Acute non-traumatic spinal subdural hematoma (SSDH) is a rare clinical condition in the emergency medicine practice and difficult to diagnose during the primary physical examination. It mostly occurs at thoracal vertebra levels due to trauma, use of anticoagulants, medical procedures such as acupuncture, arteriovenous malformations, hematological disorders or space-occupying lesions. Here, we discussed an elderly female patient who was not on anticoagulant and described sudden loss of muscle strength and sensation in both lower extremities. Initial laboratory and imaging including brain computerized tomography (CT) and magnetic resonance imaging (MRI) were in normal range. Her secondary examination revealed anesthesia under the T4 dermatome level. Cervical spine-MRI imaging revealed a subdural hematoma significantly compressing the spinal cord on the C7-T1 dermatome segments. Any emergency neurosurgical intervention was not considered and the patient was interned in the neurosurgical clinic for conservative treatment and further examination. Patient , with no progress seen in consecutive MRI scans, was discharged after offering an outpatient check-up. We recommend secondary physical examination in emergency department (ED). In the case of appearance of sensory deficits of certain dermatomes, spine-MR imaging may lead to put the diagnose early in ED.

ABSTRACT Hoverboards were designed for making our Daily life easier. However, lots of patients admitted to emergency services due to. These devices require a high level of balance, coordination and strength. Traumatic injuries are more common especially in children and young adults. Forearm fractures are one of the important trauma outcomes in the pediatric age group. Although supracondylar or forearm fractures are common, we rarely encounter a combination of both, defined as floating arm fractures. A 9-year-old boy falling from a hoverboard had supracondylar humerus fractures accompanied by olecranon and distal Radius fractures in the same arm. A temporary long arm splint was applied to the patient who was transferred to the orthopedic clinic and surgical operation was planned for stabilization. In our case, we aimed to discuss the coexistence of olecranon and distal radius fracture accompanying ipsilateral supracondylar humerus fracture in a child hoverboard user.

Aim: The aim of this study is to determine the frequency of influenza-A and B antigens in swab samples and to examine their potential changes at the time of initial diagnosis in differentiating the diagnosis of influenza infection from other causes of upper respiratory tract infection by physical examination and clinical vital signs in the emergency room. Materials and Methods: This retrospective cross-sectional descriptive research analyzed 113 patients with Influensa-A (n:8 and B (n:15) over the age of 18 who applied to the emergency department in the last three years, were diagnosed with acute upper respiratory tract and underwent nasopharyngeal swab sampling were included in the study. The data of the patients were accessed digitally from the University hospital database. Results: Verbal dysphagia scores (p0.05). White blood cells in blood count parameters were lower in the influenza test-positive group (p0.05). Conclusion: Influenza infections should be examined in detail regarding costs to public health and social security institutions, considering the burdens of diagnosis and treatment on the patient and society.