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https://www.readbyqxmd.com/read/29774668/varicocele-and-testicular-pain-a-review
#1
REVIEW
Sunghyun Paick, Woo Suk Choi
Varicocele is the dilatation of the scrotal portion of pampiniform plexus and the internal spermatic venous system. About 15% of men suffer from scrotal varicocele and 2% to 10% of them complain of pain. The probable mechanisms for pain include compression of the surrounding neural fibers by the dilated venous complex, elevated testicular temperature, increased venous pressure, hypoxia, oxidative stress, hormonal imbalances, and the reflux of toxic metabolites of adrenal or renal origin. Testicular pain associated with varicoceles is typically described as a dull, aching, or throbbing pain in the testicle, scrotum, or groin; rarely, it can be acute, sharp, or stabbing...
May 16, 2018: World Journal of Men's Health
https://www.readbyqxmd.com/read/29765662/new-guinea-bone-daggers-were-engineered-to-preserve-social-prestige
#2
Nathaniel J Dominy, Samuel T Mills, Christopher M Yakacki, Paul B Roscoe, R Dana Carpenter
Bone daggers were once widespread in New Guinea. Their purpose was both symbolic and utilitarian; they functioned as objects of artistic expression with the primary function of stabbing and killing people at close quarters. Most daggers were shaped from the tibiotarsus of cassowaries, but daggers shaped from the femora of respected men carried greater social prestige. The greater cross-sectional curvature of human bone daggers indicates superior strength, but the material properties of cassowary bone are unknown...
April 2018: Royal Society Open Science
https://www.readbyqxmd.com/read/29764819/penetrating-trauma-causing-cerebrospinal-fluid-leak-without-nerve-root-damage
#3
Holly Carpenter, Katherine-Helen Hurndall, Ajay K Asokan, Roland Fernandes
A 19-year-old man with a stab injury to the lower back presented with no focal neurology or haemodynamic instability. He complained of a headache that was improved by lying flat and underwent imaging to look for damage to local structures. He was found to have air in his intraspinal space. Initially this case was managed conservatively; however, 2 weeks after discharge, he presented with cerebrospinal fluid leak from his wound. This was managed with neurosurgical intervention and watertight closure of fascia...
May 14, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29759442/tracheal-stab-wound-with-entrance-and-exit-orifices
#4
Marta López Porras, Rafael Jiménez Merchán, Juan Carlos Girón Arjona, Miguel Congregado Loscertales
No abstract text is available yet for this article.
May 11, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29758447/experimental-sharp-force-injuries-to-ribs-multimodal-morphological-and-geometric-morphometric-analyses-using-micro-ct-macro-photography-and-sem
#5
Larissa Komo, Martin Grassberger
Tool marks on bones induced by knife blades can be analysed morphometrically in order to enable an allocation of the suspected "inflicting weapon" to the particular morphology of the bone lesions. Until now, geometric morphometrics has not been used to analyse the morphology of knife lesions on fleshed bones in detail. By using twelve experimental knives and a drop weight tower, stab/cut injuries were inflicted on untreated pig ribs. The morphology of the experimentally produced lesions was subsequently recorded with three imaging techniques (μCT, macro photography and SEM) and analysed with different morphometric software (Amira, tps and Morpheus)...
May 1, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29756683/non-operative-management-of-isolated-single-abdominal-stab-wound-is-it-safe
#6
Hong Xiang Lee, Matthew Hauser, Shivangi Jog, Peter Bautz, Christopher Dobbins
BACKGROUND: This is a retrospective review of prospectively collected data on our hospital, a Level 1 trauma centre, where stable patients with single abdominal stab wounds are considered for non-operative (conservative) management if they fulfil the criteria with the aid of computed tomography. The aim is to review our current approach in managing these patients. METHODS: Patients' data were obtained from January 2005 to June 2016. All injuries classed as assault or self-harm by sharp object in Injury Severity Score body region 4 were included...
May 14, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29742636/malposition-of-a-central-venous-catheter-in-trauma-confirmation-of-placement-prevents-complications
#7
Steven D Hobbs
This case study presents the inadvertent catheterization of a traumatic hemopneumothorax. A 22-year-old man sustained multiple stab wounds, including the left chest with a resultant hemopneumothorax. Upon arrival at a Level 1 trauma center, an ipsilateral subclavian central catheter was placed, blood was freely aspirated, and because of the patient's critical status, immediately utilized for resuscitation prior to line verification by radiography. A short time later, the catheter was felt to be malpositioned, most likely in the left intrathoracic space, and removed...
