Journal of Clinical Images & Reports
type: channel
description: Journal of Clinical Images & Reports is an open access peer-reviewed journal from the publishers of Scientific Research and Community (SRC) which publishes articles in the form of written, video and power-point presentations from the arena of Clinical Images & Reports. The journal focuses to build up accessing the complete content of articles freely from online for reader’s perusal. Article acceptance will be in the form of Research, Review, Case Reports, Analysis, Magazines, Editorials, Opinion, Communications, Mini-Review, Short Communications, Picturized, Book Review, Video Type and Power Point Presentations (PPTS). Articles can be submitted through online from https://www.onlinescientificsresearch.com/submit-online or can send through an e-mail with attachment for clinical@onlinescientificresearch.info
publisher: Scientific Research and Community
language: en
publication name: Journal of Clinical Images & Reports
issn: 2755-9904
items: Mediastinal PEComa with TFE3 Rearrangement: An Unusual Finding
items: An open Letter to the Editors of Nature Magazine Regarding their Involvement in a PR Action in Favor of a Dubious Publicationabout Advances in the Treatment of Alzheimer’s Disease
items: Intentional Occlusion of the Brachial Artery in Arteriovenous Fistula Ruptured Treated with Merit Wrapsody Covered Stent: ACase Report
items: Almost Unilateral Focal Dermal Hypoplasia in a Young YemeniGirl: A Case Report
items: Application of Groin Flap
items: Medullary Arachnoiditis Ossificans: Three Cases and Review
items: Maxillary Actinomycosis: A Nice Discovery
items: Splenic Rupture Secondary to Amyloidosis: A Rare Case Report
items: Pseudopolyposis Ulcerative Colitis: An Unusual Finding
items: Duodenal Lipoma: A Case Report
items: Erdheim-Chester Disease: A Case Report with Radiographic Characteristics
items: Tuberous Sclerosis Complex Unveiled: Presentation of Bilateral Enlarged Diffuse Fatty Kidneys
items: Coexistence of Tuberculosis and Malignancy in a Single LymphNode
items: A Case of Urinary Retention in an Adolescent Female
items: Prevalence and Pattern of Ocular Diseases among Rural Dwellers in Affa, Enugu State
items: Rituximab-Induced Progressive Multifocal Leukoencephalopathy
items: Comparison of Portable Smartphone-Based Auto-Refraction with Table top Auto-Refraction and Manual Retinoscopic RefractionAmong Adolescents in A Tertiary Hospital in Enugu Nigeria
items: Capnocytopaha Canimorsus
items: School of Liberal Art, University of St. Thomas of Houston, Houston, USA
items: Mosquito Control, Killing Them Before They Hatch
items: Satisfaction and Experiences in Telehealth of The Filipino Patient and Caregiver: A Sequential Explanatory Single-Center Study
items: Phlegmatia Cærulea Dolens Complicated By Rhabdomyolysis
items: Diriyah Hospital CT Scan Service’s Readiness for ACR Accreditation:A Gap Analysis
items: Academic Accreditation and Assessment in Medical Laboratory Science Education in Timor-Leste
items: A State of Septic Shock Revealing a Pyomyoma as An Exceptional Complication Post Abortum
items: Acrodermatitis Continua of Hallopeau in A Case of Psoriatic Arthritis
items: Acrorenal Syndrome: Case Series
items: Para-Testicular Mesenchymal Chondrosarcomas: an Updated Review of Clinical Insights and Therapeutic Considerations
items: Blue Rubber Bleb Nevus Syndrome with Large Ulcerated Cutaneous Lesions: First Yemeni Case Report
items: Ovarian Dermoid Cyst

Mediastinal PEComa with TFE3 Rearrangement: An Unusual Finding
type: item
description: Perivascular epithelioid cell tumors (PEComas) are rare mesenchymal neoplasms classified by the World Health Organization (WHO) as tumors of uncertain differentiation. They are composed of perivascular epithelioid cells (PECs), which are characterized by their distinctive morphology, close association with blood vessel walls, and dual expression of melanocytic and smooth muscle markers [1].
subject: Articles
  topic: section
subject: Mediastinal
  topic: keywords
subject: PEComa
  topic: keywords
subject: TFE3 Rearrangement
  topic: keywords
creator: Hanae Ben Abdenbi
creator: Fouad Zouaidia
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2025-09-05
publication date: 2025-09-05
starting page: 1
ending page: 2
doi: 10.47363/JCIR/2025(4)143

An open Letter to the Editors of Nature Magazine Regarding their Involvement in a PR Action in Favor of a Dubious Publicationabout Advances in the Treatment of Alzheimer’s Disease
type: item
description: Recently, on August 6, 2025, Nature journal published a report on the preliminary results of a study (conducted at Harvard University) on the effect of Lithium on the formation and development of amyloid plaques (which are considered the primary cause of Alzheimer’s disease), [1-3]. The study itself is not something entirely new or extraordinary - there are currently 182 studies ([4]) being conducted in the United States related to the causes of occurrence and development of Alzheimer’s disease.
subject: Articles
  topic: section
subject: Alzheimer’s
  topic: keywords
subject: Disease
  topic: keywords
creator: Emanuel Diamant
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2025-09-29
publication date: 2025-09-29
starting page: 1
ending page: 2

