Pub Date : 2024-02-02DOI: 10.36348/sjm.2024.v09i02.002
Z. E. Hafi, Z. Benyahia, R. Bencheikh, Mohamed Anass Benbouzid, A. Oujilal, L. Essakalli
The case of a patient with a septal abscess is reported, with the aim of providing a comprehensive analysis of the diagnostic approach and the various stages of treatment, as well as prompting in-depth reflection on the implications that this particular case could have for medical practice in general. It also highlights the vital importance of early recognition of this condition, and of responding rapidly and appropriately to the patient's needs. It also highlights the value of clinical experience in improving the management of similar cases in the future.
{"title":"Nasal Septal Abscess: A Case Report","authors":"Z. E. Hafi, Z. Benyahia, R. Bencheikh, Mohamed Anass Benbouzid, A. Oujilal, L. Essakalli","doi":"10.36348/sjm.2024.v09i02.002","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i02.002","url":null,"abstract":"The case of a patient with a septal abscess is reported, with the aim of providing a comprehensive analysis of the diagnostic approach and the various stages of treatment, as well as prompting in-depth reflection on the implications that this particular case could have for medical practice in general. It also highlights the vital importance of early recognition of this condition, and of responding rapidly and appropriately to the patient's needs. It also highlights the value of clinical experience in improving the management of similar cases in the future.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"4 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808861","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}
Pub Date : 2024-02-02DOI: 10.36348/sjm.2024.v09i02.003
Assem Alghamdi, Jawaher Alkhaledi, Badi Albaqawi
Objectives: To assess the level of awareness among obstetrical care providers about preeclampsia prevention including risk factors, good practice in aspirin prophylaxis, and to analyze the associated factors. Methods: A cross-sectional study conducted among gynecologists and obstetricians, maternal and fetal medicine specialists, and internal or family medicine physicians working in public or private care centers whom involved in obstetric care in Saudi Arabia. An online-administered questionnaire was designed to assess familiarity of aspirin role in prevention of preeclampsia and fetal growth restriction including proper dose, timing of intake, gestational age to start and discontinuation of treatment as well as the risk factors of PE among set of 13 conditions. An awareness score was calculated and divided into two levels: adequate and inadequate familiarity and knowledge. Practice in PE prevention and attitude towards aspirin use, in addition to participants’ demographic and professional factors, were investigated and analyzed as profound factors. Results: Hundred sixty physicians were participated, 85% were obstetrician/gynecologists and 13.1 were maternal fetal medicine Specialists. Less than half of participants have adequate knowledge and awareness in aspirin role and a minority provided correct answers regarding the recommended aspiring dose, timing of intake, gestational age to start and discontinuation of treatment. However, knowledge about preeclampsia risk factors was relatively acceptable. Maternal fetal medicine specialist and physicians working in teaching hospitals were remarkably with better knowledge compared to their respective counterparts in primary and secondary centers. The existence of institutional guidelines about ASA use in pregnancy did not improve the knowledge level. Conclusion: The overall familiarity and knowledge in that regard was relatively poor, associating misconceptions about the risk factors and substantial gaps regarding the optimal timing and prescribing practice. Formal and continuous medical education curricula should be reviewed to promote good clinical practice in preeclampsia prevention as an essential dimension of maternal and fetal care.
