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Pancreaticopleural fistula: a rare aetiology of pleural effusion.
BMJ Case Rep
December 2024
General and Upper Gastrointestinal Surgery, NHS Lanarkshire, Bothwell, South Lanarkshire, UK.
Pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis, which clinically presents as a pleural effusion and often with an absence of typical abdominal symptoms associated with pancreatic disease.We describe a man in his early 50s who presented to the emergency department with pleuritic chest pain and progressive breathlessness with a history of alcohol excess. Chest X-ray demonstrated a bilateral pleural effusion with a dark red amylase-rich exudate on needle aspiration, necessitating a chest drain insertion.
View Article and Find Full Text PDFThe role of oligoclonal band count and IgG index in treatment response and disease activity in multiple sclerosis.
Mult Scler Relat Disord
March 2024
Süleyman Demirel University Faculty of Medicine, Department of Biostatistics and Medical Informatics, Turkey, Adnan Karaibrahimoğlu.
Background/aim: Multiple sclerosis (MS) is an inflammatory demyelinating central nervous system (CNS) disease. Among the paraclinical tests, brain and spinal Magnetic Resonance Imaging (MRI) is primarily involved in the diagnosis process, and cerebrospinal fluid (CSF) analysis is fundamental in diagnosing MS and the differential diagnosis. A positive relationship was demonstrated between oligoclonal band (OCB) positivity, CSF band number and immunoglobulin G(IgG) index.
View Article and Find Full Text PDFRetrospective Evaluation of the Results of Low-Dose Intravenous Thrombolytic Therapy in Acute Ischemic Stroke.
Sisli Etfal Hastan Tip Bul
September 2023
Department of Neurology, Kutahya Health Sciences University Faculty of Medicine, Kutahya, Türkiye.
Objectives: This study aimed to investigate the clinical data of patients with acute ischemic stroke who received low-dose intravenous (IV) thrombolytic therapy (0.9 mg/kg; maximum 50 mg) for various reasons, compare the obtained results with those of patients who received standard-dose thrombolytic therapy, and discuss them in light of the literature.
Methods: Patients who received IV thrombolytic therapy within 4.
Bilateral Medial Medullary Infarct with Unique Radiological Presentation.
Acta Neurol Taiwan
March 2024
Department of Neurology, Kütahya Health Sciences University.
Bilateral medial medullary infarction is a rare subtype of stroke.The typical heart-shaped appearance on magnetic resonance imaging is pathognomonic for bilateral medial medullary syndrome. Vertebrobasilar dolichoectasia is a condition characterized by tortuous dilatation and marked enlargement of the basilar and vertebral arteries, and it may cause posterior circulation infarction.
View Article and Find Full Text PDFMight simple peripheral blood parameters be an early indicator in the prediction of severity and morbidity of cholecystitis?
Ann Surg Treat Res
June 2023
Department of General Surgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Purpose: The aim of this study is to examine the effectiveness of the neutrophil-lymphocyte ratio (NLR) and CRP/albumin ratio (CAR) in evaluating disease severity and predicting clinical outcomes in patients diagnosed with acute cholecystitis (AC).
Methods: A total of 186 patients with AC were evaluated retrospectively. NLR, CAR, Mannheim Peritonitis Index (MPI), and P-POSSUM (Portsmouth Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity) scores were compared with AC severity grade.
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