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14,671 results
  • COVID-19 associated Kawasaki-like multisystem inflammatory disease in an adult. [Case Reports]
    Am J Emerg Med. 2020 Jun 25 [Online ahead of print]Sokolovsky S, Soni P, … Scheers-Masters J
  • Recent reports have described a secondary Multisystem Inflammatory Syndrome in Children (MIS-C) after a prior COVID-19 infection that often has features of Kawasaki disease (KD). Here, we report the case of a 36-year-old woman who presented to the emergency department hypotensive and tachycardic after 1 week of fevers, abdominal pain, vomiting and diarrhea, and was found to have the classic pheno…
  • [A case of colchicine poisoning complicated with extra pontine myelinolysis]. [Journal Article]
    Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Jun 20; 38(6):461-462.Liu JL, Zang XX, … Wu Y
  • To analyze the clinical presentation and the treatment process of one case of colchicine poisoning complicated with extra pontine myelinolysis and discuss its pathogenesis. Increasing the attention of hyponatremia caused by colchicine poisoning is of great significance for improving the prognosis and quality of life of patients.
  • Risk factors associated with 30-day hospital readmission after carotid endarterectomy. [Journal Article]
    Vascular. 2020 Jul 05 [Online ahead of print]Braet DJ, Smith JB, … Vogel TR
  • CONCLUSIONS: Factors associated with readmission following carotid endarterectomy included younger age, increased comorbidity burden, end-stage renal disease, electrolyte disorders, the use of bronchodilators, and complications including bleeding (hemorrhage or hematoma). Of note, in this real-world study, only 40% of the patients received protamine, despite evidence-based literature demonstrating the reduced risk of bleeding complications. As healthcare moves towards quality of care-driven reimbursement, physician modifiable targets such as protamine utilization to reduce bleeding are greatly needed to reduce readmission, and failure to reduce preventable physician-driven complications after carotid interventions may be associated with decreased reimbursement.
  • Hyponatraemia and cerebral oedema due to a modafinil overdose. [Journal Article]
    BMJ Case Rep. 2020 Jul 05; 13(7)Kandasamy RO, Kaminskaite V, May F
  • Modafinil is a non-amphetamine stimulant that is prescribed for narcolepsy-associated sleepiness as well as reported off-licence uses among university students looking to improve wakefulness and focus. There is limited information in the medical literature about supratherapeutic modafinil dosage, symptomatology and management of overdose. We report a case of a healthy 32-year-old man who was foun…
  • A Case of Persistent Muscle Cramps in an American Football Player With Cystic Fibrosis. [Case Reports]
    Cureus. 2020 Jun 14; 12(6):e8621.Wise P, Lafferty L, Phillips SF
  • Exercised-associated muscle cramp (EAMC) is a common occurrence in sports medicine. We highlight a 17-year-old male high-school football player with a history of cystic fibrosis and hyponatremic seizure, who presented for recurrent EAMC. After establishing an appropriate electrolyte replacement and hydration plan, he was able to complete his season with minimal symptoms. This case highlights the …
  • A case of ALK-rearranged lung adenocarcinoma associated with syndrome of inappropriate antidiuretic hormone. [Case Reports]
    Respir Med Case Rep. 2020; 30:101136.Miyashita Y, Hanawa K, … Oyama T
  • A 60-year-old man with a history of smoking was transferred to our hospital for consciousness disorder. A diagnosis of ALK-rearranged lung adenocarcinoma associated with a paraneoplastic electrolytic disorder was made following a cutaneous needle biopsy. Both the primary lung lesion and multiple metastases shrunk and his electrolytic disorder resolved after the introduction of a first-line molecu…
  • Isolated second-phase diabetes insipidus post-transsphenoidal surgery. [Journal Article]
    BMJ Case Rep. 2020 Jun 30; 13(6)Montebello A, Portelli D, Gruppetta M
  • A 57-year-old woman presented with severe lethargy, dizziness and nausea 1 week after transsphenoidal resection of a growth hormone secreting pituitary adenoma. She was found to have severe hyponatremia of 115 mmol/L. Importantly, she was neurologically intact and clinically euvolaemic. Her fluid intake was restricted and her sodium levels increased to 131 mmol/L over 4 days. She made a full reco…
  • Duloxetine Induced Hyponatremia. [Journal Article]
    Turk Psikiyatri Derg. 2019 Winter; 30(4):287-289.Şahan E, Parlakkaya Yıldız FB
  • Hyponatremia can be asymptomatic or have a wide range of clinical presentations such as headaches, muscle cramps, nausea, seizures, coma, cerebral edema and may even result in death. Despite it has been suggested that duloxetine has a relatively less risk of hyponatraemia, the number of case reports are increasing. A 45- year old female patient with complaints of fear, anxiety, sleeplessness and …
  • Endocrine and Metabolic Manifestations of Snakebite Envenoming. [Journal Article]
    Am J Trop Med Hyg. 2020 Jun 29 [Online ahead of print]Bhattacharya S, Krishnamurthy A, … Surana V
  • Snake envenoming is a neglected, public health problem in tropical and subtropical regions. Local tissue necrosis, neurotoxic, and hemo-vasculotoxic effects are well-recognized features, whereas the endocrine and metabolic derangements are not as well known. In addition to contributing to morbidity, some of these manifestations can be potentially life-threatening if not recognized early. The most…
  • [Some practical issues in the management of patients with decompensated liver cirrhosis]. [Journal Article]
    Ter Arkh. 2019 Aug 15; 91(8):148-154.Fedosina EA, Byeverov AO, … Staroverova NP
  • The natural course of cirrhosis is characterized by a shift from a compensated stage without clinical manifestations to a subsequent decompensated stage, which is characterized by the development of obvious clinical symptoms, the most frequent of which are ascites, bleeding from varicose veins, bacterial infections, encephalopathy. The articles and reviews of recent years emphasize the importance…
  • Neurobrucellosis Presented by Cerebral Salt Wasting. [Case Reports]
    Cureus. 2020 May 25; 12(5):e8275.Kemec Z, Tüzün C, Yıldırım İ
  • This case reported here was a 27-year-old female patient, and she had no chronic disease other than hypothyroidism. She was brought to the ER with complaints of fever, chills, weakness, and hyponatremia. She has been diagnosed with brucellosis using a serum tube agglutination test (STAT). Cerebrospinal fluid (CSF) analysis and brain MRI findings supported the central nervous system (CNS) involvem…
  • Point-of-care ultrasound to evaluate volume status in severe hyponatremia. [Journal Article]
    BMJ Case Rep. 2020 Jun 28; 13(6)Evins C, Rao A
  • A 51-year-old man was hospitalised for severe hyponatremia. Initial history and physical examination suggested hypovolemia, and he was treated with normal saline at 100 mL/hour. After several days, his hyponatremia failed to improve, and then worsened without resolution of presenting ataxia and fatigue. He had no new complaints including no cough or orthopnea. He had no jugular venous distention …
  • Rare case of pseudohypoaldosteronism in a neonate secondary to congenital hydrometrocolpos. [Journal Article]
    BMJ Case Rep. 2020 Jun 28; 13(6)Kumar S, McDermott H, … Agwu JC
  • Pseudohypoaldosteronism (PHA) due to obstructive uropathy, urinary tract infections and congenital urogenital malformations has been reported in the literature; however, there are no reports of PHA associated with hydrometrocolpos due to a common urogenital tract. Hydrometrocolpos is a condition resulting in distension of the vagina and uterus due to accumulation of secretions (other than blood),…
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