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| 1 | Early diagnosis of bowel obstruction and strangulation by computed tomography in emergency department显示文摘BACKGROUND:Closed loop bowel obstruction is a specific type of mechanical obstruction with a high risk of strangulation and bowel infarction,especially in the small bowel.It is associated with a high mortality rate.Hence,it is important for emergency physicians to identify the presence of strangulation,while making the diagnosis of closed loop small bowel obstruction.METHODS:We reported three patients with strangulated closed loop small bowel obstruction associated with severe abdominal pain,who had been treated at the emergency department.Urgent computerized tomography was performed in the patients.RESULTS:Two patients were discharged with stable conditions,and one patient died after hemodialysis.CONCLUSION:Urgent computerized tomography of the abdomen serves as an important diagnostic tool in view of its ability to detect the site,level and cause of obstruction along with the distinctive CT appearance of closed loop small bowel obstruction and signs of ischemia.Early definitive diagnosis will guide subsequent management and improve outcomes. | Sohil Pothiawala Apoorva Gogna | 2012 | World Journal of Emergency Medicine2012，3，3： | 3 |
| 2 | Role of the gamma knife in the treatment of largelesions显示文摘 | Helennowski TK Pothiawala B | 1993 | Stereotact Funct Neurosurg1993，，： | 1 |
| 3 | The role of pho- totherapy in cutaneous T-cell lymphoma 显示文摘 | Pothiawala SZ Baldwin BT Cherpelis BS | 2010 | J Drugs Dermatol2010，9，7： | 1 |
| 4 | Significant ABO hemolytic disease of the newborn in a group B infant with a group A2mother显示文摘 | JEON H CALHOUN B POTHIAWALA M | 2000 | Immunohematology2000，16，： | 1 |
| 5 | SignificantABO hemo- lytic disease of the newborn in a group B in - rant with a group A2 mother 显示文摘 | Jeon H Calhoun B Pothiawala M | 2000 | Immunohemato12000，16，3： | 1 |
| 6 | Significant ABO hemolytic disease of the newborn in a group B infant with a group A2 mother 显示文摘 | Jeon H Calhoun B Pothiawala M | 2000 | Immunohematol2000，16，3： | 1 |
| 7 | ABO,D blood typing and subtyping using plug-based microfluidics显示文摘 | Kline TR Runyon MK Pothiawala M | | 0，，： | 1 |
| 8 | Hyperkalemia induced pseudomyocardial infarction in septic shock显示文摘 | POTHIAWALA S E | 2014 | J Postgrad Med2014，60，： | 1 |
| 9 | Significant ABO hemolytic disease of the newborn in a group B infant with a group A2 mother显示文摘 | Jeon H Calhoun B Pothiawala M | 2000 | Immunohematology2000，16，3： | 1 |
| 10 | Significant ABO hemolytic disease of the newborn in a group B infant with a group A2 mother 显示文摘 | Jeon H Calhoun B Pothiawala M | 2000 | Immunohematol2000，16，3： | 1 |
| 11 | Emergency thoracoto-my:a review of its role in severe chest trauma显示文摘 | Tan BK Pothiawala S Ong ME | 2013 | Miner va Chirurgica2013，68，3： | 1 |
| 12 | A case of spontaneous coronaryartery dissection:It is not always plaque rupture显示文摘 | Pothiawala S Lateef F | 2013 | JEmerg Med2013，44，1： | 1 |
| 13 | The role of main- tenanee phototherapy in cutaneous T-cell lymphoma 显示文摘 | Pothiawala SZ Baldwin BT Cherpelis BS | 2010 | J Drugs Dermatol2010，9，7： | 1 |
| 14 | Significant ABO hemolytic disease of the newborn in a group B infant with a group A2 mother显示文摘 | Jeon H Calhoun B Pothiawala M el al | 2000 | Immunohematol2000，16，： | 1 |
| 15 | Ball-shaped right atrial mass in renal cell carcinoma: A case report显示文摘BACKGROUND Renal cell carcinoma(RCC)is an aggressive tumor,with an incidental discovery in most patients.Classic presentation is rare,and it has a high frequency of local and distant metastasis at the time of detection.CASE SUMMARY We present a rare case of a 58-year-old man with a ball-shaped thrombus in the right atrium at the time of first incidental identification of RCC in the emergency department.Cardiac metastasis,especially thrombus in the right atrium,is rare.It could either be a bland thrombus or a tumor thrombus,and physicians should consider this potentially fatal complication of RCC early at the time of initial presentation.CONCLUSION Ball-shaped lesions in the right atrium are rare,and bland thrombus should be differentiated from tumor thrombus secondary to intracardiac metastasis. | Sohil Pothiawala Savan deSilva Kunzang Norbu | 2022 | World Journal of Critical Care Medicine2022，11，3： | 0 |
| 16 | Potential impact of early physiotherapy in the emergency department for non-traumatic neck and back pain显示文摘BACKGROUND: Musculoskeletal complaints, especially non-traumatic neck and back pain, are routinely encountered in the emergency department(ED) and lead to ED overcrowding, a burgeoning wait time for physiotherapy and outpatient orthopedic reviews. The study aimed to evaluate the impact of early physiotherapy evaluation and treatment(EPET) vs. standard care(SC) on clinical outcomes for patients presenting to the ED with non-traumatic neck and back pain.METHODS: A retrospective observational study of 125 patients who presented to the ED with non-traumatic neck and back pain with/without peripheral symptoms from July 2010 to February 2011. Neck Disability Index(NDI), Modifi ed Oswestry Low Back Pain Disability Questionnaire(MODI) and 11-point Numeric Pain Rating Scale were used as outcome measures and compared between groups at a mean of 34 days from their initial ED visit.RESULTS: We identifi ed a total of 125 patients. EPET group comprised 62 patients(mean age, 45 years; men, 63%) and SC group comprised 63 patients(mean age, 45 years; men, 43%). The EPET and SC groups received physiotherapy at a median of 4 and 34 days respectively from their fi rst ED visit. EPET patients had signifi cantly lower levels of disability(9.0% vs. 33.4%, Welch t-test, P<0.001) and pain(median value, 1 vs. 4 points, Mann-Whitney U-test, P<0.001) compared with SC patients.CONCLUSION: Early access to physiotherapy in ED was associated with reduced pain and disability levels. EPET protocol can potentially decrease the demand on outpatient orthopedic services, thereby freeing up available resources to treat patients who are more likely to benefi t from it. | Pothiawala Sohil Pua Yong Hao Leong Mark | 2017 | World Journal of Emergency Medicine2017，8，2： | 0 |
