Though the current focus of Healthcare has finally shifted to prevention and wellness as a method of dealing with the financial health crisis, one must upon honest reflection, bluntly state that this concept is still quite removed from reality.

Let’s examine the facts:

Objective

Resident exposure to operative vaginal delivery (OVD), either forceps or vacuum extractions continues to decline. Nonetheless the need to continue resident training remains obviously necessary, Read full text

Introduction

 We present a case of asymptomatic atrial myxoma in an African American male which was incidentally discovered on pre-operative evaluation at an advanced age. The advanced age with no attendant symptoms and the post operative complications (including dressler`s syndrome and cardiac tamponade) make this a case of significance for primary care doctors who manage such patients.

 Case presentation

  A 71 year old asymptomatic male with prior history of Hypertension (HTN) and benign prostatic hypertrophy (BPH) presented for pre-operative cardiac evaluation in lieu of a planned prostate biopsy. Read full text

Abstract:

There is growing body of evidence from many observational studies that demonstrates the association between decreased Vitamin D levels and increased prevalence of cardiovascular events, hypertension, diabetes, obesity and various types of cancers especially colon cancer1-7. Read full text

INTRODUCTION

 Carcinoid tumors are classified as neuroendocrine tumors, which means it starts in cells of the neuroendocrine system that produce hormones. A carcinoid tumor can produce high levels of neuropeptides and amines (hormone-like substances); however,they may not be released in high enough quantities to cause symptoms or these may be defective and, Read full text

Burning Mouth Syndrome

Burning mouth syndrome, stomatodynia, is characterized by a constant burning sensation in the tongue or oral mucous membranes, without relevant clinical and laboratory findings.1 The etiology, pathogenesis or treatment of burning mouth syndrome have not yet been determined.2 That leads to treatment option based on patient’s symptomatology. As a result, Read full text

Objective: Resident exposure to operative vaginal delivery (OVD), either forceps or vacuum extractions continues to decline. Nonetheless the need to continue resident training remains obviously necessary, as there are instances when clinical realities dictate an expeditious delivery. Read full text

Abstract

Our objective is to highlight the value of thyroid panel screening and the precautions needed with steroid withdrawal in elderly patients thru an atypical case of thyroiditis.

Our patient is an 88 year old female who presents to our hospital with complaints of shortness of breath. Read full text

ABSTRACT

We describe a patient with advanced AIDS who presented with asymptomatic pulmonary cryptococcoma. Pulmonary cryptococcosis should be considered in the differential diagnosis of asymptomatic solitary pulmonary nodule in patients with AIDS.

 INTRODUCTION 

53 years old African American male was hospitalized with chief complaints of nonbloody, Read full text

Abstract

 We describe a newly diagnosed Wegener’s granulomatosis young African American female who had chronic otomastoiditis presented with acute onset of dysphagia and hoarseness of voice. She had marked improvement after being treated with intravenous antibiotics.

Physicians should understand the etiology, Read full text

Abstract:

 Acinetobacter baumannii is generally considered an opportunistic nosocomial pathogen and is rarely encountered as a pathogen causing community-acquired soft tissue infection.

The aim of this report to alert physicians to the possibilty of denovo soft tissue infection with Acinetobacter baumanii causing higher cervical spinal cord compression resulting in quadriplegia in the community. Read full text

INTRODUCTION

Rosen1 first reported mucocele-like tumor (MLT) of the breast as a benign breast neoplasm in 1986.  Subsequent reports indicated that MLT may represents a spectrum of various pathologic changes ranging from benign tumor, Read full text

Introduction:

Gastrointestinal (GI) bleeding has been traditionally classified as upper GI (UGI) bleed and lower GI (LGI) bleed based on location of the bleed. The ligament of Treitz serves as an anatomic landmark to distinguish upper from lower GI bleed. Read full text