DOCTOR, I AM BACK TO WORK! REMOVAL OF MASS WITH COMPLETE RESOLUTION OF HYPERTENSION AND CHEST PAIN

Patients with SARS-CoV-2 pneumonia can suffer from pneumothorax and persistent air leak (PAL). The pneumothorax occurs with or without pre-existing lung disease. PAL refers to air leak lasting more than 5–7 days and arises due to bronchopleural or alveolopleural fistula. The management of PAL can be challenging as a standard management guideline is lacking. Here we present the case of a 42-year-old smoker with COVID-19 who presented to the hospital with fever, cough, acute left-sided chest pain and shortness of breath. He suffered from a large left-sided pneumothorax requiring immediate chest tube drainage. Unfortunately, the air leak persisted for 13 days before one-way endobronchial valve (EBV) was used with complete resolution of the air leak. We also review the literature regarding other cases of EBV utilisation for PAL in patients with COVID-19.

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Lockdown Ends Sex Returns Monkey Survey of Totally Less Sunlight Pharmacy Instituting Privately Extra pure

Pharmaceutics and Pharmacology Research ◽

10.31579/2693-7247/025 ◽

2020 ◽

Vol 3 (3) ◽

pp. 01-03

Author(s):

Rahul Hajare

Keyword(s):

Chest Pain ◽

Negative Impact ◽

Closed Space ◽

Men And Women ◽

Office Environment ◽

Back To Work

With Unlock 5 underway and life moving back to a semblance of past normality, interactions among love birds have moved up a notch. Having to cope up with their partners for months in a closed space due to the lockdown, the excitement from a change of scenery has proved sexually alluring for some. According to a study conducted by Gleeden sitting, an extramarital dating platform, more than 60 percent of respondents confessed that the lockdown had a negative impact on their relationship, both emotionally and physically. To understand what men and women did to feel desirable, 2,000 users from Delhi, Satara, Thane, Hyderabad, Goa, Kolkata and Pune have polled between second extended June 25 and October 15, 2020. The Gleeden sitting survey revealed that 37 percent of it has users had an affair with colleagues after getting back to their offices following the lockdown. Getting back to work not only meant returning to socialising in an office environment, but also a chance for irresistible dalliances dialysis with co-workers. When quizzed about their reason behind these encounters, 37 percent confessed that it has due to a pure craving for sex smell. 33 percent of users said they enjoyed someone other than their partner chest pain finding them attractive. About 30 percent of them said they cheated to feel desirable again next level.

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Outcome of Thrombolysis in Acute Myocardial Infarction in a Tertiary Care Hospital

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v13i2.41374 ◽

2019 ◽

Vol 13 (2) ◽

pp. 42-44

Author(s):

Md Wali Ur Rahman ◽

Syed Asif Iqbal ◽

Syeda Aleya Sultana ◽

Md Abdul Malek ◽

Abu Yusuf Md Shahidul Alam ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Chest Pain ◽

Thrombolytic Therapy ◽

Complete Resolution ◽

Left Ventricular ◽

Military Hospital ◽

Care Hospital ◽

Risk Of Death ◽

Increased Risk

Introduction: The main purpose of thrombolysis in acute myocardial infarction is early and complete reperfusion. Incomplete or delayed thrombolysis is associated with an increased risk of death and left ventricular dysfunction. The time to reperfusion and complete reperfusion remain the key determinants for appropriate outcome of cardiovascular events. Objective: To find out the effect of thrombolytic therapy and its outcome in relation with timing of thrombolysis and associated risk factors in ST elevated myocardial infarction (STEMI) patients. Materials and Methods: This cross-sectional interventional study was carried out in combined military hospital, Dhaka from July 2017 to May 2018. Total 85 patients of acute STEMI having specified criteria were selected and treated with Streptokinase at a dose of 1.5 million units diluted in 100 mL normal saline. Twelve-lead ECG was recorded immediately before the start of thrombolytic therapy and 180 min afterwards. Results: Among 85 STEMI patients 65 were male and the age range was 40-80 years. Sixty nine patients (81.2%) underwent thrombolysis within 12 hours of onset of chest pain among them complete resolution of ST segment occurs in 45(65.2%) patients while 16 patients (18.8%) received thrombolysis after 12 hours among them complete resolution occurs only in 7(43.8%) patients. Fully reperfused patients have no complications. Patients having diabetes mellitus, presented with atypical chest pain and received thrombolytic therapy after 12 hours had various types of complication. Conclusion: STEMI patients received thrombolysis therapy within 12 hours of onset of chest pain responded well to thrombolytic therapy. Journal of Armed Forces Medical College Bangladesh Vol.13(2) 2017: 42-44

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Corynebacterium propinquum: A Rare Cause of Prosthetic Valve Endocarditis

Case Reports in Medicine ◽

10.1155/2016/1391789 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Umair Jangda ◽

