No abstract

SUMMARYSalbutamol-induced cardiac complications are well-established. Herein, we describe a case of a 24-year female who was admitted to the emergency department because of a suicide attempt with salbutamol (76 mg). Salbutamol abuse induced the development of supraventricular tachycardia and ventricular fibrillation. Regular sinus rhythm was restored with defibrillation. The hypokalemic patient who stayed in the intensive care unit was discharged after 48 hours of hospitalization.

Energy drinks are mostly consumed for joy and to, increase physical performance and attention. The popularity of consumption of energy drinks mixed with alcohol is increasing every day. Consumption of such mixtures could result in cardiac arrhythmias or even cause cardiac arrest. In this case report we present a young and healthy male patient with a complaint of palpitations, who developed acute atrial fibrillation after consumption of alcohol mixed with energy drink.

ÖZETKişilik değişikliği ve uzun süredir geçmeyen baş ağrısı şikâyeti nedeniyle 24 yaşında-ki erkek hasta acil servise başvurdu. Nörolojik muayenesinde patoloji saptanmayan hastanın çekilen kranial bilgisayarlı tomografisinde bifrontal kitle ile uyumlu görüntü saptandı. Hasta beyin cerrahisi servisine intrakraniyal kitle ön tanısıyla yatırıldı. Elektif koşullarda tümör rezeksiyonu yapılan hastanın patoloji sonucu glioblastoma multiforme olarak raporlandı. Hastanın takiplerinde kişilik değişikliği saptanmadı. Kişilik değişikliği ile acil servise başvuran hastalarda altta yatan ve risk oluşturan hastalıklar da göz önüne alınarak ayırıcı tanıda kranial bir kitlenin varlığı akla getirilmeli. Uzun süreli şiddetli baş ağrıları acil hekimine yol gösterici olabilir.Anahtar Kelimeler: Acil servis, kişilik değişikliği, glioblastoma multiforme ABSTRACTA 24-year-old male was admitted to emergency department with personality changes and long-lasting headache. Neurologic examination did not show any abnormalities. In cranial computed tomography scan brain mass was detected in frontal cortex bilaterally. Patient was hospitalized in Neurosurgery clinic with a diagnosis of intracranial tumor. Elective tumor resection was performed and his topathologic examination was reported as glioblastoma multiforme. In follow-up, no personality changes were observed. Patients with personality changes should be examined carefully, besides possible frequent underlying pathologies, intracranial tumors must be considered in differential diagnosis. Long lasting headaches may be a clue for emergency physicians.

Bu çalışmanın amacı pankreatit tanısında lipaz/amilaz oranı ve ortalama platelet hacminin kullanılabilirliğini değerlendirmektir.