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Case Report Open Access

Posterior Uterine Wall Rupture of an Unscarred Uterus in a Woman with History of Congenital Diaphragmatic Hernia Repair

Anna Grassi, Benjamin Scott, Dominic Cammarano, Xuezhi Jiang and Peter F Schnatz
Clin Med Rev Case Rep Volume 2, Issue 9

Abstract: A 24-year-old woman, gravida 5, para 2, with single gestation at 41 weeks and 1 day was admitted to the labor unit with regular uterine contractions. Her obstetrical history was significant for two previous uncomplicated spontaneous vaginal deliveries, one ectopic pregnancy and one missed abortion. Her medical history was unremarkable. Her surgical history was significant for a congenital diaphragmatic hernia repair as an infant and dilation and curettage for missed abortion. During an uneventful labor, a sudden loss of fetal station and decelerations to 80 beats/min occurred, leading to an emergent caesarean section.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410059

Case Report Open Access

The Challenge of Infections in Frail Elderly: The Story of Mr. Nilsson

Sund-Levander M and Grodzinsky E
Clin Med Rev Case Rep Volume 2, Issue 9

Abstract: Signs and symptoms of infection in Nursing Home Residents (NHR) are often atypical with a lack of specific ones, causing a delay in diagnosis and treatment. The complexity of detecting infections in NHR can be explained by difficulties in understanding and interpreting non-specific signs and symptoms and co-existing chronic diseases that blur the clinical picture. The case of Mr. Nilsson illustrates the process from the first signs and symptoms of infection to diagnosis in an elderly person with severe cognitive decline and physical impairment.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410058

Review Article Open Access

Breast Cancer Adjacent to Nodular Fasciitis: A Case Report

Ryuji Takahashi, Ayaka Ishii, Roka Namoto Matsubayashi, Shino Nakagawa, Momoko Akashi, Kana Tsutsui, Shino Harada, Seiya Momosaki and Yoshito Akagi
Clin Med Rev Case Rep Volume 2, Issue 9

Abstract: Nodular fasciitis is a benign proliferative lesion that is generally found in the soft tissue of the upper extremity and trunk. It has rarely been reported in the breast and that of the breast is indistinguishable from breast cancer.A 77-year-old woman visited our department to biopsy the swelled axillary lymph node. Contemporary, a breast tumor was found in her left breast. Mammography showed a high density mass with microlobulated margin. On ultrasonography, there was an irregular hypoechoic mass which was adjacent to a heterogeneous hyperechoic lesion. Needle biopsied tissues showed a proliferation of spindle-shaped cells and suggested nodular fasciitis.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410057

Research Article Open Access

Some Comparation Aspect of Determination of Overall Scoring Indexes between Osteoarticular Scores, Sharp's Radiographic Indexes in Patients with Rheumathoid Arthritis

Dejan Spasovski
Clin Med Rev Case Rep Volume 2, Issue 9

Abstract: The aim of the present work was to use and evaluate the SENS method, for the first time in Macedonia, in comparison with SHS, and to test the agreement between the readers for the two scoring methods, in a group of patients with established RA.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410056

Research Article Open Access

Some Aspect of Clinical Assessment of Carpal Unstability and Colapsus in Untreated Rheumatoid Arthritis

Dejan Spasovski
Clin Med Rev Case Rep Volume 2, Issue 9

Abstract: The carpal instability is a biomechanical alteration with multiple pathogenesis. It ensues due to disturbance of the normal ligament and bone connections that control the wrist. There are four major types of carpal instability: 1 Dorsal Intercalated Segment Instability (DISI) 2.Volar Intercalated Segment Instability (VISI) 3.Ulnar translocation, and 4. Medial carpal instability. Instability in the wrist in Rheumatoid Arthritis (RA) appears as a result of incongruity between joint and bone surfaces, capsular and ligament laxity and muscle-tendon imbalance.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410055

Research Article Open Access

Prognostic Significance of Tumor Regression in Locally Advanced Rectal Cancer after Preoperative Radiochemotherapy

Potisek M, Velenik V and Omejc M
Clin Med Rev Case Rep Volume 2, Issue 9

Abstract: Colorectal cancer is one of the most important oncological issues worldwide. It is estimated that in 2012 1.4 millions of colorectal cancer patients were newly discovered, which accounts for 9,7% of newly diagnosed cancers. Almost 700 000 people died because of colorectal cancer in 2012, that is 8,5% of cancer-related deaths. Rectal cancer represents approximately one third of colorectal cancer.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410054

Case Report Open Access

New Onset Nephropathy in a Patient with Psoriatic Skin and Joint Disease

Savvas Psarelis, Sophia Corsava, Kyriakos Polycarpou, Kyriakos Ioannou, Ioanna Zouvani and Elena Nikiphorou
Clin Med Rev Case Rep Volume 2, Issue 9

Abstract: We present the case of a 38-year-old male patientwho presented with new onset nephropathy on a background of psoriatic skin and joint disease. The pathogenesis and link between nephropathy with psoriatic disease is discussed, along with potential diagnostic and management challenges. This case highlights that nephropathy in psoriatic skin and joint disease can and does occur and high vigilance is necessary especially in patients taking potentially nephrotoxic drugs. The complexity of these cases necessitates close management and involvement of appropriate specialists, regular follow-up and careful monitoring.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410053

Volume 2
Issue 9