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Retrospective X-ray Assessment of Wrist Joint Ossification Centers for Age Estimation in a Regional Trauma Center of North India
14+ hour, 40+ min ago (362+ words) Background Age estimation through radiological assessment of skeletal maturation is an important component of forensic and medicolegal practices, particularly in cases involving unidentified individuals, criminal responsibility, employment disputes, and absence of authentic birth records. Ossification and epiphyseal fusion around the…...
Recurrent Acute Limb Ischemia and Direct Oral Anticoagulant Failure: A Case of Suspected Antiphospholipid Syndrome Triggered by Mechanical Compression
14+ hour, 40+ min ago (249+ words) Acute limb ischemia is a vascular emergency that requires prompt diagnosis and treatment to avoid permanent tissue loss and possible amputation. Recurrent arterial thrombosis in a relatively young patient, especially while on anticoagulation, should raise concern for an underlying hypercoagulable…...
Evaluation of Sympathetic Function and Anxiety Levels in Sleep-Deprived Subjects Compared to the Normal Population: A Cross-Sectional Analytical Study
14+ hour, 40+ min ago (236+ words) Background Sleep deprivation is associated with autonomic imbalance and psychological disturbances. This study aimed to evaluate sympathetic function and anxiety levels in sleep-deprived individuals compared with controls. Methods A cross-sectional analytical study was conducted among 110 participants aged 18-40 years, divided into…...
Enhancing Pediatric Emergency Medicine Skills Through Entrustable Professional Activity-Based Simulation for Third-Year Medical Students
14+ hour, 40+ min ago (254+ words) Background The pediatric clerkship rotation exposes medical students to essential skills for managing a wide range of pediatric conditions, including emergency care. Simulation-based education is a mainstay of medical education that provides an effective means of developing clinical decision-making skills,…...
Utility of Vascular Flow Pattern Evaluation Using Color Doppler, Power Doppler, and Microvascular Imaging in the Diagnosis of Cervical Lymph Node Diseases
14+ hour, 40+ min ago (194+ words) Background: Vascular flow patterns within cervical lymph nodes vary significantly across inflammatory and neoplastic conditions. Objective: The objective of the study is to evaluate the role of color Doppler, power Doppler, and microvascular imaging (MVI) in characterizing lymph node vascularity and…...
Association of Prothrombotic and Oxidative Stress Biomarkers With the Risk of Microvascular Dysfunction in Patients With Type 2 Diabetes Mellitus
14+ hour, 40+ min ago (345+ words) Background Type 2 diabetes mellitus is a common metabolic disorder associated with progressive vascular complications. Microvascular dysfunction is an important cause of diabetic nephropathy, retinopathy, and neuropathy. Oxidative stress and prothrombotic activity are considered major contributors to vascular injury among diabetic…...
Grading of Hirsutism in Females: A Pilot Study
14+ hour, 40+ min ago (234+ words) Background: Hirsutism is a common clinical manifestation of hyperandrogenism in women of reproductive age and may indicate underlying endocrine disorders such as polycystic ovary syndrome and thyroid dysfunction. Despite its clinical and psychosocial implications, data on its prevalence and severity…...
A Rare Presentation of Acute Cholecystitis Mimicking Malignancy in a Young Male With Elevated Ig G4
14+ hour, 40+ min ago (143+ words) A rare case of a 26-year-old male presenting with abdominal pain and jaundice was initially suspected to be a gallbladder malignancy based on imaging findings of a gallbladder fossa mass and biliary strictures. Serial imaging, including ultrasound, CT, PET-CT, and…...
Lithium Toxicity or Alcohol Withdrawal?
1+ day, 14+ hour ago (172+ words) Lithium has a narrow therapeutic index'and remains the first-line treatment for bipolar I and II disorders. Dosing this medication requires careful monitoring, and there is a risk of toxicity. This case follows a 43-year-old male with a medical history of…...
Clinical Series of Endogenous Klebsiella Endophthalmitis: Understanding an Aggressive Invasive Pathogen
1+ day, 14+ hour ago (178+ words) We aim to delve into the characteristics of endogenous endophthalmitis caused by Klebsiella pneumoniae, focusing on the clinical manifestations, systemic risk factors, sources of the microorganism, and treatment outcomes among patients in our clinical series. All patients exhibited the classic…...