Prague medical report最新文献_第3页

A Rare Case of Primary Vulval Amelanotic Melanoma Involving the Urethra. 原发性外阴黑素瘤累及尿道的罕见病例。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.23

Manuela Montatore, Laura Eusebi, Federica Masino, Alessia Mariagrazia Costa, Willy Giannubilo, Ferioli Elena, Lucilla Diamanti, Giuseppe Guglielmi

引用次数: 0

Coracoclavicular Joint Arthrosis - An Uncommon Cause of Shoulder Pain. 肩锁关节关节病--肩部疼痛的一个不常见原因。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.15

Natã Nascimento de Jesus Graça, Márcio Luís Duarte

引用次数: 0

Accessory Flexor Muscle of Forearm - A Rare Variant - Embryological and Clinical Prospect. 前臂副屈肌-一个罕见的变异-胚胎学和临床前景。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.32

Kamalesh Saravanan, Rajesh Kumar, Dibakar Borthakur, Harisha Kusuma, Seema Singh

引用次数: 0

Acute Pancreatitis: Radiological Detection and Clinical Significance of Pancreatic Ascites, Pleural and Parapancreatic Fluid Effusions. 急性胰腺炎：胰腺腹水、胸膜及胰旁液积液的影像学检测及临床意义。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.28

Tetiana Formanchuk

{"title":"Acute Pancreatitis: Radiological Detection and Clinical Significance of Pancreatic Ascites, Pleural and Parapancreatic Fluid Effusions.","authors":"Tetiana Formanchuk","doi":"10.14712/23362936.2024.28","DOIUrl":"https://doi.org/10.14712/23362936.2024.28","url":null,"abstract":"Fluid collections are common manifestations of local complications of acute pancreatitis (AP). The determination of fluid collections is important in stratifying the severity of the course of acute pancreatitis and choosing the appropriate management. In this study, the frequency of detection of fluid effusions by various instrumental methods and their clinical significance in 677 patient was assessed, taking into account the severity of the course of AP and anatomical localization of fluid accumulations. The computed tomography (CT) method showed its advantage in detecting fluid effusions in the pleural cavities, while the ultrasound method showed its indisputable significant advantage in the diagnosis of fluid effusions located parapancreatically and in the lesser sac: the highest frequency of detection of fluid effusion was in 65.3% of all patients in the general group using CT compared to 39% using ultrasound and 12.5% using chest X-ray (p<0.05). Each of the above methods showed different sensitivity depending on the anatomical areas of fluid effusion detection. In particular, the CT method revealed the presence of fluid in the pleural cavities in 50.7% of the total group, in the abdominal cavity in 36.0% of cases, and only in 8.0% of cases in the parapancreatic or lesser sac. The opposite picture was revealed when using the ultrasound method, in which fluid was found in the parapancreatic/lesser sac in the largest number of cases - 28.1%, in the abdominal cavity - in 22.6% of cases, and in the pleural cavity - in 14.3% of cases.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":"125 4","pages":"309-323"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751879","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

Gorlin-Goltz Syndrome - A Rare Case Entity in Young Child. 戈林-戈尔茨综合征--幼儿中的罕见病例。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.7

Shovita Mondal, Nikil Kumar Jain, Abhishek Dutta, Nishant, Abhijit Dutta, Moushumi Shil, Suman Sen

引用次数: 0

A Curious Case of Clear Cell Morphology in a Patient with Lung Cancer: Diagnostic Challenges. 肺癌患者透明细胞形态的奇特病例：诊断难题。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.12

Alyssa Bonnier, Mufaddal Najmuddin, Michael D Curry, Anum Nida, Biplab K Saha

{"title":"A Curious Case of Clear Cell Morphology in a Patient with Lung Cancer: Diagnostic Challenges.","authors":"Alyssa Bonnier, Mufaddal Najmuddin, Michael D Curry, Anum Nida, Biplab K Saha","doi":"10.14712/23362936.2024.12","DOIUrl":"10.14712/23362936.2024.12","url":null,"abstract":"An 82-year-old woman with COPD presented to the emergency department with cough, increasing sputum production, wheezing, and worsening shortness of breath for two weeks. On imaging studies, the patient was found to have a right upper lobe spiculated nodule and an endobronchial lesion with near total occlusion of the right lower lobe bronchus with sub-segmental atelectasis. Bronchoscopy with EBUS-TBNA of subcarinal and right hilar lymph nodes revealed lung cancer with clear cell phenotype. Given the predominance of clear cell morphology, the diagnosis of metastatic renal or ovarian cancer was entertained. However, there was no evidence of renal or ovarian lesions on the PET-CT scan, ruling out the possibility. Salivary gland type lung cancer (STLC), which is responsible for less than 1% of all lung cancer cases in adults, was also considered. The two distinct STLCs that may have similar morphologic appearances are hyalinizing clear cell carcinoma (HCCC) and mucoepidermoid carcinoma (MEC). The other type of tumour in the lung that demonstrates a clear cell phenotype is perivascular epithelioid cell neoplasms or PEComa, which are mesenchymal in origin. Immunohistochemical staining was strongly positive for p63, CK5/6, CK7, CK-LMW, and negative for TTF-1, Napsin A, p16, and CK20. Additional staining, including HMB-45, S-100, and mucicarmine, were also negative. Next-generation sequencing for the salivary gland fusion panel, including EWSR1-ATF1 fusion and EWSR1 gene rearrangement for HCCC and MAML2 gene rearrangements for MEC, was negative. She was diagnosed with non-small cell lung cancer favouring squamous cell carcinoma with clear cell phenotype, a rare entity.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":"125 2","pages":"138-145"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959319","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

