinolone Acetonide and Bevacizumab Induced Raised Intraocular Pressure in An Elderly Male Diabetic Patient - A Case Report

2016 ◽  
Vol 11 (3) ◽  
pp. 270-271 ◽  
Author(s):  
Hiral N. Golakiya ◽  
Hiren N. Hirapara ◽  
Sugnesh J. Parmar ◽  
Viren N. Naik ◽  
Chandrabhanu B. Tripathi
Keyword(s):  
Intraocular Pressure ◽  
Case Report ◽  
Diabetic Patient ◽  
Triamcinolone Acetonide ◽  
Elderly Male

scholarly journals Refractory Hyperlactatemia and Hypoglycemia in an Adult with Non-Hodgkin’s Lymphoma: A Case Report and Review of the Warburg Effect

2021 ◽  
pp. 1159-1167
Author(s):  
Zainab Al Maqrashi ◽  
Mary Sedarous ◽  
Avinash Pandey ◽  
Catherine Ross ◽  
Ahraaz Wyne
Keyword(s):  
Lactic Acidosis ◽  
Warburg Effect ◽  
Hodgkin’S Lymphoma ◽  
Abdominal Mass ◽  
Hodgkin's Lymphoma ◽  
Type B ◽  
Elderly Male ◽  
Non Hodgkin’S Lymphoma ◽  
Non Hodgkin's Lymphoma ◽  
The Warburg Effect

Lactate is a byproduct of anaerobic glycolysis, and hyperlactatemia is commonly seen in critically ill patients. We report a case of an elderly male presenting with undifferentiated constitutional symptoms, anemia, thrombocytopenia, severe lactic acidosis, refractory hypoglycemia, and a newly detected abdominal mass. A dedicated workup ruled out infectious etiologies and revealed metastatic non-Hodgkin’s lymphoma. This study explores etiologies of type B lactic acidosis in oncology patients, with a focus on Warburg’s effect, and its potential for prognostication.

scholarly journals Necrotic plaques in an elderly male

JRSM Open ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 205427042098145
Author(s):  
Bindi Gaglani ◽  
Ian Logan ◽  
Faris Kubba
Keyword(s):  
Diabetes Mellitus ◽  
Genetic Predisposition ◽  
Unusual Case ◽  
Renal Diseases ◽  
Elderly Male ◽  
Unusual Form ◽  
Underlying Diseases ◽  
Reactive Perforating Collagenosis ◽  
Giant Form

Reactive perforating collagenosis is commonly recognised as an unusual form of transepithelial elimination of collagen and elastin fibres which are extruded through the epidermis in patients with a genetic predisposition or underlying diseases, such as diabetes mellitus or renal diseases. We present the unusual case of an 87-year-old diabetic male with a giant form of reactive perforating collagenosis and review the available literature.

A non-resolving splenic ‘abscess’ in an elderly male – An unusual manifestation of splenic lymphoma

2020 ◽  
pp. 004947552098130
Author(s):  
Raj K Nagarajan ◽  
Balasubramanian Gopal ◽  
Muhamed Tajudeen ◽  
Sarath C Sistla ◽  
K Balamourougan
Keyword(s):  
Risk Factors ◽  
Splenic Abscess ◽  
Low Grade ◽  
Surgical Drainage ◽  
Elderly Male ◽  
Unusual Manifestation ◽  
Splenic Lymphoma ◽  
Haematogenous Spread ◽  
Uncommon Condition ◽  
Abscess Wall

Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenomegaly and low-grade fever with no predisposing factors. Examination revealed a tender splenomegaly. Ultrasonography (US) showed a hypoechoic area within the spleen from which guided aspiration of pus grew Staphylococcus aureus and Klebsiella pneumoniae. Percutaneous drainage and culture-based antibiotics failed to resolve the abscess, obligating surgical drainage. Intraoperative biopsy from the abscess wall was reported as splenic marginal lymphoma. This unusual presentation of lymphoma needs to be considered in splenic abscess without known risk factors.

scholarly journals Comparative Study between Healthy Young and Elderly Subjects: Higher-Order Statistical Parameters as Indices of Vocal Aging and Sex

2021 ◽  
Vol 11 (15) ◽  
pp. 6966
Author(s):  
Hee-Jin Choi ◽  
Ji-Yeoun Lee
Keyword(s):  
Higher Order ◽  
Elderly Subjects ◽  
Sex And Gender ◽  
Gender Analysis ◽  
Elderly Male ◽  
Statistical Parameters ◽  
Time Frequency ◽  
Age Related ◽  
Gender And Age ◽  
Vocal Aging

The objective of this study was to test higher-order statistical (HOS) parameters for the classification of young and elderly voice signals and identify gender- and age-related differences through HOS analysis. This study was based on data from 116 subjects (58 females and 58 males) extracted from the Saarbruecken voice database. In the gender analysis, the same number of voice samples were analyzed for each sex. Further, we conducted experiments on the voices of elderly people using gender analysis. Finally, we reviewed the standards and reference models to reduce sex and gender bias. The acoustic parameters were extracted from young and elderly voice signals using Praat and a time–frequency analysis program (TF32). Additionally, we investigated the gender- and age-related differences in HOS parameters. Young and elderly voice signals significantly differed in normalized skewness (p = 0.005) in women and normalized kurtosis (p = 0.011) in men. Therefore, normalized skewness is a useful parameter for distinguishing between young and elderly female voices, and normalized kurtosis is essential for distinguishing between young and elderly male voices. We will continue to investigate parameters that represent important information in elderly voice signals.

scholarly journals Long-Term Care Financing for an Aging Population: The Experience of Singapore

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 31-31
Author(s):  
Ngee Choon Chia ◽  
Huijun Cynthia Chen
Keyword(s):  
Long Term Care ◽  
Transition Probabilities ◽  
Aging Population ◽  
Elderly Male ◽  
Term Care ◽  
Cash Benefit ◽  
Opt Out ◽  
Insurance Rate ◽  
Long Term Care Insurance

Abstract Singapore has a rapidly aging population. Long-term care (LTC) is one of the largest financial risks facing elderly in Singapore. Singapore implemented Eldershield, a long-term care insurance scheme which provided defined cash benefit payouts in the event of severe disability; but capped at a maximum of six years. Eldershield enrolled people at age 40, but offered an opt-out option. As of 2015, 65% of those aged 40 to 83 opted to be covered by Eldershield, making Singapore as having the highest voluntary LTC insurance rate in the world. This paper uses an actuarial multi-state disability model and calibrates the transition probabilities and duration-of-stay at various health (disability) states to assess the adequacy and comprehensiveness of Eldershield. The time-limited cash benefit design in Eldershield helped defray about 13% of LTC costs. Removing the time cap will help defray 23% and 26% of the LTC costs for elderly male and female respectively. Furthermore, the simulation results demonstrate that relaxing the trigger benefit and having staggered payouts will improve the adequacy of long-term care insurance. The experience of Singapore’s LTC insurance offers insights into the challenges of designing an insurance that tends to occur at higher age and insuring against a cost that could range from zero to a significantly large sum over a long period. Even with the enhanced Careshield Life, which provides cash payouts for life, other policy designs, for example caregiver grants, may be needed to ensure more adequate financing of long-term care.

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