Medicine
Amir Heydarian; Baharak Najafi Fakhraei Azar
Abstract
The management of acute abdomen referred in the emergency department is a complex and challenging task for healthcare professionals. Acute abdomen referred refers to abdominal pain that is perceived in a location distant from the actual underlying pathology. In the emergency department setting, the primary ...
Read More
The management of acute abdomen referred in the emergency department is a complex and challenging task for healthcare professionals. Acute abdomen referred refers to abdominal pain that is perceived in a location distant from the actual underlying pathology. In the emergency department setting, the primary goals of management are to rapidly assess the patient, make an accurate diagnosis, and provide timely interventions to alleviate pain and prevent complications. In this conclusion, we will summarize the key aspects of managing acute abdomen referred in the emergency department. The management of acute abdomen referred in the emergency department begins with a thorough history and physical examination, which can provide valuable clues to the underlying cause. Prompt imaging studies, such as ultrasound, CT scans, or MRI, are often utilized to aid in the diagnosis. These imaging modalities provide detailed anatomical information and help identify the affected organs or structures contributing to the referred pain. Pharmacological interventions play a crucial role in the emergency management of acute abdomen referred. Analgesics, such as NSAIDs or opioids, are administered to relieve pain and provide comfort to the patient. Antibiotics may be initiated in cases where infection is suspected or confirmed. Proton pump inhibitors and antispasmodics are used to address specific causes of referred pain, such as peptic ulcers or functional gastrointestinal disorders. Surgical intervention may be necessary in cases where conservative management approaches fail or when a definitive diagnosis requires direct visualization and tissue sampling. Emergency surgical procedures such as appendectomy, cholecystectomy, or salpingectomy are performed to address specific underlying causes of acute abdomen referred. In the emergency department, timely decision-making and effective communication among healthcare professionals are crucial for the optimal management of acute abdomen referred. Multidisciplinary collaboration, involving emergency physicians, surgeons, radiologists, and other specialists, ensures a comprehensive approach to diagnosis and management.
Medicine
Leila Mahboobi; Babak Sandoghchian Shotorbani
Abstract
This case report delves into the intricate management of a 7-year-old girl suffering from Chronic Recurrent Multifocal Osteomyelitis (CRMO), highlighting the pivotal role of Meloxibell, a medication integrating Meloxicam, in her treatment. The patient presented with severe knee pain, progressing to hip ...
Read More
This case report delves into the intricate management of a 7-year-old girl suffering from Chronic Recurrent Multifocal Osteomyelitis (CRMO), highlighting the pivotal role of Meloxibell, a medication integrating Meloxicam, in her treatment. The patient presented with severe knee pain, progressing to hip pain and lameness, prompting referral to the Department of Pediatric Rheumatology. With no underlying diseases in the patient or her parents, diagnostic evaluations revealed elevated CRP and ESR levels. Imaging studies, including ultrasound and MRI, unveiled multifocal bone involvement, and subsequent biopsies confirmed the diagnosis of CRMO. Hospitalization ensued, during which vital signs remained stable, and comprehensive tests yielded normal results. Meloxibell, administered at 7.5mg, demonstrated remarkable efficacy, resulting in the alleviation of symptoms and subsequent discharge. This case underscores the diagnostic challenges inherent in CRMO and sheds light on the potential of Meloxibell as an effective therapeutic agent. The successful outcome observed prompts consideration of Meloxibell as a valuable addition to CRMO management, warranting further research to elucidate its long-term efficacy and safety profile. As CRMO continues to pose diagnostic and therapeutic challenges, this case report contributes valuable insights to the evolving landscape of pediatric rheumatology, emphasizing the need for individualized treatment approaches in this complex disorder.
Medicine
Amir Heydarian; Baharak Najafi Fakhraei Azar
Abstract
Drug poisoning is a critical public health issue with significant implications for morbidity and mortality. This scoping review aims to provide a comprehensive overview of drug poisoning, focusing on epidemiology, diagnostic methods, management, and treatment. By systematically mapping the existing literature, ...
