scholarly journals A tale of ptosis, pharmacological tests, and Pancoast tumour

2021 ◽  
Vol 3 (1) ◽  
pp. 52-56
Author(s):  
Muhammad Fadhli Ab Hamid ◽  
Mimiwati Zahari ◽  
Norlina Mohd Ramli
Keyword(s):  
Asymptomatic Patient ◽  
Lung Lesion ◽  
Targeted Imaging ◽  
Asian Patient ◽  
Direct Visualization ◽  
Healthy Patient ◽  
X Ray ◽  
Pharmacological Tests ◽  
Chest X Ray ◽  
Careful History

Horner syndrome (HS) classically presents with ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis and caused by a lesion along the oculosympathetic pathway from the hypothalamus to eye. The diagnosis of HS in a patient presenting with partial ptosis may be easily missed in the Asian patient. This is mainly due to the dark irides, making detection of anisocoria on direct visualization difficult. Index of suspicion must be high, especially in the absence of any extraocular motility or lid abnormalities. We present a case where a healthy asymptomatic patient presented with partial ptosis and diagnosis of HS was eventually confirmed through pharmacological tests. Non-targeted imaging with a simple chest X-ray revealed an apical lung lesion which eventually turned out to be malignant. Although it is a typical textbook description, this case highlights the importance of careful history and examination in an otherwise healthy patient presenting with mild ptosis.

scholarly journals Syncope Caused by Huge Hiatal Hernia

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Gabriel Vanerio
Keyword(s):  
Blood Pressure ◽  
Hiatal Hernia ◽  
Normal Sinus Rhythm ◽  
White Female ◽  
Loss Of Consciousness ◽  
X Ray ◽  
Normal Sinus ◽  
Carbonated Soft Drinks ◽  
Chest X Ray ◽  
Careful History

A 84-year-old white female had a brief loss of consciousness while playing bridge. A few minutes before the episode she had eaten pizza and significant amount of carbonated soft drinks. After recovery, her friends noticed that she was alert, but pale and sweating. Upon arrival at the emergency room, sitting blood pressure was 160/60 mmHg with a normal sinus rhythm. A chest X-Ray was performed, which was essential to make the diagnosis. The X-Ray showed a large retrocardiac opacity with air and liquid level compatible with a giant hiatus hernia. After a copious snack the hiatal hernia compressed the left atrium, decreasing the left cardiac output, elucidating the mechanism of the syncopal episode. In patients presenting with swallow syncope (particularly after a copious meal, validating the importance of a careful history), a chest X-Ray should be always be performed.

scholarly journals Laryngeal Tuberculosis: an uncommon but important cause of odynophagia

2017 ◽  
Vol 4 (6) ◽  
pp. 1699
Author(s):  
Abhishek Agarwal ◽  
Asna Khan ◽  
Saurav Pandey ◽  
Arvind Kumar Vaish
Keyword(s):  
Lymph Node ◽  
Pulmonary Tuberculosis ◽  
Extrapulmonary Tuberculosis ◽  
Interesting Case ◽  
Fibreoptic Bronchoscopy ◽  
Direct Visualization ◽  
X Ray ◽  
Chest X Ray ◽  
Lymph Node Tuberculosis ◽  
Laryngeal Tuberculosis

Tuberculosis can occur as pulmonary tuberculosis or as extrapulmonary tuberculosis. The commonest forms of extrapulmonary tuberculosis include the pleural tuberculosis and the lymph node tuberculosis. Here we are describing an interesting case of laryngeal tuberculosis which presented to us with odynophagia. The diagnosis was suspected on basis of chest x-ray and CT thorax, but it could only be confirmed after direct visualization of the larynx on fibreoptic bronchoscopy and by taking biopsy from the epiglottis under direct visualization.

Imaging in chronic cough in paediatrics

2011 ◽  
Vol 56 (4) ◽  
pp. 1-2
Author(s):  
S Brown ◽  
P Davies
Keyword(s):  
Clinical Features ◽  
Chronic Cough ◽  
History Taking ◽  
X Ray ◽  
Common Presentation ◽  
Chest X Ray ◽  
Careful History

Chronic cough is a common presentation in paediatrics. We describe a case which highlights the need for careful history taking and summarize the key clinical features which should prompt a clinician to perform a chest X-ray.

