Asunto(s)
Evaluación Geriátrica , Geriatría/métodos , Cuidados Preoperatorios/métodos , Procedimientos Quirúrgicos Operativos , Procedimientos Innecesarios/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Envejecimiento , Cognición , Comorbilidad , Delirio , Femenino , Anciano Frágil , Evaluación Geriátrica/métodos , Humanos , Masculino , Salud Mental , Evaluación Nutricional , Estado Nutricional , Polifarmacia , Guías de Práctica Clínica como Asunto , Cuidados Preoperatorios/estadística & datos numéricosRESUMEN
Streptococcusanginosusis a member of the Streptococcus millerigroup, known to cause suppurative infections of the deep tissues. There have been very few case reports of the bacteria presenting with concomitant lung and brain abscesses. We describe a patient with new, onset seizures, subsequently diagnosed with S. anginosuslungandbrain abscesses.
Asunto(s)
Absceso Encefálico/diagnóstico , Absceso Encefálico/microbiología , Absceso Pulmonar/diagnóstico , Absceso Pulmonar/microbiología , Infecciones Estreptocócicas/diagnóstico , Streptococcus anginosus , Absceso Encefálico/epidemiología , Comorbilidad , Humanos , Absceso Pulmonar/epidemiología , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos XRESUMEN
Thyrotoxic Hypokalemic Periodic Paralysis (THPP) is a rare complication of thyrotoxicosis and can sometimes be fatal. It needs early recognition for proper management and prevention of recurrences. Here we describe two cases presenting with acute onset of paresis, low potassium levels, low levels of thyroid-stimulating hormones (TSH), and elevated thyroid hormone levels.
Asunto(s)
Parálisis Periódica Hipopotasémica/diagnóstico , Parálisis Periódica Hipopotasémica/metabolismo , Hormonas Tiroideas/metabolismo , Tirotropina/metabolismo , Adulto , Humanos , Masculino , Tirotoxicosis/etiologíaRESUMEN
Hepatocellular carcinoma (HCC) is a common cancer presenting in adults with an increasing incidence in the United States. The many etiologies of cirrhosis place patients at increased risk for developing hepatocellular carcinoma but not all patients who develop this cancer have underlying cirrhosis. Presented is a case of a man without cirrhosis or any known risk factors for liver disease who was admitted in fulminant hepatic failure. He was found to have hepatocellular carcinoma complicated by an extensive tumor thrombus. At autopsy, underlying hemochromatosis was discovered. The etiologies, clinical manifestations, diagnostic modalities and treatment options are discussed patients with hepatocellular carcinoma.
