Saratov JOURNAL of Medical and Scientific Research

Case report

Successful treatment of pulmonary tuberculosis in old age (clinical case)

Year: 2020, volume 16 Issue: №1 Pages: 176-180
Heading: Тhematic supplement Article type: Case report
Authors: Morozova T.I., Salina T.Yu., Semenov S.V.
Organization: Regional Hospital for War Veterans, Saratov, Saratov State Medical University
Summary:

Elderly people are a high-risk group for developing tuberculosis, with difficulties in diagnosis and treatment with an uncertain prognosis. We present a clinical case of tuberculosis with a favorable outcome in a patient aged 86 with a large numerous comorbid pathologies, including an organic brain disease with intellectual and behavioral disorders. This clinical observation demonstrates an atypical course of tuberculosis in the elderly, a slow reverse dynamics of the process and a cure with large residual changes in the lungs.

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One-stage replacement of metacarpal bone due to osteoblastoma lesion

Year: 2020, volume 16 Issue: №1 Pages: 60-63
Heading: Surgery Article type: Case report
Authors: Khodzhamuradov G.M., Khuseynov Z.Kh., Ismoilov M.M., Saidov M.S., Shaimonov A.Kh., Sharipov G.N.
Organization: Republican Scientific Center of Cardiovascular Surgery (Dushanbe, Republic of Tajikistan)
Summary:

The presented clinical case demonstrates the advantages of one-stage replacement of the metacarpal defect (in osteoblastoclastoma) with the involvement of the distal articular head with the help of bone-articular avascular auto-transplant of the third metatarsal bone. The use of bone-articular avascular graft of the third metatarsal bone allowed almost perfectly compensate for the defect of the metacarpal bone. Optimal functional and aesthetic results with complete restoration of the lost anatomy were obtained. The duration of the operation was 1 hour 45 minutes. There were no complications in the immediate postoperative period.

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Diagnosis of retinocytoma in the eye with swelling mature cataract (clinical case)

Year: 2020, volume 16 Issue: №1 Pages: 31-33
Heading: Ophtalmology Article type: Case report
Authors: Krasyuk E.Yu., Ovchinnikov V.I.
Organization: Tambov Ophthalmological Clinical Hospital
Summary:

A clinical case of a rare retinocytoma tumor in a patient with swelling cataract and phacomorphic glaucoma is presented. A comprehensive examination of the patient using various diagnostic methods allowed to make the correct diagnosis and conduct timely surgical treatment with predictable results.

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Stem hemorrhagic stroke: treatment approaches and opportunities for rehabilitation

Year: 2019, volume 15 Issue: №4 Pages: 986-989
Heading: Тhematic supplement Article type: Case report
Authors: Karpova O.V., Udalov Yu.D., Radionova D.M.
Organization: State Research Center— Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Nowadays alongside with high mortality, cerebral circulation disorders are the leading cause of disability in adults, causing up to 80% of partial and up to 10% of total disability among treated patients. The use of modern breakthroughs high-tech hematoma treatment methods along with traditional methods of treatment and early individual rehabilitation complex treatment can improve the outcomes for patients with deep-seated hematomas, reducing mortality by two or more times. We have carried out monitoring of the patient with the development of stem stroke accompanied by long-term untreated arterial hypertension. With the help of drug therapy and rehabilitation measures developed under the individual program, the patient's self-service skills and ability to work have been fully recovered.

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Protracted course of myocardial infarction in a senior patient against the background of acute calculous cholecystitis (clinical case)

Year: 2019, volume 15 Issue: №3 Pages: 817-821
Heading: Cardiology Article type: Case report
Authors: Romanova N.A., Lipatova Т.Е., Parshina S.S., Haibekova T.V..
Organization: Saratov State Medical University
Summary:

The article describes the clinical case of protracted course of myocardial infarction in a senior patient against the background of acute calculous cholecystitis, discusses medical examinations and treatment; attention is drawn to the need for a particularly careful assessment of temporal dynamics of the ST segment and T wave of electrocardiograms in polymorbid patients to confirm the protracted course of myocardial infarction.

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Amiodarone-induced skin damage: clinical observation

Year: 2019, volume 15 Issue: №3 Pages: 741-744
Heading: Cardiology Article type: Case report
Authors: Kosheleva N.A., Magdeeva N.A., Frontaseva V.V., Alekseeva I.L., Fedoritova M.O.
Organization: Saratov Regional Clinical Hospital, Saratov State Medical University
Summary:

Nowadays one of the most often used antiarrhytmic drugs is amiodarone. Amiodarone is the most effective drug for sinoatrial rate preservation at fibrillation of auricles, the only agent with the proved ability to reduce mortality in patients with cardial pathology and ventricular arrhythmias. On the other hand, amiodarone is the "reserve" drug due to its side effects. In this observation the patient was on amiodarone in the course of 5 years due to paroxysms of auricles fibrillation. After 4 years of drug therapy grayish-blue local areas appeared on open body parts (i. e. face, hands). After drug with drawal the intensity of skin staining decreased. In this clinical case skin hyperpigmentation was amiodarone side effect and did not require any special treatment.

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Possibilities of radiological methods in the diagnosis of bilateral uroepithelial cancer (clinical case)

Year: 2019, volume 15 Issue: №3 Pages: 666-668
Heading: Urology Article type: Case report
Authors: Chekhonatskaya M.L., Rossolovsky A.N., Kryuchkov I.A., Kondratyeva O.A., Bobylev D.A., Klimashin D.F., Kondratyeva D.A., Zuev V.V., Gladkov V.A.
Organization: Saratov State Medical University
Summary:

The article presents data on the development of urothelial cancer and methods of its diagnosis. A clinical case of diagnosis of bilateral uroepithelial cancer in a patient by magnetic resonance imaging is described.

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Case study of the first metatarsophalangeal joint total replacement

Year: 2019, volume 15 Issue: №3 Pages: 633-636
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Goryakin M.V., Ulyanov V.Yu., Frolenkov A.V.
Organization: Saratov State Medical University
Summary:

The case report for Hallux rigidus surgical management with endoprosthesis total replacement using zirconia ceramics has been presented.

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Clinical experience of express repair of ceramics in the oral cavity

Year: 2019, volume 15 Issue: №3 Pages: 623-626
Heading: Stomatology Article type: Case report
Authors: Shumilovich B.R., Vorobyeva Yu.B., Rostovtsev V.V., Kryukova S.N., Malykhin D.V., Akhtanin A.A.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

Ceramic cleavage on fixed orthopedic structures is a very common complication of occlusive trauma. Attempts intraoral repair of such defects have been undertaken since the 90s of the last century. The existing technique, including the treatment of the prosthesis with hydrofluoric acid and the subsequent application of silanes, quite successfully coped with the task at the boundary of the chip within the ceramics. When chipping to metal, this technique does not provide adhesion of the composite to the metal. The situation has changed dramatically with the appearance unsilane primers containing MDP monomer and providing reliable chemical adhesion of the metal to the composite. As follows from the presented clinical case, even after 1 year after the repair of the ceramic prosthesis, the anatomical, functional and aesthetic characteristics of the dentition are fully preserved.

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Surgical treatment of the patient with keratectasia after keratotomy followed by LASIK

Year: 2019, volume 15 Issue: №2 Pages: 544-546
Heading: Ophtalmology Article type: Case report
Authors: Syrykh I.Yu., Gavilovskaya V.A., Fabrikantov O.L.
Organization: S. Fedorov Eye Microsurgery Federal State Institution
Summary:

A clinical case of treating a patient with keratoectasia after keratotomy followed by LASIK is presented

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