BACKGROUND PCI has been done traditionally through transfemoral route. But now transradial and transbrachial routes are also coming up in practice. We compared transradial versus transfemoral routes for ease of operability, time for procedure, complications, and failure rates through a prospective study. METHODS Four hundred Patients admitted in department of cardiology for percutaneous inter...

Until recent years, the gold standard for treatment of truncal varicose veins has been high ligation and stripping of the saphenous vein. In the course of the last decade, new minimally invasive techniques based on endothermal ablation are progressively supplanting conventional surgery in the treatment of varicose veins. The endovenous treatment of varicose veins has been developed to reduce co...

UNLABELLED After bariatric gastric bypass surgery patients are at risk of developing micronutrient deficiencies. If gastric bypass surgery is followed by a vitamin deficient diet the patients have a risk of developing vitamin-C deficiency. When spontaneous ecchymosis is observed in the skin, in at-risk patients, scurvy must be considered. When treated with large doses of vitamin-C the symptoms ...

A 38-year old female patient presented to the emergency department with pain after twisting her left foot. Findings at clinical examination included presence of a polydactyl foot with local tenderness and ecchymosis of the supernumerary toe. The additional toe is positioned on the dorsum of the foot between the fourth and fifth toe. The imaging workup included plain radiographs of the foot to e...

Oral anticoagulants are associated with several adverse skin manifestations ranging from ecchymosis, purpura, and hemorrhagic necrosis to maculopapular rash, vesicular urticarial eruptions and purple toes. Skin necrosis is a rare but serious side effect of warfarin therapy, associated with significant morbidity and mortality. The prevalence of warfarin induced skin necrosis (WISN) is 0.01-0.1%....

Clinical diagnosis can be influenced and delayed when patients with mental disorders cannot provide reliable medical history and cooperate with physical examinations, as well as their family members cannot evaluate the progress of the disease accurately. We present a case report of a female with schizophrenia who was admitted with convulsion and fever accompanied by skin ecchymosis of the upper...

History and physical examination A 73-year-old man presented with progressive ecchymosis over his periorbital region and face. The lesion started as a small asymptomatic papule over the left infraorbital region since May 2000. It progressed to involve the entire left eyelid and left face, sparing the right side. There was no evidence of preceding trauma or topical medication. He was a retired m...

Dear Editor, An acquired, transient bleeding disorder characterised by a thrombocytopathic bleeding with a platelet storage pool disorder has been reported from the Southeast Asian region and elsewhere since the 1960s.1,2 The condition has been coined acquired platelet dysfunction with eosinophilia (APDE) as cases reported earlier were also found to have eosinophilia. However, a large series of...

OBJECTIVE to analyse the Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability when evaluating perineal healing after a normal delivery with a right mediolateral episiotomy. METHOD observational study based on data from a clinical trial conducted with 54 randomly selected women, who had their perineal healing assessed at four time points, from 6 hours to 10 days afte...

Hepatitis A is common in children and usually is a self-limiting disease. Although extrahepatic and hematological immune manifestations following acute hepatitis A virus (HAV) infection have rarely been reported, they are frequently observed in other viral hepatitis. In this paper, we report the case of a 3-year-old girl who developed immune thrombocytopenic purpura (ITP) and hemolytic anemia a...