Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2022
Case ReportsReport of a Case with Profound Anaemia from Health Literacy Perspective.
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J Coll Physicians Surg Pak · Oct 2022
Case ReportsPercutaneous Biopsy of Metastatic Bone Lesions Invisible on Conventional Computed Tomography.
Early detection and histopathological diagnosis of bone lesions with suspected metastasis are crucial for planning treatment of cancer patients. We present computed tomography (CT) findings of three cases with bone metastases that were diagnosed by CT-guided biopsy. All three bone lesions were highly suspicious for metastasis on magnetic resonance (MR) and fluoro-deoxy-glucose-positron-emission-tomography-CT (FDG-PET-CT); although they were not visible on conventional CT. ⋯ Bone lesions with positive MR and FDG-PET-CT findings in patients with a primary known cancer may be metastasis although they are invisible on conventional CT. These lesions should be biopsied with reference to MR and PET-CT findings for treatments of cancer patients. Key Words: Bone, Metastasis, Computed tomography, PET scan, Biopsy.
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J Coll Physicians Surg Pak · Oct 2022
Case ReportsSpontaneous Forniceal Rupture Identified by Point-of-care Ultrasound.
Spontaneous forniceal rupture is one of the rarest diagnoses of abrupt onset abdominal pain. Moreover, urolithiasis is the most prevalent cause and coexistent condition. Delayed-phased Contrast-enhanced computed tomography scans or intravenous pyelograms are needed for an exact diagnosis in most circumstances. ⋯ To the best of our knowledge, this is one of the first cases of spontaneous forniceal rupture secondary to urolithiasis diagnosed by the physician-performed ultrasound before confirmation of the diagnosis with computed tomography. In conclusion, emergency physicians and surgeons should be aware of rare conditions like spontaneous forniceal rupture and its sonographic findings to make a rapid diagnosis of urine extravasation so that unwanted complications are avoided. Key Words: Renal stone, Ultrasound, Forniceal rupture, Renal colic, Urinoma.
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J Coll Physicians Surg Pak · Oct 2022
Low and Slow: A Pattern Recognition for Overdose with Beta and Calcium Channel Blockers.
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