CASE 1 A 69-year-old male general maintenance labourer attended eye casualty with a history of blurred vision in his left eye. He had been using an electrically driven wire brush at work when a fragment of wire broke off the brush hitting his eye. On examination, the patient had a visual acuity of 6/9 in his right eye and 6/36 in his left. He had a full thickness corneal perforation at the 6 o'...

Vol. 34 No. 4 • April 2009 • P&T® 175 Severe tissue damage can occur regardless of the route of parenteral administration, although IV and inadvertent intra-arterial or subcutaneous (SQ) administration results in more significant complications, including burning, erythema, pain, swelling, severe spasm of vessels, thrombophlebitis, venous thrombosis, phlebitis, nerve damage, paralysis, abscess, ...

We report on a Japanese male professional breath-hold diver (Ama) who developed neurological disorders during repetitive dives to 22 meters of sea water. Each diving duration and surface interval were 40-80 seconds and 20-30 seconds, respectively. He suffered from sensory numbness of the right cheek, hand and foot, and double vision after more than two hours of consecutive dives. Magnetic reson...

We report our experience with a case of vena cava injury during laparoscopic right adrenalectomy. A laparoscopic right adrenalectomy was performed in a 22-year-old woman who suffered from a right surrenalian adenoma. Four trocars were used for the transperitoneal laparoscopic approach with the patient in the lateral decubitus position. After isolation of the medial margin of the gland and clipp...

Penetrating cerebral injuries caused by foreign bodies occur rarely due to the substantial mechanical protection offered by the skull. Throughout most of history, the brain, residing in a "closed box" of bone, has not been vulnerable to external aggression. Recently, we encountered a serious penetrating craniocerebral injury caused by a nail gun. Total excision of the offending nail via emergen...

Overlapped pubic symphysis is a rare but serious pelvic injury. This study presents a case of overlapped dislocation of the pubic symphysis. He was managed by closed reduction under general anesthesia. The patient had urethral transsection.At the latest follow up, seven months post injury; he was able to walk well without any pelvic pain. However, his urologic problems were continued. We also r...

Beware of the black eye! Orbital injuries are often missed or misdiagnosed. The underlying bony injury and or globe injury are often more serious than initial examination suggests.

results the most common events leading to aerial firing and stray bullet injuries were marriage ceremonies, followed by a political rallies and new year celebrations. stray bullet injury also reported after aerial firing on cricket/hockey team victories, pakistan independence day (14th august), cultural day in sindh and basant (kite) festival in punjab. the most frequent sites with serious stra...

Vehicle occupants comprise a considerable proportion of traffic crash victims in Iran. This paper has focused on vehicleoccupants’ injury severity and employed the Classification and Regression Tree (CART) technique in order toidentify the most important variables affecting the injury severity of these road users in crashes occurred on rural freewaysand multilane highways in I...