A. Sahin, F. Meteroğlu, A. Erbey, A. Sızlanan, Refik Ülkü
Objective: Foreign body ingestion commonly occurs in children. Objects that may not easily pass the esophagus cause severe complications, such as impaction, perforation, and obstruction. Different methods are used for their removal. We aimed retrospectively to analyze the cases in which we performed emergent esophagoscopy. Material and Methods: Between 2002 and 2013, 732 children with suspicion of foreign body ingestion were studied. Of them, 720 underwent emergency intervention. Objects located at the first narrowing of the esophagus were removed under sedation, and the remaining objects were taken out under general anesthesia with the aid of rigid esophagoscopy. Results: The mean age of the children was 3.9 years (range 1 month and 16 years). Coins in 648 cases and a variety of objects, opaque and non-opaque, were removed under direct vision. Urgent intervention was carried out in 6 cases with dyspnea, in 2 delayed cases, and in 3 patients with esophageal perforation. Successful removal was performed in 69 patients (95.8%). Perforation occurred in 3 cases. Removal was succeeded within surgery in 2 cases (2.7%). One patient died. Conclusion: A delay in esophageal body ingestion increases the complication rate. Round batteries and objects that are non-oval, long, large, and spiky should be dealt with great attention. (JAEM 2014; 13: 159-61)
{"title":"Insidious Threat of Children: Esophageal Foreign Body Ingestion","authors":"A. Sahin, F. Meteroğlu, A. Erbey, A. Sızlanan, Refik Ülkü","doi":"10.5152/JAEM.2014.162","DOIUrl":"https://doi.org/10.5152/JAEM.2014.162","url":null,"abstract":"Objective: Foreign body ingestion commonly occurs in children. Objects that may not easily pass the esophagus cause severe complications, such as impaction, perforation, and obstruction. Different methods are used for their removal. We aimed retrospectively to analyze the cases in which we performed emergent esophagoscopy. Material and Methods: Between 2002 and 2013, 732 children with suspicion of foreign body ingestion were studied. Of them, 720 underwent emergency intervention. Objects located at the first narrowing of the esophagus were removed under sedation, and the remaining objects were taken out under general anesthesia with the aid of rigid esophagoscopy. Results: The mean age of the children was 3.9 years (range 1 month and 16 years). Coins in 648 cases and a variety of objects, opaque and non-opaque, were removed under direct vision. Urgent intervention was carried out in 6 cases with dyspnea, in 2 delayed cases, and in 3 patients with esophageal perforation. Successful removal was performed in 69 patients (95.8%). Perforation occurred in 3 cases. Removal was succeeded within surgery in 2 cases (2.7%). One patient died. Conclusion: A delay in esophageal body ingestion increases the complication rate. Round batteries and objects that are non-oval, long, large, and spiky should be dealt with great attention. (JAEM 2014; 13: 159-61)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"261 1","pages":"159-161"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76702733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: We aimed to investigate suspected cases of mushroom poisoning that were admitted to the emergency department of a metropolitan education and research hospital. Material and Methods: Suspicious cases of mushroom poisoning and determined mushroom poisoning patients were investigated in the medical records of patients who were older than 18 years old in 1 year. We examined patient’s demographic information, admission date, complaints, time of complaint starting, and clinical and laboratory findings. Treatments and results were evaluated. Results: We analyzed 74 patients who were diagnosed with mushroom poisoning. The most common complaints of the patients were nausea and vomiting. Increases in the number of admission were observed in November and December. A total of 25 patients were externed from emergency medicine, and 39 patients were hospitalized. 5 patients treatment with hemodialysis and both of them died. Conclusion: Mushroom poisoning is known to vary according to seasonal distribution, type of mushroom, geographic shape, and climate of the region. Therefore, emergency physicians should investigate the characteristics and ecology of the region and the geographic shape, so that provision services can facility the emergency departments principles working and organizated. The importance of regional characteristics is lost in a metropolitan hospital. (JAEM 2014; 13: 162-5)
