Biomedical subjects

N Eke

Publications and source records attributed to N Eke.

39 records · Page 3Linked to original sources

PubMedDate not supplied

Renal cell carcinoma presenting as a scalp swelling.

BACKGROUND: Renal cell carcinoma occasionally presents in an unusual manner. AIM: To report the rare presentation of renal cell carcinoma as a scalp swelling. METHOD: The case record of a patient with renal cell carcinoma and the literature on the disease were reviewed. RESULT: A 42-year old woman presented with a scalp swelling. Haematuria was missed at the first visit until she volunteered it on a subsequent visit. Investigations suggested renal cell carcinoma. This was confirmed following a right nephrectomy. The scalp lesion was a metastasis extending through the skull into the intracranial compartment. She was not given any systemic drugs because none was available. She survived until she was lost to follow up. CONCLUSION: Haematuria remains an important symptom of renal cell cancer and should be elicited during systemic enquiry.

Adult↗

PubMedDate not supplied

HIV positive patients and the surgeon.

BACKGROUND: Guidelines for the surgical treatment of HIV infected patients are lacking in Nigeria. The Social stigma of the infection and fears of contracting the disease discourage healthcare providers from treating the patients. OBJECTIVE: To present cases treated by surgeons and thereby stimulate interest on the need to offer these patients needed treatment. METHODS: A written questionnaire was sent to surgeons based in the University of Port Harcourt Teaching Hospital who have operated on patients known preoperativly to have HIV. Information sought included age, gender, indication for surgery, operation done, outcome of operation, indication for HIV test and information given to the patient after the test. RESULTS: a total of 26 HIV infected patients received surgical treatment in private and company clinics and there were 18 females and 8 males aged between 8 and 48 years. Most of these were in the 2nd to 4th decades. The operations were elective, emergency or urgent. Pregnancy-related indications predominated. Three patients volunteered their status. One when told she was HIV positive declined a planned right nephrectomy for hypernephroma. Nineteen patiens were discharged from hospital well. Three patients and parents of two were informed by the surgeons that they were HIV positive preoperatively. Five patients died postoperatively. CONCLUSION: There is need to promote awareness on the obligation of suregeons to offer these patients surgical treatment. A protocol and adequate facilities for prophylaxis for health care workers exposed to infection from patients should be established in Nigeria.

Adult↗

PubMedDate not supplied

Neologisms in medical practice: their potential to be 'useful', 'useless' or 'misleading'.

BACKGROUND: The advances in human endeavours have led to changes in technology. New words, neologisms, have been creeping up and are coined with astounding speed. While these terms are fascinating etymologically, their impact needs to be appreciated from a realistic perspective to keep one aware of the collateral changes we are importing into common language, particularly in medical practice. The aim of this paper is to identify some of such neologisms, outline their current use and then discuss their potential to be 'useful' 'useless' or 'misleading'. METHODS: Terminologies in medical practice and information technology have been selected by the authors and their meanings have been analysed. RESULTS: The terminologies of our present interest include: Computer literacy; Surfing the web; Networking; Information technology; Medical informatics; Telemedicine; Capacity building; Problem-based learning; Mentoring; Learning curve; Evidence-based medicine; Impression; Comorbid conditions; Family medicine; Andropause; Surgical site infection; Confidence interval. CONCLUSION: Neologisms are inescapable in the face of rapid advances in knowledge, equipment and information dissemination to and through diverse cultures and languages. In their assimilation, we should be considerate in discarding familiar terms that have served time.

Humans↗