YEAR: 2021

1. THE IMPORTANCE OF BEDSIDE ULTRASOUND IN THE DIAGNOSIS OF TESTICULAR TORSION

Ramazan UNAL, Mert Rusen GULSEN, Ceren Ovacik KARAFILIK, Nurcan OZASLAN, Vedat AVCIERI

p. 23-27 

ABSTRACT

The acute scrotum is a broad definition used for all scrotal swellings with or without pain. The most common differential diagnoses include testicular torsion, testicular appendage torsion, and acute epididymitis or epididymo-orchitis. Testicular torsion usually occurs during adolescence. Testicular torsion accounts for approximately 25% of acute scrotum cases. According to the studies, normal testicular dimensions are preserved and only slight changes in morphology occur if the testes are operated within 8 hours after the onset of torsion symptoms. The early diagnosis together with intervention in testicular torsion prevents irreversible changes in testes. Bedside ultrasonography done by emergency medicine specialists, especially in health institutions that do not have on-duty radiology specialists, is of great importance in the early diagnosis of testicular torsion and in reducing morbidity, as in most emergencies. We will present 2 cases diagnosed with testicular torsion by bedside ultrasound and then operated.

Keywords; Bedside ultrasound, emergency medicine department, testicular torsion.

2. A CASE REPORT TO DEVELOP MYOCLONUS WITH THE USE OF FIRST DOSE GABAPENTIN

Dilek Atik, Nuray Kılıç, Fulya Köse

p. 29-31

ABSTRACT 

Gabapentin (GBP) has anticonvulsant and analgesic properties and is used in many ailments associated with chronic pain and neuropathic pain, mostly diabetes mellitus. In a study, they stated the incidence of myoclonus as 0.1% in epilepsy patients using Gabapentin. Case Report: A 39-year-old female patient was started by Gabapentin neurosurgery for pain in the legs due to herniated L3-4 disc in the lower back. The first dose of use to relieve paraesthesia was manifested in the form of twitching and subsequent contraction in the nasolabial groove of the left rim of the patient, who started using 300 mg/day gabapentin. In our case, the patient did not have any cerebral disease such as encephalopathy or epilepsy, and his kidney functions were also normal. We think that myoclonus may develop due to GBP in the first dose of treatment, and the severity of myoclonus may increase after dose increase, and it should be kept in mind that care should be taken in treatment arrangements.

Keywords: Gabapentin; myoclonus; Gabapentin side effect

3. NEW DIAGNOSIS OF HEPATIC HYDATID CYST PRESENTING WITH DYSPNEA

Mert Rusen GULSEN, Fahrunisa Meryem Betul EROL, Feride GUNEC, Ramazan UNAL

p. 33-35

ABSTRACT

Hydatid cyst is a parasitic disease, which is transmitted to humans mostly through dog feces and frequently seen in countries where agriculture and animal husbandry are common, caused by Echinococcus Granulosus. Hydatid cysts are frequently localized in the liver and the lungs. The disease may have different clinical course and cause various complications depending on location and size of the cysts.

In this article, we aimed to present a 72-year-old male, who was newly diagnosed with hepatic hydatid cyst with pulmonary fistulization, which was surgically drained.

Keywords: Hydatid disease, pulmonary fistulization, dyspnea.

4. ATYPICAL ABDOMINAL PAIN IN CHILDREN; CHOLELITHIASIS

Nuray Kılıç, Dilek Atik

p. 37-39

ABSTRACT 

The gallbladder is a pear-shaped sac-shaped organ that is 8-10 cm long and 4-5 cm wide in adults. The gallbladder stores bile, which is constantly secreted by the liver. Gallbladder pathologies have an important place in patients experiencing abdominal pain symptoms. Abdominal pain in children requires a multidisciplinary approach and treatment just like adults. However, it is not as common to encounter cholelithiasis in pediatric patients as in adults.

Case report: A 3-year-old boy was brought to the emergency room by his family with complaints of abdominal pain and occasional vomiting for 2-3 days. WBC 12.33, CRP 3.44, ALT 11, AST 31, total bilirubin 0.40, GGT 18, creatinine 0.26, and no obvious pathology was detected in the laboratory tests performed. Computed tomography was performed to detect acute intra-abdominal pathology for the patient who was not relieved by the treatment. A diagnosis of cholelithiasis was made.

Although rare, cholelithiasis should be kept in mind by emergency physicians in children who come to the emergency department with the complaint of abdominal pain, and their approach should be directed towards this. At the same time, more studies are needed to eliminate the deficiencies related to gallbladder stone management and treatment in children.

Keywords: Cholelithiasis; Gallbladder risk factors in children; abdominal pain

5. ALLERJİK REAKSİYON MU YOKSA PERİKONDRİT Mİ?

Fulya Köse, Dilek Atik, Arife Sezgin

p. 41-44
 

ÖZET

Auriküler perikondrit (aynı zamanda pinna perikondrit olarak da adlandırılır), enfeksiyöz ve inflamatuar bir durumdur. Genellikle travmaya ikincil olarak ortaya çıkan dış kulak (yani, yüksek kulak delme, künt travma, yanıklar, iyatrojenik), apse oluşumu olsun ya da olmasın enfeksiyona yol açar. Klasik olarak kızarıklık ve lobülün korunması ile kulak kepçesinin ağrılı şişmesi. Acil servis ve primer başvurular için önemlidir. Hekiminin perikondriti erken ve doğru bir şekilde tedavi etmesi önemlidir. Olgumuz 58 yaşında dm,ht si olan covid 19 aşısı sonrası önce boyundan başlayan daha sonra kulaklarda ve boyunda şişlik oluşması ile devam eden şikayetleri ağrısının artması nedeniyle servisimize başvurdu. Perikondrit tanısı ile yatırılarak tedavisi yapıldı. Kulak kepçesinin perikondriti, değişen derecelerde dış deformiteye yol açabilir ve tedavisi zor bir durumdur. Bu yüzden hastaların yatırılarak tedavi edilmesi daha ön plandadır. Hastamızın etyolojik neden olarak regüle olmayan diyabet varlığı ile immunsuprese durumu ile birlikte Covid 19 aşının hastanın immun sitemini daha da zayıflatması sonucu ortaya çıktığı düşüncesindeyiz. Hastamızın kulak burun boğaz (KBB) uzmanınca yatış yapılarak tedavisi yapılmış ve şifa ile taburculuğu sağlanmıştır.

Anahtar kelimeler: Perikondrit, Covid 19, Allerji, Diyabetes mellitus.