OpenMed/multicare-articles huggingface dataset:
Evaluation of healthcare use trends of high-risk female intimate partner violence victims
Authors: Robyn M Hoelle, Marie-Carmelle Elie, Emily Weeks, Nancy Hardt, Wei Hou, Hui Yan, Donna Carden
Journal: West J Emerg Med (2015)
MeSH terms: Ambulatory Care / statistics & numerical data, Emergency Service, Hospital / statistics & numerical data, Health Services Needs and Demand / statistics & numerical data, Hospitalization / statistics & numerical data, Spouse Abuse / statistics & numerical data, Evaluation Study, Adolescent, Adult, Data Collection, Female, Florida, Humans, Logistic Models, Medicaid, Middle Aged, Retrospective Studies, Risk, United States, Young Adult

Introduction:
Practitioners need more information about intimate partner violence (IPV) victims' healthcare use trends. We used a novel data-linkage method and complaint categorization allowing us to evaluate IPV victims healthcare use trends compared to the date of their victimization.
Methods:
This was a retrospective case series using data-linking techniques cross-referencing databases of Medicaid-eligible women between the ages of 16 and 55 years, an IPV Case Database for 2007 and the Florida State Agency for Healthcare Administration, which tracks hospital inpatient, ambulatory and emergency department (ED) use within the State of Florida. We analyzed resulting healthcare visits 1.5 years before and 1.5 years after the women's reported IPV offense. Using all available claims data a 'complaint category' representing categories of presenting chief complaints was assigned to each healthcare visit. Analysis included descriptive statistics, correlation coefficients between time of offense and visits, and a logistic regression analysis.
Results:
The 695 victims were linked with 4,344 healthcare visits in the four-year study period. The victims were young (46% in the 16-25 age group and 79% were younger than 35). Healthcare visits were in the ED (83%) rather than other healthcare sites. In the ED, IPV victims mostly had complaint categories of obstetrics and gynaecology-related visits (28.7%), infection-related visits (18.9%), and trauma-related visits (16.3%). ED use escalated approaching the victim's date of offense (r=0.59, p<0.0001) compared to use of non-ED sites of healthcare use (r=0.07, p=0.5817). ED use deescalated significantly after date of reported offense for ED visits (r=0.50, p<0.0001) versus non-ED use (r=0.00, p=0.9958). The victims' age group more likely to use the ED than any other age group was the 36-45 age group (OR 4.67, CI [3.26-6.68]).
Conclusion:
IPV victims use the ED increasingly approaching their date of offense. Presenting complaints were varied and did not reveal unique identifiers of IPV victims. This novel method of database matching between claims data and government records has been shown to be a valid way to evaluate healthcare utilization of at-risk populations.
Persistent Haglund's disease after conventional treatments: the innovative role of radiotherapy
Authors: Francesca di Chio, Annagrazia Cecere, Michele Troiano, Andrea Mardighian, Salvatore Parisi, Giuseppe Guglielmi
Journal: BJR Case Rep (2016)
MeSH terms: Case Reports

Haglund's disease, an inflammation of the retrocalcaneal bursa and a bone enlargement on the back of the heel, is a painful syndrome mainly caused by the exostotic prominence of the posterior calcaneus. Conventional treatment consists of rest, shoewear modification, medical therapy and, in selected cases, surgery. We report the case of a 59-year-old male with a history of severe atraumatic monolateral heel pain treated with foot orthotics, rest and surgery with partial regression of symptoms. Owing to the persistent heel pain and physical impairment after surgery, the patient underwent radiotherapy, which was successful in relieving his symptoms.
Acute Pancreatitis with Splenic Infarction as Early Postoperative Complication following Laparoscopic Sleeve Gastrectomy
Authors: Aleksandr Kalabin, Vishnu R Mani, Ankita Mishra, Hector Depaz, Leaque Ahmed
Journal: Case Rep Surg (2017)
MeSH terms: Case Reports

Obesity is becoming a global health burden along with its comorbidities. It imposes tremendous financial burden and health costs worldwide. Surgery has emerged as the definitive treatment option for morbidly obese patients with comorbidities. Laparoscopic sleeve gastrectomy is performed now more than ever making it imperative for physicians and surgeons to recognize both the common and the uncommon risks and complications associated with it. In this report we describe a rare early life-threatening postoperative complication following laparoscopic sleeve gastrectomy. From our extensive review of literature, there is no existing report of acute pancreatitis with splenic infarction postsleeve gastrectomy to this date.
A Case Series on Pregnant Patients with Mild Covid-19 Infection and Signs of Severe Placental Insufficiency
Authors: A Ivert, C Lindblad Wollmann, K Pettersson
Journal: Case Rep Obstet Gynecol (2023)
MeSH terms: Case Reports

