Background: Alcohol withdrawal syndrome (AWS) is one of the most serious complications associated with chronic alcoholism. Sudden deaths are not uncommon in AWS. In severe stages of AWS, delirium tremens (DT) occurs, which is characterized with agitation, global confusion, disorientation, visual and auditory hallucinations in addition to autonomic hyperactivity. Case report: A 30-year old man, ...

Several days after unprotected sex, a 21-year-old male was referred with generalized edema and enlarged painless lymph nodes. Urinalysis showed specific gravity 1036, proteinuria 4+, nitrites negative, urine microscopy with 4–6 erythrocytes/high power field (HPF), 8–10 leucocytes/HPF and the presence of hyaline and granular casts. Urine culture was negative. Proteinuria was 4.6 g/24 h, serum cr...

Case History (Glenn McDonald, MD) A63-year-old white man with no significant past medical history presented to an outlying hospital with a chief complaint of substernal chest discomfort. The patient was in his usual state of health until ~1 to 2 months before admission, when he noticed generalized increased fatigue with exertion. One day before admission at ~5:30 PM, he developed a nonradiating...

A 55-year-old man with diabetes mellitus was in his usual state of health until the day before admission, when he experienced severe abdominal pain that was relieved by a bowel movement several hours later. The following day, he developed excruciating right hip pain while driving. He presented to an emergency department with a temperature of 40°C (104°F) and no focal signs. He was given a dose ...

understanding the essence of movement and knowing how it exists in the physical world, is considered one of the most important philosophical issues in which wise men were occupied with, whether in the greek era or the islamic one. and if the presence of change was of much certainty as well as movement in the physical world, then, the most important issue is the study of how it is present outwar...

A 31-year-old white man with developmental delay and a history of epilepsy was seen in February 2008 with multiple warts on his hands that had been present for several years. He had previously been treated with podophyllin, 2 different concentrations of salicylic acid (25% and 40%), and oral cimetidine, and his regular medications included lamotrigine, valproate, topiramate, and levetiracetam. ...

introduction: traumatic ruptures of the biceps tendon are rare, but serious, and usually involve the long head of the proximal insertion. rupture of the distal tendon account for only 3% of all biceps tendon ruptures. a history of tendonitis, overuse, or anabolic steroid abuse may predispose tendons to rupture. surgical repair, followed by a comprehensive rehabilitation program, was indicated t...