19 research outputs found

    Le traitement médical de l'entorse de cheville

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    SCOPUS: ar.jinfo:eu-repo/semantics/publishe

    Deep Venous Thrombosis Caused by Congenital Malformation of the Inferior Vena Cava and Heterozygous Factor V Leiden Presenting as Venous Claudication

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    A case of an 18-year-old man with deep venous thrombosis of the lower limbs caused by hypoplasia of the inferior vena cava in combination with heterozygous factor V Leiden is presented. Both anomalies were found when the patient complained of venous claudication in both thighs. Inferior vena cava malformation is a rare condition and may predispose to the development of deep venous thrombosis. This patient was at an even higher risk for deep venous thrombosis as the inferior vena cava malformation was combined with a hypercoagulable state.info:eu-repo/semantics/publishe

    Evaluation acute abdominal pain in the emergency department. View of the emergency physician.

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    Journal ArticleSCOPUS: cp.jinfo:eu-repo/semantics/publishe

    Somatic Management of Psychiatric Patients in the Emergency Department.

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    peer reviewedThis retrospective study aims to assess a potential difference in the management of patients with a psychiatric history in somatic emergencies. Indeed, the psychiatric population has higher mortality and morbidity rates than the general population. The negative stigmatization of patients with mental health disorders remains one of the factors to consider when studying this morbidity and mortality. In this context, adult patients diagnosed with myocardial infarction, pulmonary embolism, stroke, acute cholecystitis or appendicitis in the emergency department of the Brugmann University Hospital Center during the year 2021 were selected. The presence or absence of a history psychiatric was then recorded for each patient. Different key intervention times, the total length of stay and the occurrence of complications were also studied for 459 patients, 74 of which had a history psychiatric. A significant difference in the time preceding the prescription of the first complementary examination for patients with a psychiatric history was thus highlighted. No other differences in care were demonstrated within the limits of this sample. This difference could be associated with the phenomenon of diagnostic overshadowing. It is the fact of associating the somatic complaints of a patient with his psychiatric pathology. Another potential explanation, present in the literature, could be the discomfort felt by somaticians when dealing with psychiatric patients. Finally, the integration of the experience of psychiatric patients into the training of physicians and the question of the relevance of applying the triage system to psychiatric patients were raised as potential future studies

    Brulure Ă  l'acide Fluorydrique Hydrofluorydric Acid Burn

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    Coma et hémiplégie gauche post-traumatiques spontanément résolutifs

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    We relate here the case of a 31-year old woman who developed a bilateral dissection of the internal carotid arteries after a motor vehicle accident. After two weeks, she was transferred from Egypt where a hemiplegia due to a whiplash syndrome had been diagnosed. A bilateral dissection was suggested in this case by a color Doppler ultrasonography and was confirmed by a cerebral magnetic resonance imaging (MRI) followed by an angio-MRI. The patient's evolution was spontaneously favorable under intravenous anticoagulant treatment followed by oral therapy. Successive MRI exams showed a complete repermeabilisation of the two internal carotid arteries one month after the accident. The patient was discharged two months later with only a slight motor flexion deficit of the fourth left finger. The diagnostic modalities and management are discussed.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

    Traitement chirurgical des cardiopathies du sujet âgé.

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    We have reviewed hospital mortality and morbidity with cardiac surgery under cardiopulmonary bypass in patients over 75 years, operated during a 5 years period. It is at the expense of a sometimes difficult selection process in favour of patients with a potentially curable cardiac disease as their only problem, and despite substantially increased mortality and morbidity, that the operated elderly can have excellent probability to normalise both life expectancy and quality of life.English AbstractJournal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe
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