Bolovi u testisu kao inicijalni simptom rupture aneurizme abdominalne aorte

Ruptured abdominal aortic aneurysm (rAAA) is a life-threatening condition with a mortality rate approaching 100% if left untreated. Emergency surgery has a mortality rate of 50%. Ruptured AAA can prove hard to diagnose when not suspected. The classic presentation of rAAA is a male patient older than 60 years complaining of acute-onset abdominal and back pain. Signs of rAAA include pulsatile mass in the abdomen and hemodynamic instability. We present a patient with isolated acute testicular pain related to an AAA.Ruptura aneurizme abdominalne aorte (rAAA) je životno ugrožavajuće stanje s gotovo 100%-tnom smrtnošću, ako se ne liječi. Unatoč hitnoj operaciji, smrtnost iznosi oko 50%. Ako ne postoji sumnja, rAAA je teško dijagnosticirati. Klasična prezentacija bolesnika s rAAA je muškarac stariji od 60 godina s akutno nastalim bolovima u abdomenu i leđima. Znakovi rAAA uključuju pulsirajuću tvorbu u abdomenu i hemodinamsku nestabilnost. Prikazujemo slučaj pacijenta s akutnim izoliranim bolovima u testisu povezanim s AAA

Pregnancy outcomes in women with Fontan circulation

The Fontan operation is a life-saving procedure performed on pediatric patients diagnosed with univentricular heart disease. The Fontan circulation is established by redirecting blood flow directly to the pulmonary circulation without passing through a ventricle. As more women with Fontan circulation reach adulthood and become pregnant, it is important to recognize obstetrical risks and provide optimal care for this rare condition

Etičnost medicinski potpomognutog započinjanja novog života koji ugrožava već postojeći

In vitro fertilization (IVF) is a type of medically assisted fertilization used in infertile couples. Turner\u27s syndrome is caused by a complete or partial (mosaic) lack of one of the two sex chromosomes (X chromosome), whereby a female is born phenotypically. In addition to phenotypic characteristics and infertility (90%), hyper- tension in old age and heart defects are also common in these patients (about 40% were diagnosed with coarctation). of the aorta and bicuspid aortic valve).In vitro oplodnja (engl. in vitro fertilisation - IVF) vrsta je medicinski potpomognute oplodnje koja se primjenjuje kod neplodnih parova. Turnerov sindrom nastaje uslijed potpunog ili djelomičnog (mozaici) nedostatka jednog od dva spolna kromosoma (X kromosoma), pri čemu fenotipski nastaje žena. Osim fenotipskih karakteristika i neplodnosti (90 %), kod ovih pacijentica česte su i hipertenzija u starijoj dobi te srčane greške (oko 40 % dijagno sticirana je koarktacija aorte te bikuspidni aortalni zalistak)

Cervicobrachial syndrome

Cervikobrahijalni sindrom poznat i kao cervikalna radikulopatija je relativno čest neurološki poremećaj koji najčešće proizlazi iz degenerativnih promjena vratne kralježnice. Te promjene uključuju cervikalnu spondilozu i protruziju intervertebralnog diska. Uzrok cervikalne radikulopatije može biti i akutna hernija intervertebralnog diska uzrokovan traumom. Mehanizam nastanaka cervikobrahijalnog sindroma je kompresija i/ili iritacija korijena cervikalnog živca. Najčešći simptom radikulopatije je bol u ruci koja je obično praćena senzornim poremećajima u području dermatoma zahvaćenog živčanog korijena, dok su nešto rjeđe pridruženi i motorički poremećaji. Za dijagnozu je najčešće dovoljna anamneza i klinička slika. Slikovna dijagnostika je značajna samo kada je u korelaciji sa kliničkom slikom. Pacijenti s progresivnim neurološkim deficitom, znakovima mijelopatije, frakture ili ozljede ligamenata zahtijevaju hitnu operaciju. U odsutnosti navedenih simptoma, treba pokušati s neoperacijskim modalitetima liječenja koji uključuju: imobilizaciju i izbjegavanje aktivnosti koje pogoršavaju stanje, fizikalnu terapiju, trakciju, manipulaciju i farmakoterapiju. Većina bolesnika s cervikalnom radikulopatijom osjetit će poboljšanje bez obzira na način liječenja.Cervicobrachial syndrome, also known as cervical radiculopathy, is a relatively common neurological disorder that most often results from degenerative changes in the cervical spine. These changes include cervical spondylosis and intervertebral disc protrusion. The cause of cervical radiculopathy can also be acute herniation of the intervertebral disc caused by trauma. The mechanism of cervicobrachial syndrome is compression and/or irritation of the cervical nerve root. The most common symptom of radiculopathy is arm pain. It is usually accompanied by sensory disturbances in the dermatome area of the affected nerve root, while motor disturbances are also associated somewhat less frequently. A history and a clinical picture are usually sufficient for diagnosis. Image diagnostics is significant only when it correlates with the clinical picture. Patients with progressive neurological deficit, signs of myelopathy, fracture or ligament injury require urgent surgery. In the absence of the symptoms listed above, non-operative treatment modalities should be attempted, which include immobilization and avoidance of activities that aggravate the condition, physical therapy, traction, manipulation and pharmacotherapy. Most patients with cervical radiculopathy will experience improvement regardless of treatment method

