We were unable to find reports in the published medical literature of any cases of bowel surgery being successfully performed at such a low hemoglobin level,without blood transfusion or blood products pre or post-surg...We were unable to find reports in the published medical literature of any cases of bowel surgery being successfully performed at such a low hemoglobin level,without blood transfusion or blood products pre or post-surgery,with the patient’s uncomplicated recovery.This study is about such a case.A patient presenting with severegastrointestinal bleeding was diagnosed with enteric fever and multiple ileal ulcers.He had an extremely low hemoglobin level(2 g/dL) and mild renal and hepatic impairment.He was immediately admitted for right hemicolectomy under general anesthesia though he refused transfusion of blood or blood products prior to,during,or after surgery on religious grounds(Jehovah’ s Witnesses).After the surgery and having survived these potentially life-threatening circumstances,he left the hospital without major complications.In such circumstances,lives may be saved by prompt clinical decision-making,collaboration and swift surgical intervention coupled with the immediate consultation and input of the patient and family.展开更多
Sickle cell disease(SCD)affects nearly 100,000 people in the United States of America and the sickle gene is present in approximately 8%of black Americans.Among Africans,the prevalence of sickle cell trait(heterozygos...Sickle cell disease(SCD)affects nearly 100,000 people in the United States of America and the sickle gene is present in approximately 8%of black Americans.Among Africans,the prevalence of sickle cell trait(heterozygosity)is as high as 30%.While SCD occurs among varying racial and ethnic groups,it is more commonly prevalent in individuals of African or African-American descent.This inherited blood disorder causes varying symptoms and complications among affected children and adults and early diagnosis and treatment are essential to help reduce mortality rates.Because there is no cure for SCD,management is vital to survival.Hence,there are different approaches in use to aid those living with SCD;thus,this paper provides insight into the current methods that are implemented in the management and maintenance of this disease.展开更多
文摘We were unable to find reports in the published medical literature of any cases of bowel surgery being successfully performed at such a low hemoglobin level,without blood transfusion or blood products pre or post-surgery,with the patient’s uncomplicated recovery.This study is about such a case.A patient presenting with severegastrointestinal bleeding was diagnosed with enteric fever and multiple ileal ulcers.He had an extremely low hemoglobin level(2 g/dL) and mild renal and hepatic impairment.He was immediately admitted for right hemicolectomy under general anesthesia though he refused transfusion of blood or blood products prior to,during,or after surgery on religious grounds(Jehovah’ s Witnesses).After the surgery and having survived these potentially life-threatening circumstances,he left the hospital without major complications.In such circumstances,lives may be saved by prompt clinical decision-making,collaboration and swift surgical intervention coupled with the immediate consultation and input of the patient and family.
文摘Sickle cell disease(SCD)affects nearly 100,000 people in the United States of America and the sickle gene is present in approximately 8%of black Americans.Among Africans,the prevalence of sickle cell trait(heterozygosity)is as high as 30%.While SCD occurs among varying racial and ethnic groups,it is more commonly prevalent in individuals of African or African-American descent.This inherited blood disorder causes varying symptoms and complications among affected children and adults and early diagnosis and treatment are essential to help reduce mortality rates.Because there is no cure for SCD,management is vital to survival.Hence,there are different approaches in use to aid those living with SCD;thus,this paper provides insight into the current methods that are implemented in the management and maintenance of this disease.
