Sürdürülebilir Kalkınma Amaçları

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• MakaleYalnız künye2025/r/gumushane/16730
  Spontaneous Retroperitoneal Hemorrhage withPsoasHematoma i n anElderlyPatient: ADiagnostic and Therapeutic Challenge

  Eyüboglu, Kayahan; Keskin, Cem

  Spontaneous retroperitoneal hemorrhage (SRH) is a rare and potentially life-threatening condition, often challenging to diagnose and manage, especially in elderly patients with multiple comorbidities. Psoas hematoma is a known complication that can be associated with anticoagulation therapy. A 93-year-old male patient with a history of atrial fibrillation, chronic heartfailure, and anticoagulant use (apixaban) presented with complaints of dizziness following a fall in the bathroom. He was initially assessed in the neurology clinic for potential cognitive symptoms; however, while awaiting assessment, he experienced a syncopal episode, resulting in his transfer to the emergency room. The patient had a significant reduction in hemoglobin levels, necessitating additional examination. Imaging revealed an 8 cm left psoas hematoma with active extravasation. The patient received a blood transfusion, vitamin K, and therapeutic interventions, including interventional radiology, which effectively halted the hemorrhage. This case highlights the diagnostic complexity and therapeutic challenges posed by spontaneous retroperitoneal hemorrhage in elderly patients, especially those on anticoagulant therapy. Early recognition and appropriate intervention are crucial for patient recovery.

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• MakaleAçık Erişim2017/r/gumushane/10477
  Nutmeg Intoxication Associated with Consumption as a Stupefacient

  Günaydin, Mucahit; Tatli, Ozgur; Altuntas, Gurkan; Uslu, Zakire; Özsahin, Faruk; Beslioglu, Necla

  Introduction: Nutmeg is the dried seed of an evergreen aromatic tree from the plant family Myristicaceae. It is widely used in traditional medicine. Although misuse is rare, it needs to be understood that this plant, widely used as a spice in various parts of the world, can be misused and can result in emergency presentation due to intoxication. Case Report: We describe a case of intoxication in a 22-year-old male student after he mixed nutmeg with fruit juice and drank it. Neurological symptoms and anticholinergic signs were present during presentation. Conclusion: Nutmeg intoxication must be one of the possibilities considered at differential diagnosis in patients presenting to the emergency department with findings of anticholinergic intoxication.

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