We report a case of a 28-year-old major depressive female patient who manifested ecchymoses following fluoxetine use. After substitution of sertraline, her depression resolved after 4 weeks and ecchymoses 1.5 months latter. This is an unexplored side-effect with unknown long-term consequences that warrants further study.

Severe coagulopathy in advanced hepatic disease is characterized by coagulation factor deficiencies as well as accelerated fibrinolysis.1 Hyperfibrinolysis in cirrhotic patients is the result of excess fibrin breakdown leading to defective hemostasis. We present a case of a cirrhotic patient with extensive spontaneous ecchymosis and an acute drop in hemoglobin level, which were due to primary h...

Background: Coronary artery bypass graft (CABG) is a common surgical procedure in patients with heart disease associated pain and problems great saphenous veins (GSVs) wound healing. Objectives: We aimed to determine the effect of aloe vera gel on intensity, GSVs healing non-diabetic undergoing CABG. Methods: In this clinical trial, 35 CABG candidate fulfilling admission criteria were selected ...

Objective: To determine the different oral findings in patients with renal insufficiency, chronic. Methods: A descriptive cross-sectional study was carried out that included 123 individuals who were diagnosed chronic and underwent dialysis treatment at Renal Services Unit of Austro city Cuenca-Ecuador. Once approved by Research Directorate Faculty Dentistry (DIFO) University Cuenca (code UC-DIF...