Common Variable Immunodeficiency Revealed by a Chest X-Ray and Careful History

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 177A
Author(s):  
Shalin Kothari ◽  
Miruna Carnaru ◽  
Wajihuddin Syed ◽  
Amit Dhamoon
Keyword(s):  
Common Variable Immunodeficiency ◽  
X Ray ◽  
Chest X Ray ◽  
Common Variable ◽  
Careful History

scholarly journals Acute fulminating viral myocarditis: clinically mimicking ARDS

2012 ◽  
Vol 11 (3) ◽  
pp. 227-230
Author(s):  
N K Sit ◽  
K Saha ◽  
A Bandyopadhyay ◽  
S Sarkar
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Distress Syndrome ◽  
Medical Science ◽  
Viral Myocarditis ◽  
History Taking ◽  
X Ray ◽  
Cardiac Symptoms ◽  
Chest X Ray ◽  
Symptoms And Signs ◽  
Careful History

Viral myocarditis usually presented with influenza like manifestations, cardiac symptoms and signs related to myocarditis. We are presenting a case which was clinically mimicking acute respiratory distress syndrome but careful history taking with chest x-ray examination saves life of the patient DOI: http://dx.doi.org/10.3329/bjms.v11i3.11735 Bangladesh Journal of Medical Science Vol. 11 No. 03 July’12

Sclerosing Pneumocytoma of the Lungs Arising in a Child With PTEN Mutation

2019 ◽  
Vol 22 (6) ◽  
pp. 579-583 ◽  
Author(s):  
Youssef Nasr ◽  
Marcos Bettoli ◽  
Dina El Demellawy ◽  
Harman Sekhon ◽  
Joseph de Nanassy
Keyword(s):  
Emergency Department ◽  
Rare Case ◽  
Lung Lesion ◽  
Upper Respiratory Tract ◽  
X Ray ◽  
Pten Mutation ◽  
Chest X Ray ◽  
Upper Respiratory ◽  
Adult Hospital ◽  
Rule Out

We report a rare case of sclerosing pneumocytoma occurring in a child with PTEN mutation. A 13-year-old female presented to the emergency department of an adult hospital following 2 to 3 days of upper respiratory tract infection symptoms. A primary lung lesion was discovered during her initial chest X-ray to rule out pneumonia. The patient underwent an uneventful thoracoscopic right upper lobe segmentectomy. The pathology demonstrated a sclerosing pneumocytoma of the lung. She tested positive for PTEN hamartoma tumor syndrome with a pathogenic variant at c.388 C > T. The PTEN mutation was also identified in the sclerosing pneumocytoma. Further study of PTEN mutation in sclerosing pneumocytoma is warranted.

scholarly journals Concomitant Inflammatory Pseudotumor of the Temporal Bone and Lung: A Case Report

2007 ◽  
Vol 86 (10) ◽  
pp. 614-616 ◽  
Author(s):  
Joo Hyung Lee ◽  
Min Kyo Jung ◽  
Chang Eun Song ◽  
Sang Won Yeo ◽  
Hye Kyung Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Temporal Bone ◽  
Inflammatory Pseudotumor ◽  
Bone Lesion ◽  
Lung Lesion ◽  
Lung Mass ◽  
X Ray ◽  
Inflammatory Pseudotumors ◽  
Chest X Ray

Inflammatory pseudotumors are histologically benign but locally destructive lesions that are usually found in the lung, although some cases of temporal bone involvement have been reported. To the best of our knowledge, no case of simultaneous involvement of the temporal bone and the lung has been previously reported in the literature. We describe such a case in a 39-year-old man. The temporal bone lesion was removed in its entirety, and the lung lesion was treated with steroid therapy. At the 2-month follow-up, the size of the lung mass on chest x-ray was significantly reduced, and at 1 year, the patient was asymptomatic.

Direct visualization of phase-separated domains in lipid membranes

1978 ◽  
Vol 36 (2) ◽  
pp. 290-291
Author(s):  
S. W. Hui ◽  
T. P. Stewart
Keyword(s):  
Lipid Membranes ◽  
Structural Information ◽  
Freeze Fracture ◽  
Biological Molecules ◽  
Vacuum Drying ◽  
Direct Visualization ◽  
X Ray Diffraction ◽  
Electron Microscopic ◽  
X Ray ◽  
Hydrocarbon Chains

Direct electron microscopic study of biological molecules has been hampered by such factors as radiation damage, lack of contrast and vacuum drying. In certain cases, however, the difficulties may be overcome by using redundent structural information from repeating units and by various specimen preservation methods. With bilayers of phospholipids in which both the solid and fluid phases co-exist, the ordering of the hydrocarbon chains may be utilized to form diffraction contrast images. Domains of different molecular packings may be recgnizable by placing properly chosen filters in the diffraction plane. These domains would correspond to those observed by freeze fracture, if certain distinctive undulating patterns are associated with certain molecular packing, as suggested by X-ray diffraction studies. By using an environmental stage, we were able to directly observe these domains in bilayers of mixed phospholipids at various temperatures at which their phases change from misible to inmissible states.

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