IJCR (2017), Volume 1

Venous Blood Gases for Femoral Line Placement Confirmation Are We Secured

Venous Blood Gases for Femoral Line Placement Confirmation Are We Secured
Case Report of International Journal of Case Reports Venous Blood Gases for Femoral Line Placement Confirmation Are We Secured Mohamed Ibrahim Shoaib, Zeyad Faoor Alrais, Khalid Omar Hassan, Ahmed Hossam Awad Department of Intensive Care Medicine, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates. A large number of central venous catheters (CVC) are placed each year in the emergency room, operation theatre and critical care units. Although rarely associated with life threatening complications, femoral CVC is known to have the highest incidence of mechanical complications. The femoral veins are frequently preferred when other access sites are exhausted or there is increased risk for complications such as with emergency access, coagulopathy, and in the uncooperative patient .Femoral line placement confirmation is not routine practice. We present our case 59 years old male, Known case of Diabetes ,liver cirrhosis and portal hypertension presented to Accident and Emergency with repeated hematemesis and melena 3 times. On arrival to hospital patient was drowsy and hallucinating. Two large bore venous cannula were inserted ...

A case report of primary ovarian fibrosarcoma

A case report of primary ovarian fibrosarcoma
Case Report of International Journal of Case Reports A case report of primary ovarian fibrosarcoma Paige Grenier, BSc, MD;1 Anita Agrawal, MSc, MD, FRCSC;1 Rajni Chibbar, PhD, MD, FRCPC2 1Department of Obstetrics and Gynecology, University of Saskatchewan, Saskatoon, SK 2Department of Pathology and Laboratory Medicine, University of Saskatchewan, Saskatoon, SK Background: Ovarian fibrosarcoma is a rare malignant tumor that should be distinguished from benign fibrous ovarian tumors and other malignancies, as it has a predilection for early and aggressive metastasis. Case: A 52-year-old woman presented with a large adnexal mass comprised of atypical spindle cells with increased mitotic activity, high Ki-67 index, and positive vimentin staining, consistent with primary ovarian fibrosarcoma. The patient required multiple laparotomies for large volumes of recurrent, rapidly growing disease. She died 15 months after initial surgery. Conclusion: Ovarian fibrosarcoma is an important diagnostic consideration when evaluating adnexal masses. Further study is required to clarify the impact of potential prognostic factors and establish optimal management and treatment. Keywords: Ovarian fibrosarcoma, ovarian tumor, pelvic pain ...

Use of Internet for medical information by patients & its impact on Consultation time- A Patient Survey

Use of Internet for medical information by patients & its impact on Consultation time- A Patient Survey
Case Report of International Journal of Case Reports Use of Internet for medical information by patients & its impact on Consultation time- A Patient Survey Hemanth.K.Subrahmanyam  DLO, DOHNS ,DNB (ORL), Fellow of European Board in 0RL-HNS Associate Specialist, Department of ENT, Kettering General Hospital, Rothwell Road, Kettering NN16 8UZ, U.K. Our patient survey revealed that there is equal number of Internet user and Internet non-user patients visiting our outpatient consultation. This raises an interesting fact about the importance of the need for the present day clinician to keep updated about not only the recent advances in the field but also with the IT skills. Literature has suggested prior Internet awareness amongst patients have resulted in explicitly patient controlled outcomes during consultation (10). Our patient survey did not focus on this aspect. Statistically significant was the increased consultation time of 0.8 minutes among the Internet user group in comparison to the Internet non-user group is still debatable. But does this point to the possible change in the consultation models in ...

Bilateral Anterior Cruciate Ligament (ACL) Tears treated by double bundle grafting

Bilateral Anterior Cruciate Ligament (ACL) Tears treated by double bundle grafting
Case Report of International Journal of Case Reports Bilateral Anterior Cruciate Ligament (ACL) Tears treated by double bundle grafting 1 Mr. Sushanta Kr. Das. M. Pharm., 2 Dr. B. Valya. MS (Ortho)., 3 Dr. Sandeep Ankam. B. Pharm., Pharm. D (PB)., 4 Dr. P. Vishnu. M. Pharm., Ph.D. 1 Associate Professor & Co-ordinator, Department of Pharm. D, CMR College of Pharmacy, Kandlakoya (V), Hyderabad – 501401, Telangana State, India; 2 Professor and Head, Department of Orthopaedics, Gandhi Medical College & Hospital, Secunderabad – 500003, Telangana State, India; 3 Department of Pharm. D, CMR College of Pharmacy, Kandlakoya (V), Hyderabad – 501401, Telangana State, India; 4 Professor and Head, Department of Pharmaceutics CMR College of Pharmacy, Kandlakoya (V), Hyderabad – 501401, Telangana State, India Anterior Cruciate Ligament (ACL) tears are orthopaedic injury, particularly in athlete and youth populations. ACL is composed of longitudinally oriented bundles of collagen tissue arranged in fascicular subunits within larger functional bands. Ligament is surrounded by synovium, thus making it extra-synovial. Unilateral ACL tear is common ...

Duodenal duplication cyst: a rare cause of gastro-intestinal obstruction

Duodenal duplication cyst: a rare cause of gastro-intestinal obstruction
Case Report of International Journal of Case Reports Duodenal duplication cyst: a rare cause of gastro-intestinal obstruction  S.Jarboui ; A. Saidani, I. farhat, Z. Bokal, D. Cherif. Department of general surgery-Hopital Mahmoud El Matri –Ariana- Tunisie. University of Medicine of Tunis El manar – Tunisia. Duodenal duplication cysts are rare congenital anomalies usually found in children, but rare cases have been described in adults. We report the case of a duodenal duplication cyst in a 54-year-old man who presented with a gastrointestinal obstruction inherent to endoluminal hemorrhage. Diagnosis was evocated by endoscopy. It was confirmed by computed tomography, oesogasto duodenal swallowing and magnetic resonance imaging. Partial cystectomy with mucosal stripping was performed via a midline laparotomy. The patient’s recovery was uneventful. The diagnosis was confirmed by histological examination of the operative specimen. In elderly patients with atypical presentation associated to cystic structures neighboring the duodenum, a high index of suspicion is required to diagnose this rare congenital pathology. Complete excision is the optimal treatment, but in some cases, partial ...

A case report on Lassa fever and hearing loss

A case report on Lassa fever and hearing loss
Case Report of International Journal of Case Reports A case report on Lassa fever and hearing loss: A rare occurrence and review of the literature Daniel Adekunle*, Raji Yemi Raheem**, Ijitola Julius Olowo*, Bello Temitope Oluwatobi**, Jinadu Olanrewaju Yusuf**, Ajayi Samuel Oluwole**, Olaleye Olufemi David***, Salako Babatunde Lawal**, Lasisi Olawale Akeem* * Department of Otorhinolaryngology, College of Medicine, University of Ibadan and University College Hospital Ibadan ** Nephrology unit, Department of Medicine, College of Medicine, University of Ibadan and University College Hospital Ibadan *** Department of Virology, College of Medicine, University of Ibadan Lassa fever is highly endemic in Nigeria and other West African countries, it is a disease associated with high case fatality and chronic sequelae in those that survived. Lack of effective vaccine has made the disease difficult to control and it prevention depends on eradications of the multimammate rats and universal precautions by all when a case is identified. We report a case of a 51 years old health worker who had a severe form of ...