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

[User] Management plan for lipid storage disease

The patient was started on conservative management, and dietary modifications were advised to control cholesterol levels.


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[User] Managing anticoagulant therapy post-cerebral venous thrombosis

The patient should receive regular INR monitoring to ensure appropriate anticoagulant therapy.


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[User] Managing chronic sinusitis post discharge

The patient was advised to follow up with his primary care doctor for ongoing management of his chronic sinusitis.


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[User] Managing imatinib-induced DRESS syndrome

The patient was treated with intravenous dexamethasone, and reslizumab 100 mg was administered intravenously while the patient continued to take imatinib. After administration of reslizumab, the eosinophil count immediately decreased to the normal range, and the clinical symptoms gradually improved without corticosteroids.


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[User] Managing mild cognitive impairment in FOP patients

The patient showed mild cognitive impairment.


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[User] Mandible osteosarcoma diagnosis

An orthopantomogram revealed a poorly defined radiolucency with radially oriented radio-opaque streaks, giving a “sunburst” appearance. A fine needle aspiration was done, and the cytosmear showed anisonucleosis.


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[User] Mandible reconstruction follow-up care

Follow-up visits are scheduled for further evaluation and treatment.


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[User] Mango allergy testing after exposure

The patient had eaten two mangos two days prior to the onset of the rash.


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[User] Manic relapse symptoms

The patient was admitted to the in-patient psychiatric ward due to a manic relapse secondary to non-adherence to medication.


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[User] Mantle cell lymphoma with a mantle zone pattern treatment

It was decided to monitor and adopt a watchful waiting approach.


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[User] Marfan syndrome cardiovascular complications

The patient, a 24-year-old man with Marfan syndrome (MFS)-related cardiovascular complications, was admitted with acute decompensated heart failure with reduced ejection fraction (ADHFrEF) for the third time.


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[User] Massive facial lesion symptoms

Massive lesion on the left side of the face including the eye and ear. The lesion was ulcerated and had led to upper lid margin necrosis and ptosis with the risk of deprivation amblyopia.


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[User] Materials used for interim restorations

The interim restorations were cemented with eugenol-free temporary luting cement.


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[User] Mature cystic teratoma symptoms

The patient presented to our emergency department with severe right lower quadrant abdominal pain and vomiting. Imaging studies revealed a heterogeneous density lesion with calcifications and fluid density areas in her right adnexa, consistent with a mature cystic teratoma (MCT).


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[User] Maxillary protrusion symptoms

The patient presented with concerns of maxillary protrusion.


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[User] Maxillary right primary canine tooth characteristics

Radiographs confirmed the absence of the maxillary and mandibular left primary canines and an unerupted dysmorphic maxillary right primary canine tooth positioned ectopically near the mesial aspect of the maxillary right first primary molar.


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[User] May-Thurner Syndrome treatment

The patient was diagnosed with MTS (May-Thurner Syndrome), which was treated with catheter-directed thrombolysis, balloon angioplasty, and stent implantation.


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[User] May-Thurner syndrome diagnosis

The patient was admitted with thrombus in the left common iliac vein that was caused by May-Thurner syndrome, a condition where the left iliac vein is compressed between the lumbar spine and the right common iliac artery.


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[User] McIndoe vaginoplasty post-operative care

A small plastic tube that was removed six weeks post-surgery during McIndoe vaginoplasty. The patient must maintain proper hygiene for the surgical wounds.


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[User] Mechanical aortic valve complications

He had a mechanical aortic valve that had been replaced 2 years prior to admission, and his presenting INR level was 6.4. TEE showed a bileaflet mechanical aortic valve with perivalvular abscess and valvular vegetation as well as severe eccentric paravalvular aortic regurgitation.


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[User] Mechanical small bowel obstruction post-operative care plan

Postoperatively, the patient had an uncomplicated recovery and was discharged on the third postoperative day. The patient is advised to follow up with the surgeon in two weeks.


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[User] Mechanical small bowel obstruction treatment options

The patient was treated conservatively. However, a decision was made to take the patient to the theatre for an exploratory laparotomy. At the time of exploration, grossly dilated small bowel loops were observed up to a distance of 20-30 cm from the terminal ileum, small bowel loops had adhered together and caused a mechanical small bowel obstruction. The appendicolith was removed, and the loops of the small bowels were released.


