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#1Samuel Arnold (Christchurch Hospital)
#2Darina Gilroy (Christchurch Hospital)
Last. Josh Kempthorne (Christchurch Hospital)
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Subclavian artery injury is a rare complication of clavicle fracture. The fractured clavicle can lacerate the underlying subclavian artery. Life-threatening haemorrhage can occur secondary to arterial laceration, and if distal blood flow is impaired, upper limb ischaemia can develop. There is little discussion in the literature regarding combined (or ‘hybrid’) endovascular and open surgical management of acute subclavian injuries secondary to clavicle fracture. We report a case of subclavian art...
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#2Auric BhattacharyaH-Index: 1
Last. Amit Basannavar (Bharati Vidyapeeth University)
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A 28-year-old male patient presented with a broken filling on tooth 26. The patient reported that the filling had dislodged and has been refilled multiple times previously. On further enquiry, he complained of tenderness on the left cheek, left nasal blockage and postnasal drip occurring
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#1Abby Miriam Basalely (Boston Children's Hospital)H-Index: 1
#2Minh Dien Duong (Boston Children's Hospital)H-Index: 1
Last. Anna Zolotnitskaya (Boston Children's Hospital)H-Index: 2
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We report a 7-month-old female infant who presented with anuric acute kidney injury and severe hyponatremia (serum sodium 110 mEq/L). The patient was treated with low-dose continuous kidney replacement therapy (CKRT), that is, 85% of total clearance dose divided equally between normonatric (Na 140 mEq/L) replacement and dialysate fluids. The remaining 15% of the clearance was provided by peripheral infusion of dextrose 5% (D5W). The patient’s sodium was maintained between 119 mEq/L and 121 mEq/L...
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#1Valeria Ripa (SBMC: Saint Barnabas Medical Center)
#2Natasha Singh (SBMC: Saint Barnabas Medical Center)H-Index: 1
Last. Franz Smith (SBMC: Saint Barnabas Medical Center)H-Index: 1
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An 82-year-old man presented with a right scalp lesion which had been increasing in size. The patient's medical history was significant for a heart transplant 25 years before, and he was on chronic immunosuppression. Biopsy of the lesion showed atypical fibroxanthoma. The patient underwent an excision of the lesion with split thickness skin graft. Pathology showed fibroxanthoma with negative margins. Over the next 9 months, the patient developed new lesions, which were also excised to negative m...
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#1Kotaro Iwasaki (Toho University)
#2Yasuo Matsuzawa (Toho University)H-Index: 9
Last. Kotaro Kumano (Toho University)
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Idiopathic pulmonary hemosiderosis (IPH) is a rare disease of unknown aetiology that causes recurrent episodes of diffuse alveolar haemorrhage (DAH). A male patient in his 50s had repeatedly experienced hemoptysis for the past 6 years, along with a decrease in the pulmonary diffusing capacity and chronic respiratory failure. After a 6-year follow-up, the patient experienced sudden exacerbation of hemoptysis and respiratory failure, and he was hospitalised. A CT of the chest revealed diffuse pulm...
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#1Anna Payne (Barts Health NHS Trust)H-Index: 1
#2Ted Welman (Barts Health NHS Trust)H-Index: 1
Last. Matthew Stodell (Barts Health NHS Trust)H-Index: 1
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We present the case of a 53-year-old woman with silicone breast implants who underwent excision of an abdominal melanoma and sentinel lymph node biopsy. Two lymph nodes were excised; both lying in the breast parenchyma adjacent to the intact right breast capsule. The lymph node histology revealed a subcapsular melanoma deposit along with silicone lymphadenopathy in the sentinel node. This case highlights that sentinel lymph nodes can be located in alternative locations to the common lymphatic ba...
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We report a fifth case of a transverse colon primary synovial sarcoma. A 31-year-old man with history of grade I obesity presented to an outpatient clinic reporting 6 months of intermittent colicky abdominal pain associated with haematochezia and rectal bleeding. Colonoscopy reported a partially obstructive intraluminal tumour lesion located in the transverse colon. There was no evidence of metastatic disease in the extension studies, so the patient was admitted to the hospital for a laparoscopi...
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#1Evangeline Christable (SRU: Sri Ramachandra University)
#2Sathyanarayan Shivkumaran (Vydehi Institute of Medical Sciences & Research Centre)
Last. Suhaildeen Kajamohideen (SRU: Sri Ramachandra University)
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Endometriosis is a benign estrogen-dependent disorder affecting women in their reproductive age group. Endometriosis means ‘abnormal growth of endometrial glands’ outside the uterus. Multiple theories on aetiopathogenesis of endometriosis have been postulated, Halban’s theory on ‘Benign Metastasis’ which proposed the presence of endometriotic cells in lymphatic vessels and lymph nodes provides the basis of this case report. Here, we report a case of 26-year-old nulliparous woman who presented wi...
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#1Victoria Liu (McMaster University)
#2Adnan Pirbhai (McMaster University)
Last. Syed Faraz Masood (McMaster University)
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A 67-year-old woman presented with painful, acute vision loss after 5 days of fever and muscle aches while visiting the Dominican Republic. She had no recent history of ocular surgery, dental work or recent trauma. Anterior chamber aspiration confirmed an initial diagnosis of endogenous endophthalmitis, positive for Streptococcus mitis that progressed to panophthalmitis on return to Canada. Treatment included systemic antibiotics, intravitreal antibiotics and intravitreal dexamethasone. Despite ...
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#1Dilpat Kumar (WMU: Western Michigan University)
#2Anmol Hans (WMU: Western Michigan University)
Last. Nicholas Helmstetter (WMU: Western Michigan University)H-Index: 1
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Jamestown Canyon virus (JCV) is a mosquito-borne orthobunyavirus that causes an acute febrile illness, meningitis or meningoencephalitis. Human infections in the USA are rare. A 59-year-old man was admitted with fever, headache and hallucinations and required transfer to intensive care due to worsening agitation. Lumbar puncture was significant for neutrophilic pleocytosis, low glucose and high protein. Cerebral spinal fluid (CSF) bacterial cultures were negative, however, the CSF analysis via E...
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