Open Access DOI:10.23937/2378-3516/1410145
The Potential Role of Inhaled Nitric Oxide in Managing COVID-19 Associated Lung Complications Review of Literature
Dunia Alhareth, MD and Sanaa Badour, MD, MSc
Article Type: Review Article | First Published: October 09, 2020
The outbreak of novel coronavirus disease 2019 (COVID-19) in the city of Wuhan, Hubei Province, China, was declared a pandemic by the World Health Organization (WHO) on March 21, 2020. As of June 16, 2020, the World Health Organization (WHO) has reported near eight million cases and half a million deaths worldwide. The majority of cases have spontaneously resolved. However, some have developed various fatal complications including organ failure, septic shock, pulmonary edema, severe pneumonia, a...
Open Access DOI:10.23937/2378-3516/1410144
Validity and Reliability of Greek Version of Functional Outcomes of Sleep Questionnaire (FOSQ), Comparison of FOSQ with Questionnaires Measuring Sleepiness, Anxiety and Health Status
Maria Saroglou, Paschalis Steiropoulos, Theodora Drakou, Michalis Agrafiotis, Efi Vlachogianni and Stavros Tryfon
Article Type: Research Article | First Published: October 08, 2020
We developed the Greek version of the Functional Outcomes of Sleep Questionnaire (G-FOSQ) and investigated its reliability and validity in Obstructive Sleep Apnea Syndrome (OSAS) patients. This is a prospective study, included all 311 consecutive adults, who visited sleep laboratory of a tertiary hospital for evaluation of suspected OSAS in a year period. Participants underwent standard polysomnography study and completed a battery of questionnaires including the Epworth Sleepiness Scale (ESS), ...
Open Access DOI:10.23937/2378-3516/1410143
A Simplified Approach to Covid-19 Disease in Adult Patients for General Practitioners
Ehsan Yahia Sabry
Article Type: Review Article | First Published: October 08, 2020
The pandemic of coronavirus disease 2019 (COVID-19) caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) presents a challenge to all doctors worldwide for detection of disease, differentiating it from those with similar presenting symptoms. The initial evaluation of the patient with suspected Covid-19 disease is usually performed by general practitioners; who, unfortunately; as their knowledge about the on growing changing faces of this pandemic disease presenting sym...
Open Access DOI:10.23937/2469-5769/1510069
Highly Sensitive Cardiac Troponin T as a Biomarker of Myocardial Injury in Acyanotic Congenital Heart Disease
Rishika Das, RN Mandal, Anurag Agarwal, Sumod Kurian and Bhawna Mahajan
Article Type: Original Article | First Published: October 14, 2020
An observational cross sectional study was conducted at a tertiary care center over a period of one year (April 2017 to March 2018). Stable children with ACHD aged between 6 months to 5 years were selected as cases and age matched children without ACHD as controls. Echocardiography was done in all the patients with clinical findings of ACHD. A total of 83 children (55 cases and 28 controls) were enrolled. The severity of the ACHD was determined by the defect size and the pressure gradient across...
Open Access DOI:10.23937/2378-346X/1410119
Atypical Bilateral Peripheral Drusen in a Forty-Year-Old Man: Case Report and Review of Literature
Ejike Egbu, Chidi Ihemedu, Ugochukwu Rex Eze and Johnpaul Okolo
Article Type: Case Report | First Published: September 30, 2020
Drusen are pathognomonic of some ocular pathologies such as age-related macular degeneration (AMD), familial dominant drusen, best macular dystrophy (BMD) and optic nerve drusen. The presence of drusen in the peripheral retina may be an early sign of AMD. This article reports a rare case of peripheral retinal drusen occurring in a similar pattern in both eyes of a forty-year-old man with unaided visual acuity of 6/4 in each eye. Optical coherence tomography findings showed bumps between the reti...
Open Access DOI:10.23937/2643-4466/1710029
Atypical Presentation of Delayed Onset Malignant Hyperthermia: Internist Needs to Be Aware Of
Mina A Gaballa, DO, Mohammed Z Shariff, MD and Mohammad A Hossain, MD
Article Type: Case Report | First Published: October 03, 2020
Malignant hyperthermia (MH) is a rare but potentially life threatening drug related reaction predisposed by genetic factors. Although most cases develop within the intraoperative setting, less commonly, delayed onset presentations have also been reported. With variability in symptoms and time of onset, definitive diagnosis of MH is challenging. Herein, we report a case of a 73-year-old man presented with severe oliguria in the setting of recent surgical procedure. He was found to have acute kidn...
Open Access DOI:10.23937/2378-3656/1410323
Knowing When Not to Operate: Extravasation-Induced Necrosis in the Neonate
Maxim Geeroms, MD, Fabrice Rogge, MD, Rani Kronenberger, Bob De Frene, MD, Daan De Cock, MD, Luc Cornette, MD and Bob Casaer, MD
Article Type: Case Report | First Published: October 09, 2020
Extravasation of infusion fluids is a frequent complication in the neonatal patient population. The authors report the case of a newborn infant who had a necrotic soft tissue lesion due to extravasation in the lower arm, and discuss the therapeutic options from a surgical point of view. Extravasation is the accidental leakage of infusion fluids in the subcutaneous tissues. Intravenous therapy can be required for a long period of time in premature infants and the intravenous access is hard to ach...
Open Access DOI:10.23937/2474-3682/1510157
Clinical Image: Porcelain Gallbladder
Nada Mustafa, MD and Shinil K Shah, DO
Article Type: Image Article | First Published: October 10, 2020
A 68-year-old man with a known history of cholelithiasis presented with worsening epigastric and right upper quadrant discomfort. He was afebrile, with mild leukocytosis (13.3 K/CMM) and normal liver function tests. Ultrasound and CT (abdomen/pelvis) showed cholelithiasis with gallbladder wall calcifications, arrow indicates calcifications) and an incidental 7 cm right renal mass. Patient underwent laparoscopic cholecystectomy in conjunction with laparoscopic radical nephrectomy. Intraoperative ...
Open Access DOI:10.23937/2474-3682/1510156
Clinical Image: Gallstone Ileus
Nada Mustafa, MD and Shinil K Shah, DO
Article Type: Image Article | First Published: October 10, 2020
A 90-year-old lady with dementia, coronary artery disease, and hypertension and no prior abdominal surgeries presented with three days of nausea/vomiting. She had normal vitals and generalized abdominal tenA 90-year-old lady with dementia, coronary artery disease, and hypertension and no prior abdominal surgeries presented with three days of nausea/vomiting. She had normal vitals and generalized abdominal tenA 90-year-old lady with dementia, coronary artery disease, and hypertension and no prior...