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Development Of Contralateral Pleural Effusion During Chemotherapy For Tuberculous Pleurisy, Musa A. Al-Ali, Nidal M. Almasri
Development Of Contralateral Pleural Effusion During Chemotherapy For Tuberculous Pleurisy, Musa A. Al-Ali, Nidal M. Almasri
Saudi Medical Journal
Paradoxical worsening of tuberculous lesions, despite effective chemotherapy, has been reported in intracranial tuberculomas, lymph nodes, pulmonary disease, and tuberculous pleurisy. However, development of contralateral pleural effusion during treatment of tuberculous pleurisy is very rare. We report the case of a 22 year old female patient who presented with right sided pleural effusion and was treated with antituberculous drugs. Four weeks later although her right sided pleural effusion was subsiding she developed a left sided pleural effusion. Closed pleural biopsy on the left side showed granulomatous inflammation with early caseation. Antituberculous drugs were continued and a short course of oral …
Trichobezoar. A Rare Cause Of Acute Bowel Obstruction, Mohamed S. Al-Skaini, Mohamed I. Seleem
Trichobezoar. A Rare Cause Of Acute Bowel Obstruction, Mohamed S. Al-Skaini, Mohamed I. Seleem
Saudi Medical Journal
A surgically successfully treated case of (2.8kg) Trichobezoar presenting with severe epigastric pain, vomiting, associated with anemia and dark stool of one days duration. Complicated on admission by an acute intestinal obstruction. There has been no report of such a case from Saudi Arabia up to the present time. The presenting symptoms and signs, and management strategies are discussed.
Neonatal Circumcision, Motivation And Technique., Mohammed R. Khalil
Neonatal Circumcision, Motivation And Technique., Mohammed R. Khalil
Saudi Medical Journal
No abstract provided.
Unforgettable Consultation., Boghos L. Artinian
Unforgettable Consultation., Boghos L. Artinian
Saudi Medical Journal
No abstract provided.
Hypernatremic Dehydration In A Neonate Due To High Sodium Concentration In Breast Milk And Apparent Lactation Failure., Sulafa K. Ali
Hypernatremic Dehydration In A Neonate Due To High Sodium Concentration In Breast Milk And Apparent Lactation Failure., Sulafa K. Ali
Saudi Medical Journal
No abstract provided.
Have You Ever Wondered?, Robert M. Bannatyne
Have You Ever Wondered?, Robert M. Bannatyne
Saudi Medical Journal
No abstract provided.
Occupational Hearing Loss, Sultan T. Al-Otaibi
Occupational Hearing Loss, Sultan T. Al-Otaibi
Saudi Medical Journal
Occupational hearing loss is a common work related problem that can be attributed to an offending agent in the workplace. This paper describes the different causes of occupational hearing loss and its compensation. Physicians should be aware of this preventable medical condition.
