[System] Find the positive answer of the given query:

[User] Cushing's syndrome diagnosis criteria

She was diagnosed with adrenocorticotropic hormone (ACTH)-independent Cushing's syndrome (CS) due to a left adrenal nodule measuring 2.0 cm in diameter.


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[User] CyPass implantation complications

However, the next day after insertion, there was a slight complication with a narrow anterior chamber that was managed without inducing further damage.


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[User] CyberKnife treatment for RCC

The patient received three courses of CyberKnife treatment, with the largest tumor treated first and the smaller tumors treated in subsequent sessions.


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[User] Cyclic neutropenia management plan

The patient was discharged after completing the course of antibiotics and was referred to the hematologic service for further management, including granulocyte colony-stimulating factor and prophylactic antibiotics.


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[User] Cystic bone lesion symptoms

The patient had a 13-year history of intermittent treatment for multiple lesions in different parts of the body, including the pelvis, talus, distal femur, and distal radius.


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[User] D8-D9 spondylodiscitis symptoms

Four months later, the patient was referred for intense dorsal back pain without fever, and a routine follow-up thoracic CT was performed, which showed D8-D9 spondylodiscitis.


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[User] DALK surgery complications

The surgery was successful despite failed attempts at pneumatic injections. The scissors DALK technique was used, and the Descemet’s membrane was effectively bared. Postoperatively, there was a good interface appearance seen on the slit lamp examination and no residual stroma over the DM was seen on ocular coherence tomography.


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[User] DALK surgery post-operative care

During the postoperative follow-up visits, the patient was prescribed moxifloxacin 0.5% eye drops four times a day for 10 days along with dexamethasone eye drops 0.1% to be tapered to once a day for 8 weeks after the operation. A fixed combination of brinzolamide 1% and timolol 0.5% was also administered.


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[User] DBS lead placement procedure

The patient underwent awake, microelectrode-guided bilateral STN DBS lead placement in 2016. The left STN was connected to Activa PC + S under an investigational protocol while the right STN was connected to a non-sensing Medtronic Activa SC.


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[User] DBS stimulation parameters for Parkinson's disease

Stimulation parameters were monopolar stimulation with bilateral amplitudes of 3.0 V, 60 μs pulse width, and a frequency of 130 Hz.


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[User] DBS surgery for Parkinson's disease

The patient underwent bilateral implantation of STN electrodes targeted in accordance with preoperative MRI and intraoperative microrecordings typical for the STN region.


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[User] DBS treatment outcomes for obesity

The patient was successfully treated with bilateral hypothalamic DBS for refractory morbid obesity at our facility.


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[User] DCIS high grade symptoms

The patient was admitted to the hospital due to a retracted nipple and pain in her breast.


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[User] DCIS high grade treatment

The patient underwent breast conserving therapy, and the clip in the right breast was localized by ROLL method under X-ray guidance.


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[User] DFSP tumor symptoms

The patient had noticed a 1-cm nodule on his arm 5 years ago, which had grown gradually since then to attain its present size. The physical examination revealed a huge mass on the proximal, anterolateral aspect of the right arm and shoulder with potato-like projections.


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[User] DHA-PPQ side effects

Approximately three hours after ingesting the first dose, he experienced involuntary twisting movements of his body. These movements were intermittent at first, but progressively became continuous.


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[User] DHA-PPQ treatment discontinuation

DHA-PPQ was discontinued. The antimalarial drug was replaced with artemether-lumefantrine combination, which was better tolerated.


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[User] DHS with AKI symptoms

Chief Complaint: Severe disabling dyskinesia and myalgia for four days.


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[User] DIC treatment options

The patient received a range of treatments, including heparin drip, blood products, and hyperbaric oxygen therapy, but there was no meaningful response.


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[User] DIC treatment plan

A diagnosis of acute disseminated intravascular coagulation (DIC) was made, and he received a total of 12 units of fresh frozen plasma over 3 consecutive days.


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[User] DKA symptoms

The patient presented to the ER with weakness and physical deconditioning for two days. On admission, he was diagnosed with DKA, AKI secondary to drug-induced ATN, dehydration, and hyperkalemia.


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[User] DKA treatment protocol

The patient received intravenous fluids and a bolus of intravenous insulin followed by continuous insulin infusion which was gradually switched to subcutaneous insulin.


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[User] DLBCL GCB subtype symptoms

The patient presented to our hospital with low-grade fever and fatigue.


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[User] DLBCL diagnostic procedures

Head computed tomography (CT) and gadolinium-enhanced brain magnetic resonance image (Gd-MRI) showed the mass lesion around the left sphenoid bone extending both to the left temporal middle fossa and to sphenoid sinus. Fluorodeoxyglucose-positron emission tomography (FDG-PET) showed multiple lesions.


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[User] DLBCL relapse symptoms

The patient presented with recurrent severe anemia requiring multiple blood transfusions.


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[User] DLBCL symptoms

The patient presented with fatigue, numbness and weakness of the limbs, as well as dysarthrosis of the right leg.


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[User] DLBCL with CDKN2A deletion treatment options

DA-R-EPOCH therapy was initiated due to reported poor outcomes with R-CHOP therapy in cases of DLBCL with CDKN2A deletion.


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[User] DM1 prognosis with normal PR and QRS intervals

The prognosis for the patient with adult form DM1 can vary, but the patient was discharged in stable condition. The patient had normal PR and QRS intervals of 184 ms and 96 ms, respectively.


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[User] DMD gene deletions symptoms

The patient had no symptoms of DMD except for elevated creatine phosphokinase, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, and aldolase levels.


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[User] DRD genetic analysis symptoms

The patient was diagnosed with DRD after genetic analysis revealed 2 heterozygous mutations. He presented with growth retardation, hypotonia, and symptoms of coughing, snoring, and stuffy nose after birth.


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[User] DRESS Syndrome symptoms

The patient presented to the pediatric ED with a 1-week history of rash and fevers. She also had an exacerbation of her bipolar symptoms.


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[User] DRESS syndrome symptoms

The patient was admitted with hyperthermia and cervical lymphadenopathy, which were initially diagnosed as lymphadenitis. The patient developed a generalized cutaneous eruption associated with facial angioedema. The laboratory findings showed an abnormal white cell count with eosinophilia, liver dysfunction, and an elevated lactate deshydrogenase level.


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[User] DRESS syndrome symptoms in children

The patient developed fever and decreased appetite, which progressed to diffuse erythrodermic, maculopapular eruption, superficial desquamation, facial angioedema, peripheral eosinophilia, hepatitis, and lymphadenopathy.


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[User] DRESS syndrome treatment

Parental corticosteroids and systemic antihistamines were initiated, and lamotrigine was stopped. Within 5 days, the rash subsided. The patient's general condition improved.


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[User] DRIF symptoms

The patient presented with asymptomatic papules on the neck, chest, trunk, and upper extremities of 4 months duration.


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[User] DSA imaging findings during hospital course

Subsequent DSA imaging on day 7 showed that the arterial dilation located in the PICA-AICA anastomosis had developed into a saccular aneurysm with a 2-mm neck size and dimensions of 2.7 mm width and 2.9 mm height. Post-treatment DSA showed a small aneurysmal neck remnant, and blood flow in the PICA-AICA anastomosis was preserved.


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[User] DSAEK surgery complications

An experienced surgeon performed DSAEK surgeries in both eyes, first in the right and after 6 months in the left eye, with no significative intraoperative and postoperative complications.


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[User] DVT symptoms in upper limb

Physical examination revealed edema, heat and tenderness of the left upper extremity. The circumferences measured bilaterally at 5 cm above medial epicondyle were 33.5 cm on right and 37.6 cm on left, respectively.


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[User] De Garengeot’s hernia treatment options

The appendix was retrieved into the abdomen with gentle traction and removed laparoscopically. After evacuating the pneumoperitoneum and removing the trocars, an open plug repair of the femoral hernia was performed.


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[User] Decompressive craniectomy procedure complications

The patient underwent a right frontoparietal decompressive craniectomy to evaluate a subdural empyema that was confirmed to be caused by the hematological spread of infection.


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[User] Deep vein thrombosis treatment options

In September 2011, she was diagnosed with an unprovoked lower limb deep vein thrombosis (DVT) and was started on warfarin to achieve an international normalized ratio (INR) of 2-3.


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[User] Degenerative disc disease diagnosis

Magnetic resonance imaging (MRI) showed degenerative disc disease from L3–S1 with end plate changes of L3–S1 vertebrae and severe lumbar canal stenosis at L3–4, L4–5, L5–S1.


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[User] Degenerative neuromuscular disease treatment

Treatment was initiated to manage the patient's symptoms and provide palliative care. The medical team provided supportive management and rehabilitation services to improve the patient's quality of life and functional capacity.


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[User] Degenerative scoliosis symptoms

The patient presented with a 4-month history of low back pain radiating to both lower limbs.


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[User] Delay in diagnosis of retained foreign body

It was later discovered that there was a long piece of gauze in the patient's abdomen that had been left in place 21 years prior during a hysterectomy.


