Ugeskrift for laeger
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Ugeskrift for laeger · Mar 2012
Case Reports[Sublingual haematoma as a result of dysregulated peroral anticoagulant therapy].
We describe a case of spontaneous sublingual haematoma secondary to warfarin toxicity, leading to impending airway obstruction. The case was handled with the administration of vitamin K and fresh frozen plasma, and without invasive airway handling. ⋯ Preferred management includes a safe airway and reversion of coagulopathy. The prognosis is good when treatment is prompt and correct.
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Ugeskrift for laeger · Feb 2012
Case Reports[Aorta-caval fistula as a complication to abdominal aorta aneurysm].
An 84 year-old man with a history of mild well-controlled hypertension was admitted acute with severe chest and epigastrial pains, radiation to the back and nausea lasting one hour under the diagnosis acute coronary syndrome. Acute computed tomography of the thorax and abdomen showed an 8 x 10 cm infrarenal abdominal aorta aneurysm with a 10 mm fistula through the wall of the aorta into the inferior caval vein.
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Ugeskrift for laeger · Feb 2012
Case Reports[Suspected allergic reaction during anesthesia requires thorough postoperative investigation].
Allergic reactions during anaesthesia are rare and the cause is seldom immediately obvious. Incorrect guesses for the offending substance can lead to suboptimal management. Furthermore there is a risk of a serious reaction on subsequent exposure to the real allergen. ⋯ Allergy to this drug could not be demonstrated by skin tests or challenge. The reaction was due to unspecific histamine release induced by several opioids given at the same time. Future pretreatment with antihistamine was recommended.
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Scurvy, lack of vitamin C, is a rare disease and is often called seafarers' disease. This case story describes a 36 year-old female patient with scurvy after a gastric bypass operation. ⋯ After intensive care treatment and a minor split skin graft the patient was discharged from the university hospital to a local hospital for further mobilization. Three months later the patient died due to sepsis.