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https://www.readbyqxmd.com/read/29906334/spontaneous-gastric-dilatation-volvulus-in-two-cats
#1
Meredith L Leary, Virginia Sinnott-Stutzman
OBJECTIVES: To describe 2 cases of gastric dilatation-volvulus (GDV) in cats. To describe 2 unique clinical settings in which the disease occurs in cats, and to highlight the differences between GDV in cats and dogs. CASE SERIES SUMMARY: Two neutered female Persian cats were presented for evaluation of respiratory distress. Initial physical examination revealed tachypnea, dyspnea, and a markedly distended and painful abdomen in both cats. Radiographs revealed a gas-dilated stomach and gastrointestinal (GI) tract in both cats but were only diagnostic for GDV in 1 case...
June 15, 2018: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/29905897/patterns-of-injury-and-outcomes-in-the-elderly-patient-with-rib-fractures-a-multicenter-observational-study
#2
Mark G Van Vledder, Vicky Kwakernaak, Tjebbe Hagenaars, Esther M M Van Lieshout, Michiel H J Verhofstad
BACKGROUND: High rates of pneumonia and death have been reported among elderly patients with rib fractures. This study aims to identify patterns of injury and risk factors for pneumonia and death in elderly patients with rib fractures. METHODS: A retrospective multicenter observational study was performed using data registered in the national trauma registry between 2008 and 2015 in the South West Netherlands Trauma region. Data regarding demographics, mechanism of injury, pulmonary and cardiovascular history, pattern of extra-thoracic and intrathoracic injuries, ICU admission, length of stay, and morbidity and mortality following admission were collected...
June 15, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29901771/preparedness-evaluation-of-french-military-orthopedic-surgeons-before-deployment
#3
Camille Choufani, Olivier Barbier, Aurélie Mayet, Sylvain Rigal, Laurent Mathieu
Introduction: A deployed military orthopedic surgeon is a trauma surgeon working in austere conditions. The first aim of this study was to analyze the current activity of French military orthopedic surgeons in the field and to identify the differences of the combat zone with their daily practice. The second aim was to assess the adequacy of the preparedness they received before their deployment and to identify additional needs that could be addressed in future training. Methods: An evaluation survey was sent to all French military orthopedic surgeons deployed in theaters of operations between 2004 and 2014...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29901457/cystic-intestinal-pneumatosis-of-the-small-gut-etiopathogenesis-and-review-of-literature
#4
Luca Napolitano, Mathew Waku, Gustavo Maggi, Franco Ciarelli
Cystic intestinal pneumatosis (CIP) is the presence of gas bubbles inside the wall of the intestine. In literature it has been reported to be associated with a variety of clinical conditions such as: superior mesenteric ischemia, intestinal perforation, bowel necrosis, infections which can cause mucosal alterations and therefore increasing its permeability, necrotizing enterocolitis in babies, trauma, intestinal obstruction, autoimmune and pulmonary pathologies. Its presence is usually documented by radiological techniques such as abdominal X-ray, CT scan and endoscopy and are usually characterized by the typical pattern of gas bubbles in the wall of the intestine...
March 19, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29901282/evaluation-of-the-agreement-between-focused-assessment-with-sonography-for-trauma-afast-tfast-and-computed-tomography-in-dogs-and-cats-with-recent-trauma
#5
Andrea M Walters, Mauria A O'Brien, Laura E Selmic, Sue Hartman, Maureen McMichael, Robert T O'Brien
OBJECTIVE: To determine the agreement between focused assessment with sonography for trauma (FAST) exams and computed tomography (CT) for the detection of pleural and peritoneal fluid and pneumothorax in animals that have sustained recent trauma. DESIGN: Prospective study. SETTING: University Teaching Hospital. ANIMALS: Thirteen dogs and 2 cats were enrolled into the study, with 10 having sustained blunt force trauma and 5 penetrating trauma...
June 14, 2018: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/29898763/non-invasive-high-frequency-oscillatory-ventilation-versus-nasal-continuous-positive-airway-pressure-in-preterm-infants-with-respiratory-distress-syndrome-study-protocol-for-a-multi-center-prospective-randomized-controlled-trial
#6
Xing-Wang Zhu, Yuan Shi, Li-Ping Shi, Ling Liu, Jiang Xue, Rangasamy Ramanathan
BACKGROUND: Invasive mechanical ventilation (IMV) is associated with the development of adverse pulmonary and non-pulmonary outcomes in very premature infants. Various modes of non-invasive respiratory support are increasingly being used to decrease the incidence of bronchopulmonary dysplasia. The aim of this trial is to compare the effect of non-invasive high-frequency oscillatory ventilation (NHFOV) and nasal continuous positive airway pressure (NCPAP) in preterm infants with respiratory distress syndrome (RDS) as a primary non-invasive ventilation support mode...
