Subject(s)
Emergencies , Hypothyroidism/psychology , Medical History Taking , Postoperative Complications/etiology , Psychotic Disorders/diagnosis , Thyroidectomy/adverse effects , Adult , Carcinoma, Papillary/surgery , Hallucinations/etiology , Hormone Replacement Therapy , Humans , Hypothyroidism/drug therapy , Hypothyroidism/etiology , Psychotic Disorders/etiology , Thyroid Neoplasms/surgery , Thyroxine/therapeutic useABSTRACT
An aortic thrombus may be detected by using transesophageal echocardiography after an embolic event. Clinical features are variable and may include cardiac and neurologic symptoms, such as the stroke. We report a case of a woman with an acute ischemic stroke, a myocardial infarction and a free floating aortic thrombus.
Subject(s)
Aorta , Brain Ischemia/complications , Myocardial Infarction/etiology , Stroke/etiology , Thromboembolism/complications , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Anticoagulants/therapeutic use , Brain Ischemia/etiology , Drug Therapy, Combination , Echocardiography, Transesophageal , Enzyme Inhibitors/therapeutic use , Female , Humans , Middle Aged , Myocardial Infarction/diagnosis , Myocardial Infarction/drug therapy , Stroke/diagnosis , Stroke/drug therapy , Thromboembolism/diagnosis , Thromboembolism/drug therapy , Treatment OutcomeABSTRACT
Acute abdominal pain is one of the most frequent conditions in patients presenting to the Emergency Department (ED). Acute pancreatitis (AP) is a common abdominal disorder with problematic diagnosis because of the lack of a gold standard diagnostic test. Determination of serum amylase levels was considered a screening test, but recent studies have shown an important group of emergency department patients who have normoamylasemia. Other clinical laboratory tests, such as urinary screening, could be useful to decrease misdiagnosed cases of AP in an emergency situation, whereas, to confirm the clinical suspicious, radiological imaging may add specificity. On admission in ED stratifying patients into different categories, according to severity score systems, may be helpful for an appropriate management.
Subject(s)
Emergency Service, Hospital , Pancreatitis, Acute Necrotizing/diagnosis , Humans , Pancreatitis, Acute Necrotizing/etiology , Pancreatitis, Acute Necrotizing/therapyABSTRACT
The authors report the case of an 85-year-old woman with rapidly progressive occlusive vascular disease of the small intestine confirmed at autopsy, and with malabsorption syndrome highlighted by radiological and laboratory tests. The interest of this case is the confirmation that vascular enteropathy, whether occlusive or not, may damage the intestinal mucosa to such an extent that it severely alters the absorption function.
