Consultant (ISSN:0010-7069) is a monthly peer-reviewed scopus-indexed journal from 1987 to upto now. The publisher of this journal is Journal of Cliggott Publishing Co. Consultant (ISSN:0010-7069) is committed to gathering and disseminating excellent research achievements.The journal welcomes all kinds of research/review/abstract papers regarding General Medicine subjects including Medicine, pharmacy, biochemistry, psychology, Public health, and so on.
A 19-year-old man on active military duty presented with a nonhealing ulcer on his dorsal right hand accompanied by enlarging nodules in a linear distribution on his right arm and forearm (Figure 1). Approximately 1 year prior to the onset of symptoms, the patient’s right hand had been struck by a shovel while he had been conducting field exercises in the Southwestern United States. This wound had evolved into a painless ulcerated nodule (Figure 2). Subsequently, nodules had developed on the dorsal aspect of his right wrist and had progressed in a linear pattern to include his dorsal
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Superior mesenteric artery (SMA) syndrome (also known as Wilkie's syndrome, cast syndrome, or aorto-mesenteric compass syndrome) is an obstruction of the duodenum caused by extrinsic compression between the SMA and the aorta. The median age of patients is 23 years old (range 0-91 years old) and predominant in females over males with a ratio of 3:2. The symptoms are variable, consisting of postprandial abdominal pain, nausea and vomiting, early satiety, anorexia, and weight loss and can mimic anorexia nervosa or functional dyspepsia. Because recurrent vomiting leads to aspiration pneumon
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Subaponeurotic cerebrospinal fluid (CSF) collection is a rare condition. We report a 13-week-old male infant who presented with a swelling in the occipitoparietal region of 4 h duration. Swelling was soft, fluctuant, and contained CSF. It was tapped twice on the 4th and 8th day of appearance and resolved completely by 7 weeks. The condition is benign, and a conservative approach is recommended.
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Congenital hypothyroidism (CH) may have major detrimental effects on growth and neurological development, but early intervention leads to excellent outcomes. CH is classified as transient or permanent, primary or secondary, with primary CH being the most common neonatal endocrine disorder. Most patients with CH do not present any typical signs and symptoms of hypothyroidism shortly after birth, partly due to transplacental maternal thyroid hormone transfer and residual neonatal thyroid function. This paper reports on two CH cases. During the initial Neonatal Intensive Care Unit (NICU) admis
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Lettuce (Lactuca sativa L.) and its varieties are important vegetable crops worldwide. They are also well-known, rarely reported, causes of contact allergy. As lettuce allergens and extracts are not commercially available, the allergy may be underdiagnosed. The aims of this article are to present new data on lettuce contact allergy and review the literature. Lettuce is weakly allergenic, and occupational cases are mainly reported. Using aimed patch testing in Compositae-allergic patients, two recent Danish studies showed prevalence rates of positive lettuce reactions of 11% and 22%. The maj
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