Open Access DOI:10.23937/2643-4466/1710025
Sebaceous Carcinoma of the Vulva: Case Report and Review of Literature
Rama P Namuduri, Mihir Gudi and Soo Kim Lim Tan
Article Type: Case Report | First Published: May 02, 2020
Extraocular sebaceous carcinoma is an uncommon malignant tumor that usually affects the head and neck. Despite being rich in sebaceous glands, vulvar sebaceous carcinoma is extremely rare. We report a case of vulvar sebaceous carcinoma in a 64-year-old woman that presented as an asymptomatic nodule and was successfully treated by wide local excision. The number of reported cases of vulvar sebaceous carcinoma is very small, more cases need to be collected in order to identify prognostic factors a...
Open Access DOI:10.23937/2643-4466/1710024
Progress and Challenges of Global High-Resolution Endoscopy
Sheena Bhushan, Rebecca Richards-Kortum and Sharmila Anandasabapathy
Article Type: Review Article | First Published: April 23, 2020
In recent years, gastrointestinal endoscopy has seen an influx of high-resolution endoscopic technologies that are capable of providing optical biopsies of the epithelial surface in real time. Upcoming high-resolution endoscopy techniques are CLE, OCT, EC and HRME. Powered by automated diagnostic algorithms and more-cost effective alternatives, these high-resolution endoscopic technologies have the potential to not only facilitate real-time decision making, but also improve screening and surveil...
Open Access DOI:10.23937/iacph-2017/1710006
An Update to the Present Carpal Tunnel Syndrome (CTS) Nerve Conduction Grading Tool
Salim Hirani
Article Type: Research Article | First Published: May 20, 2020
The severity of carpal tunnel syndrome (CTS) may be categorised in a number of ways and utilising one of a range of presently available grading tools. The grading systems proposed by Bland and Padua, et al. are most commonly used. However, both are not without limitations, which are discussed comprehensively in this paper. The aim of this research is to establish, using best available evidence, a clinically appropriate revision of the current CTS nerve conduction grading tool and to evaluate its...
Open Access DOI:10.23937/2378-3656/1410309
Outcomes of Cardiopulmonary Resuscitation and its Predictors in Hospitalized Patients
Meisam Moezzi, Golshan Afshari, Fakher Rahim, Meysam Alavian, Maryam Banitorfi, Saeed Hesam and Nasrin Fatemi
Article Type: Research Article | First Published: May 13, 2020
Cardiopulmonary resuscitation (CPR) has been a frequently performed medical intervention that increases the chance of survival of a person strickenby cardiac arrest, and there is a great value of diversity in the rate of successful rehabilitation in societies. There was no significant difference in the success rate of CPR between men and women. The comparison of age groups revealed a significant difference between the success rates of CPR in the age of 14-64 with the group above 64. The analysis...
Open Access DOI:10.23937/2378-3656/1410308
Septic Shock from Pyelonephritis in Pregnancy
Adam Rindfleisch, MD, Hannah Do, MD, Tove M Goldson, MD, PhD and Samuel N Forjuoh, MD, MPH, DrPH
Article Type: Case Report | First Published: May 06, 2020
Pyelonephritis is a relatively common infection in pregnancy. We report a case of a 20-year-old pregnant woman with limited prenatal care and history of untreated asymptomatic bacteriuria who presented to labor and delivery triage with signs and symptoms suggestive of sepsis. The initial management, although primarily driven by the patient’s chief complaints, history, and vital signs, was confounded by a relatively unremarkable urinalysis and physical exam. The patient subsequently developed s...
Open Access DOI:10.23937/2474-3682/1510143
A Conservative Management of a Duodenal Diverticulitis
Wael Ferjaoui, Wafa Ghariani, Mohamed Ali Chaouch, Mehdi Khalfallah, Hichem Jerraya and Ramzi Nouira
Article Type: Image Article | First Published: April 30, 2020
We present the case of a 78-year-old female patient. Past medical history was unremarkable. She presented with abdominal pain in the epigastric and right upper quadrant region, associated with dyspepsia since 3 months before admission. Physical examination showed tenderness and distension of the abdomen without peritoneal signs. Blood tests showed elevated inflammatory markers (C-reactive protein = 60 mg/l and white blood cell = 19000/mm3). All other blood tests were normal Radiography of abdome...
Open Access DOI:10.23937/2377-4630/1410107
Massive Subcutaneous Emphysema and Intraoperative Hypercarbia after Transanal Endoscopic Microsurgery (TEMS)
Abhishek Singh, Apala Roy Chowdhury, Ameya Pappu and Puneet khanna
Article Type: Case Report | First Published: May 06, 2020
Transanal endoscopic microsurgery (TEMS) is minimally invasive, safe and highly effective treatment modality for resecting small rectal lesion like adenomas, early stage carcinoma and strictures. We describe an unusual case of massive subcutaneous emphysema and hypercarbia secondary to TEMS leading to ventilatory difficulty and post-operative mechanical ventilation. Extra peritoneal insufflation of CO2 at high pressure, for prolonged duration and extent of tissue dissection are some of the predi...
Open Access DOI:10.23937/2643-4474/1710035
Dura Based Rhabdoid Glioblastoma Masquerading as Meningioma: A Rare Case Report
Baliga V, Ganapathy S and Pandey P
Article Type: Case Report | First Published: May 16, 2020
There are quite a few entities which can present as dura- based masses. Most common being meningioma, others are gliosarcomas, solitary fibrous tumor, leiomyosarcoma, haemangiopericytomas and melanocytomas. Recently, a number of neoplastic and non-neoplastic entities have been reported that radiographically and clinically mimic meningiomas. This is a rare case of glioblastoma with rhabdoid features presented as dura-based tumor. Even though the imaging helps to narrow down the diagnostic possibi...
Open Access DOI:10.23937/2474-3658/1510128
Dynamics of COVID-19: Modelling and Analysis
Umair Ali Wani, Aadil Bakshi and Moazam Ali Wani
Article Type: Original Article | First Published: May 23, 2020
This paper features the SEIR model that can accurately calculate and predict the size of COVID-19 pandemic. Other than classical parameters, the model takes into account lockdown imposed by the government, age composition of the population, testing rate, inflow of patients (immigrants) and availability of tertiary health care facilities measured in terms of number of ICUs. The research takes an overview of then severely affected Italy and less affected India and studies the impact of parameters ...