European Journal of Clinical and Experimental Medicine T.16, z. 2 (2018)


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  • Pozycja
    Hyponatremia secondary to the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) during the course of lung cancer. A case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Radzka, Agnieszka; Fałkowska, Urszula; Sławiński, Aleksander; Ryczkowski, Aleksander; Obel, Ewa; Lewicki, Marcin
    Introduction. Hyponatremia is a frequently observed electrolyte disorder among patients with cancer. In 1957, Schwartz et al. reported the first case of a patient with hyponatremia due to SIADH, secondary to lung cancer. From that moment on, there has been data published that indicates patients with SIADH are less responsive to chemotherapy, have greater predisposition to central nervous system metastases and are often characterized by an advanced stage of cancer during time of diagnosis. Hyponatremia has many possible causes, and the differential diagnosis can pose a challenge. Aim. The aim of the study was to consider the occurrence of secondary hyponatremia in the course of cancer and the significance of this disorder in the prognosis of the disease. Methods. An analysis of the clinical history of the patient and a review of available literature. Results. A 66-year old patient with hyponatremia was admitted to the Department of Endocrinology, and lung cancer was determined as the cause of the aforementioned electrolyte disorder. Conclusion. SIADH secondary to cancers should be included in a differential diagnosis of every case of hyponatremia of undetermined etiology.
  • Pozycja
    Investigation of focal necrotizing pneumonia after diesel fuel ingestion
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Ciechański, Krystian; Radzka, Agnieszka; Brożyna, Klaudia; Tkaczyk, Jędrzej; Kędziora, Aleksandra; Tchórz, Michał
    Introduction. Diesel oil is a mixture of hydrocarbons. These compounds are widely used in everyday life. Oral exposures are most often accidental and affect mainly children, but they also happen in adults. Oral ingestion may lead to aspiration of pulmonary alveoli which may cause necrotizing pneumonia. Aim. The aim of the study is to assess te severity of diesel oil intoxication on an example of a presented case. Methods. The analysis of the clinical patient history and review of available literature. Results. A 27 year old patient was admitted to the toxicology department due to accidental diesel poisoning. Patient drank a small amount diesel oil, then suffered nausea and vomiting, which resulted in aspiration of diesel to respiratory system. During hospitalization focal necrotizing pneumonia was diagnosed. Patient was treated with intensive specific pharmacotherapy. On the 11th day of stay, the patient was discharged with recommendation of control in the pulmonological and toxicological clinic and chest x-ray examination in order to diagnose the suspicious oval change discovered in the right lobe during hospitalization. Conclusion. First toxicity symptoms are non-specific, so well collected anamnesis is crucial. Complications of hydrocarbon ingestion can be a threat to patient’s life. Due to rarity of the problem, there are no clearly defined treatment guidelines.
  • Pozycja
    Combined aplasia of frontal and shenoid sinuses with hypoplasia of the maxillary sinus
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Błochowiak, Katarzyna; Kamiński, Bartłomiej
    Introduction. Combined aplasia of multiple sinuses is extremely rare. Agenesis of the paranasal sinuses is an uncommon clinical condition that appears mainly in the frontal (12%) and maxillary (5-6%) sinuses. Case report. In this paper, we present the case of a 74-year-old woman with combined frontal and shenoid sinus aplasia accompanied by unilateral maxillary sinus hypoplasia. The findings were confirmed by a computed tomography scan of paranasal sinuses. The reason for admission was persistent headache, numbness of the left cheek and left alveolar process, and occasional nasal blockage. Discussion. The uniqueness of our case is that the patient is an elderly female with combined aplasia of the frontal and sphenoid sinus with hypoplastic maxillary sinuses, whereas previously reported cases were found in children and in young adults. Summary and conclusions. These anomalies can be misdiagnosed as chronic sinusitis or neoplasm. All potential sinus anomalies will have clinical implications and will hinder conventional and functional endoscopic sinus surgery.
  • Pozycja
    Comparison of two suicide attempts with long-acting insulin – The rare way to commit suicide
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Radzka, Agnieszka; Ciechański, Krystian; Tkaczyk, Jędrzej; Brożyna, Klaudia; Tchórz, Michał
    Introduction. In previous years, the number of suicide attempts has increased in Europe. Intoxication with hypoglycemic drugs, including insulin is a rare a tool for attempting suicide that may lead to a severe patient status. Aim. The aim of the study was to assess the severity of insulin poisoning with examples of two patients. Methods. The analysis of clinical history of patients and review of available literature. Results. A 22-year-old patient was hospitalized in the Department of Toxicology and Cardiology due to a suicide attempt in the way of insulin poisoning; time of poisoning was unknown, and the level of glucose was indeterminable. The patient was treated with intensive specific pharmacotherapy. After hospitalization, which lasted 5 months, the patient’s condition had been stabilized but with no verbal contact and quadriplegic paralysis. Another patient was a 41-year-old woman hospitalized two times in the Department of Toxicology and Cardiology due to the insulin poisonings. In each case of hospitalization of this woman, severe recurrent hypoglycemia was observed up to 25 mg% until the fifth day of hospitalization and the treatment used improved the patient’s condition and there was no development of serious complications. Conclusion. Normally effective treatment at the right time can recover the patient completely.
  • Pozycja
    Military candidate health qualification and adjudication
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Żal, Marcin; Więch, Paweł; Bartusik-Aebisher, Dorota; Hejda, Grażyna; Binkowska-Bury, Monika
    Introduction. This study reviews the link between personal health and military qualifications. It was found that there is evidence of a strong link between obesity levels across young individuals and military qualification adjudication. Aim. The purpose of the study was to review the literature about significance of the rules for adjudicating on the ability to perform active military service and analysis of the literature regarding the health condition of Polish citizens subject to perform obligatory military service. Materials and method. Analysis of foreign and Polish literature.