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Clinical Case Reports

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https://www.readbyqxmd.com/read/28680629/an-isolated-traumatic-fracture-of-the-malleus-handle
#1
Sertac Yetiser
Traumatic fracture of the malleus handle without tympanic membrane perforation is a rare incidence. Diagnosis of conductive hearing loss can only be confirmed with manipulation of the ossicles under sedation as computerized tomography is not informative. We present a 39-year-old lady with Q-tip injury when she get sudden phone call.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680628/corrigendum
#2
(no author information available yet)
[This corrects the article DOI: 10.1002/ccr3.755.].
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680627/utility-of-real-time-three-dimensional-echocardiography-in-improved-assessment-of-a-mitral-valve-papillary-fibroelastoma
#3
Rahul Suresh, Paul J Boor, Ghannam A Al-Dossari, Tareq Abu-Sharifeh, Sridhar Venkatachalam, Rafic F Berbarie
Primary cardiac tumors are exceedingly rare. They are usually first identified by transthoracic echocardiography. However, transesophageal echocardiography (TEE), with the aid of real-time three-dimensional (3D) imaging, can provide additional important mass characteristics. We present a case that demonstrates the usefulness of 3D TEE in characterizing a papillary fibroelastoma.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680626/years-of-palpitations-and-a-heart-rate-of-213-beats-per-minute
#4
Kevin Lee, Joseph Banta, Matthew D'Ambrosio, Apostolos Voudouris, Antonios Tsompanidis
Belhassen tachycardia is the most common idiopathic ventricular tachycardia arising from the left ventricle, classically characterized by a right bundle branch block and left axis deviation. Vigilance for Belhassen tachycardia is essential as intravenous verapamil has proven to be highly efficacious for treating symptomatic patients with this underlying arrhythmia.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680625/chest-closure-after-rib-cross-thoracotomy-for-descending-and-thoracoabdominal-aortic-aneurysm-repair
#5
Kyokun Uehara, Hitoshi Matsuda, Kenji Minatoya, Junjiro Kobayashi
The fixation system consisting of a titanium plate and three pairs of claws can fix the ribs externally. This may contribute to preserve the normal thoracic structure and could result in a significant reduction in the period of ventilator dependency.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680624/giant-cell-arteritis-with-polymyalgia-rheumatica-on-fdg-pet-ct
#6
Akira Baba, Kimiichi Uno, Yumi Okuyama, Yohei Munetomo, Shintaro Nakajima, Kennosuke Mizushina, Hideto Kameda
If there is no pain in the temporal artery, the diagnosis of giant cell arteritis (GCA) may be delayed and blindness may occur. Therefore, FDG-PET/CT is important as a modality for diagnosis of GCA. When GCA is suspected and F-18 FDG-PET/CT is performed, it is worthwhile to pay attention to shoulder and hip joints as polymyalgia rheumatica commonly presents with GCA.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680623/nephrogenic-systemic-fibrosis
#7
Abhilash Koratala, Vikrampal Bhatti
Nephrogenic systemic fibrosis (NSF) is a fibrosing disorder seen in patients with renal dysfunction, commonly precipitated by administration of gadolinium contrast. There is no consistently successful treatment, but oral steroids, topical dovonex, extracorporeal photopheresis, and plasmapheresis have been tried [http://www.icnfdr.org/ Last accessed: 1/6/2017]. Avoidance of gadolinium in such patients is the key to prevention.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680622/a-case-of-reversible-drug-induced-liver-failure
#8
Mohammad Ansari, Sabrina Arshed, Mohammed Islam, Shuvendu Sen, Abdalla Yousif
Acute fulminant liver failure and acute renal failure are devastating complications caused by many drugs. The use of N-acetylcysteine has been well established in acetaminophen toxicity, but it remains controversial in other cases. Dialysis is a very effective method of removing certain drugs from the system. With the invention of new street drugs such as "synthetic marijuana," it may be beneficial in patients whom the substances ingested are unknown. We report a case of a 42-year-old male who developed acute fulminant hepatic failure and acute renal failure, who was cured with dialysis, N-acetylcysteine, and other supportive measures...