Cervicobrachial syndrome

Cervikobrahijalni sindrom poznat i kao cervikalna radikulopatija je relativno čest neurološki poremećaj koji najčešće proizlazi iz degenerativnih promjena vratne kralježnice. Te promjene uključuju cervikalnu spondilozu i protruziju intervertebralnog diska. Uzrok cervikalne radikulopatije može biti i akutna hernija intervertebralnog diska uzrokovan traumom. Mehanizam nastanaka cervikobrahijalnog sindroma je kompresija i/ili iritacija korijena cervikalnog živca. Najčešći simptom radikulopatije je bol u ruci koja je obično praćena senzornim poremećajima u području dermatoma zahvaćenog živčanog korijena, dok su nešto rjeđe pridruženi i motorički poremećaji. Za dijagnozu je najčešće dovoljna anamneza i klinička slika. Slikovna dijagnostika je značajna samo kada je u korelaciji sa kliničkom slikom. Pacijenti s progresivnim neurološkim deficitom, znakovima mijelopatije, frakture ili ozljede ligamenata zahtijevaju hitnu operaciju. U odsutnosti navedenih simptoma, treba pokušati s neoperacijskim modalitetima liječenja koji uključuju: imobilizaciju i izbjegavanje aktivnosti koje pogoršavaju stanje, fizikalnu terapiju, trakciju, manipulaciju i farmakoterapiju. Većina bolesnika s cervikalnom radikulopatijom osjetit će poboljšanje bez obzira na način liječenja.Cervicobrachial syndrome, also known as cervical radiculopathy, is a relatively common neurological disorder that most often results from degenerative changes in the cervical spine. These changes include cervical spondylosis and intervertebral disc protrusion. The cause of cervical radiculopathy can also be acute herniation of the intervertebral disc caused by trauma. The mechanism of cervicobrachial syndrome is compression and/or irritation of the cervical nerve root. The most common symptom of radiculopathy is arm pain. It is usually accompanied by sensory disturbances in the dermatome area of the affected nerve root, while motor disturbances are also associated somewhat less frequently. A history and a clinical picture are usually sufficient for diagnosis. Image diagnostics is significant only when it correlates with the clinical picture. Patients with progressive neurological deficit, signs of myelopathy, fracture or ligament injury require urgent surgery. In the absence of the symptoms listed above, non-operative treatment modalities should be attempted, which include immobilization and avoidance of activities that aggravate the condition, physical therapy, traction, manipulation and pharmacotherapy. Most patients with cervical radiculopathy will experience improvement regardless of treatment method

Bolovi u testisu kao inicijalni simptom rupture aneurizme abdominalne aorte

Ruptured abdominal aortic aneurysm (rAAA) is a life-threatening condition with a mortality rate approaching 100% if left untreated. Emergency surgery has a mortality rate of 50%. Ruptured AAA can prove hard to diagnose when not suspected. The classic presentation of rAAA is a male patient older than 60 years complaining of acute-onset abdominal and back pain. Signs of rAAA include pulsatile mass in the abdomen and hemodynamic instability. We present a patient with isolated acute testicular pain related to an AAA.Ruptura aneurizme abdominalne aorte (rAAA) je životno ugrožavajuće stanje s gotovo 100%-tnom smrtnošću, ako se ne liječi. Unatoč hitnoj operaciji, smrtnost iznosi oko 50%. Ako ne postoji sumnja, rAAA je teško dijagnosticirati. Klasična prezentacija bolesnika s rAAA je muškarac stariji od 60 godina s akutno nastalim bolovima u abdomenu i leđima. Znakovi rAAA uključuju pulsirajuću tvorbu u abdomenu i hemodinamsku nestabilnost. Prikazujemo slučaj pacijenta s akutnim izoliranim bolovima u testisu povezanim s AAA

Etičnost medicinski potpomognutog započinjanja novog života koji ugrožava već postojeći

In vitro fertilization (IVF) is a type of medically assisted fertilization used in infertile couples. Turner\u27s syndrome is caused by a complete or partial (mosaic) lack of one of the two sex chromosomes (X chromosome), whereby a female is born phenotypically. In addition to phenotypic characteristics and infertility (90%), hyper- tension in old age and heart defects are also common in these patients (about 40% were diagnosed with coarctation). of the aorta and bicuspid aortic valve).In vitro oplodnja (engl. in vitro fertilisation - IVF) vrsta je medicinski potpomognute oplodnje koja se primjenjuje kod neplodnih parova. Turnerov sindrom nastaje uslijed potpunog ili djelomičnog (mozaici) nedostatka jednog od dva spolna kromosoma (X kromosoma), pri čemu fenotipski nastaje žena. Osim fenotipskih karakteristika i neplodnosti (90 %), kod ovih pacijentica česte su i hipertenzija u starijoj dobi te srčane greške (oko 40 % dijagno sticirana je koarktacija aorte te bikuspidni aortalni zalistak)