A 25‐year‐old primigravida was referred to our hospital at 38 ± 3 week gestation with meconium stained liquor for emergency caesarean section (CS). She weighed 90 Kg with a height of 104 cm and body mass index (BMI 80 kg/m2, morbid obesity). She was a diagnosed case of pregnancy induced hypertension (PIH), not on medications. She had complaints of fever, productive cough and dyspnea (NYHA III) ...

A 60 year old male farmer, chronic smoker, presented with complaints of productive cough since 1 month, swelling of the face and neck since 3 weeks and dyspnoea since 10 days, which was worse at night. There, was history of loss of appetite and considerable weight loss. There was no history of fever. On examination vitals were stable. The patient had right cervical lymphadenitis and right supra...

An 18-year-old man with a history of type 1 diabetes mellitus presented with a sudden onset of retrosternal pain and dyspnea, preceded by a 3-day history of severe vomiting. The patient denied any fever but complained of new-onset headache. His vitals signs were normal. Physical examination revealed a dehydrated patient with cervical subcutaneous emphysema and Hamman’s crunch sign. There were n...

Background: To determine relationship between the levels of serum Lactate Dehydrogenase (LDH)on admission and prognosis of dengue fever. Methods: Patients (n=62) admitted with the diagnosis of dengue fever were included. On admission, serum LDH levels were measured in all patients and to find relationship we monitored all patients upto discharge. Monitoring was done for vitals, different blood ...

A 45-year-old lady presented with moderate spasmodic pain in the right lower abdomen of 1-month duration. The pain was relieved by antispasmodics till its effect lasted. She was having such episodes since last couple of years for which she had visited many doctors. She had undergone a laparotomy 8 years back (details not available). On examination, she is of normal health and vitals. Abdominal ...

Advances in optical character recognition (OCR) software and computer hardware have stimulated a reevaluation of the technology and its ability to capture structured clinical data from preexisting paper forms. In our pilot evaluation, we measured the accuracy and feasibility of capturing vitals data from a pediatric encounter form that has been in use for over twenty years. We found that the so...

To cite: Siddiqui SA, Tomar V. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217596 DESCRIPTION A boy aged 3 years presented to the emergency department with sudden onset of painless penoscrotal swelling and ecchymosis of 2 days. There was no history of trauma or similar presentation before this episode. No family history of bleeding disorder was present. On...

Aquatic immersion has been reported to produce a significant number of physiological changes in blood pressure, heart rate variability (HRV), autonomic nervous system (ANS), and core temperature in young healthy subjects. The purpose of this study was to examine the impact of water immersion in younger and older populations, determining whether there are age related differences for ANS regulati...

Hemorrhagic shock is a principal cause of death among trauma patients within the first 24 hours after injury. Optimal fluid resuscitation strategies have been examined for nearly a century, more recently with several randomized controlled trials. Hypotensive resuscitation, also called permissive hypotension, is a resuscitation strategy that uses limited fluids and blood products during the earl...

With the large amount of available data and the variety of features they offer, electronic health records (EHR) have gotten a lot of interest over recent years, and start to be widely used by the machine learning and bioinformatics communities. While typical numerical fields such as demographics, vitals, lab measurements, diagnoses and procedures, are natural to use in machine learning models, ...