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[User] Demyelination in brain symptoms

Brain MRI showed abnormal signal shadows in the temporal horn of the left lateral ventricle, revealing demyelination in the brain. Developmental delay, especially in adaptive skills, fine motor skills, and language, was also exhibited during the hospital course.


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[User] Dengue fever comorbidity with pregnancy diagnosis

The patient, a 27-year-old female at 37-38 weeks of gestational age with a singleton live head presentation and mother with dengue and white blood count of 3560/mm3, was transferred to our hospital with a confirmed diagnosis of dengue fever with comorbid pregnancy and caesarean section due to oligohydramnios, infant with diaphragmatic hernia.


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[User] Dengue fever complications in COVID-19 patients

She tested positive for dengue fever with warning signs and was diagnosed with coinfection when tested positive for COVID-19 on the second day of stay. Laboratory test results showed a gradual atypical lymphocytosis, but there were no signs of active bleeding.


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[User] Dengue fever with comorbid pregnancy symptoms

The patient presented with high-grade fever, headache, nausea, and vomiting. Blood pressure was 110/80 mmHg and temperature was 38°C. Blood tests were consistent with dengue fever with low white blood count and platelet count, and slightly elevated liver enzymes.


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[User] Dengue virus-associated rhabdomyolysis symptoms

Fever with myalgia and weakness for 15 days and decreased urine output for 7 days.


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[User] Denosumab administration for hypercalcemia

The patient was started on subcutaneous denosumab at the dose of 120 mg to reduce the calcium, which gradually improved to 2.40 mmol/L after 4 days with no further drop in calcium thereafter.


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[User] Denosumab side effects hypocalcemia

The patient presented with fever, chills, productive cough, swelling, generalized pain and tenderness, mild confusion, and dyskinesia 11 days after receiving a single 60-mg dose of denosumab. Laboratory results showed the patient had severe hypocalcemia (blood calcium 6.7 mg/dL) and elevated parathyroid hormone (PTH) levels.


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[User] Denosumab treatment for bone cysts

Denosumab was initiated following an adult regimen for one year, followed by 120 mg every 2 and 3 months. The patient responded well to the treatment, and the lesion healed without any signs of recurrence.


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[User] Dens Invaginatus Type 3 symptoms

The patient was admitted with frequent episodes of pain in tooth 12.


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[User] Dens invaginatus Type III B treatment

Teeth 12 and 13 were extracted after the diagnosis.


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[User] Dent's disease symptoms

The patient was a 19-year-old white male with Dent's disease, which was diagnosed when he was 8 years old. He developed end-stage kidney disease, which required peritoneal dialysis for 7 months prior to receiving a living donor kidney transplant.


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[User] Dental anomaly with missing tooth treatment

The patient underwent conventional endodontic treatment and root canals were cleaned and shaped and filled with calcium hydroxide and sealed. Six months later, endodontic surgery was performed due to persistence of periapical radiolucency.


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[User] Dental implants for patients with Dentin Dysplasia Type I

Dental implants and other prosthetic management strategies were not suggested due to the patient's age.


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[User] Dental radiography radiation risks and precautions

Despite being warned about the potential radiation risks and the importance of protection standards, the patient was only partially compliant with wearing protective gear, particularly the lead apron and the dosimeter.


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[User] Dental trauma treatment

The treatment procedure consisted of immediate replantation of avulsed tooth 11 and partial pulpotomy of tooth 21 using hard-setting calcium hydroxide. The avulsed tooth was soaked in 2% sodium fluoride gel and carefully repositioned within the alveolar socket.


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[User] Dental treatment for uncooperative child

SS underwent dental examination and radiography, which revealed two mesial carious lesions in her permanent upper incisors. It was decided to treat her under conscious sedation due to her dental history.


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[User] Dentin Dysplasia Type I symptoms

The patient was diagnosed with DDI based on clinical and radiographic examinations.


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[User] Dentin Dysplasia Type I treatment options

Treatment was initiated with compomer restoration of the maxillary first primary molar and provision of dietary and oral hygiene instructions as well as fluoride supplements.


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[User] Dentinogenesis imperfecta symptoms

Discrete signs of dentinogenesis imperfecta, blue sclerae, and joint hypermobility were observed.


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[User] Denture maintenance protocols

The patient should continue to follow the recommended oral hygiene practices and denture maintenance protocols.


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[User] Depressive episode with mixed features symptoms

Mr. R presented with high reactivity, irritability, and nervousness, with nuanced self-reference and paranoid ideas. He also had an inversion of the sleep-wake rhythm and anxiety infradian fluctuations which worsened at evening.


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[User] Dercum's Disease histopathological features

Pathology reports showed dense dermal fibrosis with submucosal collagen deposition in both skin and jejunal lesions, respectively.


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[User] Dercum's Disease treatment

The patient was treated with antibiotics, octreotide, antiplatelet and anticoagulant therapy, and total parenteral nutrition.


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[User] DermaClip devices removal procedure

The devices were removed 12 days after closure with an excellent cosmetic result.


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[User] Dermatological Disorder diagnosis

The patient was diagnosed with DD based on the biopsy report. The skin biopsy showed hyperkeratosis, elongation of rete ridges, suprabasal acantholysis, and marked dyskeratosis in the form of corps ronds and grains.


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[User] Dermatomyositis complications

Though laboratory investigations revealed positivity for Aspergillus and Pseudomonas, the patient's respiratory status demonstrated continued decline despite treatment and ultimately passed in the setting of pulseless electrical activity arrest due to hypoxemic respiratory failure.


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[User] Dermatomyositis diagnosis

The diagnosis of dermatomyositis was made based on the clinical features. Further evaluation revealed a positive anti-nuclear antibody and MDA5. Imaging studies demonstrated multiple scattered areas of proximal muscle edema and mild bilateral patchy infiltrates.


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[User] Descemet’s membrane bare DALK technique

The scissors DALK technique was used, and the Descemet’s membrane was effectively bared.


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[User] Describe the patient's condition before the evacuation procedure

Upon examination, she was found to have a fully conscious state with a left proportional hemiparesis and no sensory deficit.


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[User] Describe the patient's hospital course.

The patient underwent septoplasty with biopsy of the mass at an outside institution. A diagnosis of paraganglioma was made based on the histological appearance and immunohistochemical staining. The patient underwent an endoscopic resection of the mass with complete removal achieved through a posterior septectomy and bilateral sphenoidotomy with tissue removal.


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[User] Describe the patient's post-operative condition.

After surgery, the patient had a partial fourth and sixth nerve palsies and mild facial weakness, but all of the symptoms resolved during the hospital stay.


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[User] Describe the patient's response to electron beam therapy.

The patient responded well to the therapy and was monitored closely by the oncologist throughout his hospital stay.


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[User] Describe the patient's symptoms and treatment outcome

The patient presented to our hospital with multiple painful enlarging right-sided nerve sheath tumors... After nonsteroidal anti-inflammatory drugs were found to be ineffective, an intrathecal drug delivery pump was implanted to maintain analgesia.


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[User] Describe the surgery performed on the patient.

The patient underwent laparoscopic surgery under general anesthesia and was found to have a linear metallic foreign body embedded in the right retroperitoneal space starting from the medial aspect of the right adrenal gland and penetrating the crus of the diaphragm. Two slightly corroded broken needles were removed via forceps, and a simple lumbar spine X-ray and CT scan were performed to confirm complete removal of the broken needle.


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[User] Description of the stent placement procedure

The patient underwent endoscopic retrograde cholangiopancreatography and placement of stents to relieve obstructive symptoms. A plastic stent was inserted into the pancreatic duct and another plastic stent was placed in the common bile duct to relieve obstructive symptoms.


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[User] Desmoid tumor symptoms

The patient presented to our hospital complaining of vomiting and constipation for two days.


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[User] Desmoplastic Ameloblastoma post operative care

The patient has been disease-free for three years since the operation and is under routine follow-up care.


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[User] Desmoplastic Ameloblastoma treatment options

The patient underwent partial osteotomy. The histologic analysis revealed a non-encapsulated mass with small, scattered tumor nests of epithelium in the fibrous stroma. Small areas of tumor nests showed some columnar cells with reversed nuclear polarity.


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[User] Developmental delays in children with epilepsy

The patient exhibited a delay in achieving some developmental milestones, such as head lifting at 4 months, independent sitting at 1 year, and independent walking at 2 years. There was a regression in development with subsequent instances of only unconscious articulation, but the patient possessed non-verbal communication skills.


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[User] Dexamethasone implant side effects

Following the DEX implant, the patient was continued on previous antiglaucoma medication (Cosopt), which resulted in an increase in intraocular pressure (IOP) to 45 OD and 54 OS.


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[User] Diabetes management during chemotherapy

The patient has also been previously diagnosed as having diabetes mellitus. Laboratory tests revealed an elevated γ-GTP and HbA1c.


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[User] Diabetic ketoacidosis management basal bolus insulin regimen

The patient's basal bolus insulin regimen was initiated, and diabetes education was provided and evaluated through follow-up sessions.


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[User] Diabetic nephropathy treatment options

The 73-year-old female patient with diabetic nephropathy began hemodialysis in January 2002. She was switched to peritoneal dialysis (PD) in May 2007, with her husband assisting with the PD exchanges.


