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Emergency usg

Ozay Demiray, Erdem Cevik, Ferhat Cuce
BACKGROUND: Complete blood count (CBC) parameters may associated with multiple diseases. Urinary stone disease is common public problem. Predictive value of CBC parameters may be associated with urinary stone disease. OBJECTIVES: To analyze the association between complete blood count (CBC) parameters and urinary stone disease. PATIENTS AND METHODS: This study was a retrospective observational study of 3,099 patients who were admitted to the urology outpatient clinic or diagnosed with urinary stone disease in the emergency services department...
July 2016: Iranian Red Crescent Medical Journal
Hema Goyal, Vijai Tilak
Pancytopenia is defined as decrease in red blood cells, white blood cells and platelets. Many disease processes involve the bone marrow primarily or secondarily resulting in pancytopenia. A 55-year-old male presented with generalized body weakness and few episodes of malena for last one year. Physical and systemic examination was unremarkable. CBC report revealed pancytopenia. Other haematological parameters were within normal limit. Stool for occult blood was positive. USG and CECT abdomen showed no abnormality...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
Kalyan Sarma, D B Mondal, M Saravanan
Tick-borne infectious diseases constitute an emerging problem in Veterinary Medicine. The study was undertaken to find out the ultrasonographic changes of liver and spleen in 101 positive cases of tick borne intracellular haemoparasitic diseases in dogs. Abdominal survey of ultrasonography revealed hypo echogenicity of liver, gall bladder distension, splenomegaly, hepato-splenomegaly and ascites in various tick born intracellular diseases viz. ehrlichiosis, babesiosis, anaplasmosis, hepatozoonosis and in mixed infection...
June 2016: Journal of Parasitic Diseases: Official Organ of the Indian Society for Parasitology
Salih Kocaoğlu, Ayhan Özhasenekler, Ferhat İçme, Gül Pamukçu Günaydın, Alp Şener, Şervan Gökhan
INTRODUCTION: The aim of this study was to evaluate the efficiency of ultrasonography (USG) in identifying metacarpal bone fractures in patients admitted to the emergency department (ED) with hand injury. MATERIALS AND METHODS: Patients who were admitted to a training and research hospital's ED during the study period with hand trauma and had suspected metacarpal fractures were included in the study. They were examined for metacarpal fracture by USG and x-ray. Hand radiographs reviewed by an emergency physician were considered to be the criterion standard diagnostic tool...
September 2016: American Journal of Emergency Medicine
Ryan Miller, Hang Ho, Vivienne Ng, Melissa Tran, Douglas Rappaport, William J A Rappaport, Stewart J Dandorf, James Dunleavy, Rebecca Viscusi, Richard Amini
INTRODUCTION: Over the past decade, medical students have witnessed a decline in the opportunities to perform technical skills during their clinical years. Ultrasound-guided central venous access (USG-CVA) is a critical procedure commonly performed by emergency medicine, anesthesia, and general surgery residents, often during their first month of residency. However, the acquisition of skills required to safely perform this procedure is often deficient upon graduation from medical school...
May 2016: Western Journal of Emergency Medicine
Lori A Stolz, Anthony R Cappa, Michael R Minckler, Uwe Stolz, Ryan G Wyatt, Carl W Binger, Richard Amini, Srikar Adhikari
INTRODUCTION: It is unclear how many ultrasound-guided peripheral intravenous catheters (USG PIVC) one must place to become proficient at the procedure. The objective of this study was to determine the learning curve associated with PIVC placement and determine how many attempts are required for non-physician learners to reach proficiency. METHODS: This is a prospective observational study. Emergency department (ED) nurses and paramedics with competence in traditional PIVC placement underwent a USG PIVC placement training program...
July 12, 2016: Journal of Vascular Access
Robert McGraw, Tim Chaplin, Conor McKaigney, Louise Rang, Melanie Jaeger, Damian Redfearn, Colleen Davison, Tamas Ungi, Matthew Holden, Caitlin Yeo, Zsuzsanna Keri, Gabor Fichtinger
OBJECTIVE: To develop a simulation-based curriculum for residents to learn ultrasound-guided (USG) central venous catheter (CVC) insertion, and to study the volume and type of practice that leads to technical proficiency. METHODS: Ten post-graduate year two residents from the Departments of Emergency Medicine and Anesthesiology completed four training sessions of two hours each, at two week intervals, where they engaged in a structured program of deliberate practice of the fundamental skills of USG CVC insertion on a simulator...
