Lincoln Hospital

About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.

Hemolysis, Elevated Liver Enzymes, and Low Platelets, Severe Fetal Growth Restriction, Postpartum Subarachnoid Hemorrhage, and Craniotomy: A Rare Case Report and Systematic Review.

Abstract: Introduction. Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is a relatively uncommon but traumatic condition occurring in the later stage of pregnancy as a complication of severe preeclampsia or eclampsia. Prompt brain computed tomography (CT) or magnetic resonance imaging (MRI) and a multidisciplinary management approach are required to improve perinatal outcome. Case. A 37-year-old, Gravida 6, Para 1-0-4-1, Hispanic female with a history of chronic hypertension presented at 26 weeks and 6 days of gestational age. She was noted to have hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome accompanied by fetal growth restriction (FGR), during ultrasound evaluation, warranting premature delivery. The infant was delivered in stable condition suffering no permanent neurological deficit. Conclusion. HELLP syndrome is an uncommon and traumatic obstetric event which can lead to neurological deficits if not managed in a responsive and rapid manner. The central aggravating factor seems to be hypertension induced preeclamptic or eclamptic episode and complications thereof. The syndrome itself is manifested by hemolytic anemia, increased liver enzymes, and decreasing platelet counts with a majority of neurological defects resulting from hemorrhagic stroke or subarachnoid hemorrhage (SAH). To minimize adverse perinatal outcomes, obstetric management of this medical complication must include rapid clinical assessment, diagnostic examination, and neurosurgery consultation.

Lupus pernio: sarcoid-specific cutaneous manifestation associated with chronic sarcoid arthropathy.

Abstract: A 34-year-old African American man presented with bilateral hand arthritis and a flesh growth at the tip of his nose that appeared at the age of 27 years and gradually increased in size. Skin biopsy revealed noncaseating granulomatous dermatitis, consistent with the diagnosis of cutaneous sarcoidosis. Two years later, the patient developed dry cough; physical examination revealed dactylitis and bilateral proximal interphalangeal joint synovitis (Fig. 1) and a shiny, soft tissue growth over the tip of the nose (Fig. 2), consistent with lupus pernio. Chest radiography revealed paratracheal and bilateral hilar lymphadenopathy. Laboratory evaluation revealed borderline elevation of erythrocyte sedimentation rate and angiotensin-converting enzyme titers. Hand radiographs showed several circumscribed, corticated digital lytic bone lesions. The patient responded initially to a combination of methotrexate 15 mg weekly and prednisone 10 mg daily. However, the arthritis and dactylitis progressed, and the infliximab 5 mg/kg was added with resultant decrease in the activity of the arthritis and the lupus pernio lesion size.

Gastric Perforation: A Rare Accident from Intubation.

Abstract: Perforation of a gastrointestinal tract as a complication of intubation is unusual, and only few cases have been reported. Prompt recognition and management of gastrointestinal tract perforation are needed to limit the morbidity and mortality of this condition. We presented a case of an acutely ill patient who developed gastric perforation following difficult intubation to remind clinicians of a life-threatening complication that can develop following a life-saving procedure.