Background: Children with histories of extreme prematurity and congenital hypotonia often present with delayed motor development and gait instability. Positional vestibular dysfunction may be underrecognized in this population, and standard canalith repositioning maneuvers are frequently not feasible for toddlers.

Case Presentation: This case report describes a 3-year-old child born at 23 weeks gestation with congenital hypotonia and delayed…

Lateral epicondylitis or tennis elbow is a painful and functionally limiting entity affecting the upperextremity and is frequently treated by hand surgeons. Corticosteroid injection is one of the most common interventions for lateral epicondylitis or tennis elbow. Here, a review of the medical literature on this treatment is presented.

Keywords: Tennis Elbow; Steroid

Objective: To describe two-rickettsiosis laboratory-positive cases, and their eco-epidemiology, in non-autochthonous area of Brazil, 2022.

Methods: Case report study with environmental investigation, from May 1st to November 14th, 2022. Data collection occurred through interviews and health records; ectoparasites and dogs’ blood samples were collected, and spatial monitoring of a Rickettsia serologic reagent dog was performed. Software used: Epi…

Background: The use of electronic cigarettes (ECs), or vaping, has been increasing at an alarming rate, constituting a significant public health concern. A lack of data regarding the impact of EC use on dermatologic disease requires a scoping review of the current literature.

Methods: Our scoping review protocol was registered on Open Science Framework. Two independent reviewers completed a systematic review of the literature in Web of Science,…

Neonatal biliary ascites is a rare but important cause of progressive abdominal distension in early infancy. Diagnosis is often delayed because jaundice may be mild and stool color may remain normal. We report a term neonate presenting with increasing abdominal distention simulating bowel obstruction and respiratory compromise secondary to massive biliary ascites. Ultrasound demonstrated large-volume free fluid without biliary duct dilatation. Diagnostic paracentesis confirmed bile-stained…

Objective: To examine and explore how soul faculties can be integrated with the psycho‑neuro‑endocrine‑immune (PNEI) axis in gut‑focused interventions to address metabolic dysregulation and obesity, synthesizing evidence from psychosomatic medicine, neurogastroenterology, psychoneuroimmunology, and integrative health and to achieve the long awaited integrated unified concept between medicine, psychology, philosophy and theology.

Design: Narrative…

Drug-induced parkinsonism (DIP) is a debilitating side effect associated with several classes of medications. Amlodipine is a widely used dihydropyridine calcium channel blocker (CCB) commonly prescribed for hypertension and angina. We present a case of a 62-year-old man who underwent liver transplantation and developed parkinsonism shortly after initiation of amlodipine for hypertension. After ruling out other causes for his neurological presentation, discontinuation of amlodipine resulted…

The rapid proliferation of smartphone and digital device usage among young and working age adults has created a silent epidemic of technology-driven musculoskeletal disorders (tech MSDs), yet preventive interventions remain underexplored in clinical practice. This prospective, longitudinal cohort study combined with a randomized controlled trial (RCT) investigates the biomechanical consequences of technology-driven postural dysfunction and evaluates the efficacy of physiotherapy-led…

Neonatal hypoganglionosis is a rare congenital dysganglionosis typically presenting in the neonatal period with intestinal obstruction. Initial symptoms may include intermittent massive abdominal distension and non-bilious vomiting. Presentation beyond infancy is common, often subtle and easily missed, while acute appendicitis following inadequate conservative therapy is exceptionally rare. We describe a 3-year-old girl who presented with atypical features of acute appendicitis, posing a…

Intramedullary nail removal is an uncommon but complicated procedure with significant surgical challenges, especially in the case of a broken nail. There are multiple cumbersome techniques for nail removal described that are frought with difficulty. We present a technique designed to take advantage of the difference in metallurgy of a stainless steel Schanz pin and a cannulated titanium intramedullary nail. We use a 5.0 mm self-tapping Schanz pin that is able to be drilled into the softer…