Uncommon Complication for Commonly Used Drugs: Cardiac Arrest after Administration of Succinylcholine
Mohd Nazri A, Nor Hidayah ZA, Suryati MP, Wan Nasrudin WI, Azhar M, Mazelan O, Nurul Ashikin H, Fazilawati Z, Maziah M, Khairul Has H and Puzizer S
Article Type: Case Report | First Published: August 04, 2018
Succinylcholine is a depolarizing, muscle relaxant, that commonly used to facilitate endotracheal intubation, especially in emergency surgery or patient with difficult intubation. However succinylcholine is associated with severe hyperkalaemia, arrhythmia and cardiac arrest especially in severe burn and neuromuscular disease and renal failure. We report a case of young boy with underlying Obstructive Sleep Apnoea (OSA) presented for bleeding post tonsillectomy, who developed cardiac arrest following administration of succinylcholine. In this case report, we discuss regarding possible mechanism...
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....
Awareness and Knowledge of Oral Cancer among Dental Practitioners of Bhopal, India - A Cross-Sectional Study
Mudita Rawal, Pratik Chandrakant Malusare and Bhakti PatilSoman
Article Type: Research Article | First Published: August 03, 2018
Oral and pharyngeal cancers are largely preventable and can be successfully treated when diagnosed at an early stage. Lack of dental practitioner knowledge has been shown to contribute to delays in referral and treatment. Early detection of oral cancers makes them more amenable to treatment, thus reducing morbidity and allowing the greatest chance of cure. The malignancy is often detected at advanced stages, when more aggressive therapies, often with poor and devastating outcomes for the patient, are needed....
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, lip, and cheek movements characteristic of tardive dyskinesia. An extensive search through her medic...
Penile Squamous Cell Carcinoma
Ahmed Bouhamidi, Mohamed El Amraoui, Mustapha Azzakhmam, Mohamed Oukabli and Naoufal Hjira
Article Type: Image Article | First Published: August 02, 2018
Penile tumors are the rarest tumors of the male urogenital tract (1%). Squamous cell carcinoma is the most common histological type. Squamous cell carcinoma of the penis is most often presents between 50 and 70-years-old. Early diagnosis is imperative to avoid lymphatic spread that is associated with poor prognosis. We report the case of a 56-year-old man with squamous cell carcinoma of the penis present for 6 years....
A Case of Intra-Operative Anaphylaxis to Patent Blue Dye during Sentinel Lymph Node Biopsy
A Jlali, M Gara, M Mehdi and LGrati
Article Type: Case Report | First Published: August 02, 2018
Patent Blue Violet dye is commonly used for selective localization of the lymphatic system before sentinel lymph node biopsy. This procedure is routinely recommended for staging the axilla in early breast cancer. However, it has long been recognized that such dye is associated with anaphylaxis. Here, we present a case of an intraoperative grade 2 anaphylaxis which commenced 20 minutes following the subcutaneous periareolar injection of patent blue for sentinel lymph node detection during segmental mastectomy. The timing of the reaction, clinical signs, and results of skin testing confirm paten...
A Case of Intra-Abdominal Desmoplastic Small Round Cell Tumor in a Young Girl Patient
Houda Fagouri, Mounia Ziyadi, Abdellahi Ibrahim, Ali Osman, Abdelah Babahabib, Mohamed Oukabli, Jaouad Kouach, Driss Rahali Moussaoui and Mohamed Dehayni
Article Type: Case Report | First Published: July 30, 2018
Desmoplastic small round cell tumor (DSRCT) is a rare and highly aggressive mesenchymal tumor; fewer than 200 cases have been reported in the literature. DSRCT mainly develops in adolescent and young adults with a strong male predominance; the male to female ratio is 4:1. Among female, it appears more precociously in the form of a pelvic mass, an abdominal distension or a high rate of Ca125. Its diagnosis is anatomopathological. The tumor typically develops in the abdominal cavity, invading the omentum with multiple peritoneal implants involving the diaphragm, splenic hilum, mesentery of small...
A Hidden Epidemic and What You Can Do About It
Robert M Post
Article Type: Research Article | First Published: July 28, 2018
In the United States ¾ of the children of a parent with a mood disorder will develop a major psychiatric diagnosis upon a 7 year follow up. Moreover, the earlier the onset of symptoms, the longer the delay to first treatment, and this is posing major short and long-term health threats for a sizable portion of the population....
Cytomegalovirus-Associated Pseudotumor of the Rectum in an Immunocompromised Patient
Lisa Marie Cannon and Steven Lee-Kong
Article Type: Case Report | First Published: July 28, 2018
A 46-year-old man with a history of anal condyloma and HIV infection presented with four years of bloody anal leakage with incontinence. Digital rectal examination revealed a palpable mass in the distal rectum. Index colonoscopy revealed a fungating, ulcerated mass in the distal rectum. Biopsies demonstrated inflammation with superficial erosion. He was lost to surgical follow-up over the ensuing months. In the interim, the patient was initiated on antiretroviral therapy and PCP prophylaxis for CD4 of 109 cells/mm3....