Clinical Medical

Reviews and Case ReportsISSN: 2378-3656


 Open Access DOI:10.23937/2378-3656/1410340

Management of Actinic Keratoses

Lauren Schwartzberg, BS, Sonya Zarkhin, DO, Sarah Stano DO and Cindy Hoffman, DO

Article Type: Commentary | First Published: February 28, 2021

Chronic sun exposure causes the development and progression of AKs. This is due to the cumulative ultraviolet (UV) radiation from the sun which causes neoplastic effects in keratinocytes. Ultraviolet radiation exists in three wavelengths: UVA at 315-400 nm, UVB at 280-315 nm, and UVC at 100-280 nm. Generally, only UVA and UVB make it through the ozone layer. The long wavelength of UVA allows it to penetrate the skin as deep as the basal layer. This causes melanocytes within the basal layer to re...

 Open Access DOI:10.23937/2378-3656/1410339

Vancomycin Induced Thrombocytopenia from Impregnated Cement Beads

Vede Ramdass, Henry Fraimow and Kamyar Nader

Article Type: Case Report | First Published: February 25, 2021

Vancomycin is frequently used to treat Methicillin-resistant Staphylococcus aureus infections and has a rare side effect of thrombocytopenia. Currently, it is predominantly used in the intravenous form but other formulations are frequently used depending on the clinical scenario such as oral form and drug eluting beads. In this case report, we present a patient who developed persistent thrombocytopenia caused by vancomycin-impregnated cement beads. This patient had a hip replacement that was com...

 Open Access DOI:10.23937/2378-3656/1410338

MPhotoplethysmogram’s Amplitude is Well Correlated with Beat-By-Beat Changes in Arterial Blood Pressure

Gerardo Tusman, MD, Adriana Scandurra, Eng PhD, Cecilia M. Acosta, MD, Silvana Puca, MD, Jorge Martinez Arca, Eng, Matías Madorno, Eng PhD, Fernando Suarez Sipmann, PhD and Stephan H. Böhm, MD

Article Type: Original Article | First Published: February 25, 2021

To describe the association of the amplitude of the photoplethysmographic waveform (PPG) with arterial pulse pressure (PP) and surrogates of vascular tone. In 26 anesthetized patients PPG amplitude, invasive arterial blood pressure, estimated vascular compliance (Cvasc) and Doppler resistive index (RI)/mean flow velocity (Vm) were recorded during changes in arterial blood pressure. These variables were analyzed as: 1) Group-averaged analysis: 20 beats were selected at different arterial pressur...

 Open Access DOI:10.23937/2378-3656/1410337

Myoclonus-Opsoclonus-Ataxia Syndrome Secondary to Advanced HIV Infection: A Rare and Atypical Case with Management Considerations

Ashley Ryan Vidad, OMS-III, Ahjay Bhatia, OMS-III, Himadri Shah, OMS-III, Divy Mehra, OMS-III, Shrinand Shah, OMS-I and Olu Ogunjemilusi, PGY-I

Article Type: Case Report | First Published: February 17, 2021

Opsoclonus-myoclonus-ataxia syndrome (OMAS) is a rare but serious neurologic disorder that commonly presents with both spontaneous multidirectional saccades (opsoclonus) and involuntary shock-like muscular contractions (myoclonus), but may or may not present with ataxia. This disorder has an incidence of 0.18 cases per million in the total population but has a higher incidence of 0.27-0.40 per million in children due to its link to specific pathologies. OMAS is mostly idiopathic or associated wi...

Volume 8
Issue 2