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Öğe Assessment of change in neutrophil-lymphocyte ratio, platelet-lymphocyteratio in patients with acute and chronic urticaria(2018) Gür, Ali; Turgut, Kasım; Güven, Taner; Aytemur, Zeynep Ayfer; Oğuztürk, Hakan; Turtay, Muhammet Gökhan; Yumrutepe, SevgiAbstract: Aim: Urticaria is a skin disease characterized by erythematous, oedematous, itchy,and spontaneously disappearing urticaria lesions. One of the most common skin diseases, it is the most common reason underlying the presentations to emergency departments. Our objective is to investigate the role of systemic inflammation in urticaria pathogenesis by measuring the indicators of Neutrophil-Lymphocyte ratio (NLR) and Platelet-Lymphocyte ratio (PLR) in routine hemograms in patients with acute and chronic urticaria. Material and Methods: Of patients visiting the Dermatology Policlinic of İnönü University Medical School Hospital between July 2017 and February 2018, 69 patients diagnosed with acute urticaria and 188 patients diagnosed with chronic urticaria as well as 90 healthy people taken as controls with an age range of 18to 70 were included in our study. Blood values of patients were studied retrospectively. (For the study, a Research Ethics Approval was obtained from Malatya Research Ethics Board.) Results: No significant difference was detected among the study groups in terms of demographic properties. Whereas a significant difference was noted among the three groups with regard to NLR values, no statistically significant difference was detected among the groups with respect to PLR values. No statistically significant difference was observed between the group of patients with urticaria and the control group in terms of erythrocyte distribution(p: 0.01). On the other hand, when the patient group with chronic urticaria was divided into two subgroups as patients with a complaint duration of 90 days and less, and those with a complaint duration of more than 90 days and evaluated, no statistically significant difference was detected between these groups in terms of RDW, lymphocytes, neutrophils, platelets, NLR and PLR values Conclusion: In our study, we have determined that systemic inflammation has increased in the group of patients with urticaria as compared to the control group. What’s more interesting in this study is our conclusion that the pathways involved in continued inflammation do not change by time in chronic urticaria.Öğe Bilateral Peripheral Facial Paralysis in a Pregnant Patient Admitted to Emergency Service: A case of Guillain-Barre Syndrome(2016) Gürbüz, Şükrü; Güven, Taner; Kamışlı, Suat; Turtay, Muhammet Gökhan; Oğuztürk, HakanUnilateral facial paralysis is frequently seen in emergency services but bilateral facialparalysis (BFP) is rare. The most common causes of bilateral facial paralysis are GullianBarre syndrome, lyme disease, Bell paralysis, skull fracture, moebius, multiple sclerosis,and infectious mononucleosis. Gullian Barre Syndrome is a demyelinatingpolyneuropathy which is associated with acute infection. The majority of cases presentwith symmetric muscle weakness and areflexia. Gullian Barre Syndrome can bediagnosed by clinical findings together with lumbar puncture and/or electrodiagnosticresults. It is a rare disease in pregnancy. Plasma exchange or gamma globulin treatmentis the preferred treatment. In this report, we present the case of a 20-week pregnantwoman who presented with bilateral facial paralysis and was eventually diagnosed withGullian Barre syndrome.