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Mashup Score: 11Rare cause of angina: mechanical compression from hydatid cyst - 19 hour(s) ago
A young man presented with complaints of angina on exertion and dyspnoea on exertion for the last 3 months. On evaluation, he was found to have a cystic mass in the left ventricle with severe left ventricular systolic dysfunction. A cardiac MRI revealed a multiloculated mass in the left ventricle with multiple septa with internal enhancement and CT coronary angiography revealed compression of a coronary artery by the cystic mass. Serological tests for hydatid came out strongly positive, and subsequently, he underwent surgical excision under cardiopulmonary bypass. Postoperatively, he is doing well with no complaints.
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 9Mesenteric fibromatosis as an irreducible inguinal hernia - 19 hour(s) ago
We present the case of a man in his 60s with hypertension, who had a 3-year history of an irreducible mass in the left inguinal area. The patient presented at the emergency room with left lower quadrant pain and scrotal pain. The clinical examination was not suggestive of an acute abdomen. A CT scan was done showing an anterior abdominal wall defect at the left inguinal region. The patient underwent exploratory laparotomy, ileal resection and anastomosis, mesh hernioplasty left for the mesenteric fibromatosis mass mimicking as an irreducible inguinal hernia. Histopathology and immunohistochemistry showed desmoid-type fibromatosis.
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet-
Mesenteric fibromatosis as an irreducible inguinal hernia #some4surgery https://t.co/1tPtZVltDX
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Mashup Score: 8
We report a case of small bowel perforation from ileo-ileal intussusception with necrotising enterocolitis (NEC) after indomethacin exposure mimicking spontaneous intestinal perforation in an extremely preterm neonate. Indomethacin exposure can cause mesenteric hypoperfusion, resulting in an ischaemic lead point for intussusception and NEC. We advocate that intussusception should be considered as one of the differentials for neonates with recurrent feeding intolerance postindomethacin exposure. Diagnosis with early ultrasound by an experienced sonographer is crucial for timely surgical reduction to prevent intestinal perforation.
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet-
Ileo-ileal intussusception and necrotising enterocolitis after indomethacin exposure masquerading clinically as solitary intestinal perforation #some4pedsurg #some4surgery #BMJ https://t.co/c6HLu9JoXc
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Mashup Score: 10Multiple hypopigmented macules in a neonate - 15 day(s) ago
A full-term male neonate in late neonatal age presented with multiple hypopigmented, fine, scaly macules extensively involving the face, neck, upper chest and back during the hot, humid months in a tropical region ([figure 1A,B][1]). There was no history of similar lesions in family members. The
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet-
Multiple hypopigmented macules in a neonate #some4pedsurg #some4surgery https://t.co/lhdRwyYSqk
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Mashup Score: 10Undetected metastatic melanoma in the colon - 15 day(s) ago
Colonic melanoma is a rarely detected aetiology of small bowel obstruction. This is a case of a male in his 80s with a history of treated stage IIIA melanoma on his trunk 7 years prior who presented with small bowel obstruction. He underwent urgent surgical intervention, where a partial colectomy was performed. Pathology revealed a 4.6 cm melanoma causing intussusception. This case highlights the insidious nature of metastatic melanomas and discusses an uncommon location of melanoma metastasis that evaded detection until a late stage.
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet-
Undetected metastatic melanoma in the colon #some4surgery #BMJ https://t.co/kSVv3McB8g
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Mashup Score: 0
Heat stroke is characterised by hyperthermia and acute encephalopathy. We describe a rare case of classical heat stroke secondary to prolonged sauna use with multiorgan sequelae including seizures, liver injury, kidney injury, disseminated intravascular coagulation, rhabdomyolysis and type 2 myocardial infarction. The patient was treated with external cooling, intravenous fluid therapy and blood products, and made a full recovery without need for advanced organ support. We discuss the evidence base surrounding the immediate treatment of heat stroke in the emergency department.
