Pub Date : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00337
H. Sarsak
This clinical report describes a comprehensive occupational therapy evaluation for a 25 year old female with major depression and suicide attempt in an inpatient psychiatric hospital. A thorough evaluation process was conducted by an interdisciplinary team including an occupational therapist. The role of occupational therapy is emphasized in terms of functional assessment and evidence-based occupational therapy interventions for patients with depression. Occupational therapy complements psychotherapy and other medical treatments and is effective in managing symptoms and enhancing cognitive functioning, social interaction skills, and ADLs functional performance for persons with depression.
{"title":"Applied occupational therapy for major depressive disorder: clinical case report","authors":"H. Sarsak","doi":"10.15406/MOJCR.2020.10.00337","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00337","url":null,"abstract":"This clinical report describes a comprehensive occupational therapy evaluation for a 25 year old female with major depression and suicide attempt in an inpatient psychiatric hospital. A thorough evaluation process was conducted by an interdisciplinary team including an occupational therapist. The role of occupational therapy is emphasized in terms of functional assessment and evidence-based occupational therapy interventions for patients with depression. Occupational therapy complements psychotherapy and other medical treatments and is effective in managing symptoms and enhancing cognitive functioning, social interaction skills, and ADLs functional performance for persons with depression.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083243","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 : 2020-01-01DOI: 10.15406/mojcr.2020.10.00342
S. Jasqui-Remba
Hepatoid adenocarcinoma is a rare neoplasm,1 named for its histopathological and immunohistochemical similarity with the hepatocellular carcinoma. The extrahepatic localization has a poor prognosis and tends to occur more frequently in the stomach. An important characteristic is the ability to produce alpha-fetoprotein, like many other pulmonary neoplasms. Its ability to respond to treatment and the possibility of recurrence is another relevant characteristic.2,3
{"title":"A rare tumor of the lung, hepatoid adenocarcinoma","authors":"S. Jasqui-Remba","doi":"10.15406/mojcr.2020.10.00342","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00342","url":null,"abstract":"Hepatoid adenocarcinoma is a rare neoplasm,1 named for its histopathological and immunohistochemical similarity with the hepatocellular carcinoma. The extrahepatic localization has a poor prognosis and tends to occur more frequently in the stomach. An important characteristic is the ability to produce alpha-fetoprotein, like many other pulmonary neoplasms. Its ability to respond to treatment and the possibility of recurrence is another relevant characteristic.2,3","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083267","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 : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00362
Abdelkader Mizouni
Spindle cell lipoma is a histologically distinct variant of lipoma characteristically arising in the subcutis of the posterior neck, upper back, or shoulder. They rarely reach a size more than 2-3cms. In this article, we describe a case of a patient with geant spindle cell lipoma localized in atypical location. A 69-year-old male patient consulted because of a soft tissue mass in the right gluteus gradually increasing in size over the past 3 years. Magnetic resonance imaging (MRI) revealed a lipomatous tumor within the right gluteal muscle. The tumor was 10cmx7cm and was excised completely at surgery. The pathological diagnosis was intramuscular spindle cell lipoma and immunohistochemical study revealed all spindle cells were strongly positive for CD34. Spindle cell lipoma (SCL) is a relatively rare adipocytic neoplasm that classically arise in the trunk, lower extremities, and distal upper extremities of older male patients. Most of them measure less than 2.5cm. The large and deep seated lipomas represent a real diagnostic and therapeutic challenge as they can be confused with a well-differentiated low grade liposarcoma or other lipomatous neoplasms.