Intentional Occlusion of the Brachial Artery in Arteriovenous Fistula Ruptured Treated with Merit Wrapsody Covered Stent: ACase Report
type: item
description: We present a case report on the off-label use of the Merit Wrapsody covered stent for the treatment of an Intentional occlusion of the brachial artery in arteriovenous fistula ruptured. A female patient with a previous brachiobasilic arteriovenous fistula was admitted with a cut and bruise wound left arm (bathroom stall), which evolved for basilic vein laceration and acute hemorragic shock. The patient was then submitted to an arm tourniquet to prevent acute bleeding, which led to brachial artery acute occlusion. The patient was submitted to an endovascular approach with thrombectomy with Indigo System and then an implant of a Merit Wrapsody 8x125mm covered stent within the brachial artery and a concomitant resection of the venous segment and skin containing the cut-bruise wound + venous reconstruction. The patient evolved very well with complete resolution of the acute trauma and complete arteriovenous fistula salvage in a 3 years follow-up. This device, typically indicated for use in hemodialysis access, was successfully employed to correct an occluded artery. This case highlights the feasibility and potential advantages of this endoprosthesis in arterial settings beyond its original indication
subject: Articles
  topic: section
subject: Wrapsody
  topic: keywords
subject: Brachial Artery
  topic: keywords
subject: Arteriovenous
  topic: keywords
subject: Fistula Ruptured
  topic: keywords
creator: Kenji Nishinari
creator: Rafael de Athayde Soare
creator: Guilherme Centofanti
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2025-07-29
publication date: 2025-07-29
starting page: 1
ending page: 4
doi: 10.47363/JCIR/2025(4)142

Almost Unilateral Focal Dermal Hypoplasia in a Young YemeniGirl: A Case Report
type: item
description: Focal dermal hypoplasia (FDH), also known as Goltz syndrome or Goltz–Gorlin syndrome, is an extremely rare X-linked dominant multisystem genodermatosis caused by mutations in the PORCN gene on the X chromosome. These mutations primarily affect ectodermal- and mesodermal-derived tissues, including the skin, skeletal system, and eyes. To date, approximately 300 cases have been reported in the literature, with 95% of cases occurring in females. FDH typically involves both sides of the body; however, only 11 cases of unilateral FDH have been reported. Herein, we discuss the case of a 15-year-old Yemeni girl with an almost unilateral (left-sided) distribution of blaschkoid atrophic lesions accompanied by limb defects. FDH was diagnosed based on the typical clinical findings. To the best of our knowledge, this is the first reported case of FDH in Yemen.
subject: Articles
  topic: section
subject: Focal Dermal Hyperplasia
  topic: keywords
subject: Goltz Syndrome
  topic: keywords
subject: Unilateral
  topic: keywords
subject: X-linked Genetic Disorder
  topic: keywords
creator: Mohammad Ali Alshami
creator: Ahlam Mohammad Alshami
creator: Hadeel Mohammad Alshami
creator: Reem Mohammad Lutf
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2025-06-27
publication date: 2025-06-27
starting page: 1
ending page: 4
doi: 10.47363/JCIR/2025(4)141

Application of Groin Flap
type: item
description: Introduction: The groin flap, first described by McGregor and Jackson in 1972, is recognized as the first successful free cutaneous flap. This flap is characterized by its long, narrow pedicle based on the superficial circumflex iliac artery (SCIA) and vein, offering a reliable option for various reconstructive procedures. Methods: A comprehensive review of anatomical and clinical literature regarding the groin flap was conducted. Key anatomical features, including the vascular supply, venous drainage, innervation, and potential donor site complications, were analyzed. Surgical techniques for harvesting the flap were also discussed. Results: The groin flap receives arterial supply primarily from the SCIA, and venous drainage by its venae comitantes. The flap's sensory innervation is provided by the lateral cutaneous nerve of T12, with the potential for motor nerve inclusion if the sartorius muscle is harvested. The groin flap presents a versatile option for reconstructive surgery, particularly for upper extremity defects and lower abdominal repairs. Conclusions: The groin flap is a valuable surgical option in reconstructive surgery, offering consistent vascular supply and versatility in design.
subject: Articles
  topic: section
subject: Groin Flap
  topic: keywords
subject: Superficial Circumflex Iliac Artery Perforator Flap
  topic: keywords
subject: Fasciocutaneous Flap
  topic: keywords
subject: Upper Limb Reconstruction
  topic: keywords
subject: Abdominal Reconstruction
  topic: keywords
subject: Perineal Reconstruction
  topic: keywords
creator: Rashmi V Kumar
creator: Swetha M
creator: Ravi Kumar Chittoria
rights: Copyright (c) 2024 Journal of Clinical Images & Reports
date: 2024-10-31
publication date: 2024-10-31
starting page: 1
ending page: 5
doi: 10.47363/JCIR/2024(3)138

Medullary Arachnoiditis Ossificans: Three Cases and Review
type: item
description: Arachnoiditis ossificans is an inflammation in the leptomeninges, accompanied by calcifications in the dural sac. This condition causes pain and progressive neurological deterioration. This study presents three cases of cervico-thoracic ossifying arachnoiditis that underwent surgery at our center. Additionally, we provide a review of the scientific literature on the subject.
subject: Articles
  topic: section
subject: Arachnoiditis
  topic: keywords
subject: Ossificans
  topic: keywords
subject: Medulla
  topic: keywords
subject: Concept Analysis
  topic: keywords
subject: Leptomeninge
  topic: keywords
subject: Pain
  topic: keywords
subject: Surgery
  topic: keywords
creator: Patricia Alejandra Garrido Ruiz
creator: Marta Román Garrido
rights: Copyright (c) 2024 Journal of Clinical Images & Reports
date: 2024-10-31
publication date: 2024-10-31
starting page: 1
ending page: 3
doi: 10.47363/JCIR/2024(3)131

