Vaccines have been one of the most impactful human discoveries that significantly changed life expectancy. Immune thrombocytopenic purpura (ITP) is an autoimmune disease characterized by platelet damage, life-threatening thrombocytopenia, and haemorrhage when count reaches below 20 × 109/mcL. Its pathogenesis involves viral mimicry or T-cell-induced immune destruction in antibody-negative cases. The clinical manifestations thrombocytopenia vary according to severity (level platelets) range...

Carpal tunnel syndrome (CTS) is an entrapment neuropathy with a high level of morbidity if neglected. Boston Tunnel Questionnaire (BCTQ) was designed to track patients' progress after diagnosis. However, few studies showed that this questionnaire might be applicable as screening tool for CTS.This study aims identify the ability BCTQ detect symptoms and functional limitations CTS among potential high-risk population.This cross-sectional involving 366 females, aged 30-60 years, residents West...

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. It presents with numbness, paresthesias, and pain. Multiple risk factors are associated CTS, such as pregnancy, oral contraceptive use, rheumatoid arthritis (RA), diabetes mellitus (DM). The Boston Tunnel Questionnaire (BCTQ) a self-administered questionnaire for assessing severity of symptoms functional status those previously diagnosed CTS. We aim to identify higher scores CTS limitations scales on BCTQ.This...

Background Digital injuries are among the most common presentations to emergency department. In order sufficiently examine and manage these injuries, adequate, prompt, predictable anaesthesia is essential. this trial, we aim primarily compare degree of pain onset time between two-injection dorsal block technique (TD) single-injection volar subcutaneous (SV). Further, describe temporal anatomical effects both techniques for an accurate delineation anesthetized regions. Methods A single-centre...

Abstract Aim The study question is “What are the experiences and opinions of orthopaedic surgical trainees educators in UK regarding acquisition technical skills during postgraduate specialty training?’’ Method This a qualitative following principles grounded theory. It was conducted East Midlands region between May September 2023 with purposive sample six four trainers using individual semi-structured interviews. Data analysis applied constant comparative approach open, axial, selective...

Abstract Aim To assess the impact of bedside sessions on medical students’ confidence in clinical assessment. It aims to strengths and weaknesses guide further interventions. Method employed a mixed-methods approach using both quantitative qualitative measures anonymised surveys. The intervention that was introduced ‘learning objective ticket’, whereby learning objectives were distributed discussed prior session. Results There 22 responses first cycle evaluation. Quantitative data revealed...

Primary Angiitis of the Central Nervous System (PACNS) is a rare form vasculitis that solely affects (CNS). Its presentation varies widely from simple headache to stroke-like presentation. PACNS management divided into an induction phase, which includes corticosteroids, cyclophosphamide and rituximab, maintenance phase includes: methotrexate, mycophenolate mofetil, rituximab azathioprine.A 31-year-old male presented emergency department due episode right arm weakness left-sided facial...

OBJECTIVES: Digital injuries are among the most common presentations to emergency department. In order sufficiently examine and manage these injuries, adequate, prompt, predictable anesthesia is essential. this trial, we aim primarily compare degree of pain onset time between two-injection dorsal block technique (TD) single-injection volar subcutaneous (SV) technique. Further, describe temporal anatomical effects both techniques for an accurate delineation anesthetized regions. METHODS: This...

Background Organs transplantation is the only treatment for end-stage organ failure. However, disparity between organs availability and number of patients in waiting lists widening globally, especially Iraq many reasons. This study aims to assess level attitudes perceptions among Iraqi young adults towards donation as first be conducted such purpose. Methods: observational was 912 through a structured questionnaire which disseminated social media platforms. Participants consented before...

Background Pain relief can be achieved by diversity of methods with analgesics being the basic form treatment. Analgesic safety and clinical effectiveness are core factors in determining analgesic choice. One adverse effect concern opioids is postoperative ileus (POI). Objective In this study, we looked at severity pain, type used to control incidence POI Baghdad Teaching Hospital. We hypothesized that would find an association between analgesia POI. Methods This observational study was...

Abstract Introduction Gallstone ileus is a very infrequent complication of cholelithiasis in which single or multiple stones pass through an abnormal fistula to the lumen intestine leading true mechanical obstruction. We are reporting case female who developed intestinal obstruction due gallstones during coronavirus disease 2019 (COVID-19) outbreak and was managed urgently surgically low-settings hospital. Case Presentation An 85-year-old white with 40 years history gallstone disease,...

Abstract Aim Organ’s transplantation is the only treatment for end-stage organ failure. However, disparity between organs availability and number of patients in waiting lists widening globally, especially Iraq many reasons. This study aims to assess level attitudes perceptions among Iraqi young adults towards donation as first be conducted such purpose. Method observational was 912 through a structured questionnaire which disseminated social media platforms. Participants consented before...

Abstract Aim In this study, we looked at the severity of postoperative pain, type analgesics used to control and incidence POI Baghdad Teaching Hospital. We hypothesized that would find an association between analgesia POI. Method This observational study was conducted among 100 patients who were residents general surgery wards A structured questionnaire employed focusing on types analgesics, degree pain control, presence ileus. Results Sixty-nine percent received a combination opioids...

Abstract Aim We aim to identify risk factors associated with higher scores of CTS symptoms severity and functional limitations on the BCTQ. Method This cross-sectional study was conducted among 366 female participants. The data mainly collected using Demographics were added study's complete questionnaire; Risk included: Rheumatoid Arthritis (RA), Diabetes Mellitus (DM), hypothyroidism, number pregnancies, usage Oral Contraceptive Pills (OCPs), use smartphones keyboards. A P-value <...

Factor V deficiency is a rare bleeding disorder with varying presentations from minor mucosal to life-threatening postoperative bleed. Currently, treatment mainly supportive Fresh Frozen Plasma.A previously healthy 14-day-old male presented an uncontrollable following circumcision. Physical examination was normal. Investigations showed hemoglobin 15.5 g/dl, platelets 409000, Prothrombin Time 57 seconds, Partial-Thromboplastin-Time 120 seconds. Mixing study corrected the coagulation profile,...

Background Data: Recurrence of LDH has been reported in 5%–11% patients after conventional discectomy, and most these are usually treated with repeated discectomy through the same initial approach. Tubular microdiscectomy is an increasingly popular surgery for lumbar disc prolapse replaced open last decade. However, it requires more experience a steep learning curve, especially revision cases.