{"title":"MUSHROOM POISONING IN A METROPOLITAN HOSPITAL","authors":"M. Koyuncu, D. Ozturk","doi":"10.5152/JAEM.2014.167","DOIUrl":"https://doi.org/10.5152/JAEM.2014.167","url":null,"abstract":"Objective: We aimed to investigate suspected cases of mushroom poisoning that were admitted to the emergency department of a metropolitan education and research hospital. Material and Methods: Suspicious cases of mushroom poisoning and determined mushroom poisoning patients were investigated in the medical records of patients who were older than 18 years old in 1 year. We examined patient’s demographic information, admission date, complaints, time of complaint starting, and clinical and laboratory findings. Treatments and results were evaluated. Results: We analyzed 74 patients who were diagnosed with mushroom poisoning. The most common complaints of the patients were nausea and vomiting. Increases in the number of admission were observed in November and December. A total of 25 patients were externed from emergency medicine, and 39 patients were hospitalized. 5 patients treatment with hemodialysis and both of them died. Conclusion: Mushroom poisoning is known to vary according to seasonal distribution, type of mushroom, geographic shape, and climate of the region. Therefore, emergency physicians should investigate the characteristics and ecology of the region and the geographic shape, so that provision services can facility the emergency departments principles working and organizated. The importance of regional characteristics is lost in a metropolitan hospital. (JAEM 2014; 13: 162-5)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"55 1","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90487306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mushroom poisoning may present with a variety of clinical conditions, extending from simple food poisoning to life-threatening liver and renal failure. Rhabdomyolysis is a recently described syndrome that is observed within the clinical spectrum associated with mushroom poisoning. In this report, we present two patients-one presenting with a state of rhabdomyolysis and the other case with simple symptoms only-following consumption of cultivated mushroom together in the same meal. (JAEM 2014; 13: 212-3)
{"title":"RHABDOMYOLYSIS INDUCED BY AGARICUS BISPORUS","authors":"N. Akilli, Z. Dundar","doi":"10.5152/JAEM.2014.150","DOIUrl":"https://doi.org/10.5152/JAEM.2014.150","url":null,"abstract":"Mushroom poisoning may present with a variety of clinical conditions, extending from simple food poisoning to life-threatening liver and renal failure. Rhabdomyolysis is a recently described syndrome that is observed within the clinical spectrum associated with mushroom poisoning. In this report, we present two patients-one presenting with a state of rhabdomyolysis and the other case with simple symptoms only-following consumption of cultivated mushroom together in the same meal. (JAEM 2014; 13: 212-3)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"14 1","pages":"212-213"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82282494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To investigate the epidemiological and clinical characteristics of intoxications in our region, to illuminate measures, and to contribute to the national survey. Material and Methods: Medical records of 366 cases who were diagnosed as intoxications during 2013 in the pediatric emergency department were reviewed retrospectively. Results: A total of 80,833 patients were admitted to pediatric emergency department in 2013. The ratio of poisoning cases to all pediatric emergency admissions was 0.4%; 184 (50.2%) cases were female, 182 (49.8%) cases were male, and the mean age was 5.7±1.4 years. Also, 56.8% of patients were under 5 years old. Most (95.7%) cases were accidental, while 4.3% of them were suicides. The common causes of intoxication were medications and scorpion envenomation. The most common pharmacological agents that caused intoxication were analgesics and antidepressants. The most common clinical findings were vomiting (24.3%), nausea (20.2%), abdominal pain (13.6%) and headache (11.4%). Supportive treatments were applied to 90.1% of patients, and antidotes were used in 4.9% of patients. A patient with a scorpion sting died due to cardio-pulmonary insufficiency. Conclusion: In our region, the most common poisoning agents were drugs and scorpion stings. Education of parents may decrease acute intoxication cases causing morbidity and mortality. (JAEM 2014; 13: 166-71)
{"title":"The Evaluation of Poisoning Cases who Applied to the Adiyaman University Training and Research Hospital Pediatrics Emergency Department","authors":"Ç. Konca, M. Tekin, M. Usman, Y. Genç, M. Turgut","doi":"10.5152/JAEM.2014.177","DOIUrl":"https://doi.org/10.5152/JAEM.2014.177","url":null,"abstract":"Objective: To investigate the epidemiological and clinical characteristics of intoxications in our region, to illuminate measures, and to contribute to the national survey. Material and Methods: Medical records of 366 cases who were diagnosed as intoxications during 2013 in the pediatric emergency department were reviewed retrospectively. Results: A total of 80,833 patients were admitted to pediatric emergency department in 2013. The ratio of poisoning cases to all pediatric emergency admissions was 0.4%; 184 (50.2%) cases were female, 182 (49.8%) cases were male, and the mean age was 5.7±1.4 years. Also, 56.8% of patients were under 5 years old. Most (95.7%) cases were accidental, while 4.3% of them were suicides. The common causes of intoxication were medications and scorpion envenomation. The most common pharmacological agents that caused intoxication were analgesics and antidepressants. The most common clinical findings were vomiting (24.3%), nausea (20.2%), abdominal pain (13.6%) and headache (11.4%). Supportive treatments were applied to 90.1% of patients, and antidotes were used in 4.9% of patients. A patient with a scorpion sting died due to cardio-pulmonary