Pub Date : 2019-09-18DOI: 10.15406/mojcr.2019.09.00317
Y. Rathore
34 year old male, presented to Emergency department with abdominal pain ,multiple episodes of non bilious vomiting and fever for 1 day duration, not passed flatus and stool since 2 days , history was unremarkable with no history of any Nonsteroidal anti-inflammatory medication intake , peptic ulcer disease, any operative procedure/ endoscopic procedures in the past .No history of Tuberculosis, Trauma, any past medical illness/admission, vital data:BP:106/60 PR:110/min, Respiratory rate: 20/min ,afebrile On examination distended ,umbilicus inverted central , diffuse abdominal tenderness, guarding and rigidity present , bowel sounds were absent.
{"title":"Idiopathic pneumoperitoneum presenting as acute abdomen","authors":"Y. Rathore","doi":"10.15406/mojcr.2019.09.00317","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00317","url":null,"abstract":"34 year old male, presented to Emergency department with abdominal pain ,multiple episodes of non bilious vomiting and fever for 1 day duration, not passed flatus and stool since 2 days , history was unremarkable with no history of any Nonsteroidal anti-inflammatory medication intake , peptic ulcer disease, any operative procedure/ endoscopic procedures in the past .No history of Tuberculosis, Trauma, any past medical illness/admission, vital data:BP:106/60 PR:110/min, Respiratory rate: 20/min ,afebrile On examination distended ,umbilicus inverted central , diffuse abdominal tenderness, guarding and rigidity present , bowel sounds were absent.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47705296","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 : 2019-09-16DOI: 10.15406/mojcr.2019.09.00316
Aamir Jalal Al-Mosawi
Vogt Koyanagi Harada syndrome is a systemic autoimmune granulomatous disorder of adults that affects melanocyte-rich, pigmented tissues which contain melanin including the eye, skin, inner ear, meninges, and hair. The syndrome was first described by a Swiss ophthalmologist Alfred Vogt and was named after him and a other two Japanese ophthalmologists. The most characteristic feature of the syndrome is the bilateral ocular manifestations which include diffuse uveitis presenting with an acute or subacute onset of bilateral visual impairment with or without pain and redness.
{"title":"Pediatric unilateral Vogt Koyanagi Harada syndrome: The second case in the world","authors":"Aamir Jalal Al-Mosawi","doi":"10.15406/mojcr.2019.09.00316","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00316","url":null,"abstract":"Vogt Koyanagi Harada syndrome is a systemic autoimmune granulomatous disorder of adults that affects melanocyte-rich, pigmented tissues which contain melanin including the eye, skin, inner ear, meninges, and hair. The syndrome was first described by a Swiss ophthalmologist Alfred Vogt and was named after him and a other two Japanese ophthalmologists. The most characteristic feature of the syndrome is the bilateral ocular manifestations which include diffuse uveitis presenting with an acute or subacute onset of bilateral visual impairment with or without pain and redness.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46647968","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 : 2019-08-29DOI: 10.15406/mojcr.2019.09.00315
M. A. S. Pohan
{"title":"Pelvic reconstruction with pedicle screw-rod system following pelvic resection type I/II/III in pelvic sarcoma","authors":"M. A. S. Pohan","doi":"10.15406/mojcr.2019.09.00315","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00315","url":null,"abstract":"","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47686335","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 : 2019-08-16DOI: 10.15406/mojcr.2019.09.00314
A. Zomorrodi
A 40 years’ man with a history of nephrolithiasis referred for LUTS and bladder stone in evaluation of bladder stone it was discovered that there is a. stent in urinary system of left kidney (Figure 1). The patient was candidate for ESWL after once time ESWL he was carried out for cystoscopy to removing stent and remained of bladder stone. In cystoscopy with covering of antibiotic nelatone of ureter easily removed which was intact (Figure 2) and also the remained of bladder stone.
