Qian Huang, Tao Hu, Ying Yang, Yuying He, Yingzi Ling, Gaoyin Kong, Yi Zou
{"title":"The Effects of Remimazolam and Propofol on Hemodynamics, Bispectral Index and Postoperative Cognitive Function in Elderly Patients Undergoing Neurointerventional Operation","authors":"Qian Huang, Tao Hu, Ying Yang, Yuying He, Yingzi Ling, Gaoyin Kong, Yi Zou","doi":"10.12691/ajmcr-12-2-1","DOIUrl":"https://doi.org/10.12691/ajmcr-12-2-1","url":null,"abstract":"","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810034","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}
Areej Zakary, Mona Al Homoud, Aisha HA Hakami, Atheer Alqumairi
{"title":"Occlusal Rehabilitation Through Synergistic Utilization of Fixed Partial and Cast Partial Denture","authors":"Areej Zakary, Mona Al Homoud, Aisha HA Hakami, Atheer Alqumairi","doi":"10.12691/ajmcr-12-1-1","DOIUrl":"https://doi.org/10.12691/ajmcr-12-1-1","url":null,"abstract":"","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"52 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139594589","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":"Clinical Presentation and Successful Treatment of a Patient with Anti-SUMO-activating Enzyme Subunit 1 (SAE1) Dermatomyositis","authors":"Adrian M. Alonso, Matilda L. Culp","doi":"10.12691/ajmcr-11-11-1","DOIUrl":"https://doi.org/10.12691/ajmcr-11-11-1","url":null,"abstract":"","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"71 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135545037","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 report a case of a tracheal tube exchanger container as a bronchial foreign body in a 75-year-old woman suffered multiple injuries. She needed tracheal intubation and mechanical ventilation for repeated operations and intensive care. On day 2, she showed hypoxia. A physician on duty exchanged the tracheal tube using a tracheal tube exchanger (TTE) with containers consisting of an upper and lower potion. After exchanging the tracheal tube, the upper container remained in right bronchus. From days 3 to 9, she underwent daily chest X-ray, and multiple physicians checked the chest X-ray images each time. However, no one noticed the residual upper container in the right bronchus. She was extubated on day 8. After transportation for skin graft, she expectorated the upper container spontaneously. As a preventive measure to avoid the occurrence of iatrogenic accidents, our hospital decided to sterilize the TTE without containers.
{"title":"A Tracheal Tube Exchanger Container As a Bronchial Foreign Body","authors":"Ken-ichi Muramatsu., Youichi Yanagawa","doi":"10.12691/ajmcr-11-10-2","DOIUrl":"https://doi.org/10.12691/ajmcr-11-10-2","url":null,"abstract":"We report a case of a tracheal tube exchanger container as a bronchial foreign body in a 75-year-old woman suffered multiple injuries. She needed tracheal intubation and mechanical ventilation for repeated operations and intensive care. On day 2, she showed hypoxia. A physician on duty exchanged the tracheal tube using a tracheal tube exchanger (TTE) with containers consisting of an upper and lower potion. After exchanging the tracheal tube, the upper container remained in right bronchus. From days 3 to 9, she underwent daily chest X-ray, and multiple physicians checked the chest X-ray images each time. However, no one noticed the residual upper container in the right bronchus. She was extubated on day 8. After transportation for skin graft, she expectorated the upper container spontaneously. As a preventive measure to avoid the occurrence of iatrogenic accidents, our hospital decided to sterilize the TTE without containers.","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136014536","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}
Sara Ibrahim Soliman Mohamed, Soha Saeid Mohammed, Yasmin Hamdy Abd El Hay Dawoud
While the popularity of implant-retained overdentures has recently increased, root-retained overdentures have been predominantly disregarded. This case series presents four challenging cases restored successfully by attachment-retained complete and partial overdenture prostheses; employing an innovative intra-radicular attachment that could overcome the most common complications faced with the outdated versions. After diagnostic assessments, the OT reverse 3 attachment (OT reverse 3 overdenture post for roots, Rhein 83, Bologna. Italy) was selected fundamentally on the basis of the extremely reduced restorative space, dentures were simply constructed and fitted chairside. Patients expressed satisfaction with their prostheses regarding retention, stability, esthetics, functionality, and ease of insertion and removal; immediately after delivery and during the three-month follow-up. The attachment’s small size was found to fit perfectly the reduced space without denture over-contouring or encroachment on occlusion, and the attachment’s elastic functionality reduced the troubles faced due to the advanced ridge resorption and root’s divergence; through reducing stress transmission to abutments during the inevitable denture movements and during insertion and removal.
