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Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

Early Online

 Open Access DOI:10.23937/2378-3656/1410455

Management and Prognosis of Moderate Aortic Stenosis: When to Intervene?

Saulan Reyes, MD, Nicolás Veas, MD, Rodrigo Muñoz, MD, Martín Valdebenito, MD, Arturo Giacaman, MD, Dante Lindefjeld, MD and Pedro Llerena, MD

Article Type: Review Article | First Published: 2024/07/31

Moderate aortic stenosis (AS) presents challenges in its management and prognosis. Its diagnosis is based on hemodynamic parameters, but discordance in severity may require additional tests such as stress echocardiography or calcium scoring by computed tomography. Cardiac magnetic resonance imaging (MRI) is useful for evaluating myocardial fibrosis, which is important in prognosis. Other echocardiographic markers, such as Global Longitudinal Strain (GLS) and diastolic dysfunction, also have prog...

 Open Access DOI:10.23937/2378-3656/1410454

Sew What? Navigating the Intricacies of a Needle in the Eye

Daniel Magee, David Jamison, Hoà Đỗ, Hong Van Ngo, Lam Vinh Tran, Song Tuan Vu, Tay Van Tran, Tam Minh Nguyen, Huy Ngoc Tran, Truong Minh Le, Phuc Hoang Nguyen, Nhut Hong Vo, Bich Anh Tran, Khiem Thien Tran and Thiện Hoàng

Article Type: Case Report | First Published: 2024/07/31

A female in her 20s presents to the emergency eye clinic with a painful, red right eye (OD) with visual loss down to light perception following non-accidental penetrating trauma of an iron sewing needle two weeks prior to presentation. This is thought to be as a result of auditory hallucinations possibly from undiagnosed schizophrenia for a large proportion of her life. After extensive investigations, it was found that she had exogenous endophthalmitis from the foreign body which was treated wit...

 Open Access DOI:10.23937/2378-3656/1410453

Mesenteric Cyst Manifested as Partial Intestinal Obstruction

Said Abdulrahman Salim Mzee, Mohammed M.M Ali, Cosmos Mutisya, Zakari Shaibu, MD, PhD, Arnold Kiptoo Mutai, Swalah Suleiman Salim Al-Busaidy and Isah Adamu Danbala, MD, PhD

Article Type: Case Report | First Published: 2024/06/30

Mesenteric cysts are rare abdominal masses that can present with varied clinical manifestations, including partial intestinal obstruction. We present a case of a 17-year-old boy with no significant medical history who exhibited chronic abdominal pain, fluctuant abdominal swelling, constipation, loss of appetite, and bilious projectile vomiting. Previous history of blunt trauma to the hypogastric region at age 10 was noted. Laboratory investigations showed elevated white blood cell count, neutrop...

 Open Access DOI:10.23937/2378-3656/1410452

Successful Use of Naloxone to Reverse Opioid-Induced Atrial Fibrillation

Amandeep Singh, MD

Article Type: Case Report | First Published: 2024/06/30

A 25-year-old male presented to the Emergency Department in atrial fibrillation with a rapid ventricular response in the setting of acute heroin intoxication. A single IV does of naloxone 0.4 mg immediately converted the patient to a sinus rhythm after three doses of metoprolol failed to slow the patient’s heart rate. Given the safety profile of naloxone, this therapy can be considered in carefully selected cases of acute heroin intoxication complicated by acute atrial fibrillation with ra...

 Open Access DOI:10.23937/2378-3656/1410450

Water Intoxication and Hyponatremia due Religious Ritual "Ruqayyah": Case Report

Ibtihal Alsahabi, Rizq Badawi, Yusra Aldughaishem and Moosa Khalifah

Article Type: Case Report | First Published: 2024/05/20

This paper discusses a patient who developed severe acute hyponatremia due to consuming an excessive amount of water (19 liters) over 4 hours during a religious ritual called "Ruqayyah." Understanding this case can contribute to raising awareness and preventing similar occurrences in the future....

Volume 11
Issue 5