In older children and adolescents with subtrochanteric femur fractures, surgical fixation has become the treatment of choice, because unsatisfactory radiographic alignment and limb length discrepancy frequently result from nonoperative treatment.4 Furthermore, prolonged traction and spica casting become increasingly difficult in older children and requirea longer in-hospital stay and return to ambulation.4 Several surgical treatment options have been described for pediatric subtrochanteric femur fractures, including intramedullary nailing with elastic or rigid nails, external fixation, and open reduction internal fixation.3–8 Although elastic intramedullary nailing has shown promising results, rigid nailing has been found to carry an increased risk for avascular necrosis of the femoral head in this patient population.4,6,8 Furthermore, given the high loads present at the subtrochanteric level, plating using constructs without angular stability frequently leads to limb length discrepancy and loss of reduction.4 Plate constructs with angular stability such as blade plates and locked plates have however been shown to yield satisfactory
Intussusception is a surgical emergency that most commonly affects infants between five and nice months of age. However, neonatal intussusception is a very rare entity and is not well described. It represents 3% of the causes of neonatal intestinal obstruction and 0.3% of all cases of intussusception. 1, 2 The presentation of neonatal intussusception can be vague and misleading due to the rarity of the disease and the non-specificity of its symptomatology.3 The presentation is usually in the form of vomiting and abdominal pain which can mimic necrotizing enterocolitis and may lead to delay in diagnosis. This happens because in intussusception peristalsis is disturbed and lymphatic and venous obstruction occurs causing ischemia.
He is the only child, born at full-term with uneventful perinatal period. No family history of consanguinity or neurological problem was reported. He had frequent vomiting and choking since age of 6 months. At age of 18 months, his psychomotor development had progressively regressed and he lost his ability to either walk or stand independently. He subsequently developed respiratory failure required intubation and mechanical ventilation.
These experience could not be possible if our beings were merely physical, limiting us to what is possible during brain function. There is evidence that 80% of people blind from birth report having sight for the first time during clinical death. “Congenitally blind people don’t even have a concept of sight; they only dream in audio. Many of these people had flat brain waves and were in cardiac arrest in hospitals. Five of them saw things that could be verified independently.” (New Evidence).
If her cervix was a clock 's face, the lump was at four o 'clock," (Skloot 17). Being a victim of racism in the early 1950s, she didn 't get the necessary medical attention needed to treat her. Jones cut a small sample of her lump for a biopsy that showed results of her being diagnosed of cervical cancer or adenocarcinoma, a malignant tumor of the epithelial tissue in her cervix. During her first cancer treatment, Dr. Lawrence Wharton Jr. without Henrietta 's consent took two pieces of live tissue from which her cells: one piece of tissue from her tumor and one from healthy cervical tissue near the tumor. Even after her death, those cells continue to live today.
They concluded that in a population of medical intensive care unit spontaneously breathing patients, just before extubation, the presence of leaking around the endotracheal tube rules out postextubation stridor. On the other hand Engoren(12) in his study that was conducted in a cardiovascular ICU after cardiac surgery over 531 extubations in 524 cardiac surgery patients disagree with all previous results. Twenty patients among them had positive leak test (a leak ≤ 110 mL). None of the 20 patients with a positive leak test developed problems. Three patients had postextubation stridor.
Segmental Intestinal volvulus without underlying caused called Primary Segmental Volvulus, It is very rare entity few cases were reported in the literature. We report a rare case of segmental ileal volvulus associated with acute appendicitis. Case Presentation: A 3 years old boy complains of diarrhea associated with vomiting, central abdominal pain and decreased activity for 2 days duration referred to paediatric surgery as a case of acute appendicitis, U/S abdomen shows sign of of acute appendicitis with Ileoileal Target sign. Laparotomy was done which shows segmental ileal volvulus without malrotation associated with Inflamed Appendix and fecolith at the tip, appendectomy plus intestinal resection and anastomosis was done. Discussion: Primary
He is referred from Kyeik Htaw Station Hospital due to neck swelling and unable to swallow for five days. He has tightness of chest and fever. In Immunization history, his mother said to be complete. In past medical history, he had admitted to hospital due to hepatitis. He did not take any drug regularly.
