Person: TAŞLIDERE, BAHADIR
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Publication Metadata only Unusual Excessive Swelling of the Tongue after Calcium Acetate Ingestion: A Case Report(2023-03-01) Dal A.; Taslidere B.; TAŞLIDERE, BAHADIRCommon side effects of calcium acetate include increased blood calcium levels, nausea-vomiting, diarrhea, and fatigue, while side effects of unknown incidence include \"swelling\". We present the case of an allergic reaction limited to tongue swelling alone, not showing other anaphylactic symptoms. Our case was a female patient who applied to the emergency department with the complaint of isolated tongue swelling three hours after using calcium acetate for treatment. It should be kept in mind that calcium acetate, a food additive, may cause this in patients with the complaint of isolated tongue swelling, but the cause of which cannot be determined.Publication Metadata only Primary Spontaneous Hemopneumothorax: A Case Report(2022-12-01) Aykaç M. N.; Ergenç S.; Özatak A. T.; Taşlıdere B.; Cander B.; ÖZATAK, AHMET TAHA; TAŞLIDERE, BAHADIR; CANDER, BAŞARPublication Metadata only Spontaneous Multifocal Intracranial Hemorrhage In A Young Patient(2023-03-12) Gediklioğlu F.; Karacabay M.; Pişgin Y.; Taşlıdere B.; PİŞGİN, YASEMİN; TAŞLIDERE, BAHADIRIntroduction: A stroke is an acute neurologic condition resulting from a disruption in cerebral perfusion, either due to ischemia (ischemic strokes) or hemorrhage (hemorrhagic strokes). Hemorrhagic strokes are further classified as intracerebral or subarachnoid. Clinically, strokes are characterized by the acute onset of focal neurologic deficits, including hemiparesis, paresthesias, and hemianopsia. Systemic hypertension and other cardiovascular diseases are common risk factors for both ischemic and hemorrhagic strokes. For both ischemic and hemorrhagic strokes, age is the most important nonmodifiable risk factor and arterial hypertension is the most important modifiable risk factor. Case: A 25-year-old man presented to our emergency department with a headache, Broca aphasia, and difficulty in vision that started two days ago. The patient stated to have blurry eyes in the morning for a month. However, aphasia had just started before he came to the Emergency room. The patient has had no known past medical history and no medication use. The general situation was bad. Glasgow was 10. He was conscious but was disoriented and non- cooperated, with no verbal response. Blood pressure was 149/82, Pulse was 113, spO2 was 95%, and fever was 36 °C. Ophthalmologic examination showed that visual acuity of the right eye was 2 MPS, 0.1 MPS of the left eye. Intraocular pressures were normal bilaterally. DIIR +/+, no RAPD. Movements of globes were normal and without pain. Bilateral corneas were lucent, and the anterior chambers were quiet. Bilateral hemorrhagic areas were seen in dilated fundus examination.Publication Metadata only Kardiyovasküler Hastalıklarda Biyotinidaz ve TCA Enzim Aktivitelerinin İncelenmesi(2023-07-09) Sarıkaya U.; Çimen Y. A.; Taşlıdere B.; Selek Ş.; Açıkgöz N.; Meral İ.; SARIKAYA, UFUK; ÇİMEN, YASİN ALİ; TAŞLIDERE, BAHADIR; SELEK, ŞAHABETTİN; AÇIKGÖZ, NUSRET; MERAL, İSMAİLPublication Metadata only Investigation of the effectiveness of the Quick Sequential Organ Failure Assessment-Troponin scores in non- ST-elevation myocardial infarction(2023-02-01) Cander B.; Taşlıdere B.; Sönmez E.; CANDER, BAŞAR; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTANOBJECTIVE: A reliable predictor is needed for non-ST-elevation myocardial infarction patients with high mortality risk. The aim of this study was to assess the effectiveness of the Global Registry of Acute Coronary Events and Quick Sequential Organ Failure Assessment-Troponin (qSOFA-T) scores on in-hospital mortality rate in non-ST-elevation myocardial infarction patients. METHODS: This is an observational and retrospective study. Patients admitted to the emergency department with acute coronary syndrome were evaluated consecutively. A total of 914 patients with non-ST-elevation myocardial infarction who met inclusion criteria were included in the study. The Global Registry of Acute Coronary Events and qSOFA scores were calculated and investigated its contribution to prognostic accuracy by adding cardiac troponin I (cTnI) concentration to the qSOFA score. The threshold value of the investigated prognostic markers was calculated by receiver operating characteristic curve analysis. RESULTS: We found the in-hospital mortality rate to be 3.4%. The