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Öğe Peripheral neuropathy after burn injury.(2013) Tamam Y.; Tamam C.; Tamam B.; Ustundag M.; Orak M.; Tasdemir N.Peripheral neuropathy is a well-documented disabling sequela of major burn injury. These lesions are associated with both thermal and electrical injuries that may be frequently undiagnosed or overlooked in clinical settings. The purpose of this study was to evaluate the prevalence of burn-related neuropathy in our database and to investigate the clinical correlates for both mononeuropathy and generalized peripheral polyneuropathy. Out of 648 burn patients, admitted to our clinic forty-seven burn patients with the diagnosis of peripheral neuropathy were evaluated retrospectively. The demographic and clinical data collected were gender, age, degree, site and percent surface area of burn, type of burn, and the results of electrodiagnostic examination, including electromyography and nerve conduction assessments and associated pathology if existed. Peripheral neuropathy is the most frequent disabling neuromuscular complication of burn, that may be undiagnosed or overlooked. In current study, peripheral neuropathy associated with burn all of our patients were identified by electrodiagnostic study. After treatment in Burn Unit, clinical and electrodiagnostic studies were applied. Motor and sensory distal latencies were prolonged and sensory nerve action potentials reduced in amplitude. The findings of our study have shown that polyneuropathies and axonal neuropathy were more frequent than mononeuropathy and demyelination.Öğe A rare case of Chilaiditi syndrome presenting "free air under diaphragm" and mimicking a perforated viscus(2009) Sogut O.; Orak M.; Sayhan M.B.; Ustundag M.; Ozgonul A.Background: Chilaiditi syndrome (CS) is the interposition of the right colon between the liver and the right hemidiaphragm. The incidence of CS in the general population is very low and it is seen more frequently in adults than in children. Here a case is presented of Chilaiditi syndrome presenting with abdominal pain and vomiting; its initial diagnosis was perforated viscus. Case Report: A 36-year-old man was admitted to a state hospital with abdominal pain and vomiting which began three days before without any history of prior trauma. On chest x-ray, free air under the right hemidiaphragm was diagnosed as a perforated viscus. Upon physical examination in the authors' hospital, his abdomen was distended, with normal bowel sounds, but no rebound tenderness were detected on palpation. CS was subsequently confirmed by a chest x-ray and abdominal ultrasound. The patient was managed conservatively and his symptoms resolved over the next 24 hours. Conclusions: CS may be mistaken for more serious abnormalities, which may lead to unneeded exploratory abdominal surgery. This case emphasizes the importance of considering CS by emergency physicians or surgeons in the differential diagnosis of free air under the right hemidiaphragm on a chest x-ray. © The American Journal of Case Reports.Öğe Severe metabolic acidosis secondary to zinc phosphide poisoning(2008) Orak M.; Ustundag M.; Sayhan M.B.[No abstract available]