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[User] Diagnoses for blurred vision and amenorrhea

The patient had previously been diagnosed with amenorrhea and one year prior to admission, MRI scan revealed a lesion in the sellar region. Upon neurological examination, the patient was diagnosed with acromegaly.


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[User] Diagnosis and symptoms of left-sided transitional cell carcinoma of the renal pelvis

left-sided transitional cell carcinoma of the renal pelvis with multiple metastatic bone tumors. The patient admitted to the hospital with constant pain in her left hip.


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[User] Diagnosis and treatment for acute cerebral infarction

Based on the clinical manifestation and MRI findings, acute cerebral infarction was diagnosed, and the patient immediately received antiaggregation therapy.


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[User] Diagnosis and treatment for secondary hyperparathyroidism

The patient was diagnosed with secondary hyperparathyroidism and treated with surgical parathyroidectomy.


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[User] Diagnosis and treatment of C. difficile infection in a hospital setting

C. difficile infection was detected, and oral vancomycin and Flagyl were administered for treatment.


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[User] Diagnosis and treatment of PBL

The final diagnosis of PBL was made based on the histological and immunophenotypic features. The patient was referred to chemotherapy treatment, and she had 9 cycles of EPOCH (etoposide, prednisone, vincristine, cyclophosphamide, and doxorubicin).


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[User] Diagnosis and treatment of post-operative inflammation

On Day 3 of her visit, the patient's left eye was examined, and moderate hyperemia was noticed with the development of a minimal hypopyon. Despite poor pupil dilation, snowbanks in the anterior vitreous and a red reflex from the eye fundus were noted, leading to the diagnosis of TASS. The patient received dexamethasone disodium phosphate 2 mg subconjunctivally, and topical dexamethasone 0.1% was recommended six times daily.


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[User] Diagnosis codes for chest X-ray findings

Posteroanterior and lateral radiographs of the chest showed localized elevation of the right dome of the diaphragm near the cardiophrenic angle with gas shadows within the chest.


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[User] Diagnosis criteria for Lyme disease

Lyme titers were ordered, and it showed reactivity. Western blot was positive for IgG (10/10 bands) and negative for IgM consistent with Lyme infection that occurred more than a month prior.


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[User] Diagnosis for PAVM

The patient’s clinical presentation and imaging studies revealed a single PAVM in Segment 6 of her right lung. No other AVM was detected in her brain or abdomen.


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[User] Diagnosis for a patient with swelling on the left arm, mucosal thickening, and pansinusitis

The patient was diagnosed with Granulomatosis with Polyangiitis (GPA).


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[User] Diagnosis for abdominal discomfort and weight loss in a 64-year-old female patient

The patient presented to the hospital with complaints of abdominal discomfort, diarrhea, weight loss, nausea, and vomiting for a few months. Investigation revealed normocytic normochromic anemia, and the white blood cell count was elevated. Biopsy results revealed infiltrating adenocarcinoma with signet ring cell morphology, which was suggestive of primary gastric tumor. However, the immunoperoxidase stain revealed cytokeratin (CK) 7 and estrogen receptors (ER) positive, which was consistent with metastatic breast carcinoma.


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[User] Diagnosis for aortic valve regurgitation and paravalvular abscess

The following transesophageal echocardiogram revealed bicuspid aortic valve regurgitation and signs of infective endocarditis with paravalvular abscess.


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[User] Diagnosis for bilateral basal crackles

Physical examination revealed cachexia, tachypnea, and bilateral basal crackles.


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[User] Diagnosis for hip joint pain and limited mobility

The patient was diagnosed with type C ONFH and stage 4 ONFH. Severe invasive PVNS was seen in the inferior space of the hip joint, particularly around the femoral neck.


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[User] Diagnosis for isolated prolongation of aPTT

Diagnosis: Severe normocytic normochromic anemia and isolated prolongation of aPTT, low Factor VIII level, and high FVIII inhibitor level.


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[User] Diagnosis for multiple traumatic injuries

The patient was admitted to our level 1 trauma center after being involved in a high-speed road traffic accident. The patient had multiple traumatic injuries, all right-sided, with several fractures of the right upper and lower limbs and the right hemipelvis.


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[User] Diagnosis for right upper abdominal and epigastric pain

The patient was diagnosed with a herniation of the transverse colon in the right side of the chest.


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[User] Diagnosis for severe epigastric pain with peritonitic tenderness

Further evaluation revealed inflammatory wall-thickening and free intra-abdominal air consistent with the clinical suspicion of Boerhaave’s syndrome.


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[User] Diagnosis for spasticity and paresthesia

The patient's diagnosis was not determined, but his symptoms were indicative of a neurodegenerative disorder.


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[User] Diagnosis for the patient's condition

Admission electrocardiogram (EKG) showed ST elevation in the II, III, augmented vector foot (aVF). The patient was treated as an ST elevation myocardial infarction (STEMI) case.


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[User] Diagnosis method for eosinophilic cystitis

Biopsy of the bladder mass revealed features of eosinophilic cystitis.


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[User] Diagnosis of CARASAL syndrome

The diagnosis was confirmed by the identification of a pathogenic c.973C>T, p.R325C missense mutation in the CTSA gene. The patient was also found to share allele 123 at marker D20S838, indicating a common genetic ancestry with previously reported Dutch cases.


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[User] Diagnosis of Insulin Autoimmune Syndrome

The patient was found to be positive for insulin antibodies with high binding capacity and low affinity, similar to those of autoantibodies reported in Insulin Autoimmune Syndrome (IAS) patients.


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[User] Diagnosis of Klippel-Feil syndrome

The patient presented with Type I KFS (multiple spinal fusions restricted to the cervical vertebrae) according to Feil's classification and Type III KFS (multiple contiguous fused segments) according to Samartzis' classification.


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[User] Diagnosis of Sjögren's syndrome

The patient was diagnosed with SS based on a Saxon test, which showed decreased production of saliva, and the pathological findings of salivary gland biopsy presenting numerous plasma cell and lymphocyte infiltrations around the salivary gland ducts.


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[User] Diagnosis of abdominal pain and jaundice

The patient was diagnosed with early uncomplicated appendicitis and underwent an uneventful diagnostic laparoscopy. Postoperatively, the patient developed fever and jaundice, which were diagnosed as acute hepatitis due to EBV infection.


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[User] Diagnosis of congestive heart failure in children

The imaging tests revealed cardiomegaly, deviation of the trachea and mediastinum to the right, ASD with a right-to-left shunt, dilated right atrium and right ventricle with severe tricuspid regurgitation, hypoplastic right lung, absent right pulmonary artery, small cystic lesions suggestive of CCAM in the right lower lobe, and severe pulmonary hypertension.


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[User] Diagnosis of deep vein thrombosis in diabetic patients

Magnetic resonance angiography revealed stenosis in the peroneal artery of the lower right leg, indicating deep vein thrombosis.


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[User] Diagnosis of developmental delays in children

The diagnosis includes: 1. Developmental delays. 2. Microdeletion of 1q21.1-1q21.2. 3. AUTS2 gene deletion. 4. Xq28 duplication syndrome.


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[User] Diagnosis of endometrial hyperplasia

The endometrial thickness was 12 mm, and a clinical diagnosis of endometrial hyperplasia/carcinoma was made. No evidence of malignancy was present, and serological markers for carcinoembryonic antigen were measured to exclude malignancy.


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[User] Diagnosis of enlarged right cavernous sinus

A CT scan revealed enlargement of the right cavernous sinus and osteolytic lesions of right sphenoid and clivus.


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[User] Diagnosis of gastric adenocarcinoma

The histopathology was consistent with metastatic signet ring cell carcinoma, and subsequent gastroscopy confirmed the primary tumour as gastric adenocarcinoma.


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[User] Diagnosis of hereditary metabolic disease

Heredity metabolic disease was suspected, and the diagnosis was confirmed by demonstrating the mutation of the CYP27A1 gene.


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[User] Diagnosis of high grade neuroendocrine neoplasm

Histopathologic examination of all 3 masses was consistent with high grade neuroendocrine neoplasm.


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[User] Diagnosis of infection in hip replacement patients

The bacterial culture of fluid from the hip joint revealed the presence of S. caprae, and antibiotics were prescribed following this.


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[User] Diagnosis of interventricular septum mass

An echogenic mass was noted within the right ventricle at the mid septal region in the initial examination, which was thought to be a rhabdomyoma. However, Cardiac MR (CMR) showed a large fatty deposit in the subendocardial region of the right ventricle along the mid interventricular septum compatible with a lipoma.


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[User] Diagnosis of intradural mass lesion

Magnetic resonance imaging (MRI) revealed a 10 × 14 × 20 mm intradural mass lesion between Th12 and L1, displacing the spinal cord anteriorly. The lesion was hyperintense on T1-weighted images and less intense on T2-weighted images, indicating the presence of fatty tissue. The MRI features led to a straightforward diagnosis of intradural lipoma.


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[User] Diagnosis of loculated collections

The patient suffered from multiple loculated collections confirmed by computed tomography (CT) and magnetic resonance imaging (MRI).


