Per-oral endoscopic myotomy (POEM) was developed less than a decade ago for the treatment of achalasia. Its minimally invasive approach and the favorable short-term outcome have led to rapid adoption of the technique throughout the world. As with any new technique, there will be adverse events, and it is important that effective treatments for these adverse… (More)
A 41-year-old man with a history of metastatic medullary thyroid cancer presented with stridor, odynophagia, and dyspha-gia, worsening abruptly over the past 2 days. He had a moderate degree of dysphagia even at baseline secondary to a radiation-induced esophageal stricture, and previously had multiple esophagogastroduodenoscopies (EGDs) with dila-tion,… (More)
BACKGROUND The best way to handle an emergency is to be prepared in advance. The purpose of this study was to assess the availability of medical emergency drugs at dental offices and to determine the level of knowledge and preparedness of dentists to manage medical emergencies at their dental offices. MATERIALS AND METHODS A descriptive cross-sectional… (More)
We present a 42-year-old man with a 1-month history of painless jaundice, dark urine, clay-colored stools, and a 13.5-kg weight loss. Laboratory tests revealed elevated liver enzymes and CA19-9. Imaging showed dilation of both the intra- and extrahepatic bile ducts, narrowing of the bile duct at the junction of the common bile duct and common hepatic duct,… (More)
The skin is an unusual site of metastases from solid organ malignancies. We report the case of a patient with a malignant mixed non-seminomatous germ cell tumor of the testis, presenting with cutaneous metastasis, which was treated with salvage chemotherapy.
Objective: 1.To present a case of Idiopathic Intracranial Hypertension (IIH) and Obstructive Sleep Apnea (OSA) relieved by Adenotonsillectomy 2.To review the literature regarding the relationship between IIH and OSA Methods: We present a case report of a nine year old obese female who presented to us with severe intractable pseudotumor cerebri, also known… (More)