Clinical Image

1. Clinical Image A 71-year-old man underwent an elective liver transplantation for decompensated alcoholic liver cirrhosis. He had a medical history of Chronic Obstructive Pulmonary Disease (COPD) group B. In the pre-operative examination, spirometry had revealed: Forced Expiratory Volume (FEV-1), 2.18 L (69% of predicted value), forced vital capacity (FVC), 3.50 L (84%), Total Pulmonary […]

1. Abstract 1.1. Introduction: The World Health Organization says there are nearly 1 million cases of rifampicin-resistant tuberculosis (RR-TB) worldwide in 2019. About 78% of cases are multidrug-resistant (MTB), of which India bears the heaviest burden. Early diagnosis and determination of drug resistance could promote effective treatment ofspinal tuberculosis and reduce therisk ofMTB.

1. Clinical Images A 71-year-old man presents to the clinic complaining of 1-month right-sided headache, motivating prior hospital visits for analgesia. Pain is persistent, with paroxysmal exacerbations, accompanied by nausea and heartburn. He feels tingling on the right face. MRI was done (Figure 1), revealing T2 FLAIR hiperintensity along trigeminal ganglia and tract. Carbamazepine thrice

1. Clinical Image The patient presented to our centre with the complaint of scrotal swelling and pain for the past three years. It was associated with difficulties in walking and defecation. He never sought any treatment as he claimed it was not painful and reducible. He denies having any constitutional symptoms nor features of intestinal

1. Clinical Image A 48-year-old female was admitted to the Emergency Department with complaints of abdominal pain for the past 2 days. Pain was sharp, intermittent, non-radiating and not associated with nausea or vomiting. She had never been screened for colon cancer. Family history was insignificant. Patient was afebrile with pulse 118 bpm, respiratory rate

1. Abstract Enterobius vermicularis is the most common parasitic worm worldwide but its association with acute appendicitis remains controversial. Acute appendicitis due to E. Vermicularis is a rare infection, affecting mostly the children. The aim of this paper is to report a case of acute appendicitis caused by E. vermiclularis. A 11-year-old girl with a

1. Clinical Image A 71-year-old male with no significant past medical history presented to our hospital with 3 weeks history of fevers, nausea, vomiting, abdominal pain, decreased oral intake, and weight loss of about 30 pounds. He also noticed a swelling in the right upper quadrant of 2 weeks duration. Physical examination revealed a large

1. Case Report A 12-year-old child with no known medical and surgical history admitted to the ANDRE FESTOC center of the Luxembourg hospital in BAMAKO for an open trauma to the right axillary hollow by a metal bar secondary to a domestic accident. On admission, he is hemodynamically stable with blood pressure 110/60 mmhg, pulse=93

1. Clinical Image A 34-year-old male presented to the office with impaired vision OS for 1 week. The patient had no past medical or past ocular history. Patient endorsed smoking, 1 pack-per-day for more than 10 years. His vision was 20/20 OD and hand-motion OS on presentation. IOP was 17 OD and 20 OS. Slit

1. Clinical Image A 51-year-old woman, gravida 2 para 1 abortus 1, was referred for the management of fibroids. She presented with heavy menstrual bleeding and anemia down to a hemoglobin level of 7.4 g/dL. Physical examination showed a 16-week sized uterus. Endometrial aspirate showed secretory endometrium. She had tried tranexamic acid for menstrual flow