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[User] Diagnosis of low-grade mesenchymal neoplasm

The patient underwent surgery, and the tumor was well-circumscribed, but not encapsulated. The surgical specimen was sent to the pathology laboratory, and a diagnosis of LGFMS was made.


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[User] Diagnosis of lower back pain and right lower extremity symptoms

Plain radiographs acquired in 2010 revealed degenerative lumbar scoliosis and Meyerding grade I isthmic spondylolisthesis at L5-S1. In 2012, destructive spondyloarthropathy (DSA) was detected using plain radiographs, which caused the progression of lumbar curvature and anterior slippage of L5.


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[User] Diagnosis of mass in left breast

DISCHARGE DIAGNOSIS Borderline Phyllodes Tumor with a Pleomorphic Liposarcoma Component


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[User] Diagnosis of myocarditis

Cardiogenic shock secondary to fulminant myocarditis from COVID-19 was suspected, and the patient received an Impella device to assist in heart pumping.


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[User] Diagnosis of nasopharyngeal biopsy

Pathological diagnosis of a nasopharyngeal biopsy showed atypical small squamous epithelial cells and the possibility of tonsil cancer as the primary tumor was considered


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[User] Diagnosis of oropharyngeal mass

Magnetic resonance imaging (MRI) studies of the head and neck showed a small, submucosal ovoid shaped nodule, 8 mm in diameter, with a peripheral ring of enhancement of the left oropharyngeal airway. Surgical pathology of this specimen was reported as a tumor of the left oropharynx.


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[User] Diagnosis of ovarian tumor

A right salpingo-oophorectomy was performed, and the tumor was found to be a pure non-gestational choriocarcinoma (NGCO) of the right ovary with intravascular carcinoma thrombus involving the greater omentum and requiring peritoneal biopsies.


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[User] Diagnosis of pancreatic LEC

EUS-FNAB performed at that time revealed multiple follicles of keratinized material stratified with squamous epithelium along with lymphoid tissue, without signs of atypia. The diagnosis was compatible with pancreatic LEC.


[System] Find the positive answer of the given query:

[User] Diagnosis of pancreatic mass

The colangio-MRI showed a mass in the head of the pancreas that caused obstruction of the main pancreatic and biliary duct leading to dilatation of the biliary tree.


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[User] Diagnosis of patient A

Biopsy revealed a sinonasal melanoma without regional or distant metastases on FDG-PET/CT.


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[User] Diagnosis of penile shaft swelling

After a physical examination and fine-needle aspiration cytology (FNAC), the patient was diagnosed with a benign nerve sheath tumor. An excision biopsy was performed, and the histomorphology revealed a benign neural tumor with a biphasic pattern.


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[User] Diagnosis of right fifth finger deformity

Diagnosis: Mallet finger with abnormal volar and radial curvature of the distal phalanx of the right fifth finger.


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[User] Diagnosis of seminal vesicle mass

Biopsy confirmed the diagnosis of germ cell tumor. The diagnosis was a yolk sac tumor originating in the left seminal vesicle.


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[User] Diagnosis of small cell carcinoma

Repeat EBUS-TBNA from lower right paratracheal station confirmed a diagnosis of small cell carcinoma.


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[User] Diagnosis of subarachnoid hemorrhage

A brain CT showed diffuse bilateral subarachnoid hemorrhage and extensive calcification.


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[User] Diagnosis of subdural hematoma

MRI revealed a subdural hematoma of the posterior fossa and the cervical spine.


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[User] Diagnosis of sudden vision loss in left eye

Physical examination revealed a dilated pupil that did not react to light, and the presence of subconjunctival hemorrhage temporally. Additional imaging studies were performed, which revealed a widened and altered optic nerve-globe junction.


[System] Find the positive answer of the given query:

[User] Diagnosis of the diffuse transverse myelitis

An urgent MRI scan of the spine revealed diffuse transverse myelitis from C1 to T4 levels and from T4 to the conus terminalis.


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[User] Diagnosis of the intensely itchy rash

A provisional diagnosis of secondary syphilis with syphilitic hepatitis was made.


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[User] Diagnosis of the mass in the left superior parietal lobe

An MRI revealed a 2 x 2-cm mass in the left superior parietal lobe, which was diagnosed as RCC with PAX-8 and CK7 staining.


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[User] Diagnosis of the patient

Laboratory results revealed SLE with SS, for which the patient was prescribed aspirin 100mg, clexane 40mg daily, and advised to follow-up with a rheumatologist for her recent diagnosis.


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[User] Diagnosis of the patient's condition

Diagnosis: Hepatic Ectopic Pregnancy


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[User] Diagnosis of tracheal mass

A biopsy of the large mass lesion confirmed the diagnosis of lymphoproliferative B-cell lymphoma (NHL) with the positivity of CD20, CD3, CD138, and limited CK positivity to the surface epithelium.


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[User] Diagnosis of triple-hit lymphoma

FISH revealed Bcl-2, Bcl-6, and c-MYC rearrangements, fitting the diagnosis of DLBCL, GCB subtype, triple-hit lymphoma.


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[User] Diagnosis of white floater in eye

The patient also reported visualizing a white floater in front of the right eye for the past week. Upon examination, a live, long, white coiled, and highly motile worm was observed in the anterior chamber of the right eye.


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[User] Diagnosis process for AML

Diagnostic tests revealed hemoglobin of 8.6 gm%, high leukocyte count, and platelet count. Peripheral blood examination revealed myeloblasts. Bone marrow examination showed myeloblastic proliferation with MPO positivity, blasts with auer rods and revealed the presence of t (8,21) translocation, indicating good-risk AML.


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[User] Diagnosis process for ELA syndrome

The patient was diagnosed with ELA (EEC/LM/ADULT) syndrome based on his clinical features and mutation analysis results. Whole exome sequencing was performed, which showed a maternally transmitted missense mutation.


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[User] Diagnosis process for laryngeal squamous cell carcinoma

Fine-needle aspiration of the thyroid swelling was done using the palpation method and cytologic diagnosis of SCC likely metastatic was rendered. Subsequent to this, the patient underwent a computed tomography scan neck which showed a growth in the larynx. A laryngeal biopsy was then taken and histopathologic examination confirmed the diagnosis of laryngeal SCC.


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[User] Diagnosis timeline of pulmonary tuberculosis

The patient presented to the emergency room with a purpuric, non-blanching rash on the trunk and extremities after receiving a diagnosis of pulmonary tuberculosis 2 months prior.


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[User] Diagnosis-related to transient ischemic attack

The patient had a history of transient ischemic attack 8 months prior to admission.


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[User] Diagnostic approach for Grisel's Syndrome

A radiological examination was prescribed, and it revealed Atlantoaxial Subluxation (AAS).


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[User] Diagnostic criteria for Kawasaki disease in this patient

The patient did not meet the criteria for Kawasaki disease but appeared to have an atypical Kawasaki-like shock syndrome.


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[User] Diagnostic criteria for Separation Anxiety Disorder in children

After a diagnostic interview, Ivan met criteria for Generalized Anxiety Disorder (GAD) plus Separation Anxiety Disorder (SAD).


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[User] Diagnostic criteria for corticobasal syndrome

Based on the patient's medical history, clinical presentation, and laboratory test results, the patient's diagnosis was confirmed as corticobasal syndrome.


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[User] Diagnostic laparoscopy findings

A necrotic distended cecal bascule with a sealed subhepatic perforation was found, thus a stapled cecectomy across the twist was done to prevent the intravascular release of toxic metabolites and to allow uncrowded access into the abdominal cavity.


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[User] Diagnostic procedures for AN

She had elevated liver function tests, hyponatremia, and leukopenia, all of which resolved with treatment and weight restoration.


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[User] Diagnostic procedures for Hodgkin's Lymphoma

A CT scan showed enlarged mediastinal lymph nodes and no abdominal pathological abnormalities. The patient was then referred to another center for a mediastinal biopsy, which revealed a classic case of Hodgkin's Lymphoma of nodular sclerosis histotype. A positron emission tomography (PET) scan confirmed stage IIB Hodgkin's Lymphoma.


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[User] Diagnostic procedures for abdominal masses

Workup included ultrasound-guided aspiration that yielded benign chronic inflammatory cells only. Computed topography (CT) of the chest, abdomen and pelvis reported a large mass predominantly cystic with more confluent solid-enhancing components and septation inferiorly and posteriorly measuring 21.7 cm (antero-posterior) × 16.3 cm (transverse) × 20.5 cm (infero-superior) in the upper abdomen. A laparoscopy identified a large cystic mass adjacent to the greater curvature of the stomach and a gastroscopy showed extrinsic compression alone. An endoscopic ultrasound reported a pseudocyst.


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[User] Diagnostic procedures for bladder GT

Blood cell counts and biochemical tests were within reference range, but urinalysis showed hematuria. The patient was suggested to undergo a urinary system ultrasound examination. The kidney and ureter ultrasounds were normal, but the bladder ultrasound detected a polypoid mass in the right lateral wall of the bladder.