May 16, 2016: CJEM
T Sreenivas, A R Nataraj, Anand Kumar, Jagdish Menon
PURPOSE: The study was conducted to evaluate clinical and microbiological profile of neonates with septic arthritis and also to assess changing epidemiology in the microbial etiology. METHODS: Twenty-nine neonates (1-28 days of life) presenting to the Department of Orthopaedics with acute septic arthritis were included in the study. This was a descriptive study, and the data were collected during the time of hospital admission. History and clinical examination of the neonates were taken, and diagnosis was made based on clinical and laboratory parameters...
July 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Kazumasa Emori, Nobuhiro Takeuchi, Junichi Soneda
A 46-year-old male with a history of hypertension visited the emergency department (ED) by ambulance complaining of sudden pain in the left side of his back. Ultrasonography (USG) performed at ED revealed splenic infarction along with occlusion and dissection of the celiac and splenic arteries without abdominal artery dissection. Contrast enhanced computed tomography (CT) revealed the same result. Consequently, spontaneous isolated celiac artery dissection (SICAD) was diagnosed. Because his blood pressure was high (159/70 mmHg), antihypertensive medicine was administered (nicardipine and carvedilol)...
2016: Case Reports in Cardiology
Rohini Gupta, Sunil Kumar Bajaj, Nishith Kumar, Ranjan Chandra, Ritu Nair Misra, Amita Malik, Brij Bhushan Thukral
The application of magnetic resonance imaging (MRI) in pregnancy faced initial skepticism of physicians because of fetal safety concerns. The perceived fetal risk has been found to be unwarranted and of late, the modality has attained acceptability. Its role in diagnosing fetal anomalies is well recognized and following its safety certification in pregnancy, it is finding increasing utilization during pregnancy and puerperium. However, the use of MRI in maternal emergency obstetric conditions is relatively limited as it is still evolving...
January 2016: Indian Journal of Radiology & Imaging
Selahattin Koray Okur, Yavuz Savaş Koca, İhsan Yıldız, İbrahim Barut
Introduction. Acute appendicitis is the most common cause of acute abdomen, but atypical appendicitis may lead to delayed diagnosis and related complications. In this report, we present a very rare case of acute appendicitis causing right hydronephrosis. Case Report. A 54-year-old male patient who had been receiving antibiotic therapy due to the diagnosis of urinary tract infection for the last one week but had no clinical improvement was admitted to the emergency service. Abdominal computed tomography (CT) showed right hydronephrosis and a pelvic abscess...
2016: Case Reports in Emergency Medicine
Sinan Karacabey, Erkman Sanrı, Emin Gokhan Gencer, Ozlem Guneysel
BACKGROUND: In this study we aimed to evaluate the success of ultrasonography (USG) for confirming the tube placement and timeliness by tracheal USG and ultrasonographic lung sliding in resuscitation and rapid sequence intubation. MATERIALS AND METHODS: This study was a prospective, single-center, observational study conducted in the emergency department of a tertiary care hospital. Patients were prospectively enrolled in the study. Patients who went under emergency intubation because of respiratory failure, cardiac arrest or severe trauma included in the study...
June 2016: American Journal of Emergency Medicine
U Kaya, U Y Çavuş, M E Karakılıç, A B Erdem, K Aydın, B Işık, S Abacıoğlu, F Büyükcam
PURPOSE: Abdominal trauma is the third most common cause of all trauma-related deaths in children. Liver injury is the second most common, but the most fatal injury associated with abdomen trauma. Because the liver enzymes have high sensitivity and specificity, the use of tomography has been discussed for accurate diagnosis of liver injury. METHODS: Our study was based on retrospective analyses of hemodynamically stabil patients under the age of 18 who were admitted to the emergency department with blunt abdominal trauma...