Growth Hormone. Do We Have A National Perspective Of Indications For Its Use?, Abdullah S. Al-Herbish, Nasir A. Al-Jurayyan, Abdullah M. Abobakr, Abdulrahman A. Al-Nuaim
Growth Hormone. Do We Have A National Perspective Of Indications For Its Use?, Abdullah S. Al-Herbish, Nasir A. Al-Jurayyan, Abdullah M. Abobakr, Abdulrahman A. Al-Nuaim
Saudi Medical Journal
OBJECTIVE: Presentation of indications for growth hormone use in children, from the view of physicians practising in Saudi Arabia. METHODS: A questionnaire containing a list of common possible indications of growth hormone use was collected from 52 physicians practising in Saudi Arabia who were attending a didactic endocrinology course. RESULTS: All (100%) physicians considered growth hormone deficiency to be an indication. Sixty four and 29% considered Turner9s syndrome and chronic renal failure to be indications. Other indications included Russell-Silver syndrome in 23%, X-linked hypophosphatemic rickets in 10%, Achondroplasts in 10%, Sickle cell anemia in 10% and Bartter9s syndrome in 2%. …
Common Causes Of Admission In Diabetics, Daad H. Akbar, Aisha A. Al-Gamdi
Common Causes Of Admission In Diabetics, Daad H. Akbar, Aisha A. Al-Gamdi
Saudi Medical Journal
OBJECTIVE: To report on the causes of admissions of diabetic patients to the medical unit of King Abdulaziz University Hospital, mortality and risk factors, associated with high mortality, and to find out possible ways to reduce admissions, cost and mortality. METHODS: Retrospective analysis of diabetic admissions to the medical unit of King Abdulaziz University Hospital between January 1996 to September 1999. Patients age, sex, body mass index, type and duration of diabetes mellitus, mode of treatment, degree of blood glucose control, presence of hypertension, hyperlipidemia, and smoking were recorded as well as the causes of admissions and mortality. RESULTS: A …
Epidemiological Patterns Of Scoliosis In A Spinal Center In Saudi Arabia, Abdurrahman M. Al-Arjani, Mohammed W. Al-Sebai, Hazem M. Al-Khawashki, Munir F. Saadeddin
Epidemiological Patterns Of Scoliosis In A Spinal Center In Saudi Arabia, Abdurrahman M. Al-Arjani, Mohammed W. Al-Sebai, Hazem M. Al-Khawashki, Munir F. Saadeddin
Saudi Medical Journal
OBJECTIVE: To study the patterns of scoliosis seen in a major Spinal Unit in Saudi Arabia. METHODS: Medical records of 192 Saudi patients with scoliosis seen between 1992 and 1997 at the Spinal Unit of the Riyadh Medical Complex (which is a major spinal unit in the Kingdom) were studied and analyzed and epidemiological data was collected. RESULTS: Fifty nine percent of all cases of scoliosis were idiopathic, 7% were secondary to poliomyelitis and 17% were congenital scoliosis. The mean age of discovery of idiopathic scoliosis was 12.5 years and at presentation was 16 years. The mean Cobb9s angle at …
Head And Neck Squamous Cell Carcinoma In Hajjah, Yemen, Abdulwahab H. Nasr, Mishri L. Khatri
Head And Neck Squamous Cell Carcinoma In Hajjah, Yemen, Abdulwahab H. Nasr, Mishri L. Khatri
Saudi Medical Journal
OBJECTIVE: Incidence of head and neck squamous cell carcinoma seems to be relatively high in Yemen but not well documented. The purpose of this study is to analyze the clinical profile of the Yemeni patients of squamous cell carcinoma of the head and neck and to evaluate the possible relationship to kath chewing. METHODS: With the help of a special protocol, all the patients of head and neck squamous cell carcinoma seen between October 1997 and December 1998 at the Ear, Nose and Throat and Dermatology Clinics of Saudi Hospital, Hajjah, Yemen Republic were subjected to detailed analysis. The diagnosis …
Neurobrucellosis, Bindiganavale N. Gokul, Alfred Paul, Ifikhar Hussein
Neurobrucellosis, Bindiganavale N. Gokul, Alfred Paul, Ifikhar Hussein
Saudi Medical Journal
Brucellosis, which is endemic in Saudi Arabia, can present as a disease with multisystem involvement. Occasionally the organisms invade the central nervous system producing varied neurological manifestations. Often the clinical diagnosis of neurobrucellosis is not straight forward and is obscure. Certain criteria have to be fulfilled for the definitive diagnosis of neurobrucellosis. We report 2 cases of neurobrucellosis which were encountered for the first time during the past 10 years at this hospital.
