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    Atorvastatin induced rhabdomyolysis: A case report
    (EDAM, 2022) Mert, Alpaslan; Tekin, Ömer Faruk
    Background: Rhabdomyolysis is a clinical condition occurring due to direct or indirect injury to skeletal muscles. This condition is precipitated by a number factors like trauma, crush injury, strenuous exercise, etc. Some of the widely prescribed drugs like statins are known to induce rhabdomyolysis especially when coadministered with other drugs like fibrates, macrolide antibiotics, calcium channel blockers, aspirins, etc. Case presentation: Here we present a case of rhabdomyolysis (creatinine phosphokinase 6250 IU/L) in a 58-year-old male following intake of atorvastatin, benidipine and aspirin. The patient was managed conservatively on outpatient basis with withdrawal of the offending drug and fluid therapy. He responded well with normalization of CPK (creatinine phosphokinase) level (125 IU/L) within one week. To conclude both family physicians and patients should be aware of this side-effect associated with statins. Conclusion: As prompt identification of the symptoms and seeking medical attention on the patient’s part is very important for the final outcome, besides prompt diagnosis and management, the family physicians must give importance to patient education while prescribing the drugs
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    İlk Başvuru Noktası Aile Hekimliği Polikliniği Olan Özel Bir Hastanede Birim Maliyetin Poliklinik Bazında Hesaplanması
    (İnönü Üniversitesi, 2020) Kaptanoğlu, Ayşegül; Mert, Alpaslan
    Bu çalışma, polikliniklerde birim maliyetleri pratik bir şekilde hesaplama yöntemini içerir. Hastanelere özgü maliyet merkezleri tanımlayarak poliklinikteki SUT puanı, fiyatlar (fiyat puanı) ve muayene sayılarını esas alıp, indirek giderlerle farklı dağıtım anahtarı kullanılarak muayene maliyetleri hesaplanmıştır. Çalışmamızın bulgularında direk giderler dağıtım anahtarı olarak kullanıldığında poliklinik %12,5 zarar ederken personel giderleri dağıtım anahtarı olarak kullanıldığında %6,5 kar etmektedir. Sonuç olarak poliklinik muayene maliyetleri, hem indirek giderlerin dağıtımında kullanılan anahtar çeşitlerinden, hem de SUT puanı, fiyatlar (fiyat puanı) ve muayene sayısındaki hesaplamalardan etkilenmektedir.
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    Primary Epiploic Appendagitis: A Case Report
    (Cureus, 2021) Mert, Alpaslan; Mircik, Emre
    Primary epiploic appendagitis (PEA) is a rather uncommon and self-limiting cause of acute abdomen managed conservatively. Overlapping clinical features with other common causes of acute abdomen usually requiring surgical intervention, and rare occurrences have led to misdiagnosis of the condition and unnecessary surgical intervention. However, with identification of definite characteristic features on imaging (computed tomography [CT] scan) has led to easier diagnosis and avoidance of exploratory laparotomy. Here we present a case of PEA in a 34-year-old otherwise healthy Caucasian male with a chief complaint of acute left-sided abdominal, flank and inguinal pain with diarrhea. Laboratory investigation reports were more or less within normal limits; CT scan confirmed the diagnosis of PEA. The patient was managed successfully with an oral antibiotic and a non-steroidal anti-inflammatory drug. CT scan should be done in cases of acute abdomen (if not absolutely contraindicated) for confirmation of diagnosis, as in our case CT scan helped in confirmation of diagnosis of PEA and thus avoided unnecessary surgical intervention. However, with the current advances in radiological tools, correct diagnosis of acute abdomen has become a lot easier, leading to timely surgical intervention and also at the same time avoidance of unnecessary exploratory laparotomy. Again, with documentation of specific characteristic radiological features of PEA, diagnosis of PEA has become much easier. After careful correlation among clinical, radiological, and laboratory findings, diagnosis of PEA was confirmed. The patient was managed conservatively at home with the advice of plenty of fluid intake and bed rest. Furthermore, he was prescribed an oral antibiotic (ciprofloxacin) and a non-steroidal anti-inflammatory drug (ibuprofen) empirically for seven days to prevent further complications like adhesions, bowel obstruction, intussusception, peritonitis, and local abscess formation. The patient recovered completely (the symptoms and signs resolved clinically) after one week. To conclude, it can be said, although rare in occurrence and lacking in specific presenting features, diagnosis of PEA has become easier with imaging techniques like CT scan and magnetic resonance imaging (MRI); thus, with prior awareness regarding this disease among physicians, unnecessary surgical interventions can be avoided.