introduction: medical thoracoscopy is a minimally invasive procedure for diagnosing and treating pleural diseases. despite its proven role in diagnostic and therapeutic purposes, it is infrequently used, which could be because of cost of equipment and lack of training. we analyzed our initial 3 years record of thoracoscopy at himalayan institute of medical sciences, a tertiary care center in hi...

A 72-year-old man with pancreatic cancer presented coffee-ground emesis for 2 days. Computed tomography of abdomen oral contrast showed gastric distention, transition point at level the bulb and large volume ascites. Endoscopy severe diffuse exudative esophagitis involving most esophagus areas black discoloration mid distal edematous (Figures B). infiltrating mass, consistent known cancer, was ...

Primary intestinal lymphangiectasia (PIL) is a rare disorder, especially in adults. It causes a local disruption of chylus transport and is part of the exudative gastroenteropathies. Conservative therapy includes dietary measures or somatostatin medication. Taking the differential diagnosis of PIL into consideration is a major challenge, since patients suffering from PIL may present with diarrh...

Mesenteric cysts are detected in all age groups with almost equal incidence both genders. Although a rare abdominal growth, it is commonly found the fifth to seventh decades of life. These mostly small (asymptomatic) 3% chance malignant transformation. With increase size cyst, nonspecific complaints pain, distention, discomfort, nausea, vomiting, flatulence, constipation, or diarrhea may develo...

PURPOSE To evaluate whether foveal flicker sensitivity and fundus appearance are good predictors of exudative age-related maculopathy (ARM) when the effects of aging, retinal illuminance, and criterion differences are controlled. METHODS Fellow eyes of monocular exudative ARM patients were tested at baseline. Seven of these eyes have now developed exudative ARM. Therefore, at baseline they we...

Acinetobacter baumannii is a pathogen of increasing medical importance with a propensity to be multidrug resistant, thereby making treatment challenging. Little is known of virulence traits in A. baumannii. To identify virulence factors and potential drug targets, random transposon (Tn) mutants derived from the A. baumannii strain AB307-0294 were screened to identify genes essential for growth ...

BACKGROUND & OBJECTIVE CA-125, an ovarian tumor marker is known to increase in non malignant conditions such as tubercular and non tubercular pleuritis and ascites. We undertook this study to evaluate non-specific rise in CA-125 levels in conditions associated with pleural effusion and ascites and also to understand the mechanism of its secretion. METHODS CA-125 levels in 38 pleural and 46 as...

We present a case of a 65-year-old Hispanic man with a history of disseminated cutaneous coccidioidomycosis who presented to the emergency room for progressively worsening abdominal pain associated with shortness of breath. The patient was found to have pleural effusion and moderate ascites on physical examination. Abdominal ultrasound and computed tomography scan were consistent with moderate ...

purpose: to report a relatively rare case of familial exudative vitreoretinopathy (fevr). patient and findings: a 13-year-old boy referred with decreased visual acuity of both eyes, specially right eye from 6 years ago. he had several ophthalmologist and optometrist visits and spectacle prescription without any improvement of vision. best corrected visual acuity (bcva) was 25 cm of count finger...