Hypertriglyceridemia-induced pancreatitis after egg retrieval for in vitro fertilization and fenofibrate cessation.

A 36-year-old woman with prior hypertriglyceridemia-induced pancreatitis presented with a recurrence of pancreatitis after beginning in vitro fertilization (IVF). Her primary care physician had discontinued fenofibrate due to concerns for teratogenicity. This case illustrates the importance of fibrate therapy for high-risk women undergoing IVF, despite limited evidence regarding its teratogenicity.

Recurrent severe neutropenia following doxycycline use in a young healthy woman.

A 29-year-old woman was hospitalized for fever, pharyngitis, and severe neutropenia after recent use of doxycycline and other antimicrobials. Three years later, she again presented with severe neutropenia after recent doxycycline use. Diagnostic workups were unyielding.

Non-dissecting large thoracic aortic aneurysm leading to chronic aortic insufficiency presenting as acute heart failure.

Large, non-dissecting thoracic aortic aneurysms (TAA) up to 13 cm in size are typically found in elderly patients with non-specific respiratory symptoms yet must be detected quickly due to their mortality risk. We present a 31-year-old man with exertional dyspnea secondary to aortic insufficiency from a 9.4 cm TAA.

The Challenges of ST-Elevation Myocardial Infarction in COVID-19 Patients.

By July 2021, the United States had over 34.4 million confirmed COVID-19 cases. Various cardiovascular manifestations of COVID-19 have been reported including ST-elevation myocardial infarction (STEMI), and there is concern that SARS-CoV-2 may be associated with a higher thrombus burden.

Coombs-negative hemolytic anemia in a male with COVID-19.

This case illustrates the need to consider SARS-CoV-2 infection as a catalyst for Coombs-negative hemolytic anemia as well as the potential for IVIG to serve as an effective treatment for the condition.

Seronegative Goodpasture's syndrome associated with organising pneumonia.

Goodpasture's syndrome is a rare vasculitis associated with anti-glomerular basement membrane (anti-GBM) autoantibodies that target type IV collagen found in the basement membranes of glomeruli and alveoli. We present a case of a 79-year-old man with seronegative Goodpasture's syndrome with predominant respiratory symptoms and mild acute kidney injury that initially improved. Final diagnosis was made by immunofluorescent staining on open lung biopsy which also revealed concomitant organising pneumonia.

Cytomegalovirus (CMV)-associated portal vein thrombosis in a healthy, immunocompetent man.

We present a previously healthy man in his 30s who presented with typical viral prodrome symptoms and worsening abdominal pain. He was found to have portal vein thrombosis, with extensive hypercoagulability workup performed. It was determined that the aetiology of thrombus was secondary to acute cytomegalovirus infection.

Readability of Patient Education Materials From the Web Sites of Orthopedic Implant Manufacturers.

Background: Prior studies indicate that orthopedic patient education materials are written at a level that is too high for the average patient. The purpose of this study was to assess the readability of online patient education materials provided by orthopedic implant manufacturers.

Methods: All patient education articles available in 2013 from the web sites of the 5 largest orthopedic implant manufacturers were identified.

Injury patterns and outcomes of open fractures of the proximal ulna do not differ from closed fractures.

Background: The incidence and injury patterns of open fractures of the proximal ulna are poorly elucidated and little evidence exists to guide management.

Questions/purposes: The purpose of this study was to compare the (1) bony injury patterns; (2) range of motion (ROM) and frequency of union; and (3) postoperative complications between open and closed fractures of the proximal ulna.

Methods: Seventy-nine consecutive open fractures of the proximal ulna were identified.

Readability of arthroscopy-related patient education materials from the American Academy of Orthopaedic Surgeons and Arthroscopy Association of North America Web sites.

We sought to assess the readability levels of arthroscopy-related patient education materials available on the Web sites of the American Academy of Orthopaedic Surgeons (AAOS) and the Arthroscopy Association of North America (AANA). We identified all articles related to arthroscopy available in 2012 from the online patient education libraries of AAOS and AANA. After performing follow-up editing, we assessed each article with the Flesch-Kincaid (FK) readability test.

Behavior, knowledge, and attitudes towards khat among Yemeni medical students and effects of a seminar.

This study describes khat behavior, knowledge, and attitudes among Yemeni medical students (MS) and the effects of a seminar. The students completed a survey (n = 62); a subgroup participated in a discussion-based seminar and follow-up survey (n = 18). Although the students demonstrated knowledge about khat's health effects and considered it unacceptable for health professionals to chew khat, they disagreed that health professionals should advise patients to quit.