Ulus Travma Acil Cer
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Aortic injuries can easily be missed in polytraumatized patients due to either associated injuries or vagueness of physical examination findings. Especially in young adults without associated injuries, relatively low atherosclerotic changes may limit the dissection of traumatic descending aortic injuries. We present a 34-year-old male patient who only had a complaint of back pain following a traffic accident. ⋯ Aortography showed rupture of the aorta and a pseudoaneurysm near the isthmus. Following surgical excision of the pseudoaneurysm and aortic repair with a Dacron graft interposition he was discharged with complete relief of symptoms. This case emphasizes the need for a high index of clinical suspicion in timely diagnosis and prompt treatment of traumatic aortic ruptures.
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Burns constitute an important part of the accident-related deaths due to high morbidity and mortality. ⋯ As most of the burns were due to accidents, the number of burns might be reduced by prioritizing preventive measures and better results could be obtained when the quality and the number of the burn centers is increased.
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Our aim is to describe foreign body aspiration in the tracheobronchial tree, a common emergency with serious consequences. ⋯ Foreign body aspiration are rapidly recognized from the patient's history and easily treated by bronchoscopy and extraction of the aspirated foreign body. A high index of suspicion is crucial for early diagnosis. However, education is the best preventive measure for decreasing the incidence of this matter.
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Ulus Travma Acil Cer · Oct 2003
Evaluation of physical findings in acute wrist trauma in the emergency department.
The aim of the study was to evaluate the value of physical findings to predict fracture in patients with acute wrist trauma. ⋯ Edema, pain on grip and supination, and especially pain on passive and active motion and localized tenderness can be valuable to predict or rule out fracture in acute wrist trauma cases who have no deformity.
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Ulus Travma Acil Cer · Oct 2003
Case Reports[Iatrogenic hypernatremia during hydatid cyst operation].
Hypernatremia due to salt gain is generally iatrogenic. This case report presents a 55 year-old woman who was operated because of hepatic hydatid cyst. ⋯ When the patient awaked and became conscious at 36th hour in intensive care unit, she was extubated and transferred to ward with serum sodium concentration of 142 mEq/L. The serum sodium concentration should be monitored carefully in hydatid cyst operation, during which hypertonic saline is used for scelosidal effects as general anesthesia can mask neurologic signs due to hypernatremia.