{"title":"A 5 years missed Nelatone tube as a stent ureter which has been inserted post peylonephertomy","authors":"A. Zomorrodi","doi":"10.15406/mojcr.2019.09.00314","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00314","url":null,"abstract":"A 40 years’ man with a history of nephrolithiasis referred for LUTS and bladder stone in evaluation of bladder stone it was discovered that there is a. stent in urinary system of left kidney (Figure 1). The patient was candidate for ESWL after once time ESWL he was carried out for cystoscopy to removing stent and remained of bladder stone. In cystoscopy with covering of antibiotic nelatone of ureter easily removed which was intact (Figure 2) and also the remained of bladder stone.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42592235","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 : 2019-08-13DOI: 10.15406/mojcr.2019.09.00313
Vidhyachandra Gandhi
A 55 years non-alcoholic gentleman was admitted through emergency medical services with sudden severe upper abdominal pain in the epigastrium with radiation to back. The pain in the upper abdomen was associated with recurrent bouts of bilious vomiting. He denied history for any other gastrointestinal symptoms. He is a known diabetic since last 3 years requiring insulin and oral hypoglycaemic agents. He has had similar episode of pain six months ago which was managed conservatively elsewhere. He was clinically stable with tenderness in the epigastrium.
{"title":"Abdominal pain, diabetes mellitus and an absent piece of pancreas","authors":"Vidhyachandra Gandhi","doi":"10.15406/mojcr.2019.09.00313","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00313","url":null,"abstract":"A 55 years non-alcoholic gentleman was admitted through emergency medical services with sudden severe upper abdominal pain in the epigastrium with radiation to back. The pain in the upper abdomen was associated with recurrent bouts of bilious vomiting. He denied history for any other gastrointestinal symptoms. He is a known diabetic since last 3 years requiring insulin and oral hypoglycaemic agents. He has had similar episode of pain six months ago which was managed conservatively elsewhere. He was clinically stable with tenderness in the epigastrium.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44648919","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 : 2019-07-29DOI: 10.15406/mojcr.2019.09.00310
Praveen Nagula
Holt-Oram syndrome is a rare heterogeneous genetic disorder with autosomal dominant inheritance, seen in 1 in 100,000 live births.1 Despite genetic heterogeneity, the most frequent mutation is seen in TBX5 gene located on chromosome 12q24.1.2 It is characterized by abnormalities of a radial array and congenital cardiac defects, most commonly atrial septal and ventricular septal defects, hence quoted as atriodigital dysplasia.3 Conduction disturbances are seen in one-third of individuals and may present even in the absence of structural heart disease.4
{"title":"Familial heart hand syndrome - A rare case report","authors":"Praveen Nagula","doi":"10.15406/mojcr.2019.09.00310","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00310","url":null,"abstract":"Holt-Oram syndrome is a rare heterogeneous genetic disorder with autosomal dominant inheritance, seen in 1 in 100,000 live births.1 Despite genetic heterogeneity, the most frequent mutation is seen in TBX5 gene located on chromosome 12q24.1.2 It is characterized by abnormalities of a radial array and congenital cardiac defects, most commonly atrial septal and ventricular septal defects, hence quoted as atriodigital dysplasia.3 Conduction disturbances are seen in one-third of individuals and may present even in the absence of structural heart disease.4","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43869832","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 : 2019-07-26DOI: 10.15406/mojcr.2019.09.00309
Ayham Alzahran
The patient’s labs level was within normal except for CRP was elevated. By three separated measurement (one hour between each), water deprivation test revealed increased serum osmolality, increased serum Na+ and decreased urine osmolality. Hormonal Laboratory tests showed decreased FT4 and Testosterone. Magnet Resonance Imaging of pituitary gland was normal and no abnormality was detected (Figure1). Chest X-ray showed diffuse interstitial reticular densities in both pulmonary fields (Figure 2). X-ray of pelvis and legs showed lytic lesions.
