61 Lemierre syndrome (LS) is a rare and life-threatening complication of oropharyngeal infections1. Its incidence ranges between 0.6 and 2.3 cases per million, and carries a mortality rate of 4% to 18%1,2. Typically, LS includes pharyngotonsillitis or peritonsillar abscess, septicemia related to anaerobic bacteria and internal jugular vein thrombosis2,3. Previous case series reported that Lemierre syndrome could also be induced by other oropharyngeal infections, such as mastoiditis or dental infection4,5.
{"title":"Lemierre Syndrome : An Unusual Complication of Tongue Cancer","authors":"A. Chaari, Elhalik Mahmoud, Mariam El Khaja","doi":"10.12816/0047475","DOIUrl":"https://doi.org/10.12816/0047475","url":null,"abstract":"61 Lemierre syndrome (LS) is a rare and life-threatening complication of oropharyngeal infections1. Its incidence ranges between 0.6 and 2.3 cases per million, and carries a mortality rate of 4% to 18%1,2. Typically, LS includes pharyngotonsillitis or peritonsillar abscess, septicemia related to anaerobic bacteria and internal jugular vein thrombosis2,3. Previous case series reported that Lemierre syndrome could also be induced by other oropharyngeal infections, such as mastoiditis or dental infection4,5.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46866496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thyroid Surgeries in a Single Centre, 2010 - 2014","authors":"Jaffar Y. Al Khuzaie, H. Kamal, Haneen Alboosta","doi":"10.12816/0047460","DOIUrl":"https://doi.org/10.12816/0047460","url":null,"abstract":"","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42802084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Workplace Violence in Healthcare : An Emerging Occupational Hazard","authors":"B. A. Ubaidi","doi":"10.12816/0047466","DOIUrl":"https://doi.org/10.12816/0047466","url":null,"abstract":"","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47012619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
22 The incidence of VTE in pregnancy is ten times higher than the age-matched, non-pregnant population1-3. VTE could occur at any stage of pregnancy, but the risk is higher at the puerperium1,4. VTE continues to be a leading cause of maternal mortality5-7. Pulmonary embolism (PE) is the leading cause of maternal death in the United Kingdom, accounting for approximately 1.8 per 100,000 deliveries and 11% of maternal deaths in the United States5-9. PE is the second leading cause of maternal death in Saudi Arabia, accounting for 25% of all maternal deaths10. In Bahrain, PE is accounting for 35% of all maternal deaths in sickle cell disease (SCD) patients, as well as 21% of non-SCD11,12.
{"title":"Thromboembolism Prophylaxis after Cesarean Section","authors":"N. Mahmood, K. Sharif","doi":"10.12816/0047457","DOIUrl":"https://doi.org/10.12816/0047457","url":null,"abstract":"22 The incidence of VTE in pregnancy is ten times higher than the age-matched, non-pregnant population1-3. VTE could occur at any stage of pregnancy, but the risk is higher at the puerperium1,4. VTE continues to be a leading cause of maternal mortality5-7. Pulmonary embolism (PE) is the leading cause of maternal death in the United Kingdom, accounting for approximately 1.8 per 100,000 deliveries and 11% of maternal deaths in the United States5-9. PE is the second leading cause of maternal death in Saudi Arabia, accounting for 25% of all maternal deaths10. In Bahrain, PE is accounting for 35% of all maternal deaths in sickle cell disease (SCD) patients, as well as 21% of non-SCD11,12.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45138329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Simulation - Based Medical Education","authors":"Khaled Muqla Al Kuwari","doi":"10.12816/0047451","DOIUrl":"https://doi.org/10.12816/0047451","url":null,"abstract":"","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42057358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
18 The appendix is one of the human organs that attracts little attention, hence termed an ineffectual blind tube. Nonetheless, this intestinal organ at the junction between the cecum and terminal ileum, undergoes pathological changes that have a significant influence on human health1. This organ is also susceptible to conditions such as appendicitis and carcinoid tumors2. The World Health Organization (WHO) classifies appendiceal tumors into epithelial, non-epithelial or secondary. Epithelial tumors include adenoma, carcinoma and carcinoid. On the other hand, non-epithelial tumors of mesenchymal origin include neuroma, lipoma, leiomyoma, gastrointestinal stromal tumor (GIST) and their malignant forms3. Malignant lymphoma and Kaposi’s sarcoma are also possible appendiceal growths1,3,4,5.
{"title":"A Retrospective Histopathological Analysis of Appendiceal Tumors for 10 Years","authors":"Muneera Al-Khalifa, Muzoon Al-Muawda, Budoor Almusaifer","doi":"10.12816/0047454","DOIUrl":"https://doi.org/10.12816/0047454","url":null,"abstract":"18 The appendix is one of the human organs that attracts little attention, hence termed an ineffectual blind tube. Nonetheless, this intestinal organ at the junction between the cecum and terminal ileum, undergoes pathological changes that have a significant influence on human health1. This organ is also susceptible to conditions such as appendicitis and carcinoid tumors2. The World Health Organization (WHO) classifies appendiceal tumors into epithelial, non-epithelial or secondary. Epithelial tumors include adenoma, carcinoma and carcinoid. On the other hand, non-epithelial tumors of mesenchymal origin include neuroma, lipoma, leiomyoma, gastrointestinal stromal tumor (GIST) and their malignant forms3. Malignant lymphoma and Kaposi’s sarcoma are also possible appendiceal growths1,3,4,5.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41665179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
57 Foreign body aspiration in the tracheobronchial system is a pediatric emergency; if not removed on time, it could result in pulmonary complications such as pneumonia, atelectasis and could lead to an airway obstruction, which could be fatal1-4. The standard gold treatment is the removal of a foreign body using a rigid bronchoscopy performed under general anesthesia4,5. Because of the bronchoscope occupying the airway, different methods of ventilation have been considered, such as the apneic oxygenation method, controlled ventilation (closed system), manual jet ventilation and the spontaneous assisted ventilation (SAV)6.
