background: pyrethroids are generally of low toxicity to humans, but in suicidal poisonings which are usually associated with ingestion of high doses, they lead to severe systemic effects. case report: a 30-year old woman presented to emergency department with a history of intentional ingestion of about 15 ml of prallethrin around 3 days earlier. she complained of shortness of breath along with...

THE CASE A previously well 59-year-old woman was admitted to a regional hospital with subacute encephalopathy and found to have severe hyponatraemia (101mmol/L). She had taken indapamide for hypertension over the preceding 3months. Before referral to neurological services, she had received intravenous hypertonic saline. Her serum sodium concentration normalised within a few days, but was associ...

The observation that changes in bronchial osmolarity can induce bronchoconstriction in asthma inspired the experimental studies which, unexpectedly, revealed that frusemide is an effective bronchoprotective agent against a variety of osmotic and non osmotic stimuli. Although the mechanism of this protective effect is not fully understood, studies in vivo and in vitro suggest that frusemide may ...

BACKGROUND Acute hydrocephalus (AH) is commonly encountered after spontaneous or traumatic intracranial bleeding in adults. In the setting of AH, external ventricular drainage is usually proposed as the urgent management. But in rare occasions, AH could be transient and resolve spontaneously without invasive management. Although its actual incidence might be higher, only a few case reports on t...

conclusions multiple prescription drug abuse and salt/salty food addiction usually reflects a personality of addiction, which leads to harmful use and dependence. case presentation a 28-year-old woman presented with tetany due to hypocalcemia, hypokalemia and hypomagnesemia. she had a history of laxative and diuretic abuse, and salt craving. psychiatric evaluation revealed a disturbed social hi...

Introduction: Pneumocephalus is the presence of air or gas within the cranial cavity. It can occur following otorhinolaryngological procedures. A small pneumocephalus spontaneously heals without any treatment. In severe cases, conservative therapy includes a 30-degree head elevation, avoidance of the Valsalva maneuver, analgesics, osmotic diuretics, and oxygen therapy.   Case Report: A 56-year-...

Sodium-glucose co-transporter 2 (SGLT2) inhibitors are a new glucose-lowering therapy for T2DM with documented benefits on blood glucose, hypertension, weight reduction and long term cardiovascular benefit. They have an inherent osmotic diuretic effect and lead to some volume loss and possible dehydration. There is some concern about the safety of using SGLT2 inhibitors in Muslim type 2 diabete...

OBJECTIVE Use of diuretics has been associated with an increased risk of gout. Data on different types of diuretics are scarce. We undertook this study to investigate the association between use of loop diuretics, thiazide or thiazide-like diuretics, and potassium-sparing agents and the risk of developing incident gout. METHODS We conducted a retrospective population-based case-control analys...