INTRODUCTION Stiff ears appear to be a warning sign for adrenal insufficiency. This remarkable and rare sign has not been described to present in adrenal insufficiency in the setting of critical care. CASE PRESENTATION We present the case of a 68-year-old Caucasian male who underwent a thymoma resection and suffered from preoperative weight loss and lack of strength. The perioperative phase w...

We present a case of a 53-year-old woman who developed multifocal insufficiency fractures associated with adefovir dipivoxil (ADV) induced osteomalacia, including recurring metatarsal insufficiency fractures and a subtrochanteric femoral insufficiency fracture requiring surgical fixation. She had received low-dose ADV treatment for 59 months for chronic hepatitis B viral infection at the time o...

BACKGROUND AND PURPOSE Incapacitating vertebrobasilar insufficiency is generally associated with bilateral vertebral artery disease, whereas unilateral vertebral artery stenosis usually is clinically silent. Regional brain perfusion has not been part of the routine evaluation of patients with vertebrobasilar insufficiency. This report describes two patients who had isolated unilateral vertebral...

the surgical intensive care unit is not an unusual event.1 Prompt recognition and management of adrenal insufficiency are critical to patient recovery and survival. Although it is an infrequent presenting sign of adrenal insufficiency, hypercalcemia is a well recognized complication of the disorder.2,3 Hypercalcemia has been reported to occur not only with primary hypoadrenalism but also with s...

10.2217/14750708.2.3.425 © 2 part of Chronic renal insufficiency and atherosclerosis are tightly connected clinical syndromes. Overall, renal function assessed by estimated glomerular filtration rate correlates with total and cardiovascular mortality in a graded fashion. In addition, microalbuminuria is a prognostic indicator for both progression of chronic renal insufficiency and adverse cardi...

brucella endocarditis is a rare, and life threatening complication of human brucellosis. children are usually infected by consumption of contaminated dairy product. clinical presentation is similar to rheumatic fever. aortic valve is most commonly involved. clinical manifestations of fever, arthritis/arthralgia, aortic insufficiency, echocardiographic evidence of vegetation, and negative findin...

subchondral insufficiency fracture of the femoral head (siffh) is characterized by acute onset hip pain without overt trauma. it appears as a low intensity band with bone marrow edema on t1-weighted mri. the most common course of treatment is protected weight bearing for a period of several weeks. total hip arthroplasty (tha) has been commonly used if the patient does not respond to the initial...

respiratory failure is a serious complication of h1n1 influenza that, if not properly managed, can cause death. when mechanical ventilation is not effective, the only way to save the patient’s life is extracorporeal membrane oxygenation (ecmo). a prolonged type of cardiopulmonary bypass, ecmo is a high-cost management modality compared to other conventional types and its maintenance requires sk...

OBJECTIVE The present study was aimed to investigate the impact of postoperative pituitary tumor adrenal insufficiency and hormone replacement therapy (HRT) on tumor recurrence. PATIENTS AND METHODS The prospective study included 143 pituitary tumor patients as study subjects. Within 6 months after the operation, the study was planned to explore differences (if any) between the tumor recurren...