Journal of Clinical and Medical Images (ISSN 2640-9615)

Case Series

Utility of Peak Anti-Xa Monitoring in High-Risk Bleeding Patients on Low Molecular Weight Heparin – Can it Guide us to Safe Dosing of Low-Molecular Weight Heparin (Lmwh)

1. Summary Three elderly patients were given LMWH for treatment of Venous Thromboembolism and stroke prevention on background of Atrial Fibrillation. All of them had high bleeding risks from various reasons, such as recent brain surgery with post-operative intracranial hematoma, large liver mass (>10cm) possibly newly diagnosed Hepatocellular Carcinoma, and lastly intramuscular hematoma from supra-therapeutic …

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Case Series: Hepatic Portal Venous Gas Post Liver Transplant

1. Abstract The detection of hepatic portal venous (PV) gas can be a concerning finding often having grave prognosis of bowel ischaemia and gangrene. But the finding of PV gas in a patient who is clinically well may often be a benign finding with no ominous outcomes. PV gas can be a benign finding in …

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Single Injection of Combined Paravertebral and Erector Spinae Plane Block for Thoracoscopic Surgery

1. Abstract Thoracic Paravertebral Block (TPVB) and Erector Spinae Plane Block (ESPB) are widely used to administer analgesia in thoracic surgery. However, concerns regarding side effects such as hypotension, risk of puncture and unpredictable injectate-spread led to questions. We first performed a single-injection technique of combined TPVB and ESPB at the T5 vertebra, which provided …

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Preliminary Results of Tocilizumab and Interferon α-2β Treatment of SARS-CoV-2

1. Abstract Seven patients receiving Hydroxychloroquine (HCQ) and Zinc (Zn) for CoVid-19 with PCR positive results were admitted to hospital after failing to improve. Following NCT04349410 protocol and failure to improve with elevated interleukin-6 and ferritin levels, patient’s treatment was changed following measurement of Corona Virus Pneumonia (CVP). Follow up measurements of CVP confirmed improvement …

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