The index patient presented with severe abdominal pain following ALP intoxication. [atmph.org]

We present a 16-year-old boy with global developmental delay who presented with this condition associated with candidal infection. [ncbi.nlm.nih.gov]

• Pain

  We present a 52-year-old woman with uncontrolled diabetes who was admitted with sepsis and left flank pain. She was investigated, and results revealed gas in the left renal system with extension into portal vein and stomach. [jscisociety.com]

  Since echo could not identify the cause of his pain, abdominal computed tomography (CT) was requested. [em-consulte.com]

  A 76-year-old female patient was admitted to the Level I Emergency Department of University of Szeged with severe abdominal pain and vomiting. [ncbi.nlm.nih.gov]

• Fever

  We report a case of a 65 years old male who presented with fever and upper abdominal tenderness. He had history of uncontrolled diabetes and chronic alcohol intake. [ncbi.nlm.nih.gov]

  The authors report a case of an 82-year-old diabetic man admitted for altered mental status, fever, and leukocytosis. Intramural air within the gastric wall was incidentally found by computed tomography. [uthsc.pure.elsevier.com]

  Patients are usually toxic appearing with abrupt onset of fever, chills, severe abdominal pain and nausea with or without hematemesis, and may closely mimic an acute abdomen. [nature.com]

  Bronchitis फेफड़े की सूजन, ब्रोंकाइटिस, ब्रांकाइटिस, श्वसनीशोध, श्वासनली का प्रदाह, Rarely, flu can develop into a high fever, acute bronchitis, encephalitis and pneumonia. [studysite.org]

• Asymptomatic

  […] small gas bubbles in gastric wall Gastric emphysema is more linear, streak-like Gas in portal vein Prognosis: 60-80% fatal Best way to differentiate emphysematous gastritis from gastric emphysema: Look at patient Patients with gastric emphysema are a asymptomatic [learningradiology.com]

  Clinically, patients with emphysematous gastritis present with severe abdominal pain, haematemesis, fevers and leucocytosis in contrast to patients with gastric emphysema who are non-toxic appearing and usually asymptomatic. [casereports.bmj.com]

  In the case of pneumatosis cystoides, the patient is usually asymptomatic clinically. In patients with interstitial gastritis, the appearance of intramural gas tends to be sharply defined and linear. [ajronline.org]

  It is primarily the clinical picture that differentiates the two entities, as these patients will often be asymptomatic and hemodynamically stable. Gastric emphysema is usually self-limited and requires no intervention. [jaocr.org]

  […] abnormal ECGs common in post-operative period Q compare with pre-op ECG À common arrhythmia - SVT Myocardial Infarction À surgery increases risk ofMI À majority ofcases on operative day or within first 3 postoperative days À incidence * 0.5%in previously asymptomatic [docsity.com]

• Chills

  Patients are usually toxic appearing with abrupt onset of fever, chills, severe abdominal pain and nausea with or without hematemesis, and may closely mimic an acute abdomen. [nature.com]

  Coli Staph aureus Clinical: Sudden and violent onset of bloody emesis Fever Nausea Chills Leukocytosis Imaging Linear small gas bubbles in gastric wall Gastric emphysema is more linear, streak-like Gas in portal vein Prognosis: 60-80% fatal Best way to [learningradiology.com]

  Our patient presented with diarrhea and chills without fever or abdominal pain. [scielo.mec.pt]

  On examination, he was septic in febrile state (39,5 ºC), chills and tendency to collapse. He was polypneic with abdominal defense at the supra-umbilical level. [ajol.info]

  […] unpleasant sensation in the abdomen, burning and heaviness in the epigastrium, headache, loss of appetite, nausea, eructation, and recurrent vomiting (sometimes with bile and mucus) that brings temporary relief; in some cases symptoms include thirst, chills [encyclopedia2.thefreedictionary.com]

• Pallor

  Esophagogastroduodenoscopy (EGD) of our patient showed areas of diffuse mucosal congestion and extreme pallor as well as ulceration on the posterior wall and greater curvature of the stomach. Gastric biopsy revealed transmural necrosis. [jmedicalcasereports.biomedcentral.com]

