Open Access DOI:10.23937/2474-3682/1510155
Complications of Infective Endocarditis: Septic Emboli Induced Cavitary Lung Disease
Nathaniel Rosal, DO, Shafaq Tariq, MD and John C Madara, MD
Article Type: Image Article | First Published: October 09, 2020
A 29-year-old female with an extensive history of polysubstance abuse presented to an outside hospital for symptoms of myalgias, malaise, and a dry cough for one week in duration. Additional imaging was obtained, most notable for multiple cavitary lung lesions, a possible bronchopleural fistula, and tricuspid valve vegetation. The patient was transferred to our institution for consideration for cardiothoracic surgical intervention. Upon arrival, the patient was found to be hypoxic with an oxygen...
Open Access DOI:10.23937/2643-3885/1710049
Short Term Results of the Cadence Total Ankle Prosthesis: A Dutch Non-Designer Case Series
Brylka EP, MD, Sierevelt IN, MSc, Vergroesen DA, MD and Nolte, PA, MD, PhD
Article Type: Case Series | First Published: September 30, 2020
Design developments improved outcomes of total ankle replacement (TAR), but the ankle remains difficult to replace with prosthesis. The aim of this study is to evaluate short-term results of the Cadence Total Ankle System. Eleven TARs were retrospectively evaluated for intraoperative complications, short-term postoperative complications, clinical outcomes and radiological outcomes. Nine intraoperative complications occurred in 7 patients and eight short-term post-operative complications occurre...
Open Access DOI:10.23937/2690-3172/1710008
Mood Induction Can Enhance Cognitive Remediation in Depression
Meenakshi Banerjee and Keshav Kumar
Article Type: Case Report | First Published: October 01, 2020
Individuals suffering from Major Depressive Disorder (MDD) and those who are vulnerable to depression show biases in attention, memory, and interpretation. These individuals are likely to focus attention on and also tend to remember mood-congruent information. They are also likely to interpret uncertain scenarios in a negative manner. On the whole, these biases are known to affect their ability to interpret an emotional situation predominantly in a negative manner, which later develops into an e...
Open Access DOI:10.23937/2377-9004/1410175
Value of Minimally Invasive Gynecologic Surgeon in Surgical Management of Endometriosis
Natasha Gupta, MD
Article Type: Short Commentary | First Published: October 01, 2020
The quality of endometriosis surgery performed by a Minimally Invasive Gynecologic Surgeon (MIGS) is significantly different from that of a general gynecologist. Their training offers them the experience to detect subtle endometriosis, excise deeply infiltrative endometriosis, manage extra pelvic endometriosis and restore normal anatomy in stage 4 endometriosis. They are able to preserve fertility in an endometriosis patient if patient desires fertility. They are also able to address or excise e...
Open Access DOI:10.23937/2643-4474/1710043
Chondromyxoid Fibroma of Lumbar Vertebrae: Case Report and Literature Review
İsmail KAYA, MD
Article Type: Case Report and Literature Review | First Published: October 01, 2020
Chondromyxoid fibroma is a benign tumor of long bone metaphysis. In this article, we reported L4 laminar attachment of chondromyxoid fibroma case and made extensive literature revive. A 56-year-old Caucasian female unable to walk without pain at her right leg diagnosed with chondromyxoid fibroma at right l4 lamina. Complete excision of the lesion via routine lumbar disc surgery with 6 months follow up without pain. Her Hypoesthesia cured also muscle weakness totally recovered. Chondromyxoid fibr...
Open Access DOI:10.23937/2572-4193.1510089
Pleomorphic Adenoma of Nasal Septum Masquerading as Squamous Cell Carcinoma: About One Case
Kharoubi Smail
Article Type: Case Report | First Published: September 30, 2020
Pleomorphic adenoma is one of the most common benign tumors of the major salivary glands. It can also occur in the minor salivary glands, which exist in the nasal cavity. We present a case of pleomorphic adenoma masquerading as squamous cell carcinoma in 61-year-old man. This patient presented with nasal obstruction, nasal bleeding and nasal deformity. Biopsy have reveled moderaletly differenciated squamous cell carcinoma. After surgical procedure (lateral rhinotomy). The final diagnosis affirme...
Open Access DOI:10.23937/2474-3658/1510164
Knowledge, Attitude and Practices Regarding Covid-19 among a Cross-Sectional Sample from Karachi, Pakistan: Descriptive Data
Naseem Ahmed, Wardah Hassan, Rabia Rasool, Usman Fahim, Ayesha Shakil and Kiran Shafiq Khan
Article Type: Research Article | First Published: September 28, 2020
COVID-19, short for coronavirus disease 2019 is responsible for causing coronavirus disease that has been declared as a pandemic. On 30th January it was declared as the worldwide emergency crisis. It is very similar to its previous strain SARS-CoV that was known to cause an outbreak in 2002. Another strain MERS-CoV was first identified in Saudi Arabia in 2012. COVID-19 is first identified in Wuhan, China then it spread to multiple countries and become a significant danger for the globe. On 26th ...
Open Access DOI:10.23937/2469-5858/1510099
Recurrent COVID-19 Viral Shedding in a Nursing Home Resident
Robert J Fischer, MD
Article Type: Case Report | First Published: September 30, 2020
Recurrent viral shedding (RVS) in COVID-19, between four and 31 days following a test of cure, has been noted in the medical literature. Here we describe a case of recurrent and protracted viral shedding in a nursing home patient admitted to the hospital. Following symptomatic COVID-19 and viral shedding for 36 days with subsequent test of cure, a further positive RT-PCR was obtained 45 days later when the formerly symptomatic patient was readmitted for urgent urinary tract surgery. The total ti...
Open Access DOI:10.23937/2469-5858/1510098
Cochlear Implantation in Older Adults: Effectiveness and Expanded Indications
Nicholas J Thompson, MD, Margaret E Richter, BA, Margaret T Dillon, AuD, and Harold C Pillsbury, MD
Article Type: Review Article | First Published: September 30, 2020
Older adults who qualify for cochlear implantation demonstrate significant improvements in speech recognition and quality of life with cochlear implant use. Cochlear implantation is a safe and effective procedure for patients with hearing loss, with some additional medical considerations specific to older adult patients. The indications for cochlear implantation have expanded from cases of bilateral severe- to-profound hearing loss to cases of normal-to-moderate low-frequency hearing sensitivity...