Muhammad Atif Ameer

CMH Lahore Medical College & Institute of Dentistry | CMH

Diabetes Mellitus (DM) is a complex metabolic disease primarily associated with elevated blood glucose levels in the body. Diabetic ketoacidosis (DKA) is the most feared acute presentation of diabetes mellitus (DM) in both type 1 and type 2 diabetes mellitus. Furthermore, euglycemic diabetic ketoacidosis (EDKA) is a relatively rare complication of...

Angiotensin-converting enzyme inhibitors (ACEIs) are widely used for heart failure, renal failure, diabetic nephropathy, stroke, arterial hypertension, and a number of other cardiovascular or related conditions. ACEI-induced angioedema is a rare entity but can result in life-threatening emergencies. It mainly occurs in patients starting on ACEI as...

Background Telemedicine is the provision of healthcare services through information and communication technology with the potential to mobilize all facets of the health sector to prevent the spread of COVID-19, provide quality healthcare, protect patients, doctors, and the public from exposure to disease, and reduce the burden on the healthcare sys...

The coronavirus disease 2019 (COVID-19) virus primarily affects the pulmonary system, but neurological manifestations and complication of COVID-19 has been reported in abundance in the literature. We present a case of a middle-aged Caucasian male who was brought to the emergency department for altered mental status. His chief complaints were neurol...

Balanced nutrition is crucial for a healthy eye and vision. Many nutritional deficiencies can result in vision impairment. This article reviews the ocular manifestations of vitamin deficiencies, including vitamin A, vitamin B1 and B12, vitamin C, vitamin D, and vitamin E, and minerals such as zinc. It discusses different ophthalmic symptoms and sig...

Systemic lupus erythematosus (SLE) is a complex autoimmune disease with multisystem involvement. It is multifactorial and involves epigenetic, genetic, ecological, and environmental factors. Primarily it leads to activation of both innate and adaptive immunity, which consequently leads to autoreactive B cell activation by T cells and leads to immun...

This paper focuses on the trends of self-medication practices in treating symptoms that may lead to fatal complications in dengue. As dengue is a viral infection with increasing incidence, decision regarding its treatment is mostly affected by public health believes and practices to self-treat the condition by different home remedies, over-the-coun...

With advancements in imaging techniques, interventional radiology (IR) has found an increased utility in multiple diseases such as ischemic stroke, tissue biopsies, oncology, trauma, etc. The benefit has been twofold in being minimally invasive and improved outcomes. IR in low- and middle-income countries (LMICs) is still in its nascent phase. The...

Objective: To review experience of Botulinum Toxin (BoNT) injections for Oromandibular Dystonia (OMD). Background: OMD causes sustained or repetitive, forceful contractions of the muscles involving jaw and tongue causing jaw opening, jaw closing, lingual and mixed dystonias. When oral pharmacologic agents are inadequate, BoNT is standard of care....

Cervical dystonia (CD) is a focal dystonia characterized by involuntary contractions of neck muscles that result in patterned movements and abnormal postures of the head and neck that have a directional quality. CD is the most common form of dystonia presenting to the movement disorders clinic. Botulinum toxin is an effective treatment for cervical...

Oromandibular dystonia (OMD) is a chronic focal dystonia that involves the mouth, jaw, and tongue. It may cause repetitive or sustained dystonic movements, which can be very disabling for patients. It is usually a life-long disorder with numerous treatment options that are, most often, partially curative. In our experience, the best modality to tre...

Oromandibular dystonia (OMD) is a chronic focal dystonia that involves the mouth, jaw, and tongue. It may cause repetitive or sustained dystonic movements, which can be very disabling for patients. It is usually a life-long disorder with numerous treatment options that are, most often, partially curative. In our experience, the best modality to tre...

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a hereditary arteriopathy with a genetic predilection for the cerebral vessels. It is caused by mutations in the NOTCH3 gene and commonly occurs in middle-aged individuals. Clinical manifestations range from stroke, transient ischemic attack, and...

Neisseria meningitidis (meningococcus) is an important bacterial infection manifesting as meningitis or septicemia, or more often a combination of both. Asymptomatic pharyngeal colonization is the initial step of infection with humans being the natural reservoirs. From the nasopharynx, the coccus reaches the meninges translocating across the nasoph...

Hoarding disorder is a psychiatric pathology where the patient has difficulty discarding items, has severe anxiety related to the idea of discarding objects, and excessive possession leading to clutter, further intensifying distress and impairment of function. We report a case of a 60 years old male patient with schizophrenia and mild cognitive imp...

Deaths from drug overdose have been on a stark rise. In 2019, 72,000 people died from a drug overdose in the US, a 5% increase since 2018.1 In New Jersey alone, the drug overdose-related deaths have increased by 17% in the first half of 2020.2 It is speculated that opioid overdose deaths will be the highest this year, a new spike that we had never...

Introduction Although stigma has been linked to poor quality of life, studies examining its prevalence in dystonia are lacking. Our objective was to determine prevalence and predictors of stigma against generalized dystonia in diverse cultural settings. Method Participants were 273 (65.9% female) patients and visitors approached at primary care cl...

OMD causes sustained or repetitive, forceful contractions of the muscles involving jaw and tongue causing jaw opening, jaw closing, lingual and mixed dystonias. When oral pharmacologic agents are inadequate, BoNT is standard of care.

Visual Hallucinations (VH) are common in Parkinson Disease (PD) and are likely related to changes in the visual pathways as shown by increased serotonergic binding and changes on structural and functional brain studies. We present a case of a retired pediatrician with PD who presented with persistent hallucinations of seeing small children in the s...

Chest pain is among the most common presentations in the Emergency Department. It encompasses an expansive and varied list of differentials. At initial presentation in the emergency department, our attention is mainly focused on determining if this pain is cardiac or pulmonary in origin as these are the most life-threatening scenarios that merit ac...

Quantitative flow ratio is the technique to assess the degree of ischemia in a coronary vessel and derive the fractional flow reserve (FFR) without the conventional use of a pressure wire or induction of hyperemia. We believe that this technique advances the field forward by using 3D reconstruction of the entire coronary tree and using computer gen...

The past 2 years have witnessed several landmark clinical trials showing better functional outcomes regarding acute stroke care. Endovascular intervention (including both the mechanical thrombectomy and intra-arterial thrombolysis) has unequivocal short term and long term clinical benefits as compared to conventional stroke management. In light of...

Limitations of percutaneous coronary intervention have been partially overcome with the advent of Drug-eluting stents (DESs), which have offered better results than bare-metal stents (BMSs), and the DESs of second-generation surpass the clinical results of first generation ones. Stent thrombosis (ST) and in-stent restenosis (ISR) are the major late...

A 42-years-old male presented with left medial canthal swelling, accompanied with only mild epiphora. There was no history of dacryocystitis, mid-facial trauma, surgery, or bloody tears. On examination, there was an immobile, subcutaneous, non-inflammatory mass below the medial canthal tendon. Lacrimal irrigation showed blockade at the nasolacrimal...

A unique clinical phenomenon of “Sundowning” in Intensive Care Unit (ICU) setting has been discussed inconsistently over the years despite many clinical observations documented in medical literature. Most health-care professionals define the term “sundowning” or “ICU psychoses” as late afternoon neuropsychiatric behavior changes such as agitation,...