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[User] Diagnostic procedures for osteosarcomatous change of the pleomorphic adenoma

A CT and MRI revealed a well-circumscribed mass lesion with calcification in the supero-lateral area of the left orbit. Orbital MRI and a positron emission tomography were performed 6 months and 3 months after discharge, respectively.


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[User] Diagnostic procedures for pneumonia and squamous cell carcinoma

Fiberoptic bronchoscopy, CT guided transthoracic needle biopsy, bronchial lavage, aspirate, and brushings.


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[User] Diagnostic procedures for rare genetic disorders

During their hospitalization, cranial magnetic resonance imaging, electrocardiography (ECG), ultrasound of the abdomen, thyroid, and heart, and chromosome karyotyping were conducted.


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[User] Diagnostic procedures for spindle cell tumor

A core needle biopsy was performed and chest wall magnetic resonance imaging (MRI) was conducted.


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[User] Diagnostic procedures used to confirm amyloid

FDG-PET/CT showed similar low-grade uptake in all lung nodules, and a mini-thoracotomy was performed to obtain tissue from the largest nodule showing evidence of amyloid.


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[User] Diagnostic tests for Alzheimer's disease

The patient underwent a neurological examination and neuroimaging procedures such as an MRI, 18F-FDG PET and 11C-PiB amyloid PET, which revealed asymmetrical atrophy in the bilateral frontal, temporal, and parietal lobes that was more severe in the right hemisphere. Diffuse slow activities were observed in the EEG. The dopamine transporter imaging displayed normal findings. Plasma biomarker measures using an IMR assay indicated an AD profile.


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[User] Diagnostic tests for CSCR

On fundus examination, a large neurosensory elevation of approximately 3-disc diameters in size involving the fovea was seen in the left eye resembling CSCR with a distinct pale area. Optical coherence tomography (OCT) showed undulation of the retinal pigment epithelium at the nasal parafoveal area and subretinal fluid.


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[User] Diagnostic tests for Sjögren-Larsson syndrome

MRI of the brain disclosed diffuse symmetrical high-intensity lesions in the deep white matter of the centrum semiovale and the frontal lobes, and milder-intensity diffuse lesions in the posterior parietal lobes and the corpus callosum. Histopathology of skin biopsy from the right axillary region and right thigh showed orthokeratotic hyperkeratosis, acanthosis, and papillomatosis of the stratum spinosum. Genetic testing revealed a c.551C>T mutation of the ALDH3A2 gene on chromosome 17p11.2 in homozygous state, confirming the diagnosis of Sjögren-Larsson syndrome.


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[User] Diagnostic tests for abdominal pain

An abdominal CT scan with water-soluble contrast was done that showed dilated loops of small bowel, left hydrosalpinx, and contrast reaching the colon.


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[User] Diagnostic tests for adenoid cystic carcinoma

Appropriate diagnostic tests were conducted, including panoramic and intraoral periapical radiographs, which showed an irregular lytic lesion involving almost the entire mandible. An incisional biopsy was performed, which revealed predominantly solid, tubular, and cribriform pattern tumor cells with basaloid morphology, peri-neural invasion, and dense surrounding stroma.


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[User] Diagnostic tests for angiosarcoma

The patient's laboratory exams included anti-glomerular basement membrane antibodies, anti-neutrophil cytoplasmic antibodies, antinuclear antibodies, and a galactomannan test for aspergillus, but all results were negative. No tubercle bacillus or fungi were found in the sputum, and the sputum bacterial culture yielded negative results.


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[User] Diagnostic tests for frostbite sequelae

Investigations showed open arteries on the lower arms but all digital arteries were described as very thin with no dilation after heat stimulation or hand/finger movements. Dynamic Infrared Thermography (DIRT) showed a rapid onset of cooling and slow rewarming of the fingers after a mild cold challenge. Quantitative Sensory Testing (QST) indicated a loss of function with regard to non-painful stimuli in the mechanical and thermal domain (cold-, mechanical-, and vibration detection threshold).


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[User] Diagnostic tests for hemochromatosis

During the admission, she was diagnosed with hypocalcemia induced by hypoparathyroidism and hemochromatosis. Echocardiography revealed congestive heart failure with dilated cardiomyopathy and restrictive diastolic dysfunction induced by hemochromatosis.


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[User] Diagnostic tests for kidney damage

A computed tomography (CAT) scan of the abdomen and pelvis without intravenous contrast that showed no acute pathology in the abdomen, and a renal ultrasound did not show any evidence of obstruction bilaterally but, however, did report mildly echogenic kidneys consistent with medical renal disease.


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[User] Diagnostic tests for lichen planus pigmentosus

The patient's routine hematological and biochemical investigations were normal, as were her antinuclear antibodies and anti-double-stranded DNA antibodies. A computed tomography scan of the chest and abdomen was unremarkable.


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[User] Diagnostic tests for migraine with aura

The neurological exam and CT scan of the head with contrast including CT venography were unremarkable. An MRI of the brain could not be performed due to the patient's AICD device.


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[User] Diagnostic tests for muscle wasting

Imaging studies, such as X-rays and magnetic resonance imaging (MRI), were performed to assess the musculoskeletal system. Blood tests were conducted, including complete blood count (CBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) levels.


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[User] Diagnostic tests for pancreatic cystadenoma

Abdominal ultrasonography revealed an ∼8×5 cm cystic mass in the tail of the pancreas. Computed tomography revealed a large complex cystic and solid mass in the tail of pancreas.


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[User] Diagnostic tests for small cell neuroendocrine carcinoma

A diagnostic colonoscopy revealed a friable, exophytic mass that stained positively for synaptophysin, chromogranin, and TTF-1. CT scan exhibited a large mass involving the posterior bladder, distal sigmoid, and proximal rectum.


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[User] Diagnostic tests for subarachnoid hemorrhage

Initial brain computed tomography (CT) showed an obvious subarachnoid hemorrhage (SAH) at the anterior interhemispheric fissure and left superior frontal sulcus. Conventional cerebral angiography revealed abrupt luminal tapering of the left distal anterior cerebral artery (ACA) with compromised distal flow. Brain magnetic resonance imaging (MRI) also showed an acute cerebral infarction in the left ACA vascular territory.


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[User] Dialysis treatment

The patient was planned to start peritoneal dialysis (PD) but developed severe hypotension and altered sensorium after inflow phase. PD was restarted on Day 5 with cumulative negative balance of 2 L.


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[User] Dialysis treatment plan

Dialysis treatment was instituted to correct hyperkalaemia, and a 28-day rhythm was observed in the episodes. Chronic dialysis treatments were instituted to manage the patient's condition.


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[User] Diaphragmatic endometriosis symptoms

The patient had a history of infertility and recurrent catamenial pneumothorax. She presented with right-sided chest pain and mild dyspnea, which started within 48 hours of onset of menses.


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[User] Diaphragmatic endometriosis treatment options

VATS followed by diaphragmatic repair. During VATS, several diaphragmatic fenestrations communicating with the abdominal cavity were found, through which the liver had herniated. The involved area was resected, and nonabsorbable interrupted sutures were used to repair the diaphragm.


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[User] Diaphragmatic weakness treatment

The patient was started on bilevel positive airway pressure (BIPAP), and pulsed steroids (methylprednisolone) were initiated. Plasmapheresis was performed daily for 5 days.


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[User] Did Patient A experience any further seizures after the change in antibiotic regimen?

She did not exhibit any further seizures or myoclonus after the change in her antibiotic regimen.


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[User] Did the patient experience any complications during hospitalization?

During hospitalization, the patient's heart rate and rhythm remained stable, and she did not experience any further neurological deficits or complications.


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[User] Did the patient experience any complications during treatment?

There were no complications of the treatment.


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[User] Did the patient require any follow-up care after discharge?

The patient was advised to continue regular follow-up visits with dermatology outpatient department to monitor for any recurrent skin lesions or other symptoms suggestive of LLsp, ENL, or PKDL.


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[User] Did the patient's symptoms improve after treatment?

At the time of discharge, her symptoms of exertional dyspnoea had resolved, generalised fatigue had improved, and she was exercising again.


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[User] Dietary causes of scurvy in children

A more detailed history revealed a fussy eating pattern and a diet severely limited to specific cereals, biscuits, chocolate, and peanuts.


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[User] Dietary restrictions for incisional hernia

The patient was discharged with instructions to continue their oral medications for type 2 diabetes mellitus and hypothyroidism and follow a healthy diet and exercise regimen.


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[User] Dieulafoy's disease of the bronchus treatment

The aneurysmal vessel was embolized with poly-vinyl alcohol (PVA) particles, and the hemoptysis stopped completely.


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[User] Differential diagnosis for calcaneal mass

The differential diagnosis is COM. Microscopic examination of the calcaneal mass curettings revealed rare poorly formed granuloma, and the special auramine-rhodamine stain was positive for acid-fast bacilli in favor of possible extrapulmonary TB.


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[User] Differential diagnosis for mucocutaneous leishmaniasis

The patient was initially evaluated at the stomatology clinic and later referred for a biopsy under local anesthesia, considering a differential diagnosis with paracoccidioidomycosis, tuberculosis, and leukemia.


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[User] Difficulty in chewing food symptoms

The patient had a chief complaint of difficulty in chewing food and discomfort associated with increased palatal coverage of existing maxillary restoration.


