Proximal interphalangeal replantation

A 57-year-old woman suffered from incomplete amputations at the level of the PIP joint of the right index finger without distal circulation, along with crush fracture on the proximal phalangeal bone of middle, ring and little fingers due to being caught in the rotor of a food processor (Fig. 1, ​2). The patient underwent revascularization and PIP […]

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Complete avulsion of the scalp by a rotating machine

Case Report A 42-year-old woman presented to the clinic 28 h after complete avulsion of her scalp by a rotating machine. Her scalp had been simply sutured in situ without anastomosis in a local hospital within 3 h after injury. After another 16 h of monitoring, there were no signs of improved perfusion in the scalp, so the […]

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Elephantiasis – lower limb lymphoedema

Case Report We described a case of a 49-year-old obese Chinese man with no known medical illness who had been under close observation for the bilateral lower limbs swelling and disfigurement for 2 years. The lesions started 30 years ago, initially described as skin thickening, worsening into nodules and thick plaque formation, but he did […]

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A Novel Method for Retention of an Orbital Prosthesis in a Case with Continuous Maxillary and Orbital Defect

Gunjan Pruthi,1Veena Jain,2 and Swati Sikka3 Case Report A 55-year-old male patient had reported to the Department of Prosthodontics, AIIMS, with a chief complaint of missing right eye since 3 months and regurgitation of food from the defect site. Patient gave the history of diabetes and histopathological diagnosis revealed Rhinocerebral mucormycosis. Surgical exenteration of the right eye and […]

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Role of Body Mass Index in Acute Kidney Injury Patients after Cardiac Surgery

Zhouping Zou,a Yamin Zhuang,b Lan Liu,b Bo Shen,a,c,d Jiarui Xu,a,c,d Zhe Luo,b Jie Teng,a,c,d,e,* Chunsheng Wang,b and Xiaoqiang Dinga,c,d Abstract Background/Aims To explore the association of body mass index (BMI) with the risk of developing acute kidney injury after cardiac surgery (CS-AKI) and for AKI requiring renal replacement therapy (AKI-RRT) after cardiac surgery. Methods Clinical data of 8,455 patients undergoing cardiac surgery, including demographic […]

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Spontaneous Coronary Artery Dissection: A Rare Manifestation of Alport Syndrome

Amornpol Anuwatworn, * Prince Sethi, Kelly Steffen, Orvar Jonsson, and Marian Petrasko Abstract Alport syndrome (AS) is a genetic disorder due to inheritance of genetic mutations which lead to production of abnormal type IV collagen. AS has been associated with renal, auditory, and ocular diseases due to the presence of abnormal alpha chains of type IV collagen in the glomerulus, cochlea, […]

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Subacute Right Ventricular Perforation by Pacemaker Lead Causing Left-Sided Hemothorax and Epicardial Hematoma

Abdelrahman Ahmed, 1 Mohamed Shokr, 2 and Randy Lieberman 2 Abstract We report a case of right ventricular wall perforation by a pacemaker lead in a 78-year-old female 18 days after a permanent pacemaker insertion. This injury necessitated explant of the perforating lead and implantation of a new one with surgical backup. We review the literature and discuss the possible risk […]

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Cholesterol Gallstones

Cholesterol stones are formed when the bile is supersaturated with cholesterol, which may result from decreased bile acid production, increased cholesterol output in bile or both. Stone formation by cholesterol monohydrate crystals is enhanced by mucin hypersecretion and gallbladder hypomotility. Cholesterol stone formation is promoted by conditions that increase hepatic cholesterol excretion, such as oral […]

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Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap

Case Report: A 50-year-old man presented to the emergency room with a wide lower lip injury caused by a human bite that occurred 2 hours earlier, with avulsion of approximately 80% of the lip and 30% of the chin ( Fig. 1 ). The patient carried the avulsed tissue in an ice bag. Neither history of smoking nor […]

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Giant recurrent lipoma of trunk weighing eight kilograms

