The Pan African medical journal
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Case Reports
Pericardial tamponade and coexisting pulmonary embolism as first manifestation of non-advanced lung adenocarcinoma.
Pericardial effusion and pulmonary embolism are relatively common complications of malignancy and are uncommon as its initial manifestation. This report describes a case of a patient, who presented with this association, due to an underlying pulmonary adenocarcinoma. When a major pericardial effusion is associated with pulmonary hypertension, some echocardiographic signs may redress the diagnosis. This case emphasizes a challenge diagnostic which may be guided by high right ventricular pressure and on the other hand the importance of keeping both these conditions in mind when dealing with context of malignancy.
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To assess the level of knowledge of CPR among House-Officers (HO) and some factors determining accuracy of knowledge. ⋯ There was a general poor knowledge of the performance of basic CPR amongst HOs. However, previous experience of having performed CPR in real setting, or the use of mannequins, improved their theoretical knowledge of CPR.
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Medical service in many African countries is affected by the limited infrastructure and the lack of economic and human potentials. Uganda is one the countries that suffers from lack of physicians as well as shortage of many medical facilities with many endemic health problems such as Goiter. A surgical camp was done by an Egyptian team of 8 physicians; three general surgeons, one pediatric surgeon, two gynecologists and one anesthetist. ⋯ General surgery procedures were 45 operations (50%), Pediatric procedures were 23 operations (26%) and Gynecological operations were 21 operations (24%) In conclusion Humanitarian relief for poor population in the developing world countries needs vigilant international collaboration. Special attention should be given to goiter in African countries. Training doctors from sub-Saharan African nations should be on the top of the agenda of the international medical community in order to reach a definitive solution for their health problems.