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https://www.readbyqxmd.com/read/29909393/graves-disease-presenting-as-severe-postpartum-pruritus
#1
Rachel Marinch Carpenter, Jessica Wongward
A 39-year-old multigravida woman presented 3 weeks postpartum with worsening generalised pruritus without primary rash. Workup was significant for cholestasis and undiagnosed Graves' disease. She began to have symptomatic relief after starting methimazole, and liver function tests normalised as she became euthyroid.
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29909391/ectopic-varices-a-potential-cause-of-gastrointestinal-bleeding-in-patients-with-portal-hypertension
#2
Indira Bhavsar, Anthony W Rooney, Brooke Corning, Neeral L Shah
A newly diagnosed 53-year-old woman with cirrhosis has repeated gastrointestinal bleeding with resulting symptomatic anaemia. She underwent routine diagnostic endoscopic evaluation without localisation of the aetiology of her bleed. Ultimately, she was found to have ectopic varices in the small bowel as a result of underlying high portal pressures. She underwent transjugular intrahepatic portosystemic shunt for portal system decompression with resolution in her bleeding.
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29909389/delayed-presentation-of-iatrogenic-splenic-injury-21-days-after-laparoscopic-donor-left-nephrectomy
#3
Kelvin Yafan Wang, Omar Abbassi, Ali Warsi
We report the case of a 46-year-old woman who had presented with left-sided abdominal pain 21 days after undergoing a left-sided laparoscopic nephrectomy for donation. Initial haemoglobin and haematocrit levels were within normal range, and vital signs on admission were unremarkable. Significant intra-abdominal pathology was not suspected; however, inpatient CT scan of the abdomen showed a posterolateral subcapsular splenic haematoma with free abdominal fluid. Initial trial of conservative management was not successful as the patient became hypotensive on the third day of admission with a sudden decrease in haemoglobin and haematocrit...
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29909385/rotator-cuff-tear-following-long-standing-axillary-neuropathy-in-a-female-motocross-racer
#4
John G Skedros, Tanner R Henrie, Mitchell D Peterson
A 'terrible triad' of anterior shoulder dislocation, axillary nerve damage and rotator cuff tear has been previously described. However, we are unaware of any report of anterior shoulder dislocation, humeral fracture, axillary neuropathy and subsequent rotator cuff tear requiring surgery when the axillary neuropathy was deemed permanent. We report the case of a 20-year-old woman who fell in a motocross accident and had an anterior shoulder dislocation, humeral fracture and axillary neuropathy. The fracture was treated surgically with open reduction and internal fixation...
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29909207/low-grade-malignant-peripheral-nerve-sheath-tumor-mimicking-a-schwannoma-the-role-and-importance-of-trimethylated-h3k27m-staining
#5
Hannah Gilder, Ross C Puffer, Robert J Spinner, Aditya Raghunathan, Mohamad Bydon
It is important to differentiate low grade malignant peripheral nerve sheath tumors (MPNSTs) from benign nerve sheath tumors as MPNSTs may require a more aggressive treatment strategy during and after initial resection. Loss of expression of the trimethyl Histone H3 at the Lys27 position (H3K27-me3) has recently been described in MPNSTs, and may help distinguish this tumor from pathologic mimics. A 43-year-old woman presented with symptoms of radiculopathy and a history of pelvic radiation for cervical cancer 7 years prior...
June 14, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29908795/an-unusual-case-of-pasteurella-multocida-bacteremic-meningitis
#6
Nikolaos Katechakis, Sofia Maraki, Irini Dramitinou, Eleni Marolachaki, Christina Koutla, Eleni Ioannidou
Pasteurella multocida is a rare cause of bacterial meningitis, more frequently affecting humans at the extremes of age. We report a case of meningitis and bacteremia caused by P. multocida in a 67-year-old diabetic woman who was living with 10 cats. She didn't have any animal bites or scratches, but she reported kissing the pets in the mouth. The outcome was favorable following antimicrobial treatment. Although rarely encountered, P. multocida should be considered as a possible cause of meningitis, particularly when Gram-negative coccobacilli are revealed in the cerebrospinal fluid and a history of recent animal contact is present...
June 13, 2018: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/29908624/vaginoplasty-complications
#7
REVIEW
Cecile A Ferrando
Complications after vaginoplasty surgery for the transgender woman exist. These adverse outcomes can be minor and easily treatable, whereas others are considered major events and require ongoing care. Adverse outcomes can be immediate or remote after surgery and include bleeding, hematoma, infection, delayed wound healing, neovaginal stenosis, visceral injury, and fistula. Patients may also experience pelvic floor disorders after surgery. Providers performing these surgeries and those providers caring for postoperative patients should be aware of the incidence of these complications and the treatment options that exist to manage them...