Maxillary Actinomycosis: A Nice Discovery
type: item
description: Actinomycosis is a subacute to chronic infection caused by Grampositive, anaerobic filamentous bacteria [1,2]. It can present in four forms: cerebral, cervicofacial, thoracic and abdominal-pelvic [2]. The cervicofacial form typically affects the cheek and chin area but very rarely involves the maxillary bone [3]. We present the case of a 65-year-old patient with a history of multiple myeloma who presented with a lesion in the anterior part of the upper maxillary bone. A recurrence of her myeloma was suspected. A CT scan of the facial area revealed a lesion process of the maxilla. Histological examination of the biopsy showed bone dystrophy and areas of necrosis (Figure A) with filaments that were positive for Grocott staining, indicating actinomycosis (Figures B and C).
subject: Articles
  topic: section
subject: Maxillary
  topic: keywords
subject: Actinomycosis
  topic: keywords
creator: Rihane Elmohtarim
creator: Sassi Samia
creator: Derqaoui Sabrine
creator: Jahid Ahmed
creator: Zouaidia Fouad
creator: Bernoussi Zakia
rights: Copyright (c) 2024 Journal of Clinical Images & Reports
date: 2024-09-04
publication date: 2024-09-04
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2024(3)137

Splenic Rupture Secondary to Amyloidosis: A Rare Case Report
type: item
description: Amyloidosis is a group of diseases in which abnormal proteins, known as amyloid fibrils, build up in tissue. Splenic rupture secondary to amyloidosis is an extremely rare complication. While amyloidosis may be systemic or localized, splenic involvement is fairly common (5–10%) and generally asymptomatic. When splenic rupture secondary to localized amyloidosis occurs, it is usually the first manifestation of the disease process. Herein, we report a case of a 57-year-old female who presented a rare case of spontaneous splenic rupture due to localized amyloidosis as an important consideration in the differential of acute abdominal pain.
subject: Articles
  topic: section
subject: Amyloidosis
  topic: keywords
subject: Splenic Rupture
  topic: keywords
creator: Sassi Samia
creator: Rihane Elmohtarim
creator: Derqaoui Sabrine
creator: Jahid Ahmed
creator: Zouaidia Fouad
creator: Znati Kaoutar
creator: Bernoussi Zakia
rights: Copyright (c) 2024 Journal of Clinical Images & Reports
date: 2024-08-24
publication date: 2024-08-24
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2024(3)135

Pseudopolyposis Ulcerative Colitis: An Unusual Finding
type: item
description: Diffuse inflammatory polyposis of the colon is a rare finding in Inflammatory Bowel Disease (IBD). Herein we describe a unique case of diffuse giant inflammatory polyposis in 39-year-old women, admitted to the department of surgery for undetermined pancolitis without history of IBD. Gross examination revealed diffuse giant polyps ranging from 0,5 to 2cm sparing the ceacum (Figure A). Extensive sampling was performed to rule out malignancy. Histology showed inflammatory polyps with marked acute inflammation and hyperplastic cystically dilated glands (Figures B and C).
subject: Articles
  topic: section
subject: Pseudopolyposis
  topic: keywords
subject: Ulcerative Colitis
  topic: keywords
creator: Derqaoui Sabrine
creator: Bakali Youness
creator: Sabbah Farid
creator: Hrora Abdelmalek
creator: Bernoussi Zakiya
rights: Copyright (c) 2024 Journal of Clinical Images & Reports
date: 2024-08-16
publication date: 2024-08-16
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2024(3)134

Duodenal Lipoma: A Case Report
type: item
description: A 47-year-old female patient, without any significant medical history, presented with chronic abdominal pain localized in the epigastric region, ranging from mild to moderate intensity, without vomiting or fever, all occurring in the context of preserved general condition.
subject: Articles
  topic: section
subject: Duodenal Lipoma
  topic: keywords
creator: Yasser El Brahmi
creator: Abdelmounaim Ait Ali
rights: Copyright (c) 2024 Journal of Clinical Images & Reports
date: 2024-08-28
publication date: 2024-08-28
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2024(3)136

Erdheim-Chester Disease: A Case Report with Radiographic Characteristics
type: item
description: Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis. The disease is highly variable in severity, ranging from incidental findings in asymptomatic patients to fatal multisystem disease [1]. Diagnosis is based on characteristic histological and radiological findings.
subject: Articles
  topic: section
subject: Radiographic
  topic: keywords
subject: Erdheim-Chester
  topic: keywords
creator: Soli Arij
creator: Sameh Sayhi
rights: Copyright (c) 2024 Journal of Clinical Images & Reports
date: 2024-07-30
publication date: 2024-07-30
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2024(3)133

Tuberous Sclerosis Complex Unveiled: Presentation of Bilateral Enlarged Diffuse Fatty Kidneys
type: item
description: Tuberous Sclerosis (TS), which is also known as Tuberous sclerosis complex or Bourneville disease, is a rare genetic autosomal dominant disorder with multiorgan involvement. It is a neurocutaneous syndrome or phakomatosis spectrum, characterized by the presence of multiple hamartomas and benign or malignant neoplasms throughout the body, typically in the brain, skin, retina, kidneys, heart and lung. Mutations in Tuberous Sclerosis Complex1 (TSC1) or Tuberous Sclerosis Complex2 (TSC2) genes contribute to the development of these lesions. Despite advancements in treatment, the prognosis for TS remains poor, with approximately 40% of patients succumbing by the age of 35. This abstract is about a young woman presented with bilateral enlarged and abnormally hyperechoic kidneys with loss of normal renal architecture and appeared as retroperitoneal masses on ultrasonography (USG). Subsequent Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) confirmed the presence of fatty parenchyma secondary to multiple bilateral angiomyolipoma’s, along with subependymal hamartomas on MRI of the brain, thus aiding in the definitive diagnosis of tuberous sclerosis complex.
subject: Articles
  topic: section
subject: Tuberous Sclerosis
  topic: keywords
subject: Angiomyolipoma’s
  topic: keywords
subject: Hamartomas
  topic: keywords
subject: Phakomatosis
  topic: keywords
creator: Yashaswini Basaboina
creator: Rohini Avansta
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-06-29
publication date: 2024-06-29
starting page: 1
ending page: 4
doi: 10.47363/JCIR/2024(4)130

