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Mediastinal emphysema in the context of perforated gastric ulcer

World Journal of Clinical Cases 2024年第15期12卷 2479-2481页

作者： debkumar chowdhury Department of Emergency Medicine Wythenshawe HospitalManchester M239LTUnited Kingdom

In the context of mediastinal emphysema/pneumomediastinum,the main aetiologies are associated with oesophageal perforation,lung pathology or post head and neck surgery *** main way to differentiate the pathologies would be through Computed Tomographic Imaging of the Thorax and abdomen with oral and intravenous contrast in the context of triple phase *** causes of pneumomediastinum should be differentiated between traumatic and *** perforation(Boerhaave syndrome)is associated with Mackler’s triad in upto 50%of patients(severe retrosternal chest pain,pneumomediastinum,mediastinitis).Whereas in cases of lung pathology this can be associated with pneumothorax and pleural effusion.

关键词： Pneumomediastinum Duodenal ulcer Computed tomography Visceral perforation Diagnostic imaging Emergency care

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Does a fall from a standing height warrant computed tomography in an elderly patient with polytrauma?

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World Journal of Emergency Medicine 2023年第4期14卷 302-306页

作者： debkumar chowdhury Specialty Registrar Emergency MedicineManchester Royal InfirmaryManchester M139WLUnited Kingdom

The importance of performing an early primary survey in‘silver trauma’patients in the detection of injuries has been well documented in reducing the associated morbidity and mortality.[1]In the past,when whole body computed tomography(WBCT)was not commonly available,following initial examination patients would undergo chest radiograph and pelvic X-ray and then proceed to selective computed tomography(CT).With the relatively widespread availability of CT,the use of these X-rays has *** reliance on clinical examination alone for the detection of underlying injuries is another matter of debate.

关键词： injuries trauma mortality

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A young lady presenting to the emergency department with blue lips: A case study with review of literature

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World Journal of Emergency Medicine 2020年第2期11卷 122-124页

作者： debkumar chowdhury Emergency Department University Hospital AyrScotlandUK

Dear editor,A young lady in her early 20s presented acutely with shortness of breath with her oxygen saturations on room noted to be mid to 70%with normal respiratory rate,and blue discolouration of the lips(Figure 1).The relevant past medical history and surgical history included well controlled asthma and a laparoscopic salpingectomy for ectopic pregnancy approximately 3 weeks *** only relevant recent history was use of cocaine over the preceding 48 hours.

关键词： acute respiratory asthma

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A young man presenting with persistent hypoglycaemia and reduced level of consciousness: case study with review of literature

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World Journal of Emergency Medicine 2022年第5期13卷 418-421页

作者： Meher Khan Nadia Kathrada Dean Nash debkumar chowdhury Critical Care Unit Royal Blackburn HospitalBlackburnBB23HHUnited Kingdom

Dear editor,Iatrogenic hypoglycaemia is a common acute presentation;either because of misuse,self-harm or criminal *** most common culprits are insulin and oral hypoglycaemics(sulfonylurea,biguanides)although aspirin,fluoroquinolone and beta blockers can be causative *** symptoms include sweating,anxiety,tremors,and *** symptoms usually arise at serum glucose concentrations of<2.8 mmol/L and include dizziness,confusion,blurred vision,somnolence and more serious symptoms can be convulsions,coma and potentially death.

关键词： acute editor tremor

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