Volume 5

Volume 5

Elderly-Onset Lupus Complicated by Jaccoud’s Arthropathy

Clinical Image

1. Introduction

Jaccoud’s Arthropathy (JA) is a deforming but not destructive process involving the hands, described originally in rheumatic fever and now known to complicate a number of rheumatologic and non-rheumatologic conditions, particularly lupus, where approximately 5% may be affected [1].

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Successful Diagnosis and Treatment of Acute Osteomyelitis in Children: A Retrospective Analysis: Are Severity Scores Help?

Research Article

1. Introduction

Acute Osteomyelitis (AOM) during childhood presents with a variety of clinical symptoms and laboratory findings. The incidence of AOM has been reported retrospectively by former studies and showed a decreasing as well as an increasing incidence depending on the evaluated geographical area [1]. AOM is usually caused by bacterial infection following haematogenous distribution spread or by direct inoculation from trauma or surgery [1-3].

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Semi-Automatic Classification of Prostate Cancer from Multi-Parametric MR Imaging Using Novel Image Sequences and 3D Convolutional Neural Networks

Research Article

1. Abstract

The role of multi-parametric Magnetic Resonance Imaging (mp-MRI) is becoming increasingly important in the diagnosis of clinical severity of Prostate Cancer (PCa). However, mp-MRI images usually contain several unaligned 3D sequences, such as DWI image sequences and T2-weighted image sequences, and there are many images among the entirety of 3D sequence images that do not contain cancerous tissue, which affects the accuracy of large-scale prostate cancer detection.

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Bladder Mimic on Point-of-Care Ultrasound in Acute Retention of Urine in Woman – An Unusual Presentation of Ovarian Torsion

Research Article

1. Abstract

1.1. Background: Acute Urinary Retention (AUR) is a common urologic emergency. Acute urinary retention in women is uncommon and necessitate further investigations to uncover the underlying cause.

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A Fatal Masquerade in Pneumonia: Ruptured Thoracic Aortic Aneurysm

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Clinical Image

An 87-year-old man, non-smoker, was notable for hypertension and diabetes. His hospitalization one month ago was due to urinary tract infection. He presented to Emergency Department (ED) with fever, productive cough and hemoptysis for hours’ duration. Hemodynamics was stable.

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Reasons of Antiretroviral Treatment Failure. A Review

Review Article

1. Abstract

1.1. Introduction: Antiretroviral treatment failure can be defined as progression of disease after initiation of antiretroviral treatment failure. It occurs in the form of virologic failure, immunologic failure, or clinical failure.

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A Curious Case of a Catheter Looped in the Left Main Pulmonary Artery

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1. Abstract

Pulmonary Artery Catheters (PACs) have been utilized in the critical care and perioperative settings to guide fluid resuscitation and titration of vasopressors and inotropes for several decades. Placement of PACs are not without difficulty. One known complication is the distal portion of the catheter looping in the superior vena cava, right heart, or more rarely in the main pulmonary artery. We present a novel case where the PA catheter coiled in the left main pulmonary artery.

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Use of Intraoperative TEE to Aid in Endovascular Removal of an Aortic Thrombus: A Case Report

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Clinical Image

Aortic thrombosis is a rare but potentially life-threatening event. The AngioVac Cannula and Circuit is a device that has been increasingly used to remove undesirable intravascular material in the right atrium, right ventricle, vena cava, and iliofemoral veins. We present a case where the AngioVac device, under Transesophageal Echocardiography (TEE) and fluoroscopy guidance, was successfully used to remove a free-floating intra-aortic thrombus in the descending aorta of a patient with acute COVID-19 pneumonia [1-6]. This case demonstrates the utility of TEE in providing real-time visual guidance of catheter placement and confirmation of thrombus evacuation (Figure 1).

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Anomalous Origin of Left Anterior Descending Coronary Artery in a Patient Undergoing Surgical Aortic Valve Replacement

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1. Case Presentation

A 63-year-old Hispanic female, without significant PMH, presented to the ED with symptoms of syncope, chest pain, and blurry vision.

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Role of Diagnostic Laparoscopy in Management of Chronic Abdominal Pain of Nonspecific Origin Presenting at a Tertiary Care Hospital

Research Article

1. Abstract

1.1. Aim: Chronic abdominal pain of unknown origin represents a significant challenge in surgical practice. Diagnostic laparoscopy is a minimally invasive surgical procedure that allows the visual examination of the intra-abdominal organs in order to detect pathology.

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