Asunto(s)
Carcinoma Ductal Pancreático/complicaciones , Mano/fisiopatología , Trombosis Intracraneal/etiología , Neoplasias Pancreáticas/complicaciones , Anciano , Encéfalo/patología , Carcinoma Ductal Pancreático/diagnóstico , Diagnóstico Diferencial , Imagen de Difusión por Resonancia Magnética/métodos , Mano/inervación , Humanos , Trombosis Intracraneal/diagnóstico , Masculino , Neoplasias Pancreáticas/diagnóstico , Tomografía Computarizada por Rayos XRESUMEN
An 80-year-old male with past history of cervical spinal cord injury visited our hospital owing to perforation in the digestive tract. Upon admission to the general ward, he presented with a sustained fever that was unresponsive to acetaminophen and antibiotics. Based on the dry skin and underlying disease, he was diagnosed with hyperthermia due to heat retention. After controlling the room temperature to cool his body and performing evaporative and convective cooling, his symptoms completely resolved. This case highlights that primary physicians should be aware of thermoregulatory dysfunction in patients with cervical spinal cord injury.
Asunto(s)
Antiinflamatorios no Esteroideos/uso terapéutico , Enfermedades de la Mama/terapia , Colitis Ulcerosa/tratamiento farmacológico , Mesalamina/uso terapéutico , Prednisolona/uso terapéutico , Piodermia Gangrenosa/terapia , Anciano , Enfermedades de la Mama/patología , Colitis Ulcerosa/complicaciones , Desbridamiento , Femenino , Humanos , Piodermia Gangrenosa/patología , Resultado del TratamientoRESUMEN
Sagittal T2-weighted fat saturation magnetic resonance imaging reveals erosion and a high-intensity area around the C3-C4 facet joint.
RESUMEN
Chest computed tomography image of a 23-year-old man. Image shows right-sided middle and lower lobe consolidation and multiple cystic bronchiectasis.
RESUMEN
A-68-year-old male was admitted due to tetanus without apparent history of trauma. Trismus was observed on admission and was improved after treatment.
RESUMEN
A case report of atropine intoxication, after the accidental ingestion of 500mg atropine sulfate is presented. The patient was a 58 year old male. Atropine sulfate 0.5mg p.o. was prescribed but inadvertently 500mg was dispensed by the pharmacy. Within 1 hour of ingestion, the patient became unconscious and was admitted to Saint Luke's International Hospital. Unresponsive to verbal and tactile stimuli with a significant decrease in response to painful stimuli, respiratory suppression, and mydriasis were evident. The serum concentration of atropine at the time of admission (4 hour after ingestion) was 244 ng/mL. He was treated in our ICU and placed under sedation utilizing in a Propofol and Fentanyl intravenously. Ventilator control, ECG monitoring and intravenous fluid support was provided. Three days after admission, the patient's level of consciousness improved. After 5 days, he was transferred to a general ward. Upon discharge, only mild diplopia remained as a sequela of the intoxication. The patient was followed in the outpatient department and his health returned to pre-ingestion level. Clinically, the diagnosis of atropine intoxication is difficult to make. If information regarding atropine ingestion is not readily available, adequate respiratory support, circulatory monitoring and proper symptomatic treatment are necessary to ensure recovery.