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    Wyświetlanie 1-2 z 2
    Tytuł:
    Diabulimia – a diagnostic and therapeutic challenge in the emergency department
    Autorzy:
    Atriham, Adan R.
    Kleszczyński, Jacek
    Sierakowska, Alicja
    Springer, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/33778957.pdf
    Data publikacji:
    2024-03-22
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    diabetes
    eating disorders
    emergency department
    diabulimia
    Opis:
    Diabulimia is the intentional omission or reduction of insulin administration in a patient with insulin-dependent diabetes mellitus (IDDM) and coexisting eating disorder in the attempt to reduce or avoid weight gain. Although the true incidence of diabulimia is unknown, it is estimated that between 20-30% of girls and up to 40% young women with IDDM have experienced diabulimia since their diagnosis of IDDM was made. Patients with diabulimia frequently present to the emergency department, therefore early recognition of the eating disorder and prompt psychiatric consultation are essential. The aim of this review article is to summarize the existing literature about diabulimia and to raise awareness amongst emergency physicians about how to identify and treat these patients.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2024, 7, 1; 57-62
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    CT negative subarachnoid hemorrhage in emergency department
    Autorzy:
    Szypenbejl, Jacek
    Siemiński, Mariusz
    Szurowska, Edyta
    Szmuda, Tomasz
    Basiński, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/895725.pdf
    Data publikacji:
    2020-05-29
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    emergency department
    computed tomography
    cerebral aneurysm
    subarachnoid hemorrhage
    Opis:
    Background: Subarachnoid hemorrhage (SAH) is rare but potentially life-threatening cause of acute headache. First diagnostic test performed in the Emergency Department (ED) for acute “thunderclap” headache is computed tomography of the head (CT) without contrast enhancement. Negative non-contrast head CT may be erroneously interpreted as an exclusion of SAH and lead to ED discharge. The consequences of overlooking SAH are of special interest to the Emergency Physician. The aim of this study was to assess prevalence and clinical picture of CT-negative cases of SAH admitted to the ED. Material and methods: Retrospective analysis of charts of patients admitted to the ED and diagnosed with SAH during 18 consecutive months. Results: Our data gives information about clinical picture of patients with CT-negative SAH and their further clinical course. Out of 126 patients diagnosed with SAH, 5 (4.0%) were diagnosed with SAH despite negative non-contrast head CT scan. All cases were diagnosed by means of lumbar puncture and analysis of cerebrospinal fluid. In all patients with CT-negative SAH computed tomographic angiography (CTA) was performed and no vascular abnormalities were found. In one case digital subtraction angiography was performed due to equivocal CTA picture and it demonstrated small unruptured aneurysm of the medial cerebral artery. All patients with CT-negative SAH were admitted to a neurological ward and later discharged from the hospital without neurological deficit. There were no episodes of clinical deterioration and none of the patients required an urgent neurosurgical intervention. Conclusions: Although lumbar puncture remains a gold standard in exclusion of SAH, head CT scan without contrast enhancement appears to be a satisfying diagnostic tool in ED.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2020, 3, 1; 43-48
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-2 z 2

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