Laboratory Quality Control Based on Risk Management
Risk management is the systematic application of management policies, procedures, and practices to the tasks of analyzing, evaluating, controlling and monitoring risk (the effect of uncertainty on objectives). Clinical laboratories conduct a number of activities that could be considered risk management including verification of performance of new tests, troubleshooting instrument problems and responding to physician complaints. Development of a quality control plan for a laboratory test requires a process map of the testing process with consideration for weak steps in the preanalytic, analytic and postanalytic phases of te...
Source: Annals of Saudi Medicine - November 21, 2017 Category: General Medicine Tags: ISSUE 3 Source Type: research

Diagnosis: Intralobar Sequestration
The chest CT scan with contrast (Figure 1) revealed large cystic parenchymal changes and a lesion with an aberrant aortic branch supplying the lesion. After (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

Ibn Sina (Avicenna): The Prince Of Physicians
Abu Ali Al-Hussein Ibn Abdullah Ibn Sina, known in the West as Avicenna, was one of the most eminent Muslim physicians and philosophers of his (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

Re: Osteoporosis Among Male Saudi Arabs: A Pilot Study
To the Editor: I read with great interest the article by Mir Sadat Ali, et al " Osteoporosis Among Male Saudi Arabs: Pilot Study " published in November-December (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

Simultaneous Bilateral Spontaneous Pneumothorax: A Case Report
To the Editor: Pneumothorax is the presence of air in the pleural space with secondary lung collapse. Simultaneous bilateral spontaneous pneumothorax (SBSP), defined as  the concurrent occurence (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

Anal Canal Carcinoma Treatment Results: The Experience of a Single Institution
CONCLUSION: Combined chemoradiation in treatment of anal cancer is effective in terms of local control and sphincter preservation. Five-year estimates of PFS, OS, as well as CFS, in patients treated with a MTB were surprisingly comparable to those determined in most non-MTB series. However, we reported a higher local failure rate, for which we are reevaluating our treatment protocol. Ann Saudi Med 2011; 31(2): 158-162PMID: 21403412 DOI: 10.4103/0256-4947.77488 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

Clinical and Histopathological Spectrum of IgA Nephropathy in Kuwait
CONCLUSION: The prevalence of IgAN in Kuwait is about 9.2% of native kidney biopsies. Renal impairment or macroscopic hematuria at presentation was seen in patients with more aggressive renal lesions and contributed to poor outcome. Ann Saudi Med 2011; 31(2): 152-157PMID: 21403411 DOI: 10.4103/0256-4947.77491 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

A Rare Human Infection of Raoultella Ornithinolytica in a Diabetic Foot Lesion
PMID: 21245608DOI: 10.4103/0256-4947.75795 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: VOLUME 37 Source Type: research

Updated Recommendations for the Diagnosis and Management of Osteoporosis: A Local Perspective
Postmenopausal osteoporosis and osteoporosis in elderly men are major health problems, with a significant medical and economic burden. Although osteopenia and osteoporosis are more common locally than in the West, fracture rates are generally less than in Western countries. Vitamin D deficiency is common in the region and contributes adversely to bone health. Vitamin D deficiency should be suspected and treated in all subjects with ostopenia or osteoporosis. The use of risk factors to determine fracture risk has been adopted by the World Health Organization and many international societies. Absolute fracture risk methodolo...
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

A Rare Human Infection of Raoultella Ornithinolytica in a Diabetic Foot Lesion
PMID: 21245606DOI: 10.4103/0256-4947.75794 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 1 Source Type: research

Involvement of the Cervical Cord and Medulla in Posterior Reversible Encephalopathy Syndrome
We present a case of PRES with involvement of the medulla and cervical cord (apart from the typical parieto-occipital lesions)-an extremely rare imaging manifestation of PRES. It is important to recognize the imaging findings of PRES in spinal cord, and avoid misdiagnosis as myelitis by proper clinical correlation. Typically patients with myelitis have a profound neurodeficit, while patients with spinal manifestations of PRES are asymptomatic. Involvement of the cord in PRES has probably been an underrecognized entity as spinal imaging is not routinely performed in posterior reversible encephalopathy syndrome. Ann Sau...
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 1 Source Type: research

Floor-of-Mouth Metastasis in Colorectal Cancer
We report a case of colorectal carcinoma with metastasis to the floor of the mouth. This is probably the first reported case of metastasis to the floor of the mouth in a patient with colorectal cancer. Ann Saudi Med 2011; 31(1): 87-89PMID: 20864784 DOI: 10.4103/0256-4947.70583 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 1 Source Type: research

RE: A Guideline for the Inpatient Care of Children with Pyelonephritis
PMID: 21245607DOI: 10.4103/0256-4947.75792 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 1 Source Type: research

Hyalinizing Spindle Cell Tumor with Giant Rosettes
Low-grade fibromyxoid sarcomas are uncommon deep-seated soft tissue neoplasms that exhibit a deceptively benign appearance microscopically. The finding of a linear or whorled array of spindled cells with few or no mitoses in a characteristic myxoid stroma can pose diagnostic dilemmas. Recurrences are common, and late metastases have been recorded. A closely related tumor, the so-called hyalinizing spindle cell tumor with giant collagen rosettes (HSCTGR), has also been described, with both the neoplasms having a similar cytogenetic abnormality and clinical behavior. Because of the similarities, both lesions are considered t...
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 1 Source Type: research

Early Cholestasis in Neonatal Lupus Erythematosus
We report a 5-day-old male neonate, born to a clinically asymptomatic mother, presenting with conjugated hyperbilirubinemia, cutaneous lupus lesions, congenital heart block, and thrombocytopenia. Both the neonate and his mother had high titers of antinuclear antibodies (1:640), anti-Ro (SSA), and anti-La (SSB) antibodies. The thrombocytopenia improved with prednisolone (2 mg/kg/day) for 14 days. The skin lupus rashes and bilirubin resolved 2 months later, and liver enzymes were completely normal by 6 months. Ann Saudi Med 2011; 31(1): 80-82PMID: 20864789 DOI: 10.4103/0256-4947.70569 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 20, 2017 Category: General Medicine Tags: ISSUE 1 Source Type: research