An Unusual Case of Endocarditis

2006 ◽  
Vol 5 (3) ◽  
pp. 91-92
Author(s):  
M Alhajji ◽  
◽  
V Anand ◽  
J Meigh ◽  
◽  
...  
Keyword(s):  
Weight Loss ◽  
Unusual Case ◽  
Upper Endoscopy ◽  
Past Medical History ◽  
Computerised Tomography ◽  
Significant Past Medical History ◽  
Biliary Leak ◽  
Poor Appetite ◽  
Blood Tests ◽  
History Of

A 74 year gentleman was admitted with a 6 month history of dizzy spells, malaise, generalised weakness and weight loss of over a stone. He attributed his weight loss to poor appetite due to persistent nausea. He had no significant past medical history apart from moderate mitral regurgitation and recent cholecystectomy. He felt some of these symptoms began after laparoscopic cholecystectomy 12 months before. The procedure had been complicated by a self-limiting biliary leak. He had been recently evaluated by chest physicians and gastroenterologists for clubbing and weight loss. Computerised tomography (CT) of the chest showed right basal fibrosis, CT of the abdomen and pelvis was normal, and upper endoscopy revealed a non-obstructive mild pyloric stenosis. Routine blood tests were unremarkable.

scholarly journals Metastatic Primary Gastric Squamous Cell Carcinoma: An Uncommon Presentation of a Rare Malignancy

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Michael Beattie ◽  
Ramy Mansour ◽  
Derek Thigpin ◽  
Carolyn Haus
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Upper Endoscopy ◽  
Poor Appetite ◽  
Nicotine Abuse ◽  
Uncommon Presentation ◽  
History Of ◽  
Gastric Mass ◽  
Rare Malignancy

Primary gastric squamous cell carcinoma is a very rare disease. A 53-year-old male with history of hypertension, alcoholism, and nicotine abuse presented to the hospital after a syncopal episode. He complained of bloating abdominal pain, early satiety, and poor appetite. A CT of his abdomen and pelvis revealed a gastric mass with diffuse hepatic metastasis. A gastric mass was seen on upper endoscopy and biopsies revealed gastric squamous cell carcinoma. There was no involvement of the esophagus. This case should add to the limited literature and serve as a reminder that while this is a rare malignancy, it must be considered when evaluating a gastric mass.

scholarly journals Tubulointerstitial Nephritis and Uveitis Syndrome with non Caseating Granuloma in Bone Marrow Biopsy

2014 ◽  
Vol 27 (2) ◽  
pp. 268 ◽  
Author(s):  
Maria Fraga ◽  
Maria João Nunes da Silva ◽  
Margarida Lucas ◽  
Rui M. Victorino
Keyword(s):  
Bone Marrow ◽  
Weight Loss ◽  
Clinical Practice ◽  
Bone Marrow Biopsy ◽  
Interstitial Nephritis ◽  
Tubulointerstitial Nephritis ◽  
Rare Condition ◽  
Blood Tests ◽  
Caseating Granuloma ◽  
History Of

<p>The Tubulointerstitial Nephritis and Uveitis syndrome is a very rare condition, probably under-diagnosed in clinical practice. It is<br />characterized by the combination of an interstitial nephritis and uveitis, and is an exclusion diagnosis. Tissue non caseating granuloma can be rarely present, with only 6 cases reported on bone marrow. We present a case of a 55 year old female with a 3-month history of asthenia and weight loss. Blood tests showed anemia and renal insufficiency. Renal biopsy revealed interstitial nephritis and the bone marrow biopsy showed caseating granuloma. One month later anterior uveitis of the left eye appeared. An extensive exclusion of all possible causes allowed a diagnosis of Tubulointerstitial Nephritis and Uveitis syndrome with caseating granuloma in bone marrow. As ocular and renal manifestations may not occur simultaneously, Tubulointerstitial Nephritis and Uveitis Syndrome should be systematically considered in cases of interstitial nephritis and/or uveitis, and tissue granulomas can be part of this rare syndrome.</p>

scholarly journals An unusual suspect for heart failure

2020 ◽  
Vol 19 (1) ◽  
pp. 42-42
Author(s):  
Christianne Tan ◽  
◽  
Hitesh C Patel ◽  
Justin Mariani ◽  
◽  
...  
Keyword(s):  
Heart Failure ◽  
Medical History ◽  
Clinical Examination ◽  
Venous Pressure ◽  
Heart Sounds ◽  
Past Medical History ◽  
Jugular Venous Pressure ◽  
Significant Past Medical History ◽  
Chest Auscultation ◽  
History Of

