Saint Francis University

About: Saint Francis University is a education organization based out in Loretto, Pennsylvania, United States. It is known for research contribution in the topics: Population & Osteoblast. The organization has 1694 authors who have published 2038 publications receiving 87149 citations.

A Complex Cardiac Mass Originating from Interatrial Septum in a Patient with History of Kidney Cancer: A Case Report and Literature Review

Abstract: Cardiac tumors are a rare phenomenon, and most cases are secondary to metastatic cancers rather than primary tumors. Renal cell carcinoma (RCC) is notorious for metastasis to cardiac tissue. Tumor thrombus migration to the renal vein and inferior vena cava happens in up to 10% of patients with RCC. Transitional cell carcinomas are another form of renal cancer, which may metastasize to the heart and are associated with widespread metastasis. Here, we report a patient with a past medical history of metastatic transitional cell cancer of renal pelvis under treatment with checkpoint inhibitor therapy presenting with shortness of breath. He had disseminated metastasis to bones, pleural space, lungs, and muscles. A large mass was found in the interatrial septum with invasion to the right and left atrium. The mass had a cystic component protruding into the left atrium. He passed away a few days after presentation.

Presentation and evaluation of hyperprolactinemia in adolescence: Case reports and suggested clinical guidelines

Abstract: We describe the presentation, clinical evaluation, and outcome of 3 cases of hyperprolactinemia in adolescent females. Case #1 is a 16 and 4/12-year-old female with secondary amenorrhea. Pregnancy testing had previously been negative with no further evaluation. Bilateral expressible galactorrhea was discovered on physical examination and a serum prolactin was 110.3 ng/ml. The computed tomography (CT) scan was normal and menses resumed with bromocriptine therapy. Case #2 is a 15 and Vi2-year-old female who came for a routine yearly examination. She had no complaint and was menstruating regularly. Specific questioning revealed a history of galactorrhea confirmed by physical examination. A serum prolactin was 47.0 ng/ml. A CT scan showed a pituitary microadenoma. She was treated with bromocriptine. Case #3 is a 16 and 9/12-year-old female who was seen for primary amenorrhea. An evaluation revealed a serum prolactin of 143.0 ng/ml. A CT scan showed a pituitary microadenoma. She was treated with bromocriptine and began to menstruate regularly. For the physician seeing the adolescent female, thorough medical histories must include questions regarding the breast, and evaluation for galactorrhea must be part of every breast examination. The physician also needs to be familiar with the evaluation of amenorrhea and/or galactorrhea and include determination of serum prolactin when indicated. We recommend obtaining a constant enhanced CT scan or magnetic resonance imaging (MRI) of the sella turcica to evaluate any elevation of serum prolactin.

The treatment of an abscess is

Abstract: My last month of internship was spent in Chronic Surgery, well removed from the acute units but deliberately located several feet above the tuberculosis wards in a beautiful hill station. Acute Medicine housed patients with pneumonia, infectious hepatitis, severe anaemia, dysentery, amoebic liver abscess, and typhoid. Patients with acute abdominal pain, trauma, subacute intestinal obstruction (often caused by hyperinfestation with Ascaris lumbricoides ), and head injuries patronised Acute Surgery. A fractured skull caused by a falling coconut was one of the commonest reasons for admission. Patients with uncontrolled hypertension and diabetes as well as those convalescing from acute illnesses were placed in Chronic Medicine, while Chronic Surgery accommodated patients with slowly healing wounds and a variety of other illnesses that needed continuing care. Here I …

Cavernous Sinus Thrombosis due to Chronic Bacterial Sinusitis.

Abstract: The cavernous sinus is the most frequent dural sinus to become infected and thrombosed. Septic cavernous sinus thrombosis has become rare since the advent of antibiotics. We herein present a case of septic cavernous sinus thrombosis caused by chronic bacterial sinusitis.