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diagnosis

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.

A Case of Primary Malignant Melanoma of the Palatine Tonsil

DOI: 
10.7727/wimj.2015.243

ABSTRACT

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

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

Computed Tomography Identifies Hepatic Portal Venous Gas Caused by Severe Diarrhoea

Issue: 
DOI: 
10.7727/wimj.2014.385
Pages: 
232–5

ABSTRACT

Aim:To use computed tomography (CT) to diagnose the reasons for hepatic portal venous gas (HPVG) in the case of an elderly male patient.

Accepted: 
23 Mar, 2015
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 09 Jun, 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

Angiofibroma of the External Auditory Canal

Issue: 
DOI: 
10.7727/wimj.2014.169
Pages: 
422-423

The Editor,

Sir,

Angiofibromas account for less than 1% of all head and neck tumours and they predominantly arise in the nasopharynx (NPA), mainly affecting adolescent males. Extranasopharyngeal angiofibroma's (ENPA) are very rare with less than 80 cases reported in the literature and none arising from the external auditory canal. 

Accepted: 
12 Dec, 2014
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 07 May, 2015

Rare Seagull Cooing Murmur from Acute Aortic Dissection

Issue: 
DOI: 
10.7727/wimj.2014.244
Pages: 
286–7

ABSTRACT

Accepted: 
31 Oct, 2014
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 15 Apr, 2015

Persistent Hypokalaemia in a Jamaican Hypertensive Patient

Issue: 
Pages: 
674–7
ABSTRACT
 
PDF Attachment: 
Journal Sections: 
e-Published: 03 Feb, 2014

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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