  In the physical examination, a slight pallor of the teguments, pulmonary fields with crackling subscapularis, depressible abdomen, mild pain in the epigastrium and no peritoneal irritation were observed. [elsevier.es]

• Tachypnea

  Symptoms are frequently abdominal pain, nausea, vomiting or hematemesis, associated with fever, chills, tachycardia, tachypnea and toxic appearance (2,3). [scielo.isciii.es]

  * correct circulatory overload * diuretics, PEEP in intubated patient Respiratory Failure À clinical manifestations - dyspnea, cyanosis, evidence of obstructive lung disease, pulmonary edema, unexplained decrease in PaO> À earliest manifestations - tachypnea [docsity.com]

• Abdominal Pain

  A 76-year-old female patient was admitted to the Level I Emergency Department of University of Szeged with severe abdominal pain and vomiting. [ncbi.nlm.nih.gov]

  Hematemesis and severe abdominal pain • Xray of the Week 2016 A 33 year old female with chronic renal failure and kidney transplant presented to the Emergency Department with severe abdominal pain and hematemesis. What is the diagnosis? Figure 1. [globalradcme.com]

• Vomiting

  A 76-year-old female patient was admitted to the Level I Emergency Department of University of Szeged with severe abdominal pain and vomiting. [ncbi.nlm.nih.gov]

  We hereby present a case of GE and HPVG induced by vomiting where patient was successfully managed by conservative measures. [hindawi.com]

• Nausea

  A 70 year-old male with history of C5 quadraplegia presented with a 1-week history of progressive abdominal distention, obstipation and abrupt onset of nausea and coffee ground emesis. [nature.com]

  Patients usually present with acute abdominal pain, nausea and vomiting, and signs of sepsis and/or hemodynamic compromise. Air in the gastric wall and in the portal venous system are characteristic radiological findings. [meetings.ssat.com]

  Discussion: Emphysematous gastritis is a rare disorder with a 62% mortality rate that typically presents with epigastric abdominal pain, nausea, vomiting, and diarrhea. [shmabstracts.com]

  Coli Staph aureus Clinical: Sudden and violent onset of bloody emesis Fever Nausea Chills Leukocytosis Imaging Linear small gas bubbles in gastric wall Gastric emphysema is more linear, streak-like Gas in portal vein Prognosis: 60-80% fatal Best way to [learningradiology.com]

  Acute gastritis usually begins abruptly with the appearance of an unpleasant sensation in the abdomen, burning and heaviness in the epigastrium, headache, loss of appetite, nausea, eructation, and recurrent vomiting (sometimes with bile and mucus) that [encyclopedia2.thefreedictionary.com]

• Severe Abdominal Pain

  A 76-year-old female patient was admitted to the Level I Emergency Department of University of Szeged with severe abdominal pain and vomiting. [ncbi.nlm.nih.gov]

  Hematemesis and severe abdominal pain • Xray of the Week 2016 A 33 year old female with chronic renal failure and kidney transplant presented to the Emergency Department with severe abdominal pain and hematemesis. What is the diagnosis? Figure 1. [globalradcme.com]

  Patients are usually toxic appearing with abrupt onset of fever, chills, severe abdominal pain and nausea with or without hematemesis, and may closely mimic an acute abdomen. [nature.com]

  The index patient presented with severe abdominal pain following ALP intoxication. [atmph.org]

  Because this disease is so rare, an additional case report is presented below.In the first case of this type, described by Fraenkel1 in 1889, the patient died after several attacks of severe abdominal pain, bloody vomitus and diarrhea. [nejm.org]

• Acute Abdomen

  A 16-year-old, previously healthy, boy presenting with acute abdomen was diagnosed to have emphysematous gastritis on CT scan. During laparotomy, there was complete necrosis of the stomach, with patchy esophageal involvement. [ncbi.nlm.nih.gov]

  Patients are usually toxic appearing with abrupt onset of fever, chills, severe abdominal pain and nausea with or without hematemesis, and may closely mimic an acute abdomen. [nature.com]