The unidentified man is not the first to suffer an injury because of holding a sneeze. Dr. Eric Monteiro, an ENT at Mount Sinai Hospital in Toronto, said that there was a report previously of elderly women who developed brittle bones in osteoporosis and developed vertebral compression fractures because of sneezing. Kevin Pillar, a Toronto Blue Jay player and some major league baseball players have also been injured by sneezing. Pillar was placed on a 10-day disabled list when he sneezed which caused an oblique muscle strain during the 2015 pre-season. Right way to
About 10.4 million people got sick with the disease in the same year, in which 90 percent were adults, 65 percent were men, and 10 percent were people living with HIV. The most common symptoms of tuberculosis is a persistent fever with night sweats. It is usually followed by unintentional weight loss and fatigue or weakness. If the disease progresses, cavities in the lungs will form that cause the person to cough saliva, mucus, phlegm or blood. In older infants and children, the latent tuberculosis infection usually does not exhibit any symptoms.
DOI: 07/17/2013. This is a 25-year-old female cashier who incurred injury to her low back when she missed a step and fell off a ladder while stocking sleeping bags. MRI of the lumbar spine dated 10/03/2013 revealed broad based central disc protrusion at L4-L5; moderate discogenic edema along endplates at L4-5; and broad bulge with a central annual tear at L5-S1. CT scan of the lumbar spine dated 01/08/2014 revealed that at L3, bilateral pars interarticularis defects are seen with sclerotic margins. The vertebrae at L3-4 are normal in present on the prior MRI.
Sarah Broom was 35 years old and 29 weeks pregnant with her third child (Sanghavi 1). Broom was an English lecturer and poet who lived in New Zealand (Sanghavi 1). She developed a cough and saw various doctors in Auckland over a few months (Sanghavi 10. Her doctors however, did not want to take an X-ray because she was pregnant (Sanghavi 1). Her symptoms and shortness of breath became relentless in it’s severity until they finally acquiesced and took an X-ray, which uncovered a large mass on her lung that was discovered to be a tumor that was linked with advanced-stage lung cancer and a mutation called anaplastic lymphoma kinase (ALK) (Sanghavi 1).
Henrietta Lacks was a thirty-one year old African American who had five kids and married her cousin David Lacks. Henrietta was diagnosed with cervical cancer, the doctors never informed Mrs. Lacks that her cells were to be tested on. The Lacks family was certainly not advised that Henrietta 's cells were growing at an incredible rate. Because of this, the cancer cells were shipped and bought across the world.
DOI: 2/6/2003. The patient is a 46-year old female aide who sustained a work-related injury to her low back while she was transferring a high school student from wheel chair to table. MRI of the lumbar spine dated 2/19/16 revealed T12-L1, there is no focal posterolateral right disc protrusion; L1-2, no posterior disc protrusion/osteophyte complex; L2-3 , no posterior disc protrusion/osteophyte complex; L3-4, there is lateral left disc protrusion/osteophyte complex; L4-5, there is an approximately 3 mm posterior disc protrusion/osteophyte complex; and L5-S1, there is mild posterior disc/osteophyte complex. As per office notes dated 3/30/16, the patient has gradually improved but is still not back to baseline pain. Prolonged standing exacerbates pain.
Review # 259374 Lucila Fernandez DOI: 03/28/2016. This is a 52-year-old female housekeeper who sustained an injury when she lost footing and twisted her right knee before completely falling 2 flights of stairs. The patient was subsequently diagnosed with meniscal tear. MRI of right knee without gadolinium dated 4/23/16 revealed there is a high-grade sprain of the ACL; there is a low-grade sprain of the MCL; there is a vertical oblique tear through the body of the medial meniscus with underlying chondromalacic change and subchondral edema; and mild to moderate chondromalacia of the patella. As per medical report dated 4/26/16, patient’s presenting problem started 14 days ago.