A 71-year old retired missionary presented with a 2- week history of increasing dyspnoea, orthopnoea, and peripheral oedema. The patient had no previous significant past medical history. On clinical examination, his heart sounds were dual and his jugular venous pressure was elevated to 7cm. On chest auscultation there were bilateral crepitations at his lung bases.

scholarly journals Giant haemorrhagic retroperitoneal mesothelial cyst: a rare case report

2017 ◽  
Vol 5 (10) ◽  
pp. 4626
Author(s):  
Sandesh Deolekar ◽  
Bibekananda Mahapatra ◽  
Sridevi Murali ◽  
Karna Chheda ◽  
Naseem Khan ◽  
...  
Keyword(s):  
Rare Case ◽  
Unusual Case ◽  
Abdominal Discomfort ◽  
Mesenteric Cyst ◽  
Past Medical History ◽  
Significant Past Medical History ◽  
Mesothelial Cyst ◽  
Rare Case Report ◽  
Specific Symptoms ◽  
Cystic Mesothelioma

A peritoneal cystic mesothelioma is a very rare mesenteric cyst of mesothelial origin. The size of this lesion usually ranges between a few centimetres and 10 cm. It is usually asymptomatic, but occasionally presents with various, non-specific symptoms. We present a 24-years-old woman with vague abdominal discomfort and associated distension for 6 months, with generalized weakness with no significant past medical history. This is an unusual case of a giant peritoneal mesothelioma which is hemorrhagic nature which could be the first such case reported. 

Diagnosing Bird Fancier's Disease in Children

PEDIATRICS ◽  
1990 ◽  
Vol 85 (5) ◽  
pp. 848-852
Author(s):  
WILLIAM F. H. YEE ◽  
ROBERT G. CASTILE ◽  
AMIEL COOPER ◽  
MARY ROBERTS ◽  
ROY PATTERSON
Keyword(s):  
Weight Loss ◽  
Environmental History ◽  
Respiratory Symptoms ◽  
Hypersensitivity Pneumonitis ◽  
Case Reports ◽  
Low Grade ◽  
Poor Appetite ◽  
The Family ◽  
History Of ◽  
Respiratory Complaints

Bird fancier's disease is a form of hypersensitivity pneumonitis resulting from inhalation of various avian proteins. It is rarely diagnosed in childhood but should be considered in any child with persistent unexplained respiratory symptoms.1,2 We describe two patients referred to our pulmonary clinic with nonspecific respiratory complaints, in whom the diagnosis of avian protein-related hypersensitivity pneumonitis was initially not confirmed by serologic studies. CASE REPORTS Patient 1 An 11-year-old boy was admitted to the hospital with a 1-year history of a mild nonproductive cough, poor appetite, weight loss, malaise, and an intermittent low-grade fever. According to an environmental history, the boy's father had been breeding pigeons, canaries, and parakeets in the family yard for years.

scholarly journals Postural Syncope and Constipation: An Unusual Presentation of a Duodenal Dieulafoy’s Lesion

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmed Dirweesh ◽  
Alvarez Chikezie ◽  
Muhammad Yasir Khan ◽  
Sana Zia ◽  
Muhammad Tahir
Keyword(s):  
Risk Factors ◽  
Duodenal Bulb ◽  
Upper Endoscopy ◽  
Past Medical History ◽  
Significant Past Medical History ◽  
Dieulafoy’S Lesion ◽  
Epinephrine Injection ◽  
Endoscopic Clips ◽  
Lesser Curvature ◽  
Dieulafoy Lesion