{"title":"Root-Retained Overdentures: Pushing the Boundaries of Clinical Practice “Four Clinical Case Reports”","authors":"Sara Ibrahim Soliman Mohamed, Soha Saeid Mohammed, Yasmin Hamdy Abd El Hay Dawoud","doi":"10.12691/ajmcr-11-9-2","DOIUrl":"https://doi.org/10.12691/ajmcr-11-9-2","url":null,"abstract":"While the popularity of implant-retained overdentures has recently increased, root-retained overdentures have been predominantly disregarded. This case series presents four challenging cases restored successfully by attachment-retained complete and partial overdenture prostheses; employing an innovative intra-radicular attachment that could overcome the most common complications faced with the outdated versions. After diagnostic assessments, the OT reverse 3 attachment (OT reverse 3 overdenture post for roots, Rhein 83, Bologna. Italy) was selected fundamentally on the basis of the extremely reduced restorative space, dentures were simply constructed and fitted chairside. Patients expressed satisfaction with their prostheses regarding retention, stability, esthetics, functionality, and ease of insertion and removal; immediately after delivery and during the three-month follow-up. The attachment’s small size was found to fit perfectly the reduced space without denture over-contouring or encroachment on occlusion, and the attachment’s elastic functionality reduced the troubles faced due to the advanced ridge resorption and root’s divergence; through reducing stress transmission to abutments during the inevitable denture movements and during insertion and removal.","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136100688","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}
Hussein Gaith, Jad Said, Antoine Egbe, Myles Hardeman, Priscella Holland
In chronic lymphocytic leukemia (CLL), hyperleukocytosis has a prevalence of 20-40%, but leukostasis is extremely rare. In this case, a 53-year-old male with no known medical history presented to the emergency department with acute bilateral hearing loss, shortness of breath, diffuse lymphadenopathy, weight loss, and an abdominal mass, and was found to have hyperleukocytosis (WBC: 1075.5 bil/L), anemia (Hb: 2.2 g/dL), and thrombocytopenia (Platelets: 33 bil/L). Flow cytometry and lymph node biopsy found chronic lymphocytic leukemia with a 13q14.3 deletion, and subsequently started on venetoclax resulting in resolution of the leukocytosis and thrombocytopenia. Persistent hearing loss led to attempting oral and intratympanic corticosteroids, which also failed to restore hearing. No lesions were found in the bilateral internal auditory canals on MRI. Unlike previous cases of hearing loss in CLL-related leukostasis, this patient's hearing loss did not resolve with CLL resolution, which suggests that increased viscosity versus other unidentified etiologies are the cause. Further studies need to be conducted in this subset of patients to better understand and combat the mechanisms behind CLL-related leukostasis hearing loss.
{"title":"Hearing Loss and CLL: a Rare Complication of Leukostasis","authors":"Hussein Gaith, Jad Said, Antoine Egbe, Myles Hardeman, Priscella Holland","doi":"10.12691/ajmcr-11-8-5","DOIUrl":"https://doi.org/10.12691/ajmcr-11-8-5","url":null,"abstract":"In chronic lymphocytic leukemia (CLL), hyperleukocytosis has a prevalence of 20-40%, but leukostasis is extremely rare. In this case, a 53-year-old male with no known medical history presented to the emergency department with acute bilateral hearing loss, shortness of breath, diffuse lymphadenopathy, weight loss, and an abdominal mass, and was found to have hyperleukocytosis (WBC: 1075.5 bil/L), anemia (Hb: 2.2 g/dL), and thrombocytopenia (Platelets: 33 bil/L). Flow cytometry and lymph node biopsy found chronic lymphocytic leukemia with a 13q14.3 deletion, and subsequently started on venetoclax resulting in resolution of the leukocytosis and thrombocytopenia. Persistent hearing loss led to attempting oral and intratympanic corticosteroids, which also failed to restore hearing. No lesions were found in the bilateral internal auditory canals on MRI. Unlike previous cases of hearing loss in CLL-related leukostasis, this patient's hearing loss did not resolve with CLL resolution, which suggests that increased viscosity versus other unidentified etiologies are the cause. Further studies need to be conducted in this subset of patients to better understand and combat the mechanisms behind CLL-related leukostasis hearing loss.","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135891161","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}
Sheen J. Arora, A. Arora, Ritu Sangwan, Shailesh Jain
Fracture of the conventional acrylic denture is one of the most common complaints of the patient. This is more evident in patients with heavy masticatory loads and those with parafunctional habits. This calls for the need for better material with good mechanical properties capable of withstanding all the functional loads effectively without fracture. A metal-based denture base due to its superior mechanical properties in this respect is a good alternative to acrylic dentures. This article discusses a case report of successful oral rehabilitation of a completely edentulous maxillary and mandibular arch in a patient with the heavy occlusal stresses. The patient had a habit of bruxism and clenching due to which he had fractured two complete dentures before. The cast metal base was fabricated first and then tried in the mouth following which other clinical procedures were performed. The patient after 1 year of follow up claimed to be extremely satisfied with the outcome of the prosthodontic treatment