Coexistence of Tuberculosis and Malignancy in a Single LymphNode
type: item
description: The coexistence of tuberculosis and malignancy in the same lymph node is very uncommon. The purpose of this article was to discuss, through our cases, clinical features and treatment options of this condition. We conducted a retrospective study including cases of concomitant tuberculosis and malignancy within the same cervical lymph node treated between 2008 and 2022. The study included ten patients. They received or were receiving treatment for cancer or tuberculosis in seven cases. All patients presented with recurrent or new lymph nodes despite being under treatment. The three remaining patients had no history of cancer or tuberculosis. The histopathological exam confirmed the coexistence of tuberculosis and malignancy within the same lymph node. Histological types of the diagnosed cancers included: laryngeal squamous cell carcinoma, papillary thyroid carcinoma, nasopharyngeal carcinoma, medullary carcinoma of the thyroid gland, Hodgkin lymphoma, non-Hodgkin lymphoma and diffuse large B cell lymphoma. All patients received treatment for tuberculosis and cancer. Average duration of antituberculosis treatment was eight months (6-12). Two patients were dead because septic complication in one case and for pulmonary complication due to miliary tuberculosis in one case. Concomitant tuberculosis and malignancy are possible, especially in countries with high tuberculosis incidence. Therefore, a detailed histopathological examination is required to prevent misdiagnosis. Immunocompromised states related to cancer and its treatments can add the risk of flare-up of a latent infection.
subject: Articles
  topic: section
subject: Tuberculosis
  topic: keywords
subject: Lymph Nodes
  topic: keywords
subject: Malignancy
  topic: keywords
subject: Metastasis
  topic: keywords
subject: Anatomopathological Exam
  topic: keywords
subject: Treatment
  topic: keywords
creator: Sameh Mezri
creator: Safa Jemli
creator: Chaima Zitouni
creator: Wadii Thabet
creator: Meriem Selmi
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-05-28
publication date: 2024-05-28
starting page: 1
ending page: 5
doi: 10.47363/JCIR/2024(3)128

A Case of Urinary Retention in an Adolescent Female
type: item
description: A 15-year-old female presented to our emergency department with complaints of anuria for over 24 hours. She also had diffuse non-radiating abdominal pain, abdominal distention, and increased frequency of stools for the last 4 days. The patient had an unremarkable past medical history and reported no medication use. At presentation, she was afebrile, with a heart rate of 90 beats per minute, respiratory rate of 15 per minute, blood pressure of 118/82 mm of Hg, and saturation of 99% on room air. Physical examination revealed a distended abdomen with tenderness over the lower quadrants, with no guarding or rigidity. A hard mass was palpable in the lower quadrant of the abdomen and bowel sounds were normal. The genito-urinary examination was normal. Straight urethral catheterization resulted in 300 ml of amber-coloured urine. She had no laboratory abnormalities with normal renal function and a creatinine of 0.6 mg/dl. Computerized tomography (CT) of the abdomen and pelvis with contrast is shown in Figures 1 and 2. The CT revealed marked dilation of the sigmoid colon, measuring over 13 cm with a large amount of fecal matter. The urinary bladder was compressed and displaced laterally to the right, and no hydronephrosis was noted.
subject: Articles
  topic: section
subject: Adolescent Female
  topic: keywords
subject: Urinary
  topic: keywords
subject: Retention
  topic: keywords
creator: Sheetal Sriraman MD
creator: Ratna Basak
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-06-12
publication date: 2024-06-12
starting page: 1
ending page: 2
doi: 10.47363/JCIR/2024(3)129

Prevalence and Pattern of Ocular Diseases among Rural Dwellers in Affa, Enugu State
type: item
description: Background: The prevalence and pattern of different ocular diseases among rural dwellers vary in different parts of the world. It is usually influenced by a numerous factor, including but not limited to utilization of eye care services, socio-economic status, and level of education. Aim: To identify the most prevalent eye diseases and their pattern of occurrence, among rural dwellers in South East Nigeria, with a view to influence targeted health policies and subsequently, targeted interventions to improve eye health in the region. Methods: The study was a cross sectional study involving patients willing to participate in the study during a one-day free eye outreach organized by the Ophthalmology department, ESUTH Parklane at Affa Community in Udi Local Government Area of Enugu state. A preliminary visit was made one week prior to the health outreach, by some members of the outreach team to mobilize the community, seek their consent and fix a date through their leaders. On the day for the outreach, the objective of the eye screening was explained to the participants in both English and their local language. Subsequently, informed consent was obtained and each subject registered and the bio-data documented. Registered participant had their unaided and aided Visual Acuity (VA) of each eye determined. Then, the anterior and posterior segment was examined. Data collected were recorded using a proforma and later inputted into a computer, cleaned and analysed using SPSS version 21. Results were presented in tables and represented in frequencies percentages. Association between variables were done using t-test and p-value of <0.05 was considered significant. Results: One hundred and sixty-eight participants were screened during the outreach programme/study with mean age of 40+0.5years. There were more females 116 (69.1%) than males 52 (30.9%), giving a female to male ratio of 2:1 and they are predominantly Christians and farmers. The common ocular problems among the partic…
subject: Articles
  topic: section
subject: Prevalence
  topic: keywords
subject: Pattern
  topic: keywords
subject: Ocular Diseases
  topic: keywords
subject: Rural Dwellers
  topic: keywords
subject: Affa
  topic: keywords
subject: South Eastern Nigeria
  topic: keywords
subject: Tertiary Hospital
  topic: keywords
creator: Okoloagu NN
creator: Eze GC
creator: Onah ES
creator: Unaka CC
creator: Ozonnaike CU
creator: Nwabuike CP
creator: Akutebo HN
creator: Chukwunonye CR
creator: Uma CJ
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-05-09
publication date: 2024-05-09
starting page: 1
ending page: 6
doi: 10.47363/JCIR/2024(3)127

