Cervical thymic cysts in children: A case report.

Introduction And Importance: Cervical thymic cysts are rare benign lesions that rarely considered in the differential diagnosis of neck cysts in children. The correct diagnosis is often made after surgical excision and though determination of the specific histopathological findings of the thymic cyst.

Case Presentation: We report an observation of a cervical thymic cyst erroneously diagnosed preoperatively respectively as a cystic lymphangioma.

Online Personal Training in Patients With Marfan Syndrome: A Randomized Controlled Study of Its Impact on Quality of Life and Physical Capacity.

Background: Marfan syndrome (MFS) is a genetic disorder affecting the vascular and musculoskeletal systems. Limited knowledge exists regarding the exercise benefits for this population. This study aimed to explore the impact of a structured exercise program on the quality of life (QoL) and physical capabilities of patients with MFS.

A Late Recurrent Metastatic Breast Cancer Mimicking Primary Pancreatic Cancer: Case Report.

Metastasis to the pancreas from malignant tumors is a rare event, representing only 1% to 2% of all pancreatic neoplasms. They occur in 2 different clinicopathological settings: as a manifestation in widespread metastatic disease or as an isolated mass in the pancreas. We report the case of a 41-year-old woman who had a history of invasive lobular breast cancer treated with radical surgery, chemotherapy, and radiotherapy.

Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report.

Spinal Cord Injury without Radiographic Abnormality (SCIWORA) is an unprecedented event to occur in adults but may lead to serious complications including permanent neurological impairments and death. In this article, we report a case of a 60-year-old male presenting to the emergency for a head and neck trauma after a motorbike accident, who reported only a neck ache and a normal primary neurological exam. The evolution was marked by the occurrence of paraplegia with a diminished sphincter tone and hypoesthesia beneath the T12 dermatome level after six hours, confirmed by the Magnetic Resonance Imaging (MRI).

Is physical activity a future therapy for patients with Marfan syndrome?

Introduction: The international recommendations tend to avoid physical activity (PA) for patients with Marfan syndrome (MFS). However, exceptions have recently been made in the most recent recommendations for these patients, suggesting benefits from doing PA at low intensity only. Furthermore, there is no evidence that moderate aerobic or weight training can worsen the disease symptoms and increase mortality of MFS patients.

Efficacy and safety of two protocols of intravenous insulin therapy in the management of diabetic ketoacidosis.

Introduction: The correction of insulin deficiency in ketoacidosis DKA is recommended by intravenous (IV) route. Despite abundant literature, the place of the initial bolus of insulin has remained controversial.

Aims: This study was designed to compare the safety and the efficacy of two protocols of intravenous (IV) insulin therapy in the management of DKA admitted in the emergency department.

Effects of a personalized home-based training program among patients suffering from Marfan syndrome: a pilot randomized and controlled study.

Marfan syndrome (MFS) is an autosomal hereditary pathology affecting 1:5000 peoples. Alteration of the fibrillin 1 gene (FBN1) results in haplo-insufficiency of the FBN1 protein mainly altering the vascular system. International recommendations have gradually allowed MFS patients to perform training programs because of its potential benefits.

Marathon-Induced Cardiac Fatigue: A Review over the Last Decade for the Preservation of the Athletes' Health.

Aim: To provide a state-of-the-art review of the last 10 years focusing on cardiac fatigue following a marathon.

Methods: The PubMed, Bookshelf and Medline databases were queried during a time span of 10 years to identify studies that met the inclusion criteria. Twenty-four studies focusing only on the impact of marathons on the cardiac function and factors involved in cardiac fatigue were included in this review.

Predictive value of shock index ≥ 1 in severe trauma patients in emergency department.

Background: the shock index (SI) defined by the ratio of systolic blood pressure to heart rate was demonstrated as a simple tool in the triage and orientation of severe trauma patients to trauma centers.

Aim: To assess the prognostic value of the SI ≥ 1 in terms of mortality in severe trauma patients admitted to the emergency room.

Methods: We performed a prospective, observational and descriptive study with the inclusion of severe trauma patients over the age of 18 years admitted to the Vital Emergency Room over a 21-month period.

Drug related adverse events due to cardiotropic agents : Epidemiology and prognosis in the emergency department.

Introduction: The severity of cardiotropic agents overuse is related to the risk of cardiac and hemodynamic life-threatening situations. Toxicity is attributed to their narrow therapeutic spectrum and pharmacodynamic properties. The clinical presentation, however, remains polymorphic and represents a challenge for the emergency physician to relate accountability to the exact agent.

[Epidemiological profiles of diabetic ketoacidosis in the Emergency Department].

Introduction: Diabetic ketoacidosis (DKA) is a severe metabolic complication of diabetes. Recent years have seen a marked increase in prevalence of diabetic ketoacidosis, but mortality is low. This study aimed to describe the epidemiological, clinical, therapeutic and prognostic features of patients with severe or moderate DKA admitted to the Emergency Department.

[Epidemiological and prognostic profile of acute heart failure: experience in the emergency department at the Charles Nicole Hospital of Tunis from 2013 to 2014].

Introduction: Acute Heart Failure (AHF) is a specific syndromic disorder grouping several heterogeneous clinical conditions frequently seen in the emergency department. This study aimed to describe the epidemiological, clinical, therapeutic and prognostic features of patients with AHF admitted to the emergency department.

Methods: We conducted a prospective, descriptive study in the emergency department.

Drug-adverse related events in emergency department : Epidemiological,clinical profile and prognosis.

Introduction: Adverse-drug events (ADe) are frequent in emergency medicine and remain misdiagnosed depending on the clinical polymorphism and the underlying comorbidities. Older patients with multiple comorbidities and polypharmacy are more frequently affected and makes poor prognosis.

Aim Of The Study: The aim of this study was to evaluate the epidemiology of ADe in the emergency department (ED) visits and to identify the prognostic value mortality within 30 days.

[Iatrogenic adverse drug reaction in the emergency consultation of elderly people: epidemiological observational prospective study].

Background: Emergency units are one of the main access roads to the hospital for the elderly people. Research on adverse drug related events therefore find a field of study previligie. aim: To analyze the part of iatrogenic event in the emergency consultation of elderly people, and identify class of drug responsible.

Petro-cavernous chondroma. CT and MRI features.

The authors report an unusual location of a benign chondroma of the petro-sphenoidal synchondrosis extending into the cavernous sinus. Computerized tomography and magnetic resonance image features were characteristic of chondroid tumor. However, pathologic verification is mandatory in order to distinguish chondroma from chondroblastoma or chondroid chordoma.

[Splenic nodules and sickle cell anemia].

Objective: We report 4 patients with sickle cell anemia presenting with intra-splenic benign nodules corresponding to islands of preserved tissue within splenic ferro-calcinosis.

Material And Methods: Ultrasound, CT and MRI findings were evaluated and compared to a follow-up study by ultrasound and CT done after 6 to 12 months.

Results: Ultrasound showed multiple well-defined rounded nodules appearing hypoechoic compared to the rest of the spleen that was hyperechoic.