1/21. Chemical burn from alkaline batteries--a case report.A 2-year-old male was found to have a third degree (full thickness) burn on his rear right thigh. The father discovered the burn at a physician's office where the child was being treated for an ear infection. The physician notified authorities of suspected physical child abuse.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/21. hydrofluoric acid burns of the lower extremity.Chemical burns to the lower extremity can be disabling and of serious consequence if not managed properly. The severity and rapid onset of the burns caused by hydrofluoric acid after initial contact make this a highly dangerous substance. The potential severity of injury and the following complications make it a chemical of which all physicians should have a basic understanding.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
3/21. Exposure to liquid sulfur mustard.Chemical weapons continue to pose a serious threat to humanity. With the use of chemical weapons by terrorists in tokyo, and the projected disarming of the chemical weapon stockpile in this country, the possibility that emergency physicians will encounter patients contaminated by chemical munitions, such as sulfur mustard, exists. Mustard is a vesicating agent with a long latency between exposure and symptoms. Exposure can cause burns, conjunctivitis, pneumonia, and death. We describe 3 workers exposed to mustard at a chemical weapon storage facility. This article reports the first case of an exposure to mustard at a storage facility, as well as the first documented incident occurring in the united states. All physicians who manage patients in an acute care setting should be aware of the presentation and emergency treatments involving patients contaminated with mustard.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/21. Acute management of white phosphorus burn.White phosphorus is a combustible solid that is used in many of the smoke devices that are prevalent throughout the military arsenal. Exposure to phosphorus-containing compounds causes serious, often fatal, burns and can be the source of significant morbidity and lengthy hospital stays. I present the case of an individual with serious cutaneous phosphorus burns suffered at a munitions manufacturing plant. The purpose of this paper is to discuss the emergent treatments necessary in such patients and to discuss decontamination in the phosphorus-burned patient. phosphorus-containing munitions are prevalent throughout the military arsenal, and all military physicians should be aware of these treatments.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
5/21. Adverse reaction to dental corticosteroids.The case of an 18-year-old woman who experienced prominent, episodic cognitive dysfunction and affective symptoms, which coincided with a brief administration of dexamethasone, has been presented. Because her symptoms were subtle and intermittent, and because she was no longer taking corticosteroids when she sought medical attention, the diagnosis of a corticosteroid-induced mental disorder was delayed. This case demonstrates the need for heightened awareness, among all practitioners, of the effects of corticosteroids on mental functions. Because it is not possible to predict who will experience mental disturbances with even small doses of corticosteroids, all patients (and their families, if possible) should be informed about the possibility of adverse reactions. dentists and physicians need to weigh the risks and benefits of corticosteroid therapy carefully. Clinicians also should be suspicious of psychiatric disturbances in proximity to corticosteroid use (i.e., even in a patient who is not taking corticosteroids, but who has a history of corticosteroid treatment).- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
6/21. Button battery ingestion.Button batteries represent a special category of pediatric ingested foreign body because of the possibility of serious complications particularly if impacted in the esophagus. We report a case of a 3-year-old girl with severe mid esophageal burns due to a lodged battery. More awareness is required amongst physicians to avert such dangers and ensure prompt removal.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
7/21. 7 cases of hydrofluoric acid burn in which calcium gluconate was effective for relief of severe pain.We report 7 cases of chemical burns due to hydrofluoric acid (HF). The patients suffered from severe pain. However, the pain was relieved after treatment with calcium gluconate. 6 out of the 7 cases were men. At the accidental exposures, all the patients had been engaged in washing or cleaning work and received burns on their hands and/or fingers. In one case, the forearm was also involved. During such work, all the patients had used rubber gloves, but the gloves had pinholes. For the treatments, 4% calcium gluconate jelly was applied in 5 cases and 4 of 7 were subcutaneously injected with 8.5% calcium gluconate. The involved nails were removed in 5 cases. It is concluded that physicians should provide calcium gluconate jelly and subcutaneous injections to treat an HF burn and should not hesitate to remove the involved nails. To prevent chemical burn due to HF, education and reeducation of workers regarding the hazard of this chemical are necessary.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
8/21. gasoline-induced contact burns.gasoline contact may cause significant full-thickness burn injuries. Systemic complications may result from the absorption of hydrocarbons through the skin. Regional neuromuscular absorption may produce transient or even permanent impairment. It is vital that the physician be aware of the possible full-thickness injuries and complications that may result from cutaneous exposure to gasoline.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
9/21. garlic burns: a naturopathic remedy gone awry.We report the case of a child who sustained partial thickness burns from a garlic-petroleum jelly plaster, which had been applied at the direction of a naturopathic physician. A review of the literature reveals that "garlic burns" have not previously been reported, although medicinal properties of garlic have been investigated by physicians and biochemists. The pediatrician caring for children in an area where naturopathic medicine is routinely practiced should be aware of the potential side effects of plasters, poultices, and other "natural" remedies in children.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
10/21. Cutaneous blisters and carbon monoxide poisoning.We present the cases of three patients with skin blisters following carbon monoxide (CO) poisoning. Their blisters appeared to be related to the severity of the poisoning (HbCO levels of more than 40%). Two of the three patients died despite aggressive initial 100% surface oxygen followed by hyperbaric oxygen therapy. The pathophysiology of this type of blister remains unresolved. It could result from pressure necrosis alone or from a combination of pressure necrosis and direct CO inhibition of tissue oxidative enzymes. Although skin involvement as a result of CO poisoning is less frequently reported today than in the past (perhaps because of misidentified burns or because of more aggressive resuscitation and treatment protocols), the physician should recognize that such blisters may signal severe CO poisoning.- - - - - - - - - - ranking = 0.5keywords = physician (Clic here for more details about this article) |
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