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Clinical Case Reports

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https://read.qxmd.com/read/30656056/an-uncommon-cause-of-loss-of-vision-in-a-dialysis-patient-with-lupus
#1
Justin Lee Loy, Gajapathiraju Chamarthi, Abhilash Koratala
Optic neuropathy is an uncommon finding in dialysis patients and has been associated with uremia, ischemia (arteritic and nonarteritic), drugs (isoniazid, ethambutol), infections (tuberculosis), and intracranial hypertension. Inflammatory optic neuritis associated with lupus is relatively rare, but clinicians need to be aware of this condition and obtain urgent ophthalmology consultation.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656055/right-main-bronchus-rupture-due-to-blunt-chest-trauma
#2
Sharfuddin Chowdhury, John Griniatsos
Bronchial rupture following major blunt chest trauma should be suspected in every case of massive and persistent air leak through the intercostal drain tube. Chest radiogram offers indirect signs, while chest CT scan demonstrates specific signs highly suggestive for this extremely rare tracheobronchial injury. Bedside bronchoscopy confirms the diagnosis.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656054/empyema-caused-by-transdiaphragmatic-extension-of-pyogenic-liver-abscess
#3
Doh Hyung Kim
Empyema caused by transdiaphragmatic extension of pyogenic liver abscess is a very rare complication of liver abscess. Empyema patients with unclear respiratory symptoms should be evaluated for the presence of underlying liver abscess. Effective drainage with appropriate antibiotic use is an essential part of successful treatment.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656053/an-alternative-technique-for-downsizing-a-modified-blalock-taussig-shunt
#4
Dimitrios Bobos, Meletios Kanakis, Evangelia Grisbolaki, Nicholas Giannopoulos
An alternative surgical approach for downsizing an existed modified Blalock-Taussig shunt is described as a reoperation in a hemodynamically unstable patient. This method was selected in order to minimize the surgical manipulations in the setting of a critically ill infant.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656052/lambda-sign-in-sarcoidosis-using-pet-ct
#5
Joe Thomas, Gopalannair Santhamma Shagos, Ibrahim Firuz
Lambda sign is a valuable sign in the diagnosis of sarcoidosis, and FDGPET/CT has been used for planning therapy, monitoring treatment response, and for the follow-up of patients with chronic persistent sarcoidosis.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656051/point-of-care-renal-ultrasound-interpret-with-care
#6
Abhilash Koratala, Deepti Bhattacharya, Gajapathiraju Chamarthi
Renal vascular malformations may mimic hydronephrosis on gray-scale ultrasound and can be easily differentiated using color doppler imaging. Non-radiology physicians performing point-of-care renal ultrasound should be aware of this finding to avoid mismanagement.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656050/convexity-subarachnoid-hemorrhage-presented-with-loss-of-consciousness
#7
Shinji Yamazoe, Yumi Okuyama, Akira Baba, Hiroyuki Yakabe, Yuko Kobashi, Takuji Mogami
When patients present with transient loss of consciousness without headache and head computed tomography is performed, clinicians should pay attention to cortical high densities as convexity subarachnoid hemorrhage can be a differential diagnosis.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656049/unrecognized-staphylococcal-vertebral-osteomyelitis-leading-to-fatal-outcome-in-a-previously-healthy-patient
#8
Yazan Zayed, Bakr Swaid, Rahul Gupta, Tarek Haykal, Danielle Osterholzer
New onset low back pain which is recalcitrant to usual treatment should be evaluated aggressively even in the absence of fever or neurologic deficits. Corticosteroids given for back pain will accelerate occult spinal infection and may mask symptomatology leading to more severe disease.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656048/hepaticocholecystic-duct-a-pitfall-of-cholecystectomy
#9
Andrea Laurenzi, Marc-Antoine Allard, Eric Vibert
The anatomical variations of accessory biliary ducts account for up to 2% of the population. The two types of ducts are the: subvescical and hepaticocholecystic. The knowledge of such variations is extremely important during cholecystectomy in order to avoid possible postoperative complications such as biliary injury or choleperitoneum.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656047/late-t-wave-inversion-following-resolution-of-non-ischemic-acute-pulmonary-edema
#10
Konstantinos Tampakis, Nikolaos Makris, Christos Kontogiannis, Michael Spartalis, Evangelos Repasos, Eleftherios Spartalis, Hector Anninos, Ioannis Paraskevaidis
Electrocardiographic (ECG) changes occurring several hours after the onset of acute cardiogenic pulmonary edema have been seldom described. The proposed explanatory mechanisms are various and not fairly established. In the absence of significant coronary artery disease, these ECG abnormalities could be attributed to mechanisms implicated in coronary microcirculatory dysfunction.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656046/oral-maxillary-exostosis
#11
Luisa Limongelli, Angela Tempesta, Saverio Capodiferro, Eugenio Maiorano, Gianfranco Favia
Oral maxillary exostoses are proliferating bone lesions with an unknown etiology occurring on the cortical plates both in the maxilla and in the mandible of young individuals, showing a typical slow but continuous enlargement. No treatment is usually required unless they create esthetic or functional limitations during follow-up; the biopsy is needed only for doubtful lesions. Furthermore, it is mandatory to collect an accurate familiar history of patients affected by exostosis, especially when occurring with atypical clinical presentation, in order to exclude or prevent potentially associated systemic diseases...
