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View article: Tumefactive demyelinating lesions: a case report and literature review
Tumefactive demyelinating lesions: a case report and literature review Open
Tumefactive multiple sclerosis (TMS) is a rare and diagnostically challenging variant of demyelinating disease that frequently mimics neoplastic, infectious, or vascular brain lesions. Its variable presentation often leads to diagnostic un…
View article: Ultrasound indicators of organ venous congestion: a narrative review
Ultrasound indicators of organ venous congestion: a narrative review Open
View article: A Huge Thoracic Aortic Aneurysm as a Rare Complication of Hyperimmunoglobulin E Syndrome
A Huge Thoracic Aortic Aneurysm as a Rare Complication of Hyperimmunoglobulin E Syndrome Open
View article: Pneumatosis Intestinalis Detected by Point of Care Ultrasound, Case Report
Pneumatosis Intestinalis Detected by Point of Care Ultrasound, Case Report Open
Pneumatosis intestinalis (PI) is characterized by the presence of air within the walls of the small intestine, large intestine, and sometimes the gastric wall. The mechanism and pathogenesis of PI are poorly understood. The discovery of PI…
View article: The Effectiveness of Direct Oral Anticoagulation in the Treatment of Left Ventricular Thrombus in Noncompaction Cardiomyopathy: A Case Report
The Effectiveness of Direct Oral Anticoagulation in the Treatment of Left Ventricular Thrombus in Noncompaction Cardiomyopathy: A Case Report Open
The use of direct oral anticoagulants (DOACs) in the treatment of left ventricular thrombus (LVT) associated with specific types of cardiomyopathy like noncompaction cardiomyopathy (NCCM) is not established. We report a case of LVT in an N…
View article: A rare cause of heart failure in a young female: rupture of a sinus of Valsalva aneurysm into the right atrium
A rare cause of heart failure in a young female: rupture of a sinus of Valsalva aneurysm into the right atrium Open
The aortic sinuses of Valsalva are small pouches typically located above the aortic valve and play a crucial role in allowing the aortic valve leaflets to move freely and in supporting the valve itself. Enlargement and dilatation of one or…
View article: Conus branch fistula to main pulmonary artery: a rare coronary anomaly that may cause chest pain in a pediatric patient
Conus branch fistula to main pulmonary artery: a rare coronary anomaly that may cause chest pain in a pediatric patient Open
Coronary artery fistulas (CAFs) are rare congenital coronary anomalies where abnormal communication develops between coronary arteries and cardiac chambers or a thoracic great vessel. CAF is usually diagnosed incidentally with cardiac imag…
View article: Bilateral postoperative lumbosacral plexopathy: A case report
Bilateral postoperative lumbosacral plexopathy: A case report Open
Although rare, lumbosacral plexopathy can significantly impair quality of life. Clinicians should consider this diagnosis to prevent delayed treatment and prolonged suffering.
View article: Exploring Hypoglycemic Ketoacidosis in Nondiabetic Patients on Tirzepatide: Is Starvation the Culprit?
Exploring Hypoglycemic Ketoacidosis in Nondiabetic Patients on Tirzepatide: Is Starvation the Culprit? Open
BACKGROUND Tirzepatide is a long-acting glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist administered via subcutaneous injection for weight reduction and treating type 2 diabetes. CASE…
View article: A prospective analysis of the correlation between ultrasonic B-lines, cardiac tissue doppler signals and left ventricular end-diastolic pressure in patients with severe aortic stenosis
A prospective analysis of the correlation between ultrasonic B-lines, cardiac tissue doppler signals and left ventricular end-diastolic pressure in patients with severe aortic stenosis Open
Background The development of heart failure is a turning point in the natural course of aortic stenosis (AS). Pulmonary oedema and elevated left ventricular pressure (LVP) are cardinal features of heart failure. Evaluating pulmonary oedema…
View article: Double Connection of Left-Sided Partial Anomalous Pulmonary Vein Return in a Young Man
Double Connection of Left-Sided Partial Anomalous Pulmonary Vein Return in a Young Man Open
View article: Point of Care Ultrasound Used to Diagnose Nontyphoidal Endocarditis
Point of Care Ultrasound Used to Diagnose Nontyphoidal Endocarditis Open
Point of care ultrasound (POCUS) can make an expedited diagnosis, which might lead to early correct management. POCUS should be used in a systemic and integrated approach to evaluate multiple organs in patients with sepsis and septic shock…
View article: Sudden cardiac arrest as first manifestation of malignant mitral valve prolapse in a young patient: a case report and review of the literature
Sudden cardiac arrest as first manifestation of malignant mitral valve prolapse in a young patient: a case report and review of the literature Open
Mitral valve prolapse (MVP) is a primary valvular disease of the mitral valve with a prevalence of 2.4% of the general population. Valve abnormalities range from simple fibroelastic deficiency of the leaflets to diffuse myxomatous degenera…
View article: Tirzepatide-induced ketoacidosis in non-diabetic patients
Tirzepatide-induced ketoacidosis in non-diabetic patients Open
Background: Tirzepatide is a novel glucagon-like peptide 1/glucose-dependent insulinotropic peptide (GLP-1/GIP) receptor agonist. It was recently approved for diabetes control and weight reduction in non-diabetic patients. Case description…
View article: Hypocalcemia in Patients With Osteoporosis and Normal Renal Function, Treated With Denosumab, a Retrospective Analysis
Hypocalcemia in Patients With Osteoporosis and Normal Renal Function, Treated With Denosumab, a Retrospective Analysis Open
Objective: The reported hypocalcemia in postmenopausal women with osteoporosis who received Denosumab was low (0.05%-1.7% to 7.4%). The major prediction factors were vitamin D and calcium levels and renal function. The objective is to eval…
View article: Necrotizing fasciitis following gastrostomy tube placement, detected by point-of-care ultrasound, case report
Necrotizing fasciitis following gastrostomy tube placement, detected by point-of-care ultrasound, case report Open
Point-of-care ultrasound is a useful adjunct tool for clinical evaluation and assessment in diagnosing early critically ill patients with life-threatening necrotizing infections.
View article: Denosumab-induced Hypocalcemia in Patients with Osteoporosis and Normal Renal Function
Denosumab-induced Hypocalcemia in Patients with Osteoporosis and Normal Renal Function Open
Zouheir Ibrahim Bitar1, Adnan M A Hajjiah2, Ossama Sajeh Maadarani1, Mahmoud Mostafa Elzoueiry3, Mohamed Refaat Gohar4, Mohamad Abdelfatah5 and Fawaz Alabdali6 Author informationPDFCitations 1Department of Internal Medicine, Critical Care …
View article: Spontaneous recovery of isolated advanced heart block in patient with celiac disease by starting a strict gluten free diet: a case report and review of the literature
Spontaneous recovery of isolated advanced heart block in patient with celiac disease by starting a strict gluten free diet: a case report and review of the literature Open
Cardiac conduction disorder may have a wide range of aetiology and can manifest with symptomatic bradycardia and syncope. Celiac disease is a malabsorptive long-term autoimmune disorder where the small intestine is the primarily affected o…
View article: Caseous calcification of the mitral annulus: mimicking a cardiac mass.
Caseous calcification of the mitral annulus: mimicking a cardiac mass. Open
Mitral annulus calcification is a common incidental finding in echocardiography examination of predisposed populations. On the other hand, caseous calcification of the mitral annulus is a rare variant that challenges the physician to diffe…
View article: Angina pectoris as a manifestation of ALCAPA syndrome in a 20-year-old female: a case report and review of literature
Angina pectoris as a manifestation of ALCAPA syndrome in a 20-year-old female: a case report and review of literature Open
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is considered a rare congenital heart disease where the take-off of the left coronary artery abnormally originates from the pulmonary artery instead of left aortic sinus. It…
View article: Cardiac hydatid disease with palpitations as the only presenting complaint: the egg in the nest
Cardiac hydatid disease with palpitations as the only presenting complaint: the egg in the nest Open
Hydatid disease, also known as cystic echinococcosis, is a parasitic infection caused by the larval stage of Echinococcus granulosus. It usually invades organs such as the liver and the lungs but can affect any organ. Isolated cardiac invo…
View article: Successful thrombolytic therapy using ultraslow low-dose infusion during pregnancy for mitral mechanical valve thrombosis: a case series and review of the literature
Successful thrombolytic therapy using ultraslow low-dose infusion during pregnancy for mitral mechanical valve thrombosis: a case series and review of the literature Open
According to the modified World Health Organization (WHO) classification, pregnant women with mechanical valves face a very high risk of complications (Risk Category III). Mechanical valve thrombosis is a serious complication that signific…
View article: Antipsychotic drugs may contribute to venous thromboembolism – a case report and review literature
Antipsychotic drugs may contribute to venous thromboembolism – a case report and review literature Open
Summary Use of antipsychotic drugs has been associated with increased risk of venous thromboembolism in several observational studies with unclear mechanism. We present a case of a patient who experienced a significant event of venous thro…
View article: Critical stenosis of left main coronary artery as a late presentation after transcatheter aortic valve replacement: A case report and review literature
Critical stenosis of left main coronary artery as a late presentation after transcatheter aortic valve replacement: A case report and review literature Open
Summary Transcatheter aortic valve replacement (TAVR) is an alternative treatment for selected patients with severe aortic valve stenosis who are at high risk for conventional surgery. Critical stenosis of left main coronary artery as a la…
View article: Point-of-Care Ultrasound to Detect Dilated Coronary Sinus in Adults
Point-of-Care Ultrasound to Detect Dilated Coronary Sinus in Adults Open
Detecting dilated coronary sinus when assessing patients in an acute emergency with point-of-care ultrasound (POCUS) is important for differential diagnosis, including the detection of persistent left superior vena cava (PLSVC) and right v…
View article: Cardiorenal syndrome type I recovery following heart rate correction: Cardiac output is not only stroke volume
Cardiorenal syndrome type I recovery following heart rate correction: Cardiac output is not only stroke volume Open
Bradyarrhymias can result in low cardiac output state despite having a normal left ventricular ejection fraction and stroke volume. Because cardiac output is defined as the product of heart rate and stroke volume, a low cardiac output stat…
View article: Cardiorenal syndrome type I recovery post heart rate correction - Cardiac Output is not only stroke volume.
Cardiorenal syndrome type I recovery post heart rate correction - Cardiac Output is not only stroke volume. Open
Bradyarrhhtmias can cause low cardiac output (CO) state despite normal left ventricular ejection fraction and normal stroke volume. CO defined as product of the heart rate (HR) and SV. Cardiorenal syndrome (CRS) type I can be a consequence…
View article: Multiorgan Ultrasonography for the Diagnosis of Pulmonary Embolism
Multiorgan Ultrasonography for the Diagnosis of Pulmonary Embolism Open
The main ultrasound criterion for diagnosing pulmonary infarction is the presence of triangular/wedge-shaped or rounded, hypoechogenic, homogeneous, pleura-based lesions. When used in point-of-care, ultrasonography of several organs can fa…
View article: Use of Midodrine in Heart Failure: Two Case Reports and a Review of the Literature
Use of Midodrine in Heart Failure: Two Case Reports and a Review of the Literature Open
Hypotension in patients with heart failure is much more frequent in daily clinical practice than the 10–15% reported in clinical trials. In patients with heart failure with reduced ejection fraction (HFrEF), hypotension frequently limits t…
View article: Detecting spontaneous retroperitoneal hemorrhage using a modified RUSH protocol: a case report
Detecting spontaneous retroperitoneal hemorrhage using a modified RUSH protocol: a case report Open
In patients with unexplained hemorrhagic shock, a modified POCUS protocol could help by including an examination of the retroperitoneal space in the assessment.