Abstract Introduction The exact manner in which large language models (LLMs) will be integrated into pathology is not yet fully comprehended. This study examines the accuracy, benefits, biases, and limitations of LLMs diagnosing dermatologic conditions within pathology. Methods A pathologist compiled 60 real histopathology case scenarios skin from a hospital database. Two other pathologists reviewed each patient’s demographics, clinical details, findings, original diagnosis. These cases were...

A pandemic outbreak of a novel coronavirus disease (COVID-19) that began in Wuhan, China, December 2019 has spread rapidly to multiple countries. In the United States, first confirmed case was reported on January 20, 2020, and since then, number cases is rising exponentially daily basis. We report COVID-19 infection presented with symptoms suggestive pneumonia. Due major backlog an immense pending tests, it took 48 hours for result come back positive, while patient went into acute...

A significant concern in current coronavirus disease-2019 (COVID-19) pandemic era is delay first medical contact patients with ST-segment elevation myocardial infarction (STEMI), due to reluctance visit the hospital. We report a case of delayed presentation STEMI as ventricular septal rupture during COVID-19 pandemic, rare age primary percutaneous coronary intervention. (Level Difficulty: Beginner.)

•GPA is a systemic necrotizing vasculitis of medium and small vessels.•GPA classically involves the upper lower respiratory tracts kidneys.•Pericarditis common cardiac manifestation, but RP rarely described.•A systematic literature search yielded 13 cases acute pericarditis secondary to GPA, which are analyzed in this review.•The potential role Anakinra for debilitating GPA described.

The incidence of infective endocarditis in pregnancy has increased as a result the opioid epidemic. Right-sided (RSIE), specifically tricuspid valve endocarditis, is more commonly linked to injection drug use. In pregnant patients, prompt diagnosis and treatment are crucial prevent fetal maternal morbidity mortality. Complications associated with include death, preterm labour embolic disease. RSIE classically septic pulmonary emboli; however, we report unique case patient known endocarditis....

Cutibacterium acnes is a skin commensal which most often regarded as contaminant when detected on blood cultures. In rare instances, it may be the causative pathogen in severe systemic illnesses. Subacute endocarditis, especially of prosthetic valves and devices, an important grave pathology caused by acnes. Herein we report two cases valve endocarditis with varied presentations dehiscence "rocking" apparatus one encounter septic embolic stroke second encounter. Although cause becomes entity...

About one-third of ischemic strokes may be associated with a patent foramen ovale (PFO). This article presents an unusual case 68-year-old woman simultaneous paradoxical thrombo-embolization to different systemic sites. The patient presented initially visual deficits and intracerebellar hemorrhage but was found have concomitant saddle pulmonary embolism, sub-acute cerebral infarction focal neurological deficits, thromboembolism the superior mesenteric artery (SMA) that resulted in bowel....

Intravenous drug use (IVDU) is a growing public health crisis worldwide. A known complication of IVDU right-sided infective endocarditis (RSIE) involving the tricuspid valve. As valve burdened with infectious vegetations, it becomes potential source pulmonary and, very rarely, paradoxical systemic emboli. We report two patients RSIE presenting acute change in mental status. Subsequent imaging demonstrated embolisation to brain setting elevated right atrial pressures and presence patent...

Coronavirus disease 2019 (COVID-19) is currently a significant cause of acute respiratory failure worldwide, leading to irreversible fibrotic lung disease. In patients with persistent after COVID-19 infection, transplant an emerging option. Here, we have presented case where the patient required venovenous extracorporeal membrane oxygenation (VV-ECMO) support for 33 days until bilateral was performed on day 71 initial infection. The early outcomes been favorable. Currently, no guidelines...

Right-sided infective endocarditis is frequently accompanied by septic pulmonary emboli, which may result in a spectrum of respiratory complications. We present the case 25-year-old woman diagnosed with secondary to intravenous drug use. During long and arduous hospital course, patient developed empyema bronchopleural fistula, representing severe but uncommon sequelae that arise from this disease process. She was treated several weeks antibiotics as well surgical thorascopic decortication...

Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. Prompt accurate evaluation management are critical for survival as it cardiac surgical emergency. We aim to highlight the physicians about this potentially fatal condition, by reporting two cases of AAD, atypical presentations were initially misdiagnosed.

Progressive conduction system disease affects patients with transthyretin cardiac amyloidosis, often requiring permanent pacing as the His-Purkinje is affected. We present a case of left bundle branch in patient amyloidosis and infra-Hisian favorable improvement function stable thresholds. (Level Difficulty: Intermediate.)

Extracorporeal membrane oxygenation (ECMO) is considered a salvage therapy in patients with acute respiratory distress syndrome (ARDS) and refractory hypoxemia (hypoxemia persisting despite lung-protective ventilation). One aspect of ECMO whether there would be an application the technology related to Coronavirus pandemic. The number people diagnosed disease (COVID19) has crossed five million mark on 9 August 2020, case fatality rate 5.2%. Due this exponential increase coronavirus cases...

A 42-year-old woman presented to the emergency department with progressive dyspnoea. The patient's medical history comprises of hypertension, hyperlipidaemia, transient ischaemic attack, chronic tubular interstitial disease post-renal transplant in 2003. Five years prior, she developed delayed

This report describes the case of a 64-year-old man who presented with acute coronary syndrome, depressed left ventricular function, and triple vessel disease on angiogram. The patient refused surgery underwent high-risk percutaneous intervention through Impella sheath (Abiomed, Danvers, MA). is one first known cases single-access protected intervention, an innovative technique that brings into consideration importance dual vascular access via sheath.

Multiple different types of mediastinal masses may be encountered on imaging techniques in symptomatic and asymptomatic patients. The most frequent adults are thymoma, lymphoma, thyroid masses, germ cell tumors. Potential complications these due to localized invasion include hemoptysis, post-obstructive pneumonia, superior vena cava syndrome. Pericardial tamponade is usually secondary pericarditis, trauma, infections, radiation, uremia, vascular diseases, uremia. However, this report...

Loeffler’s endocarditis is a rare form of restrictive cardiomyopathy associated with eosinophilia and endomyocardial fibrosis. It manifests most commonly as diastolic dysfunction or valvular abnormalities due to eosinophilic infiltration degranulation. Herein, we chronicle case left ventricular involvement endocarditis. We emphasize the utility multimodality imaging including two-dimensional echocardiography cardiac magnetic resonance in providing diagnostic information, there no...