{"title":"Geant spindel cell lipoma atypically located: a case report ","authors":"Abdelkader Mizouni","doi":"10.15406/MOJCR.2020.10.00362","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00362","url":null,"abstract":"Spindle cell lipoma is a histologically distinct variant of lipoma characteristically arising in the subcutis of the posterior neck, upper back, or shoulder. They rarely reach a size more than 2-3cms. In this article, we describe a case of a patient with geant spindle cell lipoma localized in atypical location. A 69-year-old male patient consulted because of a soft tissue mass in the right gluteus gradually increasing in size over the past 3 years. Magnetic resonance imaging (MRI) revealed a lipomatous tumor within the right gluteal muscle. The tumor was 10cmx7cm and was excised completely at surgery. The pathological diagnosis was intramuscular spindle cell lipoma and immunohistochemical study revealed all spindle cells were strongly positive for CD34. Spindle cell lipoma (SCL) is a relatively rare adipocytic neoplasm that classically arise in the trunk, lower extremities, and distal upper extremities of older male patients. Most of them measure less than 2.5cm. The large and deep seated lipomas represent a real diagnostic and therapeutic challenge as they can be confused with a well-differentiated low grade liposarcoma or other lipomatous neoplasms.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083498","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 : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00366
Bhavika Kakadia Do
Voltage gated potassium channel (VGKC) antibodies are seen in many conditions including limbic encephalitis. It typically involves medial temporal lobe, and in rare instances, bilateral cerebellar lobes. Patients can present with seizures and often with alerted mental status and hallucinations. Cerebral tuberculosis (TB)tends to prefer posterior fossa and patients typically present with headache, seizures, and confusion. However, there is no particular association between VGKC encephalitis and disseminated tuberculosis. Presence of both may limit treatment options for paraneoplastic encephalitis. We present a case of a young female with disseminated TB who was also found to have atypical radiographic presentation of TB encephalitis/meningitis and VGKC antibody concerning for paraneoplastic encephalitis. The patient received treatment with steroids and immunoglobulin therapy along with treatment for disseminated tuberculosis. Overall, treatment of paraneoplastic encephalitis is limited in the presence of disseminated TB and a multidisciplinary approach should be used and clinical improvement should be monitored.
{"title":"A rare case of cerebral tuberculosis and paraneoplastic encephalitis","authors":"Bhavika Kakadia Do","doi":"10.15406/MOJCR.2020.10.00366","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00366","url":null,"abstract":"Voltage gated potassium channel (VGKC) antibodies are seen in many conditions including limbic encephalitis. It typically involves medial temporal lobe, and in rare instances, bilateral cerebellar lobes. Patients can present with seizures and often with alerted mental status and hallucinations. Cerebral tuberculosis (TB)tends to prefer posterior fossa and patients typically present with headache, seizures, and confusion. However, there is no particular association between VGKC encephalitis and disseminated tuberculosis. Presence of both may limit treatment options for paraneoplastic encephalitis. We present a case of a young female with disseminated TB who was also found to have atypical radiographic presentation of TB encephalitis/meningitis and VGKC antibody concerning for paraneoplastic encephalitis. The patient received treatment with steroids and immunoglobulin therapy along with treatment for disseminated tuberculosis. Overall, treatment of paraneoplastic encephalitis is limited in the presence of disseminated TB and a multidisciplinary approach should be used and clinical improvement should be monitored.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083070","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 : 2020-01-01DOI: 10.15406/mojcr.2020.10.00345
Tham X Ngo
Background: We report on minimally invasive thyroidectomy (MIT) through a 2–4cm incision hypothesize similar clinical results to standard open thyroidectomy. Methods: Between January 2019 and March 2020, 61 MIT were evaluated for clinical outcomes, and patient satisfaction on a 1–10 scale. Results: The 61 study patients underwent MIT procedure. The final diagnoses were benign nodular goitre (63%), and papillary thyroid carcinoma (37%). Five patients had temporary recurrent laryngeal nerve paresis and four patients had temporary hypocalcemia. Conclusion: In selected patients, MIT through a 1,5–3cm incision assistance is a safe alternative to standard open thyroidectomy in the hands of an experienced surgeon. The clinical results are equivalent and patient satisfaction is significantly improved.
