Volume 2 Issue 6

Issue 6 Articles

Flail Chest: The Renaissance of Rib Osteosynthesis

Clinical Image
Rib fracture isthe most common injury in the setting of thoracic trauma and is associated with ahighermorbimortality.In thelast 60years, positive pressuremechanical ventilation wasthe first line treatment of respiratory insufficiency caused by rib fractures. However, severe complications associated with prolongedmechanical ventilation, have elicited the rising implementation of open rib reduction and internal fixation techniques. The most consensual indications for rib osteosynthesis are: flail chest with fracture of at least 3 ribs, significant displacement of bone edges...

Intracavitary Mass Lesion in an HIV Patient

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A 54 year-old man, HIV seropositive since 2011, with highly active antiretroviral therapy (HAART) and a previous diagnosis of pulmonary tuberculosis presented with a history of fever, productive cough and weight loss of 15 days duration. Physical examination revealed a temperature of 38 °C, cachectic status, dyspnea, hemoptysis, tachycardia, and tachypnea and disseminated bilateral crackles. Chest radiography showed a fungus ball with an air crescent in the right upper lobe (Figure 1). A computed tomography...

Headache and Rash in a Healthy Adult Male

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Cryptococcosis; idiopathic CD4+ T-cell lymphocytopenia; Opportunistic Infections 2. Clinical Image A 50-year-old male with a past medical history of psoriasis presented with a two-week history of progressively worsening fatigue, low-grade fevers and throbbing frontal headaches, and several ulcerated papules of varying size (1-5mm) with central crusting and surrounding erythema noted on the forearms, chest, back and feet (Figure 1). A lumbar puncture (LP) demonstrated an elevated opening pressure and detection of cryptococcal antigen in the...

Effect of Hyperbaric Therapy on Fibromyalgia Symptoms and Cerebral Blood Flow Abnormality

Research Article
Aim:to evaluate the effect of Hyperbaric Oxygen Therapy (HBOT) on clinical status and cerebral perfusion in patients with fibromyalgia. 1.2. Methods: 57 patients with diagnosis of FMS were treated with 6-weeks HBOT. For each patients we evaluated algometric total scores (ATS) on TPs, intensity of pain by Visual Analog Scale for pain (P-VAS) and quality of life by Visual Analog Scale for quality of Life (QoL) at baseline, after 18 treatments and at the end...

Megaesophagus: The End-Stage Achalasia

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Achalasia is the most common primary motor disturbance of the oesophagus, whose prevalence is 1 patient for every 10.000, and its aetiology remains unknown. It is classified in 3 types, according to the contraction pattern of the oesophageal body; in its more extreme type, there is no oesophageal contraction at all. It may present with progressive and incapacitating dysphagia, regurgitation of non-digested foods, nocturnal cough, aspiration pneumonia, thoracic pain or weight loss. First line treatment...