Vascular and orthopedic surgeons encounter three scenarios with patient’s post-supracondylar fracture reduction and fixation. The first scenario is a patient who presents with a pulseless limb, in which the pulse returns post-fracture reduction and fixation. The second scenario is a patient who has a persistent absence of the pulse post-reduction and fixation; however, the hand is well perfused and warm. The third scenario is a patient who presents with a persistent absence of the pulse, and the hand is showing signs of acute ischemia such as coldness, duskiness and poor capillary refilling time.
{"title":"Vascular Injuries in Children with Humeral Supracondylar Fractures","authors":"R. al-agha, Husain Alaradi, Ali R. Karashi","doi":"10.12816/0047776","DOIUrl":"https://doi.org/10.12816/0047776","url":null,"abstract":"Vascular and orthopedic surgeons encounter three scenarios with patient’s post-supracondylar fracture reduction and fixation. The first scenario is a patient who presents with a pulseless limb, in which the pulse returns post-fracture reduction and fixation. The second scenario is a patient who has a persistent absence of the pulse post-reduction and fixation; however, the hand is well perfused and warm. The third scenario is a patient who presents with a persistent absence of the pulse, and the hand is showing signs of acute ischemia such as coldness, duskiness and poor capillary refilling time.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"236-237"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42185878","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":"Antibiotics Point Prevalence","authors":"J. A. Salman, R. Agha, Z. Ebrahim","doi":"10.12816/0047771","DOIUrl":"https://doi.org/10.12816/0047771","url":null,"abstract":"","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"220-224"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42649380","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}
253 Sweet’s syndrome was described in 1964 as an “acute febrile neutrophilic dermatosis”. It presents with fever, neutrophilia and tender erythematous lesions on the skin including papules, nodules and plaques. The classic histopathological finding of this disease is a diffuse infiltration of mature neutrophils in the upper dermis. The presentation of Sweet’s syndrome can be malignancy-associated, drug-induced, and idiopathic or classical1. The skin lesions associated with malignancy are frequently atypical, vesicular, bullous or even ulcerative, in addition to the typical plaques and nodules2.
{"title":"Bullous Sweet’s Syndrome in a Patient with Metastatic Colorectal Cancer","authors":"A. Almedfa, Mariam A. Baqi","doi":"10.12816/0047782","DOIUrl":"https://doi.org/10.12816/0047782","url":null,"abstract":"253 Sweet’s syndrome was described in 1964 as an “acute febrile neutrophilic dermatosis”. It presents with fever, neutrophilia and tender erythematous lesions on the skin including papules, nodules and plaques. The classic histopathological finding of this disease is a diffuse infiltration of mature neutrophils in the upper dermis. The presentation of Sweet’s syndrome can be malignancy-associated, drug-induced, and idiopathic or classical1. The skin lesions associated with malignancy are frequently atypical, vesicular, bullous or even ulcerative, in addition to the typical plaques and nodules2.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"253-255"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41496031","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}
Kikuchi-Fujimoto Disease (KFD) is a rare and benign cause of lymphadenopathy that is often associated with fever, night sweats and weight loss. The clinical and laboratory manifestations of KFD are similar to those of lymphoma, tuberculosis, sarcoidosis and systemic lupus erythematosus. Definitive diagnosis is accomplished by lymph node biopsy6,7. Awareness of KFD among clinicians and pathologists is essential to avoid misdiagnosis and inappropriate treatment of this self-limited disorder.
{"title":"Kikuchi-Fujimoto Disease : An Unusual Presentation with Isolated Abdominal Lymphadenitis","authors":"O. Sharaf, A. Ali","doi":"10.12816/0047779","DOIUrl":"https://doi.org/10.12816/0047779","url":null,"abstract":"Kikuchi-Fujimoto Disease (KFD) is a rare and benign cause of lymphadenopathy that is often associated with fever, night sweats and weight loss. The clinical and laboratory manifestations of KFD are similar to those of lymphoma, tuberculosis, sarcoidosis and systemic lupus erythematosus. Definitive diagnosis is accomplished by lymph node biopsy6,7. Awareness of KFD among clinicians and pathologists is essential to avoid misdiagnosis and inappropriate treatment of this self-limited disorder.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"244-246"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48361115","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}
229 Peripartum cardiomyopathy (PPCM) is a pregnancy-related myocardial disease characterized by the development of heart failure due to left ventricular (LV) dysfunction without an underlying cause during the last month of pregnancy and up to five months postdelivery1,2. It carries considerable morbidity and mortality risk for the mother and fetus; however, recovery of the myocardium is possible1-5. Several risk factors have been implicated in the recovery and the risk of relapse, such as certain ethnic groups and LV dimension assessed by echocardiography at the time of diagnosis6-9. The characteristics of this disease in our community are yet to be known.