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[User] Digital subtraction angiography findings

After being sedated, the patient underwent digital subtraction angiography (DSA) 11 hours after onset, and an aneurysm at the junction between the vertebral artery and posterior inferior cerebellar artery (VA-PICA) was confirmed.


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[User] Dilated cardiomyopathy treatment options

Internal thoracic arteries were utilized for coronary revascularization, and a subcutaneous heparin 5,000 units was administered 2 times daily after the procedure.


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[User] Diode laser treatment for lip lesions

Photocoagulation by diode laser (wavelength 800 ± 10 nm; continuous wave, output energy 3W) under local infiltration of anesthesia.


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[User] Diogenes syndrome treatment

Treatment usually includes outpatient care providers that provide counseling, cleaning services, and individualized case management. For patients who live in high-risk areas, the mental health act may be used.


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[User] Direct stenting using drug-eluting stent procedure

Following the coronary angiogram, the patient underwent direct stenting using drug-eluting stent without complications and achieved TIMI III flow following the procedure.


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[User] Dirofilaria repens eye symptoms

The patient presented to our tertiary eye care hospital in South India with sudden floaters in his left eye.


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[User] Dirofilariasis diagnosis and treatment

The final diagnosis was subcutaneous dirofilariasis caused by D. repens infection. Albendazole treatment was started, and the inflammatory abdominal plaque resolved, but a nodule developed deep in the subcutaneous tissue. The nodule was excised, and all signs of infection resolved.


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[User] Discharge condition

The patient remained in remission for over a year, and at the time of discharge, he was in complete remission.


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[User] Discharge condition and follow-up care

The patient was discharged after 2 months of hospitalization and did not complete a second maintenance therapy because he refused further chemoradiotherapy. Four months after the diagnosis of GM, the patient reported sudden dyspnea and was treated in the intensive care unit.


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[User] Discharge condition and medications

The patient was discharged in a stable condition. The discharge medications details are not provided in the case report.


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[User] Discharge condition of the patient

The patient was discharged in stable condition.


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[User] Discharge diagnosis and condition

Discharge Diagnosis: Pain and stiffness in bilateral wrists. Discharge Condition: Stable.


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[User] Discharge diagnosis with chronic kidney disease

Discharge Diagnosis: COVID-19, acute pulmonary embolus, subsegmental in the right lower lobe and left upper lobe, ground glass opacities in the basal lung field along with pneumomediastinum, pneumothorax, and extensive subcutaneous emphysema, acute kidney injury, myocarditis, global anoxic brain injury, and eventual death despite all interventions.


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[User] Discharge instructions

The patient should continue to maintain a healthy lifestyle with an appropriate diet and exercise regimen. The patient should follow up with their primary care physician for continued monitoring.


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[User] Discharge instructions after Muller's muscle procedure

DISCHARGE INSTRUCTIONS: 1. Please follow the rehabilitation program as prescribed to aid in the recovery process. 2. Ensure to attend all scheduled appointments and follow-up visits with your treating physician. 3. Avoid activities that may cause eye strain or fatigue. 4. If you experience any changes or worsening of symptoms, please seek medical attention immediately.


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[User] Discharge instructions for SLE management

The patient was instructed to continue his medications according to his prescription. He was advised to follow-up with his rheumatologist and neurosurgeon for comprehensive management.


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[User] Discharge instructions for caregivers

Caregiver should monitor the patient's symptoms and report any changes to healthcare provider. Instruct caregiver to follow proper hygiene procedures to prevent further infections. Advise caregiver to provide appropriate support and therapies to improve the patient's developmental delay.


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[User] Discharge instructions for essential thrombocytosis patients

The patient was instructed to continue taking aspirin and chemotherapy as prescribed by her hematologist. She was also advised to attend follow-up visits regularly. The patient was educated about the importance of adherence to treatment, diet, and physical activity in maintaining good health.


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[User] Discharge instructions for lead poisoning patients

The patient is advised to avoid any further exposure to lead and other toxic substances and to take necessary precautions in his occupation. Regular follow-up appointments with the healthcare provider are advised to monitor his medical condition and continue treatment.


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[User] Discharge instructions for lung cancer and brain metastasis

The patient is discharged in stable condition and advised to follow up with her primary care physician and oncologist. The patient is instructed to continue taking the prescribed medication until completion or further instructions from the primary physician.


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[User] Discharge instructions for methyl iodide poisoning

The patient was observed on the ward and discharged on the third day with an advice to stay off work until the neurological symptoms had cleared.


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[User] Discharge instructions for near-complete stenosis of the esophagogastric junction

The patient should continue his normal diet, and no further follow-up is required unless experiencing any issues of near-complete stenosis of the esophagogastric junction or globus sensation.


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[User] Discharge instructions for patient with suprasellar hematoma after aneurysm clipping

The patient's condition improved and he was discharged home in stable condition.


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[User] Discharge instructions for the patient

The patient is advised to continue antibiotic therapy and schedule regular follow-up appointments with a cardiologist and infectious disease specialist. He is also advised to schedule a follow-up examination of the left foot ulcer with a podiatrist.


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[User] Discharge medication for COVID-19 patient

Her steroids were converted to intravenous methylprednisolone on the fourth day of her hospitalization. After 16 days of care, the patient was eventually tapered off supplemental oxygen and discharged to an inpatient rehabilitation unit on a prednisone taper.


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[User] Discharge medication for aneurysm excision

Discharge Medications: None


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[User] Discharge medication for localized chronic periodontitis

Discharge Medications: None prescribed


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[User] Discharge medication management

During discharge, patient was counselled on COVID-19 and measures to prevent viral transmission. Instructions for follow-up appointments and medication management were also provided.


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[User] Discharge medications

No medications were prescribed upon discharge.


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[User] Discharge medications for DBS treatment

No medications have been prescribed to the patient upon discharge.


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[User] Discharge medications for PNH

No new medications were prescribed during this admission.


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[User] Discharge medications for acute behavioral disturbance

Medications on Discharge: mirtazapine


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[User] Discharge medications for catatonia

The patient was discharged on lorazepam and risperidone. Over time, the patient's medications were tapered until he was on risperidone monotherapy.


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[User] Discharge medications for hydroxychloroquine retinopathy

Discharge Medications: None prescribed.


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[User] Discharge medications for hypoparathyroidism

The patient was discharged from the hospital after his symptoms improved and had normal calcium, magnesium, and phosphate levels. The patient was advised to continue taking his prescribed medications and to attend follow-up appointments.


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[User] Discharge medications list

Discharge Medications: Insulin, empagliflozin, prednisolone.


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[User] Discharge plan and follow-up care for the patient

The patient was discharged after maximal therapy with a plan to continue antenatal care and chest physiotherapy while having further sputum specimen collection. She will continue to follow up with her healthcare provider for routine antenatal care.


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[User] Discharge plan for Hodgkin lymphoma patient

The patient is stable and is advised to follow up with the oncologist.


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[User] Discharge plan for IRSSD patients

Overall, the patient was observed for an extended period to monitor the progress of the condition, until the time of discharge. The patient was advised to continue follow-up with his physician at regular intervals, and it was recommended that the patient follow the prescribed plan of care to maintain the best possible clinical outcome.


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[User] Discharge planning for cranial cavernous hemangioma patients

The patient was discharged in stable condition with recommendations for routine follow-up examinations to monitor any changes in the hemangioma.


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[User] Discoid Lupus Erythematosus symptoms

The patient presented to our clinic with multiple skin lesions on various body parts associated with mild pruritus. The patient underwent a detailed cutaneous examination which revealed erythematous scaly plaques with mild scaling, hyperpigmented ill-defined patches, irregular erythematous papules, patches of cicatricial alopecia with follicular plugging, and few scattered macules on pinna.


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[User] Discontinuing clopidogrel post thrombocytopenia diagnosis

Anti-platelet therapy with aspirin and clopidogrel was discontinued. Aspirin was restarted due to the patient's history of coronary artery disease, but clopidogrel was stopped as the bleeding risk was considered high.


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[User] Disease progression after 177Lu-Dotatate administration

Metabolic imaging indicated disease progression after 5 months of the 177Lu-Dotatate administration.


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[User] Disease progression monitoring

Although progression of the disease is advanced with a modified functional disability score of 18, the patient initiated treatment recently with miglustat.


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[User] Dissection of aorta diagnosis

After conducting a series of tests, the child was diagnosed with dissection of aorta arising distal to the left subclavian artery and extending up to bifurcation of the aorta.


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[User] Distal Spinal Muscular Atrophy symptoms

The patient presented with absent deep tendon reflexes in all her extremities. Her sensory examination was normal, the Babinski sign was absent, and there were no abnormal eye movements noted. She had a spinal deformity with scoliosis and severe lordosis.


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[User] Distal gastrectomy procedure complications

The patient underwent distal gastrectomy with a wide Roux en Y gastrojejunostomy to facilitate gravity-led gastric emptying and prevent aspiration.


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[User] Distal pancreatectomy with portal vein reconstruction complications

Pathologically, the tumor was a grade 2 PNET in the 2010 World Health Organization classification and had positive chromogranin A, synaptophysin, and somatostatin receptor type 2.


