PubMed Health⌕ Search

Biomedical subjects

Jen-Lieu Tsai

Publications and source records attributed to Jen-Lieu Tsai.

2 recordsLinked to original sources

Bilateral traumatic dislocation of testes.

Dislocation of the testis is a rare trauma. Its diagnosis depends on the awareness of the physician of its possible occurrence. It is usually a late finding during treatment of a motorcyclist brought to the emergency room because of multiple trauma injury and is sometimes demonstrated in the computerized tomographic (CT) scanning of the pelvis. We encountered bilateral dislocation of testes in a 40-year-old male due to motorcycle accident. Color Doppler ultrasonography was helpful in locating the dislocated testicle and detecting its blood flow. CT scans are often obtained to evaluate the associated injuries and to examine the area of the dislocated testis to help identify a rupture. Closed reduction is the initial treatment of choice. Immediate surgical intervention should also be performed when closed reduction has failed.

Accidents, Traffic↗

Subarachnoid hemorrhage and death following coingestion of MDMA with other drugs.

Ecstasy, the popular name for 3,4-methylenedioxymethamphetamine (MDMA), is a synthetic amphetamine derivative. It stimulates the sympathetic nervous system, producing serious adverse effects on the cardiovascular system. We present a 20-year-old female patient, who developed subarachnoid hemorrhage (SAH) and death following MDMA and coingestion with other drugs. She suffered from severe headache followed by vomiting, and conscious change 5 hours after an intake of 1 tablet MDMA and other drugs at a dance club. Her blood pressure was 226/164 mmHg, pulse rate 164/min, respiratory rate 30/min on arrival at our emergency department. Diffuse rales were heard over both lung fields. Both pupils' sizes were 4 mm, with sluggish reaction to light. A 12 lead electrocardiograph showed sinus tachycardia, ST depression in the inferior leads and V4 to V6 precordial leads. Laboratory findings revealed normal except a slightly raised white cell count and glucose. Arterial blood gas analysis showed pH was 7.333, with PaCO2 24.6 mmHg, PaO2 151.7 mmHg and HCO3 12.8 mmol/L. Chest x-ray revealed acute pulmonary edema. Urgent computerized tomography scanning of the head demonstrated SAH. Her condition continued to deteriorate, and went to deep coma and shock status. She expired on the second day although we treated aggressively.

Adult↗