Erik Marques,1Eric J Maiorino,1Zachary Tallackson,1 and Hossein Masoomi1 A 28-year-old right-hand dominant male with a history of untreated depression and recent suicidal ideation presented with a complete amputation of the left upper extremity (forearm-level) as the result of an intentional, self-inflicted injury with a circular saw following an argument with his wife (Figure 1). The trauma occurred […]
Read MoreCASE REPORT A 34-year-old man ingested a mobile phone while on temporary release from prison. Five days later he began to develop acute severe periumbilical abdominal pain. This was associated with constipation, although he was passing small amounts of flatus. He vomited multiple times. He alerted prison officers to his ingestion of the phone and […]
Read MoreA 45-year-old man, with history of biliopancreatic diversion for alcoholic chronic pancreatitis, was referred to the emergency unit of Pasteur Hospital in Nice for a 72-h history of tiredness, dysphagia and hematemesis. There was no history of peptic ulcer disease or esophageal reflux and he denied ingestion of any caustic agents.
Read More1. Introduction Lazarus phenomenon or autoresuscitation (AR) is a very rare condition defined as delayed unassisted return of spontaneous circulation (ROSC) after cessation of cardiopulmonary resuscitation (CPR) [1, 2]. After being first reported by Linko et al. in 1982 [3], it was later termed the “Lazarus phenomenon” by Bray Jr. in 1993 [4] after the biblical […]
Read MoreIntroduction: Among malignant melanoma lesions, those occurring on the scalp and neck have a particularly poor prognosis. In this case report, we present the largest melanoma of the head and neck and one of the largest melanomas of any anatomic site reported in the literature to date. A 70 year old gentleman who initially presented for […]
Read MoreAlprazolam, sold under the trade name Xanax, among others, is a short-acting benzodiazepine. It is most commonly used in short term management of anxiety disorders, specifically panic disorder or generalized anxiety disorder (GAD).
Read MoreA healthy 25-year-old woman visited our dental clinic 24 hours after an accidental fall. The physical examination revealed contusion of the lower lip, uncomplicated coronal fracture of all four upper incisors
Read MoreIan Wisecarver, Sanjay Kamboj, MD, David Galambos, Michelle Korah-Sedgwick, MD, Ross McCarron, MD, Fred Lopez, MD CASE PRESENTATION A 72 year-old African American man with a past medical history of hypertension, heart failure with reduced ejection fraction, and alcohol use presented to the emergency department (ED) with a chief complaint of a one day history […]
Read MoreCodeine is an opiate used to treat pain, coughing, and diarrhea. It is typically used to treat mild to moderate degrees of pain. Greater benefit may occur when combined with paracetamol (acetaminophen) or a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen. It is generally taken by mouth. Common side effects include vomiting, constipation, itchiness, lightheadedness, and drowsiness. Serious side effects may include breathing difficulties and addiction. Whether its use in pregnancy is safe is unclear. Care should be […]
Read MoreSold for use by mouth under the brand names Andriol and Jatenzo and for use by injection under the brand names Aveed and Nebido Is used mainly in the treatment of low testosterone levels in men, which includes hormone therapy for transgender men. It is taken by mouth two to three times per day with food or given by injection into muscle once every 3.5 days to 2 weeks, depending on individual response. Include symptoms of masculinization like acne, increased hair […]
Read MoreGiuseppe Nisi, M.D., and Andrea Sisti, M.D. A 48-year-old man presented to the clinic for evaluation of dysphagia and limited neck movements (flexion and rotation of the head). The patient was found to have Madelung’s disease, also known as benign symmetric lipomatosis or the Launois–Bensaude syndrome. Madelung’s disease is a rare condition that is characterized by […]
Read MoreTanweer Karim and Margaret Topno Case Report A case of a 4 year old male child who presented in the casualty with the history of a fall into a gutter while walking on the road; when he fell, an iron rod penetrated into his head [Figure 1]. There was no history of loss of consciousness or convulsions. […]
Read MoreA 56-year-old man was taken to a remote hospital by his co-worker because he arrived at work looking unwell and had mental changes. The patient’s medical history was significant for hypertension, cholecystectomy and obstructive sleep apnoea with lisinopril, losartan and furosemide as his daily medications. He had recently experienced a dry cough for more than […]
Read MoreA 51-year-old woman with polycystic liver and kidney disease had undergone renal transplantation 21 years before presentation. She had no evidence of cerebrovascular malformations. Both her father and aunt also had polycystic kidney disease. After the renal transplantation, her liver had become progressively diseased and enlarged through cystic changes. Early satiety, malnutrition, and abdominal pain […]
Read MoreA 46-year-old woman presented with a history of 3 days of pruritus in the anal area and 1 day of excretion of tapelike materials. During the year before presentation, she had reported intermittent colicky abdominal pain and loose stool, which had been attributed to irritable bowel syndrome. Laboratory evaluation was unremarkable, with no evidence of […]
Read MoreA 54-year-old woman presented with a 2-day history of a painful, enlarging rash over her face (Panel A), ears (Panel B), breasts, and extremities. Laboratory studies revealed neutropenia (neutrophil count, 1070 per cubic millimeter) and lymphopenia (lymphocyte count, 680 per cubic millimeter); the detection of antineutrophil cytoplasmic antibodies (ANCA) by immunofluorescence testing showed the perinuclear […]
Read MoreA 69-year-old man presented with a 25-year history of gradual, asymptomatic thickening and wrinkling of the skin on the left side of his face. The physical examination showed hyperkeratosis with accentuated ridging, multiple open comedones, and areas of nodular elastosis. Histopathological analysis showed an accumulation of elastolytic material in the dermis and the formation of […]
Read MoreCongenital hemangiomas are benign vascular tumors that have grown to their maximum size at birth and do not exhibit accelerated postnatal growth.They can be subdivided into three subgroups: rapidly involuting congenital hemangioma (RICH), noninvoluting congenital hemangioma (NICH), and partially involuting congenital hemangioma (PICH) A newborn presented with a 9-by-12.5-cm mass in the frontal region that […]
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