Severe gastric impaction in an 8-Year-old Nigerian local dog

An 8-year old male, neutered Nigerian indigenous dog was presented to the Usmanu Danfodiyo University Veterinary Teaching Hospital, Sokoto because of chronic intermittent vomiting, off feed and progressive wasting. Physical examination of the abdomen revealed hard mass in the abdominal cavity. Survey abdominal radiography (lateral view) revealed impacted material along with electrical wire in the stomach. Standard gastrotomy was successfully performed to evacuate the gastric foreign body.Keywords: Dog, Foreign Body, Gastrotomy, Pica, Radiograph

Influence of Acute Complications on Outcome 3 Months after Ischemic Stroke

BACKGROUND: Early medical complications are potentially modifiable factors influencing in-hospital outcome. We investigated the influence of acute complications on mortality and poor outcome 3 months after ischemic stroke. METHODS: Data were obtained from patients admitted to one of 13 stroke units of the Berlin Stroke Registry (BSR) who participated in a 3-months-follow up between June 2010 and September 2012. We examined the influence of the cumulative number of early in-hospital complications on mortality and poor outcome (death, disability or institutionalization) 3 months after stroke using multivariable logistic regression analyses and calculated attributable fractions to determine the impact of early complications on mortality and poor outcome. RESULTS: A total of 2349 ischemic stroke patients alive at discharge from acute care were included in the analysis. Older age, stroke severity, pre-stroke dependency and early complications were independent predictors of mortality 3 months after stroke. Poor outcome was independently associated with older age, stroke severity, pre-stroke dependency, previous stroke and early complications. More than 60% of deaths and poor outcomes were attributed to age, pre-stroke dependency and stroke severity and in-hospital complications contributed to 12.3% of deaths and 9.1% of poor outcomes 3 months after stroke. CONCLUSION: The majority of deaths and poor outcomes after stroke were attributed to non-modifiable factors. However, early in-hospital complications significantly affect outcome in patients who survived the acute phase after stroke, underlining the need to improve prevention and treatment of complications in hospital