Blood transfusion is the process of receiving blood products into one's circulation intravenously. Transfusions are used in a variety of medical conditions to replace lost components of the blood. Transfusions of blood products are associated with several complications, many of which can be grouped as immunological or infection. Acute hemolytic reactions occur with transfusion of red blood cells and are due to destruction of donor erythrocytes by preformed recipient antibodies. Most often this occurs due to clerical” errors or improper typing and cross matching. Delayed hemolytic reactions occur more frequently and are due to the same mechanism as in acute hemolytic reactions. However, the consequences are generally mild and a great proportion of patients may not have symptoms. However, evidence of hemolysis and falling hemoglobin levels may still occur. Treatment is generally not needed, but due to the presence of recipient antibodies, future compatibility may be affected. Hereby we share our experience of such a case of delayed hemolytic transfusion reaction and discussing the various measures to be taken during any such incidence and the biochemical and hematological tests to confirm the diagnosis.
Segmental resection of the mandible and commandos procedures involve extensive loss of hard and soft tissues, resulting in deviation of the mandible to the defective side and impairment in swallowing, speech, mastication and saliva control due to loss of sensory and motor innervations. Prosthodontic rehabilitation mainly aims the mandibular deviation and “improve the masticatory efficiency. This clinical report describes the use of maxillary occlusal ramps which provide support for the mandibular fragment in the acquired position and help to stabilize the dentures thus improving the masticatory efficiency in edentulous mandibulectomy patients.
K. Malikarjun Goud
Anatomical variations must be considered in clinical practice and proper radiographic evaluation must be done during endodontic treatment.
Access cavity modifications may be required for proper assessment of complex root canal anatomy. Higher magnification and illumination can be useful to recognize and locate additjonal canals. This article describes the diagnosis and clinical management of a rare case with type VII root canal anatomy in maxillary second premolar.
Dheeraj D. Kalra,