目的评估产科护理人员对子痫前期预防的认识水平，包括风险因素、阿司匹林预防的良好做法，并分析相关因素。方法：横断面研究在沙特阿拉伯的公立或私立医疗中心从事产科护理工作的妇产科医生、母体和胎儿医学专家、内科医生或家庭医生中开展横断面研究。我们设计了一份在线发放的调查问卷，以评估对阿司匹林在预防子痫前期和胎儿生长受限方面作用的熟悉程度，包括适当剂量、摄入时机、开始和停止治疗的妊娠年龄，以及 13 种情况中发生 PE 的风险因素。计算出的认知分值分为两个等级：充分和不充分熟悉和了解。除了参与者的人口统计学和专业因素外，还对预防 PE 的实践和使用阿司匹林的态度进行了调查和分析。研究结果有 160 名医生参加了调查，其中 85% 是妇产科医生，13.1% 是孕产妇胎儿医学专家。不到一半的参与者对阿司匹林的作用有足够的了解和认识，少数人对阿司匹林的推荐剂量、服用时间、开始和停止治疗的胎龄提供了正确答案。然而，对子痫前期风险因素的了解相对较好。在教学医院工作的孕产妇和胎儿医学专家的知识水平明显高于在一级和二级中心工作的医生。关于妊娠期使用 ASA 的机构指南并没有提高相关知识水平。结论对这方面的总体熟悉程度和知识水平相对较低，这与对风险因素的误解以及最佳用药时间和处方实践方面的巨大差距有关。应重新审查正规和持续的医学教育课程，以促进子痫前期预防方面的良好临床实践，将其作为孕产妇和胎儿护理的一个重要方面。
{"title":"Prevention of Preeclampsia in Saudi Arabia: Knowledge about Risk Factors and Aspirin Use among Obstetrical Care Physicians - A National Survey","authors":"Assem Alghamdi, Jawaher Alkhaledi, Badi Albaqawi","doi":"10.36348/sjm.2024.v09i02.003","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i02.003","url":null,"abstract":"Objectives: To assess the level of awareness among obstetrical care providers about preeclampsia prevention including risk factors, good practice in aspirin prophylaxis, and to analyze the associated factors. Methods: A cross-sectional study conducted among gynecologists and obstetricians, maternal and fetal medicine specialists, and internal or family medicine physicians working in public or private care centers whom involved in obstetric care in Saudi Arabia. An online-administered questionnaire was designed to assess familiarity of aspirin role in prevention of preeclampsia and fetal growth restriction including proper dose, timing of intake, gestational age to start and discontinuation of treatment as well as the risk factors of PE among set of 13 conditions. An awareness score was calculated and divided into two levels: adequate and inadequate familiarity and knowledge. Practice in PE prevention and attitude towards aspirin use, in addition to participants’ demographic and professional factors, were investigated and analyzed as profound factors. Results: Hundred sixty physicians were participated, 85% were obstetrician/gynecologists and 13.1 were maternal fetal medicine Specialists. Less than half of participants have adequate knowledge and awareness in aspirin role and a minority provided correct answers regarding the recommended aspiring dose, timing of intake, gestational age to start and discontinuation of treatment. However, knowledge about preeclampsia risk factors was relatively acceptable. Maternal fetal medicine specialist and physicians working in teaching hospitals were remarkably with better knowledge compared to their respective counterparts in primary and secondary centers. The existence of institutional guidelines about ASA use in pregnancy did not improve the knowledge level. Conclusion: The overall familiarity and knowledge in that regard was relatively poor, associating misconceptions about the risk factors and substantial gaps regarding the optimal timing and prescribing practice. Formal and continuous medical education curricula should be reviewed to promote good clinical practice in preeclampsia prevention as an essential dimension of maternal and fetal care.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"50 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811549","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}
Pub Date : 2024-02-01DOI: 10.36348/sjm.2024.v09i02.001
Hamza El Jadi, Imane Moustaghit
According to "Never Events", insulin administration errors are serious preventable adverse events that should not have occurred if adequate preventive measures had been implemented. The event "insulin administration error" is on the ANSM list published in 2012. The National Health Service's (NHS) "Never Events insulin" has developed a module on insulin therapy management entitled "Preventing insulin-related medication errors". Proper use and knowledge of insulin management can prevent these events. Our study presents the results of a survey designed to assess both the knowledge of healthcare personnel and a group of diabetic patients in the Souss Massa region of Morocco. Our survey was an opportunity to re-educate our patients and review the knowledge of a group of staff interviewed, underlines the important deficit in knowledge and practice of nursing staff and insulin-treated patients, suggests that urgent intervention should be considered, particularly with young nursing staff, and also to review the therapeutic education of insulin-treated diabetics in order to improve their knowledge and better prepare them for the advent of new generations of insulin.