{"title":"Multi-System Langerhans cell histiocytosis: Rare case report from Syria","authors":" Ayham Alzahran","doi":"10.15406/mojcr.2019.09.00309","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00309","url":null,"abstract":"The patient’s labs level was within normal except for CRP was elevated. By three separated measurement (one hour between each), water deprivation test revealed increased serum osmolality, increased serum Na+ and decreased urine osmolality. Hormonal Laboratory tests showed decreased FT4 and Testosterone. Magnet Resonance Imaging of pituitary gland was normal and no abnormality was detected (Figure1). Chest X-ray showed diffuse interstitial reticular densities in both pulmonary fields (Figure 2). X-ray of pelvis and legs showed lytic lesions.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43859907","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 : 2019-07-10DOI: 10.15406/mojcr.2019.09.00308
Marco Shaker
A 83 years old woman with past medical history of coronary artery disease, had four stents nine years ago, colon cancer, finished the chemotherapy course and resection fourteen years ago, iron deficiency anemia, diverticulosis of large intestine, fibromyalgia, osteopenia, presented with an episode of syncope. Patient stated she has been in her usual health when she woke up that morning. Patient took her medications which were amlodipine 10mg daily, Aspirin 81mg daily, HCTZ 25mg Daily, Metoprolol succinate 50 daily, Rosuvastatin 20mg Daily, then was doing her daily activities when she felt weak and nauseated then went to her bed and fell next to it. Syncope was witnessed by daughter who stated that patient lost consciousness for about three minutes, covered in cold sweat, no shaking, no bladder or bowel incontinence were noted. Patient did not remember any of these events. Patient’s vitals were within normal limits except the heart rate was 50bpm. Basal metabolic panel and complete blood count were normal. Troponin was negative. EKG (Figure 1) demonstrated HR of 50bpm.
{"title":"A case of rate dependent bundle branch block presented with atypical course of the disease","authors":"Marco Shaker","doi":"10.15406/mojcr.2019.09.00308","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00308","url":null,"abstract":"A 83 years old woman with past medical history of coronary artery disease, had four stents nine years ago, colon cancer, finished the chemotherapy course and resection fourteen years ago, iron deficiency anemia, diverticulosis of large intestine, fibromyalgia, osteopenia, presented with an episode of syncope. Patient stated she has been in her usual health when she woke up that morning. Patient took her medications which were amlodipine 10mg daily, Aspirin 81mg daily, HCTZ 25mg Daily, Metoprolol succinate 50 daily, Rosuvastatin 20mg Daily, then was doing her daily activities when she felt weak and nauseated then went to her bed and fell next to it. Syncope was witnessed by daughter who stated that patient lost consciousness for about three minutes, covered in cold sweat, no shaking, no bladder or bowel incontinence were noted. Patient did not remember any of these events. Patient’s vitals were within normal limits except the heart rate was 50bpm. Basal metabolic panel and complete blood count were normal. Troponin was negative. EKG (Figure 1) demonstrated HR of 50bpm.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43201910","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 : 2019-06-18DOI: 10.15406/mojcr.2019.09.00306
Tony L. Brown
{"title":"Unraveling a systemic lupus erythematous diagnosis","authors":"Tony L. Brown","doi":"10.15406/mojcr.2019.09.00306","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00306","url":null,"abstract":"","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47225438","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 : 2019-06-18DOI: 10.15406/mojcr.2019.09.00307
Stavros I Daliakopoulos
The posterior mediastinum presents a tendency to develop metastatic tumours especially gonadic ones, because of the lymphatic drainage of the testes and the thoracic aorta in the posterior mediastinal, whereas anterior mediastinal space characterized by tumour growth of primary aetiology.1 The regions of the rare presence of primary seminoma is the pineal body, the mediastinum and the retroperitoneum. The mediastinal region is the most common site of seminoma. The latter is in the anterior mediastinum, involves predominantly young males and corresponds to 25-30% of malignant mediastinal germ cell tumours.2–6 The thymus gland is often the primary hosts of mediastinal seminoma.7,8 Even if there are supporters of thymic genetic origin of the primary seminoma, the latest theory professes ectopic seminoma of a tumour originating in the gonads.9
{"title":"Primary malignant Germ-Cell tumors of the anterior mediastinum in adults. Report of two rare cases and review of the literature","authors":"Stavros I Daliakopoulos","doi":"10.15406/mojcr.2019.09.00307","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00307","url":null,"abstract":"The posterior mediastinum presents a tendency to develop metastatic tumours especially gonadic ones, because of the lymphatic drainage of the testes and the thoracic aorta in the posterior mediastinal, whereas anterior mediastinal space characterized by tumour growth of primary aetiology.1 The regions of the rare presence of primary seminoma is the pineal body, the mediastinum and the retroperitoneum. The mediastinal region is the most common site of seminoma. The latter is in the anterior mediastinum, involves predominantly young males and corresponds to 25-30% of malignant mediastinal germ cell tumours.2–6 The thymus gland is often the primary hosts of mediastinal seminoma.7,8 Even if there are supporters of thymic genetic origin of the primary seminoma, the latest theory professes ectopic seminoma of a tumour originating in the gonads.9","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45731760","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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