Case Report

Utilization of Sleep Application and Pulse Oximetry in the Short-Term Follow-Up of Mandibular Advancement Device Therapy: A Case Report

Pulse Oximetry (PO) has been a qualified method to determine cardiorespiratory stability of the subjects for home-based sleep studies.

Published on 22 Nov, 2018


Case Study

Peripartum Decompensation Uncovering Underlying Asymptomatic Cirrhosis and Portal Hypertension: An Unusual Case Report

Pregnancy is rarely encountered with liver cirrhosis, but carries a significant risk of complications with poor materno-fetal outcomes.

Published on 07 Nov, 2018


Case Report

Narrow Band Imaging of Recurrent Respiratory Papillomatosis

We report about a case of a 13-year-old boy with recurrent respiratory papillomatosis.

Published on 29 Oct, 2018


Case Report

Dilemmas in Diagnosing Neck Mass: Branchial Cyst versus Thyroid Tumor

Neck mass poses treatment challenges if not properly addressed and investigated.

Published on 29 Oct, 2018


Case Study

Fetal Monitoring Changed to Simple Numeric Decision Discarding Fetal Heart Rate Pattern Classification

As visual classification of Fetal Heart Rate (FHR) patterns into early, late and variable decelerations was vague and complicated, correct numeric threshold setting has been started from Maeda’s FHR score in 1969 [1,2].

Published on 31 Oct, 2018


Mini Review

Major Serological Screening Methodologies to Anti- T. Gondii Antibodies Detection in Pregnancy: Mini Literature View

Congenital toxoplasmosis is a neglected protozoonotic disease of intercontinental distribution with incidence estimated in 1.5 cases per 1000 live births.

Published on 13 Oct, 2018


Clinical Image

Herpes Zoster Ophthalmicus-Induced Oculomotor Nerve Palsy

A 63-years old female presented to our clinic, as a referral for ocular examination following a diagnosis of Herpes Zoster Ophthalmicus.

Published on 12 Oct, 2018


Case Report

Surgical Resection of Vagal Schwannoma in a Young Female

Background: Paraganglioma of head and neck is a rare tumor and vagal schwannoma is even rarer.

Published on 11 Oct, 2018


Case Report

Giant Spermatic Cord Liposarcoma in Older Patient: Case Report

We report a case of giant spermatic cord liposarcoma in an 80 year old patient, initially treated as an inguinal hernia due to a large left inguinoscrotal mass.

Published on 28 Sep, 2018


Case Report

Focal Segmental Glomerulosclerosis in Systemic Lupus Erythematosus

Nephrotic syndrome is a common presentation of lupus nephritis. In patient with Systemic Lupus Erythematosus (SLE) and the nephrotic syndrome, the two most common renal biopsy findings are diffuse proliferative lupus nephritis [World Health Organization (WHO) class IV] and membranous lupus nephritis (WHO class V).

Published on 28 Sep, 2018


Case Report

Subacute Fibrosing Nodular Polymyositis: Nodular Variant of Polymyositis with Pronounced Contractures of “Woody” Firm Muscles and Painless Intramuscular Nodules: Report of a Case

A man aged 64 with localized nodular myositis which was one of the clinical features of fibrosing polymyositis is described.

Published on 28 Sep, 2018


Case Report

Psoriasis and Its Correlation with Depression and Body Image

Psoriasis is a skin ailment thought to be related to a suppressed immune system with its onset brought on about certain triggers including temperature fluctuations, infections, and stress.

Published on 22 Sep, 2018


Short Communication

Epileptic Seizures and Clozapine Titration

Patients with resistant schizophrenia are commonly treated with Clozapine. They can develop epileptic seizure.

Published on 14 Sep, 2018


Clinical Description

The Aripiprazole-Clozapine Association in Treatment Ultra Resistant Schizophrenia

Clozapine remains the reference treatment in resistant schizophrenia. However, its effectiveness is obtained only in 30% to 50% of cases.

Published on 13 Sep, 2018


Short Communication

Cystic Cerebellar Tumor

A 61-year old woman with multiple chronic conditions was admitted to hospital due to central vertigo, headaches, unsteady gait and frequent stumbling in the previous six months with recently appearing nausea and vomiting.

Published on 11 Sep, 2018


Case Report

Major Depressive Disorder and the “Leaky Gut” Post Cholecystectomy

Major Depressive Disorder (MDD) is the most common mental health disorder in the United States as well as all over the world.

Published on 07 Sep, 2018


Case Study

An Important Side Effect of Pseudoefedrin used in Cold Flu Treatment: Fast Ventricular Responsive Atrial Fibrillation

Symptomatic treatment for symptoms and signs of cold flu is often prescribed.