{"title":"100 Years After the Discovery of Insulin and in the Era of New Generations of Insulins, What Do Our Patients and Care Staff Know About Insulin Therapy?","authors":"Hamza El Jadi, Imane Moustaghit","doi":"10.36348/sjm.2024.v09i02.001","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i02.001","url":null,"abstract":"According to \"Never Events\", insulin administration errors are serious preventable adverse events that should not have occurred if adequate preventive measures had been implemented. The event \"insulin administration error\" is on the ANSM list published in 2012. The National Health Service's (NHS) \"Never Events insulin\" has developed a module on insulin therapy management entitled \"Preventing insulin-related medication errors\". Proper use and knowledge of insulin management can prevent these events. Our study presents the results of a survey designed to assess both the knowledge of healthcare personnel and a group of diabetic patients in the Souss Massa region of Morocco. Our survey was an opportunity to re-educate our patients and review the knowledge of a group of staff interviewed, underlines the important deficit in knowledge and practice of nursing staff and insulin-treated patients, suggests that urgent intervention should be considered, particularly with young nursing staff, and also to review the therapeutic education of insulin-treated diabetics in order to improve their knowledge and better prepare them for the advent of new generations of insulin.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"169 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139884206","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}
Pub Date : 2024-02-01DOI: 10.36348/sjm.2024.v09i02.001
Hamza El Jadi, Imane Moustaghit
According to "Never Events", insulin administration errors are serious preventable adverse events that should not have occurred if adequate preventive measures had been implemented. The event "insulin administration error" is on the ANSM list published in 2012. The National Health Service's (NHS) "Never Events insulin" has developed a module on insulin therapy management entitled "Preventing insulin-related medication errors". Proper use and knowledge of insulin management can prevent these events. Our study presents the results of a survey designed to assess both the knowledge of healthcare personnel and a group of diabetic patients in the Souss Massa region of Morocco. Our survey was an opportunity to re-educate our patients and review the knowledge of a group of staff interviewed, underlines the important deficit in knowledge and practice of nursing staff and insulin-treated patients, suggests that urgent intervention should be considered, particularly with young nursing staff, and also to review the therapeutic education of insulin-treated diabetics in order to improve their knowledge and better prepare them for the advent of new generations of insulin.
{"title":"100 Years After the Discovery of Insulin and in the Era of New Generations of Insulins, What Do Our Patients and Care Staff Know About Insulin Therapy?","authors":"Hamza El Jadi, Imane Moustaghit","doi":"10.36348/sjm.2024.v09i02.001","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i02.001","url":null,"abstract":"According to \"Never Events\", insulin administration errors are serious preventable adverse events that should not have occurred if adequate preventive measures had been implemented. The event \"insulin administration error\" is on the ANSM list published in 2012. The National Health Service's (NHS) \"Never Events insulin\" has developed a module on insulin therapy management entitled \"Preventing insulin-related medication errors\". Proper use and knowledge of insulin management can prevent these events. Our study presents the results of a survey designed to assess both the knowledge of healthcare personnel and a group of diabetic patients in the Souss Massa region of Morocco. Our survey was an opportunity to re-educate our patients and review the knowledge of a group of staff interviewed, underlines the important deficit in knowledge and practice of nursing staff and insulin-treated patients, suggests that urgent intervention should be considered, particularly with young nursing staff, and also to review the therapeutic education of insulin-treated diabetics in order to improve their knowledge and better prepare them for the advent of new generations of insulin.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"177 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139824538","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}
Pub Date : 2024-01-30DOI: 10.36348/sjm.2024.v09i01.003
H. Ouakrim, N. H. Aden, S. Rafi, G. E. Mghari, N. Ansari
The coexistence of Primary Hyperparathyroidism (PHPT) with Papillary Thyroid Carcinoma (PTC) is a rare clinical occurrence. Thyroid pathology is reported in 20% to 84% of Primary Hyperparathyroidism (PHPT) cases, with malignancies identified in 2% to 20% of instances. We report a case of a 49-year-old woman referred for evaluation of left iliac wing and hip pain with elevated parathyroid hormone levels. Imaging revealed a toxic multinodular goiter with a parathyroid adenoma. The patient underwent total thyroidectomy with parathyroid adenoma excision. Subsequent histological examination unexpectedly identified a papillary thyroid microcarcinoma associated with the parathyroid adenoma. The association between PHPT and PTC is complex, influenced by shared embryological origins and genetic factors. Elevated PTH levels in PHPT may contribute to thyroid cell proliferation, and hypercalcemia is suggested to promote thyroid carcinogenesis. Molecular analyses suggest the involvement of pathways like MAPK and Wnt/β-catenin. The coexistence of PHPT and PTC highlights the necessity for thorough preoperative assessment and the ongoing need for research. While minimally invasive parathyroid surgery is favored, the risks associated with coexisting thyroid pathology should be carefully considered. Routine thyroid ultrasonography in PHPT patients is crucial to exclude nodular thyroid disease, emphasizing the role of research in guiding clinical practices. A balanced approach integrating technical advancements and thoughtful risk assessment is essential in navigating this complex clinical scenario.
