Current Issue - Volume 64, Number 2 (2026)

Volume 64, Number 2 (April - June 2026)

April - June 2026

DOI: 10.65564/pjim.bca151daf1


Articles in this Issue

Case Report
Contraction Alkalosis: A Case-Based Review

Authors: Ashaq Hussain Parrey, Hilal Bhat, Murtaza Noor, Mohd. Ismail

DOI: 10.65564/pjim.1081358ad9   |   Published: June 2026

We report two cases: a 68-year-old man and a 19-year-old female, both presenting with severe metabolic alkalosis. The 68-year-old man, with underlying comorbid conditions, died, while the young woman survived, highlighting the importance of underlying comorbid conditions in elderly patients, which can determine mortality in such cases.

Case Report
Silent Tumor: A Case Report of an Incidentally Detected Thymoma in 62-Year-Old Female

Authors: Hanna Claire P. Bejarasco

DOI: 10.65564/pjim.149300157d   |   Published: June 2026

This is a case of a 62-year-old Filipino female who came in due to dyspnea. 8 years prior to admission, during annual physical exam, chest x-ray was done which showed anterior mediastinal mass. CT scan of the chest was requested revealing anterior mediastinal mass, right.

Case Report
Cerebral Aneurysmal Vasculopathy Presenting as Central Facial Palsy in a 25-Year-Old Male with Acquired Immunodeficiency Syndrome

Authors: Mary Grace A. El-estwani, Bryan Albert T. Lim

DOI: 10.65564/pjim.d393429fe0   |   Published: June 2026

A 25-year-old male with AIDS, poorly compliant with efavirenz/lamivudine/tenofovir, presented with a 2-week history of facial palsy, initially treated as Bell’s palsy with prednisone.

Case Report
De Novo AML with BCR-ABL Mutation vs CML in Blast Crisis: A Case Report and Literature Review

Authors: Louie Anthony T. Real, Flordeluna Z. Mesina

DOI: 10.65564/pjim.5302511160   |   Published: June 2026

A 26-year-old Filipino male presented with a 9-day history of fever, headache, and sore throat. Initial examination revealed anemia, marked leukocytosis, and a peripheral blood smear showing predominantly blasts.

Case Report
Co-Existence of Chorea-Hemiballismus and Seizure in a Stroke Patient with Diabetes Mellitus: A Case Report

Authors: Christian V. Yecyecan, Jerome R. Barrera, Lucilla Barrera-Soriano

DOI: 10.65564/pjim.6a7b2dc123   |   Published: June 2026

A 74-year-old male with poorly managed diabetes was admitted a year prior due to left sided numbness and weakness with gradual involuntary movements of left upper and lower limbs. Initially suspected of a cerebrovascular infarct, work-up and imaging showed hyperdense changes with possible hemorrhages but no distinct infarct.

Case Report
Normosmic Idiopathic Hypogonadotropic Hypogonadism: A Case Report

Authors: Nahudan A. Akmador, Jerome R. Barrera

DOI: 10.65564/pjim.680688d254   |   Published: June 2026

A 16-year-old male who presented to the endocrinology clinic with complaints of micropenis and absent secondary sex characteristics. Work up showed an unremarkable cranial MRI, low testosterone, LH, normal FSH, with normal Karyotyping.

Case Report
A Case Report of Verrucous Squamous Cell Carcinoma of the Scalp Treated with Docetaxel and Carboplatin at the Divine Word Hospital, A Tertiary Hospital in Tacloban City, Philippines

Authors: Maryjo Therese Y. Castillejos, Mario Enrico G. Machica

DOI: 10.65564/pjim.7de7dde19d   |   Published: June 2026

This is a case of a 61-year-old Filipino male from Daram, Samar, presenting with non-healing wound on the scalp. The patient had a hyperpigmented palpable nodule approximately <1cm on the scalp which he constantly scratched and peeled off.

Original Article
Prospective Evaluation of the FRAIL Scale as a Predictor of Hospitalization and All-Cause Mortality Among Patients with End-Stage Renal Disease on Hemodialysis

Authors: Melvy June S. Balasa, Mark Raymund A. Rodriguez, Ferdinand Renfred A. Zapata

DOI: 10.65564/pjim.c571e8b191   |   Published: June 2026

Despite the increased prevalence of frailty and the unfavorable implications that follow, the implementation of frailty assessment has yet to be established in clinical practice. The 5-item FRAIL scale is an easy-to-apply tool that showed a good correlation with age, presence of comorbidities, and dialysis complications. This study aimed to identify the association between frailty severity and clinical outcomes, including death and hospitalizations.