Öğe Bilateral Peripheral Facial Paralysis in a Pregnant Patient Admitted to Emergency Service: A case of Guillain-Barre Syndrome(2016) Gürbüz, Şükrü; Güven, Taner; Kamışlı, Suat; Turtay, Muhammet Gökhan; Oğuztürk, HakanAcil Serviste tek taraflı periferik fasiyal sinir paralizisi sık görülmektedir, fakat bilateral fasiyal sinir paralizisi (BFP) nadir görülür. Bilateral fasiyal sinir paralizisinin en yaygın nedenleri; Guillain Barre sendromu, lyme hastalığı, Bell paralizisi, kafatası fraktürü, moebius, multipl skleroz, enfeksiyoz mononükleozdur. Guillain Barre sendromu akut enfeksiyonla ilişkili demiyelizan bir polinöropatidir. Hastaların büyük çoğunluğu simetrik kas güçsüzlüğü ve arefleksi ile başvururlar. Klinik bulgular, lumbal ponksiyon ve/veya elektrotanısal testler ile desteklenerek Guillain Barre sendromu tanısı konur. Gebelikte nadir görülen bir hastalıktır. Tedavide gama globulin ya da plasma exchange uygulanır. Bu yazıda, bilateral periferik fasiyal sinir paralizi ile başvuran ve Guillain Barre tanısı konulan, 20 haftalık gebe vakası sunulmuştur.Öğe Clinical analysis of the cancer patients who admitted to the emergency room(BIOMEDICAL RESEARCH-INDIA, 2016) Gürbüz, Şükrü; Turtay, Gökhan; Ögüztürk, Hakan; Güven, Taner; Gür, Ali; Çolak, Cemil; Durak, Mehmet AkifObjective: Patients with cancer diagnosis often admit to emergency room with complaints that are directly or indirectly related to their current condition. We aimed to analyze what complaints the cancer patients admit with most, how long the cancer patients who are treated with antitumor treatment admit to the emergency room after the antitumor treatment, which departments were consulted with these patients most and the outcomes of these patients in the emergency room. Method: In this study, 1946 male and female patients older than 18 years old with oncological diseases who admitted to the emergency room for any complaints were analyzed retrospectively. Results: 879 (45.2%) of the patients were females and 1067 (54.8%) of them were males. The mean age was 59.1. The most common complaint was abdominal pain with 344 (17.7%) patients. The most common malignancy was lung cancer with 335 (17.3%) patients. 610 (31.3%) of the patients in the study were still receiving chemotherapy whereas 1052 (54%) of the patients never had chemotherapy. 285 (14.6%) patients were not receiving chemotherapy although they previously had. It was found that the patients admitted to the emergency room a mean of 69.9 days after the chemotherapy. 651 (33.5%) of the patients were not consulted with any departments whereas other patients were consulted with other departments, with medical oncology being the most consulted department. 1017 (52.2%) patients were discharged from the emergency room and 895 (46%) patients were hospitalized. 33 patients (1.7%) died in the emergency room. Conclusions: Patients with lung cancer admitted to the emergency rooms more often. Cancer patients admitted to the emergency department with abdominal pain and shortness of breath most. Emergency physicians have increased responsibility for tests, treatment and hospitalization of these patients as the patients are generally older and have multiple conditions. Keywords Cancer, Emergency room, Oncology. Introduction Death caused by cancer is the second most common reason after cardiovascular causes in our country, Turkey. With the increase in older population, an increase in new cancer cases and side effects of cancer treatment are expected [1]. This increase affects emergency rooms as well as oncology departments in terms of volume and work force. Cancer patients can admit to emergency rooms for complaints caused by their condition like pain, bleeding and respiratory distress as well as the metabolic, infectious and endocrine problems caused by their condition. In addition to this, these patients can admit for febrile neutropenia or hypersensitivity reactions caused by antitumor medication administered for their treatment, or malnutrition or lack of care caused by inadequacy of social conditions. They also can admit to the hospital for trauma, cardiovascular diseases, pulmonary diseases and other conditions that are not caused by cancer [2,3]. Usually, the benefits of emergency rooms to the cancer patients are more than expected. We aimed to analyze what complaints the cancer patients admit with most, how long the cancer patients who are treated with antitumor treatment admit to the emergency room after the antitumor treatment, which departments were consulted with these patients most and the outcomes of these patients in the emergency room in a period of one year.