insufficiency. Conclusion: In our region, the most common poisoning agents were drugs and scorpion stings. Education of parents may decrease acute intoxication cases causing morbidity and mortality. (JAEM 2014; 13: 166-71)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"34 1","pages":"166-171"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77639280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The aim of this study is to demonstrate the attitudes and practices regarding the use of personal protective equipment among emergency medicine residents. Material and Methods: In this cross-sectional survey study, emergency medicine residents who had attended the 6th Emergency Medicine Resident’s Symposium were included. In the first part of the survey, demographic characteristics, duration of residency and medical career and the institutions were investigated. In the second part, the attitudes of using personal protective equipment and also the physical status of the emergency rooms were assessed. Results: Sixty-seven emergency medicine residents were surveyed. 83.6% of them was working at education and research hospitals and 16.4% was working at university hospitals. The question about the existence of personal pro-tective equipment was affirmed by only 28.4% of the participants. 26.9% of the participants took lessons about protection from infectious diseases during their residency training. The statistical comparisons between the presence of isolation rooms and the type of the institution and being trained about personal protection against infectious diseases were not significant (p>0.05). Conclusion: Emergency medicine residents, who make the first medical intervention with most patients, do not use personal protective methods effectively. There are also some deficiencies in medical institutions with regard to preparing the physical conditions of the emergency rooms and resident education programs. (JAEM 2014; 13: 176-80)
{"title":"The Practice of Emergency Medicine Residents Regarding the Use of Personal Protective Equipment for Protection against Infectious Diseases","authors":"T. Ozturk, A. Tali, T. Topal, O. Guneysel","doi":"10.5152/JAEM.2013.019","DOIUrl":"https://doi.org/10.5152/JAEM.2013.019","url":null,"abstract":"Objective: The aim of this study is to demonstrate the attitudes and practices regarding the use of personal protective equipment among emergency medicine residents. Material and Methods: In this cross-sectional survey study, emergency medicine residents who had attended the 6th Emergency Medicine Resident’s Symposium were included. In the first part of the survey, demographic characteristics, duration of residency and medical career and the institutions were investigated. In the second part, the attitudes of using personal protective equipment and also the physical status of the emergency rooms were assessed. Results: Sixty-seven emergency medicine residents were surveyed. 83.6% of them was working at education and research hospitals and 16.4% was working at university hospitals. The question about the existence of personal pro-tective equipment was affirmed by only 28.4% of the participants. 26.9% of the participants took lessons about protection from infectious diseases during their residency training. The statistical comparisons between the presence of isolation rooms and the type of the institution and being trained about personal protection against infectious diseases were not significant (p>0.05). Conclusion: Emergency medicine residents, who make the first medical intervention with most patients, do not use personal protective methods effectively. There are also some deficiencies in medical institutions with regard to preparing the physical conditions of the emergency rooms and resident education programs. (JAEM 2014; 13: 176-80)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"47 1","pages":"176-180"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78390840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Emergency physicians, with their life-saving roles in critical diseases’ initial evaluation, are essential for patient safety within the health system. The aim of the study is to evaluate whether the practitioners working in the ER and expert physicians (in disciplines other than emergency medicine) consider themselves competent regarding the frequent life-threatening diseases that are encountered and the accuracy of their notions. Material and Methods: A survey of 20 questions was given to ER physicians working in hospitals. Results: Of the physicians that took the survey, 82.7% considered their knowledge regarding the initial treatment of a patient admitted to the ER as sufficient or very sufficient; 65.3% of the physicians stated that four or less symptoms that would raise suspicion in an EKG of patients admitted to the ER with myocardial infarction, while 34.7% stated that there may be five or more symptoms. Additionally, 53.8% of the physicians consider themselves competent/very competent in recognizing bleeding and ischemia in brain tomography. Furthermore, 81.6% of the physicians considered their ability to apply initial treatment to a patient with diabetic ketoacidosis as sufficient or very sufficient, while the percentage of physicians who stated that the fluid deficit of a patient with diabetic ketoacidosis is 5 L or more was 55.4% Conclusion: With this study, we found evidence indicating a serious lack of knowledge among practitioners treating patients in the ER and expert physicians not related to emergency medicine regarding crucial matters related to patients admitted to the ER. (JAEM 2014; 13: 187-93)
