Journal of Community Hospital Internal Medicine Perspectives最新文献_第10页

Rare Case of Idiopathic Thrombocytopenia Causing Retrobulbar Hemorrhage. 特发性血小板减少症导致视网膜出血的罕见病例。

IF 0.9

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2024-09-09 eCollection Date: 2024-01-01 DOI: 10.55729/2000-9666.1379

Khawaja O Omar, William Sebastian, Amna Anees

{"title":"Rare Case of Idiopathic Thrombocytopenia Causing Retrobulbar Hemorrhage.","authors":"Khawaja O Omar, William Sebastian, Amna Anees","doi":"10.55729/2000-9666.1379","DOIUrl":"https://doi.org/10.55729/2000-9666.1379","url":null,"abstract":"Immune thrombocytopenia purpura (ITP) is defined as a platelet count lower than 100 × 10ˆ9/L, in the absence of known abnormalities in white blood cells, normal hemoglobin with generalized purpuric rash: making it a diagnosis of exclusion.1-2 ITP is due to destruction of platelets in the spleen via autoantibodies, resulting in reduced platelet counts.3 Though rare, ITP is linked with spontaneous retrobulbar hemorrhage (SRH). If ITP is identified, prompt treatment is needed to prevent loss of vision. An 80-year-old non-smoking woman with a history of diabetes, hypertension, and alpha thalassemia minor presented with a one-day history of a right occipital lobe headache and right sided ocular dysfunction. Workup showed a very low platelet count of 35,000/mm3, and elevated D-Dimer at 12,485 ng/mL. MRI revealed a new hemorrhage in the retrobulbar area causing right-sided proptosis. MRA showed no arteriovenous shunting, and the right ophthalmic artery was patent. Therapy for seven days with cryoprecipitate, IVIG, and steroids was started, symptoms resolved, and patient was discharged. The relationship between ITP and non-traumatic sub-periosteal orbital hemorrhage (NTSOH) is unclear, but its occurrence in the setting of anemia is often seen. To best of our knowledge this is a rare case of NTSOH in a patient with mild anemia and acute ITP in the absence of other risk factors such as trauma or excessive Valsalva events.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"14 5","pages":"124-127"},"PeriodicalIF":0.9,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11466339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intranasal Insulin for Treatment of Persistent Post-COVID-19 Olfactory Dysfunction: A Scoping Review. 鼻内胰岛素用于治疗 COVID-19 后持续性嗅觉障碍：范围综述。

IF 0.9

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2024-09-09 eCollection Date: 2024-01-01 DOI: 10.55729/2000-9666.1390

Ali Karim, Arisha M G Pathan, Allah Warayo, Iftikhar Ahmed, Aminullah Betanai, Fnu Dropati, Saqlain Ahmed, Pir R J Sarhandi, Poonam Kumari, Raveena B Bansari, Amin Mehmoodi, Jahanzeb Malik

{"title":"Intranasal Insulin for Treatment of Persistent Post-COVID-19 Olfactory Dysfunction: A Scoping Review.","authors":"Ali Karim, Arisha M G Pathan, Allah Warayo, Iftikhar Ahmed, Aminullah Betanai, Fnu Dropati, Saqlain Ahmed, Pir R J Sarhandi, Poonam Kumari, Raveena B Bansari, Amin Mehmoodi, Jahanzeb Malik","doi":"10.55729/2000-9666.1390","DOIUrl":"10.55729/2000-9666.1390","url":null,"abstract":"Olfactory dysfunction has emerged as a prominent symptom of COVID-19, persisting in a subset of patients even after recovery. This scoping review aims to explore the potential of intranasal insulin as a treatment modality for persistent post-COVID-19 olfactory dysfunction. A comprehensive literature search was conducted to gather relevant studies examining the role of intranasal insulin in treating olfactory dysfunction, particularly in post-COVID-19 cases. Studies were included investigating intranasal insulin's mechanisms, efficacy, safety, and clinical outcomes. The review synthesizes findings from various studies suggesting the therapeutic potential of intranasal insulin in improving olfactory function. Research highlights the influence of intranasal insulin on neuroprotection, neurogenesis, and synaptic plasticity within the olfactory system, providing insights into its mechanisms of action. Furthermore, preliminary clinical evidence suggests improvements in olfactory sensitivity and intensity following intranasal insulin administration in post-COVID-19 patients with persistent olfactory dysfunction. While initial findings are encouraging, further rigorous investigations, including clinical trials with larger cohorts, are essential to validate these observations, ascertain optimal dosage regimens, and establish the safety and efficacy of intranasal insulin. This review provides a foundation for future research directions aimed at harnessing the therapeutic potential of intranasal insulin in addressing olfactory dysfunction following COVID-19.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"14 5","pages":"55-62"},"PeriodicalIF":0.9,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11466328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Coronary Artery Dissection: A Case Series and Review of the Literature. 自发性冠状动脉夹层：病例系列和文献综述。

IF 0.9

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2024-07-02 eCollection Date: 2024-01-01 DOI: 10.55729/2000-9666.1355

Shaikh B Iqbal, Yakubu Bene-Alhasan, Shiavax J Rao

引用次数: 0

Gastric Cancer: Clinical Features, Screening, Diagnosis, Treatment, and Prevention. 胃癌：临床特征、筛查、诊断、治疗和预防。

IF 0.9

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI: 10.55729/2000-9666.1304

Rajarajeshwari Ramachandran, Tyler Grantham, Swetha Parvataneni, Deepa Budh, Sindhu Gollapalli, Madhavi Reddy, Vinaya Gaduputi