{"title":"Spontaneous Assisted Ventilation in the Extraction of a Seed in the Left Main Bronchus","authors":"H. Alansari, Yomna Ahmed, A. Alkhalfan","doi":"10.12816/0047473","DOIUrl":"https://doi.org/10.12816/0047473","url":null,"abstract":"57 Foreign body aspiration in the tracheobronchial system is a pediatric emergency; if not removed on time, it could result in pulmonary complications such as pneumonia, atelectasis and could lead to an airway obstruction, which could be fatal1-4. The standard gold treatment is the removal of a foreign body using a rigid bronchoscopy performed under general anesthesia4,5. Because of the bronchoscope occupying the airway, different methods of ventilation have been considered, such as the apneic oxygenation method, controlled ventilation (closed system), manual jet ventilation and the spontaneous assisted ventilation (SAV)6.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44599364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drowning Epidemiology in Bahrain (2003 - 2015)","authors":"M. Awadhi, N. Abulfateh","doi":"10.12816/0047452","DOIUrl":"https://doi.org/10.12816/0047452","url":null,"abstract":"","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47726180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prodromal schizophrenia presents with a wide variety of psychiatric symptoms including obsessive-compulsive disorder (OCD) or obsessive-compulsive symptoms (OCS). However, this differentiation between a sole diagnosis of OCD and prodromal schizophrenia seems challenging in some settings. We present a sixteen-year-old male with six-months history of recurrent intrusive images and fearfulness, in addition to decreased socialization. He was managed as a case of prodromal schizophrenia and was treated with antipsychotics. His obsessions decreased but he continued to exhibit negative schizophrenia within two years of follow-up. Acknowledging the diversity of prodromal schizophrenia presentations rather than treating symptoms as a cross-sectional diagnosis (especially in high-risk population for psychosis) is crucial for a better management. DISCUSSION: This case illustrates the complexity of the diagnosis of an officially established disorder that is OCD with well-defined criteria and controversial labeling prodromal schizophrenia with several presentations including OCD. The impact of OCD/OCS among prodromal schizophrenia or at-risk people for psychosis was revealed in some studies by having a higher clinical impairment, more depressive symptoms and suicidality. CONCLUSION: Our patient was managed as a case of prodromal schizophrenia rather than solely OCD based on the associated features (aloofness, progressive social and academic decline, slowed psychomotor functions and dysprosody). Positive family history of schizophrenia in addition to praecox feeling further confirmed the patient’s condition. The following two years of the patient’s course revealed the necessity of considering the full detailed presentation of prodromal schizophrenia rather than the spot diagnosis of OCD to benefit from early intervention psychosis services and minimize the clinical deterioration.
{"title":"Obsessive - Compulsive Disorder as a Part of Prodromal Schizophrenia","authors":"W. A. Asiri, Mundher Almaqbali","doi":"10.12816/0047471","DOIUrl":"https://doi.org/10.12816/0047471","url":null,"abstract":"Prodromal schizophrenia presents with a wide variety of psychiatric symptoms including obsessive-compulsive disorder (OCD) or obsessive-compulsive symptoms (OCS). However, this differentiation between a sole diagnosis of OCD and prodromal schizophrenia seems challenging in some settings. We present a sixteen-year-old male with six-months history of recurrent intrusive images and fearfulness, in addition to decreased socialization. He was managed as a case of prodromal schizophrenia and was treated with antipsychotics. His obsessions decreased but he continued to exhibit negative schizophrenia within two years of follow-up. Acknowledging the diversity of prodromal schizophrenia presentations rather than treating symptoms as a cross-sectional diagnosis (especially in high-risk population for psychosis) is crucial for a better management. \u0000 \u0000 \u0000 \u0000DISCUSSION: This case illustrates the complexity of the diagnosis of an officially established disorder that is OCD with well-defined criteria and controversial labeling prodromal schizophrenia with several presentations including OCD. The impact of OCD/OCS among prodromal schizophrenia or at-risk people for psychosis was revealed in some studies by having a higher clinical impairment, more depressive symptoms and suicidality. \u0000 \u0000CONCLUSION: Our patient was managed as a case of prodromal schizophrenia rather than solely OCD based on the associated features (aloofness, progressive social and academic decline, slowed psychomotor functions and dysprosody). Positive family history of schizophrenia in addition to praecox feeling further confirmed the patient’s condition. The following two years of the patient’s course revealed the necessity of considering the full detailed presentation of prodromal schizophrenia rather than the spot diagnosis of OCD to benefit from early intervention psychosis services and minimize the clinical deterioration.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43071339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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