BACKGROUND The basic principle of neuroanesthesia is to provide hemodynamic stability, provision of optimal operative conditions, maintenance of cerebral perfusion pressure, and cerebral oxygenation. AIM This study was undertaken to see the effect of dexmedetomidine infusion on hemodynamics and its ability to act as an anesthetic adjuvant in patients undergoing supratentorial tumor surgery. ...

DESCRIPTION An 18-month-old baby presented with decreased movements of right upper and lower limb since birth. The birth history revealed perinatal insult in the form of delayed cry that was followed by right-sided complex partial seizures. The patient exhibited delayed milestones. There is no history of cyanosis, jaundice or head injury in the neonatal period. At present, the patient is unable...

BACKGROUND Amyloidosis is a systemic disease known to affect a vast range of organs, including the liver, heart, and kidney. When infiltrating the liver, amyloidosis typically does not present with cirrhosis. Typical presentation includes hepatomegaly with some mild laboratory abnormalities. CASE REPORT A 72-year-old man presented with a 2-week history of worsening abdominal, scrotal, and ext...

A 42-year-old man presented to the emergency department with 2 weeks history of fatigue and dark tarry stool. He had past medical history significant for primary sclerosing cholangitis with liver cirrhosis, complicated with ascites and small nonbleeding esophageal varices. He denied nausea, vomiting, abdominal pain, weight loss or change in appetite. He also denied excessive use of non-steroid ...

BACKGROUND Metabolic syndrome (MetS) and diabetes confer a high risk for developing subsequent cardiovascular disease (CVD). Persons with MetS constitute 24-34 % of the employee population at Baptist Health South Florida (BHSF), a self-insured healthcare organization. The Baptist Employee Healthy Heart Study (BEHHS) aims to assess the addition of a personalized, interactive, web-based, nutritio...

A 37-year-old renal allograft recipient presented in the outpatient department with complaint of left shoulder pain 3 months after renal transplant. His immunosuppression included cyclosporine 6 mg/kg/day, mycophenolate 500 mg twice daily and prednisolone 10 mg/day. He was treated for hepatitis C infection pretransplant with interferon. Posttransplant management was complicated by an episode of...

To cite: Esteves T, Caseiro L, Codorniz A, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-218236 DESCRIPTION A Caucasian woman aged 35 years, with no relevant personal history or history of drug abuse and an uneventful pregnancy, presented in the emergency room (ER) at 34 weeks of gestation, with preterm premature rupture of membranes. On physical ex...

Background: Laparoscopy requires creation of a pneumoperitoneum which produces a significant rise in heart rate, mean arterial pressure, reduction in venous return and systemic vascular resistance. Various pharmacologic agents are used to control hemodynamic changes associated with pneumoperitoneum. Aim: To compare the effects of Clonidine administered intravenously (group IV) and intraperitone...

A 27-year-old second gravid was admitted with history of amenorrhea of 8 weeks’ duration with lower abdominal pain and spotting per-vaginum of 2 days’ duration. Her vitals were stable, and abdominal examination revealed a soft bulky 6 weeks’ size uterus. Cervical motion tenderness was absent. In view of a positive urine pregnancy test, an urgent transvaginal ultrasound was performed, which reve...

BACKGROUND Telehealth is increasingly used in the care of people with long term conditions. Whilst many studies look at the impacts of the technology on hospital use, few look at how it changes contacts with primary care professionals. The aim of this paper was to assess the impacts of home-based telehealth interventions on general practice contacts. METHOD Secondary analysis of data from a D...