In this case series, we present five cases of pregnant women who sought medical attention for reduced fetal movements with an ongoing mild maternal Covid-19 infection at a Stockholm hospital in Spring of 2021. At the time of admission, the patients were in gestational week between 24 + 0 and 33 + 5. Abdominal ultrasound at the hospital showed no fetal movements, and cardiotocography (CTG) was pathological. All women delivered via cesarean section within 24 hours after admission. Placental pathology in all cases showed massive perivillous fibrin deposition and extensive histiocytic intervillositis. All placentas were Covid-19 polymerase chain reaction (PCR) positive. The infants were Covid-19 PCR negative. Consistent with other published case reports, we hypothesize that Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can affect the placenta resulting in massive perivillous fibrin deposition and histiocytic intervillositis leading to acute placental insufficiency and fetal hypoxia. The absence of intrauterine growth restriction also augments the theory of an acute onset of placental insufficiency due to the Covid-19 infection.
Challenging clinical presentation of Zinner syndrome
Authors: Fatos Sada, Elton Cekaj, Blerina Saraci, Ormira Shazi, Abdallah Al-Madani, Sepideh Jahanian, Shamsun Nahar, Juna Musa, Keti Mamillo, Dijon Musliu, Murtaza Ahadi, Florim Leniqi, Tamanna Agarwal, Fjolla Hyseni, Valon Vokshi, Adam Benjamin Fink, Fnu Deepali, Jeton Shatri, Sadi Bexheti
Journal: Radiol Case Rep (2022)
Keywords: challenging clinical presentation, ejaculatory duct obstruction, role of mri, urology triad, zinner syndrome
MeSH terms: Case Reports

Zinner syndrome is a rare congenital malformation of the mesonephric duct comprising of seminal vesicle cyst, ipsilateral renal agenesis, and ejaculatory duct obstruction. Clinical presentation varies with perineal pain, painful ejaculation, hematospermia and infertility common presenting complaints. Here, we present a case of Zinner syndrome in a 35-year-old male with a rare clinical presentation of only abdominal discomfort. The purpose of this case report is to highlight the challenging clinical presentation of Zinner syndrome and the use of imaging modalities in diagnosing the condition.
Case report: "Major fetal cardiac pathology associated with a novel CTNND1 mutation"
Authors: Xuliang Zhao, Xu Li, Weiwei Sun, Zhuojun Wei, Min Yu, Man Zhang, Ruixia Tian
Journal: Front Pediatr (2023)
Keywords: ctnnd1, blepharocheilodontic syndrome, congenital heart disease, mutation, prenatal diagnosis
MeSH terms: Case Reports

Background:
The p120-ctn protein, encoded by CTNND1, is involved in intercellular connections and regulates epithelial-mesenchymal transformation. CTNND1 mutations can lead to blepharocheilodontic syndrome (BCDS). Increasing evidence shows that although BCDS mainly manifests as craniofacial and oral deformities, it can also present as congenital heart disease, limb deformities, and neurodevelopmental disorders.
Case description:
We report a prenatal case of a major cardiac malformation at 24+3 weeks of gestation. Ultrasound examination revealed a hypoplastic left ventricular, aortic coarctation, and a ventricular septal defect. Genetic analysis of the fetal tissues showed the presence of a novel mutation in CTNND1 (NM_001085458.2: c.566_c.567insG; p.Pro190fs*15), which may lead to premature termination of protein coding, while both the parents harbored wild-type CTNND1. To date, only 15 CTNND1 mutations have been reported in 19 patients worldwide, of which approximately 31% (6/19) had a cardiac phenotype.
Conclusion:
To the best of our knowledge, this is the first case report of fetal complicated cardiac malformations caused by this CTNND1 mutation. Our findings provide new clinical references for prenatal diagnosis and suggest an important role for CTNND1 in early cardiac development.
Spontaneous Recovery of Paraplegia in a Polytrauma Patient following Spinal Cord Ischemia due to Type B Traumatic Aortic Dissection
Authors: Pedro Ramos Jurado, Fernando Hernández Aragón, Víctor Aaron Miranda González, Jesús Antonio Loya Silva, Edgar Azael Pérez Gutiérrez, Nadia Karina Portillo Ortiz, Adriana Cristina Quintana Vázquez, Luisa Fernanda Trujillo Venzor, Eduardo Enrique Gámez Aponte, Arturo Aguirre Madrid, Edmundo Berumen Nafarrate
Journal: Case Rep Orthop (2023)
MeSH terms: Case Reports