December 2013: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Bhawna Satija, Sanyal Kumar, Leena Wadhwa, Taru Gupta, Supreethi Kohli, Rajkumar Chandoke, Pratibha Gupta
CONTEXT: Placenta accreta is the abnormal adherence of the placenta to the uterine wall and the most common cause for emergency postpartum hysterectomy. Accurate prenatal diagnosis of affected pregnancies allows optimal obstetric management. AIMS: To summarize our experience in the antenatal diagnosis of placenta accreta on imaging in a tertiary care setup. To compare the accuracy of ultrasound (USG) with color Doppler (CDUS) and magnetic resonance imaging (MRI) in prenatal diagnosis of placenta accreta...
October 2015: Indian Journal of Radiology & Imaging
M F Karim, M Al-Mahtab, S Rahman, C R Debnath
Non-alcoholic fatty liver disease (NAFLD) is an emerging problem in Hepatology clinics. It is closely related to the increased frequency of overweight or obesity. It has recognised association with metabolic syndrome. Central obesity, diabetes mellitus, dyslipidemia are commonest risk factors. Association with hepatitis C genotype 3 is also recognised. NAFLD is an important cause of cyptogenic cirrhosis of liver. It affects all populations and all age groups. Most patients with NAFLD are asymptomatic or vague upper abdominal pain...
October 2015: Mymensingh Medical Journal: MMJ
Daniel Putensen, Linda Pilcher, Dawn Collier, Karen McInerney
BACKGROUND: Securing adequate vascular access is essential for a successful apheresis procedure. In most, peripheral access is preferred but it is not always technically possible. Ultrasound-Guided Peripheral Vascular Access (USG-PIVA) is a well-documented technique in the setting of Emergency departments. However, limited data exists reporting its use in the context of automated red cell exchanges (a-RCEx). PURPOSE: To assess the effectiveness and feasibility of USG-PIVA to undertake successful a-RCEx...
November 26, 2015: Journal of Clinical Apheresis
Leena Wadhwa, Sanjana N Wadhwa, Sunita Jindal
Case Presentation. Mrs. X, 35 years old, case of primary infertility, was diagnosed to have genital tuberculosis on the basis of PCR positive and hysterolaparoscopy findings and received category I ATT for 6 months. Following ATT completion, her USG revealed no evidence of tuboovarian mass or hydrosalpinx. Since her tubes were patent, she underwent 3 cycles of ovulation induction and 2 cycles of IUI. The women presented with acute PID, five days after IUI, and was conservatively managed. She again presented 24 days after IUI with persistent low grade fever and abdominal pain...
2015: Case Reports in Obstetrics and Gynecology
Reshma Sajan, Mumtaz Pulikkathodi, Abdul Vahab, Valsan Mankara Kunjitty, Hassan Sheikh Imrana
BACKGROUND: Surgical, medical and expectant management are the various options available to manage early pregnancy miscarriages; each with its own merits and demerits. In the last two decades, the efficacy and safety of expectant management which allows for the spontaneous passage of retained products of conception has been studied and confirmed. AIM: To compare the safety and efficacy of expectant management of early pregnancy miscarriages with surgical uterine evacuation...
October 2015: Journal of Clinical and Diagnostic Research: JCDR
Robert F Baldwin, Paul B Leonard
Conservation decisions should be evaluated for how they meet conservation goals at multiple spatial extents. Conservation easements are land use decisions resulting from a combination of social and environmental conditions. An emerging area of research is the evaluation of spatial distribution of easements and their spatial correlates. We tested the relative influence of interacting social and environmental variables on the spatial distribution of conservation easements by ownership category and conservation status...
2015: PloS One
İhsan Yıldız, Yavuz Savas Koca, İbrahim Barut
Introduction. The incidence of gallbladder cancer presenting with acute cholecystitis is 2.3%, squamous cell carcinoma is rarely seen, and overlap of acute cholecystitis and squamous cell carcinoma is a very rare condition in the literature. Presentation of Case. A 75-year-old woman was admitted to emergency service with a pain in the right upper quadrant, nausea, and vomiting. The patient was considered as having acute cholecystitis. During the exploration because Hartman's pouch was not dissected, it was adhered to the cystic duct and had fibrotic adhesion...
2015: Case Reports in Surgery
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