background: cutaneous manifestations are commonly observed in the neonatal period. it is important to differentiate physiologic skin lesions from pathologic ones to avoid parents’ concerns. regarding this, the current study aimed to investigate the frequency and localization of salmon patch (sp) and mongolian spot (ms) in iranian newborns to assess the potential relationship between the neonata...

newborns’ bacterial infections due to group b streptococcus (gbs) happen in two forms including early-onset disease or late-onset disease. in this paper, we report a case of early-onset gbs infection in a male infant. a 22-year-old primigravid woman delivers a term normal looking male infant. nasal flaring, grunting, and poor feeding presented soon after birth. an empiric treatment with intrave...

Volume replacement is the most important step in treating hypovolaemic shock. Blood is needed when the oxygen carrying capacity threatens to fall below a critical level, but has the disadvantage of transmitting virus hepatitis. Anicteric hepatitis is about four times more frequent than the icteric form. Pasteurized plasma protein solution and albumin are free from the risk of transmitting hepat...

syndrome and jaundice was significantly improved (Fig. B). Massive bloody stool with hypovolemic shock occurred 5 days later. No abnormalities were observed on esophagogastroduodenoscopy. Colonoscopy revealed a protruding mass with superficial ulceration in the hepatic fracture (Fig. C). What is the most likely diagnosis? Question: An 88-year-old man with a 2-week history of right upper abdomin...

nous literature, and the diverse opinions as to its pathology, comes malaria. To the Army Surgeon, who sees more of malarial fevers than any other section of the medical profession, the subject of the paroxysmal fevers, however approached, must be of surpassing interest and importance. To all who have seen much of malarial fevers, instances of co-existing jaundice and hsematinuria must be famil...

Case history. A young, unmarried woman, aged 21, complained of malaise, epigastric discomfort, and nausea of approximately two days duration. She had noticed that her urine was " very dark ". On examination, the throat was seen to be slightly injected, and a tender tonsillar adenitis was present on the left side. The skin presented a definite icteric tinge, although the sclerae were of a normal...

A Hawaiian monk seal (Monachus schauinslandi) died in captivity at the National Marine Fisheries Service, Kewalo Basin Facility in Honolulu, Hawaii. The animal was icteric, and the liver was friable. Microscopic lesions were detected in the colon and liver. Colonic lesions included multifocal, necrohemorrhagic colitis associated with gram-negative bacilli. The liver lesions included random hepa...