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Colocolic Fistula: A Rare Consequential Presentation of Cecal Mucinous Adenocarcinoma 结肠结肠瘘：盲肠黏液腺癌的罕见后遗症
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-11-27 DOI: 10.53785/2769-2779.1179
Jessica Rutyna, Paige A. Stratton, R. Sharma, Anthony V. Baratta
{"title":"Colocolic Fistula: A Rare Consequential Presentation of Cecal Mucinous Adenocarcinoma","authors":"Jessica Rutyna, Paige A. Stratton, R. Sharma, Anthony V. Baratta","doi":"10.53785/2769-2779.1179","DOIUrl":"https://doi.org/10.53785/2769-2779.1179","url":null,"abstract":"","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139230926","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
Encephalopathy Tango: When Beta-Lactam Antibiotics Waltz with GABA Receptor 脑病探戈:当β -内酰胺抗生素与GABA受体华尔兹
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1169
A. Mohamed, Nagesh Jadhav, M. Elbathani, Abubaker Farah
{"title":"Encephalopathy Tango: When Beta-Lactam Antibiotics Waltz with GABA Receptor","authors":"A. Mohamed, Nagesh Jadhav, M. Elbathani, Abubaker Farah","doi":"10.53785/2769-2779.1169","DOIUrl":"https://doi.org/10.53785/2769-2779.1169","url":null,"abstract":"","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"147 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74890040","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
Bi-Atrial Thrombus via Patent Foramen Ovale with Medical Noncompliance: A Case Report 经卵圆孔未闭的双房血栓不遵医嘱1例
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1153
Reid McCullough, Ayesha Cheema, Owesh Contractor, Krystal Tomsky-Jackson
{"title":"Bi-Atrial Thrombus via Patent Foramen Ovale with Medical Noncompliance: A Case Report","authors":"Reid McCullough, Ayesha Cheema, Owesh Contractor, Krystal Tomsky-Jackson","doi":"10.53785/2769-2779.1153","DOIUrl":"https://doi.org/10.53785/2769-2779.1153","url":null,"abstract":"Numerous diagnoses in the hospital setting require anticoagulation. With different etiologies, certain specific assessments may not have a treatment plan that is studied extensively in evidence-based medical texts. In these uncommon situations, management may not have clear medical guidelines for successful treatment. We present a case of bi-atrial thrombus via PFO with concurrent pulmonary embolism, extensive clot burden history, and the plan to move forward with Angiovac. In patients with this specific history and pathology, modern procedures like Angiovac should be considered and discussed.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135263829","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
Cystic Fibrosis - An Ever Evolving Challenge 囊性纤维化-一个不断演变的挑战
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1160
A. Orakzai, Osama S. Khan, S. S. Raza, Muhammad H. Sharif, Mehr A. Orakzai
{"title":"Cystic Fibrosis - An Ever Evolving Challenge","authors":"A. Orakzai, Osama S. Khan, S. S. Raza, Muhammad H. Sharif, Mehr A. Orakzai","doi":"10.53785/2769-2779.1160","DOIUrl":"https://doi.org/10.53785/2769-2779.1160","url":null,"abstract":"Abstract Cystic fibrosis (CF) is a genetic disease that results from mutations in a large single gene located on chromosome 7. More than 2000 different mutations in the gene have been identified to have caused the disease. Most of these mutations are exceedingly rare and therefore not a part of CF screening or all testing panels. This case discusses an adult female with a history of asthma, bronchiectasis, pseudomonas colonization, and respiratory failure on chronic oxygen who presented to the ED with sudden onset shortness of breath, fever, chills, body aches, nonproductive cough, and headache. The patient's condition clinically improved with treatment and was discharged on day three. The patient had previously undergone a laboratory evaluation of bronchiectasis. Due to the patient's history of bronchiectasis and pseudomonas colonization, there was a decision to reconsider the possibility of CF. The patient underwent a routine cystic fibrosis genetic testing panel which subsequently confirmed a CFTR mutation. The discussion highlights the importance of remaining vigilant for signs of CF, to remain open to the possibility of CF or CFTR related disorders, when patients have had evaluations for such that predate current testing standards or capabilities.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90728362","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
Severe COVID-19 following Rituximab and Nirmatrelvir/ritonavir treatment in a patient with MCTD, Case Report 1例MCTD患者接受利妥昔单抗和尼马特韦/利托那韦治疗后出现严重COVID-19，病例报告
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1154
Rohail A Baig, Faieja Chowdhury, Omar Siddiqui, Adnaan Sheikh, Varun Mehta, Pranjali Dakwale
{"title":"Severe COVID-19 following Rituximab and Nirmatrelvir/ritonavir treatment in a patient with MCTD, Case Report","authors":"Rohail A Baig, Faieja Chowdhury, Omar Siddiqui, Adnaan Sheikh, Varun Mehta, Pranjali Dakwale","doi":"10.53785/2769-2779.1154","DOIUrl":"https://doi.org/10.53785/2769-2779.1154","url":null,"abstract":"","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81007374","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
Non-Histaminergic Angioedema Following Infection with COVID-19 COVID-19感染后的非组胺性血管性水肿
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1168
Sheza Malik, Basil George Verghese, S Shahzad Mustafa