• Hypotension

  Air within the gastric wall with concomitant portal venous system gas, hypotension, haematemesis and leucocytosis all support the diagnosis of emphysematous gastritis. [casereports.bmj.com]

  On day 127 after admission, she developed high fever and hypotension of sudden onset. Investigations revealed leukocytosis. She was suspected as having septic shock, and while seeking the septic focus, we performed computed tomography (CT). [jstage.jst.go.jp]

  […] complications and out of twenty eight patients without orthostatic hypotension five patients developed cardiovascular complications, this association is statistically significant Conclusion: Orthostatic hypotension can be used as a prognostic marker [iasj.net]

  The use of stress-dose steroids in critically ill patients with refractory hypotension does not appear to affect in-hospital mortality. No Reference information available - sign in for access. No Citation information available - sign in for access. [ingentaconnect.com]

  She was found to be afebrile but hypotensive. Physical examination was remarkable for abdominal distention and generalized tenderness to palpation. Laboratory findings revealed leukocytosis. [jaocr.org]

• Tachycardia

  She then developed rigors, abdominal pain, and tachycardia 5 days after a third liver transplant. Serial blood cultures, computed tomography imaging, echocardiography, and hepatic angiography were unrevealing. [aasldpubs.onlinelibrary.wiley.com]

  Physical examination revealed tachycardia (130？bpm) and mild epigastric tenderness. Blood tests showed neutrophil predominant leukocytosis and bilirubin raised up to 45？ mol/L. Arterial blood gas showed metabolic acidosis (pH 7.24, 16？ [oalib.com]

  Fever subsided but patient continued to have left flank pain and tachycardia (110/min). Follow up CT scan done on day 5 showed significant reduction in gas surrounding left kidney, but minimal gas persisted in portal vein and in the wall of stomach. [jscisociety.com]

  Symptoms are frequently abdominal pain, nausea, vomiting or hematemesis, associated with fever, chills, tachycardia, tachypnea and toxic appearance (2,3). [scielo.isciii.es]

  The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC) PUBMED European Heart Journal: 41 (5), 655-720, 20204Cosentino F., Grant PJ., Aboyans V., Bailey CJ., Ceriello A., Delgado V. [kliinikum.ee]

• Stroke

  A total of 80 acute stroke patients... [query.library.utoronto.ca]

  During the second week of hospitalization, the patient had a minor stroke and non-Q acute myocardial infarction. [ajronline.org]

  Effect of Recanalization on Cerebral Edema in Ischemic Stroke Treated With Thrombolysis and/or Endovascular Therapy PUBMED Stroke: 51 (1), 216-223, 202023Timmis A., Townsend N., Gale CP., Torbica A., Lettino M., Petersen SE., Mossialos EA., Maggioni AP [kliinikum.ee]

  Case report An 85-year-old male with a past medical history of hypertension, cardiomyopathy hypertensive, chronic auricular fibrillation, ischemic stroke without sequels, recurrent respiratory infections and aspiration pneumonia, presented to Emergency [scielo.isciii.es]

  Motor Neuron Lesion (Part 2) Watch Now (34:52) Webinar - Lower Limb Reflexes and Upper Motor Neuron Lesion (Part 1) Watch Now (34:52) Cranial Nerves (Clinical Cases) Watch Now (53:35) Questions Amyotrophic Lateral Sclerosis Watch Now (33:38) Questions Stroke [members.drbeen.com]

• Quadriplegia

  Restless legs syndrome Friedreich’s Ataxia Cerebellar Ataxia Spinal mm atrophy II Amytrophic Lateral Sclero Other spinal cord disease Syringomyelia Reflex Sympath Dystroph Multiple Sclerosis Other CNS demyelinating Hemiparesis/plegia Cerebral Palsy Quadriplegia [cannacarew.com]

All infectious workup was negative except for a positive cytomegalovirus IgM antibody. Plain film of the chest did not show pneumonia. His gastrointestinal symptoms continued to worsen. [ijcasereportsandimages.com]

6) CVAtendemness 7) specific signs 8) hemias, male genitalia 9) rectal/pelvic exam CBC and differential electrolytes, BUN, creatinine amylase levels liver function tests urinalysis stool for occult blood others as indicated * ECG, 8-hCG, ABG, septic workup [docsity.com]

• Pseudomonas

  Organisms most commonly involved were Escherichia coli (six cases), Streptococcus species (six cases), Enterobacter species (five cases), and Pseudomonas aeruginosa (three cases). [ncbi.nlm.nih.gov]

  Organisms were present on histologic examination of the stomach and later confirmed to be Pseudomonas aeruginosa. We report an acutely sick patient in whom emphysematous gastritis was diagnosed, on the basis of x-ray and autopsy findings. [nature.com]

  The most commonly involved microorganisms include Streptococci, Escherichia coli, Pseudomonas aeruginosa, Clostridium perfringerts, Staphylococcus aureus, and mucormycosis. CT scan is the best imaging modality to diagnose this condition. [shmabstracts.com]

  Common organisms detected include Enterobacter species, Pseudomonas aeruginosa, Candida albicans, and Staphylococcus aureus. (3) Upper GI Endoscopy and EUS(4) are alternative methods to diagnose gastric emphysema versus emphysematous gastritis if there [ispub.com]

• Staphylococcus Aureus

  The most commonly involved microorganisms are streptococci, Escherichia coli, Pseudomonas aeruginosa, Clostrodium perfrigens and Staphylococcus aureus. [ncbi.nlm.nih.gov]

  Escherichia coli, Clostridium perfringens, Clostridium welchii, or mixed infections with Staphylococcus aureus) produce the gas, which is identified within the stomach wall 3. It is an uncommon entity with a high mortality rate. [radiopaedia.org]

  The most commonly involved microorganisms include Streptococci, Escherichia coli, Pseudomonas aeruginosa, Clostridium perfringerts, Staphylococcus aureus, and mucormycosis. CT scan is the best imaging modality to diagnose this condition. [shmabstracts.com]

  Common organisms detected include Enterobacter species, Pseudomonas aeruginosa, Candida albicans, and Staphylococcus aureus. (3) Upper GI Endoscopy and EUS(4) are alternative methods to diagnose gastric emphysema versus emphysematous gastritis if there [ispub.com]

• Clostridium Perfringens

  Escherichia coli, Clostridium perfringens) produce the gas, which is identified within the stomach wall. [radiopaedia.org]

  The condition is due to mucosal disruption and gastric wall infection with gas producing organisms such as Escherichia coli and Clostridium perfringens. [globalradcme.com]

  Gastric pneumatosis has different etiologies as mechanical (2,3,6), pulmonary (3), ischemic or infection causes [Escherichia coli, Enterobacter spp, Pseudomona aeruginosa, Clostridium perfringens (2-4), Staphylococcus aureus, Klebsiella pneumoniae, Streptococcus [scielo.isciii.es]

• Gastric Lesion

  Cancer HEPATO-GASTROENTEROLOGY 61/135 :2133-2140,2014 Preventing metachronous gastric lesions after endoscopic submucosal dissection through Helicobacter pylori eradication JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY 30/1 :75-81,2015 Endoscopic quality [yuhs.or.kr]

In addition, aggressive surgical treatment has failed to show significant improvement in prognosis. [synapse.koreamed.org]

There is however, still no preferable approach of treatment despite therapeutic advances. [ncbi.nlm.nih.gov]

[…] when medical treatment fails. [elsevier.es]

—53-year old man with adult polycystic disease complicated by end-stage renal failure and tertiary hyperparathyroidism admitted to ICU for treatment of septic shock. [ajronline.org]

Emphysematous gastritis is an extremely rare disease with an unfavorable prognosis. To date, very few studies have been conducted regarding the intragastric recovery process based on endoscopic findings. [ncbi.nlm.nih.gov]

In addition, aggressive surgical treatment has failed to show significant improvement in prognosis. [synapse.koreamed.org]

Prompt diagnosis followed by appropriate antibiotic treatment improves the prognosis. Ideally, these patients should be monitored in ICUs. [elsevier.es]

It is necessary a differential diagnosis between gastric emphysema and emphysematous gastritis (2), being completely different etiology, symptoms, prognosis and treatment. [scielo.isciii.es]

Multiple pathologic mechanisms have been described, each of which carries a different prognosis and management strategy. [jaocr.org]

Gastric emphysema: an etiologic classification. Australas Radiol 1984; 28(4):346-352. Back To Top [jaocr.org]

The etiology includes firstly infections with gas-forming organisms; other predisposing causes are the ingestion of corrosive substances and alcohol abuse. Diagnosis is based on radiological techniques, mainly computed tomographic scan (CT). [ncbi.nlm.nih.gov]

It may be divided into three etiological categories: traumatic, obstructive, and pulmonary [1]. [hindawi.com]

Ischemic etiology was ruled out when there was not evident arterial filling defects in computed angiotomography. [scielo.isciii.es]

Chance4change Heartburn An epidemiological study. requiring you to cut out just a few foods and beverages that either some other tips to help reduce heartburn and reflux include: Avoid eating and then [chance4change.eu]

ENTEROKOLITIS NEKROTIKANS Definisi 3-2.Epidemiologi • Insidens : 0.4 / 1000 kelahiran hidup • lebih dari 90% kasus terjadi pada bayi-bayi prematur. [ynahe.webcindario.com]

À epidemiology * male :female =2:1 * most common age group 50-59 years * decreased by 2/3 in past 50 years ( risk factors smoking alcohol smoked food, nitrosamines H. pylori causing chronic atrop hic gastritis pernicious anemia associated with achlorhydria [docsity.com]

& Wolfe, R., 1 Jan 2019, In : Epidemiology (Cambridge, Mass.). 30, 1, p. 38-47 10 p. [monash.edu]

Epidemiology of mucormycosis: Review of 18 cases in a tertiary care hospital. Med Mycol., 48 (2010), pp. 245-254 [4] T. Turunc, Z.Y. Demiroglu, H. Aliskan, S. Colakoglu, H. Arslan. [elsevier.es]

Questions SA Nodal Arrhythmias Watch Now (33:17) Questions Atrial and Junctional Premature Beats Watch Now (13:52) Questions Premature Ventricular Contractions (EKG Interpretation) Watch Now (19:17) Ventricular Tachycardia Watch Now (04:58) Questions Pathophysiology [members.drbeen.com]

Hepatic-portal venous gas in adults: Etiology pathophysiology and clinical significance. Ann Surg 1978;187:281-7. 6. Karaosmanoglu D, Oktar SO, Arac M, Erbas G. Case report: Portal and systemic venous gas in patients after lumbar puncture. [jscisociety.com]

Liebman PR, Patten MT, Manny J, Benfield JR, Hechtman HB: Hepatic-portal venous gas in adults: etiology, pathophysiology and clinical significance. Ann Surg. 1978, 187 (3): 281-287. 10.1097/00000658-197803000-00012. 12. [jmedicalcasereports.biomedcentral.com]

The pathophysiology of emphysematous gastritis has not been established yet1,4, but it is considered that mucosal lesions allow the penetration of microorganisms into the deepest layers of the wall4. [scielo.org.co]

Novel perspectives on mucormycosis: Pathophysiology, presentation, and management. Clin Microbiol Rev., 18 (2005), pp. 556-559 [2] J.H. Jung, H.J. Choi, J. Yoo, S.J. Kang, K.Y. Lee. [elsevier.es]

FPIES is Food Protein-Induced Enterocolitis Syndrome.Slow advancement of enteral feed volumes to prevent necrotising enterocolitis Enterokolitis. to prevent necrotising enterocolitis. [ynahe.webcindario.com]

Early diagnosis and management are warranted to favor a conservative management, even for severe forms and prevent further complications. Cases refractory to supportive measures can be successfully managed with minimally invasive surgery. [insights.ovid.com]

At other times the objective becomes to prevent and reverse life-threatening bronchial obstruction, and the emphasis is then on early and vigorous treatment. [jamanetwork.com]

Learning points When air in the stomach wall is found, early differentiation between gastric emphysema (mortality rate of 60%–80%) and emphysematous gastritis (excellent prognosis) is crucial to prevent further complications. [casereports.bmj.com]