Open Access DOI:10.23937/2474-3682/1510235
Cerebral Fat Embolism Syndrome
Aayush Kulshrestha, Yudhyavir Singh, Abhishek Singh and Richa Aggarwal
Article Type: Clinical Image | First Published: 2024/04/06
A 33-year-old man admitted to the emergency department after being involved in road traffic accident. On evaluation and radiological imaging, he sustained closed subtrochanteric fracture in the right femur and a bilateral pelvic. Following primary survey and initial resuscitation, the patient was haemodynamically stable, so the patients shifted to a ward for further management. After 24 hours, the patient exhibited changes in mental status, including drowsiness, confusion, and restlessness with ...
Open Access DOI:10.23937/2474-3682/1510234
Unilateral Renal Agenesis, Think in Zinner Syndrome
Marta Pelicano, Margarida Serôdio and Paula Nunes
Article Type: Clinical Image | First Published: 2024/02/25
Zinner syndrome is indeed a rare congenital condition characterized by urogenital system malformation, specifically involving abnormalities of the mesonephric/Wolffian duct. It typically presents with the triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction. We present a case of an 8-year-old male child with a prenatal diagnosis of solitary kidney (right renal agenesis) and the subsequent identification of a globose right seminal vesi...
Open Access DOI:10.23937/2474-3682/1510233
Verrucous Epidermal Hyperplasia in the Lower Lip
Edgar Bedang Mone Keby da Costa, El khalil El Bakali, Rachid Frikh, Naoufal Hjira and Youssef Zemmez
Article Type: Clinical Image | First Published: 2024/02/17
Verrucous hyperplasia is a pre-neoplastic lesion that inevitably progresses to verrucous carcinoma or squamous cell carcinoma. Diagnosis is histological; this lesion may exist alone or as part of the spectrum of lesions described in verrucous leukoplakia. The distinction is based on the endophytic and exophytic growth aspects of the epithelial proliferation: In verrucous carcinoma, in addition to surface projections, there are also extensions of the lesion into the underlying connective tissue t...
Open Access DOI:10.23937/2474-3682/1510232
Posterior Segment Flail Chest: A Radiological Diagnosis
Yudhyavir Singh, Baby Pegu and Kapil Dev Soni
Article Type: Clinical Image | First Published: 2024/02/12
A 35-year-old male reported to the emergency department after a road traffic accident with complaints of chest pain on the left side and breathing difficulty. On the primary survey, his GCS was full, his airway was patent, breathing spontaneously with a respiratory rate of 28/min with paradoxical movement on the left of the chest, heart rate of 102/min, and blood pressure of 116/78 mmHg. On further evaluation, the chest compression test was positive on the left side, but FAST and eFAST scan were...
Open Access DOI:10.23937/2474-3682/1510231
Neonatal Hemangioma: Key Role of Physical Assessment
Marta Figueiredo, Leonor Aires Figueiredo, Filipa Cirurgião, Joana Soares, Cristina Claro and Marta Aguiar
Article Type: Medical Image | First Published: 2024/01/31
A male newborn with a gestational age of 39 weeks and 2 days, with appropriate weight for gestational age, was born by eutocic delivery. Pregnancy surveillance was unremarkable, with maternal serologies and obstetric ultrasounds considered normal. In the delivery room, an adherent red-violaceous rounded lesion in the left gluteal region, with hard consistency, peripheral pale halo and telangiectasias, measuring approximately 5 cm, was observed (Figure 1). ...
Open Access DOI:10.23937/2474-3682/1510230
Squamous Cell Carcinoma of the Inter-Toe Space: A Case Report
Elkhalil El Bakali, Edgar Keby, Youssef Zemmez, Rachid Frikh and Naoufal Hjira
Article Type: Clinical Image | First Published: 2024/01/25
A 73-year-old female patient, without any notable pathological history, who presented with an intertrigo of the 4th inter-toe space of the right foot for 6 years and refractory to antifungal treatment, evolving to a protruding lesion. Clinical examination revealed a bulging nodular lesion, filling the entire 4th inter-toe space, 2 × 1.5 cm in size, with a small ulceration and crusts on the surface and the lesion associated with deep cracking of the inter-toe space (Figure 1a, Figure 1b and Figu...
Open Access DOI:10.23937/2474-3682/1510229
Recurrent Tongue Hyperpigmentation in Hidradenitis Suppurativa
Palmeiro AG and João Teles-Sousa
Article Type: Clinical Image | First Published: 2024/01/21
The authors present the case of a non-smoker, 40-year-old woman, with hidradenitis suppurativa (IHS4 9). When she presented for deroofing surgery she complained of an asymptomatic dark pigmentation of her tongue. She recalled three similar self-limited episodes, that coincided with doxycycline cycles, but denied a similar reaction when she took minocycline. A diagnosis of hairy black tongue induced by doxycycline was made and the patient was reassured (Figure 1)....
