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A Rare Manifestation of Peripheral Artery Disease Requiring Urgent Attention from Emergency Physicians

Pu-An Chen; Szu-Wei Huang; Wen-Cheng Huang; Chin-Wang Hsu; Ying-Kuo Liu*

    A 51-year-old male, with a history of heavy smoking and no known comorbidities, presented to the emergency department with sudden numbness in his right toes and right ankle pain, accompanied by coldness in his right foot.


Disability Due To Enter cutaneous Fistulas

Suarez D*; Pascual E; Valdes R

    Enter cutaneous fistulas constitute one of the most complicated problems that the surgeon must face and involves the application of knowledge such as fluid and electrolyte management, metabolic and nutritional support, and complex diagnostic and surgical techniques [1,2].


Isolated Penile Calciphylaxis Secondary to Uncontrolled Diabetes

Mohamed Shafi bin Mahboob Ali*

    Penile calciphylaxis is an extremely rare disease. It affects the penis by the build-up of intimal fibrosis and medial calcifications of the small arteries and causing gangrene of the tissue. It is frequently seen in patients with uncontrolled diabetes and end stage renal failure.


Pericallosal Lipoma with Intraventricular Extension

Mamo Argeta*

    A 24 years old female presented with intermittent headache of one year duration. Otherwise, she has no other pertinent history. There is well defined hypodense fat attenuating, curvilinear, pericallosal lesion with lobulated surface (yellow arrow in figure 5).


Tuberculous Meningitis

Thitikan Wangapakul*; Sineenad Waree

    An 11-year-old girl presented with alteration of consciousness, fever, and cachexia. Her Glasgow coma score was E2V1M4. Both pupils were dilated and sluggishly reactive to light. Nuchal rigidity was found. Chest X-ray showed bilateral infiltration, and sputum AFB test was positive. An initial CT scan of the head revealed massive hydrocephalus without any obvious obstructive lesion. Immediate


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