RESUMEN
We present here an interesting case of a 67-year-old man with 3 weeks history of lethargy, loss of appetite, generalised weakness and weight loss. Following thorough investigations, occult malignancy was ruled out. Hyponatraemia was a consistent finding which needed further classification. Additional workup including cerebral imaging and neurophysiological studies excluded cerebral vascular events and myopathies. Vasculitis screening was undertaken, and the diagnostic dilemma was revealed by the temporal arteries Doppler ultrasound which showed classical 'halo sign'. Diagnosis of temporal arteritis was made and linked with syndrome of inappropriate antidiuretic hormone secretion, which appears to be a rare association with few instances on record. Patient was treated with high dose of prednisolone with marked improvement of clinical features.
Asunto(s)
Arteritis de Células Gigantes , Síndrome de Secreción Inadecuada de ADH , Anciano , Arteritis de Células Gigantes/complicaciones , Arteritis de Células Gigantes/diagnóstico , Arteritis de Células Gigantes/tratamiento farmacológico , Humanos , Síndrome de Secreción Inadecuada de ADH/complicaciones , Síndrome de Secreción Inadecuada de ADH/diagnóstico , Masculino , Prednisolona/uso terapéutico , Arterias Temporales/diagnóstico por imagen , UltrasonografíaRESUMEN
OBJECTIVE: To determine the knowledge, attitude and practices of medical undergraduates regarding potential organ donation. METHODS: The descriptive cross-sectional study was conducted from April to July 2017 at Rawalpindi Medical University, Rawalpindi, Pakistan and comprised medical students of either gender selected from each of the five academic years. Data was collected using a structured questionnaire on knowledge, attitude and practices. Data was analysed using SPSS 22. RESULTS: Of the 400 subjects, there were 40(10%) male and 40(10%) female students from each of the five academic years. The mean age of the sample was 20.98+/-1.63 years (range: 18-27 years). Overall, 363(90.8%) students had knowledge of organ donation and 96(24%) knew about potential organ donation. Of the 184(46%) subjects willing for live donation, 86(46.7%) were males and 98(53.2%) were females. Of the 245(61.5%) subjects willing for potential organ donation, 62(77.5%) were from the 5th year and 30(37.5%) were from the 1st year. CONCLUSIONS: Medical students were found to have good knowledge regarding live organ donation, but they had very little information about potential organ donation.
Asunto(s)
Estudiantes de Medicina , Obtención de Tejidos y Órganos , Adolescente , Adulto , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Pakistán , Encuestas y Cuestionarios , Universidades , Adulto JovenRESUMEN
We are reporting a middle-aged male patient with polycythaemia vera comorbidity. The patient was exhibiting symptoms including fever, cough and shortness of breath and was found to have acute pulmonary embolism. He was diagnosed with SARS-CoV-2. This case suggests that a high index of suspicion should be taken into consideration for thromboembolic events, when treating patients with COVID-19 with breathing difficulty and low oxygen saturation levels, especially in those who have underlying predisposing conditions for coagulopathy.