The Woman With No Face

A SEVERE untreated facial condition has left a woman in India with large hanging growths which eclipse her entire face – causing local children to be scared of her. Khadija Khatoon, 23, from Kolkata, India, has what doctors believe to be neurofibromatosis – a catch-all term for a number of genetic disorders which cause tumours […]

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Successful Microsurgical Replantation of Scalp Amputation Using Medicinal and Chemical Leech Therapy: A Case Report

A 47-year-old woman presented to the hospital with a com- plete amputated scalp after her hair was caught in a laun- dry-packing machine. Compact compression dressing with gauze and elastic band was applied, owing to severe bleeding by completely ruptured both superficial temporal artery (STA) and superficial temporal vein (STV) (Fig. 1). The laceration ex- […]

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“The hand of God” – nurses try to comfort isolated patients in a Brazilian Covid isolation ward

From Brazil , a country that has recorded a very high number of infections from Covid-19, comes ““mão de deus“ “, conceived by a Brazilian nurse to break down the barrier of isolation and give comfort to the patients. For over a year engaged in the fight against Coronavirus , doctors and nurses all over the world, in addition to ensuring the necessary health care for patients forced to live in […]

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A Case of a Survivor to a Through-and-Through Head Gunshot Wound following Russian Roulette

Sir: Georges Arthur Surdez (1900 to 1949) is considered the inventor of Russian roulette. The first report of Russian roulette was published in January 30, 1937, in Collier’s magazine. In the original “game to die,” in 1917, in Romania, some Russian officers removed a cartridge from a revolver, spun the cylinder, snapped it back in place, placed […]

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Strawberry Tongue in Streptococcal Pharyngitis

A 5-year-old girl presented to the pediatric clinic with a 3-day history of fever, sore throat, and pain with swallowing. She had no associated cough, rhinorrhea, or hoarseness. The temperature was 40°C. On examination, she appeared to be ill, with dry mucous membranes and tender anterior cervical lymphadenopathy. She had fissured lips and a red […]

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Diagnostic Accuracy of Cardiac Magnetic Resonance Versus Fractional Flow Reserve: A Systematic Review and Meta-Analysis

Abstract Background Fractional flow reserve (FFR) is considered the gold standard for diagnosis of coronary artery disease (CAD). Stress Cardiac magnetic resonance (SCMR) has been recently gaining traction as a non-invasive alternative to FFR. Methods Studies comparing the diagnostic accuracy of SCMR versus FFR were identified and analyzed using Review Manager (RevMan) 5.3 and Stata […]

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Successful ankle replantation in two cases with different presentations

CASES Case 1 A 32-year-old man was assaulted with a sharp sword, resulting in total amputation of the lower extremity at the level of the tibiotalar joint, with clean-cut wound (Fig. 1A). He presented 4 hours after the injury, in a stable hemodynamic condition with no other associated injuries. The patient was immediately transferred to […]

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Use of Fish Skin for burn treatment

Researchers in Brazil are experimenting with a new treatment for severe burns using the skin of tilapia fish, an unorthodox procedure they say can ease the pain of victims and cut medical costs. Scientists at the Federal University of Ceara in northern Brazil have found that tilapia skin has moisture, collagen and disease resistance at […]

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Management of the Burn Patient

Case Presentation A 58-year-old female patient was activated as a Level 1 trauma alert after being involved in a house explosion with resultant fire. She was awake and alert with no loss of consciousness at the scene but sustained significant thermal injuries per EMS report. She was intubated pre-hospital for “airway protection” out of concern […]

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STEMI Associated with Overuse of Energy Drinks

2. Case Presentation The patient was a 26-year-old male who began having left-sided chest pain approximately 9 hours prior to presentation to the emergency department following drinking his usual quantity (~4L) of “Monster,” “Rock Star,” and other similar brands of energy drinks. The patient stated that he drank any kind of energy drink he could […]

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Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries

Case Report 31-year-old Caucasian man was referred for treatment at our institution for surgical treatment of the cicatricial ectropion of both lower eyelids and exposure keratopathy due to severe deep dermal burns that affected minimally 60% of the TBSA (Fig. 1). Eight months prior to this presentation, patient sustained thermal burn injuries. Mechanism of the […]

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A case of a young woman with a Necrotic Sarcoma of the back

Sarcoma is a type of cancer that develops in bones and soft tissues, such as fat, muscles blood vessels, etc. Tissue becomes necrotic when substantial areas of tissue lack a blood supply, which then causes gangrene, or death of the tissue, in the area. This particular case was very vascular, so there was no way […]

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The Patient Experience: Symptoms and Impact of Dry Age-Related Macular Degeneration

Abstract Introduction No published literature systematically explores the dry age-related macular degeneration (AMD) patient experience. To inform the development of patient-reported outcome measures (PROMs), the important and relevant signs, symptoms, and impacts for patients with dry AMD were identified. Methods A holistic approach was used to capture, define, and organize the signs, symptoms, and impacts […]

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A Randomized, Phase 2 Study of 24-h Efficacy and Tolerability of Netarsudil in Ocular Hypertension and Open-Angle Glaucoma

Abstract Introduction Pharmacotherapy to lower intraocular pressure (IOP) is a mainstay of treatment aimed at delaying progression of visual field loss in ocular hypertension (OHT) and open-angle glaucoma (OAG), but some topical treatments are less effective in controlling IOP at night. Peak IOP may be related to glaucoma progression and can occur outside office hours. […]

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Thoracic impalement injury: A survivor with large metallic object in-situ

Case report A 25-year-old male send to emergency department (ED) due to thoracic impalement injury caused by a metallic bar. He crashed into a lorry from behind in high speed when he was driving a motor car. As a result, his car wind screen was broken, a blunt iron bar from the lorry pierced through […]

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Characteristics of Patients with Pseudoexfoliation Syndrome at a Tertiary Eye Care Center in Jordan

Abstract Purpose To present the clinical profile of patients with pseudoexfoliation (PXF) and describe its association with pseudoexfoliation glaucoma and cataract surgery complications at a university hospital in Jordan. Methods Electronic chart search was performed among patients aged ≥ 50 years who attended the Jordan University Hospital between January 2015 and March 2018, to identify patients with pseudoexfoliation. […]

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