Clinical Medical

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 Open Access DOI:10.23937/2474-3682/1510224

Emphysematous Pyelonephritis on Lithiasis Obstruction Complicated by Subcapsular Hematoma: A Double Urological Emergency

Nedjim A Saleh, Hagguir Hissein, Fadoul Achta, Moataz Amine, Dakir Mohamed, Debbagh Adil and Aboutaieb Rachid

Article Type: Clinical Image | First Published: 2023/09/04

Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma and surrounding tissues, characterized by the presence of gas. It is a serious infection whose main complications are septic shock, acute renal failure and disseminated intravascular coagulation [1]. Subcapsular haematoma secondary to pyelonephritis is an extremely rare complication whose clinical manifestations vary considerably according to terrain and severity [2]....

 Open Access DOI:10.23937/2474-3682/1510223

Transient Ipsilateral Horner's Syndrome after Ultrasound Guided Interscalene Brachial Plexus Nerve Block

Monica Yadav, MD, Yudhyavir Singh, MD and Abhishek Singh, MD

Article Type: Clinical Image | First Published: 2023/08/31

The brachial plexus which innervates the upper limb has afferent from the cervical and thoracic part of the spinal cord. Due to its proximity to the other important vascular and nervous structures, which is mainly responsible for the post block complications like temporary paralysis of the phrenic, recurrent laryngeal nerves or Horner's syndrome....

 Open Access DOI:10.23937/2474-3682/1510222

Progression and Resolution of a Post-Traumatic Pleurocutaneous Fistula

Benjamin O'Brien, BS, Aidan Farrell, BS and Pranav N Shah, MD

Article Type: ESSENTIAL IMAGES | First Published: 2023/08/02

A 45-year-old female with no known past medical history presented to the trauma unit as an unrestrained passenger in a motor vehicle accident. On arrival, her GCS was 8 and she was intubated. Focused Assessment with Sonography for Trauma (FAST) exam was negative, but initial chest imaging (Figure 1A and Figure 1B) revealed right-sided fractures of the first through seventh ribs, a fracture of the left first rib with bilateral consolidations, and a small right-sided hemopneumothorax. ...

 Open Access DOI:10.23937/2474-3682/1510221

Primary Aortoesophageal Fistula: A Rare Cause of Upper Gastrointestinal Bleeding

Ahmet Bozer, MD

Article Type: Clinical Image | First Published: 2023/07/31

Aortoesophageal fistula (AEF) is a rare but life-threatening condition characterized by a communication between the aorta and the esophagus. It is often associated with aortic aneurysm rupture and can present with gastrointestinal bleeding. Rapid diagnosis and treatment are crucial for optimal patient outcomes. Here, we present a case of AEF in a 73-year-old female patient who presented with bloody vomiting....

 Open Access DOI:10.23937/2474-3682/1510220

Purple Urine Bag Syndrome (PUBS): A Rare Disease

Addepalli Naga Sowmya and M Nagarjuna

Article Type: Clinical Image | First Published: 2023/07/21

A 68-year-old female with a known hypertensive, diabetic, and neurogenic bladder was brought to the hospital with complaints of fever and constipation. The urine bag and urine colour were found to be purple (Figure 1). The urinalysis showed alkaline urine, and the urinary sediment contained 15-20 white blood cells per high-power field. She was admitted under the impression that she had a Urinary Tract Infection (UTI) and constipation....

Volume 9
Issue 3