ABSTRACT
A 51-year-old diabetic man diagnosed with prostatic abscess underwent its drainage twice. Following surgery he developed fever and right-sided painless visual loss due to endophthalmitis. To rule out its endogenous source CT scan was done which showed multisystem aetiology and complications. His pelvic CT and CT cystogram revealed postsurgical urethral injury along with urinary extravasation, perineal and pelvic soft tissues air densities with fat stranding ascribed to Fournier gangrene, air in distended urinary bladder due to emphysematous cystitis and right common iliac vein air containing septic thrombus. CT chest spotted bilateral multiple septic pulmonary emboli. These radiological findings were promptly handled by uro-surgical team followed by alliance with other relevant departments. With hasty surgical drainage/debridement, urological restoration of urinary obstruction, aggressive broad spectrum antibiotics, anticoagulation and radiological follow-ups the patient withstood multisystem lethal complications and come up with excellent outcome except evisceration.
Subject(s)
Abscess/surgery , Fournier Gangrene/diagnostic imaging , Prostatic Diseases/surgery , Pulmonary Embolism/diagnostic imaging , Sepsis/diagnostic imaging , Anti-Bacterial Agents/therapeutic use , Anticoagulants/therapeutic use , Debridement , Diabetes Complications/diagnostic imaging , Diabetes Complications/therapy , Drainage/adverse effects , Fournier Gangrene/etiology , Fournier Gangrene/therapy , Humans , Male , Middle Aged , Pulmonary Embolism/complications , Pulmonary Embolism/therapy , Sepsis/complications , Sepsis/therapy , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
OBJECTIVE: To assess the awareness of medical apps and academic use of smartphones among medical students. METHODS: The questionnaire-based descriptive cross-sectional study was conducted in January 2015 and comprised medical students of the Rawal Institute of Health Sciences, Islamabad, Pakistan. The self-designed questionnaire was reviewed by a panel of expert for content reliability and validity. Questionnaires were distributed in the classrooms and were filled by the students anonymously. SPSS 16 was used for statistical analysis. RESULTS: Among the 569 medical students in the study, 545 (95.8%) had smartphones and 24(4.2%) were using simple cell phones. Overall, 226(41.46%) of the smart phone users were using some medical apps. Besides, 137(24.08%) were aware of the medical apps but were not using them. Also, 391(71.7%) students were not using any type of medical text eBooks through their phone, and only 154(28.3%) had relevant text eBooks in their phones. CONCLUSIONS: Medical college students were using smartphones mostly as a means of telecommunication rather than a gadget for improving medical knowledge.