Rituximab-Induced Progressive Multifocal Leukoencephalopathy
type: item
description: A 76 year-old high-functioning male presented with executive dysfunction nearing conclusion of rituximab maintenance monotherapy post bendamustine and rituximab induction for igm and igg biclonal lymphoplasmacytic lymphoma. In total seventeen doses of rituximab were delivered over approximately two years achieving partial disease response. This treatment occurred on a background of secondary immune thrombocytopenia necessitating low-dose corticosteroids for several years previously. Magnetic resonance neuroimaging demonstrated multifocal deep white matter lesions (green dots) confirmed as progressive multifocal leukoencephalopathy on both cerebrospinal fluid jc virus titres (33 iu/ml) and brain biopsy histopathology (intracellular viral inclusions concentrated within regions of demyelination). Despite eventual immune reconstitution in response to plasma exchange, ivig, filgrastim and pembrolizumab, our patient ultimately suffered progressive demyelinating foci associated with neurological disability culminating in death. As such, this case highlights a rare yet fatal side effect of rituximab immunotherapy.
subject: Articles
  topic: section
subject: Leukoencephalopathy
  topic: keywords
subject: Rituximab-Induced
  topic: keywords
creator: Jaineel Ramnarain
creator: Henry Miles Prince
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-03-26
publication date: 2024-03-26
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2024(3)126

Comparison of Portable Smartphone-Based Auto-Refraction with Table top Auto-Refraction and Manual Retinoscopic RefractionAmong Adolescents in A Tertiary Hospital in Enugu Nigeria
type: item
description: Background: Uncorrected refractive error (URE) is the leading cause of preventable blindness and global vision impairment (VI) with relatively high prevalence among school aged adolescents and children. Timely detection and correction may prevent the development of amblyopia, strabismus and enhance school success in these age group. Aim: The aim of this study was to compare the refractive error measurements of Smartphone-based auto refraction with tabletop auto refraction and retinoscopy among adolescents attending eye clinic of Enugu State University of Science and Technology Teaching Hospital Parklane (ESUTTHP); Enugu, with a view to determining if portable Smartphone-based auto refraction can serve as a reliable alternative to tabletop auto refraction and Retinoscopy. Methods: This was a hospital-based comparative cross-sectional study done over ten month period on 292 adolescents (584 eyes) aged 13-19 years with refractive errors attending eye clinic of the Hospital. Patients were selected by simple random sampling after which non-cycloplegic and cycloplegic refractive measurements of their eyes were performed using the three study instruments (Smartphone-based autorefractor (SBAR), Tabletop autorefractor (TTAR) and Retinoscope). The mean spherical values (SV) and spherical equivalent values (SEV) were determined and compared using ANOVA. Data entry and analysis were done using SPSS version 23. Results: The mean age of the study participants was 16.6+0.76years, (age range 13-19years) comprising162 (55.5%) females and 130(44.5%) males; in the ratio of 1.3:1. Students constituted majority of the study participants 150 (51.4%). In non-cycloplegic state, 430 (73.6%) eyes were found to have refractive errors according to study definition (≥ 0.50 D); comprising 44 (7.5%) of myopia, 28 (4.8%) of hypermetropia, 264 (45.2%) of myopic astigmatism and 94 (16.1%) of hypermetropic astigmatism. But in cycloplegic state, 461(78,9%) eyes comprising 31(5.3%) of myopia, 30 (5.1%)…
subject: Articles
  topic: section
subject: Adolescents
  topic: keywords
subject: Retinoscopic
  topic: keywords
creator: Onah ES
creator: Anajekwu CC
creator: Ezegwui IR
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-03-22
publication date: 2024-03-22
starting page: 1
ending page: 9
doi: 10.47363/JCIR/2024(3)125

Capnocytopaha Canimorsus
type: item
description: A 61-year-old man, with no known comorbidities, came to the emergency room on foot because of shortness of breath and chest pain while lying down, abdominal pain and fever with chills38°C. In the background, apart from drinking alcohol from time to time, there is nothing to note, in his presence there are two dogs, there is no story of a bite but licking by the dogs in the face
subject: Articles
  topic: section
subject: Capnocytopaha Canimorsus
  topic: keywords
subject: Dogs
  topic: keywords
subject: Gangrene
  topic: keywords
subject: Multi-Organ Failure
  topic: keywords
creator: Raymond Farah
creator: Tawfiq Ghantus
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-01-30
publication date: 2024-01-30
starting page: 1
ending page: 2
doi: 10.47363/JCIR/2024(3)122

