Altered Mental Status as the Primary Presentation of Stercoral Colitis
Himax Patel, MD, Anna Madia, BS and Idris F Ali Amghaiab, MS
Article Type: Case Report | First Published: December 01, 2021
Constipation is prevalent in the elderly. Rarely, severe constipation leads to stercoral colitis, a condition which results from fecal impaction in the colon causing increased intraluminal pressure, ulcer formation, and perforation of the colonic tissue. This condition can be fatal if it is not recognized early and promptly treated. Early detection is often difficult as this disease primarily affects elderly patients with history of dementia, stroke, or other neurologic disorders, and can cause ...
It’s Not Always What it Says on the Tin: A Rare Case of Adenocarcinoma of the Ileocaecal Valve
Neasa Mc Gettigan, MB BCh BAO, MRCPi, MSc, Edric Leung, MB BCh BAO, MRCPi and Subhasish Sengupta, MBBS, MD, MRCP(UK), FRCPI
Article Type: Clinical Image | First Published: November 29, 2021
A 57-year-old male presented with a four week history of shortness of breath on exertion, fatigue and melaena with no underlying medical or family history. Recent blood tests with his primary care physician demonstrated an iron deficiency anaemia with a haemoglobin of 7 g/dL and MCV of 68 fl. Oesophagogastroduodenoscopy (OGD) was performed in the first instance which did not show any evidence of recent bleeding or cause of the melaena. Of note, a CEA level was normal at 1.2 ng/ml. A colonoscopy ...
Cross-Sectional Questionnaire Study on PMS/PMDD and Stress Factors in the Life of Female Medical Students
Jinko Yokota, Michiko Nohara, Toshiko Kamo, Fumi Horiguchi and Keiko Uchida
Article Type: Original Article | First Published: December 01, 2021
To investigate relationship among PMS/PMDD and stress factors, menstrual distress, psychological distress, menstrual cycle and life habits in female medical student’s life. The authors conducted a survey among all students of a medical university in Tokyo between October 15 and 27, 2015, using anonymous self-administered questionnaires. The questionnaire assessed cognitions about 18 stress factors in student life, the premenstrual symptoms screening tool (PSST), menstrual-associated symptoms ...
Complications after Totally Implantable Venous Port Catheter Intervention in Cancer Patients
Hasan Reyhanoglu, MD and Kaan Ozcan, MD
Article Type: Research Article | First Published: December 08, 2021
The aim of this study was to evaluate the complications associated with totally implantable venous port catheter interventions and the management of these complications. Between January 2011 and October 2020, we reviewed patients who had totally implantable venous port catheter interventions. A total of 543 catheters were inserted into cancer patients via the subclavian, jugular, or femoral vein. Demographic data, venous access, primary diagnosis, catheter-related complications, catheter durati...
Retroperitoneal Paraganglioma in the Extra-Adrenal Gland: A Case Study Report, Aseer Central Hospital, Saudi Arabia
Dhafer Mohamed Al-Shehr and Fawaz Ali Ahmed Qasem
Article Type: Case Report | First Published: December 06, 2021
Paraganglioma is a neural crest-derived endocrine cells or organs located generally at the extraadrenal glands, head, necks, or abdomen. This research case study brings a detailed information of paraganaglioma occurred for a patient in Aseer region. 36-year-old patient who experienced no major symptoms such as hypertension, palpitation, vomiting, bleeding, or headache. for primary diagnosis ultrasonography and Computed Tomography (CT) were used to identify a heterogenous mass. The Magnetic Res...
Case Report: Ossified Subperiosteal Hematoma in the Humerus of a Lacrosse Player
Alana M Munger, MD, Dieter M Lindskog, MD and Elizabeth C Gardner, MD
Article Type: Research Article | First Published: December 06, 2021
An 18-year-old male collegiate lacrosse player presented to a sports medicine clinic with two-week history of atraumatic pain along the lateral aspect of his left arm. Radiographs demonstrated a thin, well-defined exostosis arising from the cortex of the mid-humeral diaphysis and magnetic resonance imaging demonstrated an osseous excrescence in the anterolateral aspect of the humerus and the prominence of the cortex in this area suggested a prior subperiosteal hematoma in this region - consisten...
The Effect of an Ultradistance Foot Race on Thyroid, Stress Hormone Levels and the Immune System
Dimitra Pappa, Maria G Pavlatou, Christina Kanaka-Gantenbein, Flora Bacopoulou, Christina Darviri, Katerina Skenderi, Maria Tsironi, George P Chrousos and Ioannis Papassotiriou
Article Type: Research Article | First Published: December 06, 2021
The aim of the present research is to investigate the effect of an ultra-marathon race on the levels of thyroid, immune and stress system hormones. Moreover, to explore a potential correlation of the above-mentioned hormones with stress hormones. 30 out of the 40 participants who took part in the race, finished the 246 km in less than 36 hours, and were included in the study. There were 3 different sampling times: prior, after and 48 hours after the race. Blood samples were taken to identify s...
Evaluation of Chest X-Ray Quality Parameters
Dhiego Donizethe Ferreira Gumieri and Israel de Souza Marques
Article Type: Original Research | First Published: December 04, 2021
Proper control of radiographic quality is important to guarantee the method high sensitivity and specificity, important factors for diagnostic complementation. It is the responsibility of the practitioner performing the radiological techniques to ensure that all chest radiographs are provided for minimal rotation, good radiographic exposure and adequate inspiration. This cross-sectional study retrospectively evaluated 456 chest radiographs in the poster anterior and lateral projection performed ...
Understanding the Role of Lymphocytes in Vitiligo
Sherif S Awad, MD, PhD and Enas Tadros, MBBS, MSc
Article Type: Review Article | First Published: December 04, 2021
Lymphocytes are cells within the immune system that originate in the bone marrow (B lymphocytes) or thymus (T lymphocytes). It was thought that lymphocytes are not implied in the pathogenesis of vitiligo, but now we can confirm that T cell response rather than B cell humoral immune response is essential in the pathogenesis of vitiligo. Data were collected from the most recent and relevant manuscripts to clarify the role of lymphocytes in vitiligo with the most updated publications. Melanocyte-sp...
Primary Rosai-Dorfman Disease in 39-Year-Old Female with Osseous Tibial Lesion Manifestion: A Case Report and Literature Review
Jasmin Mansoori, DPM, Ivana O Akinyeye, Michael A Sobolevsky, DPM and Robert H Quinn, MD
Article Type: Case Report | First Published: December 02, 2021
Rosai-Dorfman disease (RDD) otherwise known as sinus histiocytosis with massive lymphadenopathy (SHML), is a very rare and benign disorder of unknown etiology with < 10% bone involvement. The following is a case seen at our hospital of a patient presenting with several months’ onset unspecified non traumatic ankle pain. There was no physical mass or lymphadenopathy appreciated on exam. Plain radiographs and MRI demonstrated an osteolytic lesion at the medial malleolus. Biopsy revealed the dia...