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The Revelatory Journey of Fine-tuning the Diagnosis of an Adult Male on the Autistic Spectrum – Asperger Syndrome/High-functioning Autism with Corollary Diagnoses

Issue: 
DOI: 
10.7727/wimj.2017.128
Pages: 
283-8

ABSTRACT

This article provides an account of the revelatory experience of diagnosing a high-functioning, autistic, adult male by a non-specialist medical practitioner and its implications for knowledge, attitudes and practice in dealing with the autistic spectrum.

Accepted: 
15 Jun, 2017
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Journal Sections: 
Journal Authors: 
e-Published: 20 Jun, 2017

Granulomatous Mastitis: A Diagnostic and Therapeutic Challenge

DOI: 
10.7727/wimj.2016.493
Synopsis: 
Granulomatous mastitis, including idiopathic granulomatous mastitis and tuberculous mastitis poses diagnostic and therapeutic challenges for physicians. Our aim is to highlight the nonspecific clinical presentations, diagnostic difficulties and therapeutic approaches of granulomatous mastitis in a Turkish patient group.

ABSTRACT

Objective: Granulomatous mastitis (GM), including idiopathic granulomatous mastitis (IGM) and tuberculous mastitis (TBM), is a rare and benign disease of the breast. Our aim is to highlight the nonspecific clinical presentations, diagnostic difficulties and therapeutic approaches of GM.

Accepted: 
30 Mar, 2017
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 02 May, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Crohn’s Ileitis Mimicking Henoch-Schonlein Purpura

Issue: 
DOI: 
10.7727/wimj.2015.065
Pages: 
588

The Editor,

Sir,

Henoch-schonlein purpura (HSP) is a multisystemic vasculitis which could present with palpable purpura, arthralgia or athritis, abdominal pain and renal findings. 

Accepted: 
02 Mar, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 19 Jan, 2017

Clinicopathological Characteristics and Treatment Outcomes of Pulmonary Carcinosarcoma in Eight Patients

Issue: 
DOI: 
10.7727/wimj.2015.042
Pages: 
533-7
Synopsis: 
The present study included eight cases with pulmonary carcinosarcoma. Pathological diagnosis of PC was made by surgical resection in all patients. Operations were lobectomy (n = 6), bilobectomy inferior (n = 1) and pneumonectomy (n = 1). The median survival time was 21.5 months (range: 1-75 months).

ABSTRACT

Background: Pulmonary carcinosarcoma (PC) is a rare malignant tumour of the lung. Due to its rarity, few studies have been reported and its clinicopathological characteristics and treatment outcomes remain unclear. The aim of the present study was to evaluate clinical, radiological and pathological findings and treatment outcomes of patients with PC.

Accepted: 
04 Jun, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 11 Dec, 2015

An Unusual Cause of Intestinal Obstruction: Abdominal Cocoon

DOI: 
10.7727/wimj.2015.244

ABSTRACT

Accepted: 
01 Jun, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 16 Nov, 2015

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

A Standardized versus an Individualized Approach in Managing Difficult Asthma: A Dilemma

DOI: 
10.7727/wimj.2015.219
Synopsis: 
The current case study presents a case of uncontrolled asthma. Spirometery forms one of the important parameters in assessing lung function assessment. Despite the normal values of spirometery, patient clinical presentation did not related to her spirometry values. After troubling four years, doctors initiated Anti-IgE monoclonal antibody therapy that resulted in the patient's improvement. Often, during clinical practices doctors face challenges where they have to make patient decisions based on their clinical expertise rather than following the standard protocols

ABSTRACT

Background: The adherence to clinical practice guidelines often aids in improving clinical decisions. However, doctors at times have to look beyond clinical practice guidelines to treat their patients. Situational awareness and clinical experience often put doctors in a better position to treat and manage asthmatic patients.

Accepted: 
18 Mar, 2015
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 12 Nov, 2015

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Efficacy of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration in the Diagnosis of Thoracic Sarcoidosis

Issue: 
DOI: 
10.7727/wimj.2014.341
Pages: 
72–7
Synopsis: 
We evaluated retrospective data of 35 patients who received endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and found that EBUS-TBNA was a safe and effective procedure for the diagnosis of stage I and II thoracic sarcoidosis.

ABSTRACT

Revised: 
09 Oct, 2015
Accepted: 
16 Oct, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 02 Nov, 2015

Boerhaave's Syndrome: Presenting with Chest Pain

Issue: 
DOI: 
10.7727/wimj.2014.377
Pages: 
391–2

 

The Editor,

Sir,

Boerhaave syndrome or spontaneous oesophageal rupture is a rare, potentially fatal condition. Patients usually present with pain, dyspnoea, and signs of shock after forced vomiting. 

Revised: 
12 Mar, 2015
Accepted: 
16 Mar, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 11 May, 2015

Giant Cell Arteritis– Who to Refer to?

Issue: 
DOI: 
10.7727/wimj.2015.177
Pages: 
300-03
Synopsis: 
Visual symptoms associated with giant cell arteritis (GCA) need immediate referral to ophthalmology. Patients without visual symptoms should be appropriately referred to rheumatology. Clinicians should be familiar with the broad spectrum of atypical presentations of GCA in order to make an accurate diagnosis.

ABSTRACT

Giant cell arteritis (GCA) is a systemic immune-mediated vasculitis affecting the medium and large arteries. Typical symptoms include a new headache, jaw claudication, tender temporal artery, polymyalgia rheumatica, fever and anorexia. Visual loss resulting from GCA is an ophthalmic emergency and requires immediate assessment and referral to the ophthalmologist for prompt treatment with steroids. This article provides a systematic approach to the diagnosis and management of giant cell arteritis.

Accepted: 
31 Mar, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 29 Jun, 2015

The Predictive Value of Urinary Vanillylmandelic Acid Testing in the Diagnosis of Phaeochromocytoma at The University Hospital of the West Indies

Issue: 
Pages: 
141–7
Synopsis: 
Vanillylmandelic acid testing at the University Hospital of the West Indies has low positive predictive value, and special care must be taken in interpreting marginally elevated results. The use of assays with higher specificity (eg plasma or urinary metanephrines) may represent a more cost-effective approach to biochemical screening for phaeochromocytoma.

ABSTRACT


Objective: To investigate the positive predictive value (PPV) of urinary vanillylmandelic acid (VMA) testing in the diagnosis of phaeochromocytoma and to describe the features associated with phaeochromocytoma at the University Hospital of the West Indies (UHWI).

PDF Attachment: 
Journal Sections: 
e-Published: 17 Oct, 2013

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