Read More
Drug poisoning is a critical public health issue with significant implications for morbidity and mortality. This scoping review aims to provide a comprehensive overview of drug poisoning, focusing on epidemiology, diagnostic methods, management, and treatment. By systematically mapping the existing literature, we aim to identify the current state of knowledge in these areas and highlight gaps for future research. Preliminary findings suggest that drug poisoning affects diverse populations and involves a range of substances, including prescription medications, illicit drugs, and over-the-counter products. The epidemiology of drug poisoning varies across regions, with different patterns of substance use and associated risks. Diagnostic methods for drug poisoning encompass clinical assessment, toxicology screenings, and laboratory tests, with advancements in technology enhancing accuracy and efficiency. Management and treatment strategies for drug poisoning include supportive care, decontamination procedures, antidote administration, and psychotherapy interventions. Despite advancements in understanding drug poisoning, significant gaps remain in the literature. Limited research exists on specific populations, such as pediatric and geriatric patients, and the long-term consequences of drug poisoning. Additionally, more studies are needed to evaluate the effectiveness of various management and treatment approaches. This scoping review provides a foundation for future research and practice in drug poisoning. By synthesizing the current knowledge on epidemiology, diagnostic methods, management, and treatment, we aim to inform evidence-based interventions and improve patient outcomes.
Health
Seyed Vahid Seyed Hosseini
Abstract
Open thoracotomy, a surgical procedure involving a large incision in the chest wall, has long been utilized in the management of pneumothorax. This procedure allows direct access to the pleural space, enabling effective intervention for complex cases or when less invasive techniques have proven unsuccessful. ...
Read More
Open thoracotomy, a surgical procedure involving a large incision in the chest wall, has long been utilized in the management of pneumothorax. This procedure allows direct access to the pleural space, enabling effective intervention for complex cases or when less invasive techniques have proven unsuccessful. Indications for open thoracotomy include large or recurrent pneumothorax, significant underlying lung disease, or traumatic pneumothorax with associated injuries. The primary advantage of open thoracotomy is its versatility, as it provides wide exposure and direct visualization of the pleural cavity, facilitating the identification and management of the underlying cause of pneumothorax. This approach allows for the removal of blebs or bullae, repair of lung lacerations, and treatment of associated injuries, resulting in comprehensive management. However, open thoracotomy is a major surgical procedure associated with potential risks and complications, including postoperative pain, longer hospital stays, and slower recovery. The decision to proceed with open thoracotomy should be carefully considered, taking into account the patient's clinical condition, extent of pneumothorax, underlying lung disease, and the expertise of the surgical team. As less invasive techniques, such as video-assisted thoracoscopic surgery (VATS), continue to advance, the choice between open thoracotomy and VATS should be individualized based on the patient's needs and available resources.
Health
Ramesh Baradaran Bagheri
Abstract
Introduction: According to information currently available, there has not yet been a published study about the effectiveness of intraperitoneal dexamethasone that uses high-quality methodology. However, after laparoscopy, dexamethasone intravenously has been used to treat nausea. In this study, we compare ...
Read More
Introduction: According to information currently available, there has not yet been a published study about the effectiveness of intraperitoneal dexamethasone that uses high-quality methodology. However, after laparoscopy, dexamethasone intravenously has been used to treat nausea. In this study, we compare the efficacy of intraperitoneal dexamethasone with placebo in patients who have undergone gynecologic laparoscopy in a double-blind randomized clinical trial.Material and Methods: The patients were divided into groups using the four-block block randomization method. The groups' treatment options were chosen at random by drawing lots. There were an equal number of candidates in each block at the conclusion of the selection process. Anesthesia was administered to each patient. A 16 mg dose of dexamethasone was administered into the peritoneum of patients in the first group at the conclusion of the procedure, while patients in the second group received a placebo injection of 16 cc of normal saline.Results: Within the first 0, 2, 4, 8, and 12 hours following the procedure, the dexamethasone group experienced significantly less pain than the placebo group. The placebo group consumed more opioids on average as analgesics/sedatives than the dexamethasone group. Conclusion: Our study's findings demonstrate that, compared to a placebo, 16 mg of dexamethasone can significantly lessen the intensity of pain following gynecologic laparoscopy, and these patients also require fewer opioids. Controlling postoperative pain following laparoscopic surgery can be done in advance using this technique, which has no negative side effects.