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[User] Divalproex treatment and seizure control

The medical history revealed a history of generalized tonic clonic seizures which were well-controlled on divalproex. The patient responded well to treatment with Divalproex and Sertraline and is maintaining well.


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[User] Does the patient have a history of COVID-19?

She was asymptomatic for COVID-19 at the time of admission and had been receiving IVIg substitution on a monthly basis.


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[User] Does the patient have a history of cancer?

He had a history of osteosarcoma for which he had been treated 18 years ago using chemotherapy with resection and reconstruction using allograft.


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[User] Does the patient have any past psychiatric hospitalizations?

AB had a past psychiatric hospitalization for overdose suicide attempt at the age of 16.


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[User] Does the patient need to take any medications?

Discharge Medications: - Nadolol. The patient's beta-blocker was changed from metoprolol to the nonselective nadolol.


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[User] Dosage adjustment for interferon-beta 1a

The dosage of the injection was increased from 10 mcg to 15 mcg once per week, and the patient was later administered 22 mcg three times per week.


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[User] Doxycycline dosage for Rickettsia felis infection

Levofloxacin and doxycycline were administered for seven days, which resulted in gradual improvement of the patient's ARDS symptoms.


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[User] Drug treatment that prompted new purpuric lesions

Pyrazinamide treatment prompted the appearance of new purpuric lesions on both forearms.


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[User] Drug-induced lymphocyte stimulation test for Stevens-Johnson syndrome

Drug-induced lymphocyte stimulation test (DLST) results were positive for tizanidine and meloxicam.


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[User] Dry eye syndrome symptoms

The patient complained of burning, gritty, and irritated eyes for 1 year, with fluctuation of vision, especially when reading and using the computer.


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[User] Dual-chamber pacemaker implantation follow-up care

The patient was discharged with an implanted dual-chamber pacemaker programmed to AAI-DDD with lower and upper rates of 50-130, paced AV delay set to 220 ms, and sensed AV delay 200 ms. The patient did not experience any recurrence of her presenting events at 13-month follow-up.


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[User] Dual-chamber pacemaker implantation procedure

Given the severity of his condition, he underwent a dual-chamber pacemaker implantation without any complication. Two leads were transvenously positioned at the right atrial appendage and the right ventricular (RV) apex.


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[User] Dubin-Johnson Syndrome treatment options

The patient and families should avoid medication and diet that cause liver damage or elevate bilirubin levels.


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[User] Duchenne muscular dystrophy symptoms

The patient is a 14-year-old male with DMD who has been on daily oral steroids since the age of 9. He became nonambulatory at the age of 12 and has been participating in wheelchair soccer.


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[User] Ductal carcinoma symptoms

The patient presented with complaints of burning and watery eyes, a sensation of a foreign body in both eyes, primarily in the right eye followed by impaired vision which was not due to mechanical trauma to the eyes.


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[User] Duodenal duplication follow-up care

After surgery, the patient had an uneventful recovery and regained her nutritional state. Her BMI was 20.5 kg/m2 upon discharge. She was free from symptoms and hospitalization for 12 months of follow-up.


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[User] Duodenal duplication treatment plan

Surgical intervention – laparotomy, extended Kocher maneuver, cyst opening, blood clots extraction, common wall resection, cyst marsupialization, and side-to-side anastomosis.


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[User] Duodenal tumor treatment options

He was treated with the chemotherapy regimen of dexamethasone, methotrexate, ifosfamide, L-asparaginase, and etoposide.


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[User] Duodenoscopy findings and treatment

Duodenoscopy revealed a mid-CBD calculi with a cystic duct stump blow-out. Stone extraction was performed, and a new stent was placed.


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[User] Dupilumab therapy during pregnancy

The patient continued dupilumab until 24 weeks and 4 days gestation following careful risk-benefit assessment during her pregnancy. She delivered a healthy female infant via uncomplicated spontaneous vaginal delivery at 37 weeks and 4 days gestation.


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[User] Duration of BV monotherapy for refractory PBMHL

After four courses of combined chemotherapy, BV monotherapy was continued for 8 months, during which the patient's peripheral blood cell count recovered without support of medication and the RS cells disappeared.


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[User] Duration of COVID-19 treatment with azithromycin

The patient was administered azithromycin, zinc sulfate, and vitamin C for 14 days each.


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[User] Duration of Meropenem treatment

Therapy with Meropenem was initiated and continued for 28 days.


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[User] Duration of anticoagulation therapy for DVT

To reduce the risk of recurrence of DVT, rivaroxaban (Xarelto) was continued at the dosage of 20 mg once daily for 6 months.


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[User] Duration of anticonvulsant medication

She did not have any clinical seizures or EEG during her hospitalization, and she was weaned off anticonvulsant medicine.


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[User] Duration of chemotherapy treatment for BCG osteomyelitis

Chemotherapy was administered for 12 months, and the patient has since remained without signs of growth disturbances or impairment of function in adjacent joints.


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[User] Duration of follow-up for the patients

Follow-up: Semi-annual follow-up for the next 2 years.


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[User] Duration of hospital stay

After a month of admission, the patient was discharged without any respiratory sequelae.


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[User] Duration of hospital stay for EHS patients

The patient was discharged on day 93.


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[User] Duration of hospital stay for HAV infection

The patient was discharged after three months of follow-up.


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[User] Duration of hospital stay for alcohol withdrawal delirium

He was discharged after 4 weeks of inpatient care.


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[User] Duration of hospital stay for aortic aneurysm repair

The patient was eventually discharged from the hospital on Day 53.


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[User] Duration of hospital stay for dengue maculopathy treatment

The patient was discharged after significant improvement in her condition.


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[User] Duration of hospitalization for dogs with baclofen and tadalafil toxicities

Within the first few days, she was blind, nonambulatory, and quiet but responsive. Subsequently, she slowly recovered vision and ambulation with a mild proprioceptive deficit in the left pelvic limb.


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[User] Duration of imiquimod treatment for tumors

After 4 weeks of treatment, the tumor decreased in size, but mild erythema, crust, and oozing were observed. ... After 3 months of treatment, the tumor was resolved.


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[User] Duration of intravenous antibiotic treatment

After seven days of intravenous treatment, the patient was discharged from the hospital.


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[User] Duration of intravenous meropenem treatment

The patient was treated with intravenous meropenem and oral trimethoprim/sulfamethoxazole (Co-trimoxazole/TMP-SMX) for 8 weeks until clinical improvement was evident with resolution of inflammatory markers and radiological improvement.


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[User] Duration of medroxyprogesterone treatment for breast cancer patient

The patient was started on medroxyprogesterone for 10 months.


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[User] Duration of pain relief after intrathecal pump implantation

The patient experienced considerable pain relief as a result of this method of treatment. However, the patient had terminal cancer and eventually died of multiple organ failure on day 13 after admission.


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[User] Duration of patient's asymptomatic period

The patient has been asymptomatic for the past 15 months.


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[User] Duration of physiotherapy sessions

Physiotherapy was initiated on the 2nd day and continued until the 48th day of hospitalization.


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[User] Duration of remission for Vesicobullous Systemic Lupus Erythematosus

The patient has remained in remission without any systemic manifestations for the last 1 year.


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[User] Duration of self-isolation after COVID-19 discharge

It is recommended that the patient continues to self-isolate and monitor symptoms for at least two weeks following her discharge from the hospital.


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[User] Duration of symptoms before treatment

The patient, a 35-year-old female, was admitted due to severe interscapular pain and chest discomfort for a duration of 10 years.


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[User] Duration of treatment for HLH

After completing 16 weeks of treatment, the patient achieved complete remission of the disease, and treatment was stopped.


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[User] Duration of ventilation support in COVID-19 treatment

After 14 days of treatment, the patient showed signs of improvement and was weaned off the ventilator.


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[User] Duration of work certification for unfit status

The patient was certified as unfit for work for about 1 year.


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[User] Dyspnea and malaise symptoms

The patient presented to the emergency department with malaise, epigastric pain, polyuria, and progressive dyspnea that had begun 10 hours ago.


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[User] Dyspnea treatment options for AIDS patients

The patient was treated with antibiotics, and VAC therapy was initiated after conventional management failed. The patient improved clinically, with inflammatory markers and pulmonary infiltrations returning to normal ranges.


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[User] EASL guidelines for chronic hepatitis B

The patient was admitted due to the diagnosis of 'HBeAg - negative chronic hepatitis B,' as recommended by the European Association for the Study of the Liver (EASL) clinical practice guidelines.


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[User] EBUS bronchoscope procedure risks

The EBUS bronchoscope was used via an esophageal approach to access the fluid collection. One hundred and fifty cc of dark brown fluid was successfully drained, and the patient tolerated the procedure well.


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[User] EBV IgM positive symptoms

Serological EBV IgM was positive. The patient presented with fever, headache, confusion, and neck stiffness.


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[User] EBV infection symptoms in children

The patient, [Patient Name], was admitted to the paediatric medical ward due to 2-day history of blood tinged diarrhoea and 2-week history of abdominal pain with itchy rash.


