Biomedical subjects
Publications and source records attributed to G S Myrtue.
Treatment with ceftriaxone may be accompanied by precipitation of ceftriaxone calcium salts in the gallbladder, called pseudolithiasis. We present a case, in which a formerly healthy five year-old girl developed symptomatic pseudolithiasis during treatment with Rocephalin. The symptoms and pseudolithiasis disappeared after a few days with symptomatic treatment and change of antibiotics.
Thirty-eight multi-traumatized patients admitted to the Emergency Room at the county hospital in Vejle underwent computerized tomography (CT) after a standard protocol in the initial evaluation. Eighteen patients were intubated during CT. Eighteen patients had positive findings in more than one of the regions of the body. In total 35 positive findings were made in the 38 patients. Our procedure of CT-scanning multi-traumatized patients is described and the use of CT in the initial evaluation of the multi-traumatized patient is discussed. We find that CT with a standardized procedure supplements the clinical evaluation with important information about potentially life-threatening conditions some of which may be clinically unexpected. Prior to CT the patient must be stabilized in the Emergency Room. After that CT is a simple modality, which furthermore is fast and safe to perform.
We report a case of epidural haematoma with an unusual position which was believed to be a sequela after placement of an epidural catheter in a 58-year old female. The catheter was inserted at level T12-L1 and the haematoma was found at level T5-7. The patient received heparin s/c 5000 IE x 2 immediately postoperatively. The clinical signs were atypical, with no backpain. We conclude that the development of symptoms is not necessarily related to the introduction of the catheter. In the actual case it is most likely that the symptoms had their origin from a spontaneous spinal epidural haematoma.
The CT appearance of hepatic infarction is only described in a few cases in the literature. The description is of well circumscribed areas of low-attenuation, often wedge-shaped and extending to the periphery of the liver. We present a case where infarction of the liver, caused by a dissecting aneurysm of the aorta, was diagnosed by CT-scanning. Our CT scan revealed large, confluent, poorly circumscribed and hypodense areas in the liver consistent with an atypical appearance of hepatic infarction. The patient died shortly after the scanning, and autopsy confirmed infarction of the liver.