Disseminated intravascular coagulopathy (DIC) is a clinicopathologic syndrome characterized by widespread intravascular fibrin formation in response to excessive blood protease activity that overcomes the natural anticoagulant mechanisms. The aetiology of this syndrome is different. In some instances it results due to drug such as cocaine in this reportwe report a case of DIC due to tramadol which is very rare.
The term gastroenteritis denotes infections of the gastrointestinal (GI) tract caused by bacterial, viral, parasitic pathogens or chemical agents and food intolerance, none of which requires antimicrobial therapy. The broad principles of management of acute gastroenteritis in children include oral rehydration therapy, enteral feeding and diet selection, zinc supplementation, and additional therapies such as probiotics. Dehydration must be evaluated rapidly and corrected in 4-6 hr according to the degree of dehydration. Probiotics-used as an adjunct to oral rehydration therapy-decreased the duration of diarrhea, especially in rotavirus gastroenteritis. Early refeeding reduces the duration of diarrhea. The aim of this study is to evaluate the risk factors associated with diarrhea and the antibiotic used ampicillin and ampicillin plus amikacin in the treatment of inpatient children with acute gastroenteritis. Key words: gastroenteritis, antibiotics, ampicillin, amikacin, hydration, feeding.
ÖZETGastroenterit gastrointestinal sistemdeantimikrobiyaltedavigerektirmeyenfakatbakteriyal, viral, parazitik patojen enfeksiyonları veya kimyasal ajanlara ve gıdaya tolaransına bağlı olarak ortaya çıkan bir hastalıktır.Çocuklarda oral rehidrasyon tedavisi, enteral beslenme ve diyet seçimi, çinko takviyesi, probiyotikler gibi ekterapiler akut gastroenterit yönetiminin temel basamaklarıdır.Dehidrasyon derecesine bağlı olarak 4-5 saat içinde doğru ve hızlı olarak kontrol edilmelidir. Probiyotikler-oral rehidrasyon tedavisinde ek olarak kullanılan-özellikle gastroenterit rotavirüse bağlı gelişen diyare süresini azaltmıştır. Erken beslenmede diyare süresini azaltmıştır. Bu çalışmanın amacı, diyare ve antibiyotik olarakampisilin ve ampisilin artı amikasin kullanan hastanede yatarak tedavi edilen çocuklarda risk faktörlerini ilişkilendirerek değerlendirmektir.
A 29-year old female patient was presented to the our department with mild intermittent lower abdominal pain. Otherwise she was healthy and she did not report previous exposure to toxic chemical agents. After physical examination, laboratory investigation and imaging study there was abdominal mass. Surgery was done the resected mass sent for histological examination that confirm the diagnosis lymphangioma. Lymphangiomas are congenital malformations of the lymphatic system that account for about 5% of all benign tumors in infants and children. The most common sites are the neck and axilla, which account for 95% of cases. Lymphangiomas in the peritoneal cavity are extremely rare, particularly in adults. Most commonly arising from the mesentery followed by the omentum, mesocolon and retroperitoneum. Preoperative diagnosis is often difficult due to the frequent silent clinical course. Radiological investigations are a useful diagnostic tool, but definitive diagnosis is confirmed by histopathology after a complete surgical resection
Female patient forty four years old presented in the emergency department due to suicidal attempt with organophosphorous poisoning. The patient admitted to ICU and treated with atropine and obidoxim for two weeks. The patient improved clinically and discharged in a very good general condition but the ACH level does remain low. In this report I try to discuss this case.
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