A rare inflammatory disease of the major duodenal papilla, duodenal papillitis is frequently linked to pancreatitis, infections, stones, or other biliary obstructions. This case study focuses on a 62-year-old male with a history of cholelithiasis and benign prostatic hyperplasia who presented with pain in the epigastrium. Radiological imaging revealed an enlarged and oedematous duodenal papilla, which suggested biliary obstruction and duodenal papillitis. The patient was started on intravenous antibiotics and analgesics, following which endoscopic stenting was performed, and the clinical outcome was promising. Due to its overlap with other illnesses, such as cancer of the papilla of Vater, duodenal papillitis can be difficult to diagnose. However, early discovery and suitable imaging are crucial for successful treatment. To differentiate this illness from other potential diseases, imaging methods such as Computerized Tomography scan (CT scan) and MRCP must be used correctly. This case highlights the potential for non-invasive treatments to improve patient outcomes while reducing the need for surgery. It also underscores the importance of combining multiple imaging techniques in diagnosing rare gastrointestinal disorders, which can lead to more accurate and timely management.

Rheumatoid arthritis (RA) is a chronic autoimmune disease with profound consequence tos for individuals and society. Characterized by persistent joint inflammation and progressive damage, RA leads to physical disabilities, psychological distress, and reduced quality of life. Beyond its impact on individuals, RA imposes a significant societal burden, including increased healthcare expenditures and loss of productivity, resulting in economic challenges. The disease is further complicated by comorbidities such as anemia, cardiovascular disorders, and infections, necessitating a multidisciplinary approach to care. Hematologists play a pivotal role in managing hematological complications and monitoring biomarkers for disease activity. Meanwhile, nursing managers contribute to patient education, adherence to treatment protocols, and coordination of multidisciplinary care. This article examines the wide-ranging impact of RA and explores the roles of hematologists and nursing managers in addressing its multifaceted challenges, offering insights into strategies for improved outcomes and reduced societal burden.

Hemolytic disease of the fetus & newborn (HDFN) is a disorder where RBCs are destroyed by maternal erythrocyte alloantibodies and there is increased production of unconjugated bilirubin and anemia and in severe cases, hydrops in the fetus. Rh & ABO incompatibility are the most common causes of severe unconjugated hyperbilirubinemia in newborn babies. Though many treatment options are available for this condition, phototherapy stands first and most important of these all. This article signifies the successful management of OB incompatibility with hemolytic jaundice and clinical sepsis in a term neonate who was successfully managed with phototherapy along with serial BIND (Bilirubin Induced Neurological Dysfunction) scoring rather than going for other treatment options such as intravenous immunoglobulin or exchange transfusion.

Penile cancer is a rare disease, but its global incidence is on the rise. Human papillomavirus (HPV) is the primary risk factor, making HPV status assessment an essential part of pathological evaluation. The primary goal of treating the tumor is complete eradication while preserving as much of the organ as possible without compromising oncological outcomes. Early detection and treatment of lymph node (LN) metastasis are crucial for survival. In our case, the patient had a high-risk advanced penile cancer (PSCC) which had requirring a multimodal treatment approach, combining chemotherapy, radiotherapy with consolidation surgical treatment.