Annals of Clinical and Medical Case Reports最新文献

{"title":"COVID-19 Associated Loss of Smell and Taste Treated with Gabapentin","authors":"Jean-Paul Lucke DO","doi":"10.47829/acmcr.2022.81101","DOIUrl":"https://doi.org/10.47829/acmcr.2022.81101","url":null,"abstract":"Throughout the COVID-19 Pandemic, the symptoms of loss of smell and taste have been commonly encountered by healthcare professionals, and in fact, have become an important screening tool. By some estimates, 96% of COVID-19 patients experience these symptoms to various degrees [1]. While the exact mechanism of cellular events that lead to loss of smell and taste is largely unknown, research is underway to better understand the process. The senses are usually regained with time but often can take months, and in some instances, be permanent [2]. Nearly one out of ten patients have not fully recovered by two months and treatment options so far are limited [3]. The use of a low dose of Gabapentin could be a possible treatment for anosmia and ageusia in COVID-19 patients.","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117185789","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}

{"title":"Laparoscopic Resection of Large Endo-Cervical Polyp Through Posterior Colpotomy as an Alternative Access to Vagina in Virgin Patients","authors":"Maha Al Baalharith, S. Alsary","doi":"10.47829/acmcr.2022.8501","DOIUrl":"https://doi.org/10.47829/acmcr.2022.8501","url":null,"abstract":"Endometrial polyps have been involved in about 50% of patients with abnormal uterine bleeding and 35% of infertile patients. Management of pedunculated endocervical myoma or polyp normally requires intervention via the vaginal route. Laparoscopy provides safe alternative in patients demanding hymenal integrity. A 28-year-old, nulliparous virgin woman who presented with anemia secondary to heavy menstrual bleeding for five years. Pelvic ultrasound and MRI showed a 3.2 x 2.4 cm mass at the upper vagina it concluded that the mass likely to be pedunculated uterine fibroid, other differential diagnosis including endometrial polyp. Due to the patient’s consistent desire for preserving hymenal integrity, laparoscopic posterior colpotomy was performed and the mass was removed successfully.","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"2017 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121266145","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}

{"title":"Deprescribing of Benzodiazepines in the Elderly Using A 3Es Model: A Patient Centered Approach","authors":"A. A., A. A., H. D, Mukuha C, Nessim D, Otto M.J, W. M","doi":"10.47829/acmcr.2021.71701","DOIUrl":"https://doi.org/10.47829/acmcr.2021.71701","url":null,"abstract":"Alhussaini A1,2*, Altoub A1,3, Henry D1,4, Mukuha C1,5, Nessim D1,6,7, Otto M.J1,8 and Watson M1,9 1Safety, Quality, Informatics and Leadership (SQIL) certificate program (2020-2021), Harvard Medical School Postgraduate Medical Education, Boston, Massachusetts, United States 2Master of Education in the Health Professions (candidate), School of Education, Johns Hopkins University, Baltimore, Maryland, United States 3Department of Emergency Medicine, King Saud University, Riyadh, Saudi Arabia 4Chief Executive Officer, Lake Regional Health System, Osage Beach, Missouri, United States 5Senior Program Officer-CRISSP program Quality Improvement and Learning, University of Nairobi, Kenya 6Healthcare and Pharmacy Leader, Consultant, Canada, and United States 7McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada 8Co-founder, Director and Head Clinician at IntraVita International, Colchester, United Kingdom 9Department of Emergency Medicine, Associate Professor, Dalhousie University, Halifax, Nova Scotia, Canada","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124839136","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}