A lot of the diseases found on this site, are preventable. Please make sure you’re regular on your check ups and also make sure your healthcare program has you completely covered. If you’re unsure if your selected healthcare plan covers any disease or want more information, you can call for free at +1-877-759-8006, where you […]

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Novel Product for the Management of Coronary Ruptures Happening during Percutaneous Coronary Interventions

Case Rep Cardiol. 2021; 2021: 6688338. Published online 2021 Feb 11. doi: 10.1155/2021/6688338 PMCID: PMC7892221 PMID: 33628517 Abstract Coronary artery perforation during percutaneous coronary interventions is a rare but dreaded complication. One of the treatment methods for this complication is the injection of an obliterating material into the ruptured vessel. We will introduce a novel material […]

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Effect of Ivabradine on Left Ventricular Diastolic Function, Exercise Tolerance and Quality of Life in Patients With Heart Failure: A Systemic Review

Effect of Ivabradine on Left Ventricular Diastolic Function, Exercise Tolerance and Quality of Life in Patients With Heart Failure: A Systemic Review and Meta-Analysis of Randomized Controlled Trials Abstract Background Ivabradine is a heart rate-lowering drug that selectively inhibits the funny (If) current of the sinoatrial node. It is currently recommended in patients with heart […]

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Ventricular Fibrillation following Varicella Zoster Myocarditis

Adam Ioannou, 1 Irene Tsappa, 2 Sofia Metaxa, 3 and Constantinos G. Missouris 2 , 3 Abstract Varicella-zoster virus (VZV) infection can rarely lead to serious cardiac complications and life-threatening arrhythmias. We present a case of a 46-year-old male patient who developed VZV myocarditis and presented with recurrent syncopal episodes followed by a cardiac arrest. He had a further collapse eight years later, and […]

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Characterization of Sedentary Behavior in Heart Failure Patients With Arthritis

Abstract Background Arthritis is one of the most common comorbidities in heart failure (HF) patients, and is associated with decreased activity levels. Few studies have examined sedentary behavior (SB) in HF patients with arthritis, and little is known about the factors that may influence SB in this population. Methods This is a retrospective, secondary analysis […]

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Cutaneous Manifestations of Lightning Injury: A Case Report

M. E. Asuquo, MBBS, FWACS, FICS, I. A. Ikpeme, MBBS, FWACS, FICS, and I. Abang, MBBCH CASE REPORT A 22-year-old woman with a history of inability to use both upper limbs since 2 months presented in the accident and emergency unit. This followed a lightning strike in a village while she was asleep in the […]

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Acute Generalized Exanthematous Pustulosis with Multiple Organ Failure

Case Rep Dermatol. 2021 Jan-Apr; 13(1): 47–53. Published online 2021 Jan 28. doi: 10.1159/000511369 PMCID: PMC7923718 PMID: 33708082 Tausif Syed,a Abdullah Sayied Abdullah,a Mahmood Mubasher,a Zohaib Yousaf,b,* Mouhand F.H. Mohamed,b and Richard Alweisa Tausif Syed aInternal Medicine Rochester Regional Health, Rochester, New York, USA Find articles by Tausif Syed Abdullah Sayied Abdullah aInternal Medicine Rochester Regional […]

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Diagnostic and therapeutic guidelines for plaque psoriasis – Brazilian Society of Dermatology*

An Bras Dermatol. 2019 Mar-Apr; 94(2 Suppl 1): 76–107. doi: 10.1590/abd1806-4841.2019940211 PMCID: PMC6544036 PMID: 31166402 Marcelo Arnone,1 Maria Denise Fonseca Takahashi,1 André Vicente Esteves de Carvalho,2 Wanderley Marques Bernardo,3 Aline Lopes Bressan,4 Andrea Machado Coelho Ramos,5 Aripuanã Cobério Terena,6 Cacilda da Silva Souza,7 Daniel Holthausen Nunes,8 Maria Cecília de Carvalho Bortoletto,9 Maria de Fátima Santos Paim […]

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