Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

Early Online

 Open Access DOI:10.23937/2378-3656/1410389

Prolonged Recovery of Neuromuscular Transmission during General Anaesthesia after Mivacurium Administration - Case Report

Paweł Radkowski, PhD, Katarzyna Podhorodecka and Mariusz Kęska

Article Type: Case Report | First Published: April 29, 2022

Mivacurium is the shortest-acting nondepolarizing relaxant, used for brief procedures, such as those performed in the ambulatory setting. The recommended intubating dose of 0.2 mg/kg usually provides a clinically effective neuromuscular block for approximately 15 to 20 minutes and spontaneous recovery is 95% complete within about 25 to 30 minutes. 71-years-old woman was admitted for an elective laparotomy surgery with an intraoperative examination. Standard monitoring and TOF Scan (both the addu...

 Open Access DOI:10.23937/2378-3656/1410386

The Role of Dermatoscopy to Differentiate Vestibular Papillae from Condyloma Acuminate in a Pregnant Woman

Fatima Zahra Agharbi and A. Kelati and S. Chiheb

Article Type: Case Report | First Published: March 14, 2022

The vestibular papillae (VP) represent an anatomical variant of the normal genital epithelium and are probably the female equivalent of pearly penile papules. It is thought that they are present in 1% of women, and this low percentage may be due to their lack of knowledge by practitioners since their diagnosis are often wrongly spotted as condyloma acuminates warts and this can lead to aggressive investigations, therapy, and anxiety in patients hence the role of dermoscopy. Here, we present a ca...

 Open Access DOI:10.23937/2378-3656/1410385

Spontaneous Rupture of Renal Pelvis Secondary to Extrinsic Compression of Sigmoid Volvulus

Kasturi Rangan Sarathy, Arun Jain and Abdus Samee

Article Type: Case Report | First Published: February 28, 2022

Spontaneous rupture of the renal pelvis is one of the rare complications and is commonly known to occur secondary to obstructed distal ureteric calculus. Malignant ureteric obstruction and bladder outlet obstruction are few other causes that could like to rupture of renal pelvis secondary to the back pressure changes. Pregnancy is one of the non-renal extraluminal causes of the spontaneous renal fornix rupture. However, blowout of renal pelvis secondary to an obstructing bowel has not been repor...

 Open Access DOI:10.23937/2378-3656/1410384

Blue Laser Imaging and Magnification Endoscopy as a Tool for the Detection of Helicobacter pylori Infected Mucosa

Ulises Leal-Quiroga, MD, Abigail Sara Kane, MD, Eduardo Mendoza-Fuerte, MD, Omar David Borjas-Almaguer, MD, Eugenia Leal, MS and Rafael Castañeda-Sepúlveda, MD

Article Type: Original Article | First Published: February 28, 2022

There are multiple diagnostic methods for the detection of H. pylori; however, because most are not cost-effective and have low sensibility and specificity, gastric biopsy remains the gold standard for diagnosis. H. pylori’s patchy distribution in the gastric mucosa requires multiple biopsy samples to accurately diagnose infection. This study’s objective is to identify the diagnostic value of using BLI-Bright with magnification endoscopy as a tool for guided biopsy sampling in patients with ...

 Open Access DOI:10.23937/2378-3656/1410383

Patients with Pelvic Inflammatory Disease vs. Tuboovarian Abscess: Comparison of Follow-Up and Treatment Processes

Busra Kanyildiz, MD

Article Type: Original Research | First Published: February 24, 2022

Pelvic inflammatory disease (PID) is an infection of the upper vaginal tract in women that can be subclinical or severe, affecting any or all of the uterus, fallopian tubes, and ovaries. Tuboovarian abscess (TOA) is a common consequence of PID. The purpose of this study is to compare the demographic features, symptoms, clinical findings, and treatment techniques of patients hospitalized with the diagnosis of PID and TOA, to assess their response to treatment protocols and therapy, and to evaluat...

 Open Access DOI:10.23937/2378-3656/1410382

Trendelenburg Gait Improved by Trigger Point and Scar Tissue Lidocaine Injections: A Case Report

Alexander King, DO, Rosie Wenrich, BS, Rachel Patel, BS and Joseph LaFontaine, BS

Article Type: Case Report | First Published: January 31, 2022

This case report describes a 74-year-old Caucasian female patient who presented with bilateral gluteus muscle trigger point pain, decreased gluteus medius strength, a substantial transverse abdominal scar, and a history of knee replacement culminating in a Trendelenburg gait and chronic pain. Treatment of the patients’ symptoms with lidocaine solution injections, known as neural therapy, into the bilateral gluteus muscle trigger points and along scar tissue facial planes yielded markedly impro...

 Open Access DOI:10.23937/2378-3656/1410381

Regression of Diabetic Macular Edema by Remission of Type 2 Diabetes with Plant-Based Diet: A Case Report and Review

Gunadhar Panigrahi, MD, FACC, FACP, DipABLM

Article Type: Case Report and Literature Review | First Published: January 31, 2022

Diabetic retinopathy (DR) is one of the major neurovascular complications of diabetes and is a leading cause of blindness in adults of working age group, 20- 74 years. From 1990-2010, DR ranked as the fifth most common cause of preventable blindness and fifth most common cause of moderate to severe visual impairment. In 2018, the estimated prevalence of diabetes among adults in the United States was 10.2% (26.8 million cases). In 2019, the disease was responsible for 4.2 million deaths worldwide...

 Open Access DOI:10.23937/2378-3656/1410380

Huge Peri Renal Extra Adrenal Myelolipoma

M Souissi, A Ben Fatma, Y Lahouel, C Kerkeni and S Jerbi

Article Type: Case Report | First Published: January 30, 2022

Extra-adrenal myelolipomas are a group of mesenchymal tumors which consist of a mixture of mature adipose tissue with hematopoietic cells. This intriguing tumor most commonly occurs within the adrenal gland; however, it has been occasionally found within the pelvis, thorax, retroperitoneal space, and various other sites throughout the body. The physiopathology is not yet clearly explained, Amin, et al. suggest that there may be a relationship between the re-activation of primitive peritoneal foc...

 Open Access DOI:10.23937/2378-3656/1410379

Integrated Management Strategies (Diagnosis, Treatment, and Wound Care Management) for Improved Clinical Outcomes of Buruli Ulcer in Ghana: A Retrospective Case Report in the Ga West Municipal Hospital, Amasaman

Gideon Atinga Akolgo, Anthony Ablordey, Janet Pereko, Joseph Tuffour, Nana Konama Kotey, Albert Paintsil, Gladys Adwapa, Akosua Agyapomaa Croffie, Samuel Kwarteng Donkoh and Richard Amewu

Article Type: Case Report | First Published: January 30, 2022

Buruli ulcer is a necrotizing skin infection caused by Mycobacterium ulcerans. BU lesions may start with characteristic painlessness but most often, the typical presentations of the disease are characterized by large ulcers with undermined edges. If left untreated, BU lesions may result in extensive ulceration that can cover 15% of the body. Even though public sensitization and education have resulted in sufficient and improved knowledge about the etiology of the disease in Ghana, patients still...

Volume 9
Issue 1