Management of Uncontrolled Atrial Fibrillation in COVID Patient
Muhammad Zubair Khan, MD, Shaheer Zahid, MD, Sona Franklin, MD, Jamaluddin Saeed, MD, Vincent M Figueredo, MD, Steven Kutalek, MD and James Kilcoyne, DO
Article Type: Case Report | First Published: May 10, 2021
COVID-19 virus does not directly affect the heart. The virus can cause systematic inflammation that can lead to severe cardiac complications like uncontrolled atrial fibrillation (AF), which carries high mortality among patients. We present a case of an 82-year-old female from nursing home with advanced dementia and multiple comorbidities. She initially screened negative for COVID-19 in the nursing home, however her repeat test was positive. Soon after admission she developed progressive, hypoxi...
Type II First Branchial Cleft Cyst Presenting as Parotid Mass: A Case Report
Mayand Vakil, MD, Aron Kandinov, MD and Evelyne Kalyoussef, MD
Article Type: Case Report | First Published: April 03, 2021
Branchial cleft cysts are frequent causes of congenital neck masses-second only to thyroglossal duct cysts. Often asymptomatic, these masses can be missed until adulthood. The branchial apparatus is comprised of 3 parts: Arch, cleft, and pouch; these parts develop into the soft tissue, cartilaginous, and bony structures the mandible and neck. Incomplete obliteration is thought to result in branchial anomalies. First branchial cleft anomalies (FBCA) are quite rare, comprising less than 8% of all ...
An Unusual Cause of Epigastric Pain: Brunner’s Gland Hyperplasia of the Ampulla of Vater
Yi Hua Wu, Wen Hsin Huang, Chi Ying Yang and Kai Po Chang
Article Type: Images | First Published: February 19, 2021
A 49-year-old man with a history of chronic hepatitis B presented to our outpatient clinic with occasional epigastric pain and intermittent fullness lasting 3 months. Duodenoscopy revealed ~1.5-cm broad-based polypoid ampullary mass with smooth and hyperemic mucosa (Figure 1A). Endoscopic ultrasonography (EUS) revealed an ampullary mass with hypoechoic and heterogeneous echogenicity involving mucosal and submucosal layers without an evidence of extension into either the biliary or pancreatic duc...