Dieulafoy lesions are a rare etiology of gastrointestinal bleeding from a large caliber-persistent tortuous submucosal artery. They account for 1-2% of all causes of acute gastrointestinal hemorrhage with 80%–95% of these lesions located in the stomach along the lesser curvature. One-third of these lesions present at an extragastric location, with the proximal duodenum accounting for 15% of them. We present a 21-year-old male with no significant past medical history or risk factors, who presented with repeated syncopal episodes followed by hematemesis, found to have a Dieulafoy lesion located at the duodenal bulb. This lesion was diagnosed and successfully treated via upper endoscopy with epinephrine injection and the application of 2 endoscopic clips.

scholarly journals An unusual Cause of Periorbital Swelling in a Young Female

2015 ◽  
Vol 14 (2) ◽  
pp. 93-94
Author(s):  
Ursula Griffiths ◽  
◽  
Darshan Kumar ◽  
Micheal Trimble ◽  
Siddhesh Prabhavalkar ◽  
...  
Keyword(s):  
Medical History ◽  
Skin Rash ◽  
Young Female ◽  
Past Medical History ◽  
Significant Past Medical History ◽  
Neck Stiffness ◽  
History Of ◽  
Periorbital Swelling

A 16 year old female was admitted with a one week history of headache and swelling of both upper eyelids. Other symptoms included nausea, tiredness, dizziness and photophobia with no symptoms of skin rash, or neck stiffness. She had been previously very well with no significant past medical history.

Identification and Management of Non-traumatic Splenic Rupture

2017 ◽  
Vol 27 (12) ◽  
pp. 296-297 ◽  
Author(s):  
S De Silva
Keyword(s):  
Emergency Department ◽  
Splenic Rupture ◽  
Epigastric Pain ◽  
Ultrasound Scan ◽  
Past Medical History ◽  
Computerised Tomography ◽  
History Of ◽  
Traumatic Splenic Rupture ◽  
Obvious Source ◽  
Rule Out

A 43-year old previously fit and well gentleman presented to the emergency department (ED) with a two day history of worsening epigastric pain. He had had coryzal symptoms the preceding week but had no other past medical history. He was haemodynamically stable at presentation and an ultrasound scan (US) performed in the ED could not definitively rule out intra-abdominal fluid. In view of his tender abdomen on examination and a haemoglobin level of 9.2g/dL, a computerised tomography (CT) scan was performed and revealed extensive high-density fluid within the peritoneal cavity, raising the possibility of a concealed bleed but no obvious source was identified by the scan.

Evidence for Janus kinase (JAK) inhibitors for the prevention of major morbid events in patients with myeloproliferative neoplasms (MPNs)

Hematology ◽  
2015 ◽  
Vol 2015 (1) ◽  
pp. 649-651
Author(s):  
Naveen Pemmaraju ◽  
Ruben Mesa
Keyword(s):  
Weight Loss ◽  
Myeloproliferative Neoplasms ◽  
Janus Kinase ◽  
International Prognostic Scoring System ◽  
Intermediate Risk ◽  
Jak Inhibitor ◽  
Past Medical History ◽  
Comorbid Conditions ◽  
Jak Inhibitors ◽  
Significant Past Medical History

A 69-year-old man presents with a Dynamic International Prognostic Scoring System (DIPSS) intermediate-risk 2 post polycythemia vera myelofibrosis with significant splenomegaly, 30 pound weight loss, constitutional symptoms, and 2% peripheral blood blasts. He has no other significant past medical history and no other major comorbid conditions. You are asked by the hematology fellow you are supervising whether or not treating this patient with a Janus kinase (JAK) inhibitor will decrease major morbid events.

Airway Safety in a Patient with Submandibular Swelling

2017 ◽  
Vol 27 (3) ◽  
pp. 59-61
Author(s):  
S De Silva
Keyword(s):  
Emergency Department ◽  
General Practitioner ◽  
Medical History ◽  
Past Medical History ◽  
Significant Past Medical History ◽  
History Of ◽  
Regular Medication

A fifty-eight year old gentleman (CH) with a five-day history of toothache presented to the emergency department (ED) with increasing pain with associated submandibular swelling over the last 24-hours. He was an unkempt gentleman who had not consulted his general practitioner or dentist in many years, was unaware of any significant past medical history and was not on any regular medication. He was an obese gentleman with a BMI of 56.

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