Posterior Uterine Wall Rupture of an Unscarred Uterus in a Woman with History of Congenital Diaphragmatic Hernia Repair
Anna Grassi, Benjamin Scott, Dominic Cammarano, Xuezhi Jiang and Peter F Schnatz
Article Type: Case Report | First Published: September 28, 2015
A 24-year-old woman, gravida 5, para 2, with single gestation at 41 weeks and 1 day was admitted to the labor unit with regular uterine contractions. Her obstetrical history was significant for two previous uncomplicated spontaneous vaginal deliveries, one ectopic pregnancy and one missed abortion. Her medical history was unremarkable. Her surgical history was significant for a congenital diaphragmatic hernia repair as an infant and dilation and curettage for missed abortion. During an uneventfu...
The Challenge of Infections in Frail Elderly: The Story of Mr. Nilsson
Sund-Levander M and Grodzinsky E
Article Type: Case Report | First Published: September 26, 2015
Signs and symptoms of infection in Nursing Home Residents (NHR) are often atypical with a lack of specific ones, causing a delay in diagnosis and treatment. The complexity of detecting infections in NHR can be explained by difficulties in understanding and interpreting non-specific signs and symptoms and co-existing chronic diseases that blur the clinical picture. The case of Mr. Nilsson illustrates the process from the first signs and symptoms of infection to diagnosis in an elderly person with...
Breast Cancer Adjacent to Nodular Fasciitis: A Case Report
Ryuji Takahashi, Ayaka Ishii, Roka Namoto Matsubayashi, Shino Nakagawa, Momoko Akashi, Kana Tsutsui, Shino Harada, Seiya Momosaki and Yoshito Akagi
Article Type: Review Article | First Published: September 12, 2015
Nodular fasciitis is a benign proliferative lesion that is generally found in the soft tissue of the upper extremity and trunk. It has rarely been reported in the breast and that of the breast is indistinguishable from breast cancer.A 77-year-old woman visited our department to biopsy the swelled axillary lymph node. Contemporary, a breast tumor was found in her left breast. Mammography showed a high density mass with microlobulated margin. On ultrasonography, there was an irregular hypoechoic m...
Some Aspect of Clinical Assessment of Carpal Unstability and Colapsus in Untreated Rheumatoid Arthritis
Article Type: Research Article | First Published: September 08, 2015
The carpal instability is a biomechanical alteration with multiple pathogenesis. It ensues due to disturbance of the normal ligament and bone connections that control the wrist. There are four major types of carpal instability: 1 Dorsal Intercalated Segment Instability (DISI) 2.Volar Intercalated Segment Instability (VISI) 3.Ulnar translocation, and 4. Medial carpal instability. Instability in the wrist in Rheumatoid Arthritis (RA) appears as a result of incongruity between joint and bone surfac...
New Onset Nephropathy in a Patient with Psoriatic Skin and Joint Disease
Savvas Psarelis, Sophia Corsava, Kyriakos Polycarpou, Kyriakos Ioannou, Ioanna Zouvani and Elena Nikiphorou
Article Type: Case Report | First Published: September 05, 2015
We present the case of a 38-year-old male patientwho presented with new onset nephropathy on a background of psoriatic skin and joint disease. The pathogenesis and link between nephropathy with psoriatic disease is discussed, along with potential diagnostic and management challenges. This case highlights that nephropathy in psoriatic skin and joint disease can and does occur and high vigilance is necessary especially in patients taking potentially nephrotoxic drugs. The complexity of these cases...