Allergic Fungal Rhinosinusitis. Report Of 4 Cases From Saudi Arabia, Fadl A. Fadl, Khalid M. Hassan, Mohamed Faizuddin
Allergic Fungal Rhinosinusitis. Report Of 4 Cases From Saudi Arabia, Fadl A. Fadl, Khalid M. Hassan, Mohamed Faizuddin
Saudi Medical Journal
Allergic fungal rhinosinusitis is a newly recognized clinical entity of chronic rhinosinusitis. Over the past 3 years, 4 such patients were treated in our hospital. The clinical and pathological features of these 4 cases which merited the criteria for such diagnosis, are described. All the 4 cases had history of nasal polyps, asthma, or both with radiographical evidence of pansinusitis. Histologically, the thick greenish-brown inspissated material specimens which were collected and submitted to the laboratory showed, eosinophils, Charcot-Leyden crystals but no fungal elements were detected on routine hematoxylin and eosin sections and no tissue invasion was noted. However, scanty aspergillus …
Fibroadenoma Of The Supernumerary Breast Of The Axilla, Adib A. Aughsteen, Jamal K. Almasad, Mohammed H. Al-Muhtaseb, Mohammed H. Al-Muhtaseb
Fibroadenoma Of The Supernumerary Breast Of The Axilla, Adib A. Aughsteen, Jamal K. Almasad, Mohammed H. Al-Muhtaseb, Mohammed H. Al-Muhtaseb
Saudi Medical Journal
Supernumerary breast or polymastia is a well documented anomaly of the breast, and commonly presents along the embryonic milk line extending between the axilla and groin. However, cases of polymastia have been recorded in the face, vulva and perineum. The clinical significances of these anomalies include their susceptibility to inflammatory and malignant changes, and their association with other congenital anomalies of the urinary and cardiovascular systems. The present article reports a case of fibroadenoma developing in the supernumerary breast of the right axilla in a 28 year old woman. Clinical and mammography examination of both breasts revealed no abnormalities and …
Overview Of Chronic Diseases In The Kingdom Of Saudi Arabia, Yousef A. Al-Turki
Overview Of Chronic Diseases In The Kingdom Of Saudi Arabia, Yousef A. Al-Turki
Saudi Medical Journal
No abstract provided.
Tracing Medical Information Over The Internet, Sajed M. Mutairi
Tracing Medical Information Over The Internet, Sajed M. Mutairi
Saudi Medical Journal
The Internet became with do doubt a huge and valuable source of information for researchers. The wealth of information on the Internet is second to none and medical information is no exception. Yet with the vast expansion of the Internet and the World Wide Web in specie, to find the kind of information one is looking for, he/she needs to browse thousands of web sites and the experience would be like digging into a stack of hay looking for a needle. That9s why search engines and subject indexes, as means to overcome this problem, were introduced and grew so rapidly. …
Undiagnosed Term Breech. Management And Outcome, Zainab A. Babay, Lulu A. Al-Nuaim, Mohammed H. Addar, Ahmed A. Abdulkarim
Undiagnosed Term Breech. Management And Outcome, Zainab A. Babay, Lulu A. Al-Nuaim, Mohammed H. Addar, Ahmed A. Abdulkarim
Saudi Medical Journal
OBJECTIVE: To assess the antenatal and intra-partum risk factors associated with undiagnosed breech at term and to compare their outcome with those diagnosed before the onset of labor, as well as identifying the determinants for cesarean section in breech presentation. METHODS: Case control study of 183 undiagnosed breech deliveries at term with those diagnosed before labor. RESULTS: There was no significant difference between diagnosed term breech and undiagnosed breech deliveries with regards to maternal, neonatal outcome and incidence of cesarean section. Footling breech presentation, hypertension and failure to attend antenatal visits were independent risk factor for cesarean section in all …
Modified Retrograde Intubation In A Patient With Difficult Airway, Rex J. Morais, Strahil N. Kotsev, Sabri J. Hana
Modified Retrograde Intubation In A Patient With Difficult Airway, Rex J. Morais, Strahil N. Kotsev, Sabri J. Hana
Saudi Medical Journal
We report a modified technique of retrograde endotracheal intubation in a patient with limited motility at the atlanto-occipital joint, temporomandibular joint, and cervical spine, presenting for closure of a large oronasal fistula. Despite more recent advances in intubation techniques and technology, retrograde intubation still deserves a place in the anesthetist9s armamentarium for the management of the difficult airway.