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656045/cutaneous-metastasis-of-renal-cell-carcinoma-fine-needle-aspiration-provides-rapid-diagnosis
#12
Rusella Mirza, Steven Ellsworth, Judy King, Guillermo Sangster, Mingxia Shi
The diagnosis of cutaneous metastasis of renal cell carcinoma is challenging in a young person in absence of a prior history of cancer. In such situation, fine needle aspiration alone as a minimally invasive procedure can provide rapid, accurate and cost effective diagnosis, even in case of unknown primary.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656044/a-14-year-old-in-heart-failure-with-multiple-cardiomyopathy-variants-illustrates-a-role-for-signal-to-noise-analysis-in-gene-test-re-interpretation
#13
Patrick S Connell, Aamir Jeewa, Debra L Kearney, Hari Tunuguntla, Susan W Denfield, Hugh D Allen, Andrew P Landstrom
Variants of unknown significance in cardiomyopathic disease should be analyzed systematically based on the prevalence of the variant in the population compared to prevalence of disease, evidence that other variants in the gene are pathologic, consistency of prediction software on pathogenicity, and the current clinical consensus.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656043/three-cases-of-adjacent-segment-disease-post-posterior-spinal-fusion-treated-successfully-by-oblique-lateral-interbody-fusion-a-clinical-series
#14
Takuya Sakamoto, Koki Abe, Sumihisa Orita, Kazuhide Inage, Miyako Suzuki, Kazuki Fujimoto, Yasuhiro Shiga, Hirohito Kanamoto, Masahiro Inoue, Hideyuki Kinoshita, Masaki Norimoto, Tomotaka Umimura, Yawara Eguchi, Kazuhisa Takahashi, Seiji Ohtori
The incidence of spinal fusion surgery and associated adjacent segment disease (ASD) is steadily increasing. We report three cases of ASD after posterior fixation, treated by oblique lateral interbody fusion (OLIF). All cases had a good postoperative course. Altogether, OLIF surgery may be a viable option for treating ASD.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656042/a-case-report-of-hamartomatous-polyposis-in-an-individual-with-neurofibromatosis-type-1
#15
Kristin Boulier, Deanna J Erwin, Sandesh Nagamani, Tanya N Eble
Even in well-described genetic syndromes, such as neurofibromatosis type 1, expansion of the phenotype should be considered as a possible explanation for atypical presentations. However, it is critical to complete the evaluation for a potential dual diagnosis, as there could be significant prognostic and management implications.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656041/eltrombopag-in-long-term-management-of-pediatric-thrombocytopenia
#16
Sanjay J Shah, Michael M Etzl
Eltrombopag is a thrombopoietin receptor agonist that may be effective in a broad range of thrombocytopenias of distinct etiology. We have observed rapid, robust, and sustained responses to eltrombopag in two young patients with refractory thrombocytopenia, one with primary immune thrombocytopenia and the other with Evans syndrome.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656040/superficial-siderosis-due-to-filum-terminale-tumor-an-uncommon-cause-of-cranial-nerve-dysfunction
#17
Tom Campion, Farrukh Arfeen, Ashok Adams
If superficial siderosis is suspected based on clinical presentation, susceptibility weighted imaging should be undertaken in addition to standard MRI sequences as it is more sensitive than T2 weighted imaging. Once diagnosed, imaging of the entire brain and spine must be undertaken to assess for an underlying cause.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656039/angiolymphoid-hyperplasia-with-eosinophilia-with-clinical-pictures-of-keratoacanthoma-a-rare-case-report
#18
Calvin Santosa, Made Wardhana, Herman Saputra
Angiolymphoid Hyperplasia with Eosinophilia (ALHE) is a benign tumor of the skin which may mimic other benign or malignant lesion of the skin. Practitioners should consider this diagnosis as a differential when encounter such lesion as papule or nodule on the face and scalp area.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656038/cerebral-sinovenous-thrombosis-as-a-complication-of-otitis-media
#19
Shafee Salloum, Kira Belzer
Otogenic cerebral sinovenous thrombosis (CSVT) is a rare complication of otitis media and associated with significant morbidity and mortality. Classic clinical signs of mastoiditis (pain, swelling, and erythema posterior to the pinna) are not always present at presentation. Treatment of otogenic CSVT consists of conservative surgery, antibiotics, and anticoagulation.
January 2019: Clinical Case Reports
https://read.qxmd.com/read/30656037/immunologic-characterization-of-patients-with-chronic-mucocutaneous-candidiasis-disease
#20
Kiranjit K Khalsa, Qi Yang, Xiaofei Shen, M Asghar Pasha, Jocelyn Celestin
Even if initial immunologic screen is normal, a high index of suspicion for immunodeficiency should guide the evaluation and management of patients with recurrent episodes of mucocutaneous candidiasis. Although rare, a diagnosis of chronic mucocutaneous disease should always be considered in order to improve their outcome.
January 2019: Clinical Case Reports
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