July 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29908216/complications-of-delivery-among-mothers-with-spina-bifida
#8
Courtney L Shepard, Phyllis L Yan, Stephanie J Kielb, Daniela A Wittmann, Elisabeth H Quint, Kate H Kraft, John M Hollingsworth
OBJECTIVE: To determine rates and types of peripartum morbidity among delivering women with spina bifida (SB) compared to those without SB. The rates of pregnancy and delivery among women with SB have been significantly increasing. Current knowledge of peripartum outcomes for these women is limited. METHODS: Using 2004-2013 National Inpatient Sample data, we identified all hospitalizations for delivery, distinguishing between women with and without SB. Using a code-based algorithm, we determined whether a complication occurred during the hospitalization...
June 13, 2018: Urology
https://www.readbyqxmd.com/read/29907359/three-dimensional-shaping-technique-for-coil-placement-using-the-steam-shaped-microcatheter-for-ruptured-blood-blister-like-aneurysm
#9
N Shinoda, M Mori, S Tamura, K Korosue, S Kose, E Kohmura
Treatment of blood blister-like aneurysm (BBA) is a challenge due to its unfavourable morphology, small size and the friable neck of BBA. In the management of ruptured BBA, coil placement can be achieved by stent-assisted coil embolisation. We propose to incorporate a new technique using a steam-shaped microcatheter to improve safety. A 59-year-old woman was transferred to our hospital and diagnosed with subarachnoid haemorrhage (SAH) due to a ruptured BBA of the left internal carotid artery (ICA) at the C2 portion...
June 12, 2018: Neuro-Chirurgie
https://www.readbyqxmd.com/read/29907245/serum-follicle-stimulating-hormone-is-associated-with-reduced-risk-of-diabetes-in-postmenopausal-women-the-hong-kong-osteoporosis-study
#10
Ching-Lung Cheung, Annie W C Kung, Kathryn C B Tan
Menopause is an important transition of reproductive stage in a woman's life. It is associated with diabetes, but the role of follicle stimulating hormone (FSH), a menopause-related hormone, in the risk of diabetes is largely unknown. We evaluated the relationship between serum FSH and diabetes in 1274 participants from the Hong Kong Osteoporosis Study aged≥55 at baseline. We also searched relevant databases for studies on serum FSH and incident diabetes and conducted a meta-analysis using fixed-effect modeling...
August 2018: Maturitas
https://www.readbyqxmd.com/read/29907181/a-patient-presents-with-a-history-suggestive-of-potential-elder-abuse
#11
Ghislaine Young
Catherine is an Advanced Nurse Practitioner and runs clinics in primary care where she is qualified to assess and manage patients autonomously. Today Joan, an elderly woman in her mid-80s, attends for a general health check-up. She is hypertensive and has a history of coronary artery disease. Joan is widowed and lives with her only son.
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29907136/wilson-s-disease-combined-with-systemic-lupus-erythematosus-a-case-report-and-literature-review
#12
Yun Zhang, Dongmei Wang, Wei Wei, Xuejun Zeng
BACKGROUND: Wilson's disease (WD) is an inherited disorder in which defective biliary excretion of copper leads to its accumulation, particularly in the liver and brain. Systemic lupus erythematosus (SLE) is a multi-system disorder that can manifest in any system. Cases with concomitant WD and SLE, unrelated to treatment with penicillamine, have been rarely reported. CASE PRESENTATION: We report a case of a young woman who had typical neuropsychiatric symptoms and laboratory tests results of WD...
June 15, 2018: BMC Neurology
https://www.readbyqxmd.com/read/29907123/overcoming-heparin-resistance-in-pregnant-women-with-antithrombin-deficiency-a-case-report-and-review-of-the-literature
#13
Panagiotis Tsikouras, Anna Christoforidou, Anastasia Bothou, Dorelia Deuteraiou, Xanthoula Anthoulaki, Anna Chalkidou, Stefanos Zervoudis, Georgios Galazios
BACKGROUND: The risk of thromboembolic events during pregnancy in patients with antithrombin deficiency is increased. Preventing thromboembolic events during pregnancy in the case of antithrombin deficiency is still a matter of concern. CASE PRESENTATION: We present a case of a 19-year-old primigravida Greek Pomak woman, who was diagnosed as having congenital antithrombin deficiency. She had a history of recurrent miscarriages and a family history of thrombosis...
June 16, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29906625/computed-tomography-and-magnetic-resonance-imaging-findings-of-pancreatic-hamartoma-a-case-report-and-literature-review
#14
Yeo Eun Han, Beom Jin Park, Deuk Jae Sung, Min Ju Kim, Na Yeon Han, Ki Choon Sim, Sung Bum Cho, Joo Young Kim
Pancreatic hamartoma is a rare benign malformation that resembles a neoplasm and may be mistaken for a malignancy. The imaging findings of pancreatic hamartoma are not well established, as only one radiological case report has been described since 1983. Herein, we discussed a case of pancreatic hamartoma in a 35-year-old woman and conducted a literature review focused on imaging findings and differential diagnosis of pancreatic hamartoma. Increased late enhancement on post-contrast dynamic study and absence of diffusion restriction may be characteristic MR imaging findings of pancreatic hamartoma that may narrow the differential diagnosis of hypervascular pancreatic lesions...
