Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
Bruno Costa do Prado, Gustavo Silva Schafascheck and Alana Rocha Puppim
Article Type: Research Article | First Published: October 17, 2019
Adrenal tumors may be a benign finding or imply a high level of morbidity and mortality due to their hormonal activity, or to a possible malignant histology. Medical literature indicates that this condition is due to the improvement of the technique and dissemination in a wide range of imaging methods, increasing considerably the diagnosis of adrenal nodules and its immediate treatment. When treating a patient with adrenal tumors, the main concern of the professional should be to establish if the lesion is a malignant neoplasm and if there is some hormonal functioning, which are two occurrence...
The Prevalence of Work-Related Muskuloskeletal Disorders (WRMSDs) and Related Factors among Occupational Disease Clinic Patients
Zeynep DOGRUL, MD, Nejdiye MAZICAN, MD and Meral TURK, Prof. Dr.
Article Type: Research Article | First Published: October 28, 2019
Work-related musculoskeletal disorders (WRMSDs) are one of the common health problems of employees. WRMSDs are impairments of bodily structures such as muscles, joints, tendons, ligaments, nerves, bones and the localised blood circulation system, that are caused or aggravated primarily by work and by the effects of the immediate environment in which work is carried out. The aim of this study is; to determine the prevalence of work related musculoskeletal disorders and the related factors such as socio-demographic characteristics and working conditions among occupational disease outpatient clin...
Coronary Artery Involvement Following Kawasaki Disease: A Case Report of a 5 Month Old African Infant
Tumwebaze Hilda, Ndagiire Emma, Namuyonga Judith, Twalib Aliku, Lwabi Peter and Lubega Sulaiman
Article Type: Case Report | First Published: November 07, 2019
Kawasaki disease (KD) is an acute systemic vasculitis which progresses to cause coronary artery abnormalities as a complication. Echocardiographic and cardiac angiographic data indicate that 20-40% of untreated KD patients develop coronary artery abnormalities. However, majority of the lesions regress over time. Timely treatment with high dose intravenous immunoglobulins (IVIG) and high dose of aspirin has been found reduce the incidence of developing coronary artery aneurysms to 2%-3%. Data on KD in the African region is unavailable. We present a case of a 5 month old infant that presented at...
Relationship Between Mean Platelet Volume-to-Platelet Count Ratio and the Presence and Severity of Coronary Artery Ectasia
Ramazan Asoglu and Emin Asoglu
Article Type: Research Article | First Published: September 28, 2019
Atherosclerosis plays an essential role in the etiopathogenesis of coronary artery ectasia (CAE). The mean platelet volume/platelet count (MPV/PLT) ratio is a new biomarker, and increased MPV/PLT ratio was a predictor of cardiovascular mortality in patients with the acute coronary syndrome. We aimed to assess the association between the CAE and MPV/PLT ratio. The present study included 50 patients with CAE and 45 healthy subjects prospectively. The CAE was defined as dilation of the coronary artery > 1.5-fold the diameter of the adjacent normal coronary vessels The severity of isolated CAE was...
Percutaneous Coronary Intervention in a Cancer Patient with Dextrocardia and Situs Inversus
Article Type: Case Report | First Published: October 25, 2019
Although dextrocardia occurs rarely, the incidence of coronary artery disease is similar to the general population. Few cases of coronary angiography and percutaneous coronary intervention (PCI) in patients with dextrocardia have been reported. Because of unfamiliarity with performing catheterization, transradial coronary angiography has seldom been performed in a patient with dextrocardia. To the best of our knowledge, this is the first report of successful coronary angiography and ad hoc coronary stenting in a cancer patient with dextrocardia with situs inversus in Lebanon. We successfully p...
Ilyass ANOUAR, MD and Naoufal HJIRA, MD
Article Type: Image Article | First Published: October 24, 2019
A 39-year-old patient, who travels 2 years ago to a desert area in south-eastern Morocco, presented with an ulcerous and crusty plaque on his left leg. The clinical exam founds numerous, ulcerous and crusty nodules, confluent to form a plaque of about 5 cm long (Figure 1A), painless with some smaller satellite lesions (arrows) arranged on sporotrichoïd pattern (Figure 1B). Parasitological examination found numerous amastigotes within mononuclear cells and pathology shows a granulomatous infiltrate thus establishing the diagnosis of leishmaniasis. Leishmaniasis is a parasitic disease due to a ...
Complex Thoraco-Abdominal Trauma: Transdiaphragmatic Intercostal Hernia and Rib Fractures
Sally Shepherd, MD, Annelise Cocco, MBBS, FRACS, Phillip Antippa, MBBS, FRACS and Jacob McCormick, MBBS, FRACS
Article Type: Case Report | First Published: October 14, 2019
Injuries to the costal margin which involve herniation of abdominal contents into the chest are rare. Two major mechanisms of transdiaphragmatic intercostal hernia are recognised: post-traumatic and spontaneous. It is hypothesised that disruption of either the diaphragm or intercostal muscles leads to herniation of the abdominal contents, and that negative intra-thoracic pressure then draws the herniated viscera further into the chest. A 66-year-old male was transferred to the emergency department at an Australian Level 1 Trauma Centre following a high speed motor vehicle crash. He had a signi...
Pharyngeal Perforation after Anterior Cervical Fusion Surgery
Munibe Busra Erdem, MD, Emrah Celtikci, MD, Utku Aydil, MD, Mesut Emre Yaman, MD and Hakan Emmez, MD
Article Type: Case Report | First Published: October 07, 2019
Pharyngeal perforation is a serious complication of anterior cervical fusion surgery. If it is not diagnosed in the early period and the treatment is delayed, catastrophic consequences may occur which may cause death such as septicemia, mediastinitis, pneumonia and meningitis. We shared the presentation of our two cases. In the first case, pharyngeal perforation and spontaneous extrusion of the C2-C3 fixation device occurred after eight years from surgery. The fixation device removed and the pharyngeal wall repaired surgically. In the second case, one of the upper screws perforated the posteri...
Open Rhinoplasty Approach for Resection of a Subcutaneous Aneurysmal Fibrous Histiocytoma
Anna Frants, MD, Marissa Lafer, MD, Cheng Z Liu, MD and Judy W Lee, MD
Article Type: Case Report | First Published: October 14, 2019
Aneurysmal fibrous histiocytoma (AFH), also known as aneurysmal dermatofibroma, is a rare variant of the more common and benign dermatofibroma (fibrous histiocytoma). AFHs account for approximately 2% of all cutaneous fibrous histiocytomas, and have been reported to occur most often on the extremities of young to middle aged adults, with a slight female predominance. The mass was excised en bloc using an open rhinoplasty approach. Once the nasal skin-SMAS envelope was elevated, a lobular, cystic appearing mass was again noted in the right supratip area lateral to the upper lateral cartilage. T...