{"title":"The Knowledge Levels of Emergency Physicians: Whom to Care About? Physicians or Patients?","authors":"A. Hocagil, Hilal Hocagil, Bülent Ecevit","doi":"10.5152/JAEM.2014.80775","DOIUrl":"https://doi.org/10.5152/JAEM.2014.80775","url":null,"abstract":"Objective: Emergency physicians, with their life-saving roles in critical diseases’ initial evaluation, are essential for patient safety within the health system. The aim of the study is to evaluate whether the practitioners working in the ER and expert physicians (in disciplines other than emergency medicine) consider themselves competent regarding the frequent life-threatening diseases that are encountered and the accuracy of their notions. Material and Methods: A survey of 20 questions was given to ER physicians working in hospitals. Results: Of the physicians that took the survey, 82.7% considered their knowledge regarding the initial treatment of a patient admitted to the ER as sufficient or very sufficient; 65.3% of the physicians stated that four or less symptoms that would raise suspicion in an EKG of patients admitted to the ER with myocardial infarction, while 34.7% stated that there may be five or more symptoms. Additionally, 53.8% of the physicians consider themselves competent/very competent in recognizing bleeding and ischemia in brain tomography. Furthermore, 81.6% of the physicians considered their ability to apply initial treatment to a patient with diabetic ketoacidosis as sufficient or very sufficient, while the percentage of physicians who stated that the fluid deficit of a patient with diabetic ketoacidosis is 5 L or more was 55.4% Conclusion: With this study, we found evidence indicating a serious lack of knowledge among practitioners treating patients in the ER and expert physicians not related to emergency medicine regarding crucial matters related to patients admitted to the ER. (JAEM 2014; 13: 187-93)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"47 1","pages":"187-193"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82363105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Ergin, Daghan Aylanç, Semra Aslay, Sadiye Emircan, N. Bulakbaşı, B. Cander
The Patient Management Symposium in Emergency Medicine in North Cyprus Emergency Medicine Days was carried out between February 28 and March 1, 2014 at Lefkosa, TRNC. Fifteen academicians carried out the Emergency Medicine Patient Management Symposium with 17 presentations at 7 different panels. Besides physicians, nurses, paramedics working in the 112 emergency health care services, emergency services and in the other clinics of the Turkish Republic of North Cyprus Ministry (TRNC) of Health, health professionals working in the emergency services and intensive care units of Near East University (NEU) hospital and other private facilities and NEU School of Medicine, Nursing Department of Faculty of Health Sciences and students of the Paramedic Program of Vocational School of Health and students of the other universities attended the symposium. The number of participants was 440, and it caught more attention than expected. Holding the organization of Patient Management in Emergency Medicine Symposium under the umbrella of Northern Cyprus Emergency Medicine Days has added strength and desire to the NEU School of Medicine Emergency Medicine Department and EPAT for other planned organizations. (JAEM 2014; 13: 219-20)
{"title":"Patient Management Symposium in Emergency Medicine at North Cyprus Emergency Medicine Days","authors":"M. Ergin, Daghan Aylanç, Semra Aslay, Sadiye Emircan, N. Bulakbaşı, B. Cander","doi":"10.5152/JAEM.2014.262","DOIUrl":"https://doi.org/10.5152/JAEM.2014.262","url":null,"abstract":"The Patient Management Symposium in Emergency Medicine in North Cyprus Emergency Medicine Days was carried out between February 28 and March 1, 2014 at Lefkosa, TRNC. Fifteen academicians carried out the Emergency Medicine Patient Management Symposium with 17 presentations at 7 different panels. Besides physicians, nurses, paramedics working in the 112 emergency health care services, emergency services and in the other clinics of the Turkish Republic of North Cyprus Ministry (TRNC) of Health, health professionals working in the emergency services and intensive care units of Near East University (NEU) hospital and other private facilities and NEU School of Medicine, Nursing Department of Faculty of Health Sciences and students of the Paramedic Program of Vocational School of Health and students of the other universities attended the symposium. The number of participants was 440, and it caught more attention than expected. Holding the organization of Patient Management in Emergency Medicine Symposium under the umbrella of Northern Cyprus Emergency Medicine Days has added strength and desire to the NEU School of Medicine Emergency Medicine Department and EPAT for other planned organizations. (JAEM 2014; 13: 219-20)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"31 