Original Article
Correlation Between Serum Uric Acid Levels with Metabolic syndrome and its Components

Authors: Maryan C. Samson, Sienna Ross S. Chavez, Aurabelle P. Libutan, Albert L. Chu, Ceryl Cindy Y. Tan

DOI: 10.65564/pjim.89db12e786   |   Published: June 2026

Metabolic syndrome (MetS) encompasses various metabolic abnormalities linked to an increased risk of type 2 diabetes mellitus and cardiovascular diseases, involving insulin resistance, central obesity, dyslipidemia, hypertension, and inflammatory factors. While different diagnostic criteria exist, ongoing debate persists regarding additional risk factors such as uric acid levels. This study aimed to determine the correlation between serum uric acid (SUA) levels and the presence of metabolic syndrome (MetS) among adult Filipino patients.

Original Article
Analysis on the Glycemic Control of Patients with Diabetes Mellitus and COVID-19 Infection and Its Association with the Occurrence of COVID-19 Complications

Authors: Faith Santos-Caratao, Oliver Allan Dampil

DOI: 10.65564/pjim.f039ca414f   |   Published: June 2026

Diabetes mellitus has been associated with negative implications including mortality, severe COVID-19, acute respiratory distress syndrome (ARDS), and disease progression among COVID-19 patients. The aim of this study was to identify and analyze predictors of mortality, including its socio-demographic , laboratory, and clinical aspects, among diabetic patients hospitalized with COVID-19.

Original Article
Association of Body Mass Index and Pathologic Features of Adult Filipino Patients Diagnosed with Papillary Thyroid Cancer after Thyroid Surgery Admitted in a Tertiary Hospital in Cebu City

Authors: Gerard Ian B. Tan, Jovy Louie Anthony R. Vergara, Ceryl Cindy Y. Tan

DOI: 10.65564/pjim.9751a16921   |   Published: June 2026

This study aims to determine the association between body mass index and the pathologic features of papillary thyroid cancer among adult Filipinos who underwent thyroid surgery. This is a retrospective cohort study including all patients admitted from January 2014 to December 2020 in a tertiary hospital in Cebu City. Adult Filipino patients who underwent thyroid surgery with a final histopathologic diagnosis of papillary thyroid carcinoma we included in the study and were categorized based on their BMI using the Asian classification.

Original Article
The Effect of a Diabetes Education Module on Knowledge, Attitudes, and Practices Among Filipino Patients with Diabetes: A Pre-Post Without Control Group Single-Institution Cross-Sectional Survey

Authors: Concordio John T. Toring, Mae Rhea L. Pacoli

DOI: 10.65564/pjim.d369755fa1   |   Published: June 2026

Diabetes mellitus is a disease whose prevalence worldwide presents a significant health crisis. Effective education and awareness programs can enhance patient knowledge, attitude, and practices to help in its effective management. This study is a pre-post, without control group, cross-sectional survey conducted at a single institution, Chong Hua Hospital, involving patients with diabetes.

Original Article
Association of estimated Plasma Volume Status (ePVS) and Clinical Outcomes in Septic Patients in the Emergency Room: A Prospective Cohort Study

Authors: Artem John T. Dy, Eratosthenes Polito

DOI: 10.65564/pjim.a0ae2a8173   |   Published: June 2026

Early risk stratification in emergency department sepsis management is essential for improving patient outcomes. Fluid resuscitation is a critical intervention, yet it can be associated with adverse effects if not properly managed. Assessing plasma volume status (ePVS) offers a non-invasive method to guide fluid administration. The objective of this study was to determine the prognostic significance of ePVS on in-hospital mortality and its associations with mechanical ventilation, vasopressor use, IV fluid resuscitation, and length hospital stay in septic patients at the emergency room.

Original Article
Quality of Life of Persons with Type 2 Diabetes Mellitus (T2DM) in the Philippines

Authors: Jose Ronilo G. Juangco, Ernesto L. Ang, Araceli A. Panelo, Leorino M. Sobrepeña, Rima T. Tan, Richard Elwyn Fernando, Marcelo A. Lim

DOI: 10.65564/pjim.2aa4798178   |   Published: June 2026

Type 2 diabetes mellitus is a widespread chronic condition that significantly impacts health-related quality of life (QoL), particularly in ASEAN countries, including the Philippines. Despite existing research, limited data are available on the specific factors influencing QoL among Filipinos with Type 2 diabetes. This study aims to assess the QoL of individuals with the condition and to examine key determinants, including glycemic control, comorbidities, and complications.