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Breast Thermography
Published in James Stewart Campbell, M. Nathaniel Mead, Human Medical Thermography, 2023
James Stewart Campbell, M. Nathaniel Mead
Trauma to the breast may occur from assault or accidents, such as domestic abuse, airbag deployment, or a large dog jumping up with paws placed on the breast area. Significant trauma to the breast may result in abrasion, ecchymosis, bruising (including hematoma), and laceration. Ecchymoses and superficial bruises may not show up thermally, unlike inflammation caused by soft tissue damage. A large hematoma may appear cool. With the patient's consent, visual photographs should be taken to document the trauma. Breast screening thermography should be repeated once the trauma has healed – 1 month for a simple ecchymosis, six or more months following an underlying rib fracture.
Complications of Thyroid Surgery
Published in Madan Laxman Kapre, Thyroid Surgery, 2020
Gregory W. Randolph, Dipti Kamani, Cristian Slough, Selen Soylu
Post-operative bleeding may occur due to a residual thyroid tissue, an unsealed vessel, an improperly tied knot, or a patient with a coagulation defect. Signs for a hematoma are evolving swelling in the neck, increasing pain, and developing respiratory distress. Drain usage in thyroidectomy has not been shown to reduce the rate of hematomas, has not been shown to be an effective “warning sign” following thyroidectomy, and indeed may actually contribute to hematoma occurrence [3]. Additionally, drains are associated with surgical site infection, longer hospital stay, and more post-operative pain [3]. Therefore, routine drain usage in thyroidectomy is not recommended [16].
Acne Scarring and Asian Patients
Published in Antonella Tosti, Maria Pia De Padova, Gabriella Fabbrocini, Kenneth R. Beer, Acne Scars, 2018
Evangeline B. Handog, Maria Juliet E. Macarayo, Chee Leok Goh
The subcision technique aims to free the fibrous bands within the scar and is used mainly for rolling scars. Insertion of a Norkor needle or an 18-gauge needle horizontally in the deep dermis with a sweeping motion releases the fibrous bands and enables the skin to become distensible again. Bruising and hematoma are common complications.
A case of pleomorphic adenoma of the lacrimal gland invading the lower orbit
Published in Orbit, 2022
Ryosei Kado, Satoru Kase, Yuka Suimon, Susumu Ishida
Computed tomography showed an iso-density mass of approximately 2 cm across the upper and lower regions of the right orbit without bone abnormalities. On magnetic resonance imaging (MRI), T2-weighted images showed a tumor with high intensity in the center surrounded by low intensity areas. Coronal sections of MRI showed that the tumor shape resembled a gourd (Figure 1B). Hematoma and neoplastic lesions were clinically considered as differential diagnoses. The tumor was resected with a transcutaneous approach through the upper eyelid. The elastic hard yellowish tumor was exposed under the skin, which was macroscopically different from hematoma (Figure 2A). The tumor was gently separated from the connective tissues thereafter. When the upper part of the tumor was detached, the lower part was gradually isolated as a lump (Figure 2B). Eventually, the tumor could be completely resected as a mass without damage to the capsule (Figure 2C). After the surgery, the appearance of the ocular surface and eyelid improved (Figure 1C), and the intraocular pressure was normalized. There was no recurrence of the tumor during the follow-up period of 6 months.
Levels of non-high-density-lipoprotein cholesterol are positively correlated with the risk of cognitive impairment in patients with intracerebral hemorrhage stroke
Published in International Journal of Neuroscience, 2022
Zetuo Wang, Miaoduan Li, Yehua Song, Ruiqiang Peng
ICH stroke was confirmed with computed tomography (CT) and/or magnetic resonance imaging (MRI) according to the guidelines of China cerebral vascular disease. Patients with a hematoma diameter over 3 cm were treated with the endoscopic surgical method, and others were treated by medication only. Only patients that are over 18 years old with an ICH onset time less than 7 days were included in the study. Upon diagnosis, patients with any of the following complications were excluded from the study: inability to complete the required neuropsychological test, onset of neurodegenerative and endovascular diseases and intake of antipsychotic drugs within 4 weeks before the diagnosis. Moreover, only patients with ICH that was not at an eloquent site were included in the study. Furthermore, no patients with intraventricular extension of hemorrhage were included in the study.
Delayed postoperative complications in 624 consecutive cochlear implantation cases
Published in Acta Oto-Laryngologica, 2021
Lusen Shi, Guangjie Zhu, Dengbin Ma, Chengwen Zhu, Jie Chen, Xiaoyun Qian, Xia Gao
Thirty-one patients had been diagnosed with hematoma, which was the most common minor long-term postoperative complication in our study. The patients with hematoma were all under 10 years old, with a mean age of 5.6 years old. The hematomas occurred between 3 months and 3 years postoperatively, and nine patients reported having had more than one hematoma. Tracing their medical histories, most of the hematomas were caused by a definite history of trauma due to the patients learning to walk or participating in vigorous activities. As shown in Figure 3 (B) the fluid content in the hematoma was dark red blood that needed to be needle aspirated if the child’s guardians had detected the symptoms in time. However, as shown in Figure 3 (A) the blood had become a clot in need of a surgical incision and drainage if the symptoms were detected late. In our research, 11 patients were detected in time, and 20 patients needed to be hospitalized. All of the procedures required a compression dressing and antibiotics. The blood was cultured postoperatively, but no bacteria could be detected. In diagnosing the nine patients with repeated hematomas, two were found to have coagulation abnormalities, and all of them were found to have poor habits such as rubbing the region of the implant receiver-stimulator in their sleep [4]. All nine of these repeated hematoma patients are currently under careful observation and will be closely followed up in the future.