foreign body aspiration is unusual in adults, except those who are debilitated or have neuropsychiatric disorders. it can be a life-threatening situation and it often requires a high index of suspicion, because the diagnosis can be obscure. prompt diagnosis and intervention through foreign body retrieval are critical to prevent significant morbidity and mortality. we present a case of denture a...

immunoproliferative small intestinal disease (ipsid) is the syndrome associated with mediterranean lymphoma (a rare form of non-hodgkin’s lymphoma). many of the patients diagnosed with secretory ipsid have variable level of abnormal immunoglobulins in serum or other bodily fluids, identified as truncated alpha heavy chain globulins. most cases are characterized by a loss of ability to synthesiz...

abstract renal medullary carcinoma (rmc) is an uncommon aggressive neoplasm of the kidney. rmc is biologically aggressive with a very poor prognosis, and metastasis is seen in up to 95% of the patients at diagnosis or shortly thereafter. the common sites of metastasis are respectively lymph nodes, lungs, livers, and adrenal glands in order of frequency. the presence of poorly differentiated eos...

introduction vincent’s angina refers to acute necrotizing ulcerative lesions of the oral mucosal membranes and tonsils. case presentation; in this case, we report a 17-year old girl with emotional stress referred with symptoms of vincent’s angina. gram staining showed numerous fusospirochetal bacteria. with antibiotic therapy, amoxicillin and cephalexin, no clinical improvement was observed but...

background: who suggest that family physician is the core in the world efforts for quality improvement, cost ef­fectiveness, and equity in the health care systems. this study evaluates the impact of the program on accessibility of the services, case finding, patient referral, feedback process and insurance coverage in the rural health units. methods: this study was quasi experimental. it compar...