Published on 01 Sep, 2018


Case Report

Acute Pancreatitis Caused by Mumps Infection in an Adult

Mumps is generally a mild childhood disease. However, Mumps virus can infect adults as well and various complications such as orchitis, encephalitis and pancreatitis can occur.

Published on 27 Aug, 2018


Short Communication

The Vertical Vein in Patients with Obstructive Supracardiac Totally Anomalous Pulmonary Venous Connection: we can ligate it but should we ligate it?

The present perspective is a synthesis of all published literature on selective vertical vein patency and adjustable vertical vein ligature in the setting of rechanneling of obstructed supracardiac totally anomalous pulmonary venous connection (TAPVC) in order to decrease the episodes of perioperative pulmonary hypertensive crises, postoperative low cardiac output syndrome and mortality. Additionally, this manuscript attempts to address the guidelines for candidate selection for selective vertical vein patency in patients with obstructive supracardiac TAPVC.

Published on 07 Aug, 2018


Case Report

Varicella Infection May Cause Thrombosis: A Case Report

This case was presented due to development of DVT and pulmonary embolism after VZV infection and determination of Factor V Leiden mutation and activated protein C resistance.

Published on 20 Aug, 2018


Research Article

Seminal Plasma Zinc Concentration in Infertile Males in Different Classes in Islamabad, Pakistan

Infertility in males is big issues in Pakistan. In the current study we analyzed the level of seminal zinc concentration in various group of infertile males and to link it with sperm concentrations, inactive, active and immotile fractions of seminal constraints, with an objective to begin the role of zinc.

Published on 07 Aug, 2018


Case Report

A Case of Nephrotic Syndrome due to AHL Amyloidosis in a Patient with Renal Cell Carcinoma

We report a highly unusual case of a patient with nephrotic syndrome due to AHL primary amyloidosis, with α heavy chain fragments in serum and urine after a recent diagnosis of renal cell carcinoma.

Published on 30 Jul, 2018


Clinical Image

A Strange Benign Lesion of the Esophagus: Benign Bizarre Stromal Cell Polyp

A 63-year old patient who underwent previously colectomy for colonic adenocarcinoma presented with gastric pain.

Published on 24 Jul, 2018


Clinical Image

Oesophageal Localisation of Erythema Multiforme due to Herpes Simplex Virus

A 20 years old patient was hospitalized for erythema multiforme secondary to oropharyngeal herpes simplex virus type 1.

Published on 24 Jul, 2018


Clinical Image

Pulmonary Lipiodol Embolism Induced by Transarterial Chemoembolization for Hepatocellular Carcinoma

A 58-year-old woman with hepatitis B virus-related hepatocellular carcinoma (HCC) was treated by transarterial chemoembolization (TACE).

Published on 24 Jul, 2018


Case Report

Epidermoid Cyst of the Floor of the Mouth

Dermoid cysts are benign lesions that rarely occur in the floor of the mouth. They can be divided in epidermoid, dermoid and teratoid cysts.

Published on 24 Jul, 2018


Case Report

Tacrolimus Induced Photodistributed Lichenoid Eruption

The topical calcineurin inhibitors have an effect on various cells of the cutaneous immune system, specifically on T-cells, by inhibiting the phosphatase calcineurin and preventing the transcription of proinflammatory cytokines.

Published on 24 Jul, 2018


Case Report

Ovarian Yolk Sac Tumor: A Case Report and Literature Review

Yolk sac tumor, also called endodermal sinus tumor, is a rare ovarian neoplasm, representing the second ovarian germinal neoplasm subtype after dysgerminoma, it classically occurs in adolescent and young women.

Published on 12 Jul, 2018


Case Blog

Unique Case of Haemophilus Influenzae Purulent Pericarditis Secondary to Infected Mirena Coil

A 50 year old previously fit and well lady presented with septic shock.

Published on 06 Jul, 2018


Case Report

Dish: An Uncommon Cause of Dysphagia in the Elderly

Diffuse Idiopathic Skeletal Hyperostosis, also known as DISH or Forestier-Rotes-Querol disease can be an uncommon cause of Dysphagia.

Published on 14 Jun, 2018


Case Report

Cytophagic Histiocytic Panniculitis Masking as Primary Cutaneous T-Cell Lymphoma: A Spectrum of Disease

Primary Cutaneous Gamma-Delta T-Cell Lymphoma (PCGDTCL) comprises of less than 1% of primary Cutaneous T-Cell Lymphomas (CTCL).

Published on 25 May, 2018


Clinical Image

Pulmonary Tuberculosis

A 39-year-old man with no medical history presented with a 1-month history of severe wet cough and fever and 1-week history of left chest pain.

