As I approach the conclusion of my residency in Obstetrics and Gynecology (OBGYN), I reflect on the profound impact of Intrapartum Ultrasound (IPUS) on my clinical skills. While the widespread use of IPUS hasn't been definitively shown to improve perinatal outcomes [1,2], its promise in enhancing clinical skills and confidence is undeniable.
Pelvic Inflammatory Disease (PID) is commonly caused by Sexually Transmitted Infections (STIs); however, non-STI pathogens contribute to only 15% of cases. Polymicrobial infections can lead to severe PID owing to bacterial synergy. The identification of bacteria is crucial for guiding antibiotic treatment.
Low Frequency Ultrasound Debridement (LFUD) is a less painful, less traumatic method of wound debridement by imploding pulsatile ultrasound shockwaves to a selected wound bed along with a wound irrigation solution. Apart from wound debridement, LFUD is capable of biofilm disruption and wound contraction.
This case report summarises the treatment failure with upadacitinib as sequential rescue therapy in the setting of steroid and dose-intensified infliximab refractory acute severe ulcerative colitis. This patient proceeded to have a colectomy and end ileostomy.
Small Cell Lung Cancer (SCLC) is notorious for its aggressively proliferative nature. Although early metastasis is well-documented in SCLC, metastasis to the nasopharynx is exceedingly rare. We present the case of a 63-year-old male with a history of SCLC of the lung treated with Chemo Radiation Therapy
Lower limb wounds with exposed implants, tendons or extensive degloving with large soft tissue defects pose a significant challenge for the reconstructive surgeon. Kerecis® (Kerecis, Isafjordur, Iceland) is a piscine aceullar dermal xenograft derived from decellularized Icelandic codfish skin, MatriDerm®
Publications report more on this than on the benefits for the indications of pelvic floor prolapse and severe urinary incontinence. Plastic meshes have been in use for almost 20 years. A follow-up study of Perigee implantations was carried out in 2015 by the Charité/Berlin in a dissertation (Annett Buchheim-Zieb).
The peripheral trigeminal neuralgia mainly serves as a pain originated from the central nervous system, and the mechanism of the central pain that related to dental implant surgery is still unclear. However, persistent, and uncontrollable neuropathic pain following dental implant placement is uncommon.
We present the case of a 53-year-old male with a family history of Polycystic Kidney Disease (PKD) and a 20-year diagnosis of PKD who refused surgical treatment and opted for alternative medicine. After a month on hemodialysis, he presented to the emergency department with chest pain, dyspnea, somnolence, desaturation, hypotension, abdominal pain, and gross hematuria.
Numerous studies of intra-articular hip dis- orders have been performed, many revealing anterosuperior joint pathology. However, we have encountered hip injuries in less common locations in American Football players.