The use of physical restraints in critical care units is a common practice but one that generates significant debate. Its primary aim to prevent patient self-harm, the inadvertent removal vital medical devices, and aggressive behaviors could endanger caregivers other patients. However, this surrounded by controversy, as it can lead negative psychological effects on patients, raising ethical legal concerns [1]. This study aims conduct an in-depth analysis physicians nurses perceptions...

Post-traumatic diaphragmatic rupture (PTDR) is a rare but life-threatening injury, often delayed in diagnosis. This case report describes 60-year-old male presenting with respiratory distress one month after blunt thoracoabdominal trauma. Imaging revealed right intrathoracic herniation of the liver, colon, and stomach. The discussion highlights diagnostic pitfalls, surgical management, importance multidisciplinary care. Early recognition tailored intervention are critical to reducing...

Introduction: Gastrectomy remains the main curative approach for gastric cancer but is frequently associated with early postoperative complications (EPCs), impacting morbidity and mortality. Objective: To evaluate incidence of EPCs after gastrectomy identify key predictive factors. Methods: A retrospective study was conducted at CHU Ibn Rochd, including 50 patients operated on between January 2020 August 2023. Clinical perioperative data were analyzed to determine risk Results: occurred in...

Ventilator-associated pneumonia (VAP) is defined as a pulmonary infection acquired after at least 48 hours of assisted ventilation. They represent the most frequent healthcare-associated infectious complication (30-50%). The diagnostic, therapeutic and preventive quality their management represents major challenge for intensive care physicians, well an important economic issue. aim our work to determine epidemiological, clinical, prognostic aspects pneumonia, study microbiological profile...

Ex vacuo pulmonary edema is a rare but potentially severe event with mortality of 15-20%. We report the case patient who presented ex after drainage right pneumothorax. The pathophysiology not yet clearly established, mechanical and inflammatory factors (production interleukin 8 leukotriene B4) being most incriminating. Certain factors, such as duration extent collapse speed lung re-expansion drainage, appear to favour onset edema, justifying certain precautionary measures. Curative...

Poncet's disease is a reactive polyarthritis associated to active tuberculosis with excluded presence of mycobacterium in the joints and bones affected; it an infrequent form challenging diagnosis condition unknown pathogenesis. We report case Moroccan patient contribute data which could result consensus clinical criteria. A 38-year-old female was admitted Rheumatology Department, Hassan II University Hospital as she presented morning stiffness, arthralgias, symmetric arthritis wrists,...

Sulphasalazine, one of the 5-aminosalicylates, is widely used for treatment inflammatory bowel diseases and arthritis. Beside its classic adverse effects like blood dyscrasias hepatic failure, peripheral neuropathy has been reported as a rare drug reaction to sulphasalazine. The mechanism this neurotoxicity unknown tell nowaday. We report case that occurs after prolonged use Previously, cases have not shown improvement electric signs in nerve conduction study stopping treatment.

Introduction: The aim of this study was to evaluate in “real life” the efficacy and tolerance Tocilizumab (TCZ) treatment rheumatoid arthritis (RA).Materials methods: A cross-sectional including patients with RA treated TCZ at commended dose 8 mg/kg/ 4 weeks. therapeutic response evaluated by EULAR DAS 28 ‐CRP/ VS month 3 6 treatment.Results: most cases severe (76,5 %), seropositive (88,2 %) erosive (81,3 %). prescribed as an alternative a previous biotherapy 23 % monotherapy 76, 5 patients....

Tuberculosis is an infectious disease caused by the bacillus of Koch (BK). The multifocal form usually associated with immunosuppression HIV. In this regard, we report unusual case tuberculosis associating visceral foci a non-contiguous cervical, dorsal and lumbar spinal tuberculosis, in immunocompetent subject. patient had medical-surgical treatment. It difficult diagnosis. We will discuss, case, clinical, diagnostic, therapeutic characteristics clinical entity.

Introduction : L’objectif de ce travail etait d’evaluer dans la vraie vie l’efficacite et tolerance du Tocilizumab le traitement polyarthrite rhumatoide (PR). Materiels methodes :  Etude transversale observationnelle incluant des patients atteints PR, traites par a dose recommandee 8 mg/kg/4 semaines. La reponse therapeutique ete evaluee score EULAR DAS 28 CRP/VS au 3eme mois 6eme traitement. Resultats  La PR souvent severe (76,5%), seropositive (88,2%) erosive (81,3%). Le tocilizumab...

Rheumatoid arthritis (RA) and celiac disease (CD) belong to the autoimmune family. Even though these diseases are separate entities, they share multiple aspects. This association has rarely been reported. We had opportunity study case of a patient with CD RA.

La tuberculose est une maladie infectieuse due au bacille de Koch (BK). forme multifocale s’associe habituellement a immunodepression notamment du VIH. A ce propos, nous rapportons un cas inhabituel associant des foyers visceraux atteinte vertebro-medullaire etagee, cervicale dorsale et lombaire non contigue, chez sujet immunocompetent. Le patient eu traitement medico-chirurgical. Il s’agit d’une diagnostic difficile. Nous discuterons, travers cas, les particularites cliniques, diagnostiques...