ClinMed International Library

The ClinMed International Library is a repository and an open access publisher for medical research that covers a wide range of areas in Clinical Medicine. ClinMed serves as a global platform for medical practitioners and research scholars to foster their learning and professional acumen through an extensive portfolio of research articles and publications that can be accessed without any restrictions.

Dedicated to clinical medical research, we now publish over 70 quality peer-reviewed journals making all the articles freely accessible. The manuscripts submitted to ClinMed will be processed through standard parameters and international peer review systems. This has enabled us to establish new milestones in the global research arena in terms of cogency and integrity, and to disseminate highly credible and accredited research content for researchers, scholars, and practitioners across the globe.

We ensure that all researchers and authors publishing their papers with us retain copyrights, licensed under Creative Commons Attribution License that permits the unrestricted use and re-use of the content with proper citation.

  Last Updated: May 06, 2021

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All articles are fully peer reviewed, free to access and can be downloaded from our ClinMed archive.

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 Open Access DOI:10.23937/2643-3966/1710037

Triple Therapy for Persistent Pulmonary Hypertension Post Left Ventricular Assist Device: A Success Case for Cardiac Transplant

Muhammad O Zaman, MD, Luka Petrovic, MD, Scott Stewart, DNP and Bernard Kim, MD

Article Type: Case Report | First Published: February 24, 2021

Patients with end stage heart failure often develop pulmonary hypertension which resolves after placement of left ventricular assist device (LVAD). Some patients develop persistent pulmonary hypertension despite LVAD implantation. This excludes them from being able to receive a heart transplant. High pulmonary vascular resistance is associated with poor prognosis in patients with LVAD. There are no treatment guidelines available for long term treatment of pulmonary hypertension in LVAD patients ...

 Open Access DOI:10.23937/2378-3656/1410340

Management of Actinic Keratoses

Lauren Schwartzberg, BS, Sonya Zarkhin, DO, Sarah Stano DO and Cindy Hoffman, DO

Article Type: Commentary | First Published: February 28, 2021

Chronic sun exposure causes the development and progression of AKs. This is due to the cumulative ultraviolet (UV) radiation from the sun which causes neoplastic effects in keratinocytes. Ultraviolet radiation exists in three wavelengths: UVA at 315-400 nm, UVB at 280-315 nm, and UVC at 100-280 nm. Generally, only UVA and UVB make it through the ozone layer. The long wavelength of UVA allows it to penetrate the skin as deep as the basal layer. This causes melanocytes within the basal layer to re...

 Open Access DOI:10.23937/2378-3656/1410339

Vancomycin Induced Thrombocytopenia from Impregnated Cement Beads

Vede Ramdass, Henry Fraimow and Kamyar Nader

Article Type: Case Report | First Published: February 25, 2021

Vancomycin is frequently used to treat Methicillin-resistant Staphylococcus aureus infections and has a rare side effect of thrombocytopenia. Currently, it is predominantly used in the intravenous form but other formulations are frequently used depending on the clinical scenario such as oral form and drug eluting beads. In this case report, we present a patient who developed persistent thrombocytopenia caused by vancomycin-impregnated cement beads. This patient had a hip replacement that was com...

 Open Access DOI:10.23937/2378-3656/1410338

MPhotoplethysmogram’s Amplitude is Well Correlated with Beat-By-Beat Changes in Arterial Blood Pressure

Gerardo Tusman, MD, Adriana Scandurra, Eng PhD, Cecilia M. Acosta, MD, Silvana Puca, MD, Jorge Martinez Arca, Eng, Matías Madorno, Eng PhD, Fernando Suarez Sipmann, PhD and Stephan H. Böhm, MD

Article Type: Original Article | First Published: February 25, 2021

To describe the association of the amplitude of the photoplethysmographic waveform (PPG) with arterial pulse pressure (PP) and surrogates of vascular tone. In 26 anesthetized patients PPG amplitude, invasive arterial blood pressure, estimated vascular compliance (Cvasc) and Doppler resistive index (RI)/mean flow velocity (Vm) were recorded during changes in arterial blood pressure. These variables were analyzed as: 1) Group-averaged analysis: 20 beats were selected at different arterial pressur...

