Pulmonary Hypertensive Crisis During General Anesthesia in a 3-Year-Old Autistic Boy With Undiagnosed Scurvy, Undergoing Cardiac Catheterization: A Case Report
We describe the case of a 3-year-old autistic boy with undiagnosed scurvy who was scheduled for cardiac catheterization. Immediately after induction, the patient became hemodynamically unstable, which worsened with administration of nitrous oxide. Cardiac catheterization revealed pulmonary hypertension, which dramatically improved with administration of vitamin C. Anesthesiologists should be aware that scurvy is more common than previously thought, even in developed countries and can cause unexpected circulatory collapse from pulmonary hypertensive crisis.
ConclusionBreast pilonidal sinus is an extremely rare variant of the condition. It should be suspected on clinical examination. Surgical excision is the definitive treatment strategy.
Resumo O aneurisma de art éria poplítea (AAP) é o mais frequente dos aneurismas periféricos, correspondendo a 85% do total de aneurismas. Normalmente, são assintomáticos, e o diagnóstico, em geral, é feito por meio do exame físico, tendo uma maior incidência no sexo masculino e em idosos. São bilaterais em 50% dos casos e, em 60% das vezes, estão associados a aneurisma de aorta abdominal. Apresentamos um paciente do sexo masculino com 72 anos de idade, com duas massas pulsáteis em ambas as regiões poplíteas, assintom&aac...
VITAMIN D helps the body to perform its vital functions yet in the winter months, some people may not get enough of the sunshine vitamin, which can cause a number of symptoms. While the deficiency can manifest itself physically, it can also give rise to a certain mood.
Publication date: Available online 9 December 2019Source: Canadian Journal of DiabetesAuthor(s): Lingning Huang, Yongze Zhang, Yunmin Wang, Ximei Shen, Sunjie YanAbstractAimsInvestigate association between diabetic peripheral neuropathy (DPN)and above normal blood pressure in non-hypertensive patients with type 2 diabetes mellitus(T2DM). Compare the achievement of clinical target for DPN and non-DPN withT2DM .MethodsA retrospective survey was administered to 3810 patients with type 2 diabetes. Cases were grouped according to the Toronto Clinical Scoring System (TCSS): Non-DPN, Mild DPN, Moderate DPN and Severe DPN. 1835 pa...
Conditions: Liver Cirrhoses; Portal Hypertension Interventions: Diagnostic Test: Esophagogastroduodenoscopy; Diagnostic Test: Endoscopic ultrasound Sponsor: Instituto Ecuatoriano de Enfermedades Digestivas Recruiting
Condition: Fatty Liver Disease Intervention: Other: A complete cardiovascular and liver characterization will be carried out Sponsors: Instituto de Investigación Marqués de Valdecilla; Hospital Universitario Puerta del Hierro Majadahonda.; Hospital Universitario Ramón y Cajal; Hospital General Universitario Gregorio Marañón Not yet recruiting
Conditions: Aspiration; Gastric Contents, Anesthesia; Intubation Complication Interventions: Other: Application of cricoid pressure; Other: Application of Left lateral paratracheal pressure Sponsor: Boston Children’s Hospital Not yet recruiting
Conditions: Hypertension; Heart Failure; Hypertensive Heart Disease; Diastolic Dysfunction Intervention: Sponsor: Karolinska Institutet Enrolling by invitation
Abstract Depression is a common complication of pregnancy and the postpartum period. There are multiple risk factors for peripartum mood disorders, most important of which is a prior history of depression. Both depression and antidepressant medications confer risk upon the infant. Maternal depression has been associated with preterm birth, low birth weight, fetal growth restriction, and postnatal cognitive and emotional complications. Antidepressant exposure has been associated with preterm birth, reductions in birth weight, persistent pulmonary hypertension, and postnatal adaptation syndrome (PNAS) as well as a ...