Publication date: Available online 10 April 2017
Source:The Journal of Emergency Medicine
Author(s): David Zodda, Meta Haley, Rocky Sayegh
BackgroundEmergency departments (EDs) are gateways for patients presenting after minor surgical procedures, particularly shockwave lithotripsy. Complications include renal and extrarenal tissue injuries, with the latter having potentially serious consequences if not detected early.Case ReportWe describe a 70-year-old male presenting to the ED for syncope. The patient underwent shockwave lithotripsy (SWL) for left kidney stones 1 day prior. Upon initial evaluation, the patient had normal vital signs and a normal physical examination, without complaints of abdominal pain. Close observation and regular patient re-evaluation led to the diagnosis of life-threatening injuries that included splenic rupture. Although this is a rare complication of SWL, with only eight published cases found in the literature, the patient's initial presentation of syncope without complaints of abdominal pain presented a unique diagnostic challenge.Why Should an Emergency Physician Be Aware of This?Emergency physicians should be knowledgeable of the pre-existing conditions linked to higher rates of complications after shockwave lithotripsy and be able to identify and manage these potentially life-threatening complications.
http://ift.tt/2p3WpCU
http://ift.tt/2p4cqIM
Ιατρική : Τα αισθητικά συστήματα της όρασης,ακοής,αφής,γεύσης και όσφρησης.
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Needle tract seeding after percutaneous biopsy of sarcoma: Risk/benefit considerations : To evaluate histologic subtype and grade, which i...
-
Complex‐centric proteome profiling by SEC‐SWATH‐MS The study presents an integrated framework for targeted, complex‐centric analysis based o...
-
Nonsyndromic supernumerary bilateral parapremolars : Vineeta Singhal, D Deepa Journal of Oral Research and Review 2017 9(2):82-84 Su...
-
Current treatments for generalized pustular psoriasis are unsatisfactory. We applied recently-developed techniques for transcriptomic analys...
-
Abstract In this work, the Kalman Filter (KF) and Takagi–Sugeno fuzzy modeling technique are combined to extend the classical Kalman linear...
-
Abstract Malakoplakia is a rare inflammatory condition that typically occurs in the urinary tract. The cutaneous form is less prevalent, an...
-
Calcium supplements To: How Too Much Calcium Can Break Your Bones 13.7k Shares 4.1k 241 Posted on: Monday, January 9th 2012 at 7:15 am ...
-
Description A 65-year-old man presented with fever and painful swelling at the back for last 2 weeks. His prior history was significant for...
-
Abstract Purpose To determine the differences in acromegaly diagnosis, treatment, and follow-up among Turkish endocrinologists, and to inv...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου