A comprehensive textbook of adult emergency medicine for trainee doctors - covers all the problems likely to present to a trainee in the emergency department. [books.google.com]

The most frequent clinical presentation is embolism of the limbs, with a certain predilection for the left arm. 7 This clinical presentation was seen in patient 1 of the present study, although the affected limb was the right arm. [revespcardiol.org]

We present a patient with celiac artery thromboembolism resulting in splenic infarction. [synapse.koreamed.org]

Case presentation A 28 year old female presented 9 weeks after the term delivery of a healthy baby with severe abdominal pain, shortness of breath and headaches. [oatext.com]

• Sepsis

  An increase in this function (ie, hypersplenism) may be associated with varying degrees of cytopenia, while removal of the spleen (ie, asplenia) may render the patient susceptible to bacterial sepsis, especially with encapsulated organisms [ 2 ]. [uptodate.com]

  Significant updating of following topics - acute coronary syndrome management, trauma, sepsis management, imaging, arrhythmias. Expansion of administration section - especially patient safety. Changes to drug overdose sections in toxicology section. [books.google.com]

  Overwhelming postsplenectomy sepsis: As discussed above, the incidence is unknown. The overall postoperative sepsis rate is high because splenectomy often is undertaken for treatment of splenic abscess. [sc.ehu.es]

  Tiny bubbles are normal after this procedure, and can be ignored if the patient does not appear ill and does not have any systemic evidence of inflammation or sepsis. [regionstraumapro.com]

  Shock (sepsis, haemorrhage, hypovolaemia). Trauma. Strangulated hernia or volvulus. [patient.info]

• Noncompliance

  This may be the result of a variety of factors, such as crowded living conditions, residence in homeless shelters, sharing smoke, and noncompliance with treatment. [ahcmedia.com]

• Pneumonia

  PREPROCEDURE PREPARATION PSE, like splenectomy, can theoretically increase the risk of infection by encapsulated organisms including Streptococcus pneumoniae, Haemophilus influenza type B, and Neisseria meningitides. [evtoday.com]

  CXR should be carried out to exclude pneumonia, and cardiac scanning to exclude comorbidity. Arteriography is the gold standard investigation to show the site of arterial blockage or stenosis. [patient.info]

  Infectious Complications of Injecting Drugs 2 HIV infection: Acute, AIDS Bloodborne hepatitis: C and B Skin and subcutaneous tissue infections: Abscess, cellulitis Pneumonia: Typical community pathogens, aspiration, Klebsiella pneumoniae, tuberculosis [ahcmedia.com]

  However, important common differentials to consider for LUQ pain include peptic ulcer disease, pyelonephritis or ureteric colic, and a left sided basal pneumonia Investigations The gold standard investigation for suspected splenic infarction is a CT abdominal [teachmesurgery.com]

• Abdominal Pain

  Splenic infarction is a relatively uncommon diagnosis and this clinical presentation can mimic other causes of acute abdominal pain. [synapse.koreamed.org]

  Evaluation of patients who present with abdominal pain requires a broad differential approach. [6] [7] [8] Lab evaluation my help rule in other causes of abdominal pain. [ncbi.nlm.nih.gov]

  They may become seriously ill and have severe abdominal pain because the superior mesenteric artery supplies a large part of the intestine. [merckmanuals.com]

  Answer: LV thrombus with splenic thromboembolism This patient’s presentation of sudden onset of severe abdominal pain with hypodense splenic lesions suggests embolic splenic infarction. [ultrasoundoftheweek.com]

  SMA thrombosis presents with gradual onset of abdominal pain and distension. A history of postprandial abdominal pain and weight loss is present in half of cases. [vasculardiseasemanagement.com]

• Left Upper Quadrant Pain

  Focal splenic infarction may affect the overlying visceral peritoneum resulting in acute left upper quadrant pain particularly on respiration and movement. Causes of splenic infarction : *Sickle cell anaemia. *Leukaemia. *Bacterial endocardites. [medicalechography.com]

  Patients with a splenic infarction may present with left upper quadrant pain. Some may have constitutional symptoms such as fevers and chills while others may even have diffuse abdominal pain 5,9. [radiopaedia.org]

  The left upper quadrant pain secondary to splenic capsular distension resolved almost immediately. [oatext.com]

  upper quadrant abdominal pain. [thepermanentejournal.org]

  A patient with metastatic angiosarcoma to the spleen with acute abdominal distention and left upper quadrant pain. The CT (not shown) and ultrasound demonstrated an enlarged, heterogeneous spleen with new large abdominal ascites. [evtoday.com]

• Heart Disease

  Elsevier Health Sciences, 18.09.2009 - 468 Seiten Valvular Heart Disease is now an even better source for all your questions on dysfunctions or abnormalities of the heart’s four valves. [books.google.de]

  Stay on top of the latest advances in molecular imaging, intravascular ultrasound, cardiovascular regeneration and tissue engineering, device therapy for advanced heart failure, atrial fibrillation management, structural heart disease, Chagasic heart [books.google.ro]

  Risk factors are atrial fibrillation, mitral valve disease, coronary heart disease, heart failure, other heart diseases, cardiac surgery, aortic aneurysm, renal artery aneurysm or renal artery stenosis. [urology-textbook.com]

  ( Trophyerma whipplei ) RISK FACTORS Cardiac lesions congenital heart disease rheumatic heart disease mitral valve prolapse valve regurgitation degenerative valve disease prosthetic valve (1-5%) – early ( 60 days) Predisposition to infection IV drug [lifeinthefastlane.com]

• Heart Murmur

  Heart murmurs are found in up to 85% and new murmurs have been recently reported in 48% of patients. [patient.info]

  Heart sounds are auscultated for S3 or S4 gallops or new heart murmurs. Patient care and other activities should be organized to allow for periods on uninterrupted rest. [medical-dictionary.thefreedictionary.com]

• Jaundice

  People with hepatic artery occlusion may have no symptoms or may have abdominal pain, fevers and chills, nausea, vomiting, and yellowing of the skin (jaundice). [merckmanuals.com]

• Myalgia

  Myeloradiculitis Intracerebral hemorrhage Cerebritis Seizure Spinal cord infarction Subarachnoid hemorrhage Abscess formation Headache Discitis/osteomyelitis Mycotic aneurysm formation Ventriculitis Cranial neuropathies Ependymitis Mononeuritis multiplex Myalgia [intechopen.com]

• Fear

  The history is typically one of weight loss, postprandial pain ('intestinal angina') and a fear of eating. There is usually a history of cardiovascular disease such as myocardial infarction or cerebral vascular disease. [patient.info]

  In patients with distally located aneurysms, it is advisable to simply exclude rather than excise the aneurysm for fear of damage to the splenic vein. [mdmag.com]

  Opportunities are created for patients and families to share feelings and receive realistic reassurance about common fears. illustration placental infarction A localized necrotic area caused by abruption. [medical-dictionary.thefreedictionary.com]

• Irritability

  The main factor that led to right to left shunt through PFO was the irritating cough provoking a Valsalva maneuver. She underwent early surgical thrombectomy with PFO closure. [romanianjournalcardiology.ro]

  Other symptoms were due to diaphragm irritation (Kehr’s sign) and/or peritonitis. [karger.com]

  The laparoscopic approach, as opposed to open procedures, may also have fewer incidences of pancreatic injury and irritation. 3 Laparoscopic surgery should never be attempted in patients who are not hemodynamically stable. 5 For patients who do not need [mdmag.com]

  The drugs are commonly “cut” (adulterated) many times before being consumed, with multiple different substances, some of which may have local irritant or systemic toxicity. [ahcmedia.com]

  Signs of peritoneal irritation, like rigidity and guarding, are often delayed and may take hours to develop. Absence of bowel sounds, abdominal distension or guarding is indicative of severe disease. [vasculardiseasemanagement.com]

• Renal Injury

  Etiology of renal injury in patients with IE is not always obvious, especially given the combined effect of cardiac dysfunction, sepsis, and concurrent treatment with potentially nephrotoxic antibiotics [ 98, 101 ]. [intechopen.com]

Routine diagnostic workup of suspected splenic injury includes chest radiographs, abdominal ultrasound, a focused assessment with sonography for trauma (FAST) scan, or CT imaging. [wjes.biomedcentral.com]

Thrombocytopenia has been improved and treatment continued using concurrent PSE. In addition, hepatic functional reserve could be maintained even after treatment for HCC. [hrjournal.net]

The successful treatment of RA depends, in part, on its cause. For the purpose of this review, we have divided treatment of RA after liver transplant into 2 categories: treatment for vascular causes and treatment for nonvascular causes. [ectrx.org]

Possible Complications of Endovascular Treatment The occurrence of complications after endovascular treatment is uncommon. [pubs.rsna.org]

[…] may be the preferred treatment method for distal aneurysms. [mdmag.com]

Prognosis The prognosis of splenic infarctions varies enormously, depending on the cause and severity of the disease. [teachmesurgery.com]

Treatment and prognosis Mesenteric arterial or venous occlusion can be treated with anticoagulation or thrombolysis, either systemically or locally. [radiopaedia.org]

Concurrent TACE and PSE for HCC with thrombocytopenia can be expected to help maintain hepatic reserve, and it may contribute to improving the prognosis of HCC. Hence, PSE could lead to an asplenic state. [hrjournal.net]

We present an unusual case of splenic infarction in a 53-year-old male without any etiological factors. [synapse.koreamed.org]

Complications Some complications are encountered, more frequently in patients with an embolic etiology. [radiopaedia.org]

The frequency of visualized splenic infarcts may be rising because of the following factors: Etiology There are numerous etiologies of splenic infarct. [thehealthscience.com]

In our patient, an OCP-associated prothrombotic state was the probable etiology, and thus short-course anticoagulation therapy was recommended. [thepermanentejournal.org]

Angiography is indicated when a vascular lesion is suspected as the etiologic cause, as in cases of arterial embolization, or to manage segmental bleeding by embolization. [sc.ehu.es]

Epidemiology This is chiefly a disease of people aged over 50, although younger people with risk factors for mesenteric venous thrombosis (MVT) - eg, atrial fibrillation (AF) - can be affected. [patient.info]

[…] the cohort. [1] History of the Procedure One of the earliest descriptions of splenic infarct was made in Germany in 1896, after a splenic infarction was seen microscopically following splenectomy for endocarditis (presumably due to septic emboli). [2] Epidemiology [thehealthscience.com]

Epidemiology Splenic infarcts are considered a rare cause of abdominal pain although the exact prevalance is unclear. [ncbi.nlm.nih.gov]

Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Alfred Hospital Monash University Melbourne Australia 7. Melbourne Endovascular Cheltenham Australia 8. [link.springer.com]

In all these cases the pathophysiological mechanism is the breakdown of blood supply to the spleen resulting from a lesion of the splenic artery [13-15]. [ispub.com]

A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices. Gastroenterology 126, 1175–1189 (2004). 3. Takahiro, S. et al. [nature.com]

Pathophysiology of septic emboli When discussing the pathophysiology of emboli of cardiac origin, one must consider both non-infective (Libman-Sacks or autoimmune, Marantic or related to wasting illnesses such as cancer) and infective (e.g., bacterial [intechopen.com]

A splenic infarct is caused by occlusion of the splenic artery or one of its branches, resulting in tissue necrosis, and is caused by many separate pathophysiological processes. [teachmesurgery.com]

The pathophysiology of aortic thrombi is not well -defined. [revespcardiol.org]

Therapeutic introduction of various substances into the circulation to occlude vessels, either to arrest or prevent hemorrhaging or to devitalize a structure or organ by occluding its blood supply. Synonym(s): embolisation. [medical-dictionary.thefreedictionary.com]

To prevent refluxof embolic material in THAE. the amount of the embolic material should be adjusted according to the vascular flow volume of the liver. [synapse.koreamed.org]

Prevention (Venous) The best prevention is to reverse your risk factors in regard to lifestyle changes. Do not smoke. Develop an exercise program and healthy diet to control your weight. [vascularcenterwf.com]

Technically, successful embolization requires the catheter be placed in a precise position to prevent injuring normal tissue. [radiologyinfo.org]