Przegla̧d lekarski
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Midfoot bones fractures are usually unisolated and associated with a high-energy trauma. Unfortunately a such fracture it is often missed or delayed in primary diagnosis. Isolated medial cuneiform fracture is a very rare injury. A review of the literature reveals only few cases and none of bilateral. ⋯ Cuneiform bones fractures are much more common than previously reported. Computed tomography should be considered even in cases of low energy trauma.
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Case Reports
[Epistaxis in Rendu-Osler-Weber disease treated with selective embolization--case report].
Hereditary hemorrhagic telangiectasia (HHT), known as well as Osler-Weber-Rendu syndrome (ORW disease) is autosomal dominant inheritance disease with the worldwide prevalence of 1 case per 5000-10000 population. The pathophysiology of the disease consists of disorders in the growth and migration of endothelial cells, which leads to telangiectasias and arterio-venous malformations (AVM) development. Vascular abnormalities can form in various organs. ⋯ Advanced stage disease can result in extensive bleeding with dicrease in hemoglobin levels. Unfortunately, the only available treatment options for Osler-Weber-Rendu syndrom fight the symptoms, not the essential cause, and because of the rarity of the disease there are no guidelines for effective therapy. We are presenting a case of a patient suffering from recurrent episodes of nose bleeding due to hereditary hemorrhagic telangiectasia, who was successfully treated using low-invasive, intravascular arterial embolisation in interventional radiology department.
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The basis of the medicine doctor actions legality is the receipt of permission from patient upon providing him with health care service. A goal of this article was to learn more about knowledge and practical implementation of this requirement among doctors as well as their patients. ⋯ Actions are still needed to improve doctors and patients motivations to know and obey patients law. The most attention from specialists needs the right for medical information as it is the most often breaking law in both doctors and patients opinion.