School of Liberal Art, University of St. Thomas of Houston, Houston, USA
type: item
description: Mosquitoes are the most harmful insects who cause 2 million illnesses, kill 28 thousand people daily [1,2]. The challenge for researchers has been to develop a bait combination that attracts female mosquitoes and keeps them away from humans. In the animal kingdom, as a matter of survival, millions of years of natural selection have been guiding species toward prey that they can successfully kill. This is true for mosquitoes. Among the 250 billion mammals and birds as potential victims, mosquitoes choose birds with a 42 °C body temperature 50% of the time, humans at 37 °C 4% of the time, and other warmer mammals (40 °C) 46% of the time. Previous research has shown that 40 °C toxic bait traps successfully attract and kill female mosquitoes [3]. A series of individual and side-by-side group experiments gradually identified the chain of events process that female mosquito use to locate hosts and meals. Upon the calls of nature, female mosquitoes sought warm-blooded animals to feed on. They first targeted accessible at or on approximate 42 °C hosts, then hosts with 40 °C, and finally those with 37 °C. In these situations, they had success rates in feeding of 50%, 46%, and 4%, respectively.
subject: Articles
  topic: section
subject: Mosquito
  topic: keywords
subject: Malaria
  topic: keywords
subject: Dengue
  topic: keywords
subject: West Nile Virus
  topic: keywords
subject: Zika
  topic: keywords
subject: Yellow Fever
  topic: keywords
subject: Chikungunya
  topic: keywords
creator: Phi Tran
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-02-23
publication date: 2024-02-23
starting page: 1
ending page: 3
doi: 10.47363/JCIR/2024(3)124

Mosquito Control, Killing Them Before They Hatch
type: item
description: Mosquitoes are the most harmful insects who cause 2 million illnesses, kill 28 thousand people daily, most of them are in underdevelopment countries where a good part of the population is living without running water, people store water in large containers for their daily uses especially for food preparation, cooking, and drinking; there come mosquito habitats. People there are looking up to science for uncharm methods to kill those mosquito-to-be larvae and pupae that are already in their home. Proposed methods include introductions of oil, soap, toxin, or larvae eating fish contaminate their waters making them unfit for human consumption, they do not welcome. Because the insects are naturally air breathers, using minuscule snorkeling syphons, the experiments used CO2 to suffocate them by bending a duct to redirect smog from small candles onto the water surface. As the result, they were all killed in minutes.
subject: Articles
  topic: section
subject: Mosquitoes Malaria Dengue
  topic: keywords
subject: West Nile Virus
  topic: keywords
subject: Zika
  topic: keywords
creator: Phi Tran
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2024-01-17
publication date: 2024-01-17
starting page: 1
ending page: 2
doi: 10.47363/JCIR/2024(3)121

Satisfaction and Experiences in Telehealth of The Filipino Patient and Caregiver: A Sequential Explanatory Single-Center Study
type: item
description: Introduction: The CoVID-19 pandemic paved a way for telehealth which was then considered as the "new normal". Generally, satisfaction influences the decision making of users. This study determined patient and caregiver satisfaction and experiences with the use of telehealth services. Methods: A cross-sectional sequential explanatory design was utilized. Patients and caregivers from May to August 2022 at the Department of Internal Medicine in University of Santo Tomas Hospital initially answered the Telemedicine Satisfaction Questionnaire (TSQ), followed by exploring their experiences with telehealth through key informant interviews. A score of ≥ 4 over 5 from the TSQ showed a higher satisfaction score. Pearson R correlation, Spearman Correlation, Fisher-Freeman-Halton Exact Test, and Mann Whitney U test were used in the quantitative phase, while inductive thematic analysis was utilized for the qualitative phase. Results: A total of 182 patients and caregivers participated in the first phase, while 11 respondents were interviewed. There were 146 patients and 36 caregivers with mean age of 41.48 ± 12.7. The TSQ scores ranges from 4.32 to 4.62, and 96.7% of the participants had overall score of 24 over 5. Age and location had significant association with telehealth services. The qualitative phase introduced three themes 1) Telemedicine: Improving Quality of Life in the Digital Age, 2) Limiting Consequences of the Primary Setup Shift in Consultations, and 3) Nuances of Traditional and Modern Health Services. Conclusion: The participants had a high overall satisfaction score which means patients and caregivers has high level of satisfaction leading to advocating the use of telehealth. Personal accounts from the interviews showed that telemedicine improved the overall quality of life of patients and caregivers. Creating a convenient, efficient, economical, safe, and comfortable health care service where actual needs of patients and caregivers are met.
subject: Articles
  topic: section
subject: Telemedicine
  topic: keywords
subject: Telehealth
  topic: keywords
subject: Satisfaction
  topic: keywords
subject: Experiences
  topic: keywords
subject: Patients
  topic: keywords
subject: Caregivers
  topic: keywords
subject: Mixed Methods
  topic: keywords
subject: Descriptive Statistics
  topic: keywords
subject: Qualitative Interviews
  topic: keywords
creator: Christine Gertrude O Tan
creator: Flordeluna Z Mesina
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-12-11
publication date: 2023-12-11
starting page: 1
ending page: 6
doi: 10.47363/JCIR/2023(2)120

