Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jul 2022
Case ReportsA Case of Thyroid Follicular Carcinoma Presented with Skin Metastasis.
Skin metastases due to thyroid carcinomas are extremely rare and represent advanced disease and poor prognosis. Diagnosing a skin nodule, which may appear as the first clinical symptom of latent malignancy with low metastatic potential, is likely to be challenging. ⋯ Herein, we present a case of a nodular skin lesion in the left lumbar region of a 66-year female due to thyroid follicular carcinoma metastasis and discuss it in the light of existing literature. Key Words: Follicular thyroid carcinoma, Pulmonary nodule, Metastasis, skin.
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J Coll Physicians Surg Pak · Jul 2022
Predictive Value of Heart Rate Variability Indexes for 2-year Prognosis of the Patients after Transcatheter Aortic Valve Replacement.
To explore the prognostic value of the heart rate variability (HRV) index in the patients undergoing transcatheter aortic valve replacement (TAVR). ⋯ Heart rate variability, Aortic stenosis, Transcatheter aortic valve replacement, Ambulatory electrocardiogram.
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J Coll Physicians Surg Pak · Jul 2022
Case ReportsEctopic Cushing's Syndrome due to Thymic Neuroendocrine Tumor Treated with Surgery and Radiotherapy.
The most common cause of ectopic Cushing's syndrome is small cell lung cancer; less common causes include pancreatic and thymic neuroendocrine tumors. A 35-year male was investigated after detecting low potassium in the tests performed for weakness. The patient was admitted for exclusion of Cushing's syndrome because of high cortisol (108 µg/dl) and ACTH (827ng/L) levels. ⋯ No functional focus was detected in Ga 68 DOTATATE PET CT after radiotherapy. This case is presented because of the rare association of a thymic neuroendocrine tumor with ectopic Cushing's syndrome, which was revealed during the investigation of the etiology of hypokalemia. Key Words: Hypokalemia, Cushing syndrome, Thymic neuroendocrine tumor.
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J Coll Physicians Surg Pak · Jul 2022
Collapsibility and Distensibility Indices of Critically Ill Patients.
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