Volume 7 - Issue 5


Authors : Kayenne Tan Qi En*, Gloria Chen Yuquan, Dr Yap Eng Soo, Dr Cheryl XQ Lim
A 73-year-old patient with a history of ischaemic heart disease, atrial fibrillation, dyslipidaemia and gout was admitted to the hospital for fever and shortness of breath. Prior to admission, the patient was on Apixaban, Atorvastatin and Allopurinol. Complete blood count done revealed leukocytosis with a total white blood cell (WBC) count of 18.9 x 109/L. The differential white blood cell count is as follows: absolute neutrophil count 15.4 x 109/L, absolute monocytes count 1.0 x 109/L, absolute lymphocyte count 1.9 x 109/L, absolute eosinophil count 0.5 x 109/L and absolute basophil count 0.1 x 109/L. Haemoglobin and platelet count were within normal ranges and were 14.3g/dL and 177 x 109/L respectively.
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Authors : Jacopo Conteduca*, Damiano Longo, Marco Filipponi Asl Lecce, Giuseppe Rollo Asl Lecce
A 22-year-old patient who presented with sciatica-like symptoms was unsuccessfully treated with rest, painkillers and physical rehabilitation. After a CT scan of the pelvis and surgical resection, the patient was diagnosed with enchondroma of the iliac crest. This is the first English-language report that we know of describing an isolated enchondroma of the iliac crest. Our study highlights the importance of considering other aetiologies, including a bone tumour of the pelvis, in patients with sciatica-like symptoms without abnormalities in the lumbar region.
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Authors : Coşkun DOĞAN1*, Göksel MENEK , Deniz ANLAR, Tuğçe BOZKURT
In Granulomatosis with Polyangiitis (GPA) disease, a wide range of lung findings such as nodules, cavitary lesions, interstitial involvement, alveolar hemorrhage and tracheobronchial stenosis can be observed radiologically. While lung involvement is common, endobronchial involvement is relatively less common. It has been reported that the majority of cases of GPA with active endobronchial lesions (EBL) may have involvement of more organs and systems, primarily including the ear, nose, and throat.
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Authors : Alhasan Mohai Aldein Mohmmed Basheir, Estbrg alsafi Mohamed Ahmed, Ihsan Abdelrhman Mohammed Makki, Abdulraheem Haroon Adam
Retrograde enteric intussusception is a rare subtype of a retrograde intussusception. Peak incidence of intussusception between five and ten months of birth, It is the most common cause of intestinal obstruction in infants. Barbette is a first surgeon described the intussusception in1674 , Wilson was the first surgeon treated the disease surgically in 1831 and Hirschsprung is the first surgeon reported the technique of hydrostatic reduction in 1876 and in 1905, after monitoring a series of 107 cases, he reported 35% mortality attributable to intussusception. Patient may present with colicky abdominal pain, red or jelly stool, vomiting and constipation. On examination the physician may found sings of dehydration, pain, palpable sausage shaped abdominal mass and on DRE there is bloody or jelly stool. Imagine of choices in patient with intussusception are Barium enema which may show claw hand, ultrasound which may show target singe and CT scan is useful in an equivocal case.
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Authors : Hassan MM, Trina SS, Ahmedullah AKM, Islam MN
Behcet’s disease can involve any organ of the body. It usually presents with oro-genital ulcer with or without ocular, cutaneous, articular, vascular, neurologic and other organ involvement 1. BD is thought to be an ancient silk route disease but has a worldwide distribution 2. The prevalence in Asian region was estimated 2.1-19.5/100,000 and also reported in southern and northern Europe 3-4. It is prevalent in Turkey followed by Iran, Israel and Japan but it is rare in Australia, America and Africa 5-6. Onset is usually in the 2nd to 4th decade but rare in children and elderly 7, 8. HLAB51 positivity is associated with the development of BD 9.
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Authors : Aneri Patel, Panhaneath Seng, Jasper Zheng, Rashmi Verma*
Testicular neoplasms are one of the most common solid malignancies in males between ages 15-35; however, it only represents 1% of all solid tumors in males (1). Up to 95% of testicular tumors are of germ cell origin. Germ cell tumors are derived from germ cell neoplasia in situ which are further subtyped into pure seminomas and nonseminomatous germ cell tumors. The clinical behavior of Germ cell tumors varies from benign to aggressive where careful histological classification is required to determine the most appropriate treatment and staging. Afterall, testicular cancers are one of the most curable neoplasms.
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Authors : Muhammad Akram, David Pérez-Jorge, Momina Iftikhar, Sarvananda L, Francisco Garcia-Sierra, Riyadh S Al-Malki, Fethi Ahmet Ozdemir, Gaweł Sołowski, Najmiatul Fitria, Marcos Altable, Adonis Sfera, Simone Brogi, Ho Soonmin, Zaryab Fatima, El Hadji Seydou Mbaye, Isah Suleiman Yahaya, Yahaya Usman
Chronic diseases, such as diabetes, cancer and cardiovascular diseases, place a heavy burden on the world's healthcare and health systems. Recent studies have shown how important nutrition is in controlling and preventing chronic diseases. This overview summarizes the most recent research on the effects of specific nutrients and dietary patterns on the course of chronic diseases. Maintaining health and reducing the risk of disease requires eating a sufficient, well-balanced diet. Diets rich in healthy grains, fruits, vegetables, and lean meats have been consistently linked to a lower incidence of chronic diseases
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