Publications by authors named "Shahzad Anjum"

Article Synopsis
  • The study evaluates the performance of OpenAI's ChatGPT in emergency medicine residency exams in Qatar compared to resident physicians.
  • ChatGPT consistently scored higher than emergency department residents across various postgraduate years, although senior residents showed lower passing rates, possibly due to the effects of the COVID-19 pandemic.
  • The results indicate that AI, like ChatGPT, could serve as a valuable supplementary tool in medical education by enhancing theoretical knowledge assessment.
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A 75-year-old woman with multiple comorbidities presented with altered mental status, bradycardia, and hypotension following the ingestion of tizanidine. Emergency medical services (EMS) promptly initiated pacing and administered vasopressors, leading to the patient's recovery to her baseline condition after receiving supportive care. ECG findings indicated pre-existing cardiac abnormalities.

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Article Synopsis
  • Chronic kidney disease (CKD) is linked to higher risks of heart issues, prompting a study to investigate cardiac abnormalities at different CKD stages.
  • The study included 356 non-dialysis CKD patients, with most in stages III and IV, and assessed various health metrics along with detailed heart evaluations.
  • Results showed that as kidney disease progressed, heart issues like left ventricular hypertrophy and diastolic dysfunction worsened significantly, indicating a strong relationship between CKD severity and heart health.
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Severe hypertension is a rare cause of diffuse alveolar hemorrhage. We reported a case of a 43-year-old woman who presented with shortness of breath, hemoptysis, and severe hypertension. The patient was diagnosed with diffuse alveolar hemorrhage due to severe hypertension which improved after controlling her blood pressure.

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Methicillin-susceptible (MSSA) is quite common in the environment. It can lead to a wide range of infections varying from simple boils to disseminated and metastatic infections. Disseminated multifocal MSSA infection without infective endocarditis is extremely rare.

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Intracranial lipomas are one of the rarest brain lesions. It is thought to form due to abnormal persistence and differentiation of the meninx. Here we report a unique case of a five-year-old male child with no known chronic medical illnesses and with no history of previous surgeries or allergic problems.

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Peripheral arterial disease (PAD) is a common condition of the upper and lower extremities caused by atherosclerosis. It is often accompanied by symptomatic cardiovascular and cerebrovascular disease and is a major risk factor for amputation of an extremity. Timely diagnosis and intervention can prevent morbidity in these patients.

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Article Synopsis
  • The study examined the shift from traditional face-to-face (F2F) teaching to online learning during the COVID-19 pandemic for emergency medicine residents.
  • A total of 49 millennial residents participated, and assessments included multiple-choice questions (MCQs) and computer-based objective structured clinical examinations (OSCEs) before and after each teaching method.
  • Results indicated that online teaching led to a statistically significant improvement in scores for both MCQs and OSCEs compared to F2F teaching, highlighting the effectiveness of online education.
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  • The study examines the prevalence of ocular symptoms in COVID-19 patients at a tertiary healthcare center, noting that 7.8% of patients presented with eye-related issues.
  • Most affected individuals were male, and common symptoms included hyperaemia, eye pain, and epiphora, with no significant differences related to gender or existing health conditions.
  • The findings suggest ocular manifestations in this specific population are less common than previously reported in other studies, highlighting a gap in literature from the Middle Eastern region regarding this issue.
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Introduction: Patients commonly seek medical advice with dizziness symptoms. One of the common subtypes of dizziness is benign paroxysmal positional vertigo (BPPV). The American Academy of Neurology recommends that physicians should be trained in the physical maneuvers for the treatment of BPPV.

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Tuberculosis (TB) is a bacterial infection with multisystem presentations. Involvement of the central nervous system (CNS) is considered the most lethal form among all types. In addition to possible fatality, CNS TB has serious neurological sequelae.

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A spinal epidural abscess (SEA) is an uncommon disease, but it is associated with significant morbidity. SEA can be promoted by multiple risk factors. Moreover, the diagnosis of SEA usually requires the presence of a classic triad of back pain, fever, and neurological deficit, hence, the difficulty in making the diagnosis if presented otherwise.

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Purpose The study aimed to find an effective method of teaching feedback skills to residents and to gauge their preference. Method This was a mixed design study conducted at the emergency department of a large tertiary care hospital. The residents were randomized to groups A, B, and C.

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Objective: To determine frequency of hepatitis-C in dialysis patients at start of hemodialysis, seroconversion from HCV negative to HCV positive over study duration and factors affecting seroconversion.

Methods: This descriptive prospective observational study done in dialysis center of DHQ hospital Sheikhupura, Punjab, Pakistan. The study was conducted from October 2016 to October 2017.

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is a commensal bacterium commonly found in the oral cavity of dogs and cats. Although this organism rarely causes infection, prompt diagnosis is crucial for survival of these patients. Several unusual clinical presentations of this infection have been reported in the published medical literature.

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Article Synopsis
  • This study compared renal colic presentations from two academic centers: Hamad General Hospital in Qatar, which is in the Afro-Asian stone belt, and The Alfred in South-Eastern Australia, which is not.
  • A total of 12,607 renal colic cases were identified, with Qatar showing a higher presentation rate (27.9 vs. 6.7 per 1000 ED visits) and younger patients with larger stone sizes compared to Australia.
  • The treatment approaches differed significantly, with Qatar having a higher intervention rate and more patients receiving analgesics at discharge, while Australia had more prescriptions for tamsulosin.
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Background: The excruciating pain of patients with renal colic on presentation to the emergency department requires effective analgesia to be administered in the shortest possible time. Trials comparing intramuscular non-steroidal anti-inflammatory drugs with intravenous opioids or paracetamol have been inconclusive because of the challenges associated with concealment of randomisation, small sample size, differences in outcome measures, and inadequate masking of participants and assessors. We did this trial to develop definitive evidence regarding the choice of initial analgesia and route of administration in participants presenting with renal colic to the emergency department.

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Article Synopsis
  • - A 36-year-old man with no prior health issues presented with severe breathing difficulties and chest pain, leading to a diagnosis of tension pneumothorax after unstable vital signs and imaging confirmed the condition.
  • - Immediate treatment included needle decompression and chest tube insertion, where 1.4 liters of blood was drained and tests revealed a low pH and high adenosine deaminase level, indicating an infection.
  • - Cultures of sputum samples showed the presence of nontuberculous mycobacteria, prompting successful treatment with drainage and antituberculous medications, leading to significant symptom improvement.
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