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Introduction Platelets play an important role in inflammation. Mean platelet volume (MPV) may be a useful parameter for inflammatory conditions, in differentiating between non-specific abdominal pain (NSAP) and conditions requiring surgery, or early diagnosis of abdominal pain as a serious problem for emergency services. Aim To investigate the role of MPV on NSAP admittance to the emergency department. Material and methods The study consisted of 330 patients (186 female and 144 male, with mean age 49 ±20 years) with NSAP and 249 patients with abdominal pain (144 female and 105 male, with mean age 49 ±19 years) applied to our emergency service and enrolled to our study. Medical history, physical examination, complete blood count (CBC), and biochemical parameters were evaluated. Haematological parameters were measured by Beckman Coulter LH 780 instrument. Data were compared using Student's t test, and p < 0.05 was accepted as statistically significant. Results The MPV were significantly lower in patients with NSAP than in others (p = 0.025). There was no significant difference between both sexes with regard to MPV (p > 0.05). Moreover, the other haematological parameters (haemoglobin, platelet, or WBC counts) were not statistically different between both groups (p > 0.05). Conclusions The MPV may be a useful, simple, and inexpensive parameter to diagnose or differentiate between NSAP and other conditions.

Objective: Cerebrovascular diseases are the most common causes of morbidity and mortality. The ischemic type is the most common and most fatal o among the all cerebrovasculer diseases. In patients having silent cerebral ischemia the incidence of ischemic infarction is ten times greater than in the normal population. The treatment modalities are not efficient after the cerebral infarct has occurred. For this reason academic studies are gaining importance for the determination of risk factors, primary and secondary prophylaxis, early diagnosis, treatment and rehabilitation. Cerebrovascular diseases are also the most common major causes of death in hemodialysis patients. The effect of dialysis treatment and chronic renal failure disease on the development of cerebral ischemia and infarct has not been explained, In this study we analyzed the prevalence of silent cerebral ischemia and infarct in the cronic renal failure patients having hemodialysis and peritoneal dialysis treatment, using magnetic resonance imaging. Material and Methods: The study included 30 patients with hemodialysis, 40 patients with peritoneal dialysis and control group of 50 patients admitted to emergency department due to complaints other than neurological ones. Results: Although the case and control groups having similar demographical properties and risk factors, the prevalence of silent cerebral ischemia and infarct is determined as significantly increased in the chronic renal failure patient group. Conclusion: It is determined by MR that chronic renal failure has significant effects on developing cerebral ischemia and infarct. These findings showed us chronic renal failiure is an important risk factor for developing cerebral ischemic stroke. Additional clinical and experimental studies are needed on this subject. (JAEM 2012; 11: 208-11)

Anomi, objeleri isimlendirmedeki problem olarak tanımlanır. Bu durum genellikle beynin pariyetal ya da temporal lobunda meydana gelen hasar sonucu oluşur. Strok hastalarında izole konuşma bozukluğu nadiren meydana gelir. Bu olgu sunumunda, nadir görülen ve acil hekimleri için diğer nörolojik semptomların yokluğunda kolayca atlanabilecek bir durum olan nominal afaziyi vurgulamayı amaçladık., Anomia is a problem with naming objects. This may be a result of injury to the parietal or temporal lobes of the brain. In stroke patients, isolated speech failure occurs rarely. In this report, we wish to emphasize that anomic aphasia can occur in rare conditions and emergency physicians can easily miss diagnose this because of the lack of any other neurological symptom