Background: Myopia or near-sightedness is the most frequent cause of vision deterioration with growing burden worldwide. Although myopia is hereditary, nearsightedness is tremendously increasing due to endlessly focusing on close objects. Therefore, the objective of the present study was to assess the burden of nearsightedness and its related risk factors among medical students in the Kingdom of Saudi Arabia (KSA).
Transurethral foreign bodies (FBs) in the urinary tract are rare findings in a clinical setting. The most common cases are reported for FBs in the urinary bladder. The present report similarly aimed to examine a whole pen as a FB with a discussion about symptoms and complexities. Here, we significantly reported the management of pen extraction from the bladder of a female patient using nephroscope and proposed success with possible recommendations for treatment in future operations.
Introduction
Genitourinary trauma secondary to a gunshot wound is uncommon as it only occurs in about 10% of cases. We present a case of a gentleman who suffered a gunshot wound to the kidney.
Presentation of case
A 28 year old man presented with irritative lower urinary tract symptoms (LUTs) since three months. The medical history was irrelevant. He is known case of neurogenic bladder maintained on regular clean intermittent catheterization (CIC). He has history of gunshot to the back since few years that resulted in spinal injury. CTUT showed retained bullet inside the right kidney that look alike hyperdense renal stone, Moreover, multiple vesical stones. The vesical stones were treated with cystolitholapaxy. Given that the patient is asymptomatic, conservative management for the retained right renal bullet is the feasible option.
Discussion
Based on the ASST classification, renal gunshot injury results in a grade IV injury. Abdominal exploration was reserved only in selected scenarios. Gunshot injuries to the kidney are commonly associated with thoracic and abdominal injuries. Gunshot injuries may be caused by low-velocity or high-velocity bullets. Given the paucity of cases reported in the literature, it is not obvious what is the optimum management of such patients with a retained renal bullet? We present the radiological findings and a clinical case summary as well for those who have Grade IV kidney injury and retained bullet managed conservatively.
Conclusion
Retained renal bullet post gunshot injury to the back is unusual presentation. A characteristic star-like pattern produced by lead shots and not by “stone,” consisting of plastic detonating cap will aid the urologist to differentiate retained renal bullet from renal stone. In such scenario, asymptomatic renal bullet look alike renal stone doesn't necessitate treatment.
Aim of the work: this study aimed to assess the awareness and knowledge for cataracts, glaucoma and diabetic retinopathy diseases in social media of Saudi Arabia. Material and Methods: a total of 1021 people make an evaluation through internet. Various complaints were incorporated in this study. The data were collected from participants using a structured questionnaire. Questionnaire was done for gathering information on demographics, awareness, knowledge, attitudes and practices related to eye diseases. Results: in this study, 63% males and 37% of females were participated. Majority of the participants (52%) were aware of visual problems, 19.9% were aware of diabetic retinopathy, 2.5% of cataract and 1.2% of glaucoma. The percentage belonged to minimum than 20 years old, 37.5 % belonged to 21-30 age group, 22.1 % belonged to 31-40 age groups, 14.2 % belonged to 41-50 age group, 5.9 % were of 51 and above years of age. Further, 85.7 % of samples belonged to town people and 14.2 % belonged to village groups, 35.6 % of samples gone through secondary school or less education, 60.5% are in graduating from college and 3.9 % of samples were post graduated or qualified higher. Conclusion: the present results showed that there is still a need for health education in the population of this region of Saudi Arabia to increase the level of awareness and knowledge of common eye diseases, through the social media.
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