{"title":"Minimally invasivethyroidectomy: A cosmetic alternative to standard thyroidectomy","authors":"Tham X Ngo","doi":"10.15406/mojcr.2020.10.00345","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00345","url":null,"abstract":"Background: We report on minimally invasive thyroidectomy (MIT) through a 2–4cm incision hypothesize similar clinical results to standard open thyroidectomy. Methods: Between January 2019 and March 2020, 61 MIT were evaluated for clinical outcomes, and patient satisfaction on a 1–10 scale. Results: The 61 study patients underwent MIT procedure. The final diagnoses were benign nodular goitre (63%), and papillary thyroid carcinoma (37%). Five patients had temporary recurrent laryngeal nerve paresis and four patients had temporary hypocalcemia. Conclusion: In selected patients, MIT through a 1,5–3cm incision assistance is a safe alternative to standard open thyroidectomy in the hands of an experienced surgeon. The clinical results are equivalent and patient satisfaction is significantly improved.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083309","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 : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00334
Muhannad Antoun
A 60 years old man presented to hospital due to right hip and right groin pain on ambulation with difficulty flexing the right thigh into his abdomen. The patient has history of hypothyroidism; hypertension; and diabetes mellitus. One month prior to his current presentation, he complained of gastroenteritis symptoms including; cramp like abdominal pain, nausea, vomiting, diarrhea, and fever, which subsided within a few days without treatment. His stool culture was positive for salmonella Group C1 Serotype Montevideo, sensitive to Ceftriaxone, Ampicillin, Levofloxacin and Septra.
{"title":"Septic arthritis and osteomyelitis of the hip by salmonella montevideo in immunocompetent patient","authors":"Muhannad Antoun","doi":"10.15406/MOJCR.2020.10.00334","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00334","url":null,"abstract":"A 60 years old man presented to hospital due to right hip and right groin pain on ambulation with difficulty flexing the right thigh into his abdomen. The patient has history of hypothyroidism; hypertension; and diabetes mellitus. One month prior to his current presentation, he complained of gastroenteritis symptoms including; cramp like abdominal pain, nausea, vomiting, diarrhea, and fever, which subsided within a few days without treatment. His stool culture was positive for salmonella Group C1 Serotype Montevideo, sensitive to Ceftriaxone, Ampicillin, Levofloxacin and Septra.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"10 1","pages":"17-18"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67082647","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 : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00367
L. D. O. Lima
Introduction: Despite the population's greater access to imaging tests and consequent diagnosis of renal cancer in early stages, we continue to encounter neoplasms in locally advanced and metastatic stages. Case report: We report a patient admitted to the emergency department of the Hospital Geral de Fortaleza with hematuria and urinary retention. After the patient underwent computed tomography and transurethral resection, a diagnosis of renal cell carcinoma metastasis in the bladder was confirmed based on immune histo chemistry results. Discussion: Metastasis of renal cell carcinoma in the bladder is rare, with few cases reported in the literature on synchronic presentation. Final considerations: Although rare, we must consider the possibility of metastasis of renal cell carcinoma in patients who present with hematuria, especially in those previously diagnosed with renal cancer.
{"title":"Renal cell carcinoma metastasis in the bladder diagnosed based on transurethral resection after hematuria: a case report","authors":"L. D. O. Lima","doi":"10.15406/MOJCR.2020.10.00367","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00367","url":null,"abstract":"Introduction: Despite the population's greater access to imaging tests and consequent diagnosis of renal cancer in early stages, we continue to encounter neoplasms in locally advanced and metastatic stages. Case report: We report a patient admitted to the emergency department of the Hospital Geral de Fortaleza with hematuria and urinary retention. After the patient underwent computed tomography and transurethral resection, a diagnosis of renal cell carcinoma metastasis in the bladder was confirmed based on immune histo chemistry results. Discussion: Metastasis of renal cell carcinoma in the bladder is rare, with few cases reported in the literature on synchronic presentation. Final considerations: Although rare, we must consider the possibility of metastasis of renal cell carcinoma in patients who present with hematuria, especially in those previously diagnosed with renal cancer.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083079","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 : 2020-01-01DOI: 10.15406/mojcr.2020.10.00340
Aamir Jalal Al-Mosawi
Background: The vast majority of the reported cases of congenital absent radii without thumb aplasia were associated with congenital thrombocytopenia or thrombocytopenia occurring early life. The occurrence of congenital absent radii without thumb aplasia and without evidence congenital thrombocytopenia or thrombocytopenia occurring early life is extremely rare and has not been reported in Iraq. Patients and methods: An Iraqi newborn infant with congenital absent radii without evidence of congenital thrombocytopenia during the first week is presented, and the relevant literatures were reviewed with aim of describing the early documentation of the condition in the medical literature. Results: A newborn infant with congenital absence of the radii without thumb aplasia. The neonate was followed for one week without the occurrence of thrombocytopenia. The rest of physical examination was normal and no other abnormalities could be detected. The parents were consanguineous, but family history was negative for a similar condition. Conclusion: The extremely rare occurrence congenital absence of the radii without thumb aplasia without evidence of thrombocytopenia during the first week of life is reported in an Iraqi newborn.