Öğe Clinical analysis of the cancer patients who admitted to the emergency room(Biomedical research-India, 2016) Gürbüz, Şükrü; Turtay, Muhammet Gökhan; Oğuztürk, Hakan; Güven, Taner; Gür, Ali; Çolak, Cemil; Durak, Mehmet AkifObjective: Patients with cancer diagnosis often admit to emergency room with complaints that are directly or indirectly related to their current condition. We aimed to analyze what complaints the cancer patients admit with most, how long the cancer patients who are treated with antitumor treatment admit to the emergency room after the antitumor treatment, which departments were consulted with these patients most and the outcomes of these patients in the emergency room. Method: In this study, 1946 male and female patients older than 18 years old with oncological diseases who admitted to the emergency room for any complaints were analyzed retrospectively. Results: 879 (45.2%) of the patients were females and 1067 (54.8%) of them were males. The mean age was 59.1. The most common complaint was abdominal pain with 344 (17.7%) patients. The most common malignancy was lung cancer with 335 (17.3%) patients. 610 (31.3%) of the patients in the study were still receiving chemotherapy whereas 1052 (54%) of the patients never had chemotherapy. 285 (14.6%) patients were not receiving chemotherapy although they previously had. It was found that the patients admitted to the emergency room a mean of 69.9 days after the chemotherapy. 651 (33.5%) of the patients were not consulted with any departments whereas other patients were consulted with other departments, with medical oncology being the most consulted department. 1017 (52.2%) patients were discharged from the emergency room and 895 (46%) patients were hospitalized. 33 patients (1.7%) died in the emergency room. Conclusions: Patients with lung cancer admitted to the emergency rooms more often. Cancer patients admitted to the emergency department with abdominal pain and shortness of breath most. Emergency physicians have increased responsibility for tests, treatment and hospitalization of these patients as the patients are generally older and have multiple conditions.Öğe Comparıson of pulmonary functıon testıng among non-smokers, hand-rolledcıgarette smokers and factory made cıgarette smokers(SOUTHEAST ASIAN MINISTERS EDUC ORGANIZATION, SEAMEO-TROPMED, 420-6 RAJVITHI RD,, BANGKOK 10400, THAILAND, 2018) Turtay, Muhammet Gökhan; Kılıç, Talat; Oğuztürk, Hakan; Gür, Ali; Güven, Taner; Çolak, CemilTobacco use causes significant health problems. The aim of this study was to compare the following factors among factory-made cigarette (FMC) smokers, hand-rolled cigarette (HRC) smokers and non-smokers (NS): demographic characteristics, pulmonary function testing (PFT) and carboxyhemoglobin (COHb) levels. PFT included checking: forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC, forced expiratory flow from 25-75% of the vital capacity (FEF25-75) and peak expiratory flow (PEF). We wanted to determine the impact of smoking on pulmonary function testing and to determine any differences in PFTs and COHb levels between FMC and HRC smokers. A total of 182 participants (all males) were included in the study. The subjects in the study were randomly chosen from emergency service admissions which had complaints other than respiratory