Pulmonary vein stenosis (PVS) in preterm infants is a rare emerging complication that is associated with bronchopulmonary dysplasia (BPD) which has an unpredictable outcome. Though PVS can be associated with congenital heart defects, its concurrent occurrence in a preterm infant with partial anomalous pulmonary venous return (PAPVR) and severe BPD has not been documented yet. This case shows the potential progressive nature of PVS that might have been aggravated by the presence of two disease condition associated with it and the need for heighted vigilance when an unusual clinical trajectory is demonstrated in a high-risk preterm infant.
{"title":"Pulmonary Vein Stenosis in an Infant with Bronchopulmonary Dysplasia and Partial Anomalous Pulmonary Venous Circulation: Is This Double Trouble?","authors":"R. Lalitha, K. Norozi, S. Bhattacharya","doi":"10.26502/acmcr.96550599","DOIUrl":"https://doi.org/10.26502/acmcr.96550599","url":null,"abstract":"Pulmonary vein stenosis (PVS) in preterm infants is a rare emerging complication that is associated with bronchopulmonary dysplasia (BPD) which has an unpredictable outcome. Though PVS can be associated with congenital heart defects, its concurrent occurrence in a preterm infant with partial anomalous pulmonary venous return (PAPVR) and severe BPD has not been documented yet. This case shows the potential progressive nature of PVS that might have been aggravated by the presence of two disease condition associated with it and the need for heighted vigilance when an unusual clinical trajectory is demonstrated in a high-risk preterm infant.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344127","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}
Jessica Y C Huang, Michael Bourne, B. Rosenfeld, Federico E. Mordini, Christian D. Nagy, Andrew Chen
Ventricular septal rupture (VSR), albeit rare, is a deadly consequence of ST elevation myocardial infarction (STEMI). Our patient described here presented with both post-infarction VSR and intramyocardial dissection (IMD) of the right ventricle (RV), a subtype of left ventricular free wall rupture (LVFWR). This case highlights the importance of prompt diagnosis of these post-myocardial infarction (MI) complications and the current limitations of surgical and percutaneous repair.
{"title":"A Case of Post-Myocardial Infarction Ventricular Septal Rupture and Intramyocardial Dissection","authors":"Jessica Y C Huang, Michael Bourne, B. Rosenfeld, Federico E. Mordini, Christian D. Nagy, Andrew Chen","doi":"10.26502/acmcr.96550605","DOIUrl":"https://doi.org/10.26502/acmcr.96550605","url":null,"abstract":"Ventricular septal rupture (VSR), albeit rare, is a deadly consequence of ST elevation myocardial infarction (STEMI). Our patient described here presented with both post-infarction VSR and intramyocardial dissection (IMD) of the right ventricle (RV), a subtype of left ventricular free wall rupture (LVFWR). This case highlights the importance of prompt diagnosis of these post-myocardial infarction (MI) complications and the current limitations of surgical and percutaneous repair.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344203","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}
Sahal Darar Dirir,, A. Ahouidi, Mohamed Osman Miguil
of Clinical
的临床
{"title":"Seroprevalence of Hepatitis B Virus Infection and Associated Factors among Pregnant Women Attending Antenatal Care centers in Djbouti City, Republic of Djibouti","authors":"Sahal Darar Dirir,, A. Ahouidi, Mohamed Osman Miguil","doi":"10.26502/acmcr.96550619","DOIUrl":"https://doi.org/10.26502/acmcr.96550619","url":null,"abstract":"of Clinical","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344377","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}
We are living in a world of aging, and the elder population is increasing rapidly. According to the World Health Organization (WHO), the number of people aged 60 or older is about 1 billion in 2019. The numbers are expected to rise to 1.4 billion by 2030 and 2.1 billion by 2050 [1]. Elderlies are frail and they are prone to many diseases, including psychological disorders. Diabetes is also a global problem, and its prevalence increases after middle age [2]. To help clinical health providers to get better pictures of the frail diabetic elderly subjects holistically, many programs or models have been developed. One of the most used assessment and management tools is the integrated care for older people (ICOPE) guideline developed by the WHO [3]. ICOPE was set with person-centered goals, screening for loss in a range of domains of intrinsic capacity and assessing health and social care needs to develop a personalized care plan. The Association of Diabetes Care & Education Specialists 7 Self-Care Behaviors (ADCES7 Self-Care Behaviors®) is also a person-centered approach to diabetes by acknowledging the whole person in the context of their life and relationships which form the framework for diabetes care to deal with people with diabetes [4]. By using the ICOPE and ADCES 7 Self-Care Behaviors®, we were able to evaluate the patient rapidly and further help manages their problems. Here, we present a frail diabetic elderly subject with multimorbidity who had recent medical deterioration. This case is also a good demonstration of holistic care to minimize the disease and treatment burden in a primary care setting.
