The Diagnostic Value of Sonographic Findings in Axillary Lymphadenopathy
Elif Colak,
Gultekin Ozan Kucuk,
Kadir Yildirim,
Onur Ozturk
Issue:
Volume 1, Issue 2, September 2015
Pages:
21-23
Received:
31 July 2015
Accepted:
6 August 2015
Published:
11 August 2015
Abstract: Background: Axillary lymphadenopathy (LAP) is one of the most common pathologies encountered in daily practice. The aim of this study is to evaluate the demographic, ultrasonographic, and biopsy findings of patients who underwent an excisional biopsy to distinguish between benign and malignant LAP of the axillary region. Methods: Patients who underwent an excisional biopsy between January 2008 and June 2013 in Samsun Education and Research Hospital were evaluated retrospectively. The exclusion criterion was patients who were diagnosed with breast cancer before admission. According to their pathology results, 23 patients were classified as Group 1 (n=4) and Group 2 (n=19) based on the presence of malignant and benign lymph node involvement, respectively. The demographic data (age and gender) and ultrasonographic findings (shape, diameter, and number of lymph nodes) of the two groups were then compared. Results: Seventeen (73.91%) of the patients were female, and 6 (26.09%) were male. According to the pathology results, a malignant lymphoma was diagnosed in four patients in Group 1. Granulomatous lymphadenitis (n=6) and reactive lymphadenitis (n=13) were diagnosed in Group 2. There was no statistical difference between the groups in terms of age (55 vs 47 years). There was a statistically significant between-group difference in gender, with a male gender predominance in the malignant lymphoma group (p=0.04). In Group 1, all the patients (100%) had multiple enlarged lymph nodes, whereas only 11 (57.8%) of the patients in Group 2 had multiple enlarged lymph nodes. There was no significant difference between the groups in the numbers of lymph nodes (p=0.15). There was statistically significant difference between groups in terms of lymph node diameter (45 vs 26 mm) (p=0.02). Conclusion: Ultrasonography (US) is a valuable tool in the diagnosis of patients with axillary LAP. Our findings suggest that a histopathological examination is warranted in male patients with an axillary LAP larger than 2 cm determined by US
Abstract: Background: Axillary lymphadenopathy (LAP) is one of the most common pathologies encountered in daily practice. The aim of this study is to evaluate the demographic, ultrasonographic, and biopsy findings of patients who underwent an excisional biopsy to distinguish between benign and malignant LAP of the axillary region. Methods: Patients who under...
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A Case: Paraquat (Pesticide) and Skin Involvement
Issue:
Volume 1, Issue 2, September 2015
Pages:
24-26
Received:
6 August 2015
Accepted:
13 August 2015
Published:
14 August 2015
Abstract: Paraquat is a pesticide which was started to be used in agriculture and gardening around the world since the middle of 1960's. Pesticides taken for suicide or by accident can have serious side effects on the body. Paraquat taken in the body mostly orally and transdermal, inhalation and although rarely intravenous way. Erythema, itching, swelling and bullae with exudative discharge in almost all of the left foot and leg was observed in a 56 year old man for fifteen days. On the day his complaints started, he used agricultural pesticide (paraquat) while it was raining. The patient was in a good general condition when he arrived. The patient was put on bed rest. Left leg elevation and ice compress for 15 minutes at least two times a day was given in order to decrease edema. In order to prevent infection and for sterilization, leg cleaning with tincture of iodine solution was recommended. Topical and systemic anti-biotherapy was started. Hemorrhagic lesions started to scab on the third days after resting and treatment were started. Edema became lower. The cure was completed in two weeks
Abstract: Paraquat is a pesticide which was started to be used in agriculture and gardening around the world since the middle of 1960's. Pesticides taken for suicide or by accident can have serious side effects on the body. Paraquat taken in the body mostly orally and transdermal, inhalation and although rarely intravenous way. Erythema, itching, swelling an...
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Evaluation of Prevention Bundle Application for Ventilator-Associated Pneumonia in Intensive Care Units
Ilknur Esen Yildiz,
Hava Yilmaz,
Ahmet Dilek,
Saban Esen,
Mustafa Sunbul,
Hakan Leblebicioglu
Issue:
Volume 1, Issue 2, September 2015
Pages:
27-32
Received:
14 August 2015
Accepted:
28 August 2015
Published:
2 September 2015
Abstract: Objective: The current study investigated the applicability of the VAP prevention bundle and its effect on rates of VAP. Methods: This study was performed in the intensive care units (ICU) of anesthesia (AICU) and the neurology (NICU) in the Medical Faculty of Ondokuz Mayis University from October 2011 to September 2012 (for one year). Mechanically ventilated patients in the ICU for 48 hours were included. The bundle components were patient’s head elevated to 30–45°, assessment of daily extubation status (weaning), peptic ulcer prophylaxis, deep vein thrombosis (DVT) prophylaxis, and oral care with chlorhexidine. The VAP rate and ventilator usage rates were calculated and compared in quarterly periods for one year. Results: In the study, 35 patients developed VAP. There was full compliance with the prevention bundle in 30.5% of cases. No VAP developed in 51 patients whose compliance with the prevention bundle was 100%. In patients (n=35) whose compliance with prevention bundle was more than 50%, VAP (n=6) developed in 19% of the patients. But, in patients (n=35) whose compliance with prevention bundle was less than 50%, VAP (n=29) developed in 82.8% of the patients. There was a significant relationship between compliance with the prevention bundle and development of VAP (P<0.05). Conclusion: VAP rates reduced by the end of the one-year. To reach a zero infection target, ensuring and maintaining full compliance with all components of the prevention bundle are essential.
Abstract: Objective: The current study investigated the applicability of the VAP prevention bundle and its effect on rates of VAP. Methods: This study was performed in the intensive care units (ICU) of anesthesia (AICU) and the neurology (NICU) in the Medical Faculty of Ondokuz Mayis University from October 2011 to September 2012 (for one year). Mechanically...
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