system. The mean age of study subjects was 40.8 (range: 22-92) years. Mean age of starting smoking among HRC smokers was not significantly different from FMC smokers (95% CI: -0.55-2.37, p=0.220). HRC smokers had significantly lower economic and education levels than FMC smokers (95% CI: 9.0-45.2, p<0.01). NS had highest economic and educational levels (95% CI: 35.9-66.6, p<0.01) of the 3 study groups. The mean [+/- standard deviation(SD)] FEV1/FVC was 76.66 (+/- 7.45) among FMC smokers (95% CI: 74.82-78.51), 77.36 (+/- 8.14) among HRC smokers (95% CI: 75.36-79.36) and 83.13 (+/- 5.08) among NS (95% CI: 81.70-84.56, p<0.01). The mean (+/- SD) FEV1 was 84.50 (+/- 17.80) among FMC smokers (95% CI: 80.12-88.92 ), 89.4 (+/- 15.8) among HRC smokers (95% CI: 85.56-93.32) and 95.30 (+/- 13.3) among NS (95% CI: 91.59-99.07, p<0.01). The mean (+/- SD) PEF was 81.90 (+/- 19.30) among HRC smokers (95% CI: 77.19-86.69), 78.10 (+/- 18.70) among FMC smokers (95% CI: 73.47-82.74) and 86.20 (+/- 16.0) among NS (95% CI: 81.70-90.69, p=0.06). The mean FVC, FEV1, FEV1/FVC, FEF25-75%, and PEF values among NS were significantly (p<0.05) higher for each variable than the mean of these values among FMC and HRC smokers. The mean COHb level among NS was significantly (p<0.05) lower than the mean COHb levels in the two smoking groups. There were no significant differences in PFT results or COHb levels between the two smoking groups (p>0.05). Cigarette smoking cause impairment of pulmonary function equally independent of the cigarette type (FMC, HRC) smoked.Öğe Diffusion-weighted magnetic resonance imaging of thorax in diagnosis of pulmonary embolism(2018) Gür, Ali; Turgut, Kasım; Güven, Taner; Aytemur, Zeynep Ayfer; Oğuztürk, Hakan; Turtay, Muhammet Gökhan; Yumrutepe, SevgiAbstract: Pulmonary embolism (PE) has a high mortality rate and a considerable incidence in emergency care. Thorax computed tomography (CT) angiography is the primary diagnosis method for PE, but has many contraindications. In the present study, we aimed to determine the usability of Diffusion-weighted magnetic resonance imaging (DWMRI) in diagnosis of pulmonary embolism. Patients, diagnosed as pulmonary embolism previously by thorax CT angiography, were taken DWMRI. Demographic parameters, complaints, laboratory values and imaging findings were recorded on standart forms. Twenty nine patients, who were diagnosed as pulmonary emboli, were evaluated. Many of them were female(69%) and the mean of age was 61 years. Dyspnea and chest pain were the main complaints. Atelectasis(69,1%) and pulmonary infarct(30,9%) were determined lesions on CT and DWMRI. Region of interest (ROI) were determined by using MRI (T2) images. Three different ROI values were placed on areas and apparent diffusion coefficient (ADC) values were calculated for peripheric lung lesions. Significant difference was determine between mean ADC values of atelectasis and pulmonary infarct lesions (p<0.05). DWMRI can differentiate peripheric lesions in PE patients, but it is not adequate for diagnosis of PE.Öğe The effect of lactate levels on prognosis in patients with ST-segment elevation myocardial infarction(2020) Gür, Ali; Ulutaş, Zeynep; Turgut, Kasım; Güven, Taner; Yücel, Neslihan; Ermiş, NecipAbstract: Aim: The prognostic role of lactate for early mortality in patients with ST-segment elevation myocardial infarction (STEMI) submitted to primary percutaneous transluminal coronary angiography (PTCA) is not elucidated clearly. This study was conducted with patients that presented to the emergency department (ED) with STEMI and underwent PTCA to investigate whether the changes in lactate values from ED admission to 24 hours after PTCA affected mortality. Material and Methods: This prospective observational study on 143 patients with STEMI was conducted at emergency service and