1","pages":"219-220"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74404535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nutritional rickets occurs more commonly in breastfed infants with rapid growth and limited exposure to sunlight. Hypocalcemic convulsions secondary to vitamin D deficiency occur largely in patients with rapid growth rates, such as children younger than 1 year and adolescents. Vitamin D deficiency seems to be an unrecognized and prevalent problem in school childhood. Whereas infants generally exhibit bony deformities, most school-aged children are asymptomatic. In this case, we present hypocalcemic convulsion in a 6-year-old boy with nutritional vitamin D deficiency in order to emphasize that hypocalcemia secondary to vitamin D deficiency can lead to convulsion in other children, as well as infants and adolescents. (JAEM 2014; 13: 206-8)
{"title":"Hypocalcemic Convulsion in a Six-Year-Old Child with Vitamin D Deficiency","authors":"M. Tekin, Ç. Konca, Abdulgani Gülyüz","doi":"10.5152/JAEM.2014.251","DOIUrl":"https://doi.org/10.5152/JAEM.2014.251","url":null,"abstract":"Nutritional rickets occurs more commonly in breastfed infants with rapid growth and limited exposure to sunlight. Hypocalcemic convulsions secondary to vitamin D deficiency occur largely in patients with rapid growth rates, such as children younger than 1 year and adolescents. Vitamin D deficiency seems to be an unrecognized and prevalent problem in school childhood. Whereas infants generally exhibit bony deformities, most school-aged children are asymptomatic. In this case, we present hypocalcemic convulsion in a 6-year-old boy with nutritional vitamin D deficiency in order to emphasize that hypocalcemia secondary to vitamin D deficiency can lead to convulsion in other children, as well as infants and adolescents. (JAEM 2014; 13: 206-8)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"39 1","pages":"206-208"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74707982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Kayadibi, D. Olgun, E. Ozmen, R. Özcan, A. Ipekci, I. Ikizceli
An amulet with a blue bead and metal coin are the most common causes of foreign body ingestion in childhood in Turkey. There are few case reports of metal spoons ingested in the literature. In this case report, our aim is to report a teaspoon that was found incidentally in the ascending colon as an uncommon cause of foreign body ingestion. (JAEM 2014; 13: 204-5)
{"title":"Foreign in Colon","authors":"Y. Kayadibi, D. Olgun, E. Ozmen, R. Özcan, A. Ipekci, I. Ikizceli","doi":"10.5152/JAEM.2014.174","DOIUrl":"https://doi.org/10.5152/JAEM.2014.174","url":null,"abstract":"An amulet with a blue bead and metal coin are the most common causes of foreign body ingestion in childhood in Turkey. There are few case reports of metal spoons ingested in the literature. In this case report, our aim is to report a teaspoon that was found incidentally in the ascending colon as an uncommon cause of foreign body ingestion. (JAEM 2014; 13: 204-5)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"46 1","pages":"204-205"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87793502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Icme, S. Vural, F. Tanrıverdi, E. Balkan, N. Kozaci, G. Kurtoglu
acquired diaphragmatic rupture is often associated with trauma, rarely it may be spontaneous (atraumatic). Spontaneous diaphragmatic rup- ture is one of the rarest thoracoabdominal emergencies, and is harder to de- tect in patients without visceral damage. Diagnosis may be delayed by several months or even years. A sceptical approach, combined with thorough physi- cal examination and the correct interpretation of the chest X-ray, are very im- portant in diagnosis. In this report we present a patient who was admitted to the emergency department with stomach pain, nausea, vomiting and hic- cups lasting for 3 days, and was diagnosed with spontaneous diaphragmatic rupture. The patient was treated with thoracotomy, and the defect was re- paired primarily. (JAEM 2013 doi:10.5152/jaem.2013.024)
{"title":"Spontaneous Diaphragmatic Hernia: A Case Report","authors":"F. Icme, S. Vural, F. Tanrıverdi, E. Balkan, N. Kozaci, G. Kurtoglu","doi":"10.5152/JAEM.2013.024","DOIUrl":"https://doi.org/10.5152/JAEM.2013.024","url":null,"abstract":"acquired diaphragmatic rupture is often associated with trauma, rarely it may be spontaneous (atraumatic). Spontaneous diaphragmatic rup- ture is one of the rarest thoracoabdominal emergencies, and is harder to de- tect in patients without visceral damage. Diagnosis may be delayed by several months or even years. A sceptical approach, combined with thorough physi- cal examination and the correct interpretation of the chest X-ray, are very im- portant in diagnosis. In this report we present a patient who was admitted to the emergency department with stomach pain, nausea, vomiting and hic- cups lasting for 3 days, and was diagnosed with spontaneous diaphragmatic rupture. The patient was treated with thoracotomy, and the defect was re- paired primarily. (JAEM 2013 doi:10.5152/jaem.2013.024)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"49 1","pages":"209-211"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82628201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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