Journal of Clinical and Medical Images (ISSN 2640-9615)
(ISSN 2640-9615)
A 52-year-old man was admitted to the emergency department for penetratingtrauma in the upper part of his left thigh. This man was a shepherd and the circumstance of the trauma was a horn injury by a bull of his flock. His blood pressure was normal. The examination found an oblique linear wound with a length […]
Small Bowel Evisceration through the Groin by Penetrating Bull Horn Injury Read More »
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
Flail Chest: The Renaissance of Rib Osteosynthesis Read More »
Deep burns that reach the subfascial planes of the limbs, increase the pressure in the muscular compartments, and may progress to a Compartment Syndrome. There is no specific cut-off value of pressure forthis diagnosis; consequently, the final decision to proceed with a fasciotomy relies on the clinical experience. Surgical debridement and fasciotomy may result in
The Shoelace Technique after a Forearm Fasciotomy Read More »
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
Headache and Rash in a Healthy Adult Male Read More »
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.
Intracavitary Mass Lesion in an HIV Patient Read More »
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
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
Megaesophagus: The End-Stage Achalasia Read More »
This study aimed to determine the best protocol in the treatment of stress-related hyperglycemia and insulin resistance. 1.2. Materials and Methods: A total of 30 patients under mechanical ventilation were included in the study. We investigated the effect of intensive insulin treatment on mortality and morbidity by performing three different insulin protocols and close glycemic
Comparison of Insulin Protocols in Critically ill Patients Read More »
Polandssyndrome is a rare congenital disorder with unilateral aplasia of the pectoralis major muscle (PMM) associated with other anomalies like ipsilateral synbrachydactyly. We present a female baby with Left side congenital absence of pectoralis major muscle with normal hands at birth which can be a milder form of Polandssyndrome i
Poland Syndrome-A Typical Presentation Read More »
Pharmacy practice has changed significantly lately. The professionals have the chance to contribute straightforwardly to patient consideration so as to lessen morbimortality identified with medica-tion use, promoting wellbeing and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic
Clinical Pharmacists in Chronic Care Read More »