Aortic dissection is a life-threatening acute condition characterized by the separation of the aortic wall's layers. It is caused by a tear in the internal vascular wall (intimal layer and middle layer), which results in bleeding between the layers and causes abrupt and excruciating pain. The appropriate consideration must be given to the condition's dynamic nature, and variations in clinical presentation, without neglecting the urgency for intervention. In this case study, a 65-year-old male engaged in a car accident is admitted to urgent care with a traumatic aortic dissection diagnosis that included the aortic arch, a segmental exposed fracture of 1/3 distal of the right femur AO 32C3k, and an intertrochanteric fracture AO 31A1.3. The patient developed transient paraplegia as the initial manifestation of acute aortic dissection, which represents a high mortality and morbidity entity without adequate and prompt treatment, and prompt diagnosis and management were critical. A patient with severe thoracic and abdominal trauma caused by high-energy injury should be properly evaluated for the possibility of traumatic aortic dissection. The endovascular aortic repair was performed, resulting in a positive clinical evolution due to the important participation of the multidisciplinary trauma team involved in patient management and prompted decision-making.
Epstein-Barr Virus Primary Infection Complicated by Hemophagocytic Lymphohistiocytosis and Plasmablastic Lymphoma in a HIV-Negative Patient
Authors: Nan Chen, Mike Perez, Martha Mims
Journal: Case Rep Hematol (2019)
MeSH terms: Case Reports

EBV (Epstein-Barr virus) viremia causes immune dysregulation through various mechanisms, and we are understanding more that mutations in B, T, and NK (natural killer) cell signaling pathways allow EBV complications such as HLH (hemophagocytic lymphohistiocytosis) and lymphomas to arise. Here, we report a 20-year-old previously healthy, HIV- (human immunodeficiency virus-) negative male who presented with fevers, sore throat, and lymphadenopathy (LAD). He was found to have EBV viremia, pancytopenia, and elevated LFTs (liver function tests) suspicious for HLH. Bone marrow biopsy and elevated IL-2 (interleukin) receptor confirmed this diagnosis. Additionally, gastric biopsy confirmed diagnosis of plasmablastic lymphoma (PBL), a rare, aggressive HIV- and EBV-associated lymphoma. Both bone marrow and gastric biopsy showed evidence of EBV. Patients with EBV complications should have a rigorous workup to characterize the full extent of immune dysregulation including genetic testing at a high-volume center.
Acute pancreatitis secondary to a perivaterian duodenal diverticular abscess
Authors: P Pastides, S Bertaud, S K Sarker, S Dindyal
Journal: Case Rep Med (2010)
MeSH terms: Case Reports

A 46-year-old previously fit lady was admitted with acute pancreatitis. She had no history of gallstones. She was not on any medications and consumed minimal amounts of alcohol. On subsequent investigations as to the causative factor, she was found at ultrasound to have an air-fluid filled cystic structure posterior to the head of pancreas which was compressing the common bile duct. Further magnetic resonance imaging and computer tomography scans showed that this cystic lesion was located around the ampulla of Vater. A diagnosis of a perivaterian abscess was made. At endoscopy, a large contained abscess was seen which was successfully drained. She made a full and uneventful recovery.
A Case Report of Acute Airway Compromise due to Subcutaneous Emphysema
Authors: David Olmstead, Gary Gelfand, Ian Anderson, John B Kortbeek
Journal: Case Rep Med (2018)
MeSH terms: Case Reports

In the acute management of a trauma patient, airway patency is of utmost importance. The present case describes a male patient who presented with delayed severe upper airway obstruction secondary to massive subcutaneous emphysema following blunt traumatic injury two days previously. Airway compromise is a rarely described but serious complication of subcutaneous emphysema. Current management of subcutaneous emphysema and its association with pneumothorax is summarized. Early decompression of underlying pneumothoraces in patients with significant subcutaneous emphysema should be performed to avoid this rare complication.
Years of life lost: A call to achieve equitable end-of-life care among children
Authors: Aysha Jawed
Journal: Health Promot Perspect (2022)
Keywords: end-of-life, health equity, hospice, life limiting illness, palliative care, pediatric
MeSH terms: Review