{"title":"Peripartum Cardiomyopathy and Myocardial Recovery","authors":"R. A. Bannay, Aysha A Husain, Saudi Board","doi":"10.12816/0047773","DOIUrl":"https://doi.org/10.12816/0047773","url":null,"abstract":"229 Peripartum cardiomyopathy (PPCM) is a pregnancy-related myocardial disease characterized by the development of heart failure due to left ventricular (LV) dysfunction without an underlying cause during the last month of pregnancy and up to five months postdelivery1,2. It carries considerable morbidity and mortality risk for the mother and fetus; however, recovery of the myocardium is possible1-5. Several risk factors have been implicated in the recovery and the risk of relapse, such as certain ethnic groups and LV dimension assessed by echocardiography at the time of diagnosis6-9. The characteristics of this disease in our community are yet to be known.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"229-231"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47570248","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}
250 An internal hernia is a protrusion of abdominal viscera through a normal opening or defect in the peritoneum or mesentery. Internal hernias can be congenital or acquired1. True internal hernias can be further classified by their locations; para duodenal 53%, pericecal 13%, foramen of Winslow 8%, transmesenteric and trans mesocolic 8%, inter sigmoid 6%, retro anastomotic 5%2. Internal hernias are a rare cause of intestinal obstruction accounting for less than 2% and approximately 4% of obstruction caused by hernias1. Although para duodenal hernias are the most common type of congenital internal hernias and constitute around half of the cases; the incidence of para duodenal hernias are considered very rare1-5. However, with the increasing trend of bariatric surgeries, the incidence of acquired internal hernias are increasing1.
{"title":"Left Paraduodenal Hernia","authors":"Hamza Muneer, Ahmed Jawad, Jassim Al-Aradi","doi":"10.12816/0047781","DOIUrl":"https://doi.org/10.12816/0047781","url":null,"abstract":"250 An internal hernia is a protrusion of abdominal viscera through a normal opening or defect in the peritoneum or mesentery. Internal hernias can be congenital or acquired1. True internal hernias can be further classified by their locations; para duodenal 53%, pericecal 13%, foramen of Winslow 8%, transmesenteric and trans mesocolic 8%, inter sigmoid 6%, retro anastomotic 5%2. Internal hernias are a rare cause of intestinal obstruction accounting for less than 2% and approximately 4% of obstruction caused by hernias1. Although para duodenal hernias are the most common type of congenital internal hernias and constitute around half of the cases; the incidence of para duodenal hernias are considered very rare1-5. However, with the increasing trend of bariatric surgeries, the incidence of acquired internal hernias are increasing1.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"250-252"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48945711","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}
210 Diabetes mellitus DM is a chronic disease with an increasing incidence worldwide. A recent publication by WHO estimated that the prevalence of diabetic patients had risen from 108 to 422 million in the last 34 years, from 4.7% to 8.5%1. The prevalence of diabetic patients in the Middle East and North Africa (MENA) is expected to rise to 72.1 million by 2040. There were 154,300 cases of diabetes in Bahrain in 2015 with a prevalence of 15.6%2.
