Spinal metastases may present in a myriad of ways, most commonly back pain with or without neurology. We report an unusual presentation of isolated atypical chest pain preceding metastatic cord compression, secondary to penile carcinoma. Spinal metastasis from penile carcinoma is rare with few cases reported. This unusual presentation highlights the need for a heightened level of clinical suspi...

Tietze’s syndrome is an inflammatory disorder, which frequently misdiagnosed as the severe life-threating problem. Herein, we reported a case of a 23-year-old male, who complained about the acute chest pain after pneumonia complication. After full examination, he diagnosed as Tietze’s syndrome. Since the precise diagnosis of Tietze’s syndrome has a great importance, our report may raise conscio...

Of 43 consecutive black patients (42 male) with sarcoidosis, 12 (28%) complained of chest pain that met the clinical criteria for typical (four patients) or atypical (eight patients) angina pectoris. These patients underwent cardiopulmonary assessment, which included exercise and redistribution thallium-201 scans and, if indicated, coronary angiography. Nine control patients with sarcoidosis ma...

While atrial septal defect (ASD) classifies as the most common cause of grown-up congenital heart (GUCH) disease, it can present with unconventional symptoms, owing to underlying pathophysiological alterations.[1]Atypical chest pain in ASD be due arrhythmias, right ventricular dysfunction, or ischemia. However, we describe an interesting echocardiographic finding, showcasing a rare potential le...

hydropneumothorax denotes concurrent presence of pneumothorax and hydrothorax in the pleural space, which can be a fatal situation. in this study, we presented the case of a 35-year-old male with history of progressive pleuritic chest pain 30 days before admission with idiopathic hydropneumothorax and spontaneous pneumomediastinum

background coronary artery disease is the single most important cause of mortality and morbidity in diabetic patients. electrocardiographic stress test is a non-invasive modality to screen significant coronary involvement in minimally symptomatic diabetics. objectives we investigated the positive predictive value (ppv) of this test in comparison with coronary angiography. materials and methods ...

OBJECTIVES The relation between chest pain and coronary atherosclerosis (CA) in patients with inflammatory joint diseases (IJD) has not been explored previously. Our aim was to evaluate the associations of the presence of chest pain and the predicted 10-year risk of cardiovascular disease (CVD) by use of several CVD risk algorithms, with CA verified by multidetector computed tomography (MDCT) c...

with an occurrence of 7%, appendicitis is one of the most common abdominal emergencies requiring surgery. since the variation in positions and length of the appendix may produce varying symptoms and signs which mimic other diseases, having knowledge of the variations in the position of the appendix is of significant importance. here, we present a 77-year-old man with acute appendicitis presenti...