RESUMO
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.
Assuntos
Mordeduras e Picadas/complicações , Queimaduras/etiologia , Traumatismos dos Dedos/etiologia , Peixes Venenosos , Hipertermia Induzida/efeitos adversos , Amputação Cirúrgica , Animais , Mordeduras e Picadas/patologia , Mordeduras e Picadas/terapia , Queimaduras/patologia , Queimaduras/cirurgia , Traumatismos dos Dedos/patologia , Traumatismos dos Dedos/cirurgia , Venenos de Peixe/efeitos adversos , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
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.
Assuntos
Queimaduras , Cuidados de Suporte Avançado de Vida no Trauma , Queimaduras/diagnóstico , Queimaduras/terapia , Dinamarca , Hidratação , Humanos , Guias de Prática Clínica como AssuntoRESUMO
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.
Assuntos
Carcinoma Basocelular/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Neoplasias de Cabeça e Pescoço/diagnóstico , Neoplasias Cutâneas/diagnóstico , Carcinoma Basocelular/patologia , Carcinoma Basocelular/psicologia , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/psicologia , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Cabeça e Pescoço/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/psicologia , Fatores de TempoRESUMO
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.