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[User] EBV-associated hemophagocytic lymphohistiocytosis symptoms

The patient presented with progressive fever and thrombocytopenia for more than 1 month.


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[User] EC-IC bypass procedure complications

This procedure was successful, and the patient experienced no further TIAs.


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[User] ECG findings for left atrial mass

Electrocardiography (ECG) revealed T wave negativity on chest derivations C4-6.


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[User] ECG findings for transient complete AV block

Transient presence of two different QRS morphologies on the 12-lead ECG was an unexpected finding.


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[User] ECG monitoring results for the patient

The patient underwent a conventional 12-leads ECG which showed sinus rhythm with a heart rate of 72bpm. The patient underwent a 24-hour Holter ECG monitoring, which revealed several episodes of bradycardia-associated PAF during sleep.


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[User] ECMO therapy for severe shock

She subsequently required peripheral VA ECMO, which was converted into central VA ECMO, with an additional 14-French LV vent cannula as flows >2.5 L/min could not be achieved. After being on ECMO, her hemodynamics improved, and it was weaned off on the 4th day.


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[User] ECMO treatment complications

The patient experienced upper gastrointestinal bleeds after several weeks of ECMO treatment. Further ECMO treatment was deemed futile, and treatment was withdrawn.


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[User] ECMO treatment for TAVR complications

The patient was placed on VA ECMO and intra-aortic balloon pump (IABP) for cardiogenic shock. Hemodynamic stability was maintained through the use of VA ECMO, IABP, and norepinephrine, with no significant electrolyte or metabolic derangements.


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[User] ECOG performance status scale

The patient's ECOG performance status being borderline at 2.


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[User] ECT treatment plan for catatonic schizophrenia

The patient underwent nine ECTs over three weeks, during which olanzapine dosage was increased to 15 mg/day. The patient showed gradual improvement in all her symptoms, and her Bush-Francis Catatonia rating scale (BFCRS) score decreased from 20 to 2.


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[User] ECT treatment side effects

Her treatment plan included a series of psychotropic medications with varying dosages but resulted only in debilitating side effects. Subsequently, she was administered modified bilateral ECT, and after six sessions, her mental state improved considerably.


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[User] ECU tendon dislocation symptoms

The patient reported persistent pain on the dorsal aspect of her right wrist, worsened during sport activity and not alleviated by rest or medical treatment. Physical examination revealed swelling, edema, and tenderness on the dorsoulnar aspect of the wrist with a "clunk" noted during passive and active supination and ulnar deviation.


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[User] EEA reconstruction outcome

The PNSF was used to cover the ASB defect, including the frontal sinus opening, and successful reconstruction was achieved without sphenoidotomy.


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[User] EEG and brain MRI findings

EEG and brain MRI did not reveal any pathological findings.


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[User] EFMR symptoms

EIEE9 is an X-linked disorder characterized by seizure onset in infancy and mild to severe mental retardation.


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[User] EGD procedure results

Esophagogastroduodenoscopy (EGD) was performed and revealed circular HGM in the cervical esophagus. The lesion appeared reddish by white light imaging while by NBI, it appeared as a dark brown lesion clearly distinguished from light green squamous epithelium.


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[User] EGFR DNA sequencing analysis results

An EGFR DNA sequencing analysis was performed on her tumor tissue obtained 18 years ago, revealing an L858R mutation in exon 21.


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[User] EGFR T790M mutation treatment

Osimertinib was initiated after an EGFR T790M mutation was identified, which confers resistance to Erlotinib.


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[User] EGFR exon 19 deletion treatment options

Erlotinib, an EGFR inhibitor, was initiated after the diagnosis. However, after an EGFR T790M mutation was identified, which confers resistance to Erlotinib, Osimertinib was initiated.


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[User] EGFR mutation treatment in lung adenocarcinoma

Treatment was initiated with erlotinib due to an activating EGFR mutation in exon 21 which was well tolerated. However, pathology revealed a new EGFR mutation in exon 20 which was resistant to erlotinib, being replaced with carboplatin-pemetrexed.


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[User] EGFR wild-type squamous non-small cell lung cancer symptoms

The patient underwent a first-line chemotherapy regimen, followed by a second-line weekly docetaxel chemotherapy, which was interrupted due to grade 4 neutropenia and atrial fibrillation.


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[User] EGPA symptoms in adults

The patient presented with a cough, blood-stained sputum, peripheral purpura, diarrhea, and an oral ulcer. Multiple skin purpura were observed during physical examination.


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[User] EKG findings

An initial EKG revealed ST-segment elevation in V2-V4, which led to an emergent cardiac catheterization. A closer evaluation of the patient’s EKG revealed a coved ST segment elevation suggestive of Brugada pattern.


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[User] ELA syndrome symptoms

The patient presented with ectrodactyly in the right hand and left foot, as well as syndactyly in both feet. Additionally, he presented with dry skin and café au lait spots, along with tooth shape abnormalities.


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[User] ELA syndrome treatment options

He underwent surgeries to correct these malformations with no complications and can now walk comfortably.


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[User] EMC of mucoid cells symptoms

The patient presented with sudden headache and vomiting in March 2015.


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[User] EMG/NCS results

EMG/NCS demonstrated evidence of peripheral neuropathy with mixed axonal and demyelinating features.


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[User] ER+ breast cancer treatment options

The patient was administered treatment with fulvestrant and alpelisib (300 mg) for progressive CNS parenchymal disease. The patient was treated with a variety of medications, including fulvestrant and palbociclib, exemestane and everolimus, capecitabine, and abemaciclib, as well as hippocampal-sparing WBRT, liposomal doxorubicin, and gemcitabine for various stages of her disease.


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[User] ER-positive PR-positive breast cancer treatment

The patient was initially diagnosed with ER-positive, PR-positive breast cancer and received neoadjuvant chemotherapy with Adriamycin and cyclophosphamide. She underwent lumpectomy with axillary node dissection, followed by two additional cycles of Adriamycin and cyclophosphamide and radiation. The patient was subsequently treated with tamoxifen for 5 years.


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[User] ERCP complications

Endoscopic retrograde cholangiopancreatography (ERCP) revealed a total tear of the bile duct at supraduodenal level.


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[User] ERCP pancreatitis complications

After the intervention, the patient recovered well, and there were no signs of any post ERCP pancreatitis or other complications.


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[User] ERCP procedure complications

Six hours after the procedure, the patient complained of epigastric pain. A physical examination revealed mild tenderness over the epigastrium and left upper quadrant without peritoneal signs. A subsequent CT scan showed a homogeneous mass lesion of the left subdiaphragmatic region, a hemoperitneum and a plastic biliary stent.


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[User] ERCP procedure for fistula treatment

The next approach to the fistula was by ERCP. A 1:3 mixture of Histoacryl and lipiodol solution was injected into the fistula.


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[User] ERCP with stent placement complications

The patient underwent urgent endoscopic retrograde cholangiopancreatography (ERCP) with stent placement and sphincterotomy of the common bile duct and pancreatic duct to decompress the biliary tree. The following day post-ERCP, the patient started to deteriorate clinically with generalized weakness, vomiting and anuric AKI.


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[User] ERG and VEP results interpretation

These findings were consistent with the patient's visual behaviour and suggested that a generalised retinal dysfunction was the cause.


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[User] ERG b-wave response in healthy individuals

ERG b-wave responses were less than the median value of age-matched healthy individuals at 103.2 μV and 79.6 μV in the right and left eyes, respectively.


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[User] ERM symptoms and diagnosis

The patient presented to the Elbląg City Hospital with ERM in the left eye.


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[User] ERT treatment efficacy

The patient demonstrated significant improvement, achieving unsupported sitting by 9 months and independent walking at 14 months


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[User] ES/PNET treatment options

The patient received two cycles of alternating IE (ifosfamide and etoposide) and VAC (vincristine, adriamycin, and cyclophosphamide) chemotherapy.


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[User] ESPB administration for gallstone pancreatitis

ESPB was administered to manage the patient's DPVS. Within 30 minutes after administering ESPB, the patient reported complete pain relief, which lasted for 12 hours before additional doses of analgesia were administered.


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[User] EUS-FNAB procedure for pancreatic LEC

EUS was performed to exclude a potentially malignant cyst. It revealed a solid, heterogeneous, well-circumscribed cystic mass on the body of the pancreas. EUS-FNAB performed at that time revealed multiple follicles of keratinized material stratified with squamous epithelium along with lymphoid tissue, without signs of atypia.


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[User] EVAR complications

Post-operation, the patient was found to have a type II endoleak from the lumbar arteries which resulted in abdominal pain and an enlargement of the aneurysm sac.


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[User] EVAR procedure outcome

Follow-up CT showed AAA enlargement, suspected type II EL, and hematoma inside the aneurysm.


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[User] Eales disease symptoms

A 39-year-old male presented to the clinic with complaints of decreased and blurred vision, photopsia, and floaters in his left eye over the previous two weeks.


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[User] Eales disease treatment options

The treatment consisted of pars plana vitrectomy and endolaser treatment at the time of surgery to the left eye and laser scatter retinal photocoagulation to the right eye.