6 research outputs found
Unusual complication of condrocostal implant in rhinoplasty.
No full textA 67-year-old patient with a casual diagnosis of a foreign body within the frontal sinus outreaching the frontal cerebral parenchyma was treated. Results of anamnestic examination revealed that the patient underwent rhinoplasty with condrocostal implant of the nasal dorsum fixed to the anterior wall of the frontal sinus using a Kirschner wire 2 years ago. A combined transnasal endoscopic and transcranic approach was performed to remove the foreign bod
Orbital metastases in a female patient with breast cancer
No full textBreast cancer is the most common malignant disease among women, with a lifetime risk of approximately 10%. Frequent and well-known locations of metastases are bone, liver, lung, skin and brain, but tumour repetition has been seen in almost any anatomic site. Orbital involvement is quite rare, or perhaps underestimated. Orbit metastases (OMs) represent 1-13% of all orbital cancers, and are difficult to discriminate with other differential diagnoses, such as a simple blepharitis, or orbital pseudotumor, up to more complex forms of cancer such as lymphoma. The prevalence of OMs is calculated to occur in 2-4.7% of primitive cancer patients. Typical manifestations of orbital metastases include overall regional inflammation, mass effect causing displacement or ocular globe proptosis, pain, bone infiltration, Chemosis and eyelid swelling. Infiltration of soft tissue leads to ptosis, diplopia or enophthalmos. We report the case of a 70-year-old female patient who developed chronic inflammatory process of both orbital regions due to orbital metastases, without evidence of other systemic disease after 8 years from primary breast cancer diagnosis. The diagnostic pathway as well as the differential diagnosis are discussed. Copyright © by BIOLIFE, s.a.s
Birmingham News sleeve BN0023111
No full textBetter Business Bureau / A. J. Virciglio / Charles L. Gaines / Harold B. Blach / C. P. Malone / F. Boykin Haynes / John D. Sullivan Jr. / Auditorium on seventh floor of Birmingham Trust Annex / [Work order included
WITHDRAWN: Ccpdma by combined centripetal and centrifugal parotidectomy for face dermatofibrosarcoma protuberans: case report and review of the literature
No full textThis article has been withdrawn at the request of the authors and editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy
Relationship between hyponatremia at hospital admission and cardiopulmonary profile at follow-up in patients with SARS-CoV-2 (COVID-19) infection
No full textPurpose: Hyponatremia occurs in about 30% of patients with pneumonia, including those with SARS-CoV-2 (COVID-19) infection. Hyponatremia predicts a worse outcome in several pathologic conditions and in COVID-19 has been associated with a higher risk of non-invasive ventilation, ICU transfer and death. The main objective of this study was to determine whether early hyponatremia is also a predictor of long-term sequelae at follow-up. Methods: In this observational study, we collected 6-month follow-up data from 189 laboratory-confirmed COVID-19 patients previously admitted to a University Hospital. About 25% of the patients (n = 47) had hyponatremia at the time of hospital admission. Results: Serum [Na+] was significantly increased in the whole group of 189 patients at 6 months, compared to the value at hospital admission (141.4 ± 2.2 vs 137 ± 3.5 mEq/L, p < 0.001). In addition, IL-6 levels decreased and the PaO2/FiO2 increased. Accordingly, pulmonary involvement, evaluated at the chest X-ray by the RALE score, decreased. However, in patients with hyponatremia at hospital admission, higher levels of LDH, fibrinogen, troponin T and NT-ProBNP were detected at follow-up, compared to patients with normonatremia at admission. In addition, hyponatremia at admission was associated with worse echocardiography parameters related to right ventricular function, together with a higher RALE score. Conclusion: These results suggest that early hyponatremia in COVID-19 patients is associated with the presence of laboratory and imaging parameters indicating a greater pulmonary and right-sided heart involvement at follow-up
Implementation of the “Care4hearts” digital tool for education and monitoring of patients with insufficiency cardiac – Virtual Coric
No full textLa enfermedad cardiovascular al ser la principal causa de muerte a nivel global y derivada de esta insuficiencia cardíaca (IC) como una enfermedad crónica, representa una gran carga tanto para el sistema de salud como para el paciente, requiriendo de un óptimo seguimiento con el fin de disminuir el impacto personal, económico y social de ambas partes involucradas. Para esto se busca optimizar el seguimiento mediante nuevas herramientas tecnológicas que permitan al médico obtener un panorama más amplio del estado clínico del paciente, evitando así rehospitalizaciones y gastos innecesarios para el sistema de salud.
El avance tecnológico a través del tiempo ha estimulado la implementación de herramientas digitales en el área de la salud, en este caso en el seguimiento y control de la insuficiencia cardíaca. Sin embargo, actualmente no hay información suficiente sobre la cual afirmamos efectos positivos en la calidad de vida, adherencia y pronóstico de la enfermedad. Es por esto por lo que se plantea esta investigación, para aportar a la literatura médica actual sobre la utilidad de la aplicación Care 4 Hearts para el seguimiento de pacientes con diagnóstico de IC en manejo integral en una institución de alta complejidad en Bogotá - Colombia.Los Cobos Medical CenterMédico CirujanoPregradoCardiovascular disease, being the main cause of death globally and derived from this heart failure (HF) as a chronic disease, represents a great burden for both the health system and the patient, requiring optimal follow-up in order to to reduce the personal, economic and social impact of both parties involved. For this, the aim is to optimize follow-up using new technological tools that allow the doctor to obtain a broader overview of the patient's clinical status, thus avoiding rehospitalizations and unnecessary expenses for the health system.
Technological advancement over time has stimulated the implementation of digital tools in the health area, in this case in the monitoring and control of heart failure. However, there is currently insufficient information on which we can affirm positive effects on quality of life, adherence and prognosis of the disease. This is why this research is proposed, to contribute to the current medical literature on the usefulness of the Care 4 Hearts application for the follow-up of patients diagnosed with HF in comprehensive management in a high-complexity institution in Bogotá - Colombia
