Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2012
Case Reports[Carotico-jugular fistula following a ballistic injury].
Carotico-jugular fistulae are known complications of gunshot injuries and stab wounds, but they can be iatrogenic. Untreated, these lesions may lead to heart failure, endocarditis, or cerebral embolization. We present the computerized tomography (CT)-angiographic view and its value in the treatment strategy in carotico-jugular fistula. ⋯ Surgical interposition with 6 mm polytetrafluoroethylene for the carotid artery and with 12 mm Dacron for the internal jugular vein was performed. The fistulous tract was ligated. In the postoperative sixth month, Doppler ultrasound was normal and the patient was on antiaggregant therapy and healthy.
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Ulus Travma Acil Cer · Nov 2012
Clinical value of leukocyte counts in evaluation of patients with suspected appendicitis in emergency department.
The objective of this study was to assess the value of total leukocyte count in patients presenting to the emergency department with sign and symptoms suggestive of acute appendicitis. ⋯ The total leukocyte counts are helpful in the diagnosis and exclusion of acute appendicitis. The elevated leukocyte count >=10,000 cells/mm3 was statistically associated with the presence of acute appendicitis. The ROC curve suggests there is value of total leukocyte counts and has sufficient sensitivity and specificity to be clinical value in the diagnosis of acute appendicitis.
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Ulus Travma Acil Cer · Nov 2012
The natural logarithm transforms the abbreviated injury scale and improves accuracy scoring.
The Injury Severity Score (ISS) and the New Injury Severity Score (NISS) are widely used for anatomic severity assessments, but they do not display a linear relation to mortality. The mortality rates are significantly different between pairs of the Abbreviated Injury Scale (AIS) triplets that generate the same ISS/NISS total. ⋯ LISS should be used as the standard summary measure of human trauma.
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Ulus Travma Acil Cer · Nov 2012
Observational StudyDoes preservation of active range of motion after acute elbow injury rule out the need for radiography?
We aimed to evaluate the role of a normal elbow active range of motion (ROM) in predicting low fracture risk and avoiding elbow X-ray in patients with acute elbow injuries. Lack of any approved rules for this purpose led us to evaluate simple physical examination methods to predict elbow fractures. ⋯ Patients with elbow injury and a limited ROM in all directions of flexion, extension, supination and pronation require further X-ray investigations.
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Ulus Travma Acil Cer · Nov 2012
[Clinical and radiological results in distal tibial physeal injuries].
In this study, we evaluated the clinical and radiological results of the distal tibial epiphyseal fractures in children treated with surgery. ⋯ Successful results with fewer complications could be obtained in ankle physeal fractures with early management through adequate reduction and stabilized fixation.