Rare Clinical Vignettes
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About this ebook
The Book is based on True Life clinical Experiences,
Rare Medical conditions and Diagnostic Dilemma, Including Ormonds Disease as a rare cause of renal failure.
Mesenteric varices as a Rare cause of occult Gastrointestinal bleeding.
Marple syrup urine disease(MSUD) is a rare metabolic cause of altered mental status in Adults,
Acute Metabolic Encephalopathy due to high ammonia Level in A Patient without Liver Disease.
Polymyositis as a very rare Initial Presentation of HIV
Multiple System Atrophy(MSA) in a Patient with Parkinsons Syndrome.
Onyechela Ogbonna MD
Onyechela Ogbonna, MD is a medical doctor with great clinical experience. He is the Author of the Book “ The Best Clinical Guide” He is board certified in internal medicine. He completed medical training at the Mount Sinai School of Medicine in Queens, New York. His current clinical duty includes direct care to thousands of patients and supervising medical residents, students, nurses, physician assistants, and APRNs. He does medical consultations in the emergency department for management of complex conditions. He advises patients and their families on health-related issues. He is a hospital physician based in Hartford Hospital, a major referral hospital in Hartford, Connecticut.
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Rare Clinical Vignettes - Onyechela Ogbonna MD
Contents
Test Your knowledge
Chapter 1 Ormond’s Disease as a rare cause of renal failure
Chapter 2 Mesenteric varices as The cause of occult Gastrointestinal bleeding
Chapter 3 Marple syrup urine disease is a rare metabolic cause of altered mental status
Chapter 4 Acute Metabolic Encephalopathy due to high ammonia Level in A Patient without Liver Disease
Chapter 5 Polymyositis as a very rare Initial Presentation of HIV
Chapter 6 Multiple System Atrophy(MSA)
About the Author
About the Book
Test Your knowledge
24457.pngA 56 year old female with Past Medical History of end stage renal disease on dialysis, pancreatic transplant, chronic liver disease of unclear etiology, thrombocytopenia.
She was referred from another hospital for evaluation for possible occult gastroentestinal bleeding to explain her persistent anemia requiring transfusion of packed red blood cell, al most weekly.
She denies gross blood per rectum, black stool, nor coffee ground emesis. No hemotysis.
Work up done, EGD, colonoscopy, bleeding scan and CT abdomen and pelvic, unremarkable.
Consultations include gastroenterology, hematology, nephrology.
video pill cam swallow study of the small intestine was done which made the