{"title":"Congenital absent radii without thumb aplasia: the first case in Iraq and the early documentation of the condition in the literature","authors":"Aamir Jalal Al-Mosawi","doi":"10.15406/mojcr.2020.10.00340","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00340","url":null,"abstract":"Background: The vast majority of the reported cases of congenital absent radii without thumb aplasia were associated with congenital thrombocytopenia or thrombocytopenia occurring early life. The occurrence of congenital absent radii without thumb aplasia and without evidence congenital thrombocytopenia or thrombocytopenia occurring early life is extremely rare and has not been reported in Iraq. Patients and methods: An Iraqi newborn infant with congenital absent radii without evidence of congenital thrombocytopenia during the first week is presented, and the relevant literatures were reviewed with aim of describing the early documentation of the condition in the medical literature. Results: A newborn infant with congenital absence of the radii without thumb aplasia. The neonate was followed for one week without the occurrence of thrombocytopenia. The rest of physical examination was normal and no other abnormalities could be detected. The parents were consanguineous, but family history was negative for a similar condition. Conclusion: The extremely rare occurrence congenital absence of the radii without thumb aplasia without evidence of thrombocytopenia during the first week of life is reported in an Iraqi newborn.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083260","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 : 2020-01-01DOI: 10.15406/mojcr.2020.10.00356
Ilario Froehner Junior
{"title":"The baboon syndrome after cinchocaine ointment","authors":"Ilario Froehner Junior","doi":"10.15406/mojcr.2020.10.00356","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00356","url":null,"abstract":"","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"10 1","pages":"111-112"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083442","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 : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00360
L. Doya
Globally, around 5-18% of all births, or an estimated 15 million births per year, are estimated to be born preterm (before 37 weeks of gestation),1 81.1% of them are in Asian and sub-Saharan African countries, 10.6% are in North America, and 6.2% are in Europe.2 Prematurity causes more than a million newborn deaths annually.3 Preterm neonates who survive are more susceptible to develop shortterm and long-term complications. Common complications of preterm birth are respiratory distress syndrome(RDS), bronchopulmonary dysplasia, necrotis ingenterocolitis(NEC), sepsis, periventricular leucomalacia, seizures, intraventricular hemorrhage(IVH), cerebral palsy, infections, feeding difficulties, hypoxic-ischaemic encephalopathy, and visual and hearing problems.4
{"title":"The magic baby: an extremely preterm baby case from Syria","authors":"L. Doya","doi":"10.15406/MOJCR.2020.10.00360","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00360","url":null,"abstract":"Globally, around 5-18% of all births, or an estimated 15 million births per year, are estimated to be born preterm (before 37 weeks of gestation),1 81.1% of them are in Asian and sub-Saharan African countries, 10.6% are in North America, and 6.2% are in Europe.2 Prematurity causes more than a million newborn deaths annually.3 Preterm neonates who survive are more susceptible to develop shortterm and long-term complications. Common complications of preterm birth are respiratory distress syndrome(RDS), bronchopulmonary dysplasia, necrotis ingenterocolitis(NEC), sepsis, periventricular leucomalacia, seizures, intraventricular hemorrhage(IVH), cerebral palsy, infections, feeding difficulties, hypoxic-ischaemic encephalopathy, and visual and hearing problems.4","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083451","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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