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https://www.readbyqxmd.com/read/27396537/the-role-of-ultrasonography-in-the-diagnosis-of-metacarpal-fractures
#1
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
https://www.readbyqxmd.com/read/27375316/factors-affecting-morbidity-in-solid-organ-injuries
#2
Serdar Baygeldi, Oktay Karakose, Kazım Caglar Özcelik, Hüseyin Pülat, Sedat Damar, Hüseyin Eken, İsmail Zihni, Alpaslan Fedai Çalta, Bilsel Baç
Background and Aim. The aim of this study was to investigate the effects of demographic characteristics, biochemical parameters, amount of blood transfusion, and trauma scores on morbidity in patients with solid organ injury following trauma. Material and Method. One hundred nine patients with solid organ injury due to abdominal trauma during January 2005 and October 2015 were examined retrospectively in the General Surgery Department of Dicle University Medical Faculty. Patients' age, gender, trauma interval time, vital status (heart rate, arterial tension, and respiratory rate), hematocrit (HCT) value, serum area aminotransferase (ALT) and aspartate aminotransferase (AST) values, presence of free abdominal fluid in USG, trauma mechanism, extra-abdominal system injuries, injured solid organs and their number, degree of injury in abdominal CT, number of blood transfusions, duration of hospital stay, time of operation (for those undergoing operation), trauma scores (ISS, RTS, Glasgow coma scale, and TRISS), and causes of morbidity and mortality were examined...
2016: Disease Markers
https://www.readbyqxmd.com/read/27086129/two-cases-with-giant-pseudo-aneurysm-of-vertebral-artery-secondary-to-shrapnel-injury
#3
Hanifi Bayarogullari, Rasim Yanmaz, İsmail Kartal, Gülen Burakgazi
INTRODUCTION: Due to their locations, vertebral arteries (VA) are structures that are rarely injured after traumas. Formation of vertebral pseudo-aneurysm (PA) because of pieces of shrapnel is also rare. It causes clinical findings like cervical mass after the injury CASES PRESENTATION: Two Syrian 12- and 17-year-old male patients were admitted to the Department of Ear, Nose and Throat with the complaint of swelling in the left lower cervical region. In their USG examination which was ordered to investigate the cervical lesion, a lesion consistent with PA which shows a prominently thick wall structure due to circumferential thrombus formation and fibrotic tissue, chaotic flow, and ying-yang appearance in the centrally located cavity of the lesion in a color Doppler examination was detected...
April 16, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26994679/tracheal-ultrasonography-and-ultrasonographic-lung-sliding-for-confirming-endotracheal-tube-placement-speed-and-reliability
#4
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
https://www.readbyqxmd.com/read/26889351/assessment-of-mandibular-distraction-regenerate-using-ultrasonography-and-cone-beam-computed-tomography-a-clinical-study
#5
Jitender Dabas, Sujata Mohanty, Zainab Chaudhary, Amita Rani
Distraction osteogenesis (DO) is becoming a popular method of reconstruction for maxillofacial bony deformities or defects secondary to trauma or surgical tumor ablation. However, the technique is very sensitive in terms of the rate and rhythm of distraction. Because of this, there is a need for monitoring of the distraction regenerate during the distraction as well as the consolidation period. The present study was conducted to assess the regenerate using two imaging modalities, namely, ultrasonography (USG) and cone beam computed tomography (CBCT) to determine their relative efficacies and to weigh their clinical usefulness in assessment of DO regenerate...
March 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/25785180/comparing-color-doppler-ultrasonography-and-angiography-to-assess-traumatic-arterial-injuries-of-the-extremities
#6
Masoud Pezeshki Rad, Mahyar Mohammadifard, Hassan Ravari, Donya Farrokh, Emad Ansaripour, Elena Saremi
BACKGROUND: Traumatic events are one of the major causes of arterial injuries. Physical examination is not a good predictor of the extent of injuries and arteriography is considered as the gold standard for this purpose. In the recent years, noninvasive modalities are increasingly replacing diagnostic arteriography. Color Doppler ultrasonography (USG) is an excellent method to investigate arterial diseases. OBJECTIVES: The present study aimed to evaluate the diagnostic value of color Doppler USG compared to conventional angiography in traumatic arterial injuries of extremities...
January 2015: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
https://www.readbyqxmd.com/read/25460434/the-appearance-of-free-air-in-the-abdomen-with-related-pneumatosis-cystoides-intestinalis-three-case-reports-and-review-of-the-literature
#7
Mehmet Aziret, Hasan Erdem, Yiğit Ülgen, Şahin Kahramanca, Süleyman Çetinkünar, Hilmi Bozkurt, İlhan Bali, Oktay İrkörücü
INTRODUCTION: Pneumatosis sistoides intestinalis (PSI) is a rare condition with unknown origin, defined as the appearance of gas-filled cysts in the intestinal wall. It usually occurs due to respiratory infections, tumor or collagen disease, traumas, immunosuppression. PRESENTATION OF CASE: Three patients with PSI were examined that followed up and treated in our clinic. The first patient was hospitalized for emergency treatment of previously diagnosed free-air under the diaphragm...
