Accepted 17 July 1996 A 47-year-old woman was admitted to the hospital with a history of sudden headache, vomiting and slight diplopia on left lateral gaze, without alteration in the level of consciousness. The patient had been diagnosed as suffering from stage II breast cancer, 10 months earlier, after detection of a 2-cm mass in the left breast. A total mastectomy and axillary dissection was ...

28 mm/h, normal total bilirubin, serum creatinine 0.65 mg/dl, total protein 7.1 g/dl, normal IgA, IgM and IgG concentrations and serum albumin of 3.4 g/dl. Anti-gliadin antibody tests were negative, but the IgA endomysium assay and anti-tissue transglutaminase antibody tests were not performed. Urinalysis was negative. A chest Xray showed neither pleural-parenchymal alterations nor cardiomegaly...

The objective of this study was to evaluate the diagnostic value of skull radiograph alone in young children in screening of skeletal dysplasias and dysostoses in comparison with whole skeletal survey. It is a retrospective study which includes 1000 high risk children who undergone whole skeletal survey. 20 patients were diagnosed as dysplasia/dysostoses out of which 18 patients had skull abnor...

Case report A 32 year old female presented with burning and itching sensation with hyperpigmentation over the sun exposed areasface, neck, back and arms. No history of any blisters over skin or hypertrichosis. History of weight loss of more than 6 kgs was documented in a month. Patient’s husband was a driver with history of multiple unprotected sexual exposures with CSW. No history of any oral ...

Methods This prospective randomized controlled study was carried out on 60 mechanically ventilated patients with gram negative VAP. Inclusion criteria: Adult mechanically ventilated patients diagnosed to have Gram negative VAP confirmed:· Radiologically (new chest xray infiltrate). · Microbiologically (positive culture from aspirate of endotracheal tube (ETT). · Clinically (fever, leukocytosis ...

58-year-old woman with no significant medical history developed unexplained weight loss, anorexia, abdominal pain and distension. Physical examination revealed multiple masses in the abdomen, and radiographic studies showed multiple lymphadenopathies in all abdominal quadrants. A chest Xray was normal and she had no family or personal history of tuberculosis. Antibodies against the human immuno...

The aim of this study was to evaluate the correlation between the stage of cystic fibrosis and the intensity of accompanying morphological changes--including transmission electron microscopy--within bronchial mucosa. The stage of the disease was assessed on the basis of clinical status and radiological and endoscopic examination. We focused on morphological changes in epithelial cells, the pres...

OBJECTIVE To assess knowledge about symptoms, diagnosis, treatment, transmission, and impact of tuberculosis in Pakistan. METHODS This nationwide survey was carried out by face to face interviews with 2742 men and women from December 2009 to June 2010. Multiple stage random area probability sampling was used for this purpose. Trained interviewers conducted interviews using structured question...

Introduction. Although follicular thyroid carcinoma is a rare malignant tumor, up to 20% of the patients are threatened by potential complications resulting from infiltrating tumor growth into surrounding tissues. Case report. A 66year-old female came to hospital with the presence of a growing thyroid nodule of the left lobe. Ultrasonic examination showed a 8 cm hypoechoic nodule in the left lo...

Introduction: The diagnosis of Pulmonary embolism (PE) is often missed due its varied clinico-radiological presentation. The presentation may vary from an incidental finding in an asymptomatic patient to sudden death. High index of suspicion is required for early diagnosis and prevention of mortality since pulmonary embolism is Aim: To study the clinical and radiological profile of patients dia...