conclusions a high index of suspicion is essential for early detection of ddr and dddr. patients with high impact injuries or surrounding organ damage should be followed with serial clinical examinations, follow-up radiologic assessments, and even re-exploration in situations highly suspicious for diaphragmatic injuries. introduction diaphragmatic rupture (dr) is an uncommon, potentially seriou...

introduction wilson’s disease is an autosomal recessive disorder, characterized by a disturbance in copper metabolism that leads to copper overload in different tissues of the body. because of various manifestations of wilson’s disease, physicians should have high index suspicion when patients manifest any type of liver disease, neurologic and psychiatric signs and symptoms. discussion wilson’s...

between the end of june and the middle of july 2011, an outbreak of cchf occurred in southern part of tehran, iran. this study reports clinical, laboratory fi ndings and outcome of six cases, who were all consanguine. index case who was livestock-worker died with hemorrhagic manifestations; thereafter his pregnant wife, three brothers, mother-in-law and his pregnant sister-in-law were admitted ...

Hermeneutics remains a divisive and polarizing topic within scholarly ecclesiastical communities in South Africa. These tensions are not limited to theoretical differences but often crystallize on grassroots level when local churches church assemblies have make important decisions controversial ethical topics such as ordaining women offices, assessing the ethics of gay marriages, taking stance ...

OBJECTIVE To discuss what constitutes elder abuse, why family physicians should be aware of it, what signs and symptoms might suggest mistreatment of older adults, how the Elder Abuse Suspicion Index might help in identification of abuse, and what options exist for responding to suspicions of abuse. SOURCES OF INFORMATION MEDLINE, PsycINFO, and Social Work Abstracts were searched for publicat...

Urinothorax is seen quite rarely in the etiology of pleural effusion. Pleural effusion due to urine accumulation in the thorax is known to be secondary to urinary obstruction, trauma, retroperitoneal inflammatory or malignant process, failed nephrostomy or kidney biopsy. The lack of reported cases may be owing to the lack of suspicion. This is a report of a patient with urinothorax, resulting f...

Uterine rupture often occurs in the third trimester of pregnancy or during labor. Its occurrence in early pregnancy and in the absence of any predisposing factors is very rare. Untimely diagnosis and a low index of suspicion could be life-threatening. Here we report the case of a 29-year-old woman with a history of two previous cesarean sections. An ultrasound report revealed a dead fetus in th...

Introduction: Atypical infratemporal fossa infections are rare and potentially fatal.   Case Report: A case of an aspergillosis localized in the infratemporal fossa and another case of tuberculosis of the infratemporal fossa originating from the maxillary sinus, is described. The first patient was immunocompromised and showed symptoms of facial numbness; whereas the other was an immunocompetent...