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Jan 10, 2019Open    AccessArticle

A Clinical Triad of Digital Clubbing, “Arthritis” and Ossifying Periostitis in a Man: Case Report

Chun-Ruh Ng, Yet-Lin Loh
A 49 years old gentleman presented with intermittent bilateral knee swelling for the past 37 years and was eventually diagnosed as primary hypertrophic osteoarthropathy after secondary forms were excluded. This case illustrated that the disease can present during childhood with an insidious onset and progressively becoming more severe and that is when medical attention is sought. Furthermore, the patient did not voluntarily report
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Nov 22, 2018Open    AccessArticle

The Recto-Vesical Ligament: Myth or Reality?

Raja Briki, Ons Cherif, Mouna Derouich, Salma Chachia, Sassi Boughizane, Hedi Khairi
The recto-vesical ligament is an abnormal peritoneal band that can be associated with uterine malformations by default fusion of Müller’s ducts. It is a very rare entity. We report a case of laparoscopic surgery conducted on a 28-year-old patient in order to explore primary subfertility. We discover that the patient had two permeable vaginas, two distinct cervices and two com-pletely separate hemiuterus with two
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Oct 30, 2018Open    AccessArticle

An Extraordinary Case of Idiopathic Chylothorax in a Rural Setting

Kevin Chow Kuan Yee, Ong Tze Hern, Ng Zxai Ching, Naganathan Pillai, Adelyn Henry, Lee Tiong Chan
Chylothorax is a rare cause of pleural effusion, which can be divided into traumatic and non-traumatic causes. Often, the cause of a non-traumatic chylothorax is challenging. We report a young gentleman with idiopathic chylothorax who was diagnosed in a rural hospital with limited resources. This was confirmed on clinical presentation, pleural fluid analysis, CECT imaging and a diagnostic lymp
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Aug 31, 2018Open    AccessArticle

Prevalence, Awareness, and Control of Hypertension in Health Workers of Two Teaching Hospitals of Yaounde-Cameroon: The Hypertension Awareness Initiative (THAI) Pilot Survey

Sylvie Ndongo Amougou, Karen Kamgoum Tchokote, Ba Hamadou, Ahmadou Musa Jingi, Chris Nadège Nganou-Gnindjio, Marie Ntep Ngwet, Liliane Mfeukeu Kuaté, Bonaventure Jemea, Lucie Ebah Epok, Dieudonné Danwé, Samuel Kingue
Introduction: High blood pressure is a public problem worldwide because of its high morbidity and mortality. The greatest burden is in low-income set-tings. The burden of disease has not been studied in health workers in our setting. Methods: Between December 2016 and June 2017, we carried out a cross-sectional descriptive and analytic study in two teaching hospitals in Yaounde, using the WHO STEP wise approach. Participants were
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May 17, 2018Open    AccessArticle

Prevalence and Epidemiology of the Arterial Hypertension of the Adult in Kamina in the Democratic Republic of the Congo

Ilunga Masuku Anany, Banza Kyosha Gustave, Sony Namasamba Leaticia, Kyungu Banze Micheline, Masengo Kazadi Valentin, Ilunga Mbayo Fiston
High blood pressure (HTA) is a cardiovascular disease more prevalent in consultations in internal medicine; it is until now less controlled in the world, especially in developing countries where the majority of hypertensives are not controlled. In general, it is estimated that hypertension affects between 10% to 15% of the adult population. In some countries the prevalence is slightly higher (about 20% of the adult population) and
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Feb 27, 2018Open    AccessArticle

Adherence to Lifestyle Modification among Hypertensive Clients: A Descriptive Cross-Sectional Study

Yaa Obirikorang, Christian Obirikorang, Emmanuel Acheampong, Enoch Odame Anto, Beatrice Amoah, Eva Fosu, Joseph A. Eshiman Amehere, Emmanuella Nsenbah Batu, Peter Kojo Brenya, Bright Amankwaa, Evans Asamoah Adu, Adjei Gyimah Akwasi, Roberta Yaa Asiwu
Background: Adoption of a life style modification is of critical importance for preventing and managing hypertension. This study determined the adherence to lifestyle modification among hypertensive clients at Juaso district hospital. Methodology: This was a descriptive cross-sectional study, conducted among hypertensive clients at Juaso district hospital, Kumasi, in the Ashanti Region of Ghana. A reviewed-st
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Jan 29, 2018Open    AccessArticle

Double Trouble in a Tropical Paradise

Adelyn Henry, Ganesh Kasinathan
Introduction: Leptospirosis and typhoid fever are water borne diseases. These diseases present as acute undifferentiated fever and often can be challenging to clinicians in the developing world due to limited resources. Case Presentation: A 15-year-old Malay girl presented a week after swimming in a waterfall with fever, vomiting and lethargy. Her condition deteriorated into septic shock and respiratory distress requiring mechanic
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Oct 18, 2017Open    AccessArticle

Metabolic Syndrome among Ischaemic Stroke Patients in Ghana: The Possible Role of Renin and Aldosterone

Francis Agyemang Yeboah, Bernard Nkum, Bright Amankwaa, Benjamin Ackon Eghan Jr., Emmanuel Acheampong, Paul Nsiah, Perditer Okyere, Lawrence Owusu, Emmanuella Batu Nsenba, Enoch Odame Anto
Background: Both metabolic syndrome (MetSyn) and the Renin Angiotensin Aldosterone System (RAAS) are predictors of adverse outcomes in stroke patients. This study aimed at evaluating the association between RAAS and MetSyn among ischaemic stroke subjects in a tertiary hospital of Ghana from September 2015 to June 2016. Methodology: The study purposively recruited 252 Ghanaians comprising 132 ischaemic stroke patients and 120 appar
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May 16, 2017Open    AccessArticle

Impact of Abnormal Serum Electrolyte Levels and Acid-Base Disorders on Clinical Outcomes among Maintenance Hemodialysis Patients

Vricksha Guttee, Yuxin Nie, Yimei Wang, Xiaoqiang Ding
There has been a notable rise in the number of patients diagnosed with chronic kidney disease (CKD) over the years across the world, with most cases subsequently leading to end-stage renal failure. Hemodialysis (HD) remains one of the main treatments for end-stage renal disease (ESRD) worldwide. Despite improvements in dialysis care, the mortality of patients with ESRD on maintenance hemodialysis is per
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May 15, 2017Open    AccessArticle

Clinically Mimicking Pancreatic and Dilation in Main Pancreatic Duct in Autoimmune Pancreatitis (AIP): A Case Report and Literature Review

Yaqin Li, Xiaojia Xiong
Autoimmune pancreatitis (AIP) is a unique form of pancreatitis which has autoimmune features. AIP has clinical presentations that greatly mimic pancreatic cancer (PC). It is critical for clinicians to distinguish AIP from PC because their treatments and prognoses are entirely different. We report a 62-year-old man with obstructive jaundice and dilation in the main pancreatic duct (MPD). The diagnosis of AIP was based on diagnostic
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