| 17 | Occult diaphramatic injury in penetrating trauma:a diagnostic challenge显示文摘Diaphragmatic injuries in penetrating trauma are occult and may be easily missed.Common signs of diaphragmatic injury on computed tomography scan include discontinuous and/or dangling diaphragm sign,thickened diaphragm,organ herniation,collar sign,associated rib fracture,and contiguous injury on either side of the diaphragm.The detection of these signs varies based on the mechanism of injury,that is,penetrating versus blunt injury.Surgical management of an unstable patient with penetrating trauma and diaphragmatic injury is exploratory laparotomy,while laparoscopy is an alternate option in hemodynamically stable patients.A high level of suspicion is required to avoid missing this occult diagnosis and its associated complications. | Sohil Pothiawala | 2023 | Emergency and Critical Care Medicine2023，3，1： | 0 |
| 18 | Narrative review of traumatic pneumorrhachis显示文摘Pneumorrhachis(PR)is defined as presence of free air in the spinal canal.Trau-matic PR is very rare,and its exact incidence and pathogenesis is unknown.A comprehensive literature search was performed using the PubMed,Cochrane Library,Google Scholar and Scopus databases to identify articles relevant to traumatic PR published till January 2023.A total of 34 resources were selected for inclusion in this narrative review.Traumatic PR can be classified anatomically into epidural and intradural types.In the epidural type,air is present peripherally in the spinal canal and the patients are usually asymptomatic.In contrast,in intradural PR,air is seen centrally in the spinal canal and patients present with neurological symptoms,and it is a marker of severe trauma.It is frequently associated with traumatic pneumocephalus,skull fractures or thoracic spine fracture.Computed tomography(CT)is considered to be the diagnostic modality of choice.Epidural PR is self-limited and patients are generally managed conser-vatively.Patients with neurological symptoms or persistent air in spinal canal require further evaluation for a potential source of air leak,with a need for surgical intervention.Differentiation between epidural and intradural PR is important,because the latter is an indication of severe underlying injury.CT imaging of the entire spine must be performed to look for extension of air,as well as to identify concomitant skull,torso or spinal injuries Most patients are asymp-tomatic and are managed conservatively,but a few may develop neurological symptoms that need further evaluation and management. | Sohil Pothiawala Ian Civil | 2023 | World Journal of Critical Care Medicine2023，12，5： | 0 |
| 19 | Inhaling muscle spray: A rising trend of abuse显示文摘Ethyl chloride was popular as an inhalant recreational drug in the 1980s.It is easily available in pharmacies as well as sold online as a topical anesthetic spray for pain relief.In recent times,its use is gaining popularity again among the youth as an inhalant drug due to its neuro-stimulatory effects.To avoid the risks associated with use of illegal drugs,and ease of availability of ethyl chloride without restrictions,there is a rising trend to use it as a“substitute”drug of abuse.In this paper,we try to highlight to the critical care and emergency physicians that majority of these cases present with predominant neurological symptoms,with occasional involvement of the cardiovascular system.The diagnosis of ethyl chloride poisoning is primarily clinical and supportive care is the mainstay of treatment,along with subsequent counseling.Ethyl chloride abuse should be considered as a differential diagnosis in young patients presenting with predominant neurological symptoms.Alongside raising public awareness,the manufacturers and retail distributors of these products have an important role to play in reducing the risk of abuse. | Sohil Pothiawala Chong King Yong Rabind Charles | 2021 | World Journal of Critical Care Medicine2021，10，3： | 0 |
| 20 | Traumatic abdominal wall hernia:a rare and often missed diagnosis in blunt trauma显示文摘Dear editor,Traumatic abdominal wall hernia(TAWH)is defined as disruption of the abdominal wall musculature and fascia with herniation of intra-abdominal contents,in the absence of surgery to that area of the abdominal wall.[1]It is rare,with an incidence of 0.17%-0.90%in patients with blunt abdominal trauma.[2,3]Deceleration forces caused by falls from height or seat belt injuries are the most common causes of TAWH.[4]Low-energy blunt injuries from bicycle or motorcycles handlebars or charging animals are less frequent causes.Due to the rare incidence and complex presentation of this condition with other distracting injuries,this diagnosis is often not considered,resulting in missed or delayed diagnosis.We present a case of a 46-year-old male who suffered major abdominal trauma,and was found to have TAWH as well as intra-abdominal organ injury. | Sohil Pothiawala Sunder Balasubramaniam Mujeeb Taib Savitha Bhagvan | 2022 | World Journal of Emergency Medicine2022，13，6： | 0 |
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