New Trends In Prenatal Screening For Chromosomal Abnormalities, Mohd H. Addar
New Trends In Prenatal Screening For Chromosomal Abnormalities, Mohd H. Addar
Saudi Medical Journal
In the recent years, the scope of prenatal genetic diagnosis has expanded greatly with the development of a number of new methods, such as maternal serum screening and ultrasound screening for detection of fetal abnormalities. These methods have the advantage of providing earlier diagnosis in addition to being non-invasive and of less psychological traumas. Pre-implantation genetic diagnosis is another new growing field offering the genetic diagnosis prior to implantation. The most promising of all is the first trimester biochemical screening in conjunction with ultrasound nuchal translucency screening.
Subclinical Diabetic Neuropathy. A Common Complication In Saudi Diabetics, Daad H. Akbar, Sirag A. Mira, Tareef H. Zawawi, Hussein M. Malibary
Subclinical Diabetic Neuropathy. A Common Complication In Saudi Diabetics, Daad H. Akbar, Sirag A. Mira, Tareef H. Zawawi, Hussein M. Malibary
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of sub clinical diabetic neuropathy in Saudi diabetics and the risk factors associated with symptomatic diabetic neuropathy. METHODS: A prospective study of Saudi diabetics attending King Abdulaziz University Hospital out patient clinic from January 1998 until April 1999. Detailed information of each patients9 age, sex, body mass index, type and duration of diabetes mellitus, mode of treatment, degree of blood glucose control, presence of hypertension, hyperlipidemia, smoking, family history of diabetes mellitus and hypertension were recorded. Patients were assessed for diabetic neuropathy using the Michigan Neuropathy Program. Patients who were asymptomatic and scored less than …
Reinfestation In Cutaneous Leishmaniasis. A New Look At Predisposing Conditions, Khalifa E. Sharquie, Rafid A. Najim, Azad K. Hussein
Reinfestation In Cutaneous Leishmaniasis. A New Look At Predisposing Conditions, Khalifa E. Sharquie, Rafid A. Najim, Azad K. Hussein
Saudi Medical Journal
OBJECTIVE: A prospective study of cases of reinfestation with cutaneous leishmaniasis is carried out to try to identify if there is any associated condition which might predispose to reinfestation. METHODS: Over a 2 year period, cases of reinfestation with cutaneous leishmaniasis presenting in the Department of Dermatology, were collected. RESULTS: Thirteen cases showing a typical scar with a parasitologically proven new infection were included. The mean age of patients was 54.69+/-2.65 years. The time lapse between the two infections was 52.38+/-2.60 years. The scar of the primary infection was mainly on the face while the lesion was mostly on the …
Inhalation Of Wild Barley Into The Airways. Two Different Outcomes, Fuad F. Ammari, Khalil T. Faris, Tareq M. Mahafza
Inhalation Of Wild Barley Into The Airways. Two Different Outcomes, Fuad F. Ammari, Khalil T. Faris, Tareq M. Mahafza
Saudi Medical Journal
OBJECTIVE: There are only two previous reports of wild barley inhalation into the tracheobronchial tree in the literature. Our aim is to describe the effects, outcome and management of wild barely inhalation into the airways. METHODS: In a retrospective study, 18 patients with inhalation of spike of wild barley into the tracheobronchial tree were divided into 2 groups according to their clinical presentation. RESULTS: Eighteen children below 5 years of age presented between 1989 and 1994 inclusive. Fourteen patients presented with a short duration of choking and cough The wild barley spike was removed by laryngoscopy (12 patients) or rigid …
Nasal Bone Fracture, Abdulaziz J. Ashoor, Fahmi A. Alkhars
Nasal Bone Fracture, Abdulaziz J. Ashoor, Fahmi A. Alkhars
Saudi Medical Journal
