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CASE STUDIES
Malleus- Handle Fracture: Literature Review and a New Surgical Approach
In traumatic middle ear lesions the tympanic membrane is commonly affected, but ossicular lesions do occur. Among the ossicles, the incus is often exposed to subluxation or fracture.
Actinomycosis presenting as a large facial mass
A 58-year-old presents with a 12-month history of progressive right-sided facial swelling. This case reviews test findings, diagnosis and patient management.
Source: Dermatology Online Journal
A Perplexing Case of Gastrointestinal Haemorrhage

A 25-year-old, 34 weeks' pregnant, presents with severe pain in the right chest and back. This case reviews gestational history, and initial test findings. The authors discuss patient presentation 4 months later with multiple episodes of vaginal bleeding and 1 of epistaxis.
Presented by: Singapore Medical Journal (SMJ)

Malleus- Handle Fracture: Literature Review and a New Surgical Approach

A 40-year-old presents with a 3-week history of hearing loss following a sharp pain in the right ear while cleaning it out. This case reviews test findings (audiogram results provided), surgical intervention, patient follow-up, and further test findings.
Source: The Internet Journal of Otorhinolaryngology

Three Cousins with Chronic Foot Ulcers Resulting from Late-Onset Hereditary Sensory and Autonomic Neuropathies Type 2 (HSAN2)

Three teen-age patients, all cousins, present with a history since childhood of insensitivity to pain and temperature, and multiple painless ulcerations over their arms and legs. These cases review physical and test findings, and provisional clinical diagnosis. The authors discuss patient management.
Source: Dermatology Online Journal

Angiokeratoma Corporis Diffusum (Fabry Disease)
A 23-year-old presents for treatment of multiple, red-purple papules symmetrically distributed over the lower back, hips, thighs, buttocks and scrotum. This case briefly reviews patient history, current physical and test findings, and diagnosis.
http://dermatology.cdlib.org/114/NYU/NYUtexts/0419054.html
Source: Dermatology Online Journal
An Elderly Man with Fever and Hypodense Lesions in the Spleen and Liver
An 82-year-old with a history of hypertension and prostatectomy for benign hypertrophy presents with sudden onset of left flank pain. This case reviews test findings and subsequent autopsy findings.
http://www.cmaj.ca/cgi/content/full/174/2/163
Source: CMAJ
A Case Presentation on Bilateral Breast Cancer
A 56-year-old presents with recently noted bilateral breast lumps. This case reviews family history of breast cancer, test findings (mammogram images provided), proposed treatment and patient outcome.
http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijs/vol7n1/breast.xml
Source: The Internet Journal of Surgery
Actinomycosis: A Rare Soft Tissue Infection
A 34-year-old with a lesion on the left legs comprising dusky red swellings, firm fluctuating nodules and penetrating sinus tracts is presented. This case reviews test findings, surgical intervention, patient management and outcome. The authors discuss pathologic findings, manifestations and basis for diagnosis.
http://dermatology.cdlib.org/113/case_reports/actinomycosis/fazeli.html
Source: Dermatology Online Journal
Nevus Sebaceus
A 35-year-old presents with a birthmark on the scalp, extending to the right side of the face, now increasing in size. This case reviews previous treatment attempts, current test findings, and diagnosis. The authors discuss related conditions.
http://dermatology.cdlib.org/114/NYU/NYUtexts/1012044.html
Source: Dermatology Online Journal
Pityriasis Rubra Pilaris, Type IV
A 4-year-old with a 3-year history of demarcated, salmon-pink, hyperkeratotic plaques is presented. This case reviews initial diagnosis and treatment, current findings and diagnosis. The authors discuss distinct subtypes, pathogenesis and incidence.
http://dermatology.cdlib.org/114/NYU/NYUtexts/0517056.html
Source: Dermatology Online Journal
Alopecia Areata
A 32-year-old with keratosis follicularis (Darier disease) presents with a round patch of hair loss on the scalp, noted 1 month earlier. This case reviews physical and test findings (photos provided), and diagnosis. The authors discuss incidence and characteristics.
http://dermatology.cdlib.org/113/case_presentations/dariers/shamsadini.html
Source: Dermatology Online Journal
Imaging of Nail-Patella Syndrome
Nail-patella syndrome is a rare disorder, which is inherited as an autosomal dominant trait. This condition is also known as hereditary osteo-onychodysplasia or Fong’s syndrome.
Not just another case of Fall in the Elderly
Bilateral adrenal lymphoma presenting with adrenal insufficiency
causing weakness
Skin Rash
A 22-year-old presents with many erythematous papules and some vesicles on the dorsum of the forearm, arm and neck. This case study from the Australian Family Physician provides a photo and reviews the probable causes, diagnosis and patient management.
Acute Myocardial Infarction due to Blunt Chest Trauma
A 27-year-old smoker with a history of alcohol abuse presents with breathlessness, sweating, chest discomfort and anxiety following a traffic accident. This case study from the Indian Heart Journal provides an electrocardiogram strip and chest x-ray, and reviews findings, patient management, clinical course in hospital, angiography, and patient outcome.
Feather Duvet Lung
A 73-year-old presents with exertional dyspnoea beginning 3 years earlier, and productive cough unresponsive to antibiotics 2 years before that. This case study from the Medical Science Monitor reviews radiology images (provided) and test findings. The authors discuss diagnosis, cause and patient outcome.
Spontaneous Dissecting Aneurym of the Coronary Artery - A Rare Cause of Myocardial Infarction and Sudden Death
A 47-year-old with lumbosacral syndrome and a 3-year history of gastritis now presents with epigastric pain. This case reviews autopsy findings, and macro- and microscopic examination (several images provided). The authors discuss etiology and prognosis.
Upper Abdominal Pain and Weight Loss
A 20-year-old presents with persistent diarrhoea, high temperature, upper abdominal pain, and weight loss, over the past 2 months. This case from Journal of the Hellenic Society of Haematology provides biopsy slides and briefly reviews test findings.
 
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