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Hemorrhagic transformation in patients with ischemic stroke and atrial fibrilla...

Vasconcelos, Tiago; Emidio, Fábio Caleça; Silva, Frederico; Nascimento, Joana; Duarte, Marta

The management of anticoagulation in patients with ischemic stroke and atrial fibrillation (AF) poses a critical dilemma due to the inherent risk of hemorrhagic transformation. This article presents the case of an 89-year-old male with AF and recurrent ischemic strokes, highlighting the complex challenge of deciding whether to initiate or withhold anticoagulation. After the initial ischemic stroke event, the pa...


Tumor lysis syndrome rare presentation as uremic pericarditis: a case report

Emidio, Fábio Caleça; Pereira, Rafaela; Santos, Pedro Martins dos; Abegão, Teresa

Tumor lysis syndrome (TLS) is an oncological emergency characterized by the massive destruction of malignant cells and the release of their contents into the extracellular space, which might occur spontaneously or post-chemotherapy. According to the Cairo&Bishop Classification, it can be defined by both laboratory criteria: hyperuricemia, hyperkalemia, hyperphosphatemia, hypocalcemia (two or more); and clinical...


Rectal bezoar: a rare cause of intestinal obstruction

Emidio, Fábio Caleça; Pereira, Rafaela C.; Saez, Rosário Blanco; Abegão, Teresa; Ribeiro, Ana S.

Bezoars are conglomerates of undigested contents that accumulate in the gastrointestinal tract. They can have different compositions, such as fibers, seeds, vegetables (phytobezoars), hair (trichobezoars), and medication (pharmacobezoars). Bezoars are typically caused by an impaired grinding mechanism of the stomach or interdigestive migrating motor complex, but the composition of ingested material can also pla...


Tumor lysis syndrome rare presentation as uremic pericarditis: a case report

Emidio, Fábio Caleça; Pereira, Rafaela; Santos, Pedro Martins dos; Abegão, Teresa

Tumor lysis syndrome (TLS) is an oncological emergency characterized by the massive destruction of malignant cells and the release of their contents into the extracellular space, which might occur spontaneously or post-chemotherapy. According to the Cairo&Bishop Classification, it can be defined by both laboratory criteria: hyperuricemia, hyperkalemia, hyperphosphatemia, hypocalcemia (two or more); and clinical...


Dance of the sugar: two case reports of chorea associated with nonketotic hyper...

Pereira, Rafaela C.; Emidio, Fábio Caleça; Dias, Ângelo; Saez, Rosário Blanco; Shamasna, Motasem; Pestana, Joana

Hyperglycemia-induced chorea/ballism is a rare clinical entity that often occurs in the setting of nonketotic hyperglycemia due to poor glycemic control in elderly patients with a diagnosis of type 2 diabetes mellitus (DM). This condition is typically characterized by hemichorea/hemiballism and unique brain imaging findings in the contralateral basal ganglia. Treatment involves the correction of blood glucose, ...


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