June 14, 2018: Trials
https://www.readbyqxmd.com/read/29893614/bowel-perforation-resulting-in-necrotizing-soft-tissue-infection-of-the-abdomen-flank-and-lower-extremities
#7
Disha Kumar, Nicolás W Cortés-Penfield, Hanine El-Haddad, Daniel M Musher
BACKGROUND: Fournier's gangrene is a necrotizing soft-tissue infection (NSTI) that often originates from a break in bowel integrity and affects the perineum, anus, or genitalia. Although the pathogenesis is similar, NSTI caused by a break in bowel integrity less commonly presents as infection of other sites. OBJECTIVE: To characterize NSTIs originating from bowel perforation and presenting as infection of the abdominal wall, flank, or thigh but that largely spare the perineum, anus, and genitalia...
June 12, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29890095/angioembolizaci%C3%A3-n-simult%C3%A3-nea-de-%C3%A3-rganos-en-la-estrategia-de-tratamiento-no-operatorio-en-trauma-cerrado-de-abdomen
#8
Sebastian Eduardo Velez
Antecedentes: el tratamiento no operatorio (TNO) es el abordaje sugerido en el trauma cerrado de abdomen en pacientes estables sin lesiones necesariamente quirúrgicas.Entre las herramientas utilizadas, se ha destacado la angioembolizacion como método de detención de la hemorragia o en lesiones potencialmente sangrantes. La existencia de más de una lesión podría ser factible de tratar por esta vía.Objetivos: mostrar la experiencia de un hospital de urgencias en la utilización de angioembolización en el tratamiento no operatorio de más de un órgano abdominal lesionado...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29889964/methods-for-early-control-of-abdominal-hemorrhage-an-assessment-of-potential-benefit
#9
Paul M Cantle, Matthew J Hurley, Michael D Swartz, John B Holcomb
BACKGROUND: Noncompressible truncal hemorrhage (NCTH) after injury is associated with a mortality increase that is unchanged during the past 20 years. Current treatment consists of rapid transport and emergent intervention. Three early hemorrhage control interventions that may improve survival are placement of a resuscitative endovascular balloon occlusion of the aorta (REBOA), injection of intracavitary self-expanding foam, and application of the Abdominal Aortic Junctional Tourniquet (AAJT™)...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29887502/impact-of-self-inflicted-injury-on-nontherapeutic-laparotomy-in-patients-with-abdominal-stab-wounds
#10
Shokei Matsumoto, Kei Hayashida, Shintaro Furugori, Masayuki Shimizu, Kazuhiko Sekine, Mitsuhide Kitano
INTRODUCTION: Because Japan has high suicide rates and low violent crime rates, it is likely that most abdominal stab wounds (ASWs) in Japan are self-inflicted. Although physical examination is one of the most important factors in surgical decision making, such evaluations can be difficult in patients with self-inflicted ASWs due to patient agitation and uncooperative behavior. Therefore, the self-inflicted nature of an injury may strongly affect clinical practice, particularly in Japan, but its influence remains uncertain...
June 2, 2018: Injury
https://www.readbyqxmd.com/read/29881530/medical-uses-of-carthamus-tinctorius-l-safflower-a-comprehensive-review-from-traditional-medicine-to-modern-medicine
#11
REVIEW
Elahe Delshad, Mahdi Yousefi, Payam Sasannezhad, Hasan Rakhshandeh, Zahra Ayati
Background: Carthamus tinctorius L. , known as Kafesheh (Persian) and safflower (English) is vastly utilized in Traditional Medicine for various medical conditions, namely dysmenorrhea, amenorrhea, postpartum abdominal pain and mass, trauma and pain of joints. It is largely used for flavoring and coloring purposes among the local population. Recent reviews have addressed the uses of the plant in various ethnomedical systems. Objective: This review was an update to provide a summary on the botanical features, uses in Iranian folklore and modern medical applications of safflower...
April 2018: Electronic Physician
https://www.readbyqxmd.com/read/29862094/splenic-trauma-during-colonoscopy-the-role-of-intra-abdominal-adhesions
#12
Chukwunonso Chime, Charbel Ishak, Kishore Kumar, Venkata Kella, Sridhar Chilimuri
Splenic rupture following colonoscopy is rare, first reported in 1974, with incidence of 1-21/100,000. It is critical to anticipate splenic trauma during colonoscopy as one of the causes of abdominal pain after colonoscopy especially when located in the left upper quadrant or left shoulder. Postoperative adhesions is a predisposing factor for splenic injury, and management is either operative or nonoperative, based on hemodynamic stability and/or extravasation which can be seen on contrast-enhanced CT scan of the abdomen...
2018: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/29861368/the-utility-of-point-of-care-ultrasound-in-targeted-automobile-ramming-mass-casualty-tarmac-attacks
#13
Hamid Shokoohi, Ali Pourmand, Keith Boniface, Rebecca Allen, Bruno Petinaux, Babak Sarani, James P Phillips
As terrorist actors revise their tactics to outmaneuver increasing counter-terrorism security measures, a recent trend toward less-sophisticated attack methods has emerged. Most notable of these "low tech" trends are the Targeted Automobile Ramming MAss Casualty (TARMAC) attacks. Between 2014 and November 2017, 18 TARMAC attacks were reported worldwide, resulting in 181 deaths and 679 injuries. TARMAC attack-related injuries are unique compared to accidental pedestrian trauma and other causes of mass casualty incidents (MCI), and therefore they require special consideration...
