fungal sinus infections are being recognized with increasing frequency. we report a case with rhino cerebral and chest phaeohyphomycosis infection caused by cladosporium bantianum in an 18 year old man with wegener's granulomatosis. the diagnosis was established by histopathological appearance, direct examination, culture and computerized tomography (ct) scan. this case was successfully tr...

The prompt use of computerized tomography has significantly enhanced the early localization of traumatic posterior fossa hematoma of the brain. Consequently, timely surgical intervention has been possible before irreversible damage has set in. The result is an overall improvement in the survival of patients with this condition. The clinical presentations of 2 children who developed traumatic po...

Eosinophilic granuloma is benign end of the spectrum of the Langerhans cell histiocytosis (LCH) which is characterized by solitary or multiple lesions in bones, skin, lung, lymph node etc. Here, we present a case of a 13-year old boy with pain and swelling in the right parietal region of skull with no other complaint. A computerized tomography (CT) scan and subsequent fine needle aspiration cyt...

An 18-year-old male patient with Hodgkin's lymphoma stage IVB (HL-IVB), is presented. On a follow-up examination a splenic ultrasound scan showed the presence of multiple intense nodules. The gallium-67 citrate, single photon emission tomography scan was negative, while positron emission tomography/computerized tomography (PET/CT) scan with fluoro-18-fluordeoxyglucose was strongly positive. Mas...

Fluoro-Deoxy-Glucose Positron Emission Tomography/Computerized Tomography scan is a very useful method in the diagnosis and follow-up of gastrointestinal malignancies, although it may cause confusion in differential diagnosis.We present a 48-year-old man admitted with a right lower quadrant mass. Upon an unyielding colonoscopy due to inability to pass beyond the hepatic flexure, a Fluoro-Deoxy-...

when considering a patient with dysphagia, an attempt should be made to determine whether the patient has difficulty only with solid boluses (suggestive of mechanical dysphagia) or with liquids and solids (suggestive of a motility dysphagia). lesions such as an oesophageal tumor and external pressure effect from a lung tumor or aberrant vessel can lead to mechanical dysphagia. endoscopy and / o...

conclusions every clinician must be alert to the possibility of battered baby in a child with multiple injuries. case presentation a three-year-old female child was brought with multiple bruises, fracture of left femur and features of raised intracranial tension. the etiology was unclear at presentation. inconsistencies in history given by the mother, a background of poverty and single parentho...

Neuroleptics may cause side effects, some of which are little known. We describe here a case of gastric dilation related to treatment with a neuroleptic in an elderly man. To our knowledge, such a case has never been reported in the literature. A 76-year-old man, living in a nursing home, was hospitalized for general weakness and abdominal pain. He had dementia with behavioral disorders treated...

PURPOSE MUSIC is a statewide consortium of 42 urology practices that aims to improve the quality of prostate cancer care in Michigan. As an initial priority, we examined patterns of care in the radiographic staging of men with newly diagnosed prostate cancer. We determined whether collaborative-wide data review and performance feedback would decrease the imaging rate in men with low risk prosta...