Ugeskrift for laeger
-
Ugeskrift for laeger · Feb 2013
[Gelatine phantom for training of ultrasound guided vascular access].
This article describes the production of a low-cost training phantom for ultrasound guided invasive procedures of peripheral and central veins and presents a video of the process. The phantom can be adapted for use with other ultrasound techniques. It is a universal useful skill training tool for ultrasound guided invasive procedures. ⋯ It is cheap and recyclable. The shelf life is prolonged by cold storage in a freezer. The gelatine phantom is a useful tool for practice of probe handling techniques and needle dexterity when placing peripheral and central venous catheters.
-
Ugeskrift for laeger · Feb 2013
Case Reports[Thoracic epidural abscess without neurological deficits].
This case report describes a patient, who had a thoracic epidural abscess without neurological deficits. The patient had epidural analgesia due to a flail chest trauma. ⋯ The initial treatment was high dose antibiotic therapy followed by an acute surgical laminectomy. The patient never developed any neurological signs and was kept on high dose oral opioids and gabapentin in order to secure sufficient analgesia.
-
Ugeskrift for laeger · Feb 2013
Case Reports[Splenic torsion as cause of acute abdomen in children].
A six-year-old boy was admitted with symptoms consistent with acute appendicitis. Immediately before placement of the first trocar, a large abdominal mass was observed which on imaging was identified as a torsioned spleen. ⋯ The child had a twin brother who on a routine ultrasound examination was found to have a normally positioned spleen. Challenges in diagnosis and treatment of children with splenic torsion is discussed.
-
Ugeskrift for laeger · Feb 2013
Case Reports[Pericardial tuberculosis is still an important differential diagnosis in Denmark].
We report a case where tuberculous pericarditis was diagnosed in a 46-year-old man with Turkish background. The patient had typical symptoms of tuberculosis in the form of chest pain, cough and breathlessness and systemic symptoms such as fever, weight loss and fatigue. An echocardiography showed pericardial effusion, and diagnosis was confirmed by culture of Mycobacterium tuberculosis from gastric aspirate and lymph node biopsy. Since there is an efficient cure for this potentially deathly infection it is of great importance to find the specific diagnose, and it is important that all physicians are aware of this disease.