May 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29734833/changing-pattern-and-outcome-of-pediatric-chest-injuries-in-urban-syria
#8
Bassam Darwish, Mohammad Z Mahfouz, Saeed Al-Nosairat, Mohammad Bashar Izzat
Background Pediatric chest injuries were infrequent in our practice, but the outbreak of the Syrian crisis resulted in an increase in number and a change in the pattern of thoracic trauma incidents. We compared our experience of pediatric chest injuries before and during the crisis. Methods We reviewed the records of 256 children aged 12.8 ± 5 years who were admitted to our hospital with the diagnosis of chest trauma over a 12-year period. Collected data included mechanism of injury, associated injuries, method of management, length of hospital stay, complications, and mortality...
January 1, 2018: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29723995/comparing-the-effects-of-different-body-armor-systems-on-the-occupational-performance-of-police-officers
#9
Ben Schram, Robin Orr, Rodney Pope, Ben Hinton, Geoff Norris
Policing duties may inherently be dangerous due to stab, blunt trauma and ballistic threats. The addition of individual light armor vests (ILAVs) has been suggested as a means to protect officers. However, the addition of the extra load of the ILAV may affect officer ability to conduct occupational tasks. The purpose of this study was to determine if wearing any of three different ILAVs made by different companies with their preferred materials and designs (ILAV A, 4.68 percent body weight, ILAV B, 4.05 percent body weight, & ILAV C, 3...
May 1, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29713941/single-stab-injuries
#10
Michael P Burke, Yeliena Baber, Zoe Cheung, Mark Fitzgerald
Determining the manner of death in cases involving multiple stab injuries from a knife is generally straightforward. The medico-legal investigation of a stabbing death caused by a single stab injury from a knife comprises a smaller but potentially more problematic subset of forensic cases. We reviewed our institute's experience with single stab injuries and endeavored to identify features identified at the post-mortem examination which may aid in the differentiation between cases of homicide, suicide and accidental death...
May 1, 2018: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29712545/myositis-ossificans-delayed-complication-of-severe-muscle-contusion
#11
Giacomo Rossettini, Diego Ristori, Marco Testa
A 39-year-old male nonprofessional cyclist presented to physical therapy reporting deep, stabbing, anterolateral left thigh pain. Clinical findings led the physical therapist to request radiographs, which revealed myositis ossificans in the left thigh. J Orthop Sports Phys Ther 2018;48(5):420. doi:10.2519/jospt.2018.7567.
May 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29707369/isolated-traumatic-phrenic-nerve-injury-treated-with-video-assisted-thoracoscopic-diaphragmatic-plication-a-case-report
#12
Yi-Chien Chang, Hsing-Hsien Wu
Isolated traumatic phrenic nerve injury resulting from a stab wound to the neck is very rare. Herein, we report the case of a patient who was accidentally stabbed with garden shears that pierced her neck and penetrated the spinal canal. She sustained a right phrenic nerve injury complicated by diaphragm palsy and subsequent respiratory distress. We successfully treated the patient with video-assisted thoracoscopic diaphragm plication.
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29704953/risk-factors-associated-with-amputation-in-civilian-popliteal-artery-trauma
#13
Michael J Ramdass, Alyssa Muddeen, Patrick Harnarayan, Richard Spence, David Milne
Popliteal artery trauma is uncommon but is associated with a high risk of limb loss depending on the scenario involving blunt or penetrating trauma as well as the severity and extent of injury that has occurred. In our setting there is a significant amount of gang and civilian warfare resulting in Vascular Trauma. There were 32 patients over a decade who sustained traumatic injury to the popliteal artery consisting of 30 males (94%) and 2 females with an age range 16-59 years with a mean of 32. There were 20 cases of penetrating trauma (63%) and 12 cases of blunt trauma (37%)...
April 24, 2018: Injury
https://www.readbyqxmd.com/read/29699589/suicidal-patients-presenting-to-secondary-and-tertiary-emergency-departments-and-referral-to-a-psychiatrist-a-population-based-descriptive-study-from-japan
#14
Izumi Chihara, Ryusuke Ae, Yuka Kudo, Ritei Uehara, Nobuko Makino, Yuri Matsubara, Teppei Sasahara, Yasuko Aoyama, Kazuhiko Kotani, Yosikazu Nakamura
BACKGROUND: In Japan, although many suicidal studies were previously conducted in tertiary emergency department (ED) settings, no published studies have reported on suicidal patients presenting to the secondary EDs. The aim of the study was to describe the characteristics of suicidal patients and the referral rates to a psychiatrist overall and by type of facility. METHODS: Questionnaires were sent to all secondary and tertiary EDs in Tochigi prefecture, Japan. Data were collected for cases who presented in September 2009...