{"title":"Decrease Treatment Burden following the Application of ADCES7 and WHOICOPE in a Diabetic Frail Elderly Lady with Multimorbidity","authors":"T. Chiu, Hui-Chun Hsu, Yau-Jiunn Lee, Der-Wei Hwu","doi":"10.26502/acmcr.96550574","DOIUrl":"https://doi.org/10.26502/acmcr.96550574","url":null,"abstract":"We are living in a world of aging, and the elder population is increasing rapidly. According to the World Health Organization (WHO), the number of people aged 60 or older is about 1 billion in 2019. The numbers are expected to rise to 1.4 billion by 2030 and 2.1 billion by 2050 [1]. Elderlies are frail and they are prone to many diseases, including psychological disorders. Diabetes is also a global problem, and its prevalence increases after middle age [2]. To help clinical health providers to get better pictures of the frail diabetic elderly subjects holistically, many programs or models have been developed. One of the most used assessment and management tools is the integrated care for older people (ICOPE) guideline developed by the WHO [3]. ICOPE was set with person-centered goals, screening for loss in a range of domains of intrinsic capacity and assessing health and social care needs to develop a personalized care plan. The Association of Diabetes Care & Education Specialists 7 Self-Care Behaviors (ADCES7 Self-Care Behaviors®) is also a person-centered approach to diabetes by acknowledging the whole person in the context of their life and relationships which form the framework for diabetes care to deal with people with diabetes [4]. By using the ICOPE and ADCES 7 Self-Care Behaviors®, we were able to evaluate the patient rapidly and further help manages their problems. Here, we present a frail diabetic elderly subject with multimorbidity who had recent medical deterioration. This case is also a good demonstration of holistic care to minimize the disease and treatment burden in a primary care setting.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343882","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}
Flail anterior tricuspid valve leaflet is a rare source of primary tricuspid regurgitation. It can be challenging to manage medically in neonates and often requires surgical repair. This case describes the use of medical management of a patient with flail tricuspid valve leaflet with severe tricuspid regurgitation to avoid neonatal cardiac surgery
{"title":"Neonate with Severe Tricuspid Regurgitation and Flail Anterior Leaflet of the Tricuspid Valve","authors":"Matthew F Pizzuto, Chris S Iskander, J. Ryan Shea","doi":"10.26502/acmcr.96550634","DOIUrl":"https://doi.org/10.26502/acmcr.96550634","url":null,"abstract":"Flail anterior tricuspid valve leaflet is a rare source of primary tricuspid regurgitation. It can be challenging to manage medically in neonates and often requires surgical repair. This case describes the use of medical management of a patient with flail tricuspid valve leaflet with severe tricuspid regurgitation to avoid neonatal cardiac surgery","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135506398","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}
Juan F Rodríguez Moreno, Mario Prieto, Sara Palacios Zambrano, Miriam Dorta, Elena Sevillano, Paloma Navarro, Isabel Salas Villar, Antonio Cubillo, Jesús García Donas
The increasing adoption of next-generation sequencing (NGS) techniques in daily practice has led to the incorporation of molecular information in the diagnosis and management of cancer patients. Taking advantage of these new tools could clearly impact the outcome of cases we present the case of a 39-year-old woman who attended the emergency department for fever and dysphagia. Computed axial tomography revealed a solid lesion in the subcarinal region. Histologically, the mass showed a tumor with proliferation of spindle cells containing elongated, hyperchromatic nuclei and brownish pigment in the cytoplasm. On immunohistochemical staining, the cells were positive for S-100, SOX10, P16 and HMB 45 and negative for CKAE1/AE3 and actin. Consequently, given the location and clinical findings, the mass was tentatively diagnosed as locally advanced esophageal mucosal melanoma. Further genetic testing with an NGS panel identified EWSR1-ATF1 fusion, resulting from translocation t(12;22)(q13-14;Q12). These new data were combined with all the available information, and the patient was diagnosed with clear cell sarcoma, which was treated with radical-intent radiotherapy. The use of NGS platforms to determine the genetic profile of the tumor facilitated the correct diagnosis of this rare neoplasm with melanocytic differentiation, an entity that presents a broad differential diagnosis with other neural crest cell-derived tumors. As a result, the patient received proper treatment based in precision medicine in line with the new molecular findings described.
