Background: Primary hyperaldosteronism is a significant but often overlooked cause of secondary hypertension. It is characterized by excessive aldosterone production by the adrenal glands. A considerable gap exists in the prevalence of primary hyperaldosteronism, its diagnosis, and management, particularly in regions like the Middle East.
Background: Primary healthcare centers (PHCs) in Bahrain are the first point of contact for patients with urgent and non-urgent concerns. Effective triage ensures timely prioritization, safe patient flow, and optimal use of resources in high-volume primary care settings. Evidence on triage preparedness among PHC nurses remains limited.
Background: Thyroid cancer is the most common endocrine malignancy. Its rising incidence is primarily attributed to the increased use of computed tomography (CT) and magnetic resonance imaging (MRI) performed for unrelated medical conditions. In this study, we aimed to examine two key aspects: first, the incidence of thyroid cancer in Bahrain, and second, the demographics, modes of presentation, histological subtypes, and treatment modalities among affected patients.
Ectodermal Dysplasia (ED) is a heterogeneous group of genetically determined disorders affecting two or more ectodermal derivatives, including skin, teeth, nails, hair, and sweat glands. Other structures, including the lips, ears, and eyes-also of ectodermal origin-may be involved. This report presents a 6-year-old Bahraini boy with ED who presented to the Paediatric Dental Clinic at the Dental and Maxillofacial Centre (DMFC), Royal Medical Services (RMS), with concerns regarding his appearance due to numerous missing teeth. Initial management focused on preventive care to preserve the existing dentition, followed by restorative procedures and comprehensive prosthetic rehabilitation. A multidisciplinary team approach was essential to establishing a practical treatment pathway.
Neovascular glaucoma secondary to carotid occlusive disease is uncommon. We report the case of a 60-year-old female who presented to the emergency department with right eye pain, redness, blurred vision, dizziness, and body pain for three days. Examination revealed an intraocular pressure (IOP) of 45 mmHg in the right eye. Carotid Doppler ultrasound, performed to evaluate for carotid occlusive disease, demonstrated 80% occlusion of the right internal carotid artery. Subsequent computed tomography angiography (CTA) confirmed significant stenosis (at least 70%) of the proximal right internal carotid artery. The patient was referred to vascular surgery and underwent a thromboendarterectomy of the right internal carotid artery. At nine months of follow-up, the patient demonstrated significant improvement in ocular pain and noticeable reduction in IOP to 16 mmHg. This case highlights the importance of clinical reasoning in identifying less common etiologies, such as carotid artery stenosis, in patients with treatment-resistant neovascular glaucoma.