April 25, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29697439/successful-reconstruction-of-a-traumatic-complete-femoral-nerve-rupture-with-a-sural-nerve-cable-graft-a-case-report
#15
Yugo Miura, Koji Fujita, Akimoto Nimura, Takashi Miyamoto, Yoshiaki Wakabayashi, Atsushi Okawa
CASE: We report a rare case of complete rupture of the right femoral nerve at the pelvic level, which was caused by a self-inflicted stab wound. The nerve was surgically reconstructed with use of an autologous sural nerve cable graft. Postoperatively, the patient's sensorimotor function returned to near normal. CONCLUSION: Femoral nerve rupture caused by a laceration is very unusual. A bilateral sural nerve cable graft performed in collaboration with surgeons from other specialties achieved a good outcome in this otherwise healthy young patient...
April 25, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29685305/the-detection-of-metallic-residues-in-skin-stab-wounds-by-means-of-sem-eds-a-pilot-study
#16
Elisa Palazzo, Alberto Amadasi, Michele Boracchi, Guendalina Gentile, Francesca Maciocco, Matteo Marchesi, Riccardo Zoja
The morphological analysis of stab wounds may often not be accurate enough to link it with the type of wounding weapon, but a further evaluation may be performed with the search for metallic residues left during the contact between the instrument and the skin. In this study, Scanning Electron Microscopy-Energy Dispersive Spectroscopy (SEM-EDS) was applied to the study of cadaveric stab wounds performed with kitchen knives composed of iron, chromium and nickel, in order to verify the presence of metallic residues on the wound's edge...
May 2018: Science & Justice: Journal of the Forensic Science Society
https://www.readbyqxmd.com/read/29682053/penetrating-injury-to-cauda-equina-from-a-missile-fragment-completely-recovered-after-delayed-surgical-removal-of-ballistic-fragment
#17
Kamble Jayaprakash Harsha, Anu Thomas
Penetrating injuries to cauda equina due to missile fragment are rare. The mechanism of injury may be more complex due to thermal effect of missile fragment, apart from mechanisms described in penetrating gunshot injuries or stab injuries. We report a case of a 42-year-old male with penetrating missile injury to cauda equina, improved completely after delayed surgical exploration and removal of ballistic fragment. Furthermore, his bowel and bladder dysfunction improved completely within 1 week of neurosurgical exploration...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29679240/a-case-of-tension-faecopneumothorax-after-delayed-diagnosis-of-traumatic-diaphragmatic-hernia
#18
Tien Yew Chern, Allan Kwok, Soni Putnis
BACKGROUND: Traumatic diaphragmatic injuries from blunt or penetrating trauma are difficult to detect in the acute setting and, if missed, can result in significant morbidity and mortality in the future. We present a case demonstrating the natural progression of this resulting in faecopneumothorax, which is a rare but serious presentation. CASE PRESENTATION: A 22-year-old young man presented with left upper quadrant and chest pain, nausea, vomiting, and intermittent obstipation with a background of previous lower chest wall stabbings...
April 20, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29667628/-the-modern-day-forensic-medical-aspects-of-the-stab-and-slash-injuries
#19
S I Indianinov, F Kh Boimanov
This article presents a review of scientific literature concerning investigations on the peculiar features of the stab and slash injuries. It is shown that the currently available data provide a basis for the elucidation, with great probability, the specific group and narrow-group features characteristic of various types of pricking and piercing objects with which the stab and slash injuries are known to be inflicted. The large variety of such objects (weapons) dictates the necessity to carry out further investigations...
2018: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/29659472/evaluation-and-management-of-abdominal-stab-wounds-a-western-trauma-association-critical-decisions-algorithm
#20
Matthew J Martin, Carlos V R Brown, David V Schatz, Hasan Alam, Karen Brasel, Carl Hauser, Marc de Moya, Ernest E Moore, Susan Rowell, Gary Vercruysse, Bonny Baron, Kenji Inaba
No abstract text is available yet for this article.
April 13, 2018: Journal of Trauma and Acute Care Surgery
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