tertiary-level cardiology clinic in a public university hospital. The documentation for each patient included detailed information on demographics, type of myocardial infarction according to electrocardiography and PTCA results, duration of hospital stay, vital signs, laboratory fidings on admission, lactate levels 24 hours after PTCA, and outcome (hospital discharge or death). Results: The lactate values are higher in non-surviving groups measured 24 hours after PTCA (P < 0.001). The differences in the lactate levels from the time of admission to 24 hours after PTCA were signifiantly lower in the non-surviving group (P < 0.001). Conclusion: Among patients presenting to the ED with STEMI, a high lactate level is associated with mortality. Also, the difference between lactate values of the patients after PTCA is associated with the risk of mortality. Therefore, we consider that fist lactate levels in ED and last lactate levels after PTCA in patients with STEMI can provide physicians with an insight into the possibility of mortalityÖğe Evaluation of home accidents of forensic nature among children(2020) Ayaz, Nusret; Turgut, Kasım; Turtay, Muhammet Gökhan; Güven, Taner; Oruç, Mücahit; Celbiş, OsmanTo examine the clinical and demographic characteristics of forensic home accidents and fatal injuries. Hospital and forensic records were examined and patients aged ?16 years, referred to our hospital after a home accident, were included in the study. The age, gender, type of injury, injured body area, month of accident, outcome, and department of admission were recorded for each patient. Then, the forensic records were examined and the cases were divided into two groups as those with and without fatal injuries.The characteristics of the two groups were compared using the chi-square test, and the statistical differences were determined.In a three-year period, a total of 453 home accidents considered to be forensic cases were identified. The mortality rate was calculated as 1.8%, and according to the forensic reports, 33.3% of the cases had fatal injuries.While blunt traumas were most common with a rate of 54.1%, burn injuries were found to be most fatal (p<0.001). The majority of injuries were seen in the head and neck, and the risk of fatal injuries was higher in multiple trauma cases in which two or more body systems were affected (p<0.001).Pediatric home accidents are most seen in the age range of 3-6 years, and the risk of fatal injuries is higher in patients with burns and injuries affecting more than one system.Öğe Fenitoin kullanımı sonrası gelişen toksik epidermal nekrolizis(2015) Oğuztürk, Hakan; Turtay, Muhammet Gökhan; Pepele, Mustafa Safa; Güven, Taner; Turgut, Kasım[Abstract Not Available]Öğe Investigation of the protective and treatment effects of vinpocetine in myocardial infarctional with isoprotenol in rats(2017) Güven, Taner; Sarıhan, Mehmet Ediz; Parlakpınar, Hakan; Vardı, Nigar; Tanbek, KevserAbstract: As aim of this study, the knowledge of whether vinpocetine (VINPO) is cardioprotective or not following isoprotenol (ISO)-induced cardiac ischemia in rats. In myocard infarction, the one of the responsible mechanisms of injury is oxidative damage and inflammmation. The effect of VINPO which is the potent antioxidant and anti inflammatory agent aimed to reveal as the biochemical, electrophysiological, and histopathologic parameters. In this study, thirty- two Wistar-Albino male rats were divided into four groups, each consisting of eight rats. The group 1 named as sham, no any drug used in this group. Group 2 named as iso group, only ISO was adminestered, the group 3 named as VINPO and iso group, here initially vinpocetine then ISO were used, and the group 4 named as iso and VINPO, here initially ISO then VINPO were used. For the rats in group 2, in first and second day ISO