{"title":"Non-Histaminergic Angioedema Following Infection with COVID-19","authors":"Sheza Malik, Basil George Verghese, S Shahzad Mustafa","doi":"10.53785/2769-2779.1168","DOIUrl":"https://doi.org/10.53785/2769-2779.1168","url":null,"abstract":"Non-respiratory manifestations of COVID-19, including dermatological manifestations, have been reported, and although urticaria associated with COVID-19 has been reported, there have been no reports of non-histaminergic angioedema following infection with mild COVID-19. Non-histaminergic angioedema has a gradual onset and is characterized by submucosal swelling without accompanying urticaria or pruritus, and poor response to antihistamines and corticosteroids. We report a case of non-histaminergic angioedema in a 29-year-old woman with a history of mild COVID-19 infection. Our case highlights the fact that early diagnosis of non-histaminergic angioedema in mild COVID-19 patients is crucial for effective treatment and requires a high level of suspicion from both general and emergency physicians.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135264229","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
Persistent Foci of Infection: A Case of Two Mycotic Aneurysms Separated in Time in A Patient with Infective E. Faecalis Endocarditis 持续性病灶感染:感染性粪肠杆菌心内膜炎患者及时分离两个真菌性动脉瘤1例
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1166
Julia C. Stone, Joel C. Thompson, J. Hatem, Evan Basha
{"title":"Persistent Foci of Infection: A Case of Two Mycotic Aneurysms Separated in Time in A Patient with Infective E. Faecalis Endocarditis","authors":"Julia C. Stone, Joel C. Thompson, J. Hatem, Evan Basha","doi":"10.53785/2769-2779.1166","DOIUrl":"https://doi.org/10.53785/2769-2779.1166","url":null,"abstract":"","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82170220","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
Hydroxychloroquine Induced Cardiomyopathy 羟氯喹致心肌病
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1165
Mohamed Salah Mohamed, Katrina Wojciechowski, Scott Feitell, Muhammad Osama, Anas Hashem, Jayesh Patel, Amir-Ali Mahmoud, A. Abdelhay, Prakash Upreti, S. Khodjaev
{"title":"Hydroxychloroquine Induced Cardiomyopathy","authors":"Mohamed Salah Mohamed, Katrina Wojciechowski, Scott Feitell, Muhammad Osama, Anas Hashem, Jayesh Patel, Amir-Ali Mahmoud, A. Abdelhay, Prakash Upreti, S. Khodjaev","doi":"10.53785/2769-2779.1165","DOIUrl":"https://doi.org/10.53785/2769-2779.1165","url":null,"abstract":"Abstract Hydroxychloroquine (HCQ) is one of the immunomodulatory medications used in treatment of autoimmune diseases. Rarely, HCQ can cause serious complications, such as cardiotoxicity. We present a rare case of HCQ-induced cardiomyopathy. 60-year-old female patient with a medical history of SLE on chronic HCQ therapy for 28 years, preexisting non-ischemic cardiomyopathy and heart failure with reduced ejection fraction for 7 years, and complete heart block status post pacemaker insertion presented with acute chest pain and severe weight loss. Patient underwent coronary angiogram that showed normal coronaries and right-sided heart catheterization that showed acute heart failure. Echocardiogram showed LVEF of 30% with global hypokinesis. Patient was started on dobutamine with an improvement of her symptoms. As HCQ-induced cardiomyopathy was suspected, patient underwent an endomyocardial biopsy that revealed a pathognomonic finding of myocyte vacuolization, consistent with HCQ-induced cardiomyopathy. HCQ was discontinued immediately. However, patient was a poor candidate for heart transplantation and durable mechanical circulatory support due to severe malnutrition secondary to end-stage heart failure. Patient accepted hospice care and passed away peacefully. This case highlights the need for high index of clinical suspicion, careful medication reconciliation for patients with non-ischemic cardiomyopathy, and tissue biopsy with careful histopathological examination to diagnose this rare complication.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85557090","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
Median Arcuate Ligament Syndrome: A Rare Cause of Abdominal Pain That is Difficult to Identify 正中弓状韧带综合征:一种罕见的腹痛原因，很难确定
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1167
Mark E Eskander, Matthew Thrall, Joel P Thompson
{"title":"Median Arcuate Ligament Syndrome: A Rare Cause of Abdominal Pain That is Difficult to Identify","authors":"Mark E Eskander, Matthew Thrall, Joel P Thompson","doi":"10.53785/2769-2779.1167","DOIUrl":"https://doi.org/10.53785/2769-2779.1167","url":null,"abstract":"Median arcuate ligament syndrome (MALS) is a rare disease that occurs when the celiac artery is compressed by the median arcuate ligament. Patients with MALS typically present with non-specific symptoms that overlap with more common diseases. As a result, patients may undergo extensive workup and unnecessary treatments before being properly diagnosed with MALS. In this case we present a 23-year-old female with chronic postprandial abdominal pain that persisted despite undergoing a cholecystectomy. This case highlights the symptoms and imaging findings needed to diagnose MALS and thus prevent unnecessary surgical interventions.","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135263831","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
Court Decisions Demonstrate Need for Public Health Economy: A Position Statement of Public Health Liberation 法院判决证明需要公共卫生经济:公共卫生解放的立场声明
Advances in Clinical Medical Research and Healthcare Delivery Pub Date : 2023-08-14 DOI: 10.53785/2769-2779.1184
Christopher Williams, Public Health Liberation Board of Directors
{"title":"Court Decisions Demonstrate Need for Public Health Economy: A Position Statement of Public Health Liberation","authors":"Christopher Williams, Public Health Liberation Board of Directors","doi":"10.53785/2769-2779.1184","DOIUrl":"https://doi.org/10.53785/2769-2779.1184","url":null,"abstract":"","PeriodicalId":7266,"journal":{"name":"Advances in Clinical Medical Research and Healthcare Delivery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73445727","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
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