Weight-bearing Ultrasound to Diagnose Talar Dislocation Causing Tarsal Tunnel Syndrome. 负重超声波诊断引起跗骨隧道综合症的距骨脱位。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.17

Márcio Luís Duarte, Mayara Oliveira da Silva, Ocacir de Souza Reis Soares, Norma Sueli Albino Moreira, Eduardo Kenzo Arie

引用次数: 0

Validation of the Idiopathic Hypersomnia Severity Scale in the Czech Republic. 捷克共和国特发性嗜睡严重程度量表的验证。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.26

Jitka Bušková, Eva Miletínová, Tereza Dvořáková, Radana Měrková, Jana Krpešová, Soňa Nevšímalová, Martin Milata, Karolína Galušková, Simona Dostálová, Karel Šonka

{"title":"Validation of the Idiopathic Hypersomnia Severity Scale in the Czech Republic.","authors":"Jitka Bušková, Eva Miletínová, Tereza Dvořáková, Radana Měrková, Jana Krpešová, Soňa Nevšímalová, Martin Milata, Karolína Galušková, Simona Dostálová, Karel Šonka","doi":"10.14712/23362936.2024.26","DOIUrl":"https://doi.org/10.14712/23362936.2024.26","url":null,"abstract":"We have verified the eligibility of the Idiopathic Hypersomnia Severity Scale (IHSS) as a basic clinical tool for determining the subjective severity of illness in patients with idiopathic hypersomnia (IH) in the Czech Republic. Total of 37 patients with a diagnosis of IH (9 men, 28 women, mean age 40.2 ± 12.8) completed the IHSS scale. At the same time, they were instructed to complete the Epworth Sleepiness Scale (ESS), the Fatigue Severity Scale (FSS), the Hospital Anxiety and Depression Scales (HADS-A and HADS-D), and a short version of the Quality of Life Questionnaire (SF-36). The control group consisted of 88 age- and sex-matched healthy volunteers. The IHSS scale showed good internal consistency of the questionnaire using Cronbach's α, which was 0.88. The KMO (Keiser-Meyer-Olkin index) was 0.72, confirming sufficient structural validity of the questionnaire. The correlation of the total IHSS score with the ESS (ρ = 0.59, p=0.0001) and FSS (ρ = 0.84, p<0.0001) as well as with the HADS-A scales (ρ = 0.64, p<0.0001), HADS-D (ρ = 0.79, p<0.0001) and SF-36 in both the mental (ρ = -0.85, p<0.0001) and physical health (ρ = -0.66, p<0.0001) components. The IHSS is a convenient and easy-to-apply clinical tool to assess subjective severity of illness, which describes well the symptoms of idiopathic hypersomnia and assesses their impact on health and daily activities.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":"125 4","pages":"289-301"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751883","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

Accessory Flexor Carpi Ulnaris Muscle in Humans: A Rare Anatomical Case with Clinical Considerations. 人类的拇外侧肌：一个罕见的解剖病例及临床考虑因素。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.16

Dibakar Borthakur, Arthi Ganapathy, Mohammed Ahmed Ansari, Ritu Sehgal

{"title":"Accessory Flexor Carpi Ulnaris Muscle in Humans: A Rare Anatomical Case with Clinical Considerations.","authors":"Dibakar Borthakur, Arthi Ganapathy, Mohammed Ahmed Ansari, Ritu Sehgal","doi":"10.14712/23362936.2024.16","DOIUrl":"10.14712/23362936.2024.16","url":null,"abstract":"Anatomical variations of the forearm flexor muscles are occasionally encountered. Though usually observed incidentally during autopsies or imaging studies, they may at times cause concern due to associated clinical symptoms. This report presents a case of unilateral accessory flexor carpi ulnaris (AFCU) muscle observed in a human male cadaver aged 78 years. During routine cadaveric dissection, an anomalous AFCU muscle was observed in the left forearm of a human male cadaver aged 78 years. Standard institutional guidelines pertaining to the use of human cadaver for teaching and research were followed. A thorough literature review about the flexor carpi ulnaris (FCU) through the PubMed, Embase and Google scholar databases was undertaken, using the keywords - accessory flexor carpi ulnaris muscle, aberrant flexor carpi ulnaris muscle and anatomical variation of flexor carpi ulnaris muscle. Relevant gross anatomical findings were recorded and photographed. AFCU was identified on the medial aspect of the distal third of the left forearm. The AFCU was found originating from the ante-brachial fascia and the fascia covering the FCU on the left forearm, forming a small separate belly deep to the main muscle. It terminated as a thin tendon running alongside the hypothenar muscles and attached distally to the base of the proximal phalanx of the little finger. The AFCU was found to be innervated by a branch of the ulnar nerve. Awareness about the rare AFCU muscle is clinically important as a possible cause of ulnar nerve compression but also as a possible graft in reconstruction surgeries.","PeriodicalId":35490,"journal":{"name":"Prague medical report","volume":"125 2","pages":"163-171"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959475","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

A Severe and Fatal Type A Aortic Dissection in an Adult with a Repaired Tetralogy of Fallot. 一名法洛氏四联症修复成人的严重致命 A 型主动脉夹层。

Prague medical report Pub Date : 2024-01-01 DOI: 10.14712/23362936.2024.11

Manuela Montatore, Federica Masino, Vincenzo Signorile, Marina Balbino, Ruggiero Tupputi, Giuseppe Guglielmi

引用次数: 0