{"title":"Simultaneous Papillary Thyroid Carcinoma and Primary Hyperparathyroidism: Unusual Presentation","authors":"H. Ouakrim, N. H. Aden, S. Rafi, G. E. Mghari, N. Ansari","doi":"10.36348/sjm.2024.v09i01.003","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i01.003","url":null,"abstract":"The coexistence of Primary Hyperparathyroidism (PHPT) with Papillary Thyroid Carcinoma (PTC) is a rare clinical occurrence. Thyroid pathology is reported in 20% to 84% of Primary Hyperparathyroidism (PHPT) cases, with malignancies identified in 2% to 20% of instances. We report a case of a 49-year-old woman referred for evaluation of left iliac wing and hip pain with elevated parathyroid hormone levels. Imaging revealed a toxic multinodular goiter with a parathyroid adenoma. The patient underwent total thyroidectomy with parathyroid adenoma excision. Subsequent histological examination unexpectedly identified a papillary thyroid microcarcinoma associated with the parathyroid adenoma. The association between PHPT and PTC is complex, influenced by shared embryological origins and genetic factors. Elevated PTH levels in PHPT may contribute to thyroid cell proliferation, and hypercalcemia is suggested to promote thyroid carcinogenesis. Molecular analyses suggest the involvement of pathways like MAPK and Wnt/β-catenin. The coexistence of PHPT and PTC highlights the necessity for thorough preoperative assessment and the ongoing need for research. While minimally invasive parathyroid surgery is favored, the risks associated with coexisting thyroid pathology should be carefully considered. Routine thyroid ultrasonography in PHPT patients is crucial to exclude nodular thyroid disease, emphasizing the role of research in guiding clinical practices. A balanced approach integrating technical advancements and thoughtful risk assessment is essential in navigating this complex clinical scenario.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"32 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140485455","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}
Pub Date : 2024-01-04DOI: 10.36348/sjm.2024.v09i01.002
C. M, D. S, D. I, D. A, M. S, Sissoko, M, C. A, K. B, D. M, C. Y, B. A, M. B, M. K, S. A, K. S, B. A, K. S
Summary: Human immunodeficiency virus (HIV) is an infection that attacks the body's immune system. The most advanced stage of HIV infection is acquired immunodeficiency syndrome (AIDS). HIV is spread through the body fluids of an infected person, including blood, breast milk, semen, and vaginal fluids. Observation: These were 2 patients who had been consulted for a transfusion during which routine screening was carried out. Faced with divergent results, the hypothesis of a serodiscordance was raised. Series of tests carried out came back sometimes Negative and sometimes positive. It was the result of the PCR which made it possible to conclude that it was negative for HIV infection. These results had an impact on the psychological state of donors and could contribute to raising questions on the quality, specificity and/or sensitivity of current tests? On the interaction of one or more viral markers of another unknown viral pathology? And on the other hand on a possible genetic predisposition of these blood donors? Conclusion: HIV is a preventable disease. Awareness campaigns and promotion of early detection are effective ways to reduce transmission.