Published on 04 Apr, 2018


Clinical Image

Re-Expansion Pulmonary Edema after Therapeutic Thoracentesis

A 59-year old man with hepatitis C, liver cirrhosis, and multiple hepatocellular carcinoma had previously been treated with trans-catheter arterial chemoembolization.

Published on 04 Apr, 2018


Case Report

Misdiagnosing Epilepsy: A Case Report on Stokes - Adams Syndrome

Introduction: Epilepsy is a common neurological disorder prevalent among 7 out of 1,000 people in general population.

Published on 22 May, 2018


Case Report

A Little Review of LECT2-Associated Renal Amyloidosis (ALECT2): Is not a Rare Disease

We present a case of 69-year-old woman, who was referred to our hospital with the diagnosis of Chronic Kidney Disease (CKD) stage IV with unknown etiology.

Published on 22 May, 2018


Case Report

Menstrual Migraine and Treatment Options: Review Hormonal Therapy in the Prevention of Menstrual Migraine

Hormonal migraine is defined as the unilateral severe headaches that occur in reproductive aged women usually 7 days premenstrual to 3 days after onset of menses.

Published on 21 May, 2018


Case Report

Gait Analysis Using Wearable Sensor Inertial in a Child with CP after Orthopedic Surgery: Case Report

Background: Cerebral Palsy (CP) is a permanent disorder of movement and posture, causing activity limitation and gait disturbances.

Published on 24 May, 2018


Case Report

Cardiac Pseudo-aneurysm with Resection and LVAD Placement

We present the case of an unusual chest finding and unique cardiac intervention for a high-risk heart failure patient.

Published on 21 May, 2018


Case Report

Chylomicron Retention Disease: An Infant Presenting with Vomiting and Failure to Thrive without Diarrhea

Chylomicron Retention Disease (Anderson’s disease) is a rare autosomal recessive disorder caused by mutation of the SAR1B gene that leads to hypercholesterolemia and accumulation of lipoproteins in the enterocytes.

Published on 01 May, 2018


Case Report

Anesthetic Management for a Cesarean Delivery in a Pregnancy Complicated by Uterus Polymyomatosus: A Case Report

Benign uterine leiomyomas are the most common pelvic tumors, impairing natural delivery.

Published on 19 Apr, 2018


Clinical Image

Renal Papillary Necrosis in a Patient with Haemophilia

A 49-year-old Caucasian male was referred to the nephrology clinic in view of a rise in serum creatinine from baseline of 80 mmol/L to 125 mmol/L and intermittent macroscopic haematuria.

Published on 21 Mar, 2018


Case Report

Sepsis and Thrombosis with the Use of Central Venous Catheters during Hemodialysis

Infection and thrombosis are the two most common complications associated with the use of Central Venous Catheters (CVC).

Published on 15 Mar, 2018


Case Report

An Unusual Cause of Clubbing; the Esophageal Carcinoma

Clubbing is a sign that is usually found in association chronic respiratory diseases or cyanotic cardiac conditions.

Published on 26 Feb, 2018


Research Article

The Efficacy and Tolerability of Topiramate in Migraine Prophylaxis in CFS/ME Patients

Background: More than 80% of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) patients suffer from migraine.

Published on 26 Feb, 2018


Clinical Image

Typical Clinical Image of Ecthyma Gangrenosum

Ecthyma gangrenosum is a skin lesion generally associated with Pseudomonas aeruginosa, and is generally seen in immune compromised patients.

Published on 26 Feb, 2018


Case Report

Primary Angiitis of Central Nervous System

Primary angiitis is a rare disorder and is difficult to diagnose.

Published on 26 Feb, 2018


Case Report

Wheezing Disorders in Childhood

Children can present wheezing episodes early on life. Among pediatric population this is a very common respiratory symptom which to improve quality of can evolve into severe life-endangering episodes.

Published on 23 Feb, 2018


Case Report

Primary Pulmonary Synovial Sarcoma: Case Report with Unusual Histology and Diagnostic Pearls

Primary pulmonary synovial sarcoma is rare and poses a diagnostic challenge when unusual histologic features are present and t(x; 18) is negative.

Published on 29 Jan, 2018


Case Report

Drug Generalized Hypersensitivity Reactions to Tolperisone (Mydocalm)

Tolperizol (Mydocalm) is a widely used drug as a skeletal muscle relaxant and is often additionally prescribed by family doctors in the course of lumbar discopathy.

Published on 18 Jan, 2018


Case Report

Gestational Trophoblastic Neoplasia Arising on Scar Pregnancy: A Case Report

Gestational Trophoblastic Disease (GTD) refers to a group of disorders including partial, complete and invasive molar pregnancy, choriocarcinoma and the less common placental site trophoblastic tumours.

Published on 18 Jan, 2018





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