Assuntos
Pneumonia Bacteriana/epidemiologia , Pneumonia Bacteriana/terapia , Qualidade da Assistência à Saúde , Adulto , Fatores Etários , Idoso , Infecções Comunitárias Adquiridas/epidemiologia , Infecções Comunitárias Adquiridas/terapia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Rhode Island/epidemiologia , Fatores de Risco , Taxa de SobrevidaRESUMO
Raeder's paratrigeminal syndrome is an uncommon neurologic disorder characterized by oculosympathetic paralysis, including ptosis and miosis. In the ED, this syndrome can be easily confused with Horner's syndrome, although with Raeder's syndrome trigeninal nerve irritation and preservation of facial sweating are noted. This report reviews a case of a 62-year-old man who presented to the ED with signs and symptoms consistent with Raeder's syndrome. MRI with angiography revealed a carotid artery dissection, and the patient was admitted and anticoagulated. The syndrome has been associated with head trauma, hypertension, vasculitis, migraine headaches, parasellar mass lesions, and internal carotid artery dissections. Hence, treatment of the patient who has Raeder's syndrome is dependent on the specific underlying lesion.
Assuntos
Cefaleia/diagnóstico , Síndrome de Horner/diagnóstico , Neuralgia do Trigêmeo/diagnóstico , Dissecção Aórtica/complicações , Doenças das Artérias Carótidas/complicações , Artéria Carótida Interna , Diagnóstico Diferencial , Medicina de Emergência , Cefaleia/etiologia , Síndrome de Horner/etiologia , Humanos , Angiografia por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Sudorese , Neuralgia do Trigêmeo/etiologiaRESUMO
The study group consisted of 14 male children 7 to 14 years old (mean age 12 years old) who underwent laparoscopic treatment of 15 variococeles between March 1994 and March 1995. The authors describe the technique for laparoscopic ligation of the spermatic vein. This allows easy localization of the enlarged veins on each side and above the internal inguinal ring as well as the presence of collateral veins, which cause recurrence. They use two 5-mm trocars for instrumentation and one 10-mm trocar for the telescope. The technique is simple, inexpensive, and has all the advantages of minimal access surgery.
Assuntos
Laparoscopia , Varicocele/cirurgia , Adolescente , Criança , Seguimentos , Humanos , Laparoscópios , Laparoscopia/métodos , Ligadura/métodos , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos , Fatores de TempoRESUMO
A case of diltiazem overdose with significant hemodynamic compromise is presented. Multiple therapeutic modalities were attempted with limited results. Control was finally achieved with a combination of norepinephrine, dobutamine, and cardiac pacing. Invasive pulmonary monitoring parameters are reported and were important in the management of this patient. The management of calcium channel blocker overdose and the various available therapeutic modalities are discussed.