{"title":"HIV Serodiscordance: Diagnosis Problem in the Douentza Heath District","authors":"C. M, D. S, D. I, D. A, M. S, Sissoko, M, C. A, K. B, D. M, C. Y, B. A, M. B, M. K, S. A, K. S, B. A, K. S","doi":"10.36348/sjm.2024.v09i01.002","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i01.002","url":null,"abstract":"Summary: Human immunodeficiency virus (HIV) is an infection that attacks the body's immune system. The most advanced stage of HIV infection is acquired immunodeficiency syndrome (AIDS). HIV is spread through the body fluids of an infected person, including blood, breast milk, semen, and vaginal fluids. Observation: These were 2 patients who had been consulted for a transfusion during which routine screening was carried out. Faced with divergent results, the hypothesis of a serodiscordance was raised. Series of tests carried out came back sometimes Negative and sometimes positive. It was the result of the PCR which made it possible to conclude that it was negative for HIV infection. These results had an impact on the psychological state of donors and could contribute to raising questions on the quality, specificity and/or sensitivity of current tests? On the interaction of one or more viral markers of another unknown viral pathology? And on the other hand on a possible genetic predisposition of these blood donors? Conclusion: HIV is a preventable disease. Awareness campaigns and promotion of early detection are effective ways to reduce transmission.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"23 1‐2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139630206","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}
Pub Date : 2024-01-02DOI: 10.36348/sjm.2024.v09i01.001
Mahtab Asif, Mah Rukh Riaz, Haniya Shadab, Haleema Khan, Ayesha khan, Ayesha Hassan, Saba Iqbal
Background & Objective: The desire for fairer skin has become a global phenomenon, with colonial remnants in South Asia being identified as contributory factors to the perception of white skin as supreme. Skin lightening products (SLPs) are commonly used to reduce melanin concentration in the skin and achieve a lighter complexion. While SLPs can be medicated for treating hyperpigmented disorders and other skin conditions, their predominant use is for brightening the skin tone. Aim: To investigate the prevalence of SLP usage among males and females in the young generation in Lahore, Pakistan, and assess their knowledge and perception of the associated risks. Additionally, the study will examine the ingredients commonly found in SLPs and their potential adverse effects. Methodology: The instrument employed for the study was self-administered Questionnaire designed by the researcher. The data collected were analyzed as descriptive and bivariate using percentages, mean and median. Result: The study found that a significant percentage of young males and females in Lahore, Pakistan, use skin-lightening products, with social media and advertisements influencing their knowledge about these products. While participants were aware of potential harm from skin-lightening creams, many could not identify the active ingredients. Study highlighted the need for more inclusive beauty standards and consumer education campaigns. The study's results contribute valuable insights into the multifaceted landscape of skin tone perceptions, skin whitening product usage, and the associated complexities. Conclusion: The findings underscore the importance of considering cultural, psychological, and health-related aspects.
{"title":"Prevalence of Skin Lightening Product Usage among the Young Generation in Lahore after Puberty: A Comprehensive Study","authors":"Mahtab Asif, Mah Rukh Riaz, Haniya Shadab, Haleema Khan, Ayesha khan, Ayesha Hassan, Saba Iqbal","doi":"10.36348/sjm.2024.v09i01.001","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i01.001","url":null,"abstract":"Background & Objective: The desire for fairer skin has become a global phenomenon, with colonial remnants in South Asia being identified as contributory factors to the perception of white skin as supreme. Skin lightening products (SLPs) are commonly used to reduce melanin concentration in the skin and achieve a lighter complexion. While SLPs can be medicated for treating hyperpigmented disorders and other skin conditions, their predominant use is for brightening the skin tone. Aim: To investigate the prevalence of SLP usage among males and females in the young generation in Lahore, Pakistan, and assess their knowledge and perception of the associated risks. Additionally, the study will examine the ingredients commonly found in SLPs and their potential adverse effects. Methodology: The instrument employed for the study was self-administered Questionnaire designed by the researcher. The data collected were analyzed as descriptive and bivariate using percentages, mean and median. Result: The study found that a significant percentage of young males and females in Lahore, Pakistan, use skin-lightening products, with social media and advertisements influencing their knowledge about these products. While participants were aware of potential harm from skin-lightening creams, many could not identify the active ingredients. Study highlighted the need for more inclusive beauty standards and consumer education campaigns. The study's results contribute valuable insights into the multifaceted landscape of skin tone perceptions, skin whitening product usage, and the associated complexities. Conclusion: The findings underscore the importance of considering cultural, psychological, and health-related aspects.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"78 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139389914","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}
Pub Date : 2023-12-18DOI: 10.36348/sjm.2023.v08i12.004
Abdulaziz Alkhaldi, Walid Altassan, Mohammed Alshanawani, E. Alsaady, Mohammad Shibly Khan
Intestinal obstruction is one of the common causes’ emergency department visits, the prompt management of which is complicated by wide array of causes. Supra-vesical hernia has been reported to be a rare surgical cause of obstruction. Early diagnosis is often difficult and therefore can it has high chances of acute & emergent presentation. Prompt recognition of symptoms and evaluation are important to prevent poor prognosis. We are presenting a case of 62-year-old, medical free, male patient presenting to emergency department with clinical picture of abdominal obstruction. Based on the clinical examination and abdominal radiography, a provisional diagnosis of small bowel obstruction was made. CT scan confirmed the diagnosis with further specifying the extent of the hernial sac reaching up to the urinary bladder. The patient was managed successfully through exploratory laparotomy with no injury to the urinary bladder.
