Volume 1 Issue 3
0mental Variceal Bleeding as a First Presentation of Portal Hypertension in a Cirrhotic Patient
Dan Feldman1*, Oren Gal1, Amir Mari1, Fadi Abu Baker1, Gabriel Groisman2, Yael Kopelman1
Gastrointestinal varices are common complication of portal hypertension. Omental variceal are a unique example of ectopic varices which account for less than 5% of all varix-related bleeding episodes. Very few cases of hemo-peritoneum due to omental variceal rupture have been reported. 50 years old cirrhotic woman, secondary to ethylism and past hepatic schistosomiasis was presented to our institute with in a state of hemorrhagic shock and abdominal compartment syndrome, due to omental variceal bleeding. Although aggressive management was held including vasopressors, omentectomy and re-laparotomy with packing, the patient continued to deteriorate and eventually died from multi-organ failure, reflecting the severity of the underlying liver disease.
Current Concepts in the Management of Patients with Extracranial Carotid Artery Atherosclerotic Disease
Vesselin Karabinov1, Georgi P. Georgiev2*
Atherosclerosis is the disease responsible for half of the deaths in Europe and the United States of America [3-7]. Ischemic stroke is the major cause of death and lasting disability worldwide. Atherosclerosis, as well as different anatomical variations of the vessels are an etiological factor for extra cranial vascular disease . The extracranial cerebrovascular disease is an independent and strong risk factor for stroke and an important cause of temporary or lasting neurological deficiency . Therefore, behaviour in patients with stenoses of the extracranial arteries is of great interest. Until now, it was considered that carotid endarterectomy and carotid stenting were the main means of the primary and secondary prevention in these patients. This is supported by numerous studies with a large number of patients: ACAS, NASCET, ASCT, CREST. EVA-3S, ICSS.
Comparative Analysis of Flangeless Dentures and Surgical Alveoloplasty- A Case Report
Jaber Mohammed alshahrani1, Mushari Naif alharbi1, Abhishek Nagaraj2, Anubhav Jannu3*
Many cases present with severe labial undercut after total extraction. This is much more in case of maxilla than mandible. Clinician is faced with a dilemma to either surgically reduce the labial portion of pre-maxilla or to reduce the flanges of denture to accommodate for anterior proclination. This case report explains why flangeless denture was used in one case while surgical reduction of pre-maxilla was performed to improve the esthetics of denture in similar case scenarios. This article aims to analyse and compare the pros and cons for decision making of such treatment plans.
Assessment of Genetics Mutations ZIC1,ZIC2,ZIC3,ZIC4 and ZIC5 Genes in Dandy-Walker Syndrome Human
Shahin Asadi1*, Mahsa Jamali1
In this research we have analyzed 30 people. 10 patients Dandy-Walker syndrome and 20 persons control group.The genes ZIC1 and ZIC4, analyzed in terms of genetic mutations made. In this research, people who have genetic mutations were targeted, with nervous disorders Dandy-Walker syndrome. In fact, of all people with Dandy-Walker syndrome...
Amiodarone-Induced Interstitial Lung Disease Diagnosed after Discontinuation of Amiodarone
Rachel A Ness1*, Jonathan M Hoover1
In This is a case of a 77 year old male started on amiodarone for control of atrial fibrillation during hospitalization after surgery. The patient had a prolonged hospitalization due to post-operative complications and several repeat hospitalizations for dyspnea and chronic cough. He had multiple comorbidities including history of pneumonia during original hospitalization, congestive heart failure, and chronic obstructive pulmonary disease that were thought to contribute to the patient’s prolonged dyspnea. Despite discontinuation of amiodarone for unrelated reasons, the patient’s respiratory status continued to decline. About one month after discontinuation, amiodarone induced interstitial lung disease was identified as the likely cause of his continually declining lung function. This case demonstrates the prolonged effects of amiodarone and the importance of early identification and treatment of pulmonary toxicity secondary to amiodarone even after discontinuation of the offending agent.