Systemic inflammation elicited by a cytokine storm is considered hallmark of coronavirus disease 2019 (COVID-19). This study aims to assess the validity and clinical utility lymphocyte-to-C-reactive protein (CRP) ratio (LCR), typically used for gastric carcinoma prognostication, versus neutrophil-to-lymphocyte (NLR) predicting in-hospital outcomes in COVID-19.A retrospective cohort was performed determine association LCR NLR with need invasive mechanical ventilation (IMV), dialysis, upgrade...

Systemic inflammation elicited by a cytokine storm is considered hallmark of coronavirus disease 2019 (COVID-19). This study aims to assess the clinical utility C-reactive protein (CRP) and D-Dimer levels for predicting in-hospital outcomes in COVID-19.A retrospective cohort was performed determine association CRP with need invasive mechanical ventilation (IMV), dialysis, upgrade an intensive care unit (ICU) mortality. Independent t-test multivariate logistic regression analysis were...

Purpose Abnormalities in serum magnesium levels have been seen obesity and its related diseases. Our aim is to determine the mean overweight obese children as compared normal weight controls study relationship with overweight. The was done at a tertiary care hospital. Methods A case-control conducted Department of Pediatrics, Combined Military Hospital, Peshawar, over 12-month period from August 7, 2015 6, 2016. total 140 between 2-14 years age were included study. They divided into two...

Organophosphate (OP) poisoning is a commonly seen condition in many countries. OP classically presents with symptoms of cholinergic excess. It can rarely affect other organ systems but when it does, worsen patient's overall prognosis. We present case 23-year-old man an extremely rare acute kidney injury due to OP, who was successfully treated combination hemodialysis, atropine and pralidoxime days after reservations on the aging process.

This study aims to determine the correlation between duration of cardiopulmonary resuscitation (CPR) and return spontaneous circulation (ROSC) in an in-hospital cardiac arrest cohort.All patients (age ≥ 17 years) who underwent CPR at our institution from 2015 2017 were included. The primary endpoint was ROSC or death. A total 88 included study. Pearson with establishment calculated using IBM SPSS, version 25.In all, received CPR, 55% (n = 48) experienced survived. remaining 45% 40) 56% 27)...

Introduction: COVID-19 induces a pro-thrombotic state as evidenced by microvascular thrombi in the renal and pulmonary vasculature. Therapeutic anticoagulation has been debated data remain anecdotal.

A bezoar is a collection of indigestible material found in the alimentary canal, which can cause mechanical obstruction gastrointestinal tract. Phytobezoar variant composed mostly plant and fiber. rare small bowel (SBO) happens more commonly patients with risk factors predisposing to impaired motility. We present case SBO secondary phytobezoar 60-year-old female patient type 2 diabetes. There was no prior history any abdominal surgery. The computed tomography (CT) scan inconclusive....

Background: Given the high prevalence of obesity around globe, patients with coronavirus disease 2019 (COVID-19) are at an increased risk devastating complications. Methods: A retrospective cohort study was performed to determine association basal metabolic index (body mass (BMI)) need for invasive mechanical ventilation (IMV), dialysis, upgrade intensive care unit (ICU) and mortality. Independent t -test multivariate logistic regression analysis were calculate mean differences adjusted odds...

Chest wall contains a wide array of tissues ranging from soft like skin and muscle to bone. A variety sarcomas can present with painful or painless mass, which often requires histological testing for diagnosis. are very rare entities growing slow . multidisciplinary team is necessary the management chest sarcomas. We case 30-year-old male spindle cell sarcoma he underwent local excision along surgical reconstruction.

The leading cause of death due to malignancy in the USA is lung cancers. They can be divided into small cell cancer and non-small cancer. Of latter, adenocarcinoma comprises majority Manifestations thoracic, extra-thoracic paraneoplastic syndromes. We describe a case ventricular tachycardia patient who presented with dysphagia, ultimately found have invading esophagus heart.

An amoebic liver abscess is an extraintestinal manifestation of amoebiasis that can present with complaints such as right upper quadrant pain and fever. It might not necessarily be associated abdominal have many other atypical presentations. may lung diseases, cardiac or brain abscesses. We a case patient empyema secondary to whose diagnosis was delayed due unusual presentation. A combination radiology, serology, therapeutic interventions led the accurate management patient.

Cardiac papillary fibroelastoma (CPF) is the second most common primary cardiac tumor, which diagnosed incidentally or with embolic phenomena, mostly in form of a transient ischemic attack (TIA) and stroke. We present case 58-year-old female who presented fatigue low-grade fever was found to have multiple systemic infarcts. Her blood cultures transthoracic echocardiography (TTE) were negative, ruling out infective endocarditis. However, transesophageal (TEE) revealed mobile mass at aortic...

Background: Great saphenous vein (GSV) grafts are used for coronary artery bypass surgeries, but the remaining stump of GSV may be nidus superficial and deep thrombosis. This study aims to determine risk thrombosis in patients who developed lower extremity swelling following graft (CABG). Methods: We conducted a single-center retrospective analysis at Abington Jefferson Hospital 100 underwent CABG with GSV. Patients were monitored via follow-up seven days development without any prophylactic...

Cardiac tamponade is a condition characterized by the accumulation of pericardial fluid, compromising hemodynamics circulation. It has several known causes, including traumatic injury to pericardium, idiopathic, neoplastic or purulent pericarditis, and, rarely, iatrogenic etiology. Inferior vena cava (IVC) filter removal can lead multiple complications but not limited IVC perforation, air embolism, pneumothorax migration. Here, we present case middle-aged woman presenting with cardiac after...

Complete hindgut duplication is a rare and intriguing entity, often coupled with genitourinary abnormalities neural tube defects. The diagnosis demands thorough clinical exam radiological workup. Timely recognition expeditious treatment of these patients can lead to better quality life. We present case 10-month-old female complete associated treated surgical intervention.

We present three patients with COVID-19 who developed acute renal failure during hospitalization and were seen to have an improvement in their kidney function after being started on therapeutic anticoagulation heparin (Target PTT 58-93 seconds) for varying indications (atrial fibrillation, popliteal vein thrombosis a pulmonary embolism). Their functions improved significantly following clear temporal relationship between the former latter. Anticoagulation was held one patient due concern of...

Abstract Background: Sodium glucose cotransporter-2 inhibitors (SGLT2 inhibitors) are a recent addition to the armamentarium for treating type 2 diabetes. Over last couple of years, these agents have been studied in patients with cardiovascular disease, particularly heart failure. Results EMPA-REG (Empagliflozin Cardiovascular Outcome Event Trial Type Diabetes Mellitus Patients), CANVAS (Canagliflozin Assessment Study) and DECLARE-TIMI (Dapagliflozin Effect on Events-Thrombolysis Myocardial...

Background Carcinomatous meningitis is the invasion of neoplastic cells into leptomeninges. The primary tumors that typically cause leptomeningeal metastasis include lung cancer, breast leukemia, lymphoma, and melanoma. We describe an interesting case caused by a poorly differentiated esophageal adenocarcinoma, which uncommon complication this particular malignancy. Case Presentation A 56-year-old white male presented to ER with new onset tonic-clonic seizure along 1-week history headaches...