Vikram Oke
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View article: A Case Report of a Patient Surviving Severe Acidemia With Arterial pH Less Than 6.5
A Case Report of a Patient Surviving Severe Acidemia With Arterial pH Less Than 6.5 Open
Surviving an arterial pH below 6.5 is exceedingly rare due to significant disruption of processes at the cellular level. We report a case of a 25-year-old female with altered mental status, hypotension, and refractory metabolic acidosis. I…
View article: Development and Validation of the First FDA Authorized Artificial Intelligence/Machine Learning Diagnostic Tool for the Prediction of Sepsis Risk
Development and Validation of the First FDA Authorized Artificial Intelligence/Machine Learning Diagnostic Tool for the Prediction of Sepsis Risk Open
Background Sepsis is a life-threatening condition that demands prompt treatment for improved patient outcomes. Its heterogenous presentation makes early detection challenging, highlighting the need for effective risk assessment tools. Arti…
View article: Relationship of symptoms with sleep-stage abnormalities in obstructive sleep apnea-hypopnea syndrome
Relationship of symptoms with sleep-stage abnormalities in obstructive sleep apnea-hypopnea syndrome Open
Most of the symptoms in OSAHS in adults are related to decreased stage N3 sleep. If confirmed by larger controlled studies, correcting N3 sleep deficiency by pharmacotherapy may become an important adjunct to CPAP/BIPAP therapy to alleviat…
View article: Unrecognized clozapine-related constipation leading to fatal intra-abdominal sepsis – a case report
Unrecognized clozapine-related constipation leading to fatal intra-abdominal sepsis – a case report Open
Clozapine is the preferred antipsychotic used for the treatment of resistant schizophrenia with suicidal ideation. The drug is started at a low dose and gradually increased to a target dose of 300-450 mg/day. It is well known to cause agra…
View article: A case of chylothorax in a patient with sarcoidosis: a rare and potentially fatal complication
A case of chylothorax in a patient with sarcoidosis: a rare and potentially fatal complication Open
Obstruction of the thoracic duct may lead to accumulation of a lymphatic fluid rich in triglycerides named chyle. When chyle accumulates in the pleural cavity, it becomes a chylothorax. Malignancy, particularly lymphoma, is the most common…
View article: Takotsubo cardiomyopathy precipitated by delirium tremens
Takotsubo cardiomyopathy precipitated by delirium tremens Open
A 57-year-old woman presented with alcohol withdrawal symptoms, which later progressed to delirium tremens. During hospitalization, she developed respiratory distress with acute pulmonary edema. Electrocardiogram (ECG) showed diffuse ST el…
View article: Use of flexible bronchoscopy in an adult for removal of an aspirated foreign body at a community hospital
Use of flexible bronchoscopy in an adult for removal of an aspirated foreign body at a community hospital Open
Foreign body aspiration (FBA) is more common in children than adults with about 80% occurring in children aged less than 15 years. FBA in adults is often overlooked as a potential cause of airway obstruction especially if there is no asphy…
View article: Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review Open
Lung cancer is one of the most common cancers in America. Frequent sites of metastasis include the Hilar lymph nodes, adrenal glands, liver, brain, and bone. The following case report is of a primary lung cancer with metastases to the brea…
View article: Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma Open
We describe a previously healthy young man who presented with headaches, diplopia with right lateral gaze palsy, dysphagia, and hoarseness over a 2-month period. Magnetic resonance imaging of the brain revealed a small enhancing mass at th…
View article: Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review Open
We present a case of a middle-aged male who manifested with low-grade fever and lower back pain. MRI and bone scan of the spine were suggestive of vertebral osteomyelitis. Blood cultures were persistently positive for Enterococcus faecalis…