A 28 years female pregnant; 15 week +3 days gestational age, G0, P1, A0; presented for routine antenatal care visit in primary health care center. She had done the investigation in privet hospital showing rubella +ve IgM, CMV +ve IgG. Taking full history, the patient had simple flu like illness several weeks ago with no treatment is needed, no recent contact with a case of rubella nor recent va...

A 43-year-old man presented to the emergency department (ED) with epigastric pain radiating down the center of his abdomen. He denied significant use of alcohol or non-steroidal anti-inflammatory drugs. He had uncontrolled hypertension on hydrochlorothiazide and a blood pressure of 185/95 mmHg. A two-dimensional aortic ultrasound was done at the patient's bedside and revealed a double lumen and...

Acute ST-segment elevation myocardial infarction (STEMI) is a serious disease in clinical practice. The rapid and accurate diagnosis of this critical illness can lead to prompt reperfusion, and it enables the reduction of cardiac ischemic damage and results in improved subsequent outcomes. The shorter the time to reperfusion, the greater the benefits. The American College of Cardiology/American...