Pub Date : 2024-06-06DOI: 10.2519/josptcases.2024.12039
Jon Ehrenfried, James Dunning, Ian Young, Richard R. Barnard
{"title":"Barbotage of Subscapularis Calcific Tendinopathy","authors":"Jon Ehrenfried, James Dunning, Ian Young, Richard R. Barnard","doi":"10.2519/josptcases.2024.12039","DOIUrl":"https://doi.org/10.2519/josptcases.2024.12039","url":null,"abstract":"","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"23 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141380040","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}
Gastric perforations in newborns are rare, but serous surgical emergency. Neonatal gastric perforation (NGP) was first described back in early 19th century. Since then the reported numbers has kept increasing, but the mortality has been reducing due to improvement in the neonatal intensive care. The increase in number may be due to the survival of low birth weight and premature newborns. The incidence of NGP is 1 in 5000 live births, accounting for 7% of all neonatal gastrointestinal perforations [1]. Nearly 47% of NGP were considered idiopathic while rest were mainly due to mechanical ventilation, feeding tubes, necrotizing enterocolitis, duodenal/jejunal obstruction, antenatal drugs (aspirin) and oesophageal atresia/trachea oesophageal fistula [2,3]. The symptoms are sudden deterioration of the clinical condition with difficulty breathing and abdominal distension. A simple X-ray of the abdomen is the first line investigation to visualize the pneumoperitoneum. Complete blood count, C - reactive protein, and arterial blood gas will also support investigations in diagnosing the risk factors and future management. The main treatment is ventilatory support and prompt surgical repair of the perforation. This case report is of a case of NGP in a preterm newborn with a single perforation in the greater curvature of the stomach, which was successfully treated with surgery.
{"title":"Neonatal Gastric Perforation due to Barotrauma","authors":"Sayanthan B., Samarakkody U., Heerthikan K.","doi":"10.35702/cases.10013","DOIUrl":"https://doi.org/10.35702/cases.10013","url":null,"abstract":"Gastric perforations in newborns are rare, but serous surgical emergency. Neonatal gastric perforation (NGP) was first described back in early 19th century. Since then the reported numbers has kept increasing, but the mortality has been reducing due to improvement in the neonatal intensive care. The increase in number may be due to the survival of low birth weight and premature newborns. The incidence of NGP is 1 in 5000 live births, accounting for 7% of all neonatal gastrointestinal perforations [1]. Nearly 47% of NGP were considered idiopathic while rest were mainly due to mechanical ventilation, feeding tubes, necrotizing enterocolitis, duodenal/jejunal obstruction, antenatal drugs (aspirin) and oesophageal atresia/trachea oesophageal fistula [2,3]. The symptoms are sudden deterioration of the clinical condition with difficulty breathing and abdominal distension. A simple X-ray of the abdomen is the first line investigation to visualize the pneumoperitoneum. Complete blood count, C - reactive protein, and arterial blood gas will also support investigations in diagnosing the risk factors and future management. The main treatment is ventilatory support and prompt surgical repair of the perforation. This case report is of a case of NGP in a preterm newborn with a single perforation in the greater curvature of the stomach, which was successfully treated with surgery.","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"216 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135064552","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}
It is important to understand the effects of prescribed drugs on metabolism in order to tailor the nutritional prescription for critically ill children in the PICU. We describe a case of an infant with chronic lung disease and pulmonary hypertension secondary to omphalocele. This report narrates the effects of treprostinil [1,2], a pulmonary vasodilator prostaglandin, during a continuous subcutaneous infusion used to control pulmonary hypertension with a metabolic profile obtained via an indirect calorimeter (IC) (CCM Express, MC Diagnostics, St. Paul, MN). Treprostinil is a prostanoid that targets the prostacyclin pathway resulting in vasodilation, inhibition of smooth muscle proliferation and platelet aggregation [3]. The systemic effect of treprostinil may modify energy metabolism in a dynamic manner providing a challenge for caretakers to provide appropriate nutritional support.
