The American journal of case reports
-
The glenohumeral joint is the most mobile joint in the human body due to the shallowness of the glenoid socket. This unique anatomy also makes it the most dislocated joint in humans. All the techniques described so far for relocation require operator control and prescription drugs. We describe a technique that is unique, easy, and patient-controlled. ⋯ A new patient-controlled technique for reduction of the glenohumeral joint following dislocation is described. It is simple, safe, and effective to perform in Emergency Departments.
-
Case Reports
Severe hypercalcemia complicating recovery of acute kidney injury due to rhabdomyolysis.
Rhabdomyolysis is frequently complicated by multiple electrolyte abnormalities, including hyperkalemia, hyperphosphatemia, and hypo/hypercalcemia. Hypercalcemia can be severe and life-threatening. ⋯ Hypercalcemia is not uncommon during the recovery phase of ATN. Unattended, it can cause severe morbidity and even mortality. Fluid administration, pamidronate, and calcium-free dialysis are some methods used to correct severe hypercalcemia. Over time, hypercalcemia improves in almost all cases.
-
Female, 57 FINAL DIAGNOSIS: Syryngomyelia • cervical ⋯ Acute cardiopulmonary and intensive care unit-acquired neuromuscular conditions have been attributed as a major cause of difficult weaning and extubation. Failure to identify and correct other rare combinations (such as cervical degenerative disc disease and syringomyelia) may cause acute respiratory failure and subsequent failure to wean and extubation, resulting in high rates of mortality and morbidity.
-
Case Reports
Transient serotonin syndrome caused by concurrent use of tramadol and selective serotonin reuptake inhibitor.
Serotonin syndrome is a potentially life-threatening adverse drug reaction that most commonly results from adverse interactions between drugs. Because serotonin syndrome can be fatal and is often difficult to diagnose, it is vital for health professionals to know about this reaction. We report a typical case of transient serotonin syndrome secondary to tramadol-Citalopram combination. This case report highlights the value of awareness of the early and subtle signs of serotonin syndrome. ⋯ Most physicians are aware of serotonin syndrome secondary to antidepressants but do not think about other classes of medications such as analgesics. Clinicians should also be aware of the possibility of serotonin syndrome when encountering a patient taking serotonergic drugs who presents with characteristic symptoms of serotonin syndrome.
-
Case Reports
Systemic lupus erythematosus pancreatitis: an uncommon presentation of a common disease.
Acute pancreatitis is uncommon in systemic lupus erythematosus (SLE). When recognized early and properly treated with IV steroids and hydration, the course may be benign, as exemplified in the following report. ⋯ After ruling out common causes, such as hepatobiliary pathology or toxin-related insults like alcohol, hypercalcemia, hypertriglyceridemia or medications, steroids may be used in SLE pancreatitis because they might improve the overall prognosis.