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680621/development-of-ventricular-fibrillation-after-implantation-of-a-biventricular-implantable-cardioverter-defibrillator-what-is-the-mechanism
#9
Diego Chemello, Fernando Pivatto Júnior, Maurício Pimentel, Leandro Zimerman
Syncopal spells in heart failure patient with cardiovascular implantable electronic devices (CIED) require multiple assessments. T-wave oversensing is a well-described phenomenon that remains significant in modern implantable cardioverter defibrillators (ICD) systems. It can lead to inappropriate therapies and loss of biventricular pacing in those with cardiac resynchronization devices. Strategies to overcome this problem are important.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680620/ranolazine-safe-and-effective-in-a-patient-with-hypertensive-cardiomyopathy-and-multiple-episodes-of-electrical-storm
#10
Panagiotis Margos, Nikolaos Margos, Nadiya Mokadem, Ilias Patsiotis, Athanasios Kranidis
Among implantable cardioverter-defibrillator (ICD) recipients, there are patients with recurrent episodes of electrical storm (ES), retractable to the optimal antiarrhythmic drug therapy or invasive ablation procedures. A relatively novel anti-ischemic drug with also antiarrhythmic properties, ranolazine, may effectively suppress ventricular arrhythmias in such patients for a long period of time.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680619/barber-say-syndrome-a-confirmed-case-of-twist2-gene-mutation
#11
Mulakkan David Yohannan, Jennifer Hilgeman, Katlin Allsbrook
Barber-Say syndrome is a rare disorder characterized by hypertrichosis, redundant skin, and facial dysmorphism. TWIST2 gene mutation previously described in this syndrome was identified in our patient. Genetic testing is recommended in patients presenting with these phenotypic abnormalities, along with their parents, to establish de novo or inherited mutations.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680618/idiopathic-left-ventricular-tachycardia-following-atrioventricular-conduction-block-by-rapid-atrial-tachycardia
#12
Kazuyoshi Suenari, Naoya Mitsuba, Hidekazu Hirao, Hironori Ueda, Yasuki Kihara
The present case demonstrated a rare situation alternating between a repetitive atrial tachycardia (AT) and ventricular tachycardia (VT). A unique induction mechanism was noted in which the VT was induced after Wenckebach AV node conduction block following the repetitive rapid AT.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680617/a-case-of-severe-unprovoked-hemorrhage-in-an-elderly-male-a-case-report
#13
Petros Ioannou, Emmanouela Tsagkaraki, Constantinos Tsioutis, Maria Devetzoglou, Irene Xylouri, Achilleas Gikas, Symeon Panagiotakis
Acquired hemophilia is a rare but potentially fatal clinical condition requiring clinical suspicion to reach to a diagnosis, especially in elder patients. This diagnosis should be suspected in patients that present with unexplained persistent bleeding from skin, soft tissues, and mucosa and have a prolonged aPTT.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680616/a-case-of-bilateral-hilar-and-mediastinal-lymphadenopathy-developing-during-treatment-for-mycobacterium-avium-complex
#14
Yumie Yamanaka, Akimasa Sekine, Hideaki Yamakawa, Tomohisa Baba, Koji Okudela, Tamiko Takemura, Takashi Ogura
We report a rare case of an immunocompetent patient with Mycobacterium avium complex (MAC) disease in which bilateral hilar lymphadenopathy developed during anti-MAC treatment. This case indicates that Propionibacterium acnes would be present and might be a cause of sarcoidosis even in patients with MAC.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680615/noonan-syndrome-with-loose-anagen-hair-associated-with-trichorrhexis-nodosa-and-trichoptilosis
#15
Jennifer Kane, Kristen Berrebi, Riley McLean, Stephanie Petkiewicz, Beverly Hay, Madelena Martin, Karen Wiss
We report a case of Noonan syndrome with loose anagen hair (NS/LAH), a rare variant of Noonan syndrome, with associated trichorrhexis nodosa and trichoptilosis. The SHOC2 mutation may be responsible for these additional hair shaft defects, revealing the importance of microscopic examination of hairs in these patients.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680614/granulomatous-hypophysitis-rare-disease-with-challenging-diagnosis
#16
Mohannad E Elgamal, Rawia M H Mohamed, Tarek Fiad, Essam A Elgamal
Granulomatous hypophysitis is rare pathology that mimics pituitary adenoma. Diagnosis is only confirmed by histopathology examination. Trans-sphenoidal surgery is considered diagnostic when descent tissue specimen is obtained and therapeutic by decompressing optic pathway and the sella. Pathological findings always reveal granulomatous areas, multinucleated giant cells, plasma cells, and lymphocytes.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680613/modified-putty-index-matrix-technique-with-mylar-strip-and-a-new-classification-for-selecting-the-type-of-matrix-in-anterior-proximal-incisal-composite-restorations
#17
I Anand Sherwood, Mensudar Rathakrishnan, Kamatchi Subramanian Savadamaoorthi, Puridi Bhargavi, Vasanthan Vignesh Kumar
Matrix technique described in this article combines the advantages of both flexible and rigid matrix in anterior composite restorations. Using mylar strip provide advantages, of one utilizing the mylar strip for contouring the labial aspect of restoration thereby, and overcomes the problem in adapting the teflon tape around the tooth.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680612/a-case-of-penta-x-syndrome-caused-by-nondisjunction-in-maternal-meiosis-1-and-2
#18
Sara Markholt, Jesper Graakjaer, Signe Bødker Thim, Bente Høst, Anne-Bine Skytte
The prenatal abnormalities in patients with penta X syndrome appear late in pregnancy and are nonspecific. In contrast, the postnatal phenotype is well described although new findings are still revealed. Penta X syndrome is a result of successive nondisjunctions of the X chromosomes in both maternal meiotic divisions.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680611/giant-splenic-artery-aneurysm-in-a-pregnant-patient-a-case-report-and-literature-review
#19
Elie Creidi, Antoine El Asmar, Rawad Abou Zahr, Ziad El Rassi
Pregnancy and giant splenic artery aneurysms should be addressed in a way to achieve optimal results for the mother and the fetus. In our case, the need for immediate intervention, with minimal risk, made open aneurysmectomy and distal splenopancreatectomy, the ideal approach to undertake.
July 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28680610/complete-response-to-temozolomide-in-chronic-lymphocytic-leukemia
#20
Archana Rao, Nisha Ramani, Robert Stoppacher, Thomas Coyle
We report a case of incidentally diagnosed chronic lymphocytic leukemia (CLL) in a patient with glioblastoma, which responded completely following standard treatment of the glioblastoma with temozolomide and cranial irradiation. The patient remained without an evidence of CLL until his death from recurrent glioblastoma. Further study of temozolomide for the treatment of CLL is indicated.
July 2017: Clinical Case Reports
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