A Chronic Precipitant for Acute Intermittent Porphyria
Article Type: Case Report | First Published: August 15, 2018
Acute intermittent porphyria (AIP) is a rare inherited disorder of heme metabolism caused by a heterozygous, loss-of-function mutation affecting the enzyme porphobilinogen deaminase (PBGD). The remaining enzymatic activity is sufficient to avoid accumulation of intermediate metabolites until hepatic heme production is further activated, i.e. by a precipitant....
An Unspoken Threat Hiding behind the Gall Bladder in Laparoscopic Cholecystectomy - The Middle Hepatic Vein
Kaundinya Kiran Bharatam
Article Type: Case Report | First Published: August 10, 2018
Laparoscopic cholecystectomy is guided by working knowledge of bilio-vascular anomalies to prevent common bile duct injuries and bleeding during surgery. Less importance is given to the dissection of the gall bladder from the gall bladder bed where the middle hepatic vein or its large branch can be encountered. The lack of awareness of this presence can result in uncontrolled bleeding and result in significant morbidity or mortality in a seemingly uneventful procedure....
Borderline Personality Disorder with Psychopathic Traits: A Critical Review
Lopez-Villatoro JM, Palomares N, Diaz-Marsa M and Carrasco JL
Article Type: Research Article | First Published: August 04, 2018
Borderline Personality Disorder (BPD) is described as a severe mental condition characterized by high affective instability, impulsive behaviors, autolytic attempts, or unstable interpersonal relationships. Previous literature on BPD has focused mainly on symptoms of mood and anxiety and self-injurious behavior but relatively little is known about the association between borderline personality disorder and psychopathic traits....
Diagnosis of Tardive Dyskinesia in an Oral Surgical Office
Shamit S Prabhu, Sameh Almousa, Kevin Fortier and Uday N Reebye
Article Type: Case Report | First Published: August 03, 2018
Tardive dyskinesia (TD) presents as uncontrolled, repetitive movements of the body, typically beginning with orofacial structures, due to antipsychotic medications. The two classes of antipsychotics, atypical and typical, are mainly distinguished by their likelihood of producing extrapyramidal side effects (EPS), with atypical producing lower rates. Our case discusses a patient who presented at our clinic for dental extractions. Pre-operative consultation presented the rapid, repetitive tongue, ...