Gender-based violence(GBV)against women has been identified as a global health and development issue.We repor2222ted a case of GBV causing severe,multiple injuries in a middle age female.Case report:A 40-yearold femal...Gender-based violence(GBV)against women has been identified as a global health and development issue.We repor2222ted a case of GBV causing severe,multiple injuries in a middle age female.Case report:A 40-yearold female presented to emergency room with disturbed level of consciousness,shor-tness of breath and multiple patches of skin discoloration.On examination;the patient was semi conscious,multiple echimosis,bilateral decrease air entry.Computed tomography scan of the chest and neck showed six rib fracture on left side,eight rib fracture on the right side,sternal fracture,manubriosternal dislocation,bilateral mild to moderate hemothorax,fracture of body of dorsal vertebrae nine and 11,fracture of the spine of cervical 2 and 6.The patient was intubated and admitted to ICU.The patient was discharged home with good health after 23 day admission.Conclusion:GBV is still a cause of severe trauma that puts the patient’s life at risk.展开更多
Based on clinical and experimental work two new types of volumetric overload shocks are reported: volumetric overload shock type one and type two depending on the type of fluid causing their induction. Volumetric over...Based on clinical and experimental work two new types of volumetric overload shocks are reported: volumetric overload shock type one and type two depending on the type of fluid causing their induction. Volumetric overload shock type one is induced by sodium-free fluids such as glycine, glucose, mannitol and sorbitol and is characterized with acute dilutional hyponatraemia. Volumetric overload shock type 2 is induced with sodium-based fluids normal saline and plasma substitutes used for resuscitation of the critically ill and has no serological marker. It presents with the multiple vital organs dysfunction or failure syndrome or the adult respiratory distress syndrome. Hypertonic sodium is an effective treatment when given early adequately. The underlying pathophysiology is discussed. An alternative to Starling’s law for the capillary interstitial fluid transfer is given. Hydrodynamic of a porous orifice tube akin to capillary with a surrounding Chamber akin to the interstitial fluid space demonstrated a rapid dynamic magnetic field-like fluid circulation between the surrounding chamber and the lumen of the G tube that represent an adequate replacement for Starling’s law.展开更多
Mucinous tubular and spindle cell carcinoma(MTSCC)of the kidney is an uncommon recently recognized renal cell carcinoma.We reported A 60 year's old man who presented with right flank pain,abdominal swelling and on...Mucinous tubular and spindle cell carcinoma(MTSCC)of the kidney is an uncommon recently recognized renal cell carcinoma.We reported A 60 year's old man who presented with right flank pain,abdominal swelling and one attack of hematuria.The intraoperative finding was a huge cystic swelling arising from the right kidney occupying almost all the abdominal cavity displacing the bowel to the left side of the abdomen.There was no ascites or evidences of metastasis.Right radical nephrectomy was done.Then the diagnosis of renal MTSCC was established.General condition of the patient was improved and one year prognosis was satisfactory.To our knowledge this is the first reported case of MTSCC in Sudan,and the outcome of treatment was satisfactory.展开更多
文摘Gender-based violence(GBV)against women has been identified as a global health and development issue.We repor2222ted a case of GBV causing severe,multiple injuries in a middle age female.Case report:A 40-yearold female presented to emergency room with disturbed level of consciousness,shor-tness of breath and multiple patches of skin discoloration.On examination;the patient was semi conscious,multiple echimosis,bilateral decrease air entry.Computed tomography scan of the chest and neck showed six rib fracture on left side,eight rib fracture on the right side,sternal fracture,manubriosternal dislocation,bilateral mild to moderate hemothorax,fracture of body of dorsal vertebrae nine and 11,fracture of the spine of cervical 2 and 6.The patient was intubated and admitted to ICU.The patient was discharged home with good health after 23 day admission.Conclusion:GBV is still a cause of severe trauma that puts the patient’s life at risk.
文摘Based on clinical and experimental work two new types of volumetric overload shocks are reported: volumetric overload shock type one and type two depending on the type of fluid causing their induction. Volumetric overload shock type one is induced by sodium-free fluids such as glycine, glucose, mannitol and sorbitol and is characterized with acute dilutional hyponatraemia. Volumetric overload shock type 2 is induced with sodium-based fluids normal saline and plasma substitutes used for resuscitation of the critically ill and has no serological marker. It presents with the multiple vital organs dysfunction or failure syndrome or the adult respiratory distress syndrome. Hypertonic sodium is an effective treatment when given early adequately. The underlying pathophysiology is discussed. An alternative to Starling’s law for the capillary interstitial fluid transfer is given. Hydrodynamic of a porous orifice tube akin to capillary with a surrounding Chamber akin to the interstitial fluid space demonstrated a rapid dynamic magnetic field-like fluid circulation between the surrounding chamber and the lumen of the G tube that represent an adequate replacement for Starling’s law.
文摘Mucinous tubular and spindle cell carcinoma(MTSCC)of the kidney is an uncommon recently recognized renal cell carcinoma.We reported A 60 year's old man who presented with right flank pain,abdominal swelling and one attack of hematuria.The intraoperative finding was a huge cystic swelling arising from the right kidney occupying almost all the abdominal cavity displacing the bowel to the left side of the abdomen.There was no ascites or evidences of metastasis.Right radical nephrectomy was done.Then the diagnosis of renal MTSCC was established.General condition of the patient was improved and one year prognosis was satisfactory.To our knowledge this is the first reported case of MTSCC in Sudan,and the outcome of treatment was satisfactory.