Phlegmatia Cærulea Dolens Complicated By Rhabdomyolysis
type: item
description: 68-year-old patient, with a history of arterial hypertension, admitted to the emergency department for pain in the left lower limb lasting for 8 hours. On physical examination, the limb was cold cyanotic, with edema extending from the foot to the thigh (figure 1). The popliteal pulse was very weak and the Homans sign was positive. Laboratory tests showed D Dimer at 1200 μg/L, creatinine at 210 μmol/l and creatine phosphokinase at 360 IU/l. Dopller ultrasound revealed a thrombosis of the common femoral vein extended to the external iliac vein. The arteries of the lower limbs were patent. The diagnosis of phlegmatia caerulea dolens complicated by rhabdomyolysis was made. The treatment was medical, combining rehydration with a saline infusion and heparin therapy (unfractionated heparin). The evolution was favorable, with normalization of renal function and disappearance of pain. The patient left the hospital after 15 days with treatment based on apixiban.
subject: Articles
  topic: section
subject: Rhabdomyolysis
  topic: keywords
subject: Phlegmatia
  topic: keywords
subject: Cærulea Dolens
  topic: keywords
creator: Hafedh Daly
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-11-09
publication date: 2023-11-09
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2023(2)139

Diriyah Hospital CT Scan Service’s Readiness for ACR Accreditation:A Gap Analysis
type: item
description: ACR clinical service accreditation Guidelines titled the Practice Parameters and Technical Standards help advance the science of radiology by improving the quality of imaging service to patients. Since the use of computed tomography (CT) has rapidly increased since its introduction in the 1970s, physicians see benefits of using computerized tomography (CT) scanning in their patient care management. It is possible nowadays to perform more examinations on time. However, extending the scope of some examinations, as well as introducing some new techniques occurs sometimes. The ease of acquisition of images results sometimes in unnecessary exposure of patients to radiation, particularly in developed countries. Furthermore, organ doses from CT scanning are considerably larger than those from corresponding conventional X-ray. The CT scan is the most appropriate modality of receive a traumatic patients. The CT scan is also very effective in diagnosis of traumatic cases with high resolution in real time mode and visualization of fine details with or without the use of contrast medium. CT is now a standard diagnostic tool for patient’s pathologies detection, trauma, renal calculi, appendicitis, and heart conditions. The speed, accuracy and availability of CT technology have rapidly raised the volume of CT scans performed in patients, despite the fact that CT scanning delivers a higher radiation dose to the patient than other available procedures
subject: Articles
  topic: section
subject: CT Scan
  topic: keywords
subject: Readiness
  topic: keywords
subject: ACR Accreditation
  topic: keywords
creator: Abdullah Dhaifallah Almutairi
creator: Abdullah Mohammed Alshehri
creator: Hamad Dhafer Al-Qahtani
creator: Mazed Hamed Al-Rashidi
creator: Mazna Muhammad Al-Anzi
creator: Turki Saeed Al Otaibi
creator: Eid Fatim Al-Rashidi
creator: Abdul Karim Matari Al-Mutairi
creator: Faisal Abdul Rahman Al-Otaibi
creator: Rawan Ayed Al-Qahtani
creator: Abdulelah Dhaifallah Almutairi
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-11-20
publication date: 2023-11-20
starting page: 1
ending page: 6
doi: 10.47363/JCIR/2023(2)119

Academic Accreditation and Assessment in Medical Laboratory Science Education in Timor-Leste
type: item
description: Introduction: Accreditation for higher education in Timor-Leste leaded and realized by National Agency for Academic Assessment and Accreditation (NAAAA), Ministry of Higher Education, Science and Culture. In medical education, accreditation aim to assess the availability of curriculum, human resources, infrastructure and medical laboratory equipment to support teaching and learning process in the academic higher institution especially for the medical laboratory sciences education. This accreditation was conducted in Oriental University of Timor-Loro Sa’e (UNITAL) especially department of medical laboratory technology. The 39 respondents were 10 lecturers, 4 stakeholders, 13 alumni and 12 students from department of medical laboratory. It was found that there were very limited human resources with expertise that compatible to the study program, curriculum issue, limited room for teaching and learning process, limited WIFI accession, and require a complete laboratory equipment for practical classes. However, the department has been established more than 6 -7 years without curriculum revision, laboratory infrastructure progress and compatible lecturers that available.
subject: Articles
  topic: section
subject: National Agency for Academic Assessment and Accreditation
  topic: keywords
subject: Oriental University of Timor-Loro Sa’e
  topic: keywords
subject: Department of Medical Laboratory
  topic: keywords
subject: Medical Laboratory Facilities
  topic: keywords
creator: Gregorio Rangel
creator: Paulino Saldanha
creator: Edmundo Viegas
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-11-08
publication date: 2023-11-08
starting page: 1
ending page: 4
doi: 10.47363/JCIR/2023(2)140

A State of Septic Shock Revealing a Pyomyoma as An Exceptional Complication Post Abortum
type: item
description: Pyomyoma is a pyogenous infection of a leiomyoma and occurs when a leiomyoma under goes infarction and subsequent infection. It is a rare, yet potentially fatal complication of uterine leiomyoma. We report the case of a 42-year-old tunisian woman,20 weeks of gestation, who presented with rupture of membrane. In her ultrasonography, in 20 weeks of gestation, she had 18 cm × 16 cm sub-mucosal to intramural myoma and a normal fetus. a cesarean section was performed for suspected chorioamniotitis with a failed induction. Seven days later, she presented with fever and lower abdominalpain. In physical examination, she had blood pressure:100/70mmHg, pulse rate: 110 beats per minute and temperature:39.5°C. She had tenderness on uterus and uterine height was 24 weeks. Ultrasonography showed a hetero-echoic mass (18 cm × 16 cm × 12 cm) in posterior side of uterus and endometrial thickness was 8 mm. With diagnosis of endometritis or infected myoma, she was admitted and received intravenous.
subject: Articles
  topic: section
subject: Pyomyoma
  topic: keywords
subject: Abortum
  topic: keywords
subject: Revealing
  topic: keywords
creator: Amina Mnejja
creator: Dhekra Toumi
creator: Olfa Zoukar
creator: Ahmed Hajji
creator: Imen Ghaddab
creator: Rahma Issa
creator: Ekram Guerbej
creator: Imen Ben Farhat
creator: Khaoula Moussa
creator: Ines Miladi
creator: Amira Grassi
creator: Wassim Mallek
creator: Faleh Raja
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-10-09
publication date: 2023-10-09
starting page: 1
ending page: 2
doi: 10.47363/JCIR/2023(2)118