{"title":"Gastric Cancer: Clinical Features, Screening, Diagnosis, Treatment, and Prevention.","authors":"Rajarajeshwari Ramachandran, Tyler Grantham, Swetha Parvataneni, Deepa Budh, Sindhu Gollapalli, Madhavi Reddy, Vinaya Gaduputi","doi":"10.55729/2000-9666.1304","DOIUrl":"10.55729/2000-9666.1304","url":null,"abstract":"The objective of this article is to highlight the clinical features, screening, diagnosis, treatment, and prevention of gastric cancer (GC). Early GC is often asymptomatic leading to frequent delays in diagnosis. Weight loss and persistent abdominal pain are the most common symptoms at initial diagnosis. The diagnosis of GC typically involves a combination of endoscopy, biopsy, and imaging studies. Endoscopic resection techniques are emerging as successful treatment options for early GC. Treatment options for advanced GC include surgery and chemotherapy. The first line chemotherapy for advanced GC consists of doublet therapy with a combination of platinum and fluoropyrimidines. Trastuzumab, a monoclonal antibody, is used in the treatment of human epidermal growth factor 2 positive GCs. Antiangiogenic agents and immunotherapy are also useful in the treatment of GC. Currently there are no GC screening guidelines in the United States, but they exist in other regions where there is increased prevalence of GC. Prevention strategies for GC include Helicobacter pylori eradication and adoption of a healthy diet consisting of fruits and vegetables.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"14 2","pages":"49-57"},"PeriodicalIF":0.9,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cases from a Community Hospital…JCHIMP Series #2: 66-Year-Old Man with Recurrent Painful Rashes and Oral Ulcerations 来自社区医院的病例......JCHIMP 系列 #2：66 岁男子反复出现疼痛性皮疹和口腔溃疡

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2024-01-10 DOI: 10.55729/2000-9666.1280

Fatima Halilu, Jing Wu, Joseph Fuscaldo, Nathan Dunsmore, Zain Syed, Pauline Daley

引用次数: 0

A Case of Acupuncture Induced Pneumothorax 一个针灸诱发气胸的病例

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2024-01-10 DOI: 10.55729/2000-9666.1293

Azka Naeem, Kimberly Mae Soultan, Muhammad Hashim Khan, S. L. Vemula, Shaurya Sharma, Muzamil Naeem, Ravikaran Singh Patti

引用次数: 0

Non-ketotic hyperglycemia unmasks hemichorea - A reply 非酮症性高血糖揭开了血吸虫病的面纱--答复

IF 1

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2024-01-10 DOI: 10.55729/2000-9666.1292

Ezhilkugan Ganessane, S. Mahalingam, Selva Ganesan

引用次数: 0

Severe Thrombocytopenia in Infective Endocarditis 感染性心内膜炎的严重血小板减少症

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1272

Mayuri Patel, Biplov Adhikari, Amrit Devkota, Mahsa Mohebtash

引用次数: 0

Third-Degree Heart Block in COVID-19 Pneumonia Complicated by Methicillin- Resistant Staphylococcus Aureus (MRSA) Bacteremia. A case report and review of literature COVID-19肺炎并发耐甲氧西林金黄色葡萄球菌(MRSA)菌血症的三度心脏传导阻滞病例报告及文献复习

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1269

Marlon Eliu Rivera Boadla, Azka Naeem, Sapna Kumari, Syed Mohammad Mazhar Uddin, Arafat Farooqui, Sanjay Maheshwari, Armando Seitllari, Zara Haq, Muhammad Hashim Khan, David J. Epstein, Sehajpreet Singh, Gerald Hollander, Kelash Kumar

{"title":"Third-Degree Heart Block in COVID-19 Pneumonia Complicated by Methicillin- Resistant Staphylococcus Aureus (MRSA) Bacteremia. A case report and review of literature","authors":"Marlon Eliu Rivera Boadla, Azka Naeem, Sapna Kumari, Syed Mohammad Mazhar Uddin, Arafat Farooqui, Sanjay Maheshwari, Armando Seitllari, Zara Haq, Muhammad Hashim Khan, David J. Epstein, Sehajpreet Singh, Gerald Hollander, Kelash Kumar","doi":"10.55729/2000-9666.1269","DOIUrl":"https://doi.org/10.55729/2000-9666.1269","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) burden has been identified to cause multiorgan damage. Respiratory compromise is still one of the most common presentations, but cardiac injuries like myocardial injury, ischemia, and conduction abnormalities are also becoming prevalent. We present a case of an 87-year-old male with a history of dementia, type 2 diabetes mellitus, hypertension, chronic kidney disease, and a left kidney transplant hospitalized for respiratory distress and generalized tonic-clonic seizures. He was bradycardic to 27 beats per minute, hypotensive with mean arterial pressure(EKG) depicted a high-grade atrioventricular block (AV-block). The transvenous pacemaker was placed via femoral access and tested positive for COVID-19. Work-up was done to rule out possible causes of bradycardia, like hypothyroidism, ischemia, AV nodal blocking agents, and drug-induced bradycardia was negative. His hospital stay got complicated by methicillin-resistant staphylococcus aureus (MRSA) pneumonia leading to empyema and bacteremia. Unfortunately, being critically ill, the family opted for comfort measures, and he passed away. Our clinical vignette signifies cardiovascular complications in COVID-19 patients are associated with poor outcomes if not addressed. The conduction abnormalities in patients with intact cardiac structure and function are becoming more common in the setting of COVID infection. Assessment with serial EKGs and cardiac monitoring might be essential as patients can develop AV blocks at any point of the disease.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"11 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Solid Pseudo-papillary Neoplasia: A Rare Malignancy of the Pancreas 实性假乳头状瘤变:一种罕见的胰腺恶性肿瘤

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1254

Biplov Adhikari, Robert Jones, Christopher James Haas

引用次数: 0