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[User] Mechanical ventilation COVID-19 pneumonia

The patient's condition did not improve, and mechanical ventilation was required, but the patient eventually passed away on December 12, 2020 due to progressive respiratory failure.


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[User] Mechanical ventilation management

The patient was given tocilizumab but continued to worsen, leading to mechanical ventilation.


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[User] Mechanical ventilator care adjustments

During his hospitalization, the patient's mechanical ventilator settings were adjusted twice to address the possibility of cardiac arrhythmia and vagal overstimulation caused by an increase in intrathoracic pressure and hyperinflation of the lungs.


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[User] Meckel's diverticulitis symptoms pregnancy

Right-sided abdominal pain at 20 weeks of gestation.


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[User] Meckel's diverticulum diagnosis methods

Results of Meckel's scan were again negative. Abdominal computed tomographic angiography revealed a prominent enhancing tubular structure connected to the distal ileum. Small bowel series also revealed a contrast filling structure suspected with a duplication cyst or Meckel's diverticulum in the distal ileum.


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[User] Meckel's diverticulum signs and symptoms

The patient was found to have diffuse peritonitis and her chest radiograph revealed free air under the diaphragm bilaterally.


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[User] Mediastinal actinomycosis diagnosis

The specimen from mediastinal mass showed finely branching filamentous materials, which were positive for the periodic acid-Schiff staining method. Pleural tissue showed thickening of the loose connective tissue layer and non-specific inflammatory cells. The patient was diagnosed with mediastinal actinomycosis and secondary lymphocyte-predominant exudative pleural effusion caused by Actinomyces infection.


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[User] Mediastinal mass symptoms

The patient was admitted to the hospital with a large mediastinal mass and was diagnosed with primary mediastinal large B-cell lymphoma. After receiving two cycles of DA-EPOCH-R regimens, the patient suffered from febrile neutropenia each time. During the physical examination, the swelling in the face, neck, and upper limbs was reduced, but distention of the jugular vein was still visible.


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[User] Mediastinal mass symptoms and diagnosis

Besides a concerning chest X-ray which revealed a mediastinal mass and left upper lobe consolidation. A CT scan was obtained that revealed a soft-tissue density protruding into the distal aspect of the left main bronchus with fluid filling the distal left upper lobe airway.


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[User] Medical management during hospitalization

No medical treatment was provided during the hospital stay.


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[User] Medical management for severe coagulopathy

Given the patient's severe coagulopathy, massive transfusion was undertaken in the intensive care unit.


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[User] Medication alternatives for depression with psychotic signs

The patient was then administered Citalopram and Seroquel, and no side effects were observed.


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[User] Medication dosage for Rifampicin and Isoniazid

The patient received analgesics, daily wounds care, and was started on Rifampicin, isoniazid, pyrazinamid, and ethambutol (R75 mg H50 mg Z50 mg E100 mg) 8 tablets per dose for 12 days and then for 48 days. Rifampicin, isoniazid (R75H50) for the remaining period.


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[User] Medication monitoring after discharge

The patient needs to follow-up regularly to monitor symptoms and for medication monitoring. Additionally, the patient must follow-up with her healthcare provider if any new symptoms or concerns arise.


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[User] Medication regimen after discharge

The patient was given the necessary education and counseling about the condition, follow-up care, and importance of medication adherence.


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[User] Medication responsible for SJS in this case

The dermatologist diagnosed phenytoin-induced SJS. The patient had also started taking phenytoin after being admitted to the neurosurgery department 1.5 months ago for subarachnoid hemorrhage.


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[User] Medication-induced dystonic reaction treatment

Despite medication administration and observation, the patient did not show any improvement.


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[User] Medications administered during hospitalization

Throughout the patient's hospitalization, a standard management of ICH was administered.


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[User] Medications approved for EGFR-mutant lung cancer treatment

Three EGFR-TKIs (gefitinib, erlotinib, and afatinib) were approved in Japan as the first-line treatment of EGFR-mutant lung cancer;


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[User] Medications discontinued during hospitalization

Metformin, aspirin and pasireotide LAR 40 mg were suspended on admission.


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[User] Medications discontinued during the patient's hospital stay

After stopping topiramate, adding antiglaucoma medications, and discontinuing addiction medications, his symptoms improved.


