The Centers for Disease Control and Prevention (CDC) has issued new guidelines on using doxycycline as postexposure prophylaxis (doxy PEP) to prevent bacterial sexually transmitted infections (STIs). These recommendations, released in 2024, specifically target gay, bisexual, and other men who have sex with men (MSM) as well as transgender women (TGW) who are at heightened […]
Read MorePatient reportedly fell and hit her head on on a sharp rock, lacerating her scalp. The wound was thouroughly irrigated and debrided. Later the wound was closed with sutures and two drains were placed to minimize the chance of haematoma formation. Broad spectrum antibiotics were also given. Scalp lacerations are a common injury. Clinical evaluation […]
Read MoreA 45-year-old man presented to the emergency department with an enlarging lesion on the left thumb. The lesion had first manifested as a targetoid papule 2 weeks earlier (Panel A) and had progressively enlarged (Panel B) without associated pain or sensory deficits. He reported that 3 weeks earlier he had had direct contact with sheep […]
Read MoreA 7-year-old girl presented to the emergency department with a 2-week history of fever and with several days of painful blisters on her arms, legs, and face. Two weeks earlier, she had completed a course of penicillin for tonsillitis. On examination, there were multiple bullae with erythematous bases on the legs (Panel A) and well-demarcated, […]
Read MoreA 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 […]
Read MoreFrom 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 […]
Read MoreA 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 […]
Read MoreReplantation is the treatment of choice in scalping injuries and should always be considered, even in case of a badly damaged scalp. Specific procedures regarding pre-, intra- and postoperative care are crucial to success in replantation. These include: haemodynamic stabilization of the patient without causing damage to possible donor vessels; cooling, cleaning and further proper […]
Read MoreAbstract Ventricular tachycardia (VT) is a serious form of arrhythmia that can be life-threatening; that’s why diagnosis and treatment are very important in order to avoid serious complications. We are reporting this case of VT which is a rare entity, especially, in healthy infants. This infant, without cardiac pathology known from birth, presented with poor […]
Read MoreA 73-year-old woman with a history of seropositive erosive rheumatoid arthritis presented to the emergency department with a 1-month history of pain in her right eye. Four years before presentation, she had stopped her immunosuppressive treatment and switched to homeopathic therapies. The visual acuity was 20/25 in the affected eye. Slit-lamp examination showed hyperemia, inflammation, […]
Read MoreAbstract Full-thickness scalp burns secondary to hair coloring are rare; however, such defects can be large and complex reconstruction of hair-bearing tissue may be necessary. Many skin-stretching devices that use gradual traction have been applied to take advantage of the viscoelastic properties of the skin. A 21-year-old female patient was seen with a burn defect […]
Read MoreAbstract Background Although the Japan Atherosclerosis Society Guidelines 2017 recommend lower levels of low-density lipoprotein cholesterol (LDL-C, < 70 mg/dL or ≤ 100 mg/dL) to prevent secondary cardiovascular events, we cannot conclude that a low level of LDL-C prevents primary cardiovascular events in patients with suspected coronary artery disease (CAD). Methods We registered 1,016 patients […]
Read MoreA 68-year-old Caucasian female was admitted to our clinic, with suspected deep venous thrombosis, presenting with pain in her left calf that had lasted for 3 weeks starting after a very painful nocturnal leg cramp, and worsened over the last few days. At the time of admission, she had also experienced 5 days of malaise […]
Read MoreA weak or paralyzed diaphragm often goes misdiagnosed and left untreated, causing breathing issues that can worsen over time. While there are several medical treatments options, surgery remains the most effective way to treat a paralyzed or weakened diaphragm. What is the Diaphragm? The diaphragm is a large muscle that sits below the lungs and […]
Read MoreCASE PRESENTATION A 59-year-old worker got his clothes entangled in grinding machine while operating the machine and was admitted to the Department of Burns and Plastic Surgery in Linyi People’s Hospital 5 hours after injury. The skin of penis and scrotum was completely torn off, with exposure of testes and entire shaft of penis. Only […]
Read MoreA 5-year-old white boy presented with soft-tissue cellulitis involving the soft tissue of the lower ear auricle and adjacent neck (Figs ​1a and ​1b) as a result of a brown recluse spider bite. Wound cultures gave negative results upon initial debridement. The involved area progressed from cellulitis to necrosis of the skin of the lateral neck and lower […]
Read MoreCase Report While working, a previously healthy 16-yr-old, 65-kg boy fell into a 3-m deep transport wagon being filled with whole wheat grain and was immediately submersed. Efforts to rescue him required approximately 5–7 min. He was unresponsive, cyanotic, and making spontaneous respiratory efforts on removal. During transfer by ambulance to a peripheral hospital, ventilation […]
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 […]
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