了解处方药物对代谢的影响，以便为重症儿童在PICU中量身定制营养处方是很重要的。我们描述了一个病例的婴儿慢性肺病和肺动脉高压继发于脐膨出。本报告叙述了treprostiil[1,2]，一种肺血管扩张剂前列腺素，在通过间接量热计(IC) (CCM Express, MC Diagnostics, St. Paul, MN)获得代谢谱的连续皮下输注期间用于控制肺动脉高压的作用。treprostiil是一种前列腺素，靶向前列环素途径，导致血管舒张，抑制平滑肌增殖和血小板聚集[3]。曲前列氨酯的全身作用可能以动态的方式改变能量代谢，这对护理人员提供适当的营养支持提出了挑战。
{"title":"The Effect of Treprostinil on Metabolic Profile in a Patient with Secondary Pulmonary Hypertension from Chronic Lung Disease","authors":"Thyyar M. Ravindranath, Caylin Hughes","doi":"10.35702/cases.10012","DOIUrl":"https://doi.org/10.35702/cases.10012","url":null,"abstract":"It is important to understand the effects of prescribed drugs on metabolism in order to tailor the nutritional prescription for critically ill children in the PICU. We describe a case of an infant with chronic lung disease and pulmonary hypertension secondary to omphalocele. This report narrates the effects of treprostinil [1,2], a pulmonary vasodilator prostaglandin, during a continuous subcutaneous infusion used to control pulmonary hypertension with a metabolic profile obtained via an indirect calorimeter (IC) (CCM Express, MC Diagnostics, St. Paul, MN). Treprostinil is a prostanoid that targets the prostacyclin pathway resulting in vasodilation, inhibition of smooth muscle proliferation and platelet aggregation [3]. The systemic effect of treprostinil may modify energy metabolism in a dynamic manner providing a challenge for caretakers to provide appropriate nutritional support.","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136311250","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}
Intranodal palisaded myofbroblastoma is an uncommon, benign neoplasm arising within lymph nodes and commonly incriminates inguinal lymph nodes. Of obscure pathogenesis, intranodal palisaded myofibrobastoma may concur with overexpression of cyclin D1 or viral oncogenesis and manifests as a painless, gradually progressive tumefaction. Pathognomonic morphological features appear as proliferation of spindle shaped cells with nuclear palisading, a collagenous pseudo-capsule and compressed circumscribing peripheral lymph node tissue. Also, amianthoid fibres delineating fine, peripheral spokes, focal pauci-cellular zones and extracellular or intracellular fuchsinophilic bodies may be discerned.
{"title":"Ooid and Aligned-Intranodal Palisaded Myofibroblastoma","authors":"Anubha Bajaj","doi":"10.35702/cases.10010","DOIUrl":"https://doi.org/10.35702/cases.10010","url":null,"abstract":"Intranodal palisaded myofbroblastoma is an uncommon, benign neoplasm arising within lymph nodes and commonly incriminates inguinal lymph nodes. Of obscure pathogenesis, intranodal palisaded myofibrobastoma may concur with overexpression of cyclin D1 or viral oncogenesis and manifests as a painless, gradually progressive tumefaction. Pathognomonic morphological features appear as proliferation of spindle shaped cells with nuclear palisading, a collagenous pseudo-capsule and compressed circumscribing peripheral lymph node tissue. Also, amianthoid fibres delineating fine, peripheral spokes, focal pauci-cellular zones and extracellular or intracellular fuchsinophilic bodies may be discerned.","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135287169","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}
Myelinated Retinal Nerve Fibers (MRNFs) can be observed on fundus photography. This has the appearance of white striated patches with poorly defined borders caused by a developmental error leading to myelination of retinal ganglion cell fibers by ectopic oligodendrocytes. The prevalence of MRNFs is low, ranging from 0.34% [1] to 0.98% [2], and there is no variation according to the origin or sex of the patients. Apart from associated pathologies, this type of fiber remains stable over time [2]. It is considered as a rare and mostly benign congenital anomaly. The objective is to show that in young children, the presence of extensive myelin fibers should be monitored more regularly by ophthalmologists.
{"title":"Myelinated Retinal Nerve Fibers, a Complicating Factor in Amblyopia Rehabilitation?","authors":"Tristan Jurkiewicz","doi":"10.35702/cases.10011","DOIUrl":"https://doi.org/10.35702/cases.10011","url":null,"abstract":"Myelinated Retinal Nerve Fibers (MRNFs) can be observed on fundus photography. This has the appearance of white striated patches with poorly defined borders caused by a developmental error leading to myelination of retinal ganglion cell fibers by ectopic oligodendrocytes. The prevalence of MRNFs is low, ranging from 0.34% [1] to 0.98% [2], and there is no variation according to the origin or sex of the patients. Apart from associated pathologies, this type of fiber remains stable over time [2]. It is considered as a rare and mostly benign congenital anomaly. The objective is to show that in young children, the presence of extensive myelin fibers should be monitored more regularly by ophthalmologists.","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135813089","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}
{"title":"Occurrence of Spinal Masqueraders in a Urolithiasis Clinical Context","authors":"","doi":"10.35702/cases.10008","DOIUrl":"https://doi.org/10.35702/cases.10008","url":null,"abstract":"","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81880721","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}
{"title":"Adenoid Cystic Carcinoma of the External Auditory: A Case Report","authors":"","doi":"10.35702/cases.10007","DOIUrl":"https://doi.org/10.35702/cases.10007","url":null,"abstract":"","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88012648","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}
{"title":"Second Neoplasms in Diffuse Large B-Cell Lymphoma: The Role of Race","authors":"A. Avilés","doi":"10.35702/cases.10009","DOIUrl":"https://doi.org/10.35702/cases.10009","url":null,"abstract":"","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80919249","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}
{"title":"Mother in Me (MiM): A Prevention and Early Intervention Program in Perinatal Depression – A Pilot Trial","authors":"","doi":"10.35702/cases.10005","DOIUrl":"https://doi.org/10.35702/cases.10005","url":null,"abstract":"","PeriodicalId":73565,"journal":{"name":"JOSPT cases","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74817523","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：