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[User] Medications for PTSD and bipolar disorder

The patient has been weaned off some of the medications prescribed for bipolar disorder and PTSD as many of the factors contributing to his PTSD are no longer present. His current medications are venlafaxine XL, adalimumab, and lamotrigine.


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[User] Medications for Stenotrophomonas maltophlia nosocomial pneumonia

The patient was treated with trimethoprin sulfamethoxazole for Stenotrophomonas maltophlia nosocomial pneumonia and empirical for P. jiroveci pneumonia. Predisone plus ganciclovir were added.


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[User] Medications for rectal cancer treatment

Further instructions and medications will be provided by the treating physician during the next appointment.


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[User] Medications managed during hospitalization

She received cefepime, which was later discontinued due to acute delirium, and was managed with meropenem and levetiracetam.


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[User] Medications prescribed after soft tissue loss treatment

No medications were prescribed at discharge.


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[User] Medications prescribed at discharge

Discharge Medications: Levothyroxine 150 mcg daily


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[User] Medications prescribed during treatment

Systemic Tetracycline 250 mg and 0.2% chlorhexidine mouth rinse were prescribed for 7 days.


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[User] Medications prescribed for cerebral vasculitis

The patient's medication included unspecified antibiotics, IV mannitol, doxycycline 100 mg OD, and 1.25mg in 0.05ml bevacizumab intravitreally every month for three months.


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[User] Medications prescribed for pain management after gynecomastia surgery

No medication was prescribed at the time of discharge.


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[User] Medications prescribed for peripheral ulcerative keratitis

Medications: Doxycycline, Topical metronidazole, Oral prednisone, Fortified vancomycin and tobramycin.


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[User] Medications prescribed to the patient

Continue taking any prescribed medications as directed by your healthcare provider.


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[User] Medications prescribed to the patient at discharge

Discharge Medications: None.


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[User] Medications used during treatment

A cephalosporin, a combination of ampicillin and sulbactam, and amoxicillin and clavulanic acid.


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[User] Medications used for Substance-induced Psychotic Disorder treatment

During hospitalization, the patient received olanzapine for the treatment of Substance-induced Psychotic Disorder related to stimulant and cannabis use.


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[User] Medications used for conservative management

The child was started on aspirin and neuroprotective strategy was ensured. For doubtful history of seizures, the child was started on phenytoin maintenance.


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[User] Medications used for treating myocardial infarction

He had been taking medications such as atenolol, captopril, ramipril, simvastatin, clopidogrel, bisoprolol, cilostazol, and molsidomine on a regular basis after the two MI events. The patient became stable and was discharged on the fourth hospital day after being treated with triple anti-platelet therapy using aspirin, clopidogrel, and cilostazol.


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[User] Medications used in combination treatment

Discharge Medications: Pyrotinib, Bicalutamide. The patient showed good compliance and tolerated the treatment with pyrotinib well.


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[User] Medications used to manage relapses

Oral methotrexate was added to the treatment plan for relapse spacing and effective reduction of corticosteroid dose.


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[User] Medications used to manage the patient's conditions

Intravenous Augmentin, 0.9% saline hydration, intravenous piperacillin/tazobactam, and intravenous furosemide, isoniazid, rifampicin, pyrazinamide, ethambutol, and pyridoxine (2HRZ/4HR).


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[User] Medications used to treat Essential Thrombocythemia

The patient received combination medical therapy with cytoreduction therapy and anti-thrombotic therapy (aspirin and rivaroxaban) accompanied by medication for pain management (pregabalin, acetaminophen, and tramadol).


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[User] Meesmann corneal dystrophy symptoms

The patient presented with bilateral decreased vision since the age of three. Best-corrected visual acuity (BCVA) was 20/160 and 20/800 in his right and left eyes with correction of −12.00 and −13.00 sphere, respectively.


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[User] Meglumine antimoniate side effects

On the 7th day of treatment, she had elevated levels of serum amylase with high urine amylases. Subsequently, MA was stopped and replaced by doxycycline 200 mg/day for 6 weeks;


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[User] Melioidosis diagnosis

Following growth of B. pseudomallei in the culture of the drained pus, a diagnosis of melioidosis was made and the patient was started on standard therapy.


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[User] Melioidosis symptoms

The patient was admitted with complaints of a swelling on the left side of her neck for the last three months. The swelling was approximately 60 mm × 50 mm in size, soft in consistency, erythematous, and tender. The patient also had an evening rise of temperature.


