1+ day, 12+ min ago  (204+ words) Although valproate-induced hyperammonemia is a common adverse effect, it is rarely associated with potentially fatal encephalopathy. A 22-year-old female with a disturbance of consciousness presented to the emergency department after taking an overdose of sustained-release sodium valproate. Initial laboratory testing…...

1+ day, 12+ min ago  (307+ words) Rathke's cleft cyst (RCC) is a benign pituitary lesion that is often asymptomatic but can cause hypopituitarism, including central adrenal insufficiency, which may become clinically apparent under physiological stress. However, RCC presenting with adrenal insufficiency unmasked by acute respiratory illness…...

14+ hour, 8+ min ago  (252+ words) Postpartum hemorrhage remains a major obstetric emergency and one of the most important contributors to maternal morbidity and mortality worldwide. Effective management depends on early recognition, systematic evaluation, and rapid implementation of evidence-based therapeutic strategies. A structured clinical approach facilitates…...

1+ day, 12+ min ago  (166+ words) Pulmonary embolism (PE) is a common and potentially life-threatening condition, most often arising from deep vein thrombosis (DVT). However, PE may rarely occur without demonstrable DVT, including after superficial venous procedures. We present the case of a 49-year-old morbidly obese…...

3+ day, 12+ min ago  (226+ words) Inguinal hernia repair with mesh reconstruction is amongst the most frequently performed elective general surgical procedures and is associated with well-recognized complications such as recurrence, infection, and chronic pain. Rarer complications of mesh repair have also been reported, particularly since…...

21+ hour, 13+ min ago  (296+ words) A 67-year-old woman had undergone radiofrequency ablation (RFA) for right breast cancer at a university hospital 21 years before and visited our hospital for annual breast surveillance after finishing the 10-year follow-up. During the annual breast surveillance, unexplained and unintentional weight…...

1+ day, 11+ hour ago  (171+ words) Scrub typhus is an acute febrile illness endemic in India and remains an important yet often underdiagnosed cause of severe systemic infection. It is caused by Orientia tsutsugamushi and is characterized by endothelial injury leading to widespread vasculitis. We report…...

2+ day, 12+ min ago  (136+ words) An angular pregnancy is a rare form of ectopic implantation. We report a 30-year-old primigravida presenting with an abnormal beta-human chorionic gonadotropin (b-h CG)trend. At presentation, her b-h CG was 1, 950 m IU/m L. Ultrasound showed an angular gestational sac…...

2+ day, 12+ min ago  (268+ words) In recent years, there has been a shift from the inguinal approach to coronary artery treatment to the radial approach, which has fewer complications. However, the inguinal approach is still often used in cases of dialysis. Following inguinal puncture, vascular…...

1+ day, 9+ hour ago  (223+ words) The benefits of simulation training for technical skills development in orthopaedic arthroscopic surgery have been well documented. Access and high costs are barriers to regular use, which may be overcome with a low-cost, self-made model. Examples from established knee arthroscopy…...