{"title":"Use of Next-Generation Sequencing Techniques in the Accurate Diagnosis of Neural Crest Cell-Derived Tumors","authors":"Juan F Rodríguez Moreno, Mario Prieto, Sara Palacios Zambrano, Miriam Dorta, Elena Sevillano, Paloma Navarro, Isabel Salas Villar, Antonio Cubillo, Jesús García Donas","doi":"10.26502/acmcr.96550633","DOIUrl":"https://doi.org/10.26502/acmcr.96550633","url":null,"abstract":"The increasing adoption of next-generation sequencing (NGS) techniques in daily practice has led to the incorporation of molecular information in the diagnosis and management of cancer patients. Taking advantage of these new tools could clearly impact the outcome of cases we present the case of a 39-year-old woman who attended the emergency department for fever and dysphagia. Computed axial tomography revealed a solid lesion in the subcarinal region. Histologically, the mass showed a tumor with proliferation of spindle cells containing elongated, hyperchromatic nuclei and brownish pigment in the cytoplasm. On immunohistochemical staining, the cells were positive for S-100, SOX10, P16 and HMB 45 and negative for CKAE1/AE3 and actin. Consequently, given the location and clinical findings, the mass was tentatively diagnosed as locally advanced esophageal mucosal melanoma. Further genetic testing with an NGS panel identified EWSR1-ATF1 fusion, resulting from translocation t(12;22)(q13-14;Q12). These new data were combined with all the available information, and the patient was diagnosed with clear cell sarcoma, which was treated with radical-intent radiotherapy. The use of NGS platforms to determine the genetic profile of the tumor facilitated the correct diagnosis of this rare neoplasm with melanocytic differentiation, an entity that presents a broad differential diagnosis with other neural crest cell-derived tumors. As a result, the patient received proper treatment based in precision medicine in line with the new molecular findings described.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959785","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}
Chattip Prueksapraopong, Angeline Zhou, B. Yu, Carrie Ip, Audrey Nath
{"title":"Teaching NeuroImages: Gerstmann Syndrome in a Pediatric Patient with a Dominant Parietal Pleomorphic Xanthroastrocytoma","authors":"Chattip Prueksapraopong, Angeline Zhou, B. Yu, Carrie Ip, Audrey Nath","doi":"10.26502/acmcr.96550610","DOIUrl":"https://doi.org/10.26502/acmcr.96550610","url":null,"abstract":"","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344254","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}
Introduction: The teaching of physical examination is based on medical textbooks. In the era of technology and evidence-based medicine, clinician should be able to perform and accurate physical examination. In this review, we propose a new way of doing physical examination with accuracy. Methods: We searched PubMed from 1980 to 2022. We included studies that compared physical examination with imaging, electrophysiological studies and intraoperative findings. Results: We have identified a bare minimum for head to toes examination. The content is vital signs, eyes inspection, mouth inspection, lymph nodes palpation, thyroid palpation, lungs examination (inspection, percussion and auscultation), heart examination (inspection and auscultation), abdomen (inspection and palpation), vascular examination (dorsalis pedis and posterior tibial artery palpation), neurologic examination (eyes movement, facial strength, tongue, thumb rolling test, ankle reflex, gait). Conclusions: Physical examination of human major systems can be done within 10 minutes with accuracy.
