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Turkish Journal of Emergency Medicine

Paisal Hussin, Maliza Mawardi, Kang Kai Lim
No abstract text is available yet for this article.
March 2016: Turkish Journal of Emergency Medicine
Ibrahim Toker, Bunyamin Zirek
We present the case of a patient who presented to the emergency department complaining of elbow pain after falling. Radiographic views of the elbow were shown.
March 2016: Turkish Journal of Emergency Medicine
Sinem Avci, Ersin Aksay
No abstract text is available yet for this article.
March 2016: Turkish Journal of Emergency Medicine
Ceren Sen Tanrikulu, Hilal Hocagil, Ural Kaya, Abdullah Cuneyt Hocagil
Stroke occurs due to the interruption of blood flow to the brain and it is divided into ischemic and hemorrhagic. In the ischemic strokes, while the most commonly affected vessel is median cerebral artery (MCA), it is particularly affected bilateral posterior cerebral artery (PCA) is very rare condition. In this study, a case of sudden loss of vision and bilateral occipital infarct associated with bilateral vertebral system pathology and methylene tetrahydrofolate reductase (MTHFR) gene mutation were reported...
March 2016: Turkish Journal of Emergency Medicine
Ertan Sonmez, Kenan Ahmet Turkdogan, Cahit Yilmaz, Sitki Kucukbuzcu, Abuzer Ozkan, Ozgur Sogutt
INTRODUCTION: It has been argued in current studies that anabolic androgenic steroids (AAS) are misused by a great number of bodybuilders and athletes. However, there is diverse and often conflicting scientific data on the cardiac and metabolic complications caused by the misuse of AAS. There may be various reasons for myocardial infarction (MI) with normal coronary arteries. However, for the majority of patients, the exact cause is still unknown. CASE REPORT: A 32 year-old male who was complaining about severe chest pain was admitted to our emergency department...
March 2016: Turkish Journal of Emergency Medicine
Onder Limon, Erkan Sahin, Funda Ugur Kantar, Deniz Oray, Asli Aydinoglu Ugurhan
Acute pancreatitis can have a variable presentation and diagnosis is based on clinical presentation, serum amylase and lipase levels and computed tomography. Negative predictive value of serum lipase in diagnosing acute pancreatitis is approximately to 100 percent and a normal blood lipase level in acute pancreatitis is an extremely rare condition. Here we reported two cases with normal serum amylase and lipase levels.
March 2016: Turkish Journal of Emergency Medicine
Murat Songur, Ercan Şahin, Sinan Zehir, Ibrahim Ilker Oz, Mahmut Kalem
Acute gluteal artery syndrome secondary to superior gluteal artery injury following pelvic fracture is a rare entity with potential for significant morbidity and mortality. In this report we present such a case resulting with a favorable outcome with prompt diagnosis and appropriate treatment.
March 2016: Turkish Journal of Emergency Medicine
Kerem Seref Corbacioglu, Gokhan Aksel, Altan Yildiz
Pseudoaneurysm of the superior gluteal artery (SGA) is very rare and the most common causes are blunt or penetrating pelvic traumas. Although pseudoaneurysm can be asymptomatic at the time of initial trauma, it can be symptomatic weeks, months, even years after initial trauma. We present a case of a ruptured superior gluteal artery pseudoaneurysm with hemorrhagic shock twenty days after a bomb injury in the Syria civil war. In addition, we review the anatomy of the SGA, clinical presentation and pitfalls of pseudoaneurysm, and imaging and treatment options...
March 2016: Turkish Journal of Emergency Medicine
Osman Kones, Cevher Akarsu, Halil Dogan, Yildiz Okuturlar, Ahmet Cem Dural, Mehmet Karabulut, Eyup Gemici, Halil Alis
OBJECTIVES: Currently, diagnostic laparoscopy (DL) is recommended for the left thoraco-abdominal region penetrating injuries (LTARP). However, organ and diaphragmatic injury may not be detected in all of these patients. Our aim is to focus on this LTARP patient group without any operative findings and to highlight the evaluation of diagnostic tools in the high-tech era for a possible selected conservative treatment. MATERIAL AND METHODS: The patients who were admitted to ED due to LTARP, and who underwent routine DL were evaluated retrospectively in terms of demographic, clinical, radiological, and operative findings of the patients...
March 2016: Turkish Journal of Emergency Medicine
Gulsum Limon, Gurkan Ersoy, Nese Colak Oray, Basak Bayram, Onder Limon
OBJECTIVES: We investigated the demographic characteristics, clinical and laboratory findings, treatment strategies and clinical outcomes of patients presenting at emergency department (ED) with digoxin levels at or above 1.2 ng/ml. MATERIALS AND METHODS: The demographic and clinical characteristics of patients with serum digoxin levels at or above 1.2 ng/ml admitted to an ED between January 2010 and July 2011 were investigated in this cross-sectional descriptive study...
March 2016: Turkish Journal of Emergency Medicine
Can Ozen, Emre Salcin, Haldun Akoglu, Ozge Onur, Arzu Denizbasi
OBJECTIVES: Our primary goal is to investigate the hypothesis that in patients with a detectable ventricular wall motion (VWM) in cardiac ultrasonography (US) during cardiopulmonary resuscitation (CPR), survival rate is significantly more than in patients without VWM in US. MATERIAL AND METHODS: In our prospective, single center study, 129 adult cardiac arrest (CA) patients were enrolled. Cardiac US according to Focus Assessed Transthoracic Echo (FATE) protocol was performed before CPR...
