Issue 5 Articles
The Association of Left Atrial Enlargement in Different Subtypes of Ischemic Stroke Based on Toast Classification
Research Article
LAE related rhythm disturbance that characterize atrial fibrillation is also associated with other atrial derangement such as endothelial dysfunction and impaired myocyte function. The role of LAE in acute cerebral infarction patient is not sufficiently described in literature. Hence of this study was undertaken to look for the frequency of...
Atypical Presentation of Post-Kala Azar Dermal Leishmaniasis in Bhutan
Case Report
This article describes an atypical case of post-kala azar dermal leishmaniasis associated with complications due to delayed diagnosis and poor case management. The grave consequences of the prolonged disease process, which included facial disfigurement, visual impairment and distress both to the patient...
Onset of Graves’ Disease and Thyroid Cancer After Chemo and Radiotherapy for Medulloblastoma
Case Report
We describe a rare case of a 21 yrs woman treated with RTE plus CHE for medulloblastoma diagnosed when she was fourteen. Five years later, for the onset of primitive hypothyroidism, with negative antibodies and a diffuse hypoechoic pattern at ultrasound, she started Levothyroxine (L-T4) therapy....
Colopleural Fistula. A Case Report and Review of Literature
Case Report
The presence of a colopleural fistula is a rare event related to several factors, inadequate placement of drains, poor surgical technique, infection or dehiscence of a GI anastomosis. Only a small percentage occurs as a complication of inflammatory bowel disease, cancer, trauma or radiation...
Bilateral Anterior Glenohumeral Dislocation A Case Report and A Review of the Literature
Case Report
We report an unusual case of simultaneous bilateral anterior shoulder dislocation following trauma. There was no peripheral motor, sensory or vascular deficit. The patient was treated by closed reduction of both dislocations followed by immobilization for 4 weeks and subsequent rehabilitation. A review of the literature is presented...

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