Clinical Medical

Reviews and Case ReportsISSN: 2378-3656


 Open Access DOI:10.23937/2378-3656/1410336

Distal RTA with Hypokalemic Quadriparesis as the Initial Presentation of Primary Sjogren’s Syndrome

Tejaswee Banavathu, MBBS, Swapnil Tripathi, MBBS, Pankaj Sukhadiya, MBBS, Mahesh Kumar Barodia, MD and Gopal Krishna Bohra, MD

Article Type: Case Report | First Published: January 30, 2021

Sjogren syndrome (SS) is a multisystemic autoimmune disorder with predominant exocrine gland involvement leading to sicca symptoms. Among extraglandular manifestations, renal involvement is commonly seen. Renal involvement can be either tubulointerstitial (TIN) or glomerular, the former being more common. Distal RTA is the most common manifestation of TIN presenting as mild hypokalaemia, metabolic acidosis and rarely with hypokalaemic periodic paralysis. We report a case of a 70-year-old female ...

 Open Access DOI:10.23937/2378-3656/1410335

High-Dose Intravenous Hydroxocobalamin for Persistent Vasoplegic Syndrome after Cardiac Surgery

Mohamed Ben-Omran, MD, Ellen Huang, PharmD, Vijay S. Patel, MD, Nadine Odo, BA, CCRC, Taylor Glenn MD and Vaibhav Bora, MD

Article Type: Case Report | First Published: January 30, 2021

Vasoplegic syndrome is a vasodilatory shock characterized by significant hypotension, normal or high cardiac output, and increased requirement for intravenous fluid resuscitation and vasopressors. It is a relatively common complication following cardiac surgery. We describe the case of a 77-year-old man who developed prolonged vasoplegic syndrome which was refractory to high doses of conventional vasopressors following coronary artery bypass graft surgery. Given the possible increased risk of se...

 Open Access DOI:10.23937/2378-3656/1410334

Successful Medical and Surgical Management of Massive Hemoperitoneum in Early Pregnancy

Giovanna Rosica, Daniela Bucari, Giovanni Pastore, Angela Musella, Maria Pia Giorno, Valeria Ebano and Vincenzo Spina

Article Type: Case Report | First Published: January 09, 2021

There are several cases reported in literature about management of adnexal masses and hemoperitoneum during pregnancy, however there is still no clear and standardized treatment. Through this manuscript we want to report our experience about the successfully treatment of massive hemoperitoneum due to corpus luteum rupture during first trimester of pregnancy. A Caucasian young patient, pregnant at early gestational age, referred to our Department because of acute pelvic and abdominal pain due to ...

Volume 8
Issue 1