A 7-month-old twin boy presented with increased respiratory rate, failure to thrive. He had to be transferred to the ICU due to respiratory failure. Chest X Ray demonstrated bilateral interstitial edema with bilateral pleural effusions . Diagnosis of chylothorax was made on pleural effusion drainage. Inspite of all measures taken to manage the condition the child expired 9 weeks post admission due to severe Hypoxia.
A 60-year-old man k/c/o multiple sclerosis and chronic left residual hemiparesis came c/o generalized weakness post fall. ECG showed ST elevation and a high suspicion of type 1 Brugada syndrome arose. Coronary Angio revealed nonobstructive coronary artery disease. Post Initial management he was advised OPD follow-up to consider monitor or loop recorder.
A 36-year-old male k/c/o CKD, came c/o altered mental status. Investigations revealed Hypoglycemia and considering the nature of results a suspicion of Insulinoma arose. But on microscopic examination pancreatic islets with elongated cells and clear cytoplasm compatible with nesidioblastosis were seen. However during his hospital stay patient developed pneumonia and succumbed.
An 85-year-old male came for evaluation of anemia, weight loss, and positive stool occult blood. Esophagogastroduodenoscopy revealed a large mass in the gastric antrum along with gastric outlet obstruction. CT showed a homogeneous submucosal mass of 5 cm x 2.5 cm size. Combining the findings a diagnosis of benign gastric lipoma was made. Both the conditions were treated endoscopically. Histopathology confirmed the presence of Gastric Lipoma.
A 13-year-old boy came c/o chronic dry cough, a fever, physical deformities made of bilateral nonpainful back swelling, dorsolumbar scoliosis and bilateral hallux valgus. CT revealed a thick linear extraskeletal, parietal, tracheal, and left tracheobronchial calcium formation. Combining the findings a diagnosis of progressive ossifying myositis was made.
A national study shows that most health systems don't discuss costs with patients and yet a large portion of respondents indicated that cost strongly influences their overall satisfaction. The researchers added that revenue cycle requires the application of analytics, AI and machine learning in the use of addressing patient's financial needs. It can also be used to inform regarding the patient's financial profile and can be of great help in increasing revenue for a health system.
This is a case of a 77-year-old female who suffered from oral lichen planus (OLP) involving her gingiva and bilateral buccal mucosa for over 6 months. The presenters concluded that that knowledge and understanding of gingival pathology are fundamental for a determined management approach and a multidisciplinary approach allowed for accurate diagnosis and treatment tailored to the presented case.
This is a case of a 61 year old male patient diagnosed with urethral haemangiomas following painless spontaneous urethral bleeding associated with voiding symptoms. After discussion with the patient, an internal urethrotomy under direct vision was the preferred treatment. During this procedure, glans haemangiomas and small haemangiomas in prostatic urethra were identified.
This case highlights psychosis arising as a possible adverse effect of isoniazid and the importance of remaining vigilant when antituberculous therapy is started. It was administered in a 21 year old woman who was suffering from pleural tuberculosis. All antituberculous therapy was discontinued and she was started on olanzapine 15mg/day. By the seventh day, the psychotic symptoms had remitted.
Two boys and a girl with mean age 4 ± 2 years underwent single-incision laparoscopic gastropexy (SILG) for Mesentero-axial gastric volvulus (MAGV). It was found that found SILG is a safe, technically feasible, and minimally invasive approach with low incidence of postoperative complication and the best cosmetic result for the patients with MAGV.