Publications by authors named "Dennis T Roarke"

Article Synopsis
  • Constrictive pericarditis (CP) is a condition affecting the heart's pericardial sac, which can mimic symptoms of heart failure and liver disease, often leading to misdiagnosis.
  • A case study describes a patient with lower limb and scrotal swelling initially thought to be due to liver cirrhosis, but further tests revealed no liver issues and identified CP through cardiac MRI.
  • The patient underwent surgery to remove the constricted pericardium and fully recovered, emphasizing the importance of accurate diagnosis and the role of advanced imaging techniques in identifying CP.
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Since the beginning of the COVID-19 pandemic, there have been reports of neuropsychiatric symptoms following infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most notably mania and psychosis. However, despite the widely reported incidence of psychosis and mania following infection with SARS-CoV-2, a causal link between the virus and these neuropsychiatric symptoms has not been established. A myriad of confounding factors such as underlying psychiatric disorders, personal and family psychiatric histories, substance use, and treatment with steroids all have the ability to obscure a correlation between SARS-CoV-2 and subsequent psychiatric symptoms.

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A 65-year-old man presented with symptoms of severe subcutaneous bleeding in his arm, which led to compartment syndrome requiring fasciotomy and massive blood transfusion protocol. Medical history was significant for history of autoimmune thyroid disease. Workup revealed elevated partial thromboplastin time, decreased factor VIII levels and elevated factor VIII inhibitor levels.

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