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    Atypical Presentation in Lymphoma; Cyanosis in Left Hand: Case Report
    (Aves, 2011) Ozhasenekler, Ayhan; Atilgan, Zuhal Ariturk; Bakir, Sule; Gokhan, Servan; Yilmaz, Fevzi
    A 17 year old female patient was admitted to the emergency service with complaints of cough, asthma, and cyanosis in the left hand. Expanding in the mediastinum, a rightward deviation of the trachea was specified in the posterior-anterior lung x-ray. In her thoracic computerised tomography, soft tissue density, rightward deviation of trachea, narrowing inwards from outside with the left major bronchus was observed and there were common lymph nodules on the upper section of the left trachea. These lymph nodes applied pressure on major vascular structures leading to the left arm. Primarily lymphoma was considered because she was a young patient. Diagnosis-based left axial and left nodule excision was carried out. Histopathologically, a non-Hodgkin lymphoma (NHL) was diagnosed. The patient was given chemotherapy. The cyanosis in the hand was healed after the mass decreased, thus decreasing pressure on vascular structures. Lymphoma, which is one of the mediastinal masses, is also considered with congenital cardiac illnesses such as pulmonary hypertension, improved Patent Ductus Arteriosis Eisenmenger Syndrome in young patients admitted to the emergency service with atypical complaints such as cyanosis in the left hand.
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    Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department
    (Derman Medical Publ, 2015) Sonmez, Bedriye Muge; Yilmaz, Fevzi; Yilmaz, Muhittin Serkan; Kavalci, Cemil; Gokhan, Servan; Akbulut, Ahmet Sami; Ozhasenekler, Ayhan
    Evaluating the epidemiologic characteristics and management of snake bites presenting to emergency departments. Material and Method: In this retrospective study 74 cases of snakebites admitted to Emergency Department of Diyarbakir Training and Research Hospital between 2008 and 2009 were retrospectively evaluated. Results: Fourty-six (62.2%) of patients were male and 28 (37.8%) were female. Mean age of the study population was 34.85 +/- 19.17 (min 7-max 80) years. Most of the snakebites occurred between 18.00 to 06.00 hours and at home (73%). 79.7% of snake bites occurred to upper extremities. %93 of cases had intravenous administration of antivenin (one dose). Neither none of the patients needed recurrent administration. Discussion: Snake bites are still a major public health problem especially in rural areas. Particularly emergency care physicians should be adequately capable and sophisticated in multidisciplinary management of snake bites.
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    Pneumomediastinum and Pneumothorax After Blunt Neck Trauma
    (Emergency Medicine Physicians Assoc Turkey, 2010) Ozhasenekler, Ayhan; Gokhan, Servan; Yilmaz, Fevzi; Tas, Mahmut; Tan, Omer; Nasir, Ahmet
    Pneumomediastinum is air presence in mediastinum. It is spontaneously and traumatically divided into two. While spontaneous pneumomediastinum is generally found in healthy young men, traumatic pneumomediastinum may develop due to skull, neck, chest traumas and intraoral injuries. Pneumomediastinum is a clinical state with high morbidity and mortality due to complications it causes. It should be considered that it can improve and also accompanied by pneumothorax even without trachea and esophagus injury after blunt neck, face and eye traumas.