COVID-19 vaccination related adverse events is an evolving field. Here we present a case of acute myocardial injury that developed as result immune response following the second dose (Moderna) in 67-year-old man who presented congestive heart failure. His clinical course improved over 3 days. Review Vaccine Adverse Events Reporting System (VAERS) Centers for Disease Control and Prevention websites identified 37 vaccine recipients myocarditis event vaccination. With mass expansion...

Ribociclib, a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor, is commonly used to treat hormone receptor-positive (HR+), human epidermal growth factor receptor 2/neu negative (HER2/neu-) breast cancer. While effective in inhibiting cancer cell proliferation, ribociclib has been associated with various dermatologic side effects, including vitiligo. This condition, characterized by the loss of skin pigmentation, occurs due destruction melanocytes. In patients undergoing therapy, though exact...

Gastrointestinal bleeding (GIB) is often reported in patients with COVID-19, a incidence of 3% recent prospective cohort study hospitalised COVID-19. This also that GIB associated an increase mortality COVID-19.[1][1] The

BACKGROUNDBiomedical waste (BMW) management policies are mandated in hospitals to reduce the risks of health hazards from hospital waste.Strict adherence norms requires a teamwork healthcare workers including doctors, nursing staff, attendants as well medical interns and residents. MATERIALS AND METHODSIn this study, we evaluated baseline knowledge about BMW using structured questionnaire devised scoring system based on response.The were then inducted with series didactic lectures along...

Chronic sequelae of COVID-19 remain undetermined. We report a case postinfection in patient presenting with subacute obstruction 2 months after infection. A 34-year-old man prior prolonged hospital stay due to complicated by upper gastrointestinal (GI) bleed presented and failure thrive. Upper GI push enteroscopy revealed residual ulcers multiple proximal jejuno-jejunal fistulae. Midline laparotomy strictures dense intra-abdominal adhesions, large fistula, evidence jejunal perforation...

Spontaneous pneumoperitoneum is the presence of free air in peritoneum without evidence any perforation hollow viscera. The usual presentation includes acute abdominal pain with leukocytosis and elevated inflammatory markers. Here we present a case spontaneous occurring recurrently 58-year-old man inclusion body myositis hypertension who presented cellulitis both legs. Abdominal computed tomography demonstrated retroperitoneal air; however, colonoscopy, esophagogastroduodenoscopy, prior...

Background: Even though patients with inflammatory bowel disease (IBD) are not at increased risk of COVID-19 infection, post-acute have been reported to de novo IBD or a new diagnosis IBD.
 Objective: This article reviews the presentation, diagnosis, and clinical course described in literature new-onset after infection as well discusses possible pathophysiological mechanism.
 Methodology: Extensive review by compiling information from case reports original studies identified Pubmed...

Thyrotoxicosis can exhibit overlapping symptoms of psychosis in the general population. Each these pathologies has well-established workups and management. Rare presentations thyroiditis postpartum state have been seen case studies mostly, but data on prevalence association with are not available. Here, we present a unique patient history bipolar disorder who originally presented that was worked up managed appropriately. However, follow-up, found to progressed into prominent psychosis. Both...

Background: Strict asepsis is necessary in operating theatres (OT) and intensive care units (ICU) as the patients undergo invasive procedures. The filters of contaminated air conditioning (AC) provide a niche for proliferation fungi production fungal spores. Methods: routine procedure maintenance sterile atmosphere our hospital, i.e. fumigation mopping walls with disinfectants often fail to address these spores AC filters. We therefore carried out surveillance ACs ICUs OTs find level...

Since the era of antibiotics, frequency secondary syphilis manifestations has declined. During last decade, there been a resurgence cases. We describe case 28-year-old man with various symptoms including alopecia well-described characteristic "crown Venus" pattern not commonly seen during this as well mucosal plaques, pustules, and palmoplantar macular rash. This suggests that should be included in differential diagnosis hair loss for correct screening, diagnosis, early treatment.

Collagenous gastritis is a rare cause of heartburn in adults. Histopathological examination gastric mucosal biopsy from the stomach shows submucosal collagen deposition. The pathophysiologic mechanism unknown, and collagenous cases have been associated with certain drugs, such as olmesartan non-steroidal anti-inflammatory medical conditions, common variable immunodeficiency, primary IgM deficiency, autoimmune disorders, psoriatic arthropathy. Here we report case 29-year-old woman arthropathy...

Introduction: Laparoscopic sleeve gastrectomy (LSG) is a popular weight loss surgery. LSG staple line leak occurs in 0.1% of patients. We present case successfully managed with OverstitchTM endoscopic suturing system (OESS) and esophageal stent (ES) placement. Case Description/Methods: A 54-year-old man HTN, DM morbid obesity one week status post performed neighboring country presented to emergency room diffuse abdominal pain, nausea, vomiting, constipation since His BP was 106/72mmHg, HR...

A 78-year-old man presented with upper gastrointestinal bleeding, which was biopsy proven to be from a gastric neuroendocrine tumor. By the time of diagnosis, he developed liver metastasis and died 2 months later. Upper bleeding is an uncommon feature in gastroenteropancreatic

A 45-year-old woman presented to the emergency department (ED) with severe pain in left lower abdomen, which was characterised as sharp, cramping, non-radiating and precipitated by food intake. She had experienced constipation for 3 days, she treated over-the-counter laxatives.

Colon cancer generally presents with lower gastrointestinal symptoms, such as diarrhea, constipation, and general abdominal discomfort; it is rare for the primary presentation to have upper symptoms. We report a patient coloduodenal fistula secondary colon malignancy who presented incessant vomiting dramatic weight loss chief complaint. It important consider part of differential in patients atypical presentations symptoms known risk factors.