1.A Case Of Two Common Culprits Causing Pulmonary Embolism
Timothy Cheng Tsin Jien ; Azura Mansor ; Wengvei binti Chiam Tah Kong
Journal of University of Malaya Medical Centre 2017;20(1):1-3
Pulmonary embolism is the obstruction of the pulmonary artery or its branches, commonly by thrombus or
fat. We report an unusual case of double pathology - both pulmonary thromboembolism and fat embolism
syndrome in a patient with bilateral femur and bilateral tibia fractures. This highlights the importance of a high
index of suspicion of these conditions while managing patients with multiple long bone fractures. Morbidity
and mortality can be significantly reduced with prompt and appropriate prevention strategies.
Thromboembolism
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Pulmonary Embolism
;
Embolism, Fat
2.Avoiding diagnostic pitfalls in mimics of neoplasia: the importance of a comprehensive diagnostic approach.
Ely Zarina SAMSUDIN ; Tunku KAMARUL ; Azura MANSOR
Singapore medical journal 2015;56(5):e92-5
Any medical diagnosis should take a multimodal approach, especially those involving tumour-like conditions, as entities that mimic neoplasms have overlapping features and may present detrimental outcomes if they are underdiagnosed. These case reports present diagnostic pitfalls resulting from overdependence on a single diagnostic parameter for three musculoskeletal neoplasm mimics: brown tumour (BT) that was mistaken for giant cell tumour (GCT), methicillin-resistant Staphylococcus aureus osteomyelitis mistaken for osteosarcoma and a pseudoaneurysm mistaken for a soft tissue sarcoma. Literature reviews revealed five reports of BT simulating GCT, four reports of osteomyelitis mimicking osteosarcoma and five reports of a pseudoaneurysm imitating a soft tissue sarcoma. Our findings highlight the therapeutic dilemmas that arise with musculoskeletal mimics, as well as the importance of thorough investigation to distinguish mimickers from true neoplasms.
Adult
;
Aneurysm, False
;
diagnosis
;
Biopsy
;
Bone Diseases
;
diagnosis
;
Bone Diseases, Metabolic
;
diagnosis
;
Bone Neoplasms
;
diagnosis
;
Cell Proliferation
;
Diagnosis, Differential
;
Diagnostic Errors
;
prevention & control
;
Female
;
Giant Cell Tumors
;
diagnosis
;
Humans
;
Hyperparathyroidism
;
complications
;
Leukocytosis
;
diagnosis
;
Male
;
Methicillin-Resistant Staphylococcus aureus
;
Middle Aged
;
Neoplasms
;
diagnosis
;
microbiology
;
Osteomyelitis
;
diagnosis
;
microbiology
;
Osteosarcoma
;
diagnosis
;
Sarcoma
;
diagnosis
;
Soft Tissue Neoplasms
;
diagnosis
;
Tibia
;
pathology