Hematemesis, a Distended Abdomen, and Pulseless Electrical Activity – An Unusual Presentation of Boerhaave’s Syndrome

A Newborn with Distended Abdomen.

A male neonate was born to a 35-year-old mother at an outside hospital at 39 1/7 weeks gestation via emergency cesarean section due to decreased fetal movements. The infant had respiratory distress secondary to meconium aspiration and was noted to have a large, distended abdomen at birth. Subsequent ultrasound confirmed hepatosplenomegaly with no evidence of liver mass or ascites. By report, al...

Unusual presentation of the Conn\'s syndrome: a case report

 Abstract A 26 -year- old woman presented with rhabdomyolysis secondary to severe hypokalemia. Hypertension and metabolic alkalosis could lead to the suspicion of primary aldosteronism, which was confirmed by a decreased plasma rennin, elevated plasma aldosterone levels and high aldosterone/rennin ratio additionally. Additionally adrenal computed tomography showed an adrenal tumour. Blood press...

Application of ultrasound in pulseless electrical activity (PEA) cardiac arrest

Atropine, halothane, and pulseless electrical activity.

C ardiovascular depression from halothane overdose is a well-described cause of cardiac arrest in children undergoing anesthesia. In Salem et al’s (1) report of cardiac arrests in infants and children, seven of 73 were related to overdose of halothane. In Keenan and Boyan’s (2) landmark article on cardiac arrest due to anesthesia, five of six pediatric arrests were due to halothane excess, with...

Acute Abdomen: an Unusual Presentation of Disseminated Penicillium Marneffei Infection

Varied clinical presentations of Penicillium marneffei, an opportunistic pathogen in HIV disease has been rarely described in literature. We report a patient with advanced AIDS who presented to us with prolonged fever and had features of an acute abdomen. On radiologic imaging he had features of intestinal obstruction and mesenteric lymphadenitis. A diagnosis was made possible by endoscopic bio...