OBJECTIVE: To study fracture nasal bone at King Faisal Hospital University in Al-Khobar from various aspects, to present our experience and to compare the result with previous works. METHODS: A prospective study conducted from January 1997 to May 1998 including all new cases of fracture nasal bone presented at our emergency department. Plain x-ray of the nose is requested for all patients except one in whom pregnancy is suspected. Reduction of fracture nose was carried out 2-7 days post injury by closed technique under general or local anesthesia with application of nasal cast for 2 weeks. Follow-up of those patients …
Khat Induced Hemorrhoidal Disease In Yemen, Ahmed M. Al-Hadrani
Khat Induced Hemorrhoidal Disease In Yemen, Ahmed M. Al-Hadrani
Saudi Medical Journal
OBJECTIVE: The aim of this study was to evaluate the potential association between the habit of khat chewing and the development of hemorrhoidal disease. METHODS: Four hundred and seventy four individuals (373 men and 101 women) with ages ranging from 17 to 80 years were divided into 2 groups. Group 1 (n=247) chronic khat chewers. Group 2 (n=200) non-khat chewers. Data was collected regarding chewing habits, colorectal symptoms, abdominal, proctoscopic, and operative findings. RESULTS: The key difference between the 2 groups was the incidence of hemorrhoids and hemorrhoidectomy. In the chronic khat chewers group: 169 (62%) had hemorrhoids. Of these …
Munchausen Syndrome By Proxy, Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri, Saleh Al-Khusaiby
Munchausen Syndrome By Proxy, Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri, Saleh Al-Khusaiby
Saudi Medical Journal
Five children (3F:2M), in the age group 1 years to 11 years, with Munchausen syndrome by proxy are reported from the Sultanate of Oman. They were seen over a four years period from 1996-1999. In all these children, the mother came up with history of uncontrolled epilepsy. Carbamazepine was the most common antiepileptic drug used. One of these children remained hospitalized elsewhere for nearly 9 months, as a case of uncontrolled status epilepticus. It took 18 months to 6 years (mean 2.8 years) to establish the diagnosis and the mother was the offender in all. The main lead to diagnosis, …
Delayed Presentation Of Congenital Diaphragmatic Hernia In Association With Group B Streptococcus Infection In A Preterm Omani Neonate, Shabih Manzar, P. M. Nair, Madhavan Nayar
Delayed Presentation Of Congenital Diaphragmatic Hernia In Association With Group B Streptococcus Infection In A Preterm Omani Neonate, Shabih Manzar, P. M. Nair, Madhavan Nayar
Saudi Medical Journal
We present an interesting case of a preterm Omani newborn that had delayed onset of congenital diaphragmatic hernia in association with group B streptococcus infection. The association and the pathogenesis are supported by literature review. The message to follow is that any neonate with prolonged course of streptococcal pneumonia, with unusual course, should be investigated for presence of congenital diaphragmatic hernia.
Pseudohypoaldosteronism Type 1 In An Omani Male Infant Simulating Salt-Losing Congenital Adrenal Hyperplasia., Adnan Khan, Shabih Manzar
Pseudohypoaldosteronism Type 1 In An Omani Male Infant Simulating Salt-Losing Congenital Adrenal Hyperplasia., Adnan Khan, Shabih Manzar
Saudi Medical Journal
No abstract provided.
Neonatal Salmonella Meningitis., Leslie Matthew, Usha Chandran
Neonatal Salmonella Meningitis., Leslie Matthew, Usha Chandran
Saudi Medical Journal
No abstract provided.
Prevention Of Migraine, S. Pahlavan, Dirk Deleu, Yolande Hanssens
Prevention Of Migraine, S. Pahlavan, Dirk Deleu, Yolande Hanssens
Saudi Medical Journal
No abstract provided.
Update On Diagnosis Of Congenital Infection, Sami H. Al-Hajjar
Update On Diagnosis Of Congenital Infection, Sami H. Al-Hajjar
Saudi Medical Journal
Congenial infection is one of the greatest diagnostic challenges facing clinicians. The list pathogens related to intrauterine infections continues to grow with the identification of new etiologies and resurgence of others. Identification of a congenital infection as early as possible has both diagnostic and therapeutic advantages. This article will give an overview on common clinical findings in infants with congenital infection and a recommended clinical investigational approach for suspected congenital infection.