What is a stroke? A stroke is a medical emergency that happens when the blood flow to your brain is interrupted. Without blood, your brain cells start to die. This can cause serious symptoms, lasting disability, and even death. Ischemic stroke Most strokes (87%) are ischemic strokes. An ischemic stroke happens when blood flow through the […]
Read MoreBackground Ascariasis is the leading helminthic infection worldwide, with its peak prevalence noted in children aged 2–10 years. Although mainly asymptomatic, chronic and heavy infestation could lead to severe complications such as malnutrition, poor physical and cognitive development, as well as intestinal obstruction. We report the case of a 4-year-old boy with intestinal obstruction due to Ascaris […]
Read MorePresentation of case A 67-year-old healthy male has been affected by long-standing, gradually enlarging of right-side inguinal hernia for the past 30 years. His symptom of abdominal discomfort after meal has worsened over time and he had lost 30 kg of weight in the past year. Physical examination revealed cachexia and large irreducible right-side inguinal hernia […]
Read MoreA 50-year-old healthy man presented with a lump on the temporal side of his head. Six weeks before, he fell off his mountain bike, hitting the ground with the left side of his head while wearing a helmet. Initially, there were no signs of injury, but after a few weeks a progressive painless lump has […]
Read MoreToxic megacolon occurs when inflammatory bowel diseases cause the colon to expand, dilate, and distend. When this happens, the colon is unable to remove gas or feces from the body. If gas and feces build up in the colon, your large intestine may eventually rupture. Rupture of your colon is life-threatening.
Read MoreA previously healthy 32-year-old man, a body-boarder, was transported to hospital by primary retrieval helicopter, within 2 h of a shark attack injuring both legs. Tourniquets were applied bilaterally to decrease haemorrhage. En route to hospital he was intubated with an endotracheal tube due to severe agitation from acute blood loss (figures 1 and 2). On arrival, the […]
Read MoreDoctors first thought it was some type of viral infection, but the medications he was prescribed weren’t working and his symptoms worsened. His eyes were blood shot red and his lips were beginning to crack and peal. The doctors then discovered that Zachary had SJS (Stevens Johnson syndrome). It literally burns you from the inside […]
Read MoreCASE REPORT A 36-year-old, right-handed male presented to our emergency department after accidentally crushing and severing his hand at the level of the wrist with an industrial roller-type press. The patient applied a bandage to the proximal forearm. The amputated right hand remained in the machine for 2 hours. The patient was taken to the […]
Read MoreA teratoma is a tumor made up of several different types of tissue, such as hair, muscle, teeth, or bone. They typically form in the ovary, testicle, or tailbone and less commonly in other area.Symptoms may be minimal if the tumor is small. A testicular teratoma may present as a painless lump. Complications may include […]
Read MoreA woman of 65, obese (BMI = 44.06), with no history of diabetes and allergies but with a mild form of myasthenia gravis (treated only with pyridostigmine po 60 mg every 6 hours), was bitten the evening before hospitalization while cleaning the home cellar by a spider, which, from the description and place where the bite […]
Read MoreCase Report A 73-yr-old Caucasian man was scheduled for bilateral parietal burr-holes to evacuate a subdural hematoma at the University Medical Center in Tucson, AZ—the primary teaching hospital of the University of Arizona College of Medicine. The patient had severe Parkinson’s disease treated with Sinemet® (combination of levodopa and carbidopa) (DuPont Pharma, Wilmington, DE), and […]
Read MoreAn 87-year-old woman presented to hospital with a progressive, painless pulsating lump in her right forehead. She had fallen and hit her right forehead 1 month prior. She had no neurological deficits. Physical examination revealed a 5 × 5 cm round mass of the right forehead (Fig. 1A). Ultrasonography showed a blood supply into the mass. Magnetic resonance imaging […]
Read MoreA 53-year-old patient suffered an impalement injury with a metallic drill, which had penetrated his neurocranium. The patient had tried to commit suicide, injuring himself in the thorax and head (Fig.6a, b). MDCT imaging displayed the position of the impacted drill, which had entered the skull at the front temporal cortex, and there was also […]
Read MoreCase Report A three-year-old Amerindian girl presented without warning to our emergency department (ED) in the country’s only tertiary care hospital, after being attacked by a jaguar in the remote Isseneru Village, Cuyuni-Mazaruni (Region 7), Guyana. This village is located near the large Mazaruni River, amid dense jungle about 40 air miles from the Venezuelan […]
Read MoreBoth aged 13 years. Note that while the one on the left is in the fully pustular stage, the one on the right has had only two spots, which have aborted and have already scabbed. It was one of the deadliest and most contagious diseases known to humankind. An estimated 300 million people died from smallpox in […]
Read MoreA neonate,18-day-old female baby presented with congenital scalp swelling and was evaluated by the neurosurgical team. Her mother belonged to a remote area where no prenatal ultrasonography was available; baby was delivered at a district hospital through LSCS. Scalp swelling progressively increased since birth. Complete physical examination of the baby revealed a congenital scalp swelling […]
Read MoreThe patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively […]
Read MoreA 65-year-old male with colorectal cancer cT3N2M0 received concurrent chemoradiotherapy, and surgery and post-operative chemoradiotherapy for colorectal cancer ypT3N2M0 at the end of treatment in 2003. During follow-up visits at open-patient department in 2004, cystorectal fistula was suspected based on the complaints of terminal dribbling and gas passage from the urethra. Abdominal computed tomography (CT) scan revealed pericecal soft tissue infiltration […]
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