Articles

Volume-5, 2024
Issue 5 (May)



The cluster sign

The cluster sign is a radiological finding associated with pyogenic liver abscesses that better appreciated on contrast- enhanced CT and MRI images. It was first described by Jeffrey et al. in 1988 [1].

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Transoral resection and reconstruction of hypopharyngeal liposarcoma

Hypopharyngeal and esophageal liposarcoma are rare malignant tumors. Low grade liposarcoma have similarities to lipoma. Surgical resection with endoscopic or cervical approach is treatment option. We present hypopharyngeal liposarcoma that was treated with endoscopic resection and reconstruction.

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Stridor due to massive retrosternal goitre

An independent 90 year old woman presented to the emergency department in respiratory distress. Background medical history included a known retrosternal goitre under observation, previous right sided thyroid lobectomy and recent lower respiratory tract infection treated with oral antibiotics.

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Traumatic cataracts: Focus on rosette-shaped cataracts

Traumatic cataract is a serious and common condition that mainly affects young adults and children. We report the case of a 25-year-old female patient who presented for consultation with blurred vision that had been progressively developing for over a year and in whom the clinical examination revealed a rosette-shaped cataract.

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ACE inhibitor induced small bowel angioedema

A 47 year old male with history of Hypertension presented to ER for abdominal pain. He visited his PCP 4 days ago, found to have hypertension and restarted on Lisinopril which patient had stopped taking since last 2 years.

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Central dot sign in Caroli disease

The central dot sign is a non-pathognomonic radiological sign, but suggestive of caroli disease, where the central dot corresponds to fibrovascular bundles surrounded by cystic dilatations of the intrahepatic bile ducts.

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Renal laceration management: A case report

Renal lacerations are infrequent but significant injuries that necessitate immediate and proper treatment to avoid complications including bleeding and renal failure. We report a case of a male patient, aged 15, who experienced a kidney laceration due to forceful abdominal trauma.

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Delirium in older adults with dementia: What is the role of electroencephalogram?

Mental status changes in older adults with dementia are a diagnosis challenge since they might be consistent with two common entities: dementia progression or delirium. Electroencephalogram (EEG) may help clinicians to diagnose delirium in coherent patients but its use in older adults with dementia is controversial due to low specificity.

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Consciousness in cardiac arrest: A case report

Despite substantial advancements in the management of cardiac arrest, high-quality Cardiopulmonary Resuscitation (CPR) remains the cornerstone of care. We present a rare case of CPR-Induced Consciousness (CPRIC), an uncommon yet increasingly prevalent phenomenon.

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Columella fistula: A case report

Cysts and fistulas of the dorsum of the nose are rare. These malformations are strictly confined to the midline, extending from the columella to the glabella. Deep extension is possible, with contact with the leptomeningeal spaces.

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Ginger in the nose, ginger in the brain

A 35-year-old female with a history of 8 years of amenorrhea presented with complaints of nasal stuffiness, difficulty in swallowing, and gradual onset dyspnoea for the past 15 days.

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Bleeding arterioles in a case of silent abruption

A 24-year-old female at 28 weeks period of gestation referred to our emergency with history of preeclampsia and increased umbilical artery pulsatility index with no history of bleeding per vaginum was detected with partial separation of placenta (asterisk) and bleeding spiral arterioles (arrow) (Figure 1) with a single live fetus of 900 gms on ultrasonography.

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Becker nevus associated with spina bifida

Becker nevus syndrome is a rare disease characterized by a Becker nevus associated with developmental abnormalities. Development, such as ipsilateral breast hypoplasia or other cutaneous, muscular or skeletal abnormalities.

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