Publications by authors named "Rishi G Orakkan"
Muscle weakness that worsens on exercise and improves on resting is the hallmark of myasthenia gravis (MG), an uncommon autoimmune illness. Acetylcholinesterase inhibitors, immunosuppressants, and corticosteroids are commonly used in treatment. Rituximab has been tried in refractory patients.
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- A middle-aged woman experienced difficulty breathing and a chronic cough three months after undergoing mitral valve replacement surgery, prompting further evaluation of her respiratory symptoms.
- Imaging revealed an elevated right hemidiaphragm and a strange opacity in the right lower lobe, leading to a diagnosis of right hemidiaphragm palsy from a possible phrenic nerve injury during her prior surgery.
- Despite the recommendation for a diaphragmatic plication due to significant breathing issues and potential complications, the patient was hesitant about undergoing another surgery and needed time to consider her options.
Obstruction of the pulmonary artery or one of its branches, often due to thrombi from the deep veins of the lower extremities can result in a life-threatening condition known as pulmonary embolism. Pulmonary infarction, an unusual complication of pulmonary embolism occurs when the blood supply to lung tissue is obstructed, leading to tissue necrosis. An 80-year-old man presented with a cough, breathlessness, and generalized weakness.
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