Journal of Clinical Case Reports Medical Images and Health Sciences

Feasibility of the acute physical exercise following Cryotherapy protocol in Rheumatoid Arthritis: A Case report by Daniele Peres in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract Rheumatoid arthritis (RA) patients often present important cardiovascular mortality. An efficient strategy for the prevention of cardiovascular mortality is intermittent exercise (IE). Indeed, the use of cryotherapy can control pain and disease activity, which can be triggered by the IE. This project aimed to verify the protocol feasibility of the IE following local cryotherapy in patients with RA (PwRA). A 74-year-old woman PwRA was evaluated before and immediately after IE (30 minutes), after cryotherapy, and two consecutive days after performing the protocol. The disease activity (DAS 28 and echography), arterial stiffness (peripheral pulse wave velocity), hemodynamic parameters (blood pressure and heart rate), and tolerance (step test, Borg RPE and VAS) of the PwRA were mea...

Cervical emphysema caused by Colonic perforation – A Case report by Márcia Carvalho  in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract Introduction : Cervical subcutaneous emphysema and pneumomediastinum are often associated with traumatic events or surgical procedures. In rare situations, colonic perforations can manifest as pneumomediastinum and subcutaneous cervical emphysema. Case Report : We present a case of a 65-year-old woman presenting in the emergency department with abdominal pain, constipation during the previous week, and vomiting for the last 12 hours. Physical examination showed crepitation in the chest wall and signs of peritoneal irritation. Chest and abdominal radiographs only showed right cervical emphysema.  CT revealed subcutaneous emphysema and pneumomediastinum, with extra-luminal feces and retropneumoperitoneum. The patient underwent emergency exploratory laparotomy, which found fecaloid peritonitis and posterior colonic ...

Exceptional localization of Primary Ewing's sarcoma in the greater wing of the sphenoid bone by Oualid Mohammed Hmamouche in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract Ewing’s sarcoma is a primary bone tumor of high grade of malignancy. Locations in the head and neck are rare. We report the case of a patient with Ewing’s sarcoma of the greater wing of sphenoid with intra orbital and intracranial extension revealed by a diplopia. A stereotactic biopsy was done. The patient received radio-chemotherapy with good outcomes. Thanks to multidisciplinary approach the prognosis has been well improved Key words  : Ewing’s sarcoma, sphenoid bone , primary bone tumor , radiotherapy Introduction Ewing's sarcoma is a rare bone tumor. Before the age of 20, it is the second malignant bone tumor in order of frequency (30%) behind osteosarcoma (60%) [1]. The sites of predilection are the long bones and the pelvis. Locations in the head and neck are exceptional ...

Primary Breast Angiosarcoma: A case report and literature review in Athanasios Armakolas by Journal of Clinical Case Reports Medical Images and Health Sciences  Abstract Breast angiosarcomas are a specific subgroup of sarcomas classified as primary or secondary, the latter being related with radiotherapy following breast conserving surgery and the presence of chronic lymphedema. Primary breast angiosarcomas predominantly occur in younger females usually with non-specific clinical and imaging features. Surgery is the treatment of choice. Standard guidelines are not available in the absence of consensus on the effectiveness of chemotherapy. Adjuvant radiotherapy has been used for local control. We present a case of a primary breast angiosarcoma on the grounds of a previously excised benign lesion and review the literature on these aggressive tumours. Keywords : Angiosarcoma, breast, primary, case report. Case report A 55-year-old postmenopausal, otherwise fit and healthy female, pre...

Comparison of Adolescent Obesity Risk Scale and Obesity Risk Scale to Determine Obesity Risk Knowledge in Parents in Tanna Woods by Journal of Clinical Case Reports Medical Images and Health Sciences Abstract Background:  Obesity is a health crisis affecting all ages. Among adults 20 and older in the United States, the prevalence of obesity is 41.9% while severe obesity is 9.2. Severe obesity increased from 4.7% to 9.2% between 2017 and March 2020. The number of children under 5 years old who are either overweight or obese has increased to 39 million worldwide in 2020.   Research shows that there is a knowledge deficit regarding how early life weight issues can increase the risk of health issues. However, limited research has evaluated whether parents of younger children understand health risks associated with obesity. Two scales have been developed to systematically evaluate knowledge of obesity health risks, the Obesity-risk scale (ORK-10)...