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Atypical Presentation of Primary Hyperparathyroidism.
Cureus
November 2024
Diabetes and Endocrinology, University Hospitals Plymouth National Health Service (NHS) Trust, Plymouth, GBR.
Primary hyperparathyroidism (PHPT) typically presents with a spectrum of symptoms, including neuropsychiatric manifestations such as anxiety, depression, confusion, and, in severe cases, coma. While psychiatric symptoms are not uncommon in PHPT, acute psychosis is a rare presentation. In such cases, immediate control of serum calcium levels is crucial, and emergency parathyroidectomy may be required if medical management alone fails to control hypercalcemia.
View Article and Find Full Text PDFThyroid storm in a patient with unknown hyperthyroidism during nonthyroidal surgery-a case report and literature review.
BMC Anesthesiol
November 2024
Department of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- Thyroid storm (TS) is a severe complication of hyperthyroidism, often more likely to occur during non-thyroid surgeries due to inadequate thyroid function assessments.
- A case report highlights a middle-aged woman who developed TS with symptoms like high heart rate during a knee surgery, later diagnosed post-op and treated successfully.
- It emphasizes the importance of thorough patient history and vigilance for abnormal signs during surgeries, recommending immediate treatment if TS is suspected, especially with symptoms like tachycardia.
Penetrating cardiac injury resulting in a bullet embolus: a case report.
J Trauma Inj
September 2024
Department of Emergency General Surgery, Trauma, Critical Care and Burns, Sarasota Memorial Health Care System, Sarasota, FL, USA.
Article Synopsis
- - Bullet embolism can occur as a complication of gunshot wounds from low-velocity bullets, as they may not exit the body but instead travel through blood vessels.
- - Once in the vascular system, a bullet can migrate and potentially cause serious issues like ischemia, infection risks, or blood clots.
- - The case presented involves a 72-year-old man who suffered a self-inflicted low-velocity gunshot wound that led the bullet to enter his heart and subsequently relocate to a vein in his pelvis, after which he declined further treatment.
Incidental diagnosis of gastric antral vascular ectasia in a case of chronic kidney disease from Nepal: a case report.
J Med Case Rep
October 2024
Department of Gastroenterology, Nepal Medical College and Teaching Hospital, Kathmandu, Nepal.
Article Synopsis
- Gastric antral vascular ectasia is a rare condition that primarily causes severe gastrointestinal bleeding in older adults, particularly affecting the gastric antrum, and is uncommon among patients undergoing hemodialysis for chronic kidney disease.
- A case is presented involving a 71-year-old male from Nepal who was diagnosed with this condition alongside erosive gastritis after experiencing symptoms like melena and fatigue, leading to a low hemoglobin level and the need for blood transfusion.
- Diagnosis was confirmed through an upper gastrointestinal endoscopy, and despite initial management, advanced treatment like argon plasma coagulation was required at a different facility due to limited resources.
Drug-resistant schizophrenia-like psychosis associated with temporal non-anaplastic pleomorphic xanthoastrocytoma: unusual revealing symptom of a rare pathology.
Ann Med Surg (Lond)
October 2024
Department of Neurosurgery, UHC Habib Bourguiba.
Article Synopsis
- Pleomorphic xanthoastrocytoma (PXA) is a rare brain tumor first reported in 1979, mostly found in the temporoparietal lobe, and it usually has a good outcome.
- The most common symptoms are seizures, but about 50-78% of patients may also have psychiatric issues like anxiety, depression, or even schizophrenia-like symptoms.
- A recent case involved a 26-year-old man who had seizures and schizophrenia-like psychosis for 5 years; after surgery, his condition improved, showing how important surgery can be for this type of tumor.
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