Jaccoud ’s Arthropathy and Jaundice in a Young Woman

A25-year-old woman with an unknown history presented with severe symptomatic anemia. She was pale, ill-appearing, and jaundiced. Physical examination showed swan-neck deformity and reducible subluxations of the fingers with ulnar deviations (Figures A and B). Plain radiographs showed no erosion. Laboratory work-up was significant for the following: total bilirubin, 14 mg/dL; alanine aminotransferase, 75  U/L;aspartate aminotransferase, 187 U/L; alkaline phosphatase, 315 U/L; international normalized ratio, 1.7; and albumin, 2.1 g/dL.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research

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RESUMO Objetivo: Descrever um caso de s ífilis congênita com diagnóstico tardio e identificar as oportunidades perdidas nas diversas fases/níveis da atenção à saúde, que retardaram a realização do diagnóstico. Descrição do caso: Menino, 34 dias de vida, encaminhado da Unidade Básica de Saúde a um hospital terciário por a presentar aumento do volume abdominal e icterícia progressiva há 2 semanas, hipocolia fecal, hepatoesplenomegalia, anemia, plaquetopenia e elevação de enzimas hep&aacut...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
RESUMO Objetivo: Descrever um caso de s ífilis congênita com diagnóstico tardio e identificar as oportunidades perdidas nas diversas fases/níveis da atenção à saúde, que retardaram a realização do diagnóstico. Descrição do caso: Menino, 34 dias de vida, encaminhado da Unidade Básica de Saúde a um hospital terciário por a presentar aumento do volume abdominal e icterícia progressiva há 2 semanas, hipocolia fecal, hepatoesplenomegalia, anemia, plaquetopenia e elevação de enzimas hep&aacut...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
RESUMO Objetivo: Descrever um caso de s ífilis congênita com diagnóstico tardio e identificar as oportunidades perdidas nas diversas fases/níveis da atenção à saúde, que retardaram a realização do diagnóstico. Descrição do caso: Menino, 34 dias de vida, encaminhado da Unidade Básica de Saúde a um hospital terciário por a presentar aumento do volume abdominal e icterícia progressiva há 2 semanas, hipocolia fecal, hepatoesplenomegalia, anemia, plaquetopenia e elevação de enzimas hep&aacut...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
RESUMO Objetivo: Descrever um caso de s ífilis congênita com diagnóstico tardio e identificar as oportunidades perdidas nas diversas fases/níveis da atenção à saúde, que retardaram a realização do diagnóstico. Descrição do caso: Menino, 34 dias de vida, encaminhado da Unidade Básica de Saúde a um hospital terciário por a presentar aumento do volume abdominal e icterícia progressiva há 2 semanas, hipocolia fecal, hepatoesplenomegalia, anemia, plaquetopenia e elevação de enzimas hep&aacut...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 007 When you think tropical medicine, malaria has to be near the top. It can be fairly complex and fortunately treatment has become a lot simpler. This post is designed to walk you through the basic principals with links to more in depth teaching if your niche is travel medicine, laboratory diagnostics or management of severe or cerebral malaria. If you stubbled on this post while drinking a cup of tea or sitting on the throne and want a fe...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine malaria Plasmodium plasmodium falciparum plasmodium knowles plasmodium malariae plasmodium ovale plasmodium vivax Source Type: blogs
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 005 Guest Post: Dr Branden Skarpiak – Global Health Fellow, Department of Emergency Medicine. UT Health San Antonio A 35 year old male presents to your emergency room for right upper quadrant pain that has gotten worse over the last 2-3 days. He also describes associated nausea, vomiting, and fevers. He denies other abdominal pain, or change in his bowel or bladder habits. His wife notes that he has started to “look more yellow...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine amebic amoeba amoebiasis amoebic dysentery amoebic liver abscess bloody diarrhoea e.dispar e.histolytica entamoeba histolytica Source Type: blogs
Discussion One of the most common problems in pediatrics is anemia. It is defined as “a lower than normal value for the related measurements of hemoglobin, hematocrit, and number of red blood cells”, usually 2 standard deviations below the normal for age. Normal hematological values change with age. For a discussion of which values are used click here. The most common type of anemia in childhood is iron deficiency which is commonly caused by inadequate stores (e.g. premature infant), inadequate intake (e.g. poor nutrition) or blood loss (e.g. menses). Anemia screening is recommended at age 9-12 months, and for...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
A 6-year-old female domestic ferret presented with a 3-day history of lethargy and anorexia. Clinical examination revealed severe jaundice, painful abdominal palpation and a mass in the left cranial abdomen. Hematologic diagnostic tests of the patient revealed a regenerative anemia, severe neutrophilic and monocytic leukoctytosis, increased alanine aminotransferase (ALT) and total bilirubin, and decreased albumin and glucose concentration. Liver lobe torsion was identified through radiographic and ultrasonographic imaging.
Source: Journal of Exotic Pet Medicine - Category: Veterinary Research Authors: Source Type: research
A 6-year-old female domestic ferret presented with a 3-day history of lethargy and anorexia. Clinical examination revealed severe jaundice, painful abdominal palpation and a mass in the left cranial abdomen. Hematologic diagnostic tests of the patient revealed a regenerative anemia, severe neutrophilic and monocytic leukoctytosis, increased alanine aminotransferase (ALT) and total bilirubin, and decreased albumin and glucose concentration. Liver lobe torsion was identified through radiographic and ultrasonographic imaging.
Source: Journal of Exotic Pet Medicine - Category: Veterinary Research Authors: Source Type: research
CONCLUSION: PDH is the most common syndrome of histoplasmosis in Siriraj Hospital. Skin and bone marrow study are the most useful investigations for diagnosis. Effective treatment includes amphotericin B, followed by oral itraconazole. PMID: 27276735 [PubMed - in process]
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - Category: Journals (General) Tags: J Med Assoc Thai Source Type: research
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