Articles related to CLINICAL CHALLENGE

A Cureus case report describes complete fecaloma resolution after two 1 L Classic Coca-Cola enemas in an 82-year-old woman with dementia whose impaction failed conservative management.

A 55-year-old man with bilateral hand arthritis, ruddy complexion, and elevated transferrin saturation presents a diagnostic reasoning challenge with implications for screening, surveillance, and family testing.

A post-CABG patient underwent transcatheter coil occlusion of a 51 x 39-mm saphenous vein graft aneurysm and died hours after discharge from anterior MI attributed to external LIMA compression.

Disease recurrence in HR+/HER2– early BC (EBC) can occur over decades; however, the hazard of recurrence is highest during the first 2 years of adjuvant endocrine therapy, a period associated with endocrine resistance and early metastatic progression.

Because the patient was complaining of both chest discomfort and dyspnea–which can be caused by vomiting and dehydration–the clinician must consider a potential coronary etiology, even in a 38-year-old.

“A patient who has VCID as the major cause of their dementia alongside some suspicion of an alternate neurodegenerative cause may not benefit from [anti-AD] medications as much as one who only has signs of neurodegeneration and no VCID.” – Tanav Popli, MD