{"title":"Assessment of Diabetic Patients Knowledge and Comorbidities","authors":"Shawq Almuhanadi, Mariam Alsuliti, Hazem Alhennawy","doi":"10.12816/0047769","DOIUrl":"https://doi.org/10.12816/0047769","url":null,"abstract":"210 Diabetes mellitus DM is a chronic disease with an increasing incidence worldwide. A recent publication by WHO estimated that the prevalence of diabetic patients had risen from 108 to 422 million in the last 34 years, from 4.7% to 8.5%1. The prevalence of diabetic patients in the Middle East and North Africa (MENA) is expected to rise to 72.1 million by 2040. There were 154,300 cases of diabetes in Bahrain in 2015 with a prevalence of 15.6%2.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"210-215"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41336447","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}
187 Pulmonary tuberculosis is considered a common disease worldwide. According to the WHO in 2013, 9 million people had TB and 1.5 million died globally1,2. In 2014, WHO reported that approximately 550,000 of the 9 million were children under 15 years of age and the estimated TB death among that group was 80,000; approximately 75% of those cases occurred in developing countries3,4. Similar cases were reported in adult and pediatric age groups in the Kingdom of Saudi Arabia5.
{"title":"Pulmonary Tuberculosis Associated with Autoimmune Hemolytic Anemia","authors":"Rana S. Al-Taweel, Dalal Burshaid, Shams Al-Turky","doi":"10.12816/0047642","DOIUrl":"https://doi.org/10.12816/0047642","url":null,"abstract":"187 Pulmonary tuberculosis is considered a common disease worldwide. According to the WHO in 2013, 9 million people had TB and 1.5 million died globally1,2. In 2014, WHO reported that approximately 550,000 of the 9 million were children under 15 years of age and the estimated TB death among that group was 80,000; approximately 75% of those cases occurred in developing countries3,4. Similar cases were reported in adult and pediatric age groups in the Kingdom of Saudi Arabia5.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"187-188"},"PeriodicalIF":0.4,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43968102","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}
Major lower limb amputation carries a significant psychological and socioeconomic burden on the individual and community1-3. An individual who lost a limb is often perceived as an incomplete individual. The operation itself carries relative morbidity and mortality rates2. The diseased limb may be amputated promptly to save the patient’s life. However, the care does not end there Major Lower Limb Amputation: Causes, Characteristics and Complications
{"title":"Major Lower Limb Amputation : Causes, Characteristics and Complications","authors":"R. Agha, Hamza Muneer, Asma Al-Qaseer","doi":"10.12816/0047632","DOIUrl":"https://doi.org/10.12816/0047632","url":null,"abstract":"Major lower limb amputation carries a significant psychological and socioeconomic burden on the individual and community1-3. An individual who lost a limb is often perceived as an incomplete individual. The operation itself carries relative morbidity and mortality rates2. The diseased limb may be amputated promptly to save the patient’s life. However, the care does not end there Major Lower Limb Amputation: Causes, Characteristics and Complications","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"159-161"},"PeriodicalIF":0.4,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43646731","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}
Jaffar Y. Al Khuzaie, Mariam AlKooheji, Abdulhadi Algargoush
Cancer-associated genodermatoses, such as Muir-Torre syndrome are hereditary cancer syndromes associated with distinguishing cutaneous signs. Muir-Torre syndrome is an autosomal dominant syndrome caused by mutations in the mismatch repair genes and is thought to be a subtype of Lynch syndrome1,2. It is characterized by the presence of at least one sebaceous skin tumor (adenoma, epithelioma, carcinoma or keratoacanthoma) and a visceral malignancy, in the absence of other precipitating factors3,4.
{"title":"Muir-Torre Syndrome with Different Clinical Presentations","authors":"Jaffar Y. Al Khuzaie, Mariam AlKooheji, Abdulhadi Algargoush","doi":"10.12816/0047641","DOIUrl":"https://doi.org/10.12816/0047641","url":null,"abstract":"Cancer-associated genodermatoses, such as Muir-Torre syndrome are hereditary cancer syndromes associated with distinguishing cutaneous signs. Muir-Torre syndrome is an autosomal dominant syndrome caused by mutations in the mismatch repair genes and is thought to be a subtype of Lynch syndrome1,2. It is characterized by the presence of at least one sebaceous skin tumor (adenoma, epithelioma, carcinoma or keratoacanthoma) and a visceral malignancy, in the absence of other precipitating factors3,4.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":"39 1","pages":"184-186"},"PeriodicalIF":0.4,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41837482","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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