area under the receiver operating characteristic curve for Global Registry of Acute Coronary Events and qSOFA-T is 0.840 and 0.826, respectively. CONCLUSION: The qSOFA-T score, which can be calculated easily, quickly, and inexpensively and obtained by adding the cTnI level, had excellent discriminatory power for predicting in-hospital mortality. Difficulty in calculating the Global Registry of Acute Coronary Events score, which requires a computer, can be considered a limitation of this method. Thus, patients with a high qSOFA-T score are at an increased risk of short-term mortality. KEYWORDS: Acute coronary syndrome. Troponin I. Mortality. Non-ST elevated myocardial infarction.Publication Metadata only Acute interhemispheric subdural hematoma with neuroimagings of two trauma cases in the emergency department(2023-06-01) Calp B.; Taslidere B.; Sonmez E.; Uzunoglu G. D.; TAŞLIDERE, BAHADIRBackround: Subdural hematomas are clinically important in that they occur commonly in elderly trauma patients and cause a high mortality. Since interhemispheric subdural hematoma is rare among cases of subdural hematoma and is a diagnosis that can be missed in the emergency department, it is aimed to discuss this condition with two case reports and the relevant neuroimages which were overlooked initially. Two case reports: The first report of neuroimages of two geriatric patients with head trauma was reported as normal. The images were re-evaluated due to persistent headache during the emergency observation. An overlooked interhemispheric subdural hematoma was diagnosed. Why should an emergency physician be aware of this?: We aimed to contribute to the literature with these two cases, because an acute interhemispheric subdural hematoma may be overlooked on CT images, because it is in proximity to the falx and is usually a small lesion.Publication Metadata only Neutropenia Induced by Medications Used in Psychiatric Treatment: A Case Report(2022-08-01T00:00:00Z) Mehmetaj, Liljana; Ugur, Yasin; Taslidere, Bahadır; Sonmez, Ertan; Cander, Basar; TAŞLIDERE, BAHADIRPsikiyatrik ilaçların kullanımı sırasında kan parametrelerinde değişiklikler meydana gelebilir. Bu gibi durumlarda hastanın genel durumu ve kan parametreleri yakından takip edilerek tedavi kesilir veya ilaç değiştirilir. Bu vaka raporunun amacı, antipsikotik ilaçlara bağlı nötropeni gibi yan etki olasılığına karşı uyanık olmak ve bu hastaların yönetimine dikkat çekmekti.Publication Metadata only Bennett’s Fracture(2022-04-01T00:00:00Z) Ozdemir, Serdar; Taşlıdere, Bahadır; Ozkan, Abuzer; TAŞLIDERE, BAHADIRA 24-year-old female patient applied to our clinic with the complaint of falling from a ladder. She had no history of illness or drug use. In the anamnesis, it was learned that he fell after his foot slipped. Vital signs were stable. On physical examination, there was no feature other than tenderness in the proximal left 1st metacarpal bone. Fracture fragment was observed in the proximal of 1st metacarpal bone in conventional radiography imaging (figure 1). A plaster cast was applied after closed reduction. Conservative treatment was planned, and the patient was discharged. Bennett’s fracture is the retention of the bone to which the beak ligament is attached, and the dorsoradial and proximal subluxation of the base of the metacarpal detached from this part (1). Key features are intra- Conflict of interest: Authors declare no conflict of interest. REFERENCES articular fracture, oblique fracture pattern, and volar- dorsal fragment. The medial small piece remains in place and maintains its relationship with the second finger via the volar oblique ligament (Beak ligament). However, the fractured metacarpal body is displaced proximally and laterally by the abductor pollicis longus and thenar intrinsic muscles. These types of fracture-dislocations are prone to slipping and are not stable; therefore, it should be treated more aggressively (2). Inadequate placement and replacement can lead to posttraumatic arthritis and disability. In Bennett fracture-subluxations, if the joint stepping is greater than 2 mm, percutaneous fixation with a K-wire is performed after closed correction and replacement (3).Publication Metadata only Investigation of Panic Attack Patients Presenting to the Emergency Department of Bezmialem Vakıf University with Chest Pain(2023-04-01) Dogan A. B.; Taslidere B.; TAŞLIDERE, BAHADIRIntroduction Panic attacks are severe attacks of fear and anxiety that occur at certain times. It starts suddenly and quickly reaches the top. It can take from 1-2 minutes to several hours. Chest pain is a common symptom of panic attacks. Especially the presence of chest pain causes repetitive emergency deparment admissions. In this study, we evaluated the patients who presented to the emergency department with chest pain and panic attack symptoms. We aimed to prevent the inappropriate treatment given to these patients by investigating the panic attack patients for whom the diagnosis of Acute Coronary Syndrome was ruled out. Method This study was carried out retrospectively. 