May 29, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29861009/recent-advances-in-abdominal-trauma-computed-tomography
#14
Andrew Y Choi, Uttam K Bodanapally, Boris Shapiro, Michael N Patlas, Douglas S Katz
No abstract text is available yet for this article.
April 2018: Seminars in Roentgenology
https://www.readbyqxmd.com/read/29857951/association-of-injury-pattern-and-entrapment-location-inside-damaged-buildings-in-the-2016-taiwan-earthquake
#15
Shih-Tien Pan, Ya-Yun Cheng, Chen-Long Wu, Ray Hsienho Chang, Chihsin Chiu, Ning-Ping Foo, Pao-Tien Chen, Tai-Yuan Wang, Li-Hsing Chen, Chien-Jung Chen, Roger Ong, Chang-Chih Tsai, Chien-Chin Hsu, Li-Wei Hsieh, Chih-Hsien Chi, Chih-Hao Lin
BACKGROUND/PURPOSE: To explore the association of patient injury patterns and entrapped locations inside damaged buildings in the 2016 Taiwan earthquake. METHODS: A retrospective analysis was conducted using the Tainan incident registry system. Residents inside nine conjunctive, 16-story (49.3 m in height) reinforced concrete buildings were categorized as non-injured, injured, and dead. Residents were classified into different groups according to their entrapped locations in height and the severity of building damage...
May 29, 2018: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/29852536/suture-embolism-of-the-left-superior-lobar-pulmonary-artery
#16
Janice Seulgy Ahn, Joy Grise, Joseph A DelTondo
Endogenous pulmonary thromboemboli are a common cause of noncardiac sudden natural death. Embolism of exogenous material is a rare but potential finding in autopsies following surgeries, medical procedures, penetrating trauma, and nonparenteral drug abuse. This report describes the first case of a suture embolism of the left superior lobar pulmonary artery following complicated abdominal surgery.
May 31, 2018: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/29851904/high-dose-fxiii-administration-induces-effective-hemostasis-for-trauma-associated-coagulopathy-tac-both-in-vitro-and-in-rat-hemorrhagic-shock-in-vivo-models
#17
Futoshi Nagashima, Satoshi Inoue, Hiroyuki Koami, Toru Miike, Yuichiro Sakamoto, Keita Kai
BACKGROUND: Trauma associated coagulopathy (TAC) is an early and primary complication in severe trauma patients. FXIII is reported to stabilize a clot in the late phase of the coagulation cascade. The goal of this study was to investigate whether the administration of FXIII improves the condition of TAC both in vitro and in vivo. METHODS: We evaluated the effects of different doses, including a very high dose of FXIII (3.6- 32.4 IU/ml) on tissue-plasminogen activator (t-PA) induced hyperfibrinolysis and the combined condition of dilutional coagulopathy and t-PA induced hyperfibrinolysis in vitro...
May 30, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29850311/nontraumatic-exertional-rhabdomyolysis-leading-to-acute-kidney-injury-in-a-sickle-trait-positive-individual-on-renal-biopsy
#18
Kalyana C Janga, Sheldon Greenberg, Phone Oo, Kavita Sharma, Umair Ahmed
A 26-year-old African American male with a history of congenital cerebral palsy, sickle cell trait, and intellectual disability presented with abdominal pain that started four hours prior to the hospital visit. The patient denied fever, chills, diarrhea, or any localized trauma. The patient was at a party at his community center last evening and danced for 2 hours, physically exerting himself more than usual. Labs revealed blood urea nitrogen (BUN) level of 41 mg/dL and creatinine (Cr) of 2.8 mg/dL which later increased to 4...
2018: Case Reports in Nephrology
https://www.readbyqxmd.com/read/29849293/a-near-fatal-sneeze-spontaneous-splenic-rupture-a-case-report-and-review-of-the-literature
#19
Gregory W Reinhold, Tina K Melonakos, Daniel T Lyman
A 79-year-old female called 911 for abdominal pain in her left upper quadrant with radiation through to her back and left shoulder for three hours. Upon arrival to the emergency department her physical exam was positive only for tenderness in the left upper quadrant of her abdomen. The patient denied any history of trauma but reported she "did sneeze three times" just prior to the onset of her pain. Computed tomography angiography of the abdomen and pelvis was obtained to evaluate for vascular pathology...
August 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29849259/adhesive-closed-loop-small-bowel-obstruction
#20
Matthew K Edwards, Christopher S Kuppler, Chasen A Croft, Hannah M Eason-Bates
Complete small bowel obstruction (SBO) is a common surgical emergency often resulting from adhesive bands that form following iatrogenic peritoneal injury. Rarely, adhesive SBO may arise without previous intra-abdominal surgery through other modes of peritoneal trauma. We present the case of a male evaluated in the emergency department for a closed-loop small bowel obstruction due to an adhesive band that likely formed after blunt abdominal trauma over two decades earlier. We review the epidemiology, pathophysiology, and treatment options for similar cases of adhesive SBO...
February 2018: Clinical practice and cases in emergency medicine
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