Clinical Medical

Image LibraryISSN: 2474-3682

Current Issue

 Open Access DOI:10.23937/2474-3682/1510141

Hemorrhagic Telangiectasia

Rkiouak, M Zaizae, I El Kassimi, N Sahel and Y Sekkach

Article Type: Image Article | First Published: February 13, 2020

A 45-year-old woman came to the internal Medical School A of Mohammed V Military Hospital, complaining of mild recurrent epistaxis related to telangiectasia at the nasal septum and chronic iron deficiency anemia requiring frequent blood transfusions with iron infusions. During his physical exam, we noticed telangiectasia lesions spread throughout her lower lip, tongue (Figure 1A), face, soft palate (Figure 1B) and outer ear (Figure 1C). Doing anterior rhinoscopy, we noticed hematic points on her...

 Open Access DOI:10.23937/2474-3682/1510140

Sporotrichoid Leishmaniasis

Ilyass ANOUAR, MD and Naoufal HJIRA, MD

Article Type: Image Article | First Published: October 24, 2019

A 39-year-old patient, who travels 2 years ago to a desert area in south-eastern Morocco, presented with an ulcerous and crusty plaque on his left leg. The clinical exam founds numerous, ulcerous and crusty nodules, confluent to form a plaque of about 5 cm long (Figure 1A), painless with some smaller satellite lesions (arrows) arranged on sporotrichoïd pattern (Figure 1B). Parasitological examination found numerous amastigotes within mononuclear cells and pathology shows a granulomatous infiltr...

 Open Access DOI:10.23937/2474-3682/1510129

Stages of Oral Cancers Images Associated with Tobacco and Other Social Behaviours among Patients in Banglore State, India

Prerna Thaker, Peter Asaga Mac and Ravi Rao J

Article Type: IMAGE ARTICLE | First Published: February 27, 2019

Cancer has slowly but steadily become one of the most common causes of morbidity and mortality today. World over the burden of cancer is distributed unequally between developed and developing countries with cancer types exhibiting different patterns of distribution. In India the five most frequent cancers were cancer of the lung, lip and oral cavity, other pharynx, esophagus and stomach. The incidence of oral cancer in India is about 3-7 times more common as compared to other developed nations o...

 Open Access DOI:10.23937/2474-3682/1510128

Necrotizing Nasal and Sinus Inflammation in an Adult Diabetic Patient with Ketoasidosis

Nasuhi Engin Aydin, MD, Haktan Altinova, MD

Article Type: IMAGE ARTICLE | First Published: February 27, 2019

A 58-year-old poorly controlled diabetic and hypertensive male patient with ketoasidosis was admitted to the ENT clinic due to ptosis and edema of left eyelid and facial pain of nine days. Paranasal sinus CT revealed destruction of the left maxillary, ethmoid and sphenoid sinuses. MRI also showed erosion of the lateral, medial and inferior orbital walls. Surgical debridement of the sinuses and left nasal cavity were performed following a rapid endoscopic diagnostic biopsy from the necrotic tissu...

 Open Access DOI:10.23937/2474-3682/1510127

Pulmonary Ultrasonography: Its Usefulness in Differentiating Pneumothorax vs. Bulla Pulmonar Gigante

Jose Luis do Pico and Miguel Angel Landa

Article Type: Image Article | First Published: January 30, 2019

A 66-year-old patient with air flow chronic obstructive who attends the emergency service due to aggravation of his usual restlessness and dyspnea. He recorded multiple admissions in the last year for the same reason, requiring mechanical ventilation and tracheotomy. It enters from the emergency service to the Critical Care Unit poorly perfused, lucid with restlessness, intermittent paroxysmal atrial tachycardia on the electrocardiogram. There is no air intake in both hemithorax. Non-invasive ve...

 Open Access DOI:10.23937/2474-3682/1510126

A Ghost Behind the Rectum: Extramedullary Hematopoiesis Diagnosed by Endoscopic Ultrasound Fine Needle Biopsy

Silvia Carrara, Daoud Rahal, Alessandro Fugazza, Milena Di Leo and Alessandro Repici

Article Type: Image Article | First Published: January 30, 2019

A 76-year-old woman underwent abdominal CT (Figure 1) to explore anemia and fatigue after negative results from upper and lower GI endoscopy. CT scan showed a large heterogeneous pre-sacral mass with a long axis of 60 mm. At digital rectal examination a solid mass was palpable from the posterior rectal wall. At rectal endoscopic ultrasound (EUS), the mass showed an intense hyperechoic in homogeneous echotexture, with hypovascularization and with a soft pattern at elastography (Figure 2)....

Volume 5
Issue 1