1/41. Epiglottic hematoma secondary to endotracheal intubation.Though trauma related to direct laryngoscopy may occur anywhere from the lips to the glottis, damage to the epiglottis during intubation is a rare complication. Although large hematoma formation in the epiglottis after intubation is uncommon, its nature is potentially lethal. We report a case of epiglottic hematoma secondary to endotracheal intubation.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
2/41. Expanding portal haematomata as a complication of knee arthroscopies in persons with haemophilia.Recurrent haemarthroses stimulate the hypertrophy of synovial tissues that if left in situ will eventually cause joint destruction. Synovectomies have been the cornerstone of joint preservation and a number of different methods exist. We report two patients who suffered complications after an arthroscopic procedure. No previous complications of this nature have been reported in the literature.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
3/41. Transesophageal echocardiography diagnosis of intramural hematoma of the ascending aorta: A word of caution.The diagnosis of intramural hematoma by echocardiography classically requires the presence of an echolucent, crescentic region in the wall of the aorta. Recently we have encountered 2 patients in whom intramural hematoma was characterized only by thickening of the aortic wall, which was circumferential in one patient, thus making the diagnosis difficult to distinguish from common atherosclerotic thickening of the aorta. In one case, computed tomography showed more clearly the abnormal tissue signature of the intramural blood. In summary, absence of an echolucent zone does not exclude the diagnosis of intramural hematoma. Alternative imaging procedures such as computed tomography and magnetic resonance imaging may enhance the diagnostic accuracy.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
4/41. The nature of the disorder underlying the inability to retrieve proper names.Two patients with the syndrome of proper name anomia were investigated. Both patients were only able to produce around 50% of the names of contemporary celebrities, but performed significantly better on a task calling for naming of historical figures. The names of relatives and friends were spared in one patient, while the other retrieved names of people known since childhood much better than those of people familiar to him since the age of 25. Geographical names, names of monuments and masterpieces were preserved. The above dissociations are taken to imply that in moderately impaired patients, a temporal gradient effect concurs to modulate the severity of the naming block. A similar impairment was found in both patients when they attempted to retrieve or relearn familiar telephone numbers. This finding suggests that the core of the disorder resides in the inability to gain access to words used to identify a single entity, regardless of whether they belong to the class of proper or common names.- - - - - - - - - - ranking = 4keywords = nature (Clic here for more details about this article) |
5/41. Chronic myeloid leukemia initially presenting with spontaneous mediastinal hematoma and hemothorax.Spontaneous mediastinal hematoma is rarely seen in hematologic malignancy. We report a case of chronic myeloid leukemia initially presenting with spontaneous hematoma and hemothorax. In addition to a detailed history, computerized tomography of the chest is important in analyzing whether an anterior mediastinal mass lesion is present. magnetic resonance imaging is helpful in confirming the nature of a mediastinal hematoma. Trauma, vascular disease and coagulopathy should first be ruled out when making a diagnosis of spontaneous bleeding in the thorax. In our patient, the mediastinal hematoma regressed spontaneously after three months. leukemia should be considered in the differential diagnosis of spontaneous mediastinal hematoma. In leukemia patients with spontaneous mediastinal hematoma, supportive observation and close follow-up may be better than surgery, unless massive hemorrhage or active bleeding in the thorax is suspected.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
6/41. Cricketing injuries in children: from the trivial to the severe.AIM: To describe the nature of acute cricketing injuries in children presenting to the emergency department of a tertiary level children's hospital. Two cases of severe injuries during a cricket game are reported. METHOD: A retrospective review of presentations to the emergency department from 1993 to April 1998. RESULTS: Sixty cases of cricketing injuries were reviewed. Injuries to the head, hands and forearms were most common. Most injuries were caused by being hit by a ball. A high proportion of cases required operative intervention. length of stay in hospital was only overnight in most cases. The two case reports highlight unusual but severe injuries that caused significant morbidity to the patients involved. CONCLUSION: Although cricket is, by and large, a safe sport, this report will raise awareness of the variety of injuries that can be suffered by children playing the game.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
7/41. Gray scale ultrasound: evaluation of iliopsoas hematomas in hemophiliacs.Because of its insidious nature, intramuscular bleeding, in contrast to hemarthrosis, is missed or belatedly recognized in hemophiliacs. Sixteen patients with suspected iliopsoas bleeding were studied by gray scale ultrasonography. In 12 patients it was possible to confirm the diagnosis of iliopsoas hematoma because of enlargement and rounding of the psoas muscle.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
8/41. Acquired factor viii autoantibody: four cases demonstrating the heterogenous nature of this condition and problems involved in diagnosis and treatment.The development of an autoantibody to human factor viii is rare and presents many problems for diagnosis and treatment. We have seen several cases at our institution recently with widely heterogenous clinical and laboratory presentations. A wide range of treatment modalities were used in these cases with no gold standard of treatment or widely accepted guidelines existing. This has prompted us to examine all cases of this condition presenting at Fremantle Hospital over the last decade. We describe four cases which demonstrate the heterogeneity of this condition and its treatment and review the recent literature on the subject.- - - - - - - - - - ranking = 4keywords = nature (Clic here for more details about this article) |
9/41. Acute femoral neuropathy secondary to an iliacus muscle hematoma.We present a patient with a spontaneous iliacus muscle hematoma, appearing immediately after a minor physical maneuver, presenting with pain and femoral neuropathy initially evidenced by massive quadriceps muscle fasciculations. A magnetic resonance imaging (MRI) study of the pelvic area confirmed the diagnosis, showing a hematoma secondary to a partial muscle tear. The patient was managed conservatively, and the continuous muscle activity ceased in 3 days, with progressive improvement of the pain and weakness. The recovery was complete. femoral neuropathy is uncommon and usually due to compression from psoas muscle mass lesions of diverse nature, including hematomas. Usually subacute, femoral neuropathy may present acutely in cases of large or strategically placed compressive femoral nerve lesions, and may require surgical evacuation.The case presented herein is remarkable since the muscle hematoma appeared after a nonviolent maneuver, fasciculations were present at onset, and conservative management was sufficient for a full recovery.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
10/41. Idiopathic intraparenchymal hematoma of the liver in a neonate.Hepatic hematomas in newborn infants are not frequently detected clinically, but are often found at perinatal autopsies. These hematomas of the liver are usually subcapsular in location. A variety of etiologies for such hematomas has been implicated, such as trauma, sepsis, and coagulopathies. We present a neonate who presented with jaundice and abdominal distention. Initial imaging studies revealed a large intraparenchymal lesion of the liver, which was at first thought to be suspicious for neoplasm; however, MRI showed the lesion to be hemorrhagic and follow-up sonographic studies showed total resolution of this lesion, compatible with hematoma. The intraparenchymal location and the idiopathic nature of this lesion distinguish this case from others previously reported.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
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