Open Access DOI:10.23937/2378-3656/1410226

Diagnosis of Tardive Dyskinesia in an Oral Surgical Office

Shamit S Prabhu, Sameh Almousa, Kevin Fortier and Uday N Reebye

Article Type: Case Report | First Published: August 03, 2018

Tardive dyskinesia (TD) presents as uncontrolled, repetitive movements of the body, typically beginning with orofacial structures, due to antipsychotic medications. The two classes of antipsychotics, atypical and typical, are mainly distinguished by their likelihood of producing extrapyramidal side effects (EPS), with atypical producing lower rates. Our case discusses a patient who presented at our clinic for dental extractions. Pre-operative consultation presented the rapid, repetitive tongue, ...

 Open Access DOI:10.23937/2474-3682/1510099

Penile Squamous Cell Carcinoma

Ahmed Bouhamidi, Mohamed El Amraoui, Mustapha Azzakhmam, Mohamed Oukabli and Naoufal Hjira

Article Type: Image Article | First Published: August 02, 2018

Penile tumors are the rarest tumors of the male urogenital tract (1%). Squamous cell carcinoma is the most common histological type. Squamous cell carcinoma of the penis is most often presents between 50 and 70-years-old. Early diagnosis is imperative to avoid lymphatic spread that is associated with poor prognosis. We report the case of a 56-year-old man with squamous cell carcinoma of the penis present for 6 years....

 Open Access DOI:10.23937/2377-9004/1410129

A Case of Intra-Operative Anaphylaxis to Patent Blue Dye during Sentinel Lymph Node Biopsy

A Jlali, M Gara, M Mehdi and LGrati

Article Type: Case Report | First Published: August 02, 2018

Patent Blue Violet dye is commonly used for selective localization of the lymphatic system before sentinel lymph node biopsy. This procedure is routinely recommended for staging the axilla in early breast cancer. However, it has long been recognized that such dye is associated with anaphylaxis. Here, we present a case of an intraoperative grade 2 anaphylaxis which commenced 20 minutes following the subcutaneous periareolar injection of patent blue for sentinel lymph node detection during segment...

 Open Access DOI:10.23937/2377-9004/1410128

A Case of Intra-Abdominal Desmoplastic Small Round Cell Tumor in a Young Girl Patient

Houda Fagouri, Mounia Ziyadi, Abdellahi Ibrahim, Ali Osman, Abdelah Babahabib, Mohamed Oukabli, Jaouad Kouach, Driss Rahali Moussaoui and Mohamed Dehayni

Article Type: Case Report | First Published: July 30, 2018

Desmoplastic small round cell tumor (DSRCT) is a rare and highly aggressive mesenchymal tumor; fewer than 200 cases have been reported in the literature. DSRCT mainly develops in adolescent and young adults with a strong male predominance; the male to female ratio is 4:1. Among female, it appears more precociously in the form of a pelvic mass, an abdominal distension or a high rate of Ca125. Its diagnosis is anatomopathological. The tumor typically develops in the abdominal cavity, invading the ...

 Open Access DOI:10.23937/2469-5793/1510085

A Hidden Epidemic and What You Can Do About It

Robert M Post

Article Type: Research Article | First Published: July 28, 2018

In the United States ¾ of the children of a parent with a mood disorder will develop a major psychiatric diagnosis upon a 7 year follow up. Moreover, the earlier the onset of symptoms, the longer the delay to first treatment, and this is posing major short and long-term health threats for a sizable portion of the population....

 Open Access DOI:10.23937/2469-5793/1510084

Cytomegalovirus-Associated Pseudotumor of the Rectum in an Immunocompromised Patient

Lisa Marie Cannon and Steven Lee-Kong

Article Type: Case Report | First Published: July 28, 2018

A 46-year-old man with a history of anal condyloma and HIV infection presented with four years of bloody anal leakage with incontinence. Digital rectal examination revealed a palpable mass in the distal rectum. Index colonoscopy revealed a fungating, ulcerated mass in the distal rectum. Biopsies demonstrated inflammation with superficial erosion. He was lost to surgical follow-up over the ensuing months. In the interim, the patient was initiated on antiretroviral therapy and PCP prophylaxis for ...

 Open Access DOI:10.23937/2378-3397/1410081

The Use of Platelet-Rich Fibrin Plugs in the Treatment of Perianal Fistula: Traditional Curettage vs. Debridement with a Graduated Set of Cylindrical Curettes

FJ Perez Lara, JM Hernandez Gonzalez, A Ferrer Berges, H Oehling de los Reyes and H Oliva Munoz

Article Type: Original Article | First Published: July 28, 2018

Perianal fistula is a common disorder that produces a strong negative impact on patients' quality of life. The aim of fistula surgery is to eradicate the fistula tract by closing the internal orifice and to do so without endangering continence. Simple open fistulotomy, which is commonly used for low fistulas, is often unsuitable for complex ones, as it bears a significant risk of impairing continence. Various procedures have been suggested for treating complex perianal fistulas, but none have ye...

 Open Access DOI:10.23937/ijor-2017/1710006

Clinico‐pathological Features and Outcome of Treatment of Saudi Patients with Oral Cavity Cancer: A Single Institutional Experience

Ashraf Farrag, Arif Shaukat, Muhammad Ali and Magdy Kandil

Article Type: Research Article | First Published: July 28, 2018

Oral cancer is the most common head and neck cancer (HNC). Its global incidence in 2015 was 410,000 cases with 146,000 deaths. In USA, 41,380 patients were diagnosed with HNC in 2013, and oral cavity cancers accounted for almost 30,000 of new cases. In Saudi Arabia, a total number of 211 oral cancer cases were reported in 2014, representing about 1.8% of the total cancer cases....

 Open Access DOI:10.23937/ijfa-2017/1710011

Novel Ways to Save the Foot in Malignant Melanoma

Laoise Coady, Khalid Merghani Salih Mohamed, Denis Evoy and Robert Flavin

Article Type: Case Report | First Published: July 28, 2018

The incidence of malignant melanoma is increasing rapidly. Following clinical diagnosis, excisional biopsy is performed to confirm the diagnosis. Wide local excision down to the deep fascia must be performed in order to completely remove the melanoma. Large plantar soft tissue defects are often a consequence of resection for oncological purposes. In order to reconstruct the weight bearing sole of the foot, the tissue used must be resistant to weight, shear stress and pressure....

 Open Access DOI:10.23937/2469-5831/1510018

Reassessing the Effectiveness of Right Heart Catheterization (RHC) in the Initial Care of Critically Ill Patients using Targeted Maximum Likelihood Estimation

Hai Zhu, Mary Akosile, Shuqin Zhang, Nils P Johnson, Dejian Lai and Hongjian Zhu

Article Type: Research Article | First Published: July 28, 2018

Right heart catheterization (RHC) is a well-established diagnostic tool for patients with congenital and acquired right heart disease and to actively monitor critically ill patients in the intensive care unit. Notably, previous randomized controlled trials and observational studies provide limited support for the clinical utilization of RHC in critically ill patients. However, traditional statistical methods incorporating propensity scores rely heavily on potentially invalid parametric assumptio...