Diabetic Ketoacidosis (DKA) is a lifethreatening medical condition. Intra-abdominal hernia causes intestinal obstruction that results in a severe acute abdomen; if it is not diagnosed and treated in time, it can result in serious complications such as intestinal strangulation necrosis, intestinal perforation, and even septic shock, resulting in death.
Volume-5, 2024
Issue 11 (November)
Colobomas are congenital malformations due to an abnormality in the closure of the colobomic cleft during embryonic life, which can affect various ocular structures such as the retina.
We present the case of an 18 year old female who presented with short term amnesia, palpitations and headaches with no significant past medical history. Examination revealed inability to recall three objects, autonomic dysfunction and no focal neurological deficit.
Although salmonellosis is very common in Morocco, its involvement in purulent meningitis remains possible, although very rare. The aim of this work is to study the clinical and paraclinical epidemiological profile as well as the evolution of purulent salmonella meningitis in our department from January 2012 to December 2023 at the Mohammed VI University Hospital in the pediatrics department A in Marrakech.
Lung hernias are a rare entity that results from the protrusion of part of the lung parenchyma through the rib cage. It can occur after trauma or as a post-surgical iatrogenic, but is even less common when it occurs spontaneously.
Ectopic pancreas, an infrequently documented condition within the pediatric demographic, is often asymptomatic. When clinical manifestations do occur, their severity is contingent upon the location, size, and involvement of the adjacent mucosa.
A 74-year-old woman with a history of Charcot-Marie-Tooth type 1 neuropathy and malignant melanoma (TxN3bM0), diagnosed in 2023 and previously treated with pembrolizumab, presented to the emergency department with acute-on-chronic anemia (2 g/dL hemoglobin drop), heart failure, abdominal pain, hypotension, and melena.
Idiopathic Retinal Vasculitis, Aneurysms, and Neuroretinitis syndrome (IRVAN) is a rare disorder of unknown etiology. It is most commonly characterized by bilateral involvement with arterial bifurcation aneurysms, arterial vasculitis, exudative maculopathy, neuroretinitis, and peripheral retinal ischemia.
A 64-year-old male with known HFrEF, hypertension and non-compaction cardiomyopathy presented for evaluation of chest pain and underwent an outpatient nuclear stress test. This showed a moderate to large, fixed, inferior apical defect and a stress LVEF of 17% which was similar to prior echocardiograms.
Fractures of the forearm are frequently observed in children and adolescents. Among these, the Galeazzi fracture-characterized by a fracture of the radial shaft accompanied by Dislocation of the Distal Radioulnar Joint (DRUJ)-is relatively uncommon in this age group. The Galeazzi equivalent fracture is a variation that presents in pediatric populations as a radius fracture associated with a displaced physeal injury of the distal ulna, but without DRUJ dislocation.
Delayed pericardial tamponade represents a rare but life-threatening complication following cardiac surgery. We present a case of a 67-year-old male who developed delayed pericardial tamponade on postoperative day 8 following a Bio-Bentall procedure with diagnosis confirmed via bedside transthoracic echo facilitating expeditious operative intervention and safe hospital discharge.
A 36 years old previously healthy lady presented with painful 2nd and 5th fingers of both hands for 6 months duration. The pain had gradually got worse and was found to have blackish complexion of the fingers suggestive of gangrene. There were no joint involvements or any skin changes.
Nitrous oxide is an inhalational anesthetic with a high abuse potential. Its increased abuse in recent times has been associated with adverse effects of myeloneuropathy, venous thrombosis, myocardial infarction, and pneumothorax. We report a case of a 36-year-old male who presented with acute onset chest pain following inhalation of nitrous oxide.
The discovery of new drugs from medicinal plants offers potential therapeutic solutions for complex diseases, leveraging bioactive compounds derived from traditional knowledge. This road map follows a systematic approach for drug development
A 64-year old woman with metastatic gastric adenocarcinoma and recurrent pituitary macroadenoma presented with a one day history of headache and vomiting. She was diagnosed with small pulmonary emboli one week prior and was treated with therapeutic enoxaparin at 1 mg/kg BD.
Inverted Left Atrial Appendage (LAA) is an uncommon event in cardiovascular surgery. The findings on echocardiography are sometimes misled into thrombus or tumor. We experienced a case with inverted LAA during total aortic arch repair for acute aortic dissection.
Plasma Cell Leukemia (PCL) is a very aggressive lymphoproliferative disease defined by an abundance of plasma cells in the peripheral smear. It can manifest as a new occurrence or develop from Multiple Myeloma (MM), leading to the diagnosis of primary or secondary PCL, respectively.
The Quadricuspid aortic valve is a rare congenital heart abnormality characterized by the development of four cusps instead of the normal three in the aortic valve. One of the common complications of this defect is progressive aortic regurgitation.
Spontaneous Spinal Epidural Hematoma (SEH) is a rare cause of acute spinal cord compression, with an estimated incidence of 0.1 per 100,000 patients annually. This case report describes a 63-year- old male who presented with a 10-day history of severe lower back pain, right foot numbness, and right lower limb weakness
Elephantiasis, a chronic manifestation of lymphatic filariasis, primarily affects the limbs, scrotum, and trunk, with a lower incidence observed in females. Vulvar elephantiasis is an even rarer presentation, complicating diagnosis due to its uncommon site and the absence of identifiable parasites in tissue samples.
Drug induced liver injury is an acute or chronic response to a variety of medications, herbal supplements and natural compounds. The pattern of injury could be hepatocellular, cholestatic, or mixed depending on the ratios of alanine aminotransferase and alkaline phosphatase upper limit elevations (R value).
