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 | Bilateral coronary ostial disease following mediastinal irradiation: a case report. |  fig-001: Injection of the left coronary system showed ostial coronary disease associated with a pressure drop across the lesion.Bottom Line: Postoperatively she developed a clinical picture of diastolic impairment not detected pre-operatively.She was managed appropriately and made a successful recovery.This case highlights the cardiac pathology associated with mediastinal irradiation, which should... | Waqar S, Jutley R, Mount R, Sarkar P - Cases J (2009) |
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 | Abnormal blood flow in the sublingual microcirculation at high altitude. |  Fig1: Typical still image captured from video footage of sublingual microcirculatory blood flow at baseline (75 m)Bottom Line: Our data demonstrate that there was a significant reduction in MFI from baseline to 4,900 m in small (less than 25 microm) and medium (26-50 microm) sized blood vessels (P = 0.025 and P = 0.046, respectively).There was no significant correlation between MFI... | Martin DS, Ince C, Goedhart P, Levett DZ, et al. - Eur. J. Appl. Physiol. (2009) |
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 | Silent myocardial infarction in women with type II diabetes mellitus and microalbuminuria. |  f3-tcrm-4-705: Coronary angiogram from the patient with inferior subendocardial infarction. There is evidence of multivessel disease. The images depicts occluded (arrow) right coronary artery (RCA) (left panel) and multiple significant stenosis (>50 % of reference lumen...Bottom Line: The conventional angiography has confirmed the presence of significant stenosis in LAD demanding invasive revascularization by percutaneous coronary angioplasty.No difference was found in indices of left ventricular (LV) systolic function while diastolic function... | Omerovic E, Brohall G, Müller M, Råmunddal T, et al. - Ther Clin Risk Manag (2008) |
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 | Waterhouse-friderichsen syndrome in an adult patient with meningococcal meningitis. |  Figure 2: Gram stained smear showing pus cells along with gram-negative diplococciBottom Line: On examination, the signs of meningitis were present along with the hemorrhagic rash.The diagnosis of adrenal hemorrhage was confirmed by computerized tomographic scan findings.This case is being reported as such a complication is comparatively rare in this... | Sonavane A, Baradkar V, Salunkhe P, Kumar S - Indian J Dermatol (2011) |
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 | Acute myocardial infarction as the first presentation of thyrotoxicosis in a 31-year old woman - case... |  Figure 2: Critical narrowing of left anterior descending artery in the presented patient close to the apical region with flow cessation possibly with residual thrombus, no evidence of significant narrowing in other vessels.Bottom Line: She denies any anginal symptoms, but continues to smoke against medical advice.CONCLUSIONS: Our case highlights the possibility of development of an acute myocardial infarction in a young subject with thyrotoxicosis.We speculate that patient's smoking habit... | Lewandowski KC, Rechciński T, Krzemińska-Pakuła M, et al. - Thyroid Res (2010) |
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 | Hydatid disease of scapula and upper third of humerus treated by en bloc excision and fibular bone grafting. |  Figure 0001: Clinical photograph showing right shoulder with diffuse swelling extending into pectoral region filling delto-pectoral groove and upper third of arm with a sinus in anterior-lateral aspect of deltoid region.Bottom Line: Stage II surgery, consisting of fibular bone grafting.Tablet albendazole (400 mg, thrice daily) was given as systemic scolicidal agent.This case is reported in view of it's rarity and to highlight the management. | Chari PR - Indian J Orthop (2007) |
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 | Operant methodology in the study of learning. |  Bottom Line: A series of experiments is described in which operant methodology is used to study the effects of drugs on "learning." Emphasis is placed on the technique of repeated acquisition as a behavioral baseline for studying this type of transition state.Multiple-schedule... | Thompson DM, Moerschbaecher JM - Environ. Health Perspect. (1978) |
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 | Giant right coronary artery aneurysm presenting with non-ST elevation myocardial infarction and severe... |  Figure 3: Right coronary artery angiogram. The giant aneurysm is seen at the catheter tip.Bottom Line: Given the paucity of cases and limited experience in diagnosis and management of the disease, each case is a learning tool in itself.We report the rare case of a 78-year-old Caucasian man who presented to a peripheral emergency department with chest pain and... | Nazareth J, Weinberg L, Fernandes J, Peyton P, et al. - J Med Case Rep (2011) |
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 | Pictorial essay: B-scan ultrasonography in ocular abnormalities. |  Figure 0008: Retinal detachment with PHPV. B-scan reveals a funnelshaped RD (arrowhead) along with a persistent central hyaloid artery (arrow) in a 1-year-old childBottom Line: B-scan ultrasonography (USG) is a simple, noninvasive tool for diagnosing lesions of the posterior segment of the eyeball.B-scan USG is cost-effective, which is an important consideration in the rural setting.In addition, it is noninvasive and easily available... | Aironi VD, Gandage SG - Indian J Radiol Imaging (2009 Apr-Jun) |
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 | Biphasic calcium phosphate in periapical surgery. |  Figure 0004: 2 years' follow-upBottom Line: They can be good bone substitutes due to their excellent biocompatibility.Biphasic calcium phosphate is a bone substitute which is a mixture of hydroxyapatite and beta -tricalcium phosphate in fixed ratios.Studies have demonstrated the osteoconductive potential... | Suneelkumar C, Datta K, Srinivasan MR, Kumar ST - J Conserv Dent (2008) |
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 | Extrusion of Endodontic Filling Materials: Medico-Legal Aspects. Two Cases. |  Figure 3: Case 2. Pre-operative radiological exam of right lateral upper incisor (1.2) with secondary decay.Bottom Line: In the second case however, because two different dentists were involved, establishing the connection of causality between their work and the damage reported by the patient was not easy.This situation makes it difficult to establish the limits of potential... | Santoro V, Lozito P, Donno AD, Grassi FR, et al. - Open Dent J (2009) |
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 | Pulmonary talc granulomatosis mimicking malignant disease 30 years after last exposure: a case report. |  Figure 5: Histology showing talc particles at a lower magnification. Hematoxylin-eosin stain.Bottom Line: Computed tomography confirmed a probable mass with further speculated opacities in both lung fields suspicious for malignant spread.The history and imaging findings in a chronic smoker were initially strongly suggestive of malignant disease, and we recommend... | Krimsky WS, Dhand S - J Med Case Reports (2008) |
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 | Tracheal replacement by autogenous aorta. |  Figure 2: Ciliated Columnar epithelium over the grafted aorta.Bottom Line: Tracheal defects may occur after trauma or prolonged intubation.Resection of tracheal tumors also poses a major challenge for substitution.In an effort to solve this problem, different techniques have been tried with little success. | Anoosh F, Hodjati H, Dehghani S, Tanideh N, et al. - J Cardiothorac Surg (2009) |
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