2014: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25214947/what-are-the-ten-new-commandments-in-severe-polytrauma-management
#8
REVIEW
Cw Kam, Ch Lai, Sk Lam, Fl So, Cl Lau, Kh Cheung
This review aims to provide a concise overview of the trauma management evolution in the past decade. 1) Trauma care priorities have incorporated staff protection against infection and early decision making in addition to the conventional ABCDE. 2) Five stratified levels for DAM have replaced the non-specific conventional Plans A & B. 3) CT scanning can be the tunnel to death for the hemodynamically unstable patient. 4) DPL has virtually been replaced by the FAST USG. 5) Direct whole-body MDCT provides rapid imaging diagnosis & expedites the definitive treatment but carries high radiation hazards...
2010: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25114436/operative-management-of-splenic-injury-in-a-patient-with-proteus-syndrome
#9
Umashankkar Kannan, Biplab Mishra, Arulselvi Subramanian, Sushma Sagar, Subodh Kumar, Maneesh Singhal
A 20-year-old female with Proteus syndrome sustained splenic injury after fall from a bike. She was initially managed non-operatively at a different hospital for three days and was then referred to our level I trauma center in view of increasing abdominal pain and distention. On admission in the Emergency Department (ED), her pulse rate was 120 per minute and blood pressure was 108/68 mm Hg. Clinical examination showed a distended abdomen with left hypochondrial pain. Ultrasonogram (USG) and Computed Tomography (CT) of the abdomen showed splenomegaly and grade III splenic injury with significant hemoperitoneum...
July 2014: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/24827950/iliopsoas-abscess-in-children-report-on-five-patients-with-a-literature-review
#10
REVIEW
Arzu Karlı, Nurşen Belet, Murat Danacı, Gülhadiye Avcu, Şule Paksu, Özlem Köken, Gülnar Şensoy
We aimed in this study to present the clinical findings in children with iliopsoas abscess (IPA) and to discuss the diagnosis and treatment. The files of five patients, hospitalized between August 2011 and June 2013 and monitored with a diagnosis of IPA, were reviewed retrospectively. Demographic characteristics, symptoms and signs, laboratory examinations, and diagnostic and treatment methods of the cases were evaluated. Two of the cases were females and three were males, and their ages ranged from 10 to 15 years...
January 2014: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/24702828/utility-of-serum-pancreatic-enzyme-levels-in-diagnosing-blunt-trauma-to-the-pancreas-a-prospective-study-with-systematic-review
#11
REVIEW
Abhishek Mahajan, Rajagopal Kadavigere, Smiti Sripathi, Gabriel Sunil Rodrigues, Vedula Rajanikanth Rao, Prakashini Koteshwar
INTRODUCTION: Reliability of serum pancreatic enzyme levels in predicting pancreatic injuries has been a parameter of interest and the present recommendations on its utility are based primarily on anecdotal observations. The aim of this study was to evaluate the utility of serum pancreatic enzyme assessment in predicting blunt pancreatic injury with imaging and surgical correlation and compare our results with a systematic review of literature till date. METHODS: A prospective cohort study conducted over 4 years in a tertiary care referral centre with 164 consecutive patients who presented to the emergency department with a history of blunt abdominal trauma and had serum pancreatic enzyme assessment, USG and subsequent diagnostic CECT were analyzed...
September 2014: Injury
https://www.readbyqxmd.com/read/24592335/emergent-median-sternotomy-for-mediastinal-hematoma-a-rare-complication-following-internal-jugular-vein-catheterization-for-chemoport-insertion-a-case-report-and-review-of-relevant-literature
#12
Saptarshi Biswas, Marwa Sidani, Sunil Abrol
Mediastinal hematoma is a rare complication following insertion of a central venous catheter with only few cases reported in the English literature. We report a case of a 71-year-old female who was admitted for elective chemoport placement. USG guided right internal jugular access was attempted using the Seldinger technique. Resistance was met while threading the guidewire. USG showed a chronic clot burden in the RIJ. A microvascular access was established under fluoroscopic guidance. Rest of the procedure was completed without any further issues...
2014: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/24409949/reliability-of-ocular-ultrasonography-findings-for-pre-surgical-evaluation-in-various-vitreo-retinal-disorders
#13
Swapnil Parchand, Ramandeep Singh, Swapnil Bhalekar
OBJECTIVE: To find the reliability of ocular ultrasonography (USG) for pre-surgical evaluation in various vitreo-retinal conditions. METHOD: In a retrospective study, a chart review of patients who underwent preoperative USG for various vitreoretinal conditions was done. We correlated findings of preoperative USG with intraoperative findings. RESULTS: 131 of 130 patients were included. Various ocular pathologies included trauma, diabetic vitreous hemorrhage, endophthalmitis, and other causes of vitreous hemorrhage...