 Open Access DOI:10.23937/2474-3682/1510174

Giant Seborrheic Keratoses: An Historical Case

S. Belmourida, M. Meziane, N. Ismaili, L. Benzekri and K. Senouci

Article Type: Image Article | First Published: March 08, 2021

Seborrhoeic keratoses are benign tumors that mainly occur in the head and in the trunk. Their size generally varies from a few millimeters up to a few centimeters. Giant lesions are very rare but pose a problem in terms both of treatment and transformation. We report a case of giant seborrhoeic keratoses in an elderly man remarkable for their chronic evolution and their impressive size. We report the case of a 90-year-old man, with no particular past medical history, who presented with asymptoma...

 Open Access DOI:10.23937/2474-3682/1510173

Natal Teeth: Baby Born with Two Teeth

Rafia Jabbar, MBBS and Arsia Hanif, MBBS

Article Type: Image Article | First Published: March 04, 2021

A 27-year-old female gave birth to a baby boy via spontaneous vaginal delivery at term. The mother had an uneventful prenatal course. The APGAR scores were 9 at 1 minute, 9 at 5 minutes, and 10 at 10 minutes. The baby weighed 2.9 kgs, had no signs of distress, and had a normal head-to-toe examination. During examination of the oral cavity, crowns of two teeth were observed in the anterior mandible, i.e., in the lower jaw. The teeth exhibited grade II mobility. The gingivae, tongue, and buccal mu...

 Open Access DOI:10.23937/2474-3682/1510172

Patellar Epithelioid Malignant Peripheral Nerve Sheath Tumour (MPNST) Mimicking Sebaceous Cyst

Nurwahyuna ROSLI, TAN Geok Chin and Wan Syahira Ellani WAN AHMAD KAMMAL

Article Type: Image Article | First Published: March 04, 2021

A 75-year-old man presented with a slow-growing patellar swelling with no history of pain or trauma to the site. The mass was clinically diagnosed as sebaceous cyst as it is well-circumscribed and located at the dermal-subcutanoeus tissue junction. Macroscopic cut section of the 40 mm, encapsulated mass showed variegated tan-yellowish cut surface with areas of haemorrhage and necrosis (Figure 1a and Figure 1b). Microscopically, it was well-circumscribed, composed of lobules of neoplastic cells s...

 Open Access DOI:10.23937/2474-3682/1510171

Malignant Melanoma of Gingiva

Seck Birame and Diallo Moussa

Article Type: Image Article | First Published: March 04, 2021

A 57-year-old Senegalese woman consulted to us for a pigmented mass inside the oral cavity evolving since 10 months. She had history of repetitive traditional tattoousing thorns on the gingiva. Intraoral examination showed a large pigmented tumour extending from the right maxillary gingiva to the left maxillary gingiva. It was 7 × 4 cm in size, firm in consistency with slight bleeding on touch. The patient also presented sub-mandibular lymphadenopathies and significant weight loss. An incisiona...

 Open Access DOI:10.23937/2377-9004/1410193

Benign, Self-Resolving Subcutaneous Emphysema and Abdominal Crepitus after Open Gynecologic Surgery

Conway Xu, MD, John C Elkas, MD and Chad A Hamilton, MD

Article Type: Case Report | First Published: February 18, 2021

Abdominal crepitus and associated subcutaneous emphysema on imaging following open gynecologic surgery typically signals life-threatening complications including perforated viscus and necrotizing fasciitis, which require prompt intervention. This case is the second to date after open gynecologic surgery where, after extensive workup, significant subcutaneous emphysema of uncertain etiology was diagnosed with a benign and self-resolving course without any long term sequalae. Subcutaneous emphysem...

 Open Access DOI:10.23937/2377-9004/1410192

Intra-Operative Ultrasound Assessment of a Myometrial Cyst with Fertility-Sparing Myometrial Cystectomy

Gillian A Corbett, Claire Thompson, Zibi Marchocki and Noreen Gleeson

Article Type: Case Report | First Published: February 15, 2021

Benign leiomyoma can undergo degeneration that result in unusual clinical and radiological presentations. Diffuse hydropic fibroid degeneration resulting in myometrial cyst formation is very rare. Here we describe intra-operative ultrasound recognition of this phenomenon. A 35-year-old nulliparous woman presented to the Gynaecology Oncology Clinic with menorrhagia and pressure symptoms. Abdominal examination revealed an abdominal mass extending to the umbilicus. Ultrasound showed complex pelvic ...


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