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Clinical Case Reports

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https://www.readbyqxmd.com/read/29225880/tumor-lysis-syndrome-with-massive-hyperphosphatemia-and-hyperuricemia
#1
Abhilash Koratala
Tumor lysis syndrome (TLS) occurs when tumor cells release their contents into the bloodstream, typically in response to chemotherapy, leading to the characteristic findings of hyperuricemia, hyperkalemia, hyperphosphatemia, hypocalcemia, and acute kidney injury. Twinkle artifacts on renal ultrasound may indicate calcium phosphate deposits in such patients.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225879/change-in-bowel-habit-abdominal-pain-and-a-palpable-abdominal-mass-in-a-58-year-old-female
#2
Julian Peacock, Zane Perkins
Giant colonic diverticulum is a rare complication of diverticulosis, which may present in the acute or chronic setting. Colonic resection and en bloc resection of the diverticulum are the favored management, however, conservative treatment remains an option that could be considered in asymptomatic patients with minimal symptoms.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225878/erdheim-chester-disease-with-atrial-mass-and-perinephric-calcification
#3
Michel Villatoro-Villar, Matthew J Koster
Erdheim-Chester Disease is a multi-systemic condition characterized by non-Langerhans histiocytic infiltration. Cardiovascular involvement with pseudotumoral infiltration of the right atrium is present in approximately one-third of patients and may be asymptomatic. Although retroperitoneal fibrosis is common, perinephric dystrophic calcification has not been previously described.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225877/hirayama-disease-diagnostic-essentials-in-neuroimaging
#4
Stylianos Kapetanakis, Danae Chourmouzi, Aikaterini Terzoudi, Nikiforos Georgiou, Eirini Giovannopoulou
A 22-year-old male presented with progressive muscular weakness of the upper extremities. MRI of the cervical spine established the final diagnosis of Hirayama disease (HD). HD is a rare disease with benign progress. Neurologists and radiologists should be aware of the specific neuroimaging signs of this rare clinical entity.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225876/asymptomatic-giant-retroperitoneal-mass-detected-at-a-medical-checkup
#5
Tsutomu Takeda, Daisuke Asaoka, Yuki Fukumura, Sumio Watanabe
The differential diagnosis of retroperitoneal mass includes liposarcoma, leiomyosarcoma, malignant fibrous histiocytoma, neurofibroma, stromal tumor, teratoma, and lymphoma. Leiomyosarcoma is rare with poorer prognosis than other soft tissue sarcomas. Soft tissue sarcoma of retroperitoneal origin often remains asymptomatic until tumor enlargement, leading to diagnosis at advanced stages.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225875/an-88-year-old-patient-with-adpkd-underscoring-the-importance-of-risk-factor-modification
#6
Abhilash Koratala, Freddy R Malpartida, Amir Kazory
The mean age of onset of end-stage renal disease (ESRD) in autosomal dominant polycystic kidney disease (ADPKD) is between 56 and 69. Our case represents one of the oldest patients with ADPKD, whose chronic kidney disease (CKD) progression rate could be successfully reduced by optimal risk factor modification.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225874/patterns-of-vascular-calcification-in-patients-with-end-stage-renal-disease-and-calcific-uremic-arteriolopathy
#7
Abhilash Koratala, Muhannad Leghrouz, Melinda H Phillips, Vikrampal Bhatti
Calcific uremic arteriolopathy or calciphylaxis is a rare and potentially fatal condition, which manifests as skin ischemia and necrosis, usually seen in patients with end-stage renal disease. It is frequently associated with vascular calcification visible on plain radiographs, which can occur in various patterns.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225873/migration-of-emboli-in-the-retinal-artery-case-report
#8
Alexandr Stepanov, Marketa Machackova, Tereza Rehakova, Nada Jiraskova, Jan Lestak
Branch retinal artery occlusion (BRAO) is a prevalent vascular occlusive disorder of the eye. In transient BRAO, an embolus temporarily blocks the vessel and then moves on resulting in recovery of blood circulation. In this case, we have documented migration of the embolus with recovery of perfusion of the retina and improvement of visual acuity in a patient with transient BRAO. Early diagnosis and fast action are important in the case of patients with retinal artery occlusion.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225872/acute-psychotic-symptoms-following-a-single-dose-of-levofloxacin
#9
Larissa Takser, Roland Grad
The objective of our case report was to raise awareness of the neurotoxic potential of levofloxacin in naïve patients. In patients with severe infections and comorbidities, it would be difficult to discriminate the neurotoxic effects of levofloxacin from those of the medical condition itself. Thus, health professionals should be aware of the early onset CNS effects of levofloxacin in naïve patients.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225871/the-application-of-catheter-ablation-in-a-rare-case-with-coughing-induced-supraventricular-tachyarrhythmias
#10
Xin-Hua Wang, Zheng Li, Ji-Tao Wang, Ben He
Coughing could induce symptomatic, frequent atrial premature contractions (APCs), and episodes of atrial tachycardia (AT) in a rare case. If multiple arrhythmic drugs therapy failed to control the symptoms, catheter ablation was an effective therapeutic option for abolishing such atrial tachyarrhythmias guided by the electroanatomic mapping systems.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225870/prostate-cancer-infiltrating-the-bladder-sphincter-successfully-treated-with-electrochemotherapy-a-case-report