{"title":"A Case of Bowel Obstruction Due to A Rare Supra-Vesical Hernia","authors":"Abdulaziz Alkhaldi, Walid Altassan, Mohammed Alshanawani, E. Alsaady, Mohammad Shibly Khan","doi":"10.36348/sjm.2023.v08i12.004","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i12.004","url":null,"abstract":"Intestinal obstruction is one of the common causes’ emergency department visits, the prompt management of which is complicated by wide array of causes. Supra-vesical hernia has been reported to be a rare surgical cause of obstruction. Early diagnosis is often difficult and therefore can it has high chances of acute & emergent presentation. Prompt recognition of symptoms and evaluation are important to prevent poor prognosis. We are presenting a case of 62-year-old, medical free, male patient presenting to emergency department with clinical picture of abdominal obstruction. Based on the clinical examination and abdominal radiography, a provisional diagnosis of small bowel obstruction was made. CT scan confirmed the diagnosis with further specifying the extent of the hernial sac reaching up to the urinary bladder. The patient was managed successfully through exploratory laparotomy with no injury to the urinary bladder.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"207 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139174560","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}
Pub Date : 2023-12-12DOI: 10.36348/sjm.2023.v08i12.003
Azzouzi F, Abidi K, Elqadiry R, Nassih H, Bourrahouat A, A. I
Liver illnesses that run in families might start childhood with cholestatic jaundice and proceed to severe hepatic dysfunction. Although congenital cytomegalovirus (cCMV) infection can initially affect the liver in otherwise healthy hosts, chronic hepatitis is rare. We present an infant with cholestatic jaudnice evolving since birth and dysmorphic facies revealing alagille syndrome, the biological tests is revealing a biological cholestasis and a CMV serology positive. The patient was treated for 3 months.
{"title":"Neonatal Cholestasis Revealing Congenital Cytomegalovirus Infection Combined with Alagille Syndrome","authors":"Azzouzi F, Abidi K, Elqadiry R, Nassih H, Bourrahouat A, A. I","doi":"10.36348/sjm.2023.v08i12.003","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i12.003","url":null,"abstract":"Liver illnesses that run in families might start childhood with cholestatic jaundice and proceed to severe hepatic dysfunction. Although congenital cytomegalovirus (cCMV) infection can initially affect the liver in otherwise healthy hosts, chronic hepatitis is rare. We present an infant with cholestatic jaudnice evolving since birth and dysmorphic facies revealing alagille syndrome, the biological tests is revealing a biological cholestasis and a CMV serology positive. The patient was treated for 3 months.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"234 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183118","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}
Pub Date : 2023-12-09DOI: 10.36348/sjm.2023.v08i12.002
Amal J Alfaifi, Ahmed M. Musa Alfaifi, Liaqat Ali Khan
Functional dyspepsia (FD), a commonly prevalent multifactorial disorder of gut-brain interaction (DGBI), is encountered and managed in family practice and gastroenterology clinics. The diagnosis is solely clinical based on Rome-IV criteria, excluding the organic, systemic, or metabolic causes. Management is often challenging ranging from lifestyle modifications, H-pylori eradication, H2-receptor antagonists, proton pump inhibitors, and prokinetics (1st-line) to antidepressants, and antipsychotics (2nd line) of therapy, once the patient shows no response to 1st line. In severe cases, refractory to 1st & the 2nd line of treatment needs a team approach and gut-brain behavioral therapy. Herein, we present a young female patient diagnosed with FD, managed well with 2nd-line treatment (Sulpiride), an atypical antipsychotic medication, as the patient's symptoms showed no improvement with first-line treatment.
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