Current Issue

Case Report Open Access

An Important Differential Diagnosis with Elevated D-Dimer: Acute Pulmonary Embolism or Aortic Dissection

Ekrem Sahan and Suzan Sahan
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Acute pulmonary embolism (APE) or acute aortic dissection is one of the most serious clinical presentations at emergency department. Chest pain and elevated serum D-dimer level can be found in both APE and AAD. Echocardiography can be used as first line imaging modality for differential diagnosis. Computed tomography angiography is the main diagnostic test for APE and AAD. We aimed to emphasize differential diagnosis of chest pain with this case report.

PDF   Full Text   DOI: 10.23937/2378-3656/1410216

Case Report Open Access

Silver Nitrate in the Sphenoid Sinus following Nasal Cauterization

James Jordan Johnston, Dev Tandon, Tary Yin and Paul Simcock
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: A 68-year-old female who underwent bilateral Functional Endoscopic Sinus Surgery (FESS) in 2000 for chronic rhinosinusitis, presented with a one year history of recurrent headaches. The headaches were located particularly around the eyes, occurred weekly and improved with paracetamol. She also complained of anosmia and purulent rhinorrhea bilaterally.

PDF   Full Text   DOI: 10.23937/2378-3656/1410215

Case Report Open Access

Aortic Mycotic Aneurysm - A Rare Cause, A Common Clinical Presentation

Nidia Pereira, Marta Pereira, Liliana Carneiro, Luis Miguel Afonso, Ana veloso and M Catarina Tavares
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Infected (mycotic) aneurysms (MA) are uncommon, and the aorta is the main vessel involved, with gram-positive bacteria being the most frequent causative agent. Their morbidity and mortality are important and an early diagnosis is challenging owing to their unspecified manifestations.

PDF   Full Text   DOI: 10.23937/2378-3656/1410214

Case Report Open Access

Gallbladder Volvulus: An Uncommon Phenomenon: A Case Report and Review of the Literature

Padmike Dayananda, Ramsh Dhamodaran Praba and Mohommed Rafaideen Balal
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Gallbladder volvulus (GV) is an uncommon cause for abdominal pain and occurs due to rotation of gall bladder on its mesentery along the axis of the cystic duct and the cystic artery. Although it is often misdiagnosed as acute cholecystitis (AC) before surgery, critical constellation of presenting signs and symptoms which guide the emergency physician and surgeon to accurate and timely diagnosis of GV before surgical intervention.

PDF   Full Text   DOI: 10.23937/2378-3656/1410213

Case Report Open Access

Introduction of a Glove-Finger Extraction Option for Laparoscopic Appendectomy

Padmike Dayananda, Jacinta Drew and Jacinta Cover
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: The cost of the procedure of laparoscopic appendectomy is significantly higher than that of open surgery. Costing includes instruments, duration of surgery, and the potential for requiring conversion to open. Reducing procedure costs in simple ways will better enable laparoscopic appendectomy to be cost-effective in Regional Hospitals.

PDF   Full Text   DOI: 10.23937/2378-3656/1410212

Case Report Open Access

Arrhythmogenic Right Ventricular Dysplasia with Phasic Elevation in Troponin Levels

Apinya Bharmanee, Deemah Mahadin and Harinder R Singh
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Arrhythmogenic right ventricular dysplasia (ARVD) is an inherited cardiomyopathy characterized by right ventricular structural abnormalities, dysfunction and ventricular tachycardia (VT) secondary to fibrofatty replacement of the myocardium. We report a male teenager with negative family history, presenting with sustained VT after sports practice.

PDF   Full Text   DOI: 10.23937/2378-3656/1410211

Case Report Open Access

A Case of Human Metapneumovirus Associated with Acute Haemorrhagic Oedema of Infancy

Padmike Dayananda, Sabrina Barrett and Sathiyaseelan Nair
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Acute Haemorrhagic oedema of infancy (AHOI) is a cutaneous leukocytoclastic vasculitis, clinically characterized by the acute development of peripheral oedema and targetoid purpuric lesions on the face and extremities. It is commonly associated with Pneumococcal Bacteremia, CMV infection and Rotavirus infection.

PDF   Full Text   DOI: 10.23937/2378-3656/1410210

Case Report Open Access

Pulmonary Hyalinizing Granuloma in the Differential Diagnosis of Pulmonary Carcinoma

Fatih Uzer, I. Hicran Ozbudak, omer Ozbudak and Aykut Cilli
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Pulmonary hyalinizing granuloma (PHG) which should be considered in the differential diagnosis of pulmonary nodules of unknown origin is a distinct fibrosing lesion of lung that occurs in middle-aged patients. It has been usually reported as case reports in the literature. Patients are usually symptomatic. We present the case which recognized during operation and determined rarely.

PDF   Full Text   DOI: 10.23937/2378-3656/1410209

Case Report Open Access

Sunitinib Induced Cytopenia in Metastatic RCC

Aykut Bahceci, M Metin Seker, Turgut Kacan, Nalan Akgul Babacan, Birsen Yucel and M Asım Gedikli
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Most malignant kidney tumors are renal tubular epithelium derived adenocarcinomas and referred to as renal cell carcinoma (RCC). Kidney cancer accounts for 3-4% of adult cancers and one third of the overall cases of RCC are diagnosed at the advanced stages of the disease. RCC is a chemo-radioresistant cancer. Therefore, immunomodulatory agents and tyrosine kinase inhibitors (TKI) are commonly used in the treatment of mRCC.

PDF   Full Text   DOI: 10.23937/2378-3656/1410208

Case Report Open Access

Rhino-Orbito-Cerebral Mucormycosis in Immunocompetent Young Patient: Case Report

Rabab Taha, Talal Almteri, Nizar bahabri and Hani Almoallim
Clin Med Rev Case Rep Volume 5, Issue 3

Abstract: Mucormycosis is an invasive infection in immunocompromised host. It can lead to a devastating rhino-orbital-cerebral involvement with detrimental consequences. This disease is mainly caused by member of the family Mucoraceae that include Rhizopus, Rhizomucor, Mucor and Lichtheimia (formerly Absdia). This infection classically affects immunocompromised patients. The most common site of this infection in immunocompromised patients related to the pattern of the associated disease. In patients with malignancy, the lungs are the more likely to be affected, while diabetic patients are more likely to have sino-orbital disease.

PDF   Full Text   DOI: 10.23937/2378-3656/1410207

Volume 5
Issue 3