Acute Wound with Varicose Vein in Rural Setting: The Challenge and Importance of Comorbidity Management
Agustini Song, MD, Kevin Leonard Suryadinata, MD and Nabila Viera Yovita, MD
Article Type: Case Report | First Published: November 30, 2021
Acute wound healing with comorbidities, such as a varicose vein, may be impaired and result in prolonged healing and unsightly scar if comorbidity identification and management are not done properly. We aimed to present the alternative comorbidity diagnosis and treatment for better outcome in rural setting. A 59-year-old woman was admitted to the ED with an open wound on the dorsolateral side of her left foot with comorbidity of uncontrolled hypertension and varicose vein. After wound closure wi...
Short Review of the Covid-19 Pandemic
Hamida Amer and Amal Ouhida
Article Type: Review Article | First Published: November 30, 2021
There is a dangerous virus spread across the globe since the end of 2019. The virus’s name is Coronavirus disease (Covid-19). Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. COVID-19 is caused by one virus, called severe acute respiratory syndrome coronavirus 2, or SARS-CoV-2. An epidemic of Coronavirus disease 2019 (COVID-19) outbroke in December 2019 in China, Wuhan, which is becoming a Public Health Emergency of International Concern. As thi...
Factitious Disorder: A Paradox Case with Recurrent Symptomatic Hypoglycemia
Dana Hassneiah, MD, Seyma Sevinc, MD, Kendyl Stewart, MD, Charlotte Chaiklin, MD and Marcia Williams, MD, FACP
Article Type: Case Report | First Published: November 28, 2021
The patient was hospitalized and started on a Dextrose intravenous infusion. She underwent primary adrenal insufficiency testing with a normal co-syntropin stimulation test. She had normal glucose levels throughout her hospitalization. She was discharged home with instruction to discontinue use of oral hypoglycemic medications. A week after discharge the patient was found unresponsive and was brought to the emergency department for further evaluation. En route to the hospital, the patient was no...
Painless Cervical Lymphadenopathy in an Elderly Patient - A Rare Case of Rosai-Dorfman Disease and Hodgkin’s Lymphoma
Shi Ying Tan, MB, BCh, BAO, Pemasiri Upali Telisinghe, MBBS and Justin Fook Siong Keasberry, MB ChB, FRACP
Article Type: Case Report | First Published: November 22, 2021
Rosai-Dorfman disease is a rare, benign disease presenting with extensive lymphadenopathy. In this case, an 81-yearold gentleman with previous pulmonary tuberculosis, presented with painless cervical lymphadenopathy associated with generalized weakness, loss of appetite, and cough. The causes of cervical lymphadenopathy in elderly are comprehensive; hence thorough history taking, examination, and appropriate investigations are vital in diagnosing diseases. If blood investigations and imaging are...
Delayed Splenic Abscess Post Splenic Arterial Embolization for Trauma in a Patient with Previous Sleeve Gastrectomy
Thomas Vu, Charles Pilgrim, Warren Clements and Ee Jun Ban
Article Type: Case Report | First Published: November 20, 2021
In haemodynamically stable patients with blunt splenic injuries, non-operative management (NOM) including the use of selective splenic artery embolization have been shown to be an effective treatment option. Proximal splenic arterial embolization reduces bleeding by decreasing pulse pressure to the spleen, hence lowering intra-splenic arterial blood pressure and promoting thrombosis of injures vessels. Splenic tissue perfusion is still achieved through a collateral arterial network, deriving fro...