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[User] Meniere's disease symptoms

Patient reported recurrent vertigo attacks lasting 30-60 minutes over a 5-year period accompanied by tinnitus and fullness in the right ear.


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[User] Meningioma diagnosis procedure

A series of MRI images revealed a tumor with solid and cystic components from level T10 to L4 vertebra, and a cystic expansion of the central canal was revealed at the mild and upper thoracic level of the spinal cord.


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[User] Meningioma symptoms

The patient was admitted to the hospital with complaints of progressive generalized headache and bilateral blurred vision.


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[User] Meningioma with ME symptoms

The patient was admitted to the hospital with complaints of headache, weakness in the lower extremities, urinary retention, abdominal pain, vomiting, and loss of weight. However, the patient's symptoms continued, and additional neurological deficits appeared, including lower paraparesis muscle strength, paraparesis of upper extremities, hypesthesia from L1 on conductive type, pain in the legs, and nuchal rigidity.


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[User] Meningoencephalitis diagnosis procedure

A lumbar puncture was performed as a diagnosis of exclusion. No elevation of cell count, protein level, or lactate level was detected.


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[User] Menkes disease diagnosis

Reduced levels of copper and ceruloplasmin in serum and copper accumulation in fibroblasts further supported the diagnosis. Mutation analysis of the ATP7A gene showed a point mutation (c.3288 C > T) in the 16th exon of the gene, resulting in the replacement of the 1048 threonine residue with an isoleucine residue.


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[User] Merkel cell carcinoma symptoms

The patient underwent Mohs micrographic surgery (MMS) for Merkel cell carcinoma (MCC) on the glabellar region.


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[User] Merkel cell carcinoma treatment options

The patient underwent modified MMS with a 1-cm surgical margin for Merkel cell carcinoma on the left knee. Lymph node dissection was performed after a positive finding on sentinel lymph node biopsy at the left inguinal region. Adjuvant radiation therapy was performed on the left knee, left inguinal area, and external iliac lymph node area.


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[User] Merosin deficiency diagnosis

The patient was diagnosed with merosin deficiency based on clinical and biochemical findings, as well as the results of genetic testing for the LAMA2 gene.


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[User] Merosin deficiency symptoms

The patient was admitted to the hospital due to hypotonia since birth. Laboratory tests were performed that showed high creatine kinase (CK) and aldolase levels. A magnetic resonance imaging (MRI) study of the brain was performed when the patient was six months old, which was normal.


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[User] Mesenchymal spindle cell tumor treatment options

The patient received chemotherapy after the diagnosis, but unfortunately, her condition deteriorated rapidly, and she passed away five months after the initial surgery.


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[User] Mesh repair for incisional hernia

She underwent intraperitoneal on lay mesh repair a year ago.


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[User] Metacarpophalangeal joint dislocation treatment

Closed reduction of the fifth finger was successful, but the metacarpophalangeal joint remained dislocated, requiring open reduction surgery.


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[User] Metastatic chondrosarcoma symptoms

The patient was admitted to the emergency department with right-sided weakness after returning from Mexico. A physical exam was performed which revealed 4/5 motor strength in the right arm and leg.


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[User] Metastatic renal cell carcinoma treatment options

The patient was being treated for metastatic renal cell carcinoma and was in remission after receiving multiple cycles of cisplatin-based chemotherapy one year prior. Currently, the patient was being maintained on fortnightly intravenous nivolumab injections.


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[User] Metastatic small-cell lung cancer treatment protocol

The patient underwent primary concurrent chemoradiotherapy for limited-stage disease, which was followed by ongoing metastatic recurrence. Salvage therapy was initiated, including cisplatin/irinotecan, with partial response, but rapid progression of cancer followed.


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[User] Metastatic squamous cell carcinoma symptoms

A 13-year-old boy was admitted with a two-month history of left shoulder pain.


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[User] Metastatic squamous cell carcinoma treatment options

The patient was treated with various chemotherapeutic agents.


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[User] Metformin dosage for glycemic control

Good glycemic control (FBS=109–135 mg/dl) was achieved with metformin 1 gm po daily.


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[User] Methadone dosage for opioid withdrawal

Upon admission to the MMT clinic in 2008, the patient was started on a methadone dose of 80 mg per day. His dosage varied between 60 and 80 mg between 2008 and 2014. However, he developed withdrawal symptoms such as anxