Journal of Clinical Case Reports Medical Images and Health Sciences

 Electrolyte Alteration in Bartter Syndrome: Case Report by Tacuri Quezada Juan José in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract  Bartter syndrome is a clinical condition that presents with hyperaldosteronism, however, blood pressure is normal, this is associated with hypovolemia and high levels of PGE2. The clinical case of a pediatric patient who initially presents with significant electrolyte alterations with recurrently associated symptoms is presented. After several laboratory, imaging and genetic studies, she was diagnosed with Bartter Syndrome, for which she has been managed by several specialists. such as pediatric nephrology, genetics, and urology. The patient is currently under control and carries out her daily activities normally, under strict monitoring. It is the first clinical case of this characteristic reported in Ecuador, and contributes to those already registered worldwide, with the experience to contribute to a consensu...

  Fish bone: unusual cause of liver abscess by Haithem Zaafouri in Journal of Clinical Case Reports Medical Images and Health Sciences Description  A 41-year-old female admitted to our department of general surgery with a three days history of abdominal pain, fever and shivering. She was previously healthy without any past medical history. On examination, she was febrile at 39°C, and she had tenderness in the epigastric quadrant of the abdomen. Biological data showed leukocytosis at 22.10³ E/L, high C - reactive protein at 300mg/L, normal amylase and liver enzymesThe abdominal CT scan revealed a 5 cm left hepatic lobe abscess with hyperdense image into parenchyma which matches a 2 cm linear structure with calcium density. After ten days of intravenous antibiotics, an exploratory laparoscopy was done, and the foreign body was extracted etiopathogenic mechanism explains the left site of the hepatic abscess in these conditions. The extraction of the foreign body which can b...

  New medication to treat speech delay by Ali Mohammadimoshganbar in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract  Background:  Delay in language development, social communication, play skills, and behavior in kids can be attributed to a variety of factors. One common cause is genetic predisposition[1], as children with a family history of language or developmental delays are more likely to experience similar challenges themselves. Additionally, neurological factors such as brain injury or abnormalities such as Seizures can impact a child's ability to develop language and social skills[2,3,4]. The most common and effective treatments available include speech therapy, social skills training, occupational therapy and play therapy, which help children improve their abilities. However, none of these treatments are definitive. Case presentation:  Here, we present a child who is currently 8 years old. At the age of three years and one mont...

 Complex neurological paraneoplastic syndrome in lung cancer with myastheniform syndrome and mononeuritis multiplex by Pedro J Modrego in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract  Overlapping of neurological paraneoplastic syndromes occurs rarely in patients with cancer. We report the case of a 66-year old patient with lung adenocarcinoma who presented with ocular myastheniform syndrome and multineuritis multiplex. Onconeural antibodies and voltage-dependent calcium channel antibodies were negative, which made the diagnosis more difficult. After complete surgical resection of cancer and the help of diaminopyridine the patient improved remarkably, but some residual symptoms remain after twoyear follow-up period. Introduction  Paraneoplastic syndromes (PNS) pose diagnosis challenges when the underlying cancer is not visible with the usual ancillary tests. Lung cancer is one of the cancers that cause paraneoplastic symptoms most frequent...

 Contribution of an institutional accompanying person to the reporting of 3 episodes of violence by a hospitalized patient at the Moussa Diop clinic of the Fann psychiatry department, in Dakar by Dr Racky WADE- KANE in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract  Introduction:  At the Fann Psychiatry department, institutional accompanying person is often very close to patients. Sometimes, they are the only ones to witness pathological attitudes or behaviors coming from patients. Thus, we will study the contribution of an institutional accompanying person to the detection of 3 episodes of violence in a hospitalized patient and then formulate recommendations. Methodology:  Our study is qualitative and was carried out at the Moussa Diop clinic of the Fann psychiatry department. We relied on the case of a patient who benefited from two presentations, one of which was taken from a summary of the medical file written by the medical team a...

  Local anaesthesia as a standard of care for penetrating keratoplasty? by Dr. Ahmed Alwan Shalal in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract  The purpose of this study was to ascertain the safety and preferences of local anesthetic (LA) for penetrating keratoplasty. A review of all PKs completed at Ibn Al-Ahaitham Teaching Eye Hospital over the previous four years (2018– 2021) in order to determine the incidence of serious complications. To ascertain patterns in PK's anesthetic use, structured interviews with hospitalized cornea experts were conducted. Continuous data were expressed as mean (SD), whilst categorical variables were expressed as a number (%). In local anesthesia, 41% of the population was under 30, while 59% was over 30. Of these, 69.1% were female. In general anesthesia, there were 56.9% more women than men, 43.1% more men than women, and 33.3% more people under 30 than over 30. Expulsive suprachoroidal hemorrhage (SCH) and...