Acrodermatitis Continua of Hallopeau in A Case of Psoriatic Arthritis
type: item
description: This is a case of a young female with generalized plaque psoriasis and psoriatic arthritis involving small joints of hand (predominantly distal interphalangeal joints). This patient develops nail changes in the form of painful red pustules with significant erythema at tip of the right ring and little fingers with onychodystrophy suggesting acrodermatitis continua of Hallopeau (ACH) She also has active DIP arthritis in the little finger ACH presents as pustular eruptions beginning in the tip of fingers and toes which is also considered as a variant of palmo-plantar psoriasis
subject: Articles
  topic: section
subject: Psoriasis
  topic: keywords
subject: Acrodermatitis Continua of Hallopeau
  topic: keywords
creator: Ritasman Baisya
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-09-30
publication date: 2023-09-30
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2023(2)117

Acrorenal Syndrome: Case Series
type: item
description: Acral (limb) and renal anomalies occur together as a single developmental field defect or as components of several malformation syndromes. The embryogenesis of that defect was studied experimentally by Lash and the developmental relationship between kidneys and limbs has been reviewed by Buchta and Gilbert. The acral anomalies consist of split hand/ split foot, varying combination of oligodactyly, ectrodactyly, syndactyly, brachydactyly, polydactyly or fusion of carpal, tarsal, metatarsal bones of hands and feet. Urinary tract dysplasias are renal agenesis, duplication, ureteral hypoplasia, polycystic kidneys, hydronephrosis and bladder neck obstruction. The authors report three cases of acrorenal syndrome and discuss its clinical and laboratory findings.
subject: Articles
  topic: section
subject: Acrorenal Syndrome
  topic: keywords
subject: Limb Defects
  topic: keywords
subject: Pigmentary Retinopathy
  topic: keywords
subject: Renal Failure
  topic: keywords
creator: Abhinav Gupta
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-08-23
publication date: 2023-08-23
starting page: 1
ending page: 3
doi: 10.47363/JCIR/2023(2)115

Para-Testicular Mesenchymal Chondrosarcomas: an Updated Review of Clinical Insights and Therapeutic Considerations
type: item
description: Para-testicular mesenchymal chondrosarcoma, an uncommon malignancy originating in the para-testicular region, poses distinctive diagnostic and therapeutic challenges. This comprehensive review offers insights into its incidence, epidemiology, clinical presentation, histopathological features, diagnostic methods, treatment strategies, and prognosis. The recent WHO classification for Soft Tissue Tumors and Bone is a pivotal tool in refining pathologic diagnoses and therapeutic decisions. Notably, the inclusion of skilled clinicians’ insights underscores the pivotal role of accurate pathologic diagnoses in guiding treatment choices. Advancements include risk assessment for solitary fibrous tumors, the recognition of NTRK-rearranged soft tissue tumors as an “emerging entity,” and the classification of undifferentiated round cell sarcomas. The tumor’s rarity, intrinsic and technological complexities, and limited educational impact contribute to the intricate landscape of diagnosis and treatment for mesenchymal tumors.
subject: Articles
  topic: section
subject: Therapeutic
  topic: keywords
subject: Para-Testicular
  topic: keywords
subject: Mesenchymal
  topic: keywords
subject: Chondrosarcomas
  topic: keywords
creator: Carlos Alberto Cardenas
creator: David Rosero
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-08-27
publication date: 2023-08-27
starting page: 1
ending page: 4
doi: 10.47363/JCIR/2023(2)116

Blue Rubber Bleb Nevus Syndrome with Large Ulcerated Cutaneous Lesions: First Yemeni Case Report
type: item
description: Blue rubber bleb nevus syndrome is a rare, sporadic, congenital disorder characterized by numerous cutaneous and internal venous malformations. We report the case of a 2-month-old male with multiple large, bluish, bleb-like, nodular lesions on the face, scalp, neck, trunk, and limbs present since birth. Some of these lesions exhibit central ulceration, which is an unprecedented observation.
subject: Articles
  topic: section
subject: Blue Rubber Bleb Nevus Syndrome
  topic: keywords
subject: Bean Syndrome
  topic: keywords
subject: Venous Malformation
  topic: keywords
subject: Gastrointestinal Bleeding
  topic: keywords
subject: Iron-Deficiency Anemia
  topic: keywords
creator: Alshami MA
creator: Alshami HM
creator: Mohana MJ
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-08-21
publication date: 2023-08-21
starting page: 1
ending page: 3
doi: 10.47363/JCIR/2023(2)114

Ovarian Dermoid Cyst
type: item
description: Objective: Teratoma is the most common germ cell tumor of the ovary.
subject: Articles
  topic: section
subject: Ovarian
  topic: keywords
subject: Dermoid
  topic: keywords
subject: Cyst
  topic: keywords
creator: Gulzar Ahmad Bhat
creator: Fariha Aman
rights: Copyright (c) 2025 Journal of Clinical Images & Reports
date: 2023-07-30
publication date: 2023-07-30
starting page: 1
ending page: 1
doi: 10.47363/JCIR/2023(2)112