32 patients with chest pain among 136 patients diagnosed with panic attack in the Emergency Department. The demographic information, complaints, chronic diseases of the patients and the results of the blood tests were recorded. Results Patients with a diagnosis of panic attack frequently apply to emergency services. Among the patients, women were in the majority and the average age of all patients was 41 years. More than half of the patients had tomography, ultrasound, echocardiography and magnetic resonance imaging. The analysis and imaging results requested from the patients were normal. Most of the patients who present to the emergency department with chest pain complaints are discharged after excluding life-threatening conditions, saying that there is no acute condition. In fact, the main reason for this is the inadequate communication with the patient. However, the underlying condition in patients is likely to be panic attacks. It is important to evaluate non-cardiac chest pain in emergency departments. In this way, unnecessary analysis is not done, time management is healthier and most importantly, patients do not use unnecessary medication.Publication Metadata only Tıp Fakültesi Son Sınıf Öğrencilerin Tıpta Uzmanlık Sınavında Tercihlerini Etkileyen Faktörler ve Acil Tıp Uzmanlığı Dalı Hakkında Tutumları(2021-03-01T00:00:00Z) Göksu, Muhammet Mert; Taşlıdere, Bahadır; TAŞLIDERE, BAHADIRAim: It is important to investigate the factors affecting the choice of the specialty area of medical students. Determining the factors that affect this selection reveals the priorities that students take into account. It is important to investigate the prejudices about not choosing emergency medicine and some surgical branches which are in a strategic position. Solution-oriented strategies should be developed in this regard. Material and Methods: This study includes 86 of the final year students of the Faculty of Medicine. The participation rate in the survey was 80.4% and all participants- approvals were received. The questionnaire developed by the researchers was used as a data collection tool in the study. The survey consisted of 40 questions. 10 of the questions were for socio-demographic information, 30 of them included the reasons for choosing the medical school, the reasons for taking the specialty examination in medicine, the desired and unwanted specialties. 27 of these were Likert type questions. Results: 46 of the participants were female (53.3%), 40 of them were male (46.5%). Among our students, it is seen that the main reason for choosing Medical Faculty is -willingness to help people- (75.6%) and -a promising profession- (69.8%). In addition, the family influence in this preference was found to be 55.8%. Our question -Would you consider Emergency Medicine Specialist as your first choice?- Was answered negatively at a rate of 72%. The most preferred reason for those who think to choose; were the advantages of working on a seizure in emergency medicine. The biggest negative thought about emergency medicine has been its physical and psychological severity, the high number of seizures, and the fear of being exposed to violence. Dermatology and cardiology were the most desired departments among the specialty branches, while gynecology and obstetrics, General surgery, and pediatry were among the undesirable departments. Conclusion: The biggest obstacle to emergency medicine choices was the exhausting seizures and the fear of exposure to violence. The future plans of the final year students of the Faculty of Medicine do not only concern themselves but also the future of the departments that are not preferred. It is necessary to determine the factors that affect the surgical branches and emergency medicine preferences of the students. In this way, studies should be carried out for factors that are perceived negatively and important strategic expertise branches for our future should be supported. Keywords: Emergency Medicine, Medical Students, Specialization Exam