March 2016: Turkish Journal of Emergency Medicine
Ahmet Yildirim, Sule Yildirim, Naci Topaloglu, Mustafa Tekin, Adem Kucuk, Havva Erdem, Mesut Erbas, Dilek Ulker Cakir
OBJECTIVES: Ischemia modified albumin (IMA) levels significantly increased and may be used as a diagnostic marker in ovarian torsion. The aim of this study is to investigate whether there was any correlation between IMA levels and histopathologic changes in experimental ovarian torsion. MATERIAL AND METHODS: Fourteen Sprague-Dawley rats, each weighing 220-250 g were divided randomly into 2 groups; in Group 1, the control group (n = 7), only laparotomy was performed and in Group 2, the experimental group (n = 7), ovarian torsion was performed...
March 2016: Turkish Journal of Emergency Medicine
Esra Keçe, Elif Yaka, Serkan Yılmaz, Nurettin Özgür Doğan, Cansu Alyeşil, Murat Pekdemir
OBJECTIVES: Differentiating sepsis from other noninfectious causes of systemic inflammatory response syndrome (SIRS) in cancer patients is often challenging. Although lactate and procalcitonin have been studied extensively regarding sepsis management, little is known about their utility in cancer patients. This study aimed to compare the diagnostic and prognostic utility of lactate and procalcitonin for sepsis in cancer patients. MATERIAL AND METHODS: This prospective case-control study was conducted with adult cancer patients presenting to emergency department (ED) with at least two SIRS criteria...
March 2016: Turkish Journal of Emergency Medicine
Turker Acar, Duran Efe
No abstract text is available yet for this article.
December 2015: Turkish Journal of Emergency Medicine
Mustafa Burak Sayhan, Abidin Aygun
No abstract text is available yet for this article.
December 2015: Turkish Journal of Emergency Medicine
Vaner Koksal, Selcuk Coskun, Pinar Koksal Coskun
Patients with vertebral fractures are frequently encountered and those with thoracic and lumbar spine fractures are likely to have associated injuries. Detection of a widened mediastinum after trauma is very nonspecific and most of the time it is related to aortic injury or mediastinal hematoma. Vertebral or sternal fractures can also be the cause of mediastinal hematoma with or without aortic injury. This report reviews an unusual case of rapid onset mediastinal hematoma due to vertebral fracture after a fall...
December 2015: Turkish Journal of Emergency Medicine
Fatma Sari Dogan, Vehbi Ozaydin, Onur Incealtin, Ozlem Guneysel, Merve Demireller
Acute hepatitis is characterized by liver inflammation and liver cell necrosis. The most frequently observed underlying cause thereof is viruses, but various other causes, such as alcohol, medication, or toxins may also lead thereto. In this paper, a case of acute hepatitis presenting with bradycardia, hypotension, and a prominent increase in liver enzymes following mad honey ingestion is discussed. Since there are only few cases of acute hepatitis following mad honey ingestion in the literature, we want to present this subject matter...
December 2015: Turkish Journal of Emergency Medicine
Ibrahim Toker, Murat Yesilaras, Feriyde Caliskan Tur, Rana Toktas
Increase of methemoglobin level is named as methemoglobinemia characterized by functional anemia and tissue hypoxia. Methemoglobinemia can be congenital, but acquired form are more often caused by various drugs and toxins. Methylene blue is the most effective antidote for acquired methemoglobinemia. When methylene blue is not available, alternative treatments such as ascorbic acid and hyperbaric oxygen can be useful. In this paper we presented a case of methomoglobinemia due to dapsone overdose.
December 2015: Turkish Journal of Emergency Medicine
Serdar Ozdemir, Tuba Cimilli Ozturk, Yalman Eyinc, Ozge Ecmel Onur, Muhammed Keskin
Wellens' Syndrome is a pattern of electrocardiographic T-wave changes associated with critical, proximal left anterior descending (LAD) artery stenosis. Diagnostic criteria of Wellens' Syndrome are history of chest pain, little or no cardiac enzyme elevation, little or no ST-segment elevation, no loss of precordial R waves, no pathologic precordial Q waves and typical T-wave changes. Urgent cardiac catheterization is vital to prevent myocardial necrosis. Here we are presenting two cases with Wellens' Syndrome who had been sent for catheterization before marked myocardial infarction developed...
December 2015: Turkish Journal of Emergency Medicine
Pinar Gencpinar, Murat Duman
Foreign body aspiration in children under four years old is one of the most frequently observed reasons for accident related deaths. It is more common in this age group due to inadequate swallowing functions and exploration of objects with the mouth. The most frequently encountered foreign bodies are food and toy parts. Life threatening complete laryngeal obstruction is rarely observed. Dyspnea, hypersalivation, cough and cyanosis can be seen. The basic and life-saving treatment approach is complete removal of foreign body maneuvers in the sudden onset of total obstruction...
December 2015: Turkish Journal of Emergency Medicine
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