ABSTRACT
A 2 years old girl was managed for pulmonary complaint of cough, dyspnea, and wheezes. Computerized Topographic scan of the chest showed a mixed solid and cystic mass that was proved histopathologically as Pleuropulmonary blastoma [PPB] after excision by thoracotomy which is a rare primitive aggressive malignant neoplasm of the thorax occurring in childhood. The patient was treated by chemotherapy and she was quite well on her follow up after one year
ABSTRACT
To investigate the presence of sharp pin inhalation in tracheo-bronchial tree in women wearing a hijab. This was a descriptive study that was conducted in the thoracic surgical department in al-sader teaching hospital, Basra from February 2010 to March 2011. Detailed history was taken from all the patients. Clinical examination, chest radiography and rigid bronchoscopy under general anesthesia were done to all the patients included in the study. In those, where rigid bronchoscopy failed to remove the pin, thoracotomy was done. The mean age of the sample was 19.5 years. All females presented with cough while two of them had hemoptysis [5.5%] and five had unilateral wheeze on chest auscultation [13.8%]. The majority [n=28, 77.8%] of pins were located in the left main bronchus. The rest were either in the right main bronchus [n=5, 13.8%] or in trachea [n=3, 8.4%]. Pins from 32 [88.9%] patients were removed by Negus rigid bronchoscopy. In only 4 [11.1%] patients, thoracotomy was done to remove the foreign body. Sharp pin inhalation is a serious hazard and can have lethal outcome. It commonly occurs when women hold the pins in their teeth while wearing the hijab and talking to others at the same time
ABSTRACT
Frequent somatic symptoms in old age depression lead to the label of 'masked depression' and result in detection and undertreatment of morbidity in this age group. Depressive symptomatology of 80 elderly [age years and above] was compared with that of 118 young depressives [age range 20-39 years] at psychiatry department of Mayo Hospital. Hamilton Rating Scale for Depression and Bradford Somatic Inventory were used to obtain somatic symptoms profile of the patients. The elderly depressives did not report more symptoms, however, they had a specific pattern of somatic symptoms easily distinguishable from that of their younger coon parts. With such a characteristic pattern of somatic symptoms in mind, clinicians can help minimize the on detection and undertreatment of old age depression