Open Access DOI:10.23937/2378-3656/1410382
Trendelenburg Gait Improved by Trigger Point and Scar Tissue Lidocaine Injections: A Case Report
Alexander King, DO, Rosie Wenrich, BS, Rachel Patel, BS and Joseph LaFontaine, BS
Article Type: Case Report | First Published: January 31, 2022
This case report describes a 74-year-old Caucasian female patient who presented with bilateral gluteus muscle trigger point pain, decreased gluteus medius strength, a substantial transverse abdominal scar, and a history of knee replacement culminating in a Trendelenburg gait and chronic pain. Treatment of the patients’ symptoms with lidocaine solution injections, known as neural therapy, into the bilateral gluteus muscle trigger points and along scar tissue facial planes yielded markedly impro...
Open Access DOI:10.23937/2378-3656/1410381
Regression of Diabetic Macular Edema by Remission of Type 2 Diabetes with Plant-Based Diet: A Case Report and Review
Gunadhar Panigrahi, MD, FACC, FACP, DipABLM
Article Type: Case Report and Literature Review | First Published: January 31, 2022
Diabetic retinopathy (DR) is one of the major neurovascular complications of diabetes and is a leading cause of blindness in adults of working age group, 20- 74 years. From 1990-2010, DR ranked as the fifth most common cause of preventable blindness and fifth most common cause of moderate to severe visual impairment. In 2018, the estimated prevalence of diabetes among adults in the United States was 10.2% (26.8 million cases). In 2019, the disease was responsible for 4.2 million deaths worldwide...
Open Access DOI:10.23937/2378-3656/1410380
Huge Peri Renal Extra Adrenal Myelolipoma
M Souissi, A Ben Fatma, Y Lahouel, C Kerkeni and S Jerbi
Article Type: Case Report | First Published: January 30, 2022
Extra-adrenal myelolipomas are a group of mesenchymal tumors which consist of a mixture of mature adipose tissue with hematopoietic cells. This intriguing tumor most commonly occurs within the adrenal gland; however, it has been occasionally found within the pelvis, thorax, retroperitoneal space, and various other sites throughout the body. The physiopathology is not yet clearly explained, Amin, et al. suggest that there may be a relationship between the re-activation of primitive peritoneal foc...
Open Access DOI:10.23937/2378-3656/1410379
Integrated Management Strategies (Diagnosis, Treatment, and Wound Care Management) for Improved Clinical Outcomes of Buruli Ulcer in Ghana: A Retrospective Case Report in the Ga West Municipal Hospital, Amasaman
Gideon Atinga Akolgo, Anthony Ablordey, Janet Pereko, Joseph Tuffour, Nana Konama Kotey, Albert Paintsil, Gladys Adwapa, Akosua Agyapomaa Croffie, Samuel Kwarteng Donkoh and Richard Amewu
Article Type: Case Report | First Published: January 30, 2022
Buruli ulcer is a necrotizing skin infection caused by Mycobacterium ulcerans. BU lesions may start with characteristic painlessness but most often, the typical presentations of the disease are characterized by large ulcers with undermined edges. If left untreated, BU lesions may result in extensive ulceration that can cover 15% of the body. Even though public sensitization and education have resulted in sufficient and improved knowledge about the etiology of the disease in Ghana, patients still...
Open Access DOI:10.23937/2469-5866/1410040
Case Series: Chronic Pediatric Ischemic Stroke in Childs Successfully Treated with IAHF Procedure
Terawan A Putranto, Taruna Ikrar, Ardianto Pramono, Samuel Tandionugroho, Rachmanto HSA
Article Type: Case Report | First Published: December 17, 2021
Occlusion or rupture of cerebral blood vessel can cause a stroke. It can occur either on a child and adult even it unusual in children. Stroke in pediatric population is rare but it carries often long-term disability and mortality. We present two cases of pediatric stroke with metabolic disease as underlying disease. One of them admitted with weakness and clumsiness persisted of right hand and leg. The other one admitted with weakness in the left hand and leg. Both showed motor improvement and p...
Open Access DOI:10.23937/2377-9004/1410217
Microglandular Hyperplasia of the Cervix- A Diagnostic Challenge
Sara Maria Bernardes da Cunha, Ana Marta Pinto, Sofia Raposo, Maria do Carmo Cruz, Rita Sousa, Luís Sá and Amália Pacheco
Article Type: Case Report | First Published: January 22, 2022
Microglandular hyperplasia was described for the first time in 1968 and referred to a benign lesion of the cervix, which mimics adenocarcinoma. The reported incidence is about 15%, leading to insufficient experience in pathological identification. The association with hormonal exposition has been assumed. However, it is not consensual. We report a clinical case of a 22-years-old women manifesting otorrhagia. In the physical assessment, a suspicious exophytic bulky lesion was observed. The macros...
Open Access DOI:10.23937/2643-4474/1710095
Malignant Transformation of a Peripheral Nerve Sheath Tumour in Neurofibromatosis Type 2
Ali A, Parry A, Halliday D, Pretorius PM and Halliday J
Article Type: Case Report | First Published: January 22, 2022
To report a rare case of malignant transformation of a peripheral nerve sheath tumour (MPNST) with associated metastasis in a patient with Neurofibromatosis 2 (NF2). NF2 is a hereditary disorder which presents with both central and peripheral nervous system tumours; caused by defects in the long arm of chromosome 22. The prevalence of NF2 is 1 in 50,000. NF2 is not a recognised risk factor for malignant transformation of schwannomas and this in this group is rarely seen, despite their high burde...
Open Access DOI:10.23937/2572-3278/1510056
Evaluation of Vitamin D3 Content in Selected Dried, Canned and Smoked Fish
Sahar M Kamel, Hajer A Alboudrees and Hala H Alotaibi
Article Type: Original Article | First Published: January 22, 2022
The aim of the current study was to shed light on vitamin D3 content in some fishery products that may help the consumers to meet their requirement of vitamin D. The selected products included dried shrimp and fish (sardines and mackerel), canned tuna, sardines, salmon, anchovies and smoked salmon and herring. Vitamin D3, moisture, fat content, antioxidant activity and pH values were estimated for these products, and the percent daily value of vitamin D was calculated. The results revealed that ...
Open Access DOI:10.23937/2572-3243.1510108
Variations in Chronic Pain Intensity and Physical Function by Age and Sex for Patients with Knee Osteoarthritis
Ezinne Ekediegwu, E.N.D Ekechukwu and Adesola Odole
Article Type: Original Research | First Published: January 24, 2022
Treatment-seeking behaviour, evaluation and management approach, as well as responsiveness to management by individuals with knee osteoarthritis (OA) could be hampered by variations of common confounding (constant) factors of knee OA; age and sex. Studies that integrate age and sex variations in clinical factors such as pain intensity and physical function are limited. The aim of this study was to determine age and sex variations in pain intensity and physical function among individuals with kne...
Open Access DOI:10.23937/2378-3397/1410136
Whole-Body Computed Tomography for Polytrauma Patients in the Emergency Department: Recommended or Unnecessary Radiation
Akram Bolbol, Abdulhakam Ahmed, Osman EA Suliman and Abdullah Al-mater Abduraboh
Article Type: Research Article | First Published: January 24, 2022
Whole-body computed tomography (WBCT) is one of the standard non-invasive tests for trauma patients, to avoid the overuse of the WBCT and unnecessary radiation to the patients, a combination of evidence-based indications, approved guidelines and the clinical decision should be used. This study was done to emphasize on limitation of unnecessary WBCT following international or local criteria along with clinical assessment and decision without compromising the patient’s safety. This study was per...