reported light-headedness with position change but no fever, chills or photophobia. Her vitals were stable except for a mildly elevated blood pressure. While in the office she had a syncopal attack and an urgent CT of the head demonstrated massive non-communicating hydrocephalus (figure 1). She was admitted to the hospital and in the midst of her neurosurgical work-up she suffered a generalised...

Heavy metal poisoning is a serious threat in the world of industrialization as almost all the industries use heavy metals in one or the other way. These heavy metals do harm to vitals such as liver, kidney, lung and blood. Liver is the site of biotransformation of xenobiotic substances. Liver is thus the most affected affected organs of the body. The present study highlights toxic stress of mer...

A 37 year-old male presented after an altercation in which he was dragged by a vehicle. The patient was intoxicated and asking repetitive questions. He demonstrated significant facial trauma—including frank bloody discharge from both ears and dental trauma. His vitals signs were as follows: Temperature 36.8 C; Blood pressure: 125/88; Heart rate: 90; Respiratory rate: 24; O2 sat: 100% room air. ...

Dengue fever and scrub typhus are common causes of acute febrile illness of unclear origin in Asia. Though coinfections of many vector-borne diseases have been described, articles on dengue and scrub typhus coinfection are distinctly limited. In case of coinfection with dengue and scrub typhus, vigilant monitoring of vitals, platelets transfusion, and timely treatment with doxycycline are neces...

A 37-year-old male with known intravenous drug use was admitted with an acute onset of worsening confusion and speech impairment. His vitals and biochemical profile demonstrated severe sepsis, with a brain CT showing several lesions suspicious for cerebral emboli. He then went on to have a bedside transthoracic echocardiogram that was positive for vegetation on the mitral valve, with associated...

The COVID-19 pandemic took valuable lives all around the world. virus was so contagious and lethal that some of doctors who worked with patients either were seriously infected or died, even after using personal protective equipment. Therefore, challenge not only to help communities recover from pandemic, but also protect healthcare staff/professionals. In this regard, paper presents a comprehen...

CASE REPORT A 41-year-old female presented to the emergency department with nausea, vomiting and foreign body sensation in her throat. The patient had multiple co-morbidities including hypertension, diabetes, cervical cancer and gastroparesis with gastrojejunostomy (GJ) tube. The patient had stable vitals, was in no respiratory distress, and her only complaint was mild throat pain and abdominal...

Postanesthesia discharge decision making is a challenging process due to the high complexity and variability of care provided to postoperative patients. We built an ontology-based decision support system that generates discharge recommendations for patients who have undergone surgical procedures. Discharge decisions are made based on patient vitals, symptoms, medical history and details of the ...

Twenty six year old non smoker male, resident of Haryana (India), was admitted for elective surgery. Medical consultation for pre-anaesthetic clearance before surgery was sought for respiratory symptoms. Patient complained of dry cough, breathlessness on exertion and wheezing for the past two weeks. It was not associated with any fever, nasal discharge, sore throat. There was no previous histor...

Barcodes have become the standard means of identification in many industries ever since one appeared on a package of Wrigley’s gum sold in Ohio in June 1974. So, why have hospitals been so slow to embrace a technology made popular at the same time as polyester pants? When it comes to barcode verification at the bedside, the blood-transfusion process is particularly well suited. By using the lat...