A case presented with fever enlightened by cardiac auscultation: Sarcoma originated in pulmonary artery.

In the emergency department, there are many symptoms patients present. One of the major symptoms is fever which could be the only symptom, as our patient had. Not only do infections, drugs, trauma, etc.

Efficacy of bedside optic nerve sheath diameter measurement in differentiating provoked seizure from unprovoked seizure in the emergency department.

Background: Emergency departments (EDs) are typically the first medical contact for seizure patients, and early diagnosis and treatment is primarily the responsibility of emergency physicians.

Objectives: Demonstrate the efficacy of bedside ocular ultrasonography for optic nerve sheath diameter (ONSD) measurement in differentiating provoked seizure from unprovoked seizure in the ED.

Design: Prospective observational study SETTINGS: Tertiary care hospital PATIENTS AND METHODS: Patients presenting to the ED with seizure were divided into two groups according to medical history, physical examination, laboratory results, cranial computed tomography findings and electroencephalography results.

Ultrasonographically detected hepatosteatosis independently predicts the presence and severity of coronary artery disease.

Background: Nonalcoholic fatty liver disease (NAFLD) has shown to be associated with coronary artery disease (CAD).

Objectives: The aim of our study was to evaluate the association between the presence and severity of CAD and NAFLD.

Methods: The study group consisted of 153 patients who underwent coronary angiographies.

Subcutaneous Emphysema, Pneumomediastinum and Spinal Epidural Emphysema As Complications of Violent Coughing: A Case Report.

Spontaneous pneumomediastinum (SPM) is a rare condition characterized by chest pain of sudden- onset, difficulty breathing, dysphagia, dysphonia, and subcutaneous emphysema, which are some-times -accompanied by pain in the neck or back. This condition typically has a benign character that limits itself, and supportive therapy is all that is needed; however, life-threatening consequences may occur, such as upper respiratory tract obstruction, esophageal injury, and tracheal damage, requiring surgery. We report here a man aged 19 years who coughed vigorously due to acute allergic asthma, which lead to subcutaneous emphysema starting from the neck down to the chest, mediastinum and spinal epidural space.

Analysis of the Patients Who Admitted To A Turkish Emergency Department During COVID-19 Pandemic.

Background And Aim: In this study, it was aimed to review patients who presented to a Turkish emergency department (ED) with fever and at least one symptom and finding of acute respiratory infection (cough, shortness of breath) in Sisli Hamidiye Etfal Education and Research Hospital Tertiary Medical Care Center during COVID-19 pandemic.

Methods: This retrospective, descriptive, observational study included patients presented between March 10, 2020 and April 25, 2020. The patients were classified into two groups according to RT-PCR test result: RT-PCR (+) and RT-PCR (-).

Prisoners seeking healthcare in emergency department.

Objective: To evaluate inmate referrals to emergency department of a tertiary healthcare facility in terms of demographical and clinical characteristics as well as their impact on the department.

Methods: The retrospective cross-sectional study was conducted at Ankara Numune Training and Research Hospital, Ankara, Turkey and comprised data of incarcerated patients who were brought to the emergency department from January 01, 2010, to December 31, 2012. Demographical characteristics, consultations, duration of hospitalisation, recurrent admissions, disposal and mortality rates were noted.

Role of Point-of-Care Lung and Inferior Vena Cava Ultrasound in Clinical Decisions for Patients Presenting to the Emergency Department With Symptoms of Acute Decompensated Heart Failure.

Objectives: This prospective study was performed to evaluate the diagnostic role of point-of-care lung ultrasound (LUS) and inferior vena cava (IVC) ultrasound in patients with acute decompensated heart failure (ADHF).

Methods: A prospective cohort study was conducted between January 2018 and November 2018 on patients with a diagnosis of ADHF in the emergency department (ED). On admission, LUS findings, inspiratory and expiratory IVC diameters, and the inferior vena cava collapsibility index (IVCCI) were obtained.

The efficiency of continuous positive airway pressure therapy in carbon monoxide poisoining in the emergency department.

Objective: To determine whether oxygen therapy with continuous positive airway pressure (CPAP) is superior to normobaric oxygen therapy in carbon monoxide poisoning.

Methods: The study participants were 43 patients diagnosed with carbon monoxide poisoning between the dates 15 March and 30 June 2016 at the emergency department of an urban teaching hospital. The control group comprised patients who received normobaric oxygen therapy.

Is Bedside End-Tidal CO Measurement a Screening Tool to Exclude Pulmonary Embolism in Emergency Department?

Background: Pulmonary embolism (PE) is among the most difficult conditions to diagnose in emergency department. The majority of patients thought to have PE are tested positive for D-dimer and subsequently tested with advanced diagnostic modalities. Novel noninvasive tests capable of excluding PE may obviate the need for advanced imaging tests.

Association of optic nerve sheath diameter measurement with hyponatremia in emergency department.

Objective: Investigation of association of ONSD with hyponatremia in symptomatic patients.

Methods: 89 patients who were diagnosed to have hyponatremia (Na + <135 mmol/L) were prospectively analyzed and compared with 72 patients who have normal serum sodium levels presented to ED at the same time interval. Subjects' demographic properties including age and sex were recorded, as were admission symptoms, serum Na + level, and pre-treatment and post-treatment optic nerve sheath diameter (ONSD).

Is initial optic nerve sheath diameter prognostic of specific head injury in emergency departments?