June 6, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29906034/schmidt%C3%A2-s-syndrome-a-difficult-diagnosis-in-the-latin-american-context
#15
Claudia Barreda-Velit, Rodrigo Salcedo-Pereda, Jesús Ticona
Background: Schmidt’s syndrome, also known as poliglandular autoimmune syndrome type 2, is a rare disease that has a prevalence between 1.5-4.5 cases per 100 000 inhabitants. The diagnosis consists in the concomitant presentation of Addison disease, autoimmune thyroid disease and other autoimmune endocrinological conditions. The aim of this paper is to describe a case of Schmidt’s syndrome in the peruvian context and to analyze the difficulties in the diagnosis. Clinical case: We present the case of a 43-year-old woman that presents to the emergency room with headache, nausea, vomits and a “syncope episode”...
March 2018: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29906007/myopericytoma-in-an-unusual-location
#16
Leon Felipe Ruiz-Arriaga, Ana Laura Ramirez Teran, Carlos Ortiz-Hidalgo, Veronica Fonte-Avalos, Sonia Toussaint-Caire, Ma Elisa Vega-Memije, Mariana CatalinaDe Anda-Juarez
Myopericytoma is a soft-tissue tumor of perivascular cells (pericytes). It is slow-growing, usually asymptomatic, and generally benign, although a malignant variant has been described. The etiology is unknown, but it has been associated with local trauma. The most common location is on the distal extremities. Histologically, it is characterized by a well-circumscribed, non-encapsulated proliferation of spindle shaped cells similar to myofibroblasts with oval nuclei and eosinophilic cytoplasm, arranged in perivascular concentric rings...
April 15, 2018: Dermatology Online Journal
https://www.readbyqxmd.com/read/29905668/multimodal-imaging-in-a-case-of-central-retinal-artery-occlusion-in-the-presence-of-type-2-macular-telangiectasia
#17
Mariana Ingolotti, Enrique Alfonso Roig Melo-Granados, Pedro Mario González-Madrigal, Humberto Ruiz García
PURPOSE: To report a case of central retinal artery occlusion in a patient with macular telangiectasia Type 2 using multimodal imaging. METHODS: Observational case report. RESULTS: A 58-year-old woman who presented with acute painless unilateral vision loss was diagnosed with central retinal artery occlusion in her right eye with macular telangiectasia Type 2 findings in both eyes. Fundus examination revealed retinal whitening with unusual cherry-red spot plus small crystalline deposits in the temporal macula...
June 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29905520/coflex-interspinous-implant-placement-leading-to-synovial-cyst-development-case-report
#18
Seba Ramhmdani, Marc Comair, Camilo A Molina, Daniel M Sciubba, Ali Bydon
Interspinous process devices (IPDs) have been developed as less-invasive alternatives to spinal fusion with the goal of decompressing the spinal canal and preserving segmental motion. IPD implantation is proposed to treat symptoms of lumbar spinal stenosis that improve during flexion. Recent indications of IPD include lumbar facet joint syndrome, which is seen in patients with mainly low-back pain. Long-term outcomes in this subset of patients are largely unknown. The authors present a previously unreported complication of coflex (IPD) placement: the development of a large compressive lumbar synovial cyst...
June 15, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29905091/refractory-hyperlactatemia-after-a-septic-shock-in-a-patient-with-carnitine-deficiency-a-case-report
#19
Philippe Hogan, Roxane Plourde, Maude Fortier, Dave Brindamour, Colin Lagrenade-Verdant, Simon Demers-Marcil, Sébastien Dupuis
A 56-year-old woman with septic shock presented with persistent hyperlactatemia, despite an adequate clinical response to treatment. Carnitine deficiency was suspected, as the patient was malnourished and chronically taking valproic acid. No other plausible cause of hyperlactatemia was found. Carnitine supplementation resulted in rapid normalization of lactatemia.
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29904914/association-between-high-grade-squamous-intraepithelial-lesion-age-and-number-and-interval-of-smears-in-women-in-ara%C3%A3-atuba-brazil
#20
Jose Candido Caldeira Xavier-Júnior, Deolino João Camilo-Júnior, Ana Paula Hehnes Guedes do Amaral Gardini, Solange Correa Garcia Pires D'ávilla, Neivio José Mattar
The Brazilian Cervical Cancer Screening Program recommends that women are screened between ages 25 and 69 years, with cervical smears every 3 years after two consecutive negative annual smears.[1] The high-risk HPV test is not available in Brazil and the screening is opportunistic, without invitation. In 10 years it is expected that every woman will receive three to four screening examinations.[1]. This article is protected by copyright. All rights reserved.
June 15, 2018: International Journal of Gynaecology and Obstetrics
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