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet-
Basking too long in a sauna may put bathers at risk of heat stroke, particularly if they haven’t drunk enough water beforehand, warn doctors in @BMJCaseReports after treating a woman whose condition required admission to hospital. Link: https://t.co/bl3IPkxZFK https://t.co/U96gp0mOQx
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Mashup Score: 55Aquagenic urticaria: presentation, diagnosis and management - 2 month(s) ago
Aquagenic urticaria, a rare dermatological condition characterised by urticarial eruptions following water contact, poses significant diagnostic and therapeutic challenges. This condition, although uncommon, necessitates heightened clinical awareness due to its substantial impact on the patient’s quality of life. We present a comprehensive account of a paediatric case involving a girl in her mid-teens, who developed recurrent wheals post-exposure to water, independent of its temperature or source. Diagnosis hinged on a detailed clinical history and a definitive water provocation test, with routine laboratory assessments yielding no contributory findings. The therapeutic regimen featuring cetirizine yielded significant symptomatic relief. Although antihistamines are the cornerstone of treatment, the differential response among individuals necessitates an individualised approach, considering adjunctive treatments such as omalizumab and ultraviolet therapy. This case reinforces the critic
Source: casereports.bmj.comCategories: General Medicine News, Hem/OncsTweet-
Alergia al agua: urticaria acuagénica reporte de caso Referencia: https://t.co/zkPkzuNSr3 https://t.co/ileCzVH3gV
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Mashup Score: 55Aquagenic urticaria: presentation, diagnosis and management - 2 month(s) ago
Aquagenic urticaria, a rare dermatological condition characterised by urticarial eruptions following water contact, poses significant diagnostic and therapeutic challenges. This condition, although uncommon, necessitates heightened clinical awareness due to its substantial impact on the patient’s quality of life. We present a comprehensive account of a paediatric case involving a girl in her mid-teens, who developed recurrent wheals post-exposure to water, independent of its temperature or source. Diagnosis hinged on a detailed clinical history and a definitive water provocation test, with routine laboratory assessments yielding no contributory findings. The therapeutic regimen featuring cetirizine yielded significant symptomatic relief. Although antihistamines are the cornerstone of treatment, the differential response among individuals necessitates an individualised approach, considering adjunctive treatments such as omalizumab and ultraviolet therapy. This case reinforces the critic
Source: casereports.bmj.comCategories: General Medicine News, Hem/OncsTweet-
Alergia al agua: urticaria acuagénica reporte de caso Referencia: https://t.co/zkPkzuNSr3 https://t.co/ileCzVH3gV
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Mashup Score: 15A rare presentation of an ancient disease: scurvy presenting as orthostatic hypotension - 2 month(s) ago
A 49-year-old man presented to hospital with severe orthostatic hypotension, gingival dysplasia and a purpuric rash involving his extremities. The orthostatic hypotension failed to respond to fluids and, on the basis of physical examination and dietary history, the patient was given a preliminary diagnosis of scurvy (ascorbic acid deficiency). Serum ascorbic acid levels were undetectable and the orthostasis was resolved within 24 h of ascorbic acid replacement. The pathogenesis of orthostatic hypotension in the setting of scurvy appears to involve impaired catecholamine synthesis and attenuated vasomotor response to α-adrenergic stimulation. We believe that this case describes a rare presentation of scurvy and highlights a previously under-reported connection between scurvy and vasomotor instability.
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet-
With @JonZipursky and @hashemi_md https://t.co/qgkLTa0Siw https://t.co/phTSIHSyYP
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Mashup Score: 2Petticoat cancer: Marjolin ulcer of the waist in South Asian women (a site-specific malignancy) - 3 month(s) ago
A saree is a garment worn by women in the Indian subcontinent. It is usually wrapped around the body and secured over an ankle-length skirt (a petticoat). The petticoat is usually tied very tightly around the waist with a cord. The tight cord of the petticoat often leads to dermatoses related to chronic friction and maceration, resulting in dermatitis and depigmentation. In rare cases, chronic friction may lead to the development of squamous cell carcinoma. In the literature, these skin lesions, including malignant transformation, have been described as ‘saree cancers’, but it is the tightness of the cord tied around the waist that results in chronic inflammation that may result in malignant transformation. We report two cases of squamous cell carcinoma in women associated with tight petticoat cord ties—‘petticoat’ cancer.
Source: casereports.bmj.comCategories: General Medicine News, General HCPsTweet-
A tightly tied waist cord of the underskirt (petticoat) traditionally worn under a saree, may lead to what has been dubbed ‘petticoat cancer,’ warn doctors in @BMJCaseReports after treating two women with this type of malignancy. Link: https://t.co/kl7mstByKm https://t.co/Bbr5SWiURl
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Rare cause of angina: mechanical compression from hydatid cyst #some4surgery #HydatidCyst https://t.co/U6QHlpI14x