BACKGROUND:Only one diagnostic parameter is not available for acute appendicitis. For the establishment of diagnosis, combination of medical history, clinical, laboratory tests, and radiological imaging modalities are used so as to decrease the rates of negative laparotomy and morbidity secondary to delay in diagnosis. Thepresent study aimed to determine haematological and inflammatory markers which will be used in the discrimination of acute appendicitis (AA) and renal colic which are the most frequent and indistinguishable causes of abdominal pain in patients applying to the emergency service.

Giant hiatal hernias, generally seen at advanced ages, can rarely cause cardiac symptoms such as dyspnea and chest pain. Here, we aimed to present a case with a large hiatal hernia that largely protruded to intrathoracic cavity and caused dyspnea, particularly at postprandial period, by compressing the left atrium and right pulmonary vein. We considered presenting this case as large hiatal hernia is a rare, intra-abdominal cause of dyspnea.

The significantly lower blood levels of 25(OH)D3 in PD patients compared to those of HD patients were thought to be due to 25(OH)D3 loss via peritoneal fluid.

Pseudothrombocytopenia is the detection of low platelet counts by an autoanalyser despite lack of shortage in platelets. EDTA-induced pseudothrombocytopenia, the most frequently seen form in clinical practice, occurs mainly due to reaction of antiplatelet antibodies. Pseudothrombocytopenia is not only seen in healthy individuals but it is also reported in association with autoimmune, cardiovascular and liver parenchyma diseases and malignancy. We aimed to review approaches to pseudothrombocytopenia by presenting a case in which EDTA-dependent thrombocytopenia in association with bladder tumour was detected during examination for haematuria.

ÖzetAmaç: Bu çalışmada, 65 yaş ve üzeri, özürlü sağlık kuruluna başvuran olguların değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çalışmada, özürlü kuruluna başvuran, 3112 olgu retrospektif tarandı, 601 olguya ait dosyalar değer-lendirildi. Bulgular: Başvuruların %53,1'i erkek, %46,9'u kadındır. Ortalama yaş 60 (59± 18,35)'dir. En sık başvuru sebebi, sosyal hizmetler %45,6, özürlü-lük oranının tespiti %21,6'dir. 65 yaş ve üzerinde, hipertansiyon %21,6; diyabet %12,6; kronik obstruktif akciğer hastalığı ve dilate kardiyomyopati %3,7 ile ilk sıralardadır (p<0.05). Malignensi 65 yaş ve üzerinde %1,8'di (p>0.05).Dahili özürlülük oranı istatistiksel anlamlı değilken, toplam özürlülük oranı 65 yaş ve üzerinde anlamlıdır (p<0.05). Ek branş patolojileri 65 yaş ve üzerin-de anlamlıdır (p<0.05). Tartışma: Beklenen yaşam süresinin uzaması ve toplumdaki yaşlı bireylerin sayısındaki artış ile, özürlü yaşlı bireylerin sayısında bir artış olmaktadır. Kronik hastalık tanısı almak, geriatrik hasta populasyonu için, hayatın sonu olmamalıdır. Geriatrik populasyonun ruh hali, sosyal yaşa-mı, genel sağlık ve zihinsel sağlık düzeyleri en üst düzeyde tutulmalıdır. Yaşlı hastaların, özel ihtiyaçlarına, özel önem verilerek, imkanların daha geniş kullanımı sağlanmalıdır. Anahtar KelimelerKronik Hastalıklar; Engellilik Değerlendirmesi; Yaşlılar; Muğla; Turkiye Abstract Aim: In this study it is aimed to evaluate geriatric patients who apply to health council. Material and Method: The study retrospectively assessed 3112 patients admitted to the disability ward, of which 601 patients were included in the study. Results: Of the 601 patients, 53.1% were men and 46.9% were women. The mean age of these patients was 60 (std ± 18.35) years. Some of the reasons for admission in the hospital were need for social services (45.6%) and determination of disability rate (21.6%). Most common diseases in patients aged ≥65 years were hypertension (21.6%), diabetes (12.6%), and chronic obstructive lung disease and dilated cardiomyopathy (3.7%; p < 0.05). Malignancy was detected in 1.8% patients aged ≥65 years; however, its prevalence was not statistically significant (p > 0.05). Internal disability rate was not statistically significant (p > 0.05), but total disability was statistically significant (p < 0.05). Moreover, prevalence of additional conditions was statistically significant (p < 0.05) in patients aged ≥65 years. Discussion: Rapid increases in life expectancy and number of older people has increased the prevalence of disabilities among older people. Being diagnosed with chronic diseases should not be the end of life for geriatric populations. Their mood, social life, general health, and mental profile should progress. Sufficient attention should be paid to the special needs of older patients thereby leading to a wider use of facilities.