adminestered at a dose of 120mg/kg using an intraperitoneal injection. At third and fourth day no any drug used. And at fifth day the experiment terminated. For the rats in group 3, at the first and second day VINPO adminestered at adose of 20 mg/kg using an intraperitoneal (ip) injection, after 30 minute isoprotenol administered at adose of 120 mg/kg using an ip injection. At third and fourth day no any drug was used. And at fifth day experiment was terminated. Lastly for the rats in group4, first and second day ISO administered at a dose of 120 mg/kg using an ip injection, at third and fourth day VINPO adminestered at a dose of 20 mg/kg using an ip injection, and at fifth day experiment terminated. Prior to termination of experiment the pulse rate and ECG changes were recorded. After completion of experiment protocols blood samples and cardiac tissue samples were recieved. For the knowledge of effects of VINPO experimental miyocardial ischemia induced in rats, and the serum myoglobulin, total creatine kinase (CK), lactate dehydrogenase (LDH), aspartate aminotransferase (AST), alanin aminotransferase (ALT), measured. In myocardial tissue as an antioxidative system and an oxidative stres markers; malondialdehyde (MDA), superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), reduced glutathine (GSH), total oxidant status (TOS), total antioxidant status (TAS), oxidative stres index (OSI) were studied. As a result, VINPO showed positive impact on cardiac functions in the light of electrocardiographic, biochemical and histopathological. According to our results, it is possible to say that it exerts these beneficial effetc via its powerfull antioxidant, antiinflammatory and free radical scavenger effectsÖğe İsoproterenol ile miyokart infarktüsü oluşturulmuş ratlarda vinpocetinin koruyucu ve tedavi edici etkilerinin incelenmesi(İnönü Üniversitesi, 2016) Güven, TanerKalp, iskemi reperfüzyon (I/R) hasarından en fazla etkilenen organlardandır. İskemi bir dokuya gelen kan akımının azalması veya kesilmesi olarak tanımlanır. Reperfüzyon ise kan akımının yeniden baĢlamasıdır. Deneysel I/R modeli üzerinde antioksidanların, antienflamatuarların etkileri ile ilgili çalışmalar son yıllarda artmıştır. Çalışmamızda; ratlara isoproterenol (ISO) verilmesiyle oluşan kalp iskemi hasarı sonrası vinpocetine (vinpo)'in kalp üzerinde koruyucu etkisinin olup olmadığını araştırmayı amaçladık. Vinpo ile ilgili çalışmalar tüm dünyada yakından takip edilmekte olup, konu oldukça günceldir. Kalpte miyokard infarktüsü(MI) hasarında sorumlu tutulan mekanizmalardan biri olan oksidatifhasar ve enflamasyona karşı güçlü bir antioksidan ve antienflamatuar olan vinpocetin'nin etkilerininbiyokimyasal, elektrofizyolojik ve histopatolojik parametreler yönünden ortaya konulması amaçlandı. Bu çalışmada tahmini ağırlıkları 250-400 g olan 32 adet Wistar-Albino ırkı erkek rat kullanılmıştır. Her biri 8 adet olan 4 gruba ayrılmıştır. Grup 1 (SHAM grubu) ‗de herhangi bir ilaç uygulanmadı. Grup 2 (ISO grubu) de; 1. ve 2. Gün ISO 120mg/kg intraperitoneal (i.p.) yolla verildi 3.-4. Gün herhangi bir ilaç verilmedi 5. gün deney sonlandırıldı. Grup 3 (VIPO+ISO grubu)‗de; 1. ve 2. Gün vinpo20mg/kg intraperitoneal (i.p.) yolla verildi, 30 dakika sonra ISO 120mg/kg intraperitoneal (i.p.) yolla verildi, 3.-4. Gün herhangi bir ilaç verilmedi, 5. gün deney sonlandırıldı. Grup 4 (ISO+VINPO grubu)'de;1. ve 2. Gün ISO 120mg/kg intraperitoneal (i.p.) yolla verildi, 3.