The most common causes of splenomegaly are liver disease, malignancy, and infection. 84% of cases with progressive splenic enlargement were associated with hematological diseases, especially malignancy. Acute infections, anemia, and splenic rupture are the most common complications of splenomegaly
Ovarian hemangiomas although rare (only 70 cases in published literature) can mimic struma ovarii radiologically and during Frozen Section (FS) analysis and they can be associated with other ovarian neoplasms.
Anticoagulation is one of the most important techniques to ensure the progress of hemodialysis. Uremia patients are often prone to hemorrhagic diseases, making it very difficult to choose anticoagulant regimens used for maintenance hemodialysis.
We present a case of a 41-year-old female who developed encephalitis complicated by increased intracranial pressure (HTIC) and incipient uncal herniation. The patient presented with fever, headache, and progressive loss of consciousness. Brain imaging revealed a right temporo-insular lesion with associated signs of HTIC.
Accidental insertion of a hemodialysis catheter into an artery is a rare but potentially serious complication encountered during catheter placement. Hemodialysis (HD) catheters are of large caliber and direct removal of the catheter can lead to torrential hemorrhage or dislodgement of a thrombus.
The concern about ionizing radiation exposure of women of child-bearing age or pregnant women is still relevant and CT scanning alone is a subject of interest as it is responsible for 58% of radiation exposure from medical x-rays. The objective of our survey was to evaluate the knowledge and practices of radiation protection of CT scan users in women of childbearing age in the city of Douala in Cameroon.
We report a rare case of a 3-year-old boy who presented with multiple pelvi-iliac masses and a mixed tissular and cystic retrosacrococcygean mass. The diagnosis was confirmed by Computed Tomography (CT) scan and Magnetic Resonance Imaging (MRI).
Monoclonal Gammopathy of Undetermined Significance (MGUS) is a common entity with prevalence increasing with age. While most cases are asymptomatic, a minority of cases may be associated with end organ damage through mechanisms outside of deposition of the monoclonal immunoglobulin or light chain produced by the culprit clonal cell population.
Social media has become an integral part of our day-to-day life. Now-a days it difficult to find anyone not using social media or smart phone. The use of smart phone and social media consistently controlling our daily life style, eating pattern and emotions. Thus, the aim of our study to explore the impact of different social media scrolling on (i) changes
Uterine arteriovenous malformation is an abnormal connection be- tween the arterial and venous system. The early diagnosis of the AVM in hemodynamically stable patient can dictate the management and prevent from a life threatening condition.
Simultaneous bilateral pneumothorax is an uncommon presentation and usually occurs in the context of secondary spontaneous pneumothorax. A 45-year-old man diagnosed with complicated silicosis for, with a history of numerous pneumothorax requiring inpatient treatment, is readmitted to the hospital with a new left pneumothorax.
Herpes zoster (HZ) is a self-limiting condition in which the discomfort subsides with the conclusion of the vesicular eruption. However, a sizable portion of individuals may experience pain that lasts or recurs months to years after the rash has healed; this condition is known as post-herpetic neuralgia (PHN).
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect in children worldwide. Surgical correction is required in early childhood and non-operative survival past the fourth decade is rarely described. We report an interesting case demonstrating the utility of multimodality imaging, including Transthoracic Echocardiography (TTE).
A 10-month-old girl, was admitted to the pediatric department for early-onset pancytopenia. Digestive disorders were noted in her history. Clinically, she was non-dysmorphic and eutrophic, with findings of hepatomegaly and a spleen tip; the rest of the examination was unremarkable.
Brucellosis causes polymorphic symptoms. Infective Endocarditis (IE) remains an exceptional location. We report a rare case of tricuspid brucella endocarditis. A 48 year old man, with a history of psoriasis, Intravenous (IV) opiate drug addiction and regular use of raw, unpasteurized milk, presented to the emergency department for fever, myalgia and painful urination that has been going on for three weeks.
Temozolomide (TMZ), an alkylating agent derived from dacarbazine, is approved for treating Glioblastoma Multiforme (GBM), an aggressive Central Nervous System (CNS) tumour. It is usually administered with radiation therapy after tumour surgery or as adjuvant chemotherapy. While TMZ demonstrates significant clinical efficacy, it is associated with its own toxicity profile and side effects, including leukopenia, thrombocytopenia, hepatotoxicity, nausea, constipation, and fatigue.
Herpes Simplex Virus-1 (HSV-1) encephalitis and Streptococcus pneumoniae meningitis co-infection is an exceptionally rare but clinically significant condition that raises distinct diagnostic and therapeutic issues. S. pneumoniae is the principal cause of bacterial meningitis, while HSV-1 is the most common cause of viral encephalitis in adults. Although they have different causes, co-infections can happen, commonly complicating the clinical situation and delaying diagnosis.
It has long been recognized that pregnancy in women with chronic kidney disease presents unique challenges for both the mother and the developing child. The prognosis of pregnant chronic renal patients has improved over time, with an increase in the number of successful deliveries.
This is a 44-year-old male with history of traumatic right parafalcine subdural hematoma and uncal herniation, necessitating decompressive hemicraniectomy and hematoma evacuation. He presented to the ED due to concern for a CSF leak from the craniectomy site.
The peak at the binding energy of about 285 eV corresponds to the sp2 carbon atoms in graphene monolayer. About 100 eV is needed to make a pair production of boson particles. Therefore, graphene exfoliator, NaCl + KCl solution can use to make a pair annihilation of boson particles.