RESUMEN
The greater weever (Trachinus draco) is the only venomous fish in Denmark, and if stung by the weever the venom may cause symptoms such as pain, headache, nausea, dizziness and in severe cases systemic allergic reaction or tissue necrosis. The venom is heat-labile and should therefore be treated with warm water to the afflicted area. We report a case of a patient who was stung in the second finger and because of the treatment, he got a second-degree burn, that may have enhanced the effect of the venom, thus resulting in partial finger amputation.
Asunto(s)
Mordeduras y Picaduras/complicaciones , Quemaduras/etiología , Traumatismos de los Dedos/etiología , Peces Venenosos , Hipertermia Inducida/efectos adversos , Amputación Quirúrgica , Animales , Mordeduras y Picaduras/patología , Mordeduras y Picaduras/terapia , Quemaduras/patología , Quemaduras/cirugía , Traumatismos de los Dedos/patología , Traumatismos de los Dedos/cirugía , Venenos de los Peces/efectos adversos , Humanos , Masculino , Persona de Mediana EdadRESUMEN
This paper aims to clarify the newly revised guidelines regarding burn injuries as to assist medical personnel dealing with burns. The Department of Burns at Rigshospitalet is the main burn centre in Denmark, and thus creates the National Guidelines of burns treatment. The new guidelines have targeted a simplification of the procedures to avoid complications of which especially severe hypothermia as well as an overload in fluid administration are included.
Asunto(s)
Quemaduras , Atención de Apoyo Vital Avanzado en Trauma , Quemaduras/diagnóstico , Quemaduras/terapia , Dinamarca , Fluidoterapia , Humanos , Guías de Práctica Clínica como AsuntoRESUMEN
In Denmark the incidence of non-melanoma skin cancer (NMSC) has increased over the past 30 years, and it is presumed that the incidence of neglected NMSC will increase. Neglected NMSC is frequently seen in patients with psychosocial disabilities. If treatment is delayed consequences regarding treatment options and prognosis can be severe. We describe two cases of patients with psychosocial disabilities and neglected NMSC. In conclusion physicians, who treat patients with psychosocial disabilities and NMSCs, should be aware of the risk of neglect and ensure that treatment is complied.
Asunto(s)
Carcinoma Basocelular/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Neoplasias de Cabeza y Cuello/diagnóstico , Neoplasias Cutáneas/diagnóstico , Carcinoma Basocelular/patología , Carcinoma Basocelular/psicología , Carcinoma de Células Escamosas/patología , Carcinoma de Células Escamosas/psicología , Neoplasias de Cabeza y Cuello/patología , Neoplasias de Cabeza y Cuello/psicología , Humanos , Masculino , Persona de Mediana Edad , Neoplasias Cutáneas/patología , Neoplasias Cutáneas/psicología , Factores de TiempoRESUMEN
Two cases of bowel perforation after ingestion of two or more magnetic foreign bodies by children are described. Both patients had only minor gastrointestinal symptoms when submitted to hospital. In both cases, acute exploratory laparatomy was performed and bowel perforation was found. The literature describes no consensus to surgical strategy in such cases. Based on the present cases, our recommendation is that an acute abdominal x-ray should be made, followed by either an acute endoscopy or acute laparatomy, even if the patient shows no signs of gastrointestinal symptoms.