Open Access DOI:10.23937/2378-3516/1410042
Respiratory Allergy as a Contributory Factor in the Development of Vocal Fold Nodules
Anica Jokic, Gordana Mumovic, Maja Buljcik-Cupic and Olga Popov-Dragin
Article Type: Review Article | First Published: March 17, 2016
Increasing evidence in the literature indicates that respiratory allergies are often a hidden contributory factor in vocal dysfunction. Although the precise allergic pathophysiological process within the vocal folds is not yet determined, modern understanding suggests that allergic changes in the lining of the larynx are an integral part of a systemic respiratory allergic reaction....
Open Access DOI:10.23937/2378-3516/1410041
Palliation of Refractory Dyspnea in a Patient with End Stage COPD (Chronic Obstructive Pulmonary Disease)
Sidra Anwar and Amy Case
Article Type: Review Article | First Published: March 15, 2016
Mr. M was a 74-year-old male Korean War veteran who presented to the hospital with an acute exacerbation of his Chronic Obstructive Pulmonary Disease (COPD). The patient had a 50 pack-year history of smoking and continued to smoke one-and-a-half packs of cigarettes per day. He was frail with barrel chest and pursed lip breathing, tachypnea, and dyspneic at rest. He was on Albuterol, Ipratropium bromide, and Fluticasone propionate, in addition to home oxygen 3 liters, 24 hours per day. Recent pul...
Open Access DOI:10.23937/2378-3516/1410040
A Case Report of Endobronchial Ultrasound Needle Fracture
Som N Chalise, Craig Brown and Mark R Bowling
Article Type: Case Report | First Published: February 22, 2016
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has many potential complications though most occur infrequently. We encountered a case in which the EBUS needle broke during TBNA. The patient was a 65 year old man who underwent EBUS-TBNA for right paratracheal lymphadenopathy. During the procedure, the TBNA needle was found to be broken. We were able to completely recover it without any complications to the patient or to the EBUS scope....
Open Access DOI:10.23937/2378-3516/1410038
Clinical features of Coronary Artery Disease Patients with Chronic Obstructive Pulmonary Disease in Japan
Hirofumi Matsuoka, Sachie Kume, Sayaka Inoue, Nao Oda, Yusuke Matsumoto, Koji Tamai, Nobuhiko Okada, Akiko Otsuka, Yasuko Koma, Kenji Kaihotsu, Harukazu Yoshimatsu, Masanori Iwahashi, Toru Miyajima and Yujiro Suzuki
Article Type: Original Research | First Published: February 08, 2016
The prevalence and mortality of chronic obstructive pulmonary disease (COPD) is expected to increase, not only in Japan but also worldwide. The prevalence of COPD is estimated to be 8.6% in Japan; however, it is reported that many COPD patients remain undiagnosed and untreated. Because COPD is a treatable and preventable disease, early diagnosis and management are important....
Open Access DOI:10.23937/2469-5777/1510036
Pigmented Villonodular Synovitis: Unusual Locations in Two Young Soccer Players
Yanguas Javier, Domi nguez David, Florit Daniel, Terricabras Joaquim, Puigdelli vol Jordi, Brau Juan Jose, Lizarraga Mari a Antonia and Pruna Ricard
Article Type: Clinical Cases | First Published: May 01, 2016
Pigmented villonodular synovitis is a relatively rare idiopathic proliferative disorder affecting the synovium of joints, bursae and tendon sheaths. Knee and hip are the most affected joints. We report two cases of unusual locations in two young male soccer players (17 and 13 years old): distal tibiofibular joint and pes anserine bursa. Diagnoses were confirmed by magnetic resonance imaging (MRI). In the first case the treatment was conservative, followed-up by MRI and computed tomographic sever...
Open Access DOI:10.23937/2469-5777/1510035
Acute Compartment Syndrome Following Anterior Cruciate Ligament Reconstruction with Autologous Hamstring Graft
Benjamin Wheatley and Matthew Oetgen
Article Type: Case Report | First Published: April 01, 2016
Compartment syndrome is an extremely rare complication described in association with anterior cruciate ligament (ACL) reconstruction. Previous reports have described this complication as a result of extravasation of fluid into dependent compartments. One proposed mechanism is from a capsular defect that allows irrigation fluid to flow from the joint into lower leg muscular compartments. However, no reports could be found linking the development of compartment syndrome to bleeding from the graft ...
Open Access DOI:10.23937/2469-5793/1510025
How can GPs Best Handle Social Determinants in Practice? Application in the Brussels Environment
Jean-Pierre Unger, Sarah Shelmerdine, Casper van der Veer and Michel Roland
Article Type: Review Article | First Published: March 10, 2016
Properly addressing patients' social problems in clinical decisions is central to the widely advocated delivery of bio-psychosocial care. Against the backdrop of a wealth of scientific studies describing social determinants acting upon health status, this position paper aims to orient general practitioners in the practical management of these determinants. This paper follows on from a previous one that dealt with the use of family therapy techniques in addressing interpersonal and emotional stre...
Open Access DOI:10.23937/2572-4193.1510016
Tracheostomy: The Dynamics of Indications in an Old Procedure
Kokong DD, Yaro PJ, Embu HY, Nimkur LT, Iduh AA, Okwori ET, Adoga AS and Binitie OP
Article Type: Retrospective Study | First Published: April 01, 2016
Tracheostomy is a surgical procedure in which an incision is made in the anterior part of the neck in order to gain access into the trachea via a stoma. The resultant stoma can serve independently as an airway-tracheotomy or a site for a tracheostomy tube to be inserted-tracheostomy, so as to establish an alternate airway. This is a valuable life-saving operation employed in critical airway....
Open Access DOI:10.23937/2469-5750/1510018
Pyoderma Gangrenosum: A Review of Orthopedic Case Reports
Stephanie Chapman, Daniel Delgadillo and David T. Rispler
Article Type: Short Review | First Published: March 09, 2016
Pyoderma gangrenosum (PG) is an uncommon disease characterized by necrotic ulcers that are often associated with underlying systemic disease. PG can occur at the surgical site following surgery, including orthopedic surgery, and may be commonly mistaken for postoperative infection, delaying diagnosis and resulting in wound deterioration and subsequent sequelae. Previously, 20 case reports of PG have been reported after orthopedic surgery. We reviewed these cases and found the majority (60%) were...