No abstract

The gender differences in distal ulnar measurements can be beneficial for surgery and forensic science. UG is wider than ECU tendon, and this is the cause of normal subluxation. Therefore, rather than deepening UG, surgeons should focus on tendon sheath abnormalities as a physiological solution.

Objectives: We investigated whether red cell distribution width (RDW) and red cell distribution width to total serum calcium (RDW-to-TSC) ratio were associated with mortality in patients with acute pancreatitis (AP). Methods: A total of 170 patients who present emergency department between January 2017 and June 2018 with a diagnosis of AP were enrolled in this study. A comparison between survivor and nonsurvivor AP patients was performed. Diagnosis of AP were defined according to the revised Atlanta classification 2012. Variables evaluated included demographics, hospital stay, laboratorial parameters and mortality. Results: AP related in-hospital mortality was 6.4%. Red cell distribution (RDW), white blood cell (WBC), platelet, serum glucose and RDW-to-TSC ratio were associated with AP mortality. RDW-to-TSC ratio had the highest AUC (0.88; 95% CI, 0.756-1.0), followed by RDW, serum glucose, platelet and WBC (AUC = 0.801, 0.797, 0.743 and 0.687 respectively). A cutoff value of RDW-to-TSC ratio >2.0, the highest sensitivity (91.9%), specificity (81.1%), PPV (82.9%), and NPV (91.1%) were achieved for prediction of AP related in-hospital mortality in approximately 86.5% of the cases (p < 0.001). Conclusions: RDW and TSC are simple, inexpensive routine serum parameters, provided in a complete blood count test and available at admission. This study showed that RDW > 16.6 and RDW-to-TSC > 2.0 were very good predictors for AP mortality.

Servikal aortik ark, nadir görülen bir konjenital anomalidir. Çocuklukta genellikle semptomatiktir, ancak asemptomatik erişkinlerde bazen bu anormallik farklı nedenlerden dolayı radyolojik görüntüleme sırasında teşhis edilir. Biz bu yazıda öksürük ve nefes darlığı ile başvuran servikal aortik ark olgusunu ve literatürün gözden geçirilmesini amaçladık.

Chilaiditi syndrome, which is the symptomatic interposition of the bowel under the right hemidiaphragm, is a rare condition that can usually be managed without surgery. Morgagni hernia is an unusual disease that accounts for approximately 3% of congenital diaphragmatic hernias. A 66-year-old female presented to the emergency department with abdominal pain, nausea, and constipation. Computed tomography findings were consistent with the diagnosis of Morgagni hernia and Chilaiditi syndrome. In this article, we present this case due to the rare coexistence of these two conditions and the typical radiological findings.