{"title":"Use of Base Metal/Alloy Denture Base In Parafunctional Oral Habit – Case Report","authors":"Sheen J. Arora, A. Arora, Ritu Sangwan, Shailesh Jain","doi":"10.12691/ajmcr-11-8-4","DOIUrl":"https://doi.org/10.12691/ajmcr-11-8-4","url":null,"abstract":"Fracture of the conventional acrylic denture is one of the most common complaints of the patient. This is more evident in patients with heavy masticatory loads and those with parafunctional habits. This calls for the need for better material with good mechanical properties capable of withstanding all the functional loads effectively without fracture. A metal-based denture base due to its superior mechanical properties in this respect is a good alternative to acrylic dentures. This article discusses a case report of successful oral rehabilitation of a completely edentulous maxillary and mandibular arch in a patient with the heavy occlusal stresses. The patient had a habit of bruxism and clenching due to which he had fractured two complete dentures before. The cast metal base was fabricated first and then tried in the mouth following which other clinical procedures were performed. The patient after 1 year of follow up claimed to be extremely satisfied with the outcome of the prosthodontic treatment","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90457440","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}
Adenocarcinoma of the small intestine is one of the most uncommon gastrointestinal malignancies, comprising <5% of all GI cancers. Krukenberg tumors are also uncommon, making up only 3-5% of ovarian malignancies. We are reporting a rare case of a patient with small bowel adenocarcinoma presenting with Krukenberg metastasis. A 79-year-old female initially presented with abdominal pain and diarrhea and was found to have a long segment of irregularly thickened distal ileum suspicious for malignancy. The patient was unable to maintain consistent follow-up for almost a year after which she presented with early satiety, abdominal bloating, palpable abdominal mass and 20 lb weight loss. US and CTAP now revealed a large complex cystic mass in the pelvis with persistent bowel wall thickening and elevated CA-125 tumor marker. The site of origin could not be determined on FNA biopsy so the patient underwent surgical resection with pathology showing adenocarcinoma of the ileum with metastatic involvement of the right ovary (Krukenberg metastasis). Molecular somatic mutation testing showed microsatellite instability (MSI-High status). She completed 12 cycles of consolidative chemotherapy with FOLFOX and currently remains in remission on pembrolizumab maintenance.This case highlights the rarity of presentation, diagnostic challenges and successful treatment of patients with ileal adenocarcinoma presenting with Krukenberg metastasis.
{"title":"Ileal Adenocarcinoma Presenting with Krukenberg Metastasis to Ovaries- Description of a Rare Case with Review of Literature","authors":"Anahat Kaur MD, Bhanujit Dwivedi MBBS, Angad Singh MD, Tejasvi Dwivedi MBBS, Rubina Sharma MD, Sherrie White MD","doi":"10.12691/ajmcr-11-8-3","DOIUrl":"https://doi.org/10.12691/ajmcr-11-8-3","url":null,"abstract":"Adenocarcinoma of the small intestine is one of the most uncommon gastrointestinal malignancies, comprising <5% of all GI cancers. Krukenberg tumors are also uncommon, making up only 3-5% of ovarian malignancies. We are reporting a rare case of a patient with small bowel adenocarcinoma presenting with Krukenberg metastasis. A 79-year-old female initially presented with abdominal pain and diarrhea and was found to have a long segment of irregularly thickened distal ileum suspicious for malignancy. The patient was unable to maintain consistent follow-up for almost a year after which she presented with early satiety, abdominal bloating, palpable abdominal mass and 20 lb weight loss. US and CTAP now revealed a large complex cystic mass in the pelvis with persistent bowel wall thickening and elevated CA-125 tumor marker. The site of origin could not be determined on FNA biopsy so the patient underwent surgical resection with pathology showing adenocarcinoma of the ileum with metastatic involvement of the right ovary (Krukenberg metastasis). Molecular somatic mutation testing showed microsatellite instability (MSI-High status). She completed 12 cycles of consolidative chemotherapy with FOLFOX and currently remains in remission on pembrolizumab maintenance.This case highlights the rarity of presentation, diagnostic challenges and successful treatment of patients with ileal adenocarcinoma presenting with Krukenberg metastasis.","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79725495","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}
Antoine Egbe, C. Agyingi, H. Gaith, Khurram Arshad, A. Subahi, Shahana Ishfaque, A. Abdelrahim
{"title":"Perinephric Abscess Superimposed on a Spontaneous Perinephric Hematoma","authors":"Antoine Egbe, C. Agyingi, H. Gaith, Khurram Arshad, A. Subahi, Shahana Ishfaque, A. Abdelrahim","doi":"10.12691/ajmcr-11-8-2","DOIUrl":"https://doi.org/10.12691/ajmcr-11-8-2","url":null,"abstract":"","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78697754","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":"Evidence Based Design Guidelines for a Healthcare Environment: A Conceptual Framework","authors":"Safeer Ahmad, Tanaya Verma, Mohammad Arif Kamal","doi":"10.12691/ajmcr-11-8-1","DOIUrl":"https://doi.org/10.12691/ajmcr-11-8-1","url":null,"abstract":"","PeriodicalId":7462,"journal":{"name":"American journal of medical case reports","volume":"1120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76785658","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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