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

Clinical Image

Bilateral Internuclear Ophthalmoplegia in a Middle Aged Male due to Infarct

Internuclear ophthalmoparesis (INO) is a specific gaze abnormality characterized by impaired adduc- tion of the affected eye with abduction nystagmus of the contralateral eye. It results from a lesion in the medial longitudinal fasciculus (MLF) in the dorsomedial brainstem, tegmentum of either the pons or the midbrain [1]. The INO can be unilateral or bilateral […]

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Staged Bilateral Traumatic Pedicle Fractures in The Lumbar Spine

Staged bilateral traumatic pedicle fractures of lumbar spine (LS) are rare, only two cases have been de- scribed in the literature. This is the first case reported in an adolescent patient. Injuries to this area, therefore, are infrequent and involve the transfer of high amounts of energy responsible most often for spinal instability requiring spinal

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Transanal Protrusion of Ventriculoperitoneal Shunt

A 46-year-old woman, she was operated a year ago, for a normal pressure hydrocephalus with insertion of a Ventriculoperitoneal Shunt (VPS). The evolution was favorable. She was admitted for trans-anal protru- sion of the VPS peritoneal catheter. Furthermore, the patient was asymptomatic with a mobile trans-anal catheter with peristaltic movements of the intestines the culture

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Condylomata Acuminata of External Urethral Meatus: Clinical and Dermoscopic

Condyloma acuminata is one of the most common virally transmitted diseases. Its localization in the urethra is rarely described. A 37-year-woman admitted to our clinic with dysuria and papillary lesion at the urethral meatus. Physical examination revealed that multiple papillary lesions sitting in the urethral meatus. Dermoscopic finding guided diagnosis and a radical local excision

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CT Scan Based COVID-19 Diagnosis. Is It Possible?

The COVID-19 pandemic has indicated the significance of negative results of samples taken to identify severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by a real-time reverse transcriptase PCR (RT-PCR) assay [1,2]. One of the most common Computed Tomography (CT) image finding in patients with SARS-CoV-2 pneumonia was pure ground-glass opacities with bilateral distribution of lung

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Large Colloid Drusen in Young Patient

Drusen are yellow or white accumulations of extracellular material made up of lipids and proteins, that build up between basal blade of retinal pigment epithelium and collagen layer of Bruch’s membrane. They are the most common clinical manifestation of aging and usually occur in the population over 50 years old, however a special entity may

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Malignant Transformation in A Case of Multiple Osteochondromas: Role of FDG PET/CT Imaging

We present a 19-year-old man affected by osteochondromatosis since he aged 9. Multiple enchondromas showed asymmetric distribution of osseous and cartilage lesions with major deformities of pelvis and long bones and minor lesions in left scapula and few ribs. He went to our observation because of size increase of left pelvis and thigh deformities, pain

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Safe Removal of a Glass Pipe from The Esophagus Using Olive Oil

A 50-year-old man swallowed a whole glass pipe and was admitted to our emergency department in an unconscious state. His consciousness level was E1V1M1 on the Glasgow Coma Scale. After a amphetamine poisoning was diagnosed, the patient was treated with endotracheal intubation and ventilation. A computed to- mography (CT) scan revealed a 30-mm glass pipe

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Bluish-Grey Discoloration of Gingiva and Lips Dueto Chronic Anti-Convulsant Use

A 27-year-old female who was a known case of epilepsy presented to our emergency with one episode of generalised tonic-clonic seizure. She was being managed on phenytoin for 5 years and valproate had been added 2 years back from a private clinic. She had missed her doses for two days due to travel and presented

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Tracheobronchopathia Osteochondroplastica

A 60 year old male was referred to a tertiary referral centre with a chronic dry cough. He was a lifelong non-smoker. Clinical examination was unremarkable. AssessmentIGE, RAST to common allergens, eosinophils and alpha one anti-trypsin were within normal limits. Barium swallow did not show any oesophageal dysmotility, gastric outlet obstruction or reflux. Normal pulmonary

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