Sukru Gurbuz

Meteorologic parameters and migraine headache: ED study

AIM Migraine is common in society and is one of the primary causes of chronic headache with episodes. In this study, we aimed to determine the role of meteorologic parameters and moon phase on triggering migraine attacks and effects on the number of patients presenting to the emergency department with migraine headaches. MATERIALS AND METHODS Patients admitted to the emergency department due to a migraine headache during a 1-year period were studied retrospectively. Correlation between moon phases, pressure, temperature, humidity, wind speed values of meteorologic observation, and recording station located in the same city and daily number of patients was analyzed. RESULTS A total of 3491 patients, of whom 72% (n = 2518) were women, were enrolled. The average daily number of patients was 9.6 ± 4 (3-24). A statistically significant correlation was found between the number of daily patients and daily maximum temperature (P = .005), mean temperature (P = .013), minimum temperature (P = .041), and daily temperature change (P = .003). In addition, a negative correlation was found between the daily number of patients presenting to the emergency department and daily relative humidity (in percentage; P = .031). No significant relationship was found between moon phases and the number of patients. CONCLUSION We have determined that the number of patients admitted to the emergency department with migraine headache has increased with high temperature and low humidity and that there is no relationship between the number of patients and moon phases.

Falls from height: A retrospective analysis

BACKGROUND Emergency services manage trauma patients frequently and falls from height comprise the main cause of emergency service admissions. In this study, we aimed to analyse the demographic characteristics of falls from height and their relationship to the mortality. METHODS A total of 460 patients, who admitted to the Emergency Department of Inonu University between November 2011 and November 2014 with a history of fall from height, were examined retrospectively. Demographic parameters, fall characteristics and their effect to mortality were evaluated statistically. RESULTS The study comprised of 292 (63.5%) men and 168 (36.5%) women patients. The mean age of all patients was 27±24.99 years. Twenty-six (5.6%) patients died and the majority of them were in ≥62 years old group. The highest percentage of falls was at 0-5 years age group (28.3%). People fell mainly from 1.1-4 metres(m) level (46.1%). The causes of falls were ordered as unintentional (92.2%), workplace (8.1%) and suicidal (1.7%). Skin and soft tissue injuries (37.4%) were the main traumatic lesions. CONCLUSION Age, fall height, fall place, lineer skull fracture, subarachnoidal hemorrhage, cervical fracture, thoracic vertebra fracture and trauma scores had statistically significant effect on mortality. The casualties died because of subarachnoid hemorrhage mostly.

Chilaiditi Syndrome: A Rare Cause of Shortness of Breath and Abdominal Pain

Introduction: Chilaiditi syndrome is a rare condition in which a segment of the small or large intestine is interposed in between the diaphragm and the liver. This case report presents a patient who was admitted to the Department of Emergency Medicine, Turgut Ozal Medical Center with complaints of respiratory distress and abdominal pain and then diagnosed with Chilaiditi syndrome.Case Report: An 81-year-old female patient was admitted to the emergency department with complaints of difficulty in breathing and abdominal pain. The patient’s anamnesis indicated that difficulty of breathing increased when she had abdominal pain. There was no defense or rebound, but sensitivity was observed on abdominal examination. Other system examinations were normal. Abdominal ultrasonography performed on the patient was also normal. A dynamic thorax-abdominal tomography was obtained in terms of differential diagnosis of the patient who had abdominal pain. In the dynamic thorax-abdominal tomography of the patient, loops of the colon were visualized in the vicinity of the liver anterior segment, and these images indicated with Chiliaditi syndrome.Conclusion: As a result, when the causes of shortness of breath and abdominal pain are investigated, Chiliaditi syndrome should be considered as a differential diagnosis

ST Segment Elevation Caused by Pericarditis: A Case Report

Gogus agrisi acil servise sik basvuru nedenlerinden biridir ve olumcul hastaliklarin habercisi olmasi nedeni ile onemli bir semptomdur. Basit bir kas agrisindan miyokard enfarktusune ya da daha olumcul olan aort diseksiyonuna kadar hastaliklarin habercisi olabilir. Bu acidan hastalarin degerlendirilmesinde kritik oneme sahip elektrokardiyogram (EKG) bize yol gostericidir. Ancak EKG’ye bakilarak tani konulup trombolitik tedavi baslamak yanlis tedavi olabilir. Bu yuzden hastalarin tanisinda detaya inilmeli ve tedavi plani buna gore yapilmalidir. Bu olgu sunumunda; acil servisimize gogus agrisi sikayeti ile basvuran, cekilen EKG’sinde D2, D3 ve aVF derivasyonlarinda ST segment elevasyonu ve troponin yuksekligi olan akut perikardit tanisi alan 19 yasindaki erkek hastayi sunmayi amacladik