Occurring early PE is predicted in majority of traumatic patients requiring ICU admission especially in older ones, patients with long bone fractures and those with more severe injury.

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Introduction: Selecting unusual and uncommon means for suicide may be rooted in psychiatric disorders. Case Presentation: Herein, we report a case of suicide attempt occurring with a grinding stone as an unusual tool for suicide. After surgical repair of the injury and owing to a suspicion of psychological problems, psychiatric consultation was requested to rule out the possibility of borderline personality disorder, brief psychotic disorder, and major depression with psychotic features. Conclusions: The presence of psychotic patterns and behaviors, especially auditory hallucination and depressed mood, influence suicide attempts. The selection of uncommon tools emphasizes the need for psychiatric consultants to prevent repeated suicide attempts effectively in the same conditions.

pressure, this pressure may transfer to the optic nerve sheath leading to swelling of the nerve head and thus active nerve inactivation. Despite its rare occurrence, it may appear at any age with no sex and racial predilection. 3 clinically, manifestations of papilledema are mostly secondary to increased intracranial pressure including headache, nausea and vomiting, pulsatile tinnitus, impaired vision, diplopia, and visual acuity impairment in very advanced P apilledema is mainly characterized by optic disc swelling secondary to elevated intracranial pressure due to a wide spectrum of cerebral pathological conditions such as intracranial tumor lesions, venous sinus thrombosis, inflammation, and ventricular obstruction or encephalitis. 1 the pathophysiological basis of this phenomenon is based on axoplasmic flow stasis accompanied with intra-axonal edema. 2 following an increase in intracranial