Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

Current Issue

 Open Access DOI:10.23937/2378-3656/1410350

Bilateral Hydronephrosis as a Consequence of Vesicoureteral Reflux in a 6-Year-Old Male Patient

Enrique Konstat-Korzenny and Raquel Cohen-Shaooli

Article Type: Case Report | First Published: May 31, 2021

Vesicoureteral reflux (VUR) is the most common urologic pathology in the pediatric population. VUR is defined as primary when the intravesical portion of the ureters is short and produces an incompetent ureterovesical junction. Secondary VUR is caused by anatomical or functional obstruction to bladder emptying, which in turn increases the bladder internal pressure, therefore overcoming the ureterovesical junction and causing reflux. Current guidelines reflect on whether patients of a certain age...

 Open Access DOI:10.23937/2378-3656/1410349

The Effect of Remdesivir and Convalescent Plasma in Severe COVID-19 in Pregnancy

Ahmed Elantably, MD, Dina Elantably, MD and Usman Ashraf, MD

Article Type: Case Report | First Published: May 31, 2021

32-year-old female, 27-week 6-day intrauterine pregnancy as confirmed by ultrasound, hairdresser by profession presented with 5-day history of shortness of breath, persistent cough, low-grade fever. Vital signs temperature 100.2, heart rate 106, respiratory rate 20, BP 108/55, she was requiring 6 L of oxygen to maintain an oxygen saturation of 92%. On presentation, labs showed WBCs 5, neutrophil 69%, lymphocyte 13%, bands 14%. Manual differential showed absolute neutrophils 3.5, absolute lymphoc...

 Open Access DOI:10.23937/2378-3656/1410348

Postoperative Bronchospasm in a Child with Coffin-Siris Syndrome Following Administration of Sugammadex

Nurcan Kutluer Karaca and Serhat Karaca

Article Type: Case Report | First Published: May 31, 2021

A 13-year-old boy with Coffin-Siris syndrome was scheduled to undergo dental surgery for dental treatment with general anesthesia. Mental retardation, finger anomalies and coarse facies features were recorded in preoperative assessment. Propofol, Fentanyl and Rocuronium were given for anesthesia induction. Sevoflurane was used as an inhalation anesthetic drug in anesthesia maintenance. At the end of the operation, the patient was extubated using sugammadex as a neuromuscular reversal drug. After...

 Open Access DOI:10.23937/2378-3656/1410347

Tongue Abscess: Delayed Diagnosis of a Foreign Body in the Tongue

Chyau Hong Wong and Shiun Chuen Chew

Article Type: Case Report | First Published: May 31, 2021

Tongue abscess is rare but can be life-threatening especially if the cause of it is not removed promptly. It usually results from trauma, foreign body, lingual tonsils pathology, thyroglossal duct remnants or dental diseases. The etiology of the disease can be found out by obtaining a detailed history from the patient and physical examination with the assistance of lab investigation, laryngoscope, imaging tools such as Computed tomography (CT), Magnetic Resonance Imaging (MRI) and Ultrasonograph...

 Open Access DOI:10.23937/2378-3656/1410346

Cracking Crabs Leading to Vibrio Necrotizing Fasciitis in a Male with Undiagnosed Adrenal Insufficiency

Ahmad Al-Abdouh, MD, Eileen McDonnell, MD, Divya Mamootil, Anas Bizanti, MD and Ammer Bekele, MD

Article Type: Case Report | First Published: May 31, 2021

Necrotizing fasciitis caused by Vibrio vulnificus is a fatal systemic infection affecting mainly immunocompromised patients. A high index of suspicion is required to start the treatment immediately, including resuscitation, systemic antibiotics, and surgical debridement. We present a case of a 72-year-old male who presented after a syncopal episode due to hypotension. He was diagnosed with Vibrio vulnificus bacteremia and necrotizing fasciitis of the right arm. During his hospitalization, he was...

 Open Access DOI:10.23937/2378-3656/1410345

Characterization of Patients with Inguinal Hernia Ambulatory Surgical Treatment

Pedro Rolando Lòpez Rodrìguez, Olga Caridad Leòn Gonzalez, Jorge Satorre Rocha, Eduardo Castillo Garcia, Luis Marrero Quiala, M Elisa Puentes Rizo and Lais Angelica Ceruto Ortiz

Article Type: Original Article | First Published: April 30, 2021

The surgical treatment of inguinal hernia has increased in the last decade and its prevalence is not known. Objective: Characterization of patients with inguinal hernia ambulatory surgical treatment. An observational, descriptive and prospective study of 972 patients with the diagnosis of inguinal hernia was performed, which were operated on an outpatient basis in the General Teaching Hospital “Enrique Cabrera” since January 2009 to December 2020. Emergency operated patients were excluded. ...

 Open Access DOI:10.23937/2378-3656/1410344

The Rare Finding of Posteromedial Papillary Muscle Hypertrophy in Chronic Rheumatic Mitral Valve Disease

Ros Lavery, MB, BCh, BAO, MRCPI and David Kerins, FACC, FAHA, FESC, FASE

Article Type: Case Report | First Published: April 30, 2021

A scarcity of literature exists on papillary muscle hypertrophy. The reported incidence of 0.4% is based on a single study of 6731 patient echos that were reported in 1990. The importance of this condition is substantial as patients are often asymptomatic and it has been postulated as a potential cause of sudden cardiac death. A 43-year-old lady presented to our care that had an incidental finding of papillary muscle hypertrophy in the context of chronic rheumatic mitral valve disease. The clini...

Volume 8
Issue 4