Volume 3

Issue 1

Physical examination – A key for giant cell Arteritis Early Diagnosis

A 76-year-old woman presented to our hospital in August 2021 with severe right sided headache, jaw claudication and recurrent episodes of transient visual loss, with blurred vision, a floating shadow, and flashing lights, lasting less than 2 minutes. She reported no previous medical history.
DOI: 10.55920/IJCIMR.2022.03.001110

Cutaneous Metastases of Ampullary Adenocarcinoma: Case report and literature review

A 64-year-old woman known for stage IIA (pT3 pN0 M0) ampullary adenocarcinoma with pancreatobiliary phenotype, underwent Whipple procedure in September 2014 and received gemcitabine as adjuvant chemotherapy. In July 2018, she developed systemic recurrence with mediastinal disease and superior vena cava syndrome and received first-line palliative chemotherapy with cisplatin/5-fluorouracil (5FU), the best response was stable disease. In October 2020 she presented with a 2-month history of rapidly growing scalp lesions on the occipital and left parietal region.
DOI: 10.55920/IJCIMR.2022.03.001109


OMA is seen in 1 in 10 lakh people.It is manifested with chaotic move- ments of eyeballs,Myoclonic jerks and/or Tremor and ataxia both appendicular and truncal.In the children it is associated with Neu- roblastoma and in adults 50%associated with CA breast or small cell carcinoma of the lung.Anti RI antibodies are associated in 60 to 70 % of OMA associated with CA breast. These are the antibodies targetted against Nova 1 and Nova 2[1].
DOI: 10.55920/IJCIMR.2022.03.001108

Role of general Practitioners Novel Coronavirus Pneumonia in prevention and control of Epidemic Situation

Novel coronavirus pneumonia has been found in Wuhan, Hubei since the end of December 2019, and has gradually spread through- out the country. In order to control the new epidemic situation, the country launched a major public health level 1 emergency response, implemented nationwide traffic control and travel restrictions, and required the masses to be isolated at home and spread the way to re- duce the chance of infection; general practitioners, as the “gatekeep- er” of community health, gave full play to their continuous man- agement and service of patients in community places during the epidemic period.
DOI: 10.55920/IJCIMR.2022.03.001107

Point-of-Care Ultrasound in the Diagnosis and Management of Chlamydia-Associated Reactive Arthritis with Isolated Peroneal Tenosynovitis

Chlamydia reactive arthritis most commonly presents as an asym- metric oligoarthritis with lower extremity predominance1. It can have a poor prognosis due to reinfection, variable clinical manifestations, and overlap with other common inflammatory arthropathies. Al- though magnetic resonance imaging (MRI) is often used to evaluate joint effusions, the average wait times have exceeded two to four weeks with costs ranging between $300-$5,000 dollars2. Point-of-care ultra- sound (POCUS) can be used as an efficient diagnostic resource while navigating through the list of differential diagnoses3.
DOI: 10.55920/IJCIMR.2022.03.001106

Urinary Incontinence after Retained Lumbar Drainage Catheter: A Case Study

Lumbar external drainage (LED) is one of the most frequently used salvage methods in neurosurgery. This method helps to prevent CSF fistula in patients with risk of developing rhi- norrhea. This report describes a case of a mechanic complication due to the lumbar drainage system. A 54-year-old woman presented to the otolaryngology clinic with a complaint of nasal congestion. Radiological imaging revealed meningocele. During the endoscopic meningocele repair performed by otolaryngology clinic, cerebrospi- nal fluid leak was observed. Following the repair of the meningo- cele sac, a LED was inserted into the patient’s lumbar subarachnoid space to prevent cerebrospinal fluid fistula.
DOI: 10.55920/IJCIMR.2022.03.001105

CA Success Story of a Woman Medical Physicist in the Middle East

Most of us pictures the Middle East as a region having conservative culture where women are considered second class citizens and men dominates the professionals in whatever field it may be. Not to men- tion the common misconception elsewhere that women are oppressed in this part of the world, many of us thinks that middle eastern women have a very limited opportunity when it comes to professional career and they are thought to be better off staying at home taking care of the household.
DOI: 10.55920/IJCIMR.2022.03.001104

Eosinophilia After Exposure to Darbepoetin alfa: A Case Report

Darbepoetin alfa stimulates erythropoiesis in manner similar to re- combinant human erythropoietin (rEPO). It differs from rEPO as there are two additional oligosaccharide chains in darbepoetin alfa.1 These two chains increase the number of sialic acid residues within the molecule, thereby enhancing its half-life three-fold compared to rEPO.1 U.S. Food and Drug Administration label for Darbepoetin alfa indicates that allergic rash and erythema can occurred in 5% of patients taking darbepoetin alfa,2 which may be due to the immuno- genic nature of darbepoetin alfa owing to different amino acid and oligosaccharide chain sequences (compared to endogenous EPO and rEPO).
DOI: 10.55920/IJCIMR.2022.03.001103

A New Strategy to Build Culture of Compassion in Nursing Practice

Values are generally defined as beliefs or principles that influence behaviour. Following several reports that revealed poor care quality with an apparent lack of compassion, England's Department of Health (DH) introduced the ‘6Cs’ as values for practice within a new nursing strategy. In 2016, the 6Cs were included in the new framework for nursing (1). This article sets out the background to the 6Cs, considers other sets of values relevant to nursing practice and theories of caring, and then explores the meaning of the DH’s 6Cs in detail.
DOI: 10.55920/IJCIMR.2022.03.001102

CIUs as a Measure of Communicative Performance in a Persian Speaker with Anomic Aphasia

Aphasia is an acquired neurological language disorder, primarily due to brain injury caused by stroke, which affects language comprehen- sion and production. Anomia is a type of aphasia, which according to American Hearing and Speech Association (ASHA) is defined as a mild form of aphasia with word-finding difficulty being the main characteristic. Individuals with anomic aphasia have relatively pre- served speech fluency, repetition, comprehension, and grammatical speech but sometimes have difficulty with word retrieval (Dronkers & Baldo, 2010)
DOI: 10.55920/IJCIMR.2022.03.001101