Significant disparities continue to exist in access to inpatient pediatric hospice care among children at the end-of-life. Increasingly more children at this stage are dying in the hospital or at home on hospice which is not always an acceptable option to the children and their families. Two clinical case examples illustrate implementation of these options in practice. A missing link exists in healthcare systems across developed and developing countries in pediatric end-of-life care. Currently, the primary options involve selecting between hospital and home-based hospice care. Proposing to increase access to inpatient pediatric hospice services could potentially increase acceptability of this option to honor the child in line with the family's preferences, goals, wishes, and values. In addition, inpatient pediatric hospice could offset costs from preventable hospitalizations and overall high-cost healthcare utilization. Oftentimes, readmissions impact decision-making among caregivers that include changes in code status from Do Not Resuscitate/Do Not Intubate (DNR/DNI) to full curative care, thereby resulting in medicalization or overmedicalization of the child. It follows that reduced healthcare expenditures will increase cost efficiency across the healthcare system. Achieving health equity in palliative care among adult and pediatric patients at the end-of-life is a longstanding goal of the World Health Organization (WHO) and the United Nations International Children's Emergency Fund (UNICEF). Proposing to mitigate disparities in palliative care among children through inpatient hospice as another viable option for their families could contribute to the larger overarching goal of achieving health equity in end-of-life care across the world.
Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series
Authors: Lourdes Quintanilla-Dieck, Frank Virgin, Chistopher Wootten, Steven Goudy, Edward Penn Jr
Journal: Case Rep Otolaryngol (2016)

Objectives. First branchial cleft anomalies (BCAs) constitute a rare entity with variable clinical presentations and anatomic findings. Given the high rate of recurrence with incomplete excision, identification of the entire tract during surgical treatment is of paramount importance. The objectives of this paper were to present five anatomic variations of first BCAs and describe the presentation, evaluation, and surgical approach to each one. Methods. A retrospective case review and literature review were performed. We describe patient characteristics, presentation, evaluation, and surgical approach of five patients with first BCAs. Results. Age at definitive surgical treatment ranged from 8 months to 7 years. Various clinical presentations were encountered, some of which were atypical for first BCAs. All had preoperative imaging demonstrating the tract. Four surgical approaches required a superficial parotidectomy with identification of the facial nerve, one of which revealed an aberrant facial nerve. In one case the tract was found to travel into the angle of the mandible, terminating as a mandibular cyst. This required en bloc excision that included the lateral cortex of the mandible. Conclusions. First BCAs have variable presentations. Complete surgical excision can be challenging. Therefore, careful preoperative planning and the recognition of atypical variants during surgery are essential.
The management of gas-filled eyes in the emergency department
Authors: Lik Thai Lim, Elliott Y Ah-Kee, Beve P House, Jonathan D Walker
Journal: Case Rep Emerg Med (2014)

Background. Intraocular gas bubbles are commonly used in retinal surgery. There are specific management guidelines that need to be followed to ensure surgical success, and there are also unique ophthalmic and systemic complications that can occur in such patients. Objective. To educate emergency department personnel about important issues in the management of patients who have a gas-filled eye following retinal surgery. Case Report. A patient with a gas-filled eye developed several complications including pain, severe vision loss, high-grade atrioventricular (AV) block, and pneumocephalus. Conclusion. Awareness of potential problems that may arise in patients with gas-filled eyes who present to the emergency department may help minimize morbidity for such patients.
U wave: an important noninvasive electrocardiographic diagnostic marker
Authors: M P Girish, Mohit Dayal Gupta, Saibal Mukhopadhyay, Jamal Yusuf, T N Sunil Roy, Vijay Trehan
Journal: Indian Pacing Electrophysiol J (2005)

Study of U waves exemplifies important clinical role of noninvasive electrocardiography in modern cardiology. Present article highlights significance of U waves with a clinical case and also summarizes in brief the history of the same.
Hypomagnesemia, a Rare Cause of Reversible Ataxia
Authors: Daniel López Domínguez, Juan Rodríguez Álvarez-Cienfuegos, Carla Herminia Vera Cáceres
Journal: Tremor Other Hyperkinet Mov (N Y) (2023)
Keywords: ataxia, hypomagnesemia, neuroimaging
MeSH terms: Cerebellar Ataxia / diagnostic imaging, Cerebellar Ataxia / etiology, Case Reports, Ataxia / diagnostic imaging, Ataxia / etiology, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neuroimaging, Seizures / diagnostic imaging, Seizures / drug therapy, Seizures / etiology

