Rare coexistence of disease or pathology Background:Situs inversus totalis (SIT) is an uncommon condition characterized as a congenital disorder in which the visceral organs are inverted relative to their typical anatomical position. SIT with double superior vena cava (SVC) is an even rarer presentation. Due to the underlying anatomical difference, the diagnosis and treatment of gallbladder stones in patients with SIT are challenging. Case Report:We report the case of a 24-year-old male patient who presented with an intermittent history of epigastric pain for 2 weeks. Clinical assessment and radiological investigations confirmed gall bladder stones with evidence of SIT and double superior vena cava (SVC). The patient underwent elective laparoscopic cholecystectomy (LC) with an inverted laparoscopic approach. The recovery from the operation went smoothly, the patient was discharged from the hospital the following day, and the drain was removed on the third postoperative day. Conclusions:Because anatomical variations in the SIT can affect localization of symptoms in patients with complicated gallbladder stones, the diagnosis of patients who have abdominal pain and SIT necessitates both a high index of suspicion and a thorough assessment. Although LC is considered to be a technically challenging surgery and calls for modification of the standard protocol, it is nevertheless feasible to perform the procedure effectively.To the best of our knowledge, this is the first time that LC has been documented in a patient who has SIT and double SVC.

Abstract Introduction Human Monkeypox (HMP) is an infectious disease attributed to the orthopoxvirus. HMP was firstly documented in humans in 1970 in the Congo. Since May 2022, multiple cases of HMP were identified in several non-endemic countries including some Middle Eastern countries.  Objective  This study aims to assess the knowledge about HMP among medical students in Jordan. Methodology  A cross-sectional study was conducted using online based questionnaire. A sample of 565 medical students completed the questionnaire during May 2022. The questionnaire collected data regarding source of knowledge, causative organism, natural host, mode of transmission, incubation period, signs and symptoms, duration diagnosis prevention, treatment and complications of the disease. Results Males constituted (39.6 %) of the total sample. Significantly higher rate of knowledge was detected among males (35.7%) vs. females χ2 =10.0, P = 0.002, fifth (60.9%) and sixth (43.8%), vs. first, second and third academic years, χ2 = 83, P<0.001. Correct knowledge about signs and symptoms showed the highest rate (43.0%), followed by an Incubation period, duration and prevention of disease, (33.3%, 32.6% & 31.0%, respectively). On the other hand lowest knowledge exhibited regarding; natural host (5.0%), mode of transmission, (9.2%), psychosocial impact, (9.2%), vulnerable age group (14.2%), and complications (14.2%). Majority of students (82.3%) claimed that their knowledge was earned from social media followed by TV (16.3 %,), and the    university (8,5%).TV had the highest rate (47.8%) with adequate knowledge, χ2 =20.6, p <0.001            interestingly, 71,7% of the respondents had inadequate knowledge about the outbreak and 70,7% of them, the social media was their source of knowledge.   Conclusion Gender and higher academic year are significantly associated with adequate knowledge. Social media is significantly associated with inadequate knowledge among students.   Key words: Knowledge, Monkeypox, Social Media, Infectious Disease

in this article we will be discussing how a medical student can find the optimal pathway for conducting medical research. We chose to discuss the most important aspects regarding the research process for a beginner. These aspects are finding a research idea, collaborating with a suitable research team, and finding the supervision of a mentor. We will also provide information on the logistics and legal issues of conducting medical research and on the methods to publishing a finalized research paper.

Gout is a common disease, which affects more than 8 million of patients in the US alone. Typically, gout present as articular surfaces are well described in literature. However, the extra articular manifestations are being increasingly reported in the last few years. The extra-articular manifestations of gout disease can present in several ways, including tenosynovitis, and most commonly affecting the lower limb. Here in, the authors are going to present a rare case of recurrent tennis elbow episodes. The only clinical explanation of this novel presentation was presence of high serum uric acid levels.