{"title":"Evidence Based Physical Medicine in Internal Medicine","authors":"Zouna Frank, Ngomba Maryl","doi":"10.26502/acmcr.96550612","DOIUrl":"https://doi.org/10.26502/acmcr.96550612","url":null,"abstract":"Introduction: The teaching of physical examination is based on medical textbooks. In the era of technology and evidence-based medicine, clinician should be able to perform and accurate physical examination. In this review, we propose a new way of doing physical examination with accuracy. Methods: We searched PubMed from 1980 to 2022. We included studies that compared physical examination with imaging, electrophysiological studies and intraoperative findings. Results: We have identified a bare minimum for head to toes examination. The content is vital signs, eyes inspection, mouth inspection, lymph nodes palpation, thyroid palpation, lungs examination (inspection, percussion and auscultation), heart examination (inspection and auscultation), abdomen (inspection and palpation), vascular examination (dorsalis pedis and posterior tibial artery palpation), neurologic examination (eyes movement, facial strength, tongue, thumb rolling test, ankle reflex, gait). Conclusions: Physical examination of human major systems can be done within 10 minutes with accuracy.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344265","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}
Endocarditis originating from a prior venous cannulation site is undescribed in the current literature. Infections of the heart pose significant morbidity and mortality to patients, therefore prompt recognition, diagnosis, and treatment are critical. Our patient underwent coronary artery bypass grafting (CABG) and developed a postoperative sternal wound infection with methicillin resistant staphylococcus aureus (MRSA). After failing nonoperative management, redo-sternotomy was performed with atrial wall debridement and patch repair. During this procedure, two unexpected small discrete abscess pockets of the right atrial epicardium were discovered. One of the abscess pockets fistulized into the right atrium and was noted to be at his prior venous cannulation site for cardiopulmonary bypass as evidenced by neighboring prolene suture. The patient had an uneventful recovery and was discharged home on postoperative day 7. Transthoracic echo was obtained 6 weeks after his second operation and did not show any recurrence of endocarditis. We present a unique case of persistent cardiac infection with a complicated course and management strategy.
{"title":"Endocarditis at Prior Venous Cannulation Site after Sternal Wound Infection: Case Report","authors":"Jared Cappelli, Amber Edwards","doi":"10.26502/acmcr.96550617","DOIUrl":"https://doi.org/10.26502/acmcr.96550617","url":null,"abstract":"Endocarditis originating from a prior venous cannulation site is undescribed in the current literature. Infections of the heart pose significant morbidity and mortality to patients, therefore prompt recognition, diagnosis, and treatment are critical. Our patient underwent coronary artery bypass grafting (CABG) and developed a postoperative sternal wound infection with methicillin resistant staphylococcus aureus (MRSA). After failing nonoperative management, redo-sternotomy was performed with atrial wall debridement and patch repair. During this procedure, two unexpected small discrete abscess pockets of the right atrial epicardium were discovered. One of the abscess pockets fistulized into the right atrium and was noted to be at his prior venous cannulation site for cardiopulmonary bypass as evidenced by neighboring prolene suture. The patient had an uneventful recovery and was discharged home on postoperative day 7. Transthoracic echo was obtained 6 weeks after his second operation and did not show any recurrence of endocarditis. We present a unique case of persistent cardiac infection with a complicated course and management strategy.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344366","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}
J. Baek, S. Lee, Seung Hyun Hwang, Taehyeon Kim, H. Ahn, Chang Hyun Nam
Introduction and Importance: High-flexion prostheses can be associated with a greater risk of early aseptic loosening of the femoral component than standard prosthesis. Case presentation: We describe two patients in whom high-flexion total knee arthroplasty (TKA) was performed using the anterior referencing (AR) method that resulted in early aseptic loosening of the downsized femoral component. Conclusion: Excessive bone resection of the posterior femoral condyle by additional downsizing of the femoral component during high-flexion TKA using the AR method could lead to early failure of the femoral component.
{"title":"Early Femoral Failure in Two Patients Undergoing Downsizing of the Femoral Component During High-Flexion Total Knee Arthroplasty","authors":"J. Baek, S. Lee, Seung Hyun Hwang, Taehyeon Kim, H. Ahn, Chang Hyun Nam","doi":"10.26502/acmcr.96550593","DOIUrl":"https://doi.org/10.26502/acmcr.96550593","url":null,"abstract":"Introduction and Importance: High-flexion prostheses can be associated with a greater risk of early aseptic loosening of the femoral component than standard prosthesis. Case presentation: We describe two patients in whom high-flexion total knee arthroplasty (TKA) was performed using the anterior referencing (AR) method that resulted in early aseptic loosening of the downsized femoral component. Conclusion: Excessive bone resection of the posterior femoral condyle by additional downsizing of the femoral component during high-flexion TKA using the AR method could lead to early failure of the femoral component.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344017","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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