Background:
A 61-year-old male patient presented with cerebellar syndrome, which had progressively worsened for 10 days, followed by a tonic-clonic seizure.
Phenomenology shown:
Blood analysis showed severe hypomagnesemia and a brain MRI showed T2 hyperintensity in the cerebellar hemispheres (Figure 1). Therefore, the final diagnosis was cerebellar syndrome and epileptic seizures secondary to severe hypomagnesemia.
Educational value:
In cases of subacute onset of ataxia, the possibility of ataxia secondary to hypomagnesemia should be considered, as it can be diagnosed with a basic blood test and there are potentially life-threatening outcomes in the absence of treatment, with a reversible course following early supplementation.
Blue rubber bleb nevus syndrome in a Malay girl: A case report and literature review
Authors: Fatimah Mat Johar, Wan Azman Wan Sulaiman, Arman Zaharil Mat Saad, Normala Basiron, Nik Amin Sahid
Journal: Int J Surg Case Rep (2020)
Keywords: anomalies, blue rubber bleb nevus syndrome, sclerotherapy, venous malformation
MeSH terms: Case Reports

Introduction:
Blue Rubber Bleb Nevus Syndrome (BRBNS) also known as Bean's Syndrome is an atypical type of vascular malformation. To date, around 200 cases have been reported world-wide. In view of its low incidence rate, clinicians might misdiagnose and under treat. The key features of this syndrome are characterized by multiple cutaneous, soft tissue and gastrointestinal tract venous malformations.
Presentation of case:
We report the first case of Blue Rubber Bleb Nevus Syndrome in Malaysia, a 23 years old Malay girl who suffers from multiple cutaneous venous malformation and gastrointestinal bleeding episodes.
Discussion:
The typical morbidity for this syndrome is symptomatic anemia due to secondary iron deficiency due to the gastrointestinal venous malformation bleeding. In managing the gastrointestinal bleeding, it mainly depends on the severity of gastrointestinal bleeding, some may resolve spontaneously, while the others may be needing blood transfusion, and some may require GIT resections. As for cutaneous lesions, normally it is innocuous depending on the region and size. Large or problematic cutaneous venous malformation might benefit from sclerotherapy or excision.
Conclusion:
Multidisciplinary approach is crucial in managing BRBNS case due to its complexity and the spectrum of multiple organ involvement to ensure the best outcome to the patient.
A Case of Late Presentation of Pancreatic Divisum in a Patient with Recurrent Pancreatitis
Authors: Taranika Sarkar, Sophia Jagroop
Journal: Case Rep Med (2020)
MeSH terms: Case Reports

Pancreatic Divisum (PD) is the most common congenital variation of pancreatic duct anatomy, arising when embryological ventral and dorsal endodermal buds fail to fuse ("classic" PD) or only fuse partially ("incomplete" PD). Most patients with PD are asymptomatic, but a subgroup of patients can present with recurrent bouts of pancreatitis. While alcohol and gallstones are the common causes of acquired pancreatitis, PD is a congenital cause of pancreatitis. It is usually suspected in younger individuals with recurrent pancreatitis who also have a family history. Here, we present a rare case of PD in an older individual who presented with recurrent pancreatitis. He underwent cholecystectomy for suspected gallstone pancreatitis but continued to have episodes of pancreatitis. He had a history of alcohol abuse but denied use in the last one year. PD was detected later as the cause. Recurrent pancreatitis led to the development of a pseudocyst and pancreaticopleural fistula (PPF). Medical management improved the pseudocyst and PPF.
Case Report: The first familial hCG syndrome in a Chinese family
Authors: Ling-Yin Hung, Mei-Tik Leung, Toby Chun-Hei Chan, Hoi-Ning Cheung, Wai-Hon Li, Yui-Shing Cheung, Assumpta Sze-Man Wong, Chi-Chung Shek, Sammy Pak-Lam Chen
Journal: F1000Res (2021)
Keywords: autosomal inheritance, ectopic pregnancy, familial hcg syndrome, gestational trophoblastic disease, hcg, human chorionic gonadotropin, tumour marker
MeSH terms: Chorionic Gonadotropin, beta Subunit, Human, Case Reports, Adult, China, Female, Hong Kong, Humans, Pregnancy, Chorionic Gonadotropin, beta Subunit, Human

Familial hCG syndrome is a rare and benign cause of elevated serum beta human chorionic gonadotropin (hCG). We present here a case of familial hCG syndrome diagnosed in a Hong Kong Chinese family, which we believe to be the first reported in Chinese. A 38-year-old woman presented with incidental finding of persistently elevated hCG, analytically confirmed both in urine and blood. Extensive radiological and biochemical work-up were performed but were negative for pregnancy and malignancy. Testing of another asymptomatic family member revealed unexplained elevation of serum hCG, confirming the diagnosis of familial hCG syndrome. Knowledge and awareness of this entity among clinicians are important to avoid unnecessary investigations and treatment in affected families.