Background: Emergency departments (EDs) are typically the first medical contact for patients with traumatic brain injury (TBI) and early diagnosis and treatment of intracranial pressure (ICP) in patients with neurotrauma primarily falls under the liability of emergency doctors. Monitoring ICP with optic nerve sheath diameter (ONSD) via tools has gained popularity among emergency service doctors. In this study, we aimed to evaluate the predictive value of ONSD for specific head injury on initial cranial tomography.

Seasonal and age-related changes in semen characteristics and composition of seminal plasma in sex-reverse female rainbow trout (Oncorhynchus mykiss) in comparison with normal males.

All-male or all-female progeny is preferable in reproduction of fish species. In rainbow trout, all-female progeny is desirable, and the most common and healthful approach is to use sex reversed (SR) females as broodstock by including androgen hormones through the diet at the larval stage. The purpose of this study was to determine the differences and changes of seminal plasma ions (Na, K, Ca, Mg and Cl) and pH in 2 to 3 and 3 to 4 year-old SR females, compared with 2 to 3 year-old normal (N) males at the beginning, middle, and end of the spawning season (SS).

Metal Accumulations in Water, Sediment, Crab (Callinectes sapidus) and Two Fish Species (Mugil cephalus and Anguilla anguilla) from the Köyceğiz Lagoon System-Turkey: An Index Analysis Approach.

The concentrations of six metals (Hg, Cd, Cu, Pb, Cr and Zn) individual total metal load (IMBI) values and its relation to condition index were determined in water, sediment and tissues of crab (Callinectes sapidus) and two fish species (Mugil cephalus and Anguilla anguilla) inhabiting Köyceğiz Lagoon System. The average distribution of the IMBI values ranged from 0.033 to 0.

Thrombolytic therapy delay is independent predictor of mortality in acute pulmonary embolism at emergency service.

Acute pulmonary embolism (PE) carries a high risk of morbidity and mortality. Delays in diagnosis or therapy may result in sudden, fatal deterioration; therefore, rapid diagnosis and an appropriate therapeutic approach are needed. We aimed to investigate the effect of delaying thrombolytic administration on the mortality rate in a suspected PE.

Correlation of CAT Score With Peak Expiratory Flow in Acute Exacerbation of COPD Patients.

Introduction: Chronic obstructive pulmonary disease (COPD) leads to physical activity limitation and a significant reduction in quality of life. This study aimed to investigate the correlation between The COPD Assessment Test (CAT) score and peak expiratory flow (PEF), and the factors effecting hospital admission rates of patients with COPD.

Methods: This observational study was conducted prospectively.

The comparison of bedside point-of-care ultrasound and computed tomography in elbow injuries.

Objective: The objective of the study was to compare the efficacy of point-of-care ultrasound (POCUS) and computed tomography (CT) in the diagnosis of the fracture of the bones that form the elbow joint and the determination of treatment method in elbow injuries.

Methods: Forty-nine patients aged 5 to 65 years, who were admitted with low-energy elbow injuries, had at least 1 fracture of the elbow joint bones, and underwent CT scanning, were included in this study. Before the initiation of the study, orthopedic surgeons and emergency physicians determined a common treatment based on the fracture characteristics.

A case of delayed carotid cavernous fistula after facial gunshot injury presented as loss of vision with symptom resolution after endovascular closure procedure.

Carotid cavernous fistulas (CCFs) are abnormal connections between the carotid artery and the cavernous sinus (CS), and can occur as a result of blunt and penetrating head injuries. While occurrence is rare, diagnosis can be made in the emergency department. Described in the present report is the case of a 26-year-old man who presented with complaints of pain, redness, blurred and loss of vision in the right eye, and swelling of the upper face due to a gunshot injury he had sustained 35 days prior.

Surgical management of traumatic cerebrospinal fluid fistulas with associated lesions.

Background: Head trauma is associated with a significant risk of cerebrospinal fluid (CSF) fistula.

Methods: In this study, it was aimed to report twenty-two cases subjected to operative intervention for otorrhea, rhinorrhea and oculorrhea with associated traumatic lesions. Majority of the cases had moderate to severe head trauma with a Glascow Coma Scale (GCS) score under 14.

Bedside sonographic measurement of optic nerve sheath diameter as a predictor of intracranial pressure in ED.

Background: Ocular ultrasonography of optic nerve sheath diameter (ONSD) to determine intracranial pressure (ICP) has become favorable in recent years.

Objective: To demonstrate the efficacy of ONSD measurement in determining the ICP increase due to nontraumatic events in the emergency department.

Methods: A total of 100 patients with suspected nontraumatic intracranial event were enrolled in this prospective study.

Bedside heart type fatty acid binding protein (H-FABP): Is an early predictive marker of cardiac syncope.

Objective: To determine the value of bedside heart-type fatty acid binding protein in diagnosis of cardiac syncope in patients presenting with syncope or presyncope.

Methods: The prospective study was conducted at Ankara Numune Training and Research Hospital, Ankara, Turkey, between September 1, 2010, and January 1, 2011, and comprised patients aged over 18 years who presented with syncope or presyncope. Patients presenting to emergency department within 4 hours of syncope or presyncope underwent a bedside heart-type fatty acid binding protein test measurement.

Retroperitoneal Haematom due to Spontaneous Rupture and Haemorrhage of Adrenal Cyst Presenting with Grey Turner's Sign.

Spontaneous retroperitoneal haemorrhage is a rare entity and a potentially life-threatening condition. A 41-year-old woman presented to our emergency department with left flank pain and dysuria. Her physical examination disclosed left abdominal and costovertebral angle tenderness, left flank ecchymosis (Grey Turner sign).