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Authors = Nils Vetti

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3 pages, 480 KiB  
Case Report
Critical Upper Airway Obstruction as the First Symptom of Acute Myeloid Leukemia—An Anesthesiologic Reminder
by Øyvind Bruserud, Øystein Wendelbo, Nils Vetti, Frederik Kragerud Goplen, Silje Johansen and Håkon Reikvam
Clin. Pract. 2020, 10(2), 1214; https://doi.org/10.4081/cp.2020.1214 - 10 Jun 2020
Cited by 2 | Viewed by 1089
Abstract
Acute upper airway obstruction can be fatal. Early recognition of airway distress followed by diagnostic laryngoscopy and prompt intervention to secure airway control is crucial. We here present a 62-year old male patient who presented with cough and increasing respiratory distress for three [...] Read more.
Acute upper airway obstruction can be fatal. Early recognition of airway distress followed by diagnostic laryngoscopy and prompt intervention to secure airway control is crucial. We here present a 62-year old male patient who presented with cough and increasing respiratory distress for three weeks. Within the next 24 h, he developed symptoms of critical upper airway obstruction, endotracheal intubation was not possible, and an acute surgical tracheotomy was performed to retain patent airways. A computer tomography scan revealed severe laryngopharyngeal soft tissue thickening and upper airway obstruction caused by leukemic infiltration. He was diagnosed with acute leukemia and responded to induction chemotherapy. This case report points out the importance of establishing the diagnosis of critical upper airway obstruction in patients presenting with respiratory symptoms, and highlights the emergency management of airway obstruction due to malignant infiltration of leukemic blasts. Full article
4 pages, 1173 KiB  
Case Report
Bone Marrow Abnormalities Detected by Magnetic Resonance Imaging as Initial Sign of Hematologic Malignancies
by Ida Sofie Grønningsæter, Aymen Bushra Ahmed, Nils Vetti, Silje Johansen, Øystein Bruserud and Håkon Reikvam
Clin. Pract. 2018, 8(2), 1061; https://doi.org/10.4081/cp.2018.1061 - 7 Jun 2018
Cited by 8 | Viewed by 1329
Abstract
The increasing use of radiological examination, especially magnetic resonance imaging (MRI), will probably increase the risk of unintended discovery of bone marrow abnormalities in patients where a hematologic disease would not be expected. In this paper we present four patients with different hematologic [...] Read more.
The increasing use of radiological examination, especially magnetic resonance imaging (MRI), will probably increase the risk of unintended discovery of bone marrow abnormalities in patients where a hematologic disease would not be expected. In this paper we present four patients with different hematologic malignancies of nonplasma cell types. In all patients the MRI bone marrow abnormalities represent an initial presentation of the disease. These case reports illustrate the importance of a careful diagnostic follow-up without delay of patients with MRI bone marrow abnormalities, because such abnormalities can represent the first sign of both acute promyelocytic leukemia as well as other variants of acute leukemia. Full article
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