#11
Nina Klein, Enric Gunther, Stefan Zapf, Rachid El-Idrissi, Johannes Atta, Michael Stehling
We demonstrate feasibility and safety of Electrochemotherapy for treatment of a prostate cancer (PCa) with infiltration of the urethral sphincter. The patient remained continent and potent, toxicity was low, and 6 months of follow-up showed no cancer activity. We conclude that Electrochemotherapy should be further evaluated as treatment strategy for locally advanced PCa.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225869/spontaneous-tumor-lysis-syndrome-in-colon-cancer-a-case-report-and-literature-review
#12
David Sommerhalder, Amol M Takalkar, Rodney Shackelford, Prakash Peddi
Although tumor lysis syndrome is well described, it is rarely seen or suspected in solid malignancies. Early recognition of this entity is paramount in reducing morbidity and mortality. Treating physicians should be aware of this possibility in solid tumor patients with either bulky disease or extensive liver involvement.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225868/extra-pulmonary-primary-small-cell-neuroendocrine-carcinoma-arising-from-the-duodenum-rare-tumor-unusual-location
#13
Muhammad Awais Aamir, Shaheel Mohammad Sahebally, Hajnalka Gyorffy, Muyiwa Aremu
Small-cell neuroendocrine carcinoma is a high-grade carcinoma rarely encountered in extra-pulmonary sites. A 40-year-old lady presented with epigastric pain and was noted to have an ulcerated small-cell neuroendocrine carcinoma in her duodenum with liver metastases. She underwent palliative chemotherapy but unfortunately passed away. Duodenal SCNC is an unusual malignancy with an aggressive phenotype.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225867/visceral-leishmaniasis-triggering-an-adult-onset-still-s-disease-a-unique-case
#14
Silvia Spoto, Sebastiano Costantino, Emanuele Valeriani, Marta Fogolari, Eleonora Cella, Giordano Dicuonzo, Massimo Ciccozzi, Silvia Angeletti
Adult-onset Still's disease (AOSD) due to visceral leishmaniasis (VL) has not been previously reported. This case report analyzes a single episode of AOSD probably due to a visceral leishmaniasis successfully treated with pentamidine isethionate and prednisone.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225866/magnetic-guided-catheter-ablation-of-twin-av-nodal-reentrant-tachycardia-in-a-patient-with-left-atrial-isomerism-interrupted-inferior-vena-cana-and-kawashima-fontan-procedure
#15
Francis Bessière, François-Pierre Mongeon, Judith Therrien, Paul Khairy
Twin AV nodal reentrant tachycardia most commonly occurs in patients with complex congenital heart disease who have two distinct AV nodes, His bundles, and non-preexcited QRS morphologies. Catheter ablation of the weaker AV node may be hindered by anatomical complexities. In such cases, remote magnetic guidance offers a potentially effective solution.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225865/hypoglycemia-and-severe-lactic-acidosis-in-a-dog-following-metformin-exposure
#16
Nicole Barrella, Beth Eisenberg, Stephanie Nicole Simpson
Hypoglycemia and lactic acidosis are rare complications with metformin use in humans. As metformin is not commonly used in veterinary medicine, severe adverse effects secondary to exposure are not known. Awareness of potentially life-threatening complications with metformin exposure is an important addition to the veterinary literature.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225864/simultaneous-laparoscopic-cholecystectomy-and-transabdominal-preperitoneal-hernioplasty-two-case-reports-evaluate-the-safety-and-surgical-complications
#17
Shawqi Arafat, Mhd Belal Alsabek
The safety of combining transabdominal preperitoneal (TAPP) hernioplasty and cholecystectomy in one laparoscopic surgery is still for many years questionable. We report two cases describing the safety and discussing the main concerns regarding the complications. As there are only few cases discuss this kind of combination, we aim to further clarify this subject to provide the best practice for our patients.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225863/acute-total-occlusion-of-the-left-main-coronary-artery-treated-with-percutaneous-intervention-and-simultaneous-implantation-of-intra-aortic-balloon-pump
#18
Vojko Kanic, Damijan Vokac, Samo Granda
Electrocardiographic findings at first medical contact and direct transfer to the catheterization laboratory are important in acute total occlusion of the left main coronary artery. Simultaneous emergency angioplasty and intra-aortic balloon pump implantation might be beneficial in overcoming the patient's most critical hemodynamic instability.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225862/hitherto-unseen-survival-in-an-alk-positive-patient-with-advanced-stage-adult-ganglioneuroblastoma-treated-with-personalized-medicine
#19
Signe Risum, Ulrich Knigge, Seppo W Langer
Survival of stage 4 ganglioneuroblastoma (GNB) patients is poor; no reports exist of patients surviving up to 5 years (1, 2). We report the clinical and therapeutic course of a patient with stage 4 GNB surviving beyond expectations due to a multimodal treatment approach incorporating new technologies in cancer diagnostic and treatment.
December 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29225861/accidental-knotting-and-subsequent-removal-of-a-catheter-from-the-epidural-space-in-an-adult-cow-a-case-report
#20
Graeme M Doodnaught, Caroline Constant, André Desrochers, Daniel S J Pang
This is the first reported case in the veterinary literature of a knot in an epidural catheter. The report reviews this very rare complication and describes options for investigation and retrieval of catheters entrapped in the epidural space of any species.
December 2017: Clinical Case Reports
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