-4. Gün 20mg/kg intraperitoneal (i.p.) yolla vinpocetine verildi 5. gün deney sonlandırıldı. Deney sonlandırılmadan önce karotid artere takılan kanülle ortalama kan basıncı ölçüldü, nabız sayısı, EKG değişiklikleri kaydedildi. Deney protokolün tamamlanmasından sonra, kan örnekleri ve kalp dokusu alındı. Ratlarda deneysel miyokart iskemi hasarı oluşturularak vinpocetinin etkisinin incelenmesi amacı ile serumda myoglobulin, total Kreatin Kinaz (CK), laktat Dehidrogenaz (LDH), Aspartat Aminotransferaz (AST) ve Alanin Aminotransferaz (ALT) tayini yapıldı. Kalp dokusunda antioksidan sistem ve oksidatif stres markırları olarak; Malonildialdehit (MDA), Superoksitdismutaz (SOD), Katalaz (CAT), Glutatyon peroksidaz (GPx) , GSH, Total oksidan status (TOS), Total antioksidan status (TAS) , Oksidatif Stres indeksi (OSĠ), tayini çalışıldı. Ayrıca histolojik değerlendirmeler için hematoksilen- eozin (H-E), bağ doku gözlemlemek için Gomori' nin üçlü boyama metodu uygulandı. H-E boyama metodu uygulanan kesitlerde kardiomyositlerde; organizasyon bozukluğu, myofibril kaybı, eozinofilik sitoplazmalı ve piknotik nukleuslu kardiomyositler; Gomori'nin üçlü boyama metodu uygulanan kesitlerde ise bağ doku yoğunluğu değerlendirildi.Sonuçta vinpocetinin kalp fonksiyonları üzerinde olumlu etki göstermiştir. Tüm bunlarla birlikte daha net sonuçlara varmak için daha ileri çalışmalara ihtiyaç vardır.Öğe A Rare Cause of Haematuria: Angiomyolipoma(2016) Turgut, Kasım; Sarıhan, Mehmet Ediz; Oğuztürk, Hakan; Turtay, Muhammet Gökhan; Güven, TanerAbstract: Haematuria, basically means seeing red blood cells in urine, is one of the causes ofemergency service admissions and it has a wide range of etiology from urinary tractinfection to malignancy. Renal angiomyolipoma, which is common in tuberous sclerosispatients, is one of these etiologies. These masses often manifest themselves withhaematuria and can cause significant morbidity. In this paper, we present the case of atwenty-four-year-old female patient who complained of haematuria and left flank pain.She had been followed for tuberous sclerosis for eleven years and we diagnosed her aspostpartum spontaneous renal angiomyolipoma rupture accurately, after performingabdominal ultrasonography and computed tomography. Then she recovered fully anddischarged after stopping bleeding by transarterial embolization method.Öğe ST Segment Yükselmesine Neden Olan Akut Perikardit(2017) Gürbüz, Şükrü; Demir Aydın, Seval; Turtay, Muhammet Gökhan; Pekdemir, Hasan; Oğuztürk, Hakan; Güven, TanerÖz: Göğüs ağrısı acil servise sık başvuru nedenlerinden biridir ve ölümcül hastalıkların habercisi olması nedeni ile önemli bir semptomdur. Basit bir kas ağrısından miyokard enfarktüsüne ya da daha ölümcül olan aort diseksiyonuna kadar hastalıkların habercisi olabilir. Bu açıdan hastaların değerlendirilmesinde kritik öneme sahip elektrokardiyogram (EKG) bize yol göstericidir. Ancak EKG'ye bakılarak tanı konulup trombolitik tedavi başlamak yanlış tedavi olabilir. Bu yüzden hastaların tanısında detaya inilmeli ve tedavi planı buna göre yapılmalıdır. Bu olgu sunumunda; acil servisimize göğüs ağrısı şikayeti ile başvuran, çekilen EKG'sinde D2, D3 ve aVF derivasyonlarında ST segment elevasyonu ve troponin yüksekliği olan akut perikardit tanısı alan 19 yaşındaki erkek hastayı sunmayı amaçladık.Öğe Traumatic Pancreatitis: A Case Report(AVES, 2015) Turgut, Kasım; Oğuztürk, Hakan; Turtay, Muhammet Gökhan; Gürbüz, Şükrü; Güven, TanerIntroduction: Acute pancreatitis is an uncommon disease observed in children; it has different etiological factors from adults. Alcohol and biliary stones are observed as the cause of pancreatitis in adults, whereas drugs, infections, trauma, and anatomical distubances are mostly observed as the cause of pancreatitis in children. Case Report: We presented a traumatic pancreatitis case of a 13-year-old child, which occured because of a fall on a gravestone while running. He was admitted to our emergency service for abdominal pain and emesis complaints 1 day later. Conclusion: Traumatic pancreatitis should be considered, particularly in children who are admitted to the emergency service, because of severe abdominal trauma and should be diagnosed urgently.
