We describe two cases of microlaryngeal surgery under general anesthesia in severe obese elite vocal performers. Microlaryngeal surgery under general anesthesia is feasible in patients with severe obesity, provided that the anesthesiologist and nurse work together to perform preoperative simulations and take into consideration the position and anesthesia.
Forestier disease is a condition characterized by calcification and ossification of ligaments and entheses. It's prevalence is expected to rise as air is related to older age and metabolic syndrome. The clinical relevance is beyond unstable spinal fractures to involvement of the cardiovascular, respiratory and gastrointestinal systems.
Renal coloboma syndrome (RCS) is an autosomal dominant disorder associated with the PAX2 gene. With variable expressivity, renal and ocular abnormalities are reported in a majority of individuals affected. We highlight a mother and her newborn with RCS, both presenting prenatally, showing self-resolving severe oligohydramnios as an early prenatal finding.
A bilateral occurrence of kissing molars and three-rooted maxillary second premolars is rare and not been reported previously in literature. In this report we describe the detailed clinical and radiographic evaluation, including considerations of key factors prior to any surgical or endodontic intervention in such a patient.
Veillonella species rarely cause serious infections, but the incidence of infection has been increasing among immunocompromised individuals. This case of an epidural abscess and spondylitis caused by Veillonella parvula in a hemodialysis patient illustrates the importance of performing anaerobic blood culture in immunocompromised patients with signs of infection.
HIT is a massive thrombotic storm. The incidence of thrombotic complications is up to 50%, and the mortality rate is up to 20% in untreated cases. The patient’s presentation was subtle, with mild thrombocytopenia. The consequences would have been catastrophic if cardioversion was done using the standard guidelines.
Angiotensin receptor antagonist associated enteropathy is becoming increasingly prevalent within the literature. We report a case of sprue-like enteropathy associated with Losartan with a unique cutaneous manifestation. Our case of Losartan associated enteropathy further suggests that sprue-like disease may be a class effect of ARBs.