Objective: Dependency on agriculture and the unregulated sale of paraquat makes it an easyalternative for homicidal and suicidal use in developing nations. It kills by multiorgan failure,predominantly pulmonary fibrosis, and ARDS. We report a case of alleged paraquat ingestionwith spontaneous pneumothorax, spontaneous pneumomediastinum, and pneumorrhachis.Aim is to reinforce the importance of a high index of suspicion in early diagnosis when theabove findings are present with ARDS in absence of trauma and a history of alleged substanceingestion.Case Presentation: A 35-year-old male presented w ..read more

  Introduction: Poisoning is one of the most common methods of suicide in developing countries. We assessed the frequency of impaired hematological indices in patients with acute poisoning. Methods: The present study was a cross-sectional retrospective. Using the census sampling method, all patients who had attempted suicide by poisoning and were admitted from 2013 to 2023 were included in this study. Different variables, including age, gender, hematological index on admission, hospital stay, and outcome (mortality), were recorded in a data-gathering form. ANOVA and chi-square or Fish ..read more

Objective: According to the most recent guidelines, the recommended imaging approaches forthe diagnosis of pneumonia are chest X-ray (CXR) and computed tomography (CT) scan. However,there are limitations to these approaches. Lung ultrasound (LUS) has attracted a lot of attentionin intensive care units (ICUs) and emergency departments. Considering the importance of thetimely diagnosis and proper treatment of pneumonia, this study aimed to determine the diagnosticvalue of bedside LUS in comparison to chest CT scans in patients with suspected pneumonia orunspecified CXR findings in the emergency ..read more

Objective: Dyspnea is a common symptom of heart disease that can also be related to otherdisorders, such as liver disease. In this case report, we aim to describe a rare case of metastatic livermass that presented with heart failure.Case Presentation: A 50-year-old woman without a past medical history arrived at our hospitalwith a history of dyspnea and swelling in the lower extremities. She did not complain of pain,arthralgia, trauma, or chest pain but complained of exertional dyspnea and fatigue that had startedone month before and had aggravated two days before. Her laboratory test indicate ..read more

Intra-abdominal infections still represent a challengefor surgeons. The systemic physiopathological effects ofinfection rapidly progress, leading to sepsis and multiorganfailure, whose prognosis is often dramatic. Mortality riskstratification using scoring systems would unequivocallyaid the early identification of patients at risk of diseaseprogression.&nbsp ..read more

Objective: Snake bites represent a significant public health issue worldwide, as venomous snake bites can result in dangerous and sometimes lethal consequences. Sometimes, the diagnosis is difficult. Herein, we present the case of a 4-year-old child who posed a challenge to diagnosis.  Case presentation: A 4-year-old child was brought to the emergency department with sudden, severe general weakness and impaired consciousness. Initially, the cause of these symptoms was unclear and difficult to diagnose. However, after a more thorough examination, it was determined that the likely cause ..read more

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Objective: Rhabdomyolysis is an important etiology for developing acute kidney injury(AKI). Among the many varying reasons for rhabdomyolysis, electrical injury seems to bea lesser-known factor. The clinical presentation of rhabdomyolysis is usually in the formof severe and widespread pain, tenderness, weakness in the muscles and dark urine. Itis characterized by the disruption of cell integrity in myocytes as a result of widespreaddamage to skeletal muscles and the passage of intracellular components into thecirculation.Case Presentation: Here we presented a case report of a young man who had ..read more

Objective: Penetrating injuries in the maxillofacial region pose a great challenge due tothe anatomical complexity inherent to the area compounded with vital functions suchas vision and airway. This paper highlights the importance of meticulous preoperativeplanning and a concerted effort of a multidisciplinary team in managing penetratingmaxillofacial injuries.Case Presentation: A 38-year -old man reported to the emergency department with aknife impacted in the medial wall of the orbit, travelling up to the base of the cranium. ACT scan aided in evaluating the site, depth, and relation of the ..read more

Objectives: Pandemics would certainly have a negative impact on mental health. Positivemodifications as well as negative alterations have been documented in earlier viralpandemic according to previous investigations. Teenagers face a variety of challengesduring adolescence. Adolescents may become more concerned if this time coincides withother worries. This study aims to investigate the positive changes that occur in a youngadolescent’s life after COVID-19 pandemic, and to see how they relate to perceived socialsupport.Methods: This cross-sectional study was performed on adolescents ..read more