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201,123 results
  • Emphysematous gastritis: A case series of three patients managed conservatively. [Journal Article]
    Int J Surg Case Rep 2019; 64:80-84Nasser H, Ivanics T, … Woodward A
  • CONCLUSIONS: The presentation of EG is non-specific and the diagnosis is primarily established by findings of intramural air in the stomach on CT scan. The initial management of EG should be nothing by mouth, proton pump inhibitor, intravenous fluid resuscitation, and antibiotics with surgical exploration only reserved for cases that fail non-operative management, demonstrate clinical deterioration, or develop signs of peritonitis.Early recognition and initiation of appropriate therapy is crucial to prevent the progression of EG. EG, even in the presence of portal venous air or pneumoperitoneum, should not represent a sole indication for surgical exploration and trial of initial non-operative management should be attempted when clinically appropriate.
  • Relevance of cerebrospinal fluid findings in patients with multiple sclerosis and seizures. [Journal Article]
    J Neurol Sci 2019; 406:116482Sriwastava S, Yarraguntla K, … Marawar R
  • Seizures occur 2-3 times more frequently in Multiple Sclerosis (MS) patients compared to the general population. The prevalence of seizures is reported to be 1.5-7.8% in MS population. However, it is unclear if seizure is an indirect symptom of neuroinflammation in MS. In our study, we explored the relevance of cerebrospinal fluid (CSF) findings in this unique patient cohort with MS and seizures.…
  • Severe asthma during childhood and adolescence: A longitudinal study. [Journal Article]
    J Allergy Clin Immunol 2019Ross KR, Gupta R, … Gaston B
  • CONCLUSIONS: In longitudinal analysis of this well-characterized cohort, half of children with severe asthma were no longer severe after three years; there was a stepwise decline in the proportion meeting severe asthma criteria. Surprisingly, asthma severity decreased equally in males and females. Peripheral eosinophilia predicted resolution. These data will be important for planning clinical trials in this population.
  • Acute Mesenteric Ischaemia: Case report, technical considerations and innovative approaches. [Case Reports]
    J Pak Med Assoc 2019; 69(10):1557-1558Rehman ZU, Khan R
  • Acute mesenteric ischaemia is a worrisome clinical condition with high mortality. We present a 90 years old male patient, known case of atrial flutter who developed acute mesenteric ischaemia. This was due to superior mesenteric artery embolus. He underwent successful superior mesenteric embolectomy and made a smooth recovery. He was symptom free and was discharged from hospital on 5th postoperat…
  • Recurrent aseptic meningitis: A rare clinical presentation of Sjogren's syndrome. [Case Reports]
    J Pak Med Assoc 2019; 69(10):1547-1549Basheer A, Khan EA, … Ahmad A
  • Sjogren's syndrome most commonly presents with dry eyes, dry mouth, joint pain and fatigue. However, recurrent aseptic meningitis, reported as the most uncommon initial symptom, was the presenting feature in our case. We present the case of a 19-year-old female with recurrent episodes of aseptic meningitis. She presented with fever, headache, vomiting and photophobia. Neurological examination sho…
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