{"title":"Case Report: Pulmonary Tuberculosis Reactivation in Patients with Human Immunodeficiency Virus: A Case Report","authors":"E. Hogea, D. Manolescu, A. Muntean, Madalina-Amalia Teoteoi-Popa, T. Moisil, Mihai Bica, C. Pilut, Andreea Miclau, Cristian-Iulian Oancea, Georgeta Bujor","doi":"10.47829/acmcr.2022.9701","DOIUrl":"https://doi.org/10.47829/acmcr.2022.9701","url":null,"abstract":"We present one case of co-infection with Mycobacterium tuberculosis (MTB) in a patient with Human Immunodeficiency Virus (HIV). It`s a case of a 27-year-old woman admitted at the Clinical Hospital of Infectious Disease and Pneumology ”Dr. Victor Babeș” Timișoara. The patient was known to be HIV-positive since 2019 and developed pulmonary tuberculosis during the therapy. The patient was non-compliant at antiretroviral therapy and developed pulmonary tuberculosis first time in December 2020. One year later, the same patient was admitted in the hospital with pulmonary manifestations and a reactivation of pulmonary tuberculosis was once again confirmed.","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115803537","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}

{"title":"Platelet Rich Therapy for the Treatment of Osteonecrosis of the Jaw: An Assessment of 14 cases and Review of Technique","authors":"Huntley R, Abdelsamie S, Descour L, Fielding AF","doi":"10.47829/acmcr.2023.102016","DOIUrl":"https://doi.org/10.47829/acmcr.2023.102016","url":null,"abstract":"","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"304 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122123215","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}

{"title":"Pulmonary Thromboembolism – A Clinical Report A Combination of Different Therapeutic Strategies","authors":"L. L., Faria R, Santo Je, Bucur A, Sousa M, Calé R, Loureiro Mj, Pereira C","doi":"10.47829/acmcr.2021.71201","DOIUrl":"https://doi.org/10.47829/acmcr.2021.71201","url":null,"abstract":"1. Abstract 1.1. Background: Pulmonary embolism (PE) is common and can be fatal. For rapid diagnosis and adequate treatment, it is essential to have a high index of suspicion, essential elements for a favorable outcome and low mortality. 1.2. Case Presentation: A 79-year-old man presented with syncope and was diagnosed with pulmonary embolism. The initial therapeutic strategy was low molecular weight heparin (LMWH). Given the worsening with hemodynamic instability, systemic thrombolysis was performed, and clinical improvement was observed. As the patient remained in shock with the need for vasoactive amines, and due to the maintenance of proximal pulmonary thrombi, catheter-directed percutaneous thrombectomy was performed, which when fragmenting and aspirating the thrombi, reversed the right heart failure with rapid hemodynamic improvement. 1.3. Conclusion: This case included the combination of different strategies, allowing the patient's survival and, probably, a faster subsequent recovery of the optimized cardio-respiratory function. 2. Introduction Pulmonary embolism (PE) is common and can be fatal4. According to European Society of Cardiology, the annual incidence rate of PE varies between 39-115 per 100.000 inhabitants [3]. The clinical presentation of a patient with PE is variable and nonspecific4, representing a clinical challenge. Therefore, it is essential to have a high index of suspicion. 3. Case Report A 79-year-old man, previously under hypocoagulation with rivaroxaban for suspected Deep Venous Thrombosis (DVT) of the right lower limb 3 years earlier. Admitted to the emergency department due to a syncope with Traumatic Brain Injury (TBI). No dyspnea or chest pain. On admission, Glasgow Coma Scale 15, without focal deficits, presenting a hematoma in the left occipital region, blood pressure (BP) 117/82mmHg, heart rate 99bpm, peripheral oxygen saturation 94% under oxygen therapy at 2L/min, tachypnoea, slight asymmetry of the lower limbs with pre-tibial edema on the left, although without tightness in the calf. Arterial blood gas analysis in room air revealed respiratory alkalemia and hypoxemia (pH 7.51, pCO2 28mmHg, pO2 76mmHg), normal lactate and glucose. D-dimers 14.03mg/dL, troponin 1.01ng/dL. Chest radiography was normal, electrocardiogram in sinus rhythm with the S1Q3T3 pattern (Figure1). Head computed tomography (CT), showed an epicranial hematoma. A chest Computed Tomography Pulmonary Angiography (CTPA) revealed endoluminal repletion defects in both the right and left pulmonary arteries (Figure2A) and its lobar and segmental branches, in relation to central and segmental Pulmonary Thromboembolism (PTE) and dilation of the right cardiac chambers (RCs) with contralateral bulging of the interventricular septum. Transthoracic Echocardiography (TTE) showed dilation of the RCs.","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123670186","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}