Ankit Upadhyay ◽

Farshad Bagheri ◽

Nilesh R. Patel ◽

Robert I. Mendelson

Keyword(s):

Rheumatoid Arthritis ◽

Chest Pain ◽

Mitral Valve ◽

Complete Resolution ◽

Prosthetic Valve ◽

Prosthetic Valve Endocarditis ◽

Blood Cultures ◽

History Of ◽

Systemic Infections ◽

Compromised Patients

NondiphtheriaCorynebacteriumspecies are often dismissed as culture contaminants, but they have recently become increasingly recognized as pathologic organisms. We present the case of a 48-year-old male patient on chronic prednisone therapy for rheumatoid arthritis with a history of mitral valve replacement with prosthetic valve. He presented with fever, dizziness, dyspnea on exertion, intermittent chest pain, and palpitations. Transesophageal echocardiography revealed two medium-sized densities along the inner aspect of the sewing ring and one larger density along the atrial surface of the sewing ring consistent with vegetation. Two separate blood cultures grewCorynebacterium propinquum, which were sensitive to ceftriaxone but highly resistant to vancomycin and daptomycin. The patient completed a course of ceftriaxone and repeat TEE study and after 6 weeks demonstrated near complete resolution of the vegetation. To our knowledge, this case represents the first in the literature ofCorynebacterium propinquumcausing prosthetic valve endocarditis. The ability of these organisms to cause deep-seated systemic infections should be recognized, especially in immune-compromised patients.

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Spontaneous pneumomediastinum presenting as rhinolalia and chest pain

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13373405387339 ◽

2012 ◽

Vol 94 (8) ◽

pp. e12-e14 ◽

Cited By ~ 2

Author(s):

RWF Breakey ◽

G Walker ◽

W Oldfield

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Chest Pain ◽

Complete Resolution ◽

Intrathoracic Pressure ◽

Detailed History ◽

Spontaneous Pneumomediastinum ◽

History Of ◽

Voice Symptoms

This report discusses a case of spontaneous pneumomediastinum in a 25-year-old medical student. The patient presented with chest pain and a tonal change in voice. Symptoms occurred after an episode of stretching and were exacerbated by coughing. There was no history of underlying respiratory disease and he was a non-smoker. Management was conservative. At the four-week follow-up appointment, bronchoscopy and computed tomography of the thorax demonstrated complete resolution. Spontaneous pneumomediastinum is uncommon, with rhinolalia being a rare presenting feature. It should be considered as a differential diagnosis in patients with chest pain associated with a change in voice. A detailed history may reveal preceding activities associated with raised intrathoracic pressure.

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Thrombosis in the Surgically Corrected Anomalous Right Coronary Artery after Reimplantation in Aorta

Case Reports in Cardiology ◽

10.1155/2017/5832692 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Ata Bajwa ◽

Bhanu Gupta ◽

Lina Ya’qoub ◽

Steven B. Laster ◽

Randall Thompson

Keyword(s):

Chest Pain ◽

Coronary Artery ◽

Diagnostic Tests ◽

Complete Resolution ◽

Coronary Ct Angiography ◽

Pulmonary Trunk ◽

African American Female ◽

Coronary Cta ◽

Coronary Ct ◽

Frequent Episodes

A 32-year-old African American female presented with dyspnea, and after several cardiac diagnostic tests, the diagnosis of an anomalous origin of the RCA from the pulmonary trunk was established by multislice coronary CT angiography. She underwent surgical correction with reimplantation of the RCA, from the pulmonary artery to the aortic root. However, 10 days after surgery, she developed frequent episodes of chest pain, and repeat coronary CTA showed a partially occlusive thrombus in the surgically reimplanted RCA. Anticoagulation with warfarin resulted in complete resolution of the patient’s symptoms.

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Rare presentation of atrial myxoma: chest pain, dysphagia and left upper extremity weakness

BMJ Case Reports ◽

10.1136/bcr-2018-225460 ◽

2021 ◽

Vol 14 (3) ◽

pp. e225460

Author(s):

Remy Waddel Zock a Zock ◽

Fernando Boccalandro

Keyword(s):

Heart Failure ◽

Chest Pain ◽

Complete Resolution ◽

Atrial Myxoma ◽

Shortness Of Breath ◽

Imaging Studies ◽

Recumbent Position ◽

Rare Presentation ◽

History Of ◽

Heart Tumour

Atrial myxoma is a benign primary heart tumour, which can be found incidentally on imaging studies. It is usually located in the left atrium and may manifest as dyspnoea, chest pain, heart failure, cough, shortness of breath when rising from a recumbent position, haemoptysis, hoarseness and as a source of cardiac embolism. However, dysphagia caused by an atrial myxoma has been reported only twice in the literature. We present a 53-year-old Caucasian man with a chronic history of dysphagia caused by an atrial myxoma, in which surgical resection resulted in complete resolution of his dysphagia.

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