July 2014: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/24326436/myositis-ossificans-the-mimicker
#14
Arunkumar Govindarajan, Radha Sarawagi, Manikka Lakshmanan Prakash
A 14-year-old boy presented with upper backache and a painful swelling in the right paraspinal region for 7 days. He had no history of trauma. MRI showed a non-specific ill-defined heterogeneous lesion, which showed intense postcontrast enhancement. Ultrasonogram showed a peripheral sheet of calcification around the lesion. A CT scan showed a faint rim of calcification, which increased in thickness over weeks, confirming the diagnosis as myositis ossificans. We present our approach to the case and also review the imaging features of different stages of the disease process and their differentials...
2013: BMJ Case Reports
https://www.readbyqxmd.com/read/24142781/the-application-of-mdct-in-the-diagnosis-of-chest-trauma
#15
Katarzyna Błasińska-Przerwa, Ryszard Pacho, Iwona Bestry
INTRODUCTION: Traumas are the third most common cause of death worldwide, after cardiovascular diseases and neoplasms, and the main cause of death of patients under 40 years of age. Contemporary image diagnosis of chest trauma uses chest X-ray (CXR), multidetector computed tomography (MDCT), transthoracic and transoesophageal ultrasound (USG), X-ray angiography and magnetic resonance. The aim of the present study was to evaluate MDCT results in the examination of posttraumatic chest injuries and to compare the results of CXR and MDCT in chosen chest traumatic injuries...
2013: Pneumonologia i Alergologia Polska
https://www.readbyqxmd.com/read/24003353/imaging-in-renal-trauma
#16
REVIEW
Madhukar Dayal, Shivanand Gamanagatti, Atin Kumar
Renal injuries are classified, based on the American Association for the Surgery of Trauma classification, in to five grades of injury. Several imaging modalities have been available for assessing the grade of renal injury, each with their usefulness and limitations. Currently, plain radiographs and intravenous urography have no role in the evaluation of patients with suspected renal injury. Ultrasonography (USG) has a limited role in evaluating patients with suspected retroperitoneal injury; however, it plays an important role during follow up in patients with urinoma formation...
August 28, 2013: World Journal of Radiology
https://www.readbyqxmd.com/read/23833421/sonography-of-scrotal-trauma
#17
Meka Srinivasa Rao, Kalyanpur Arjun
The purpose of this article is to depict the spectrum of scrotal injuries in blunt trauma. Scrotal injuries are not very common and are mostly due to blunt trauma from direct injury, sports injuries or motor vehicle accidents. To minimize complications and ensure testicular salvage, rapid and accurate diagnosis is necessary. High-resolution USG is the investigation of choice, as it is readily available, accurate and has been seen to improve outcomes. An understanding of and familiarity with the sonographic appearance of scrotal injuries on the part of the radiologist/sonographer is therefore of key importance...
October 2012: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/23785252/evolving-frontiers-in-severe-polytrauma-management-refining-the-essential-principles
#18
Kam Chak Wah, Choi Wai Man, Wong Janet Yuen Ha, Vincent Lai, Wong Kit Shing John
This editorial aims to refine the severe polytrauma management principles. While keeping ABCDE priorities, the termination of futile resuscitation and the early use of tourniquet to stop exsanguinating limb bleeding are crucial. Difficult-airway-management (DAM) is by a structured 5-level approach. The computerised tomography (CT) scanner is the tunnel to death for hemodynamically unstable patients. Focused Abdominal Sonography for Trauma-Ultrasonography (FAST USG) has replaced diagnostic peritoneal lavage (DPL) and is expanding to USG life support...
January 2013: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/23669814/rehabilitation-protocol-for-patellar-tendinopathy-applied-among-16-to-19-year-old-volleyball-players
#19
Ryszard Biernat, Zbigniew Trzaskoma, Lukasz Trzaskoma, Dariusz Czaprowski
The aim of the study was to investigate the efficacy of rehabilitation protocol applied during competitive period for the treatment of patellar tendinopathy. A total of 28 male volleyball players were divided into two groups. Fifteen from experimental group (E) and 13 from control group (C) fulfilled the same tests 3 times: before the training program started (first measurement), after 12 weeks (second measurement) and after 24 weeks (third measurement). The above-mentioned protocol included the following: USG imagining with color Doppler function, clinical testing, pain intensity evaluation with VISA-P questionnaire, leg muscle strength and power and jumping ability measurements...
January 2014: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/22314476/hepatic-hydatid-cyst-presenting-as-cutaneous-abscess
#20
M N Islam, N A Khan, S S Haque, M Hossain, M A Ahad
Hydatidosis is a parasitic zoonotic echinococcal infection that affects both humans and other mammals. These diseases are common worldwide but particularly common in sheep and cattle farming regions. Anaphylaxis mediated by IgE is a serious complication of surgery or trauma which necessitates more aware of its clinical features, diagnosis and management. It is important to make a preoperative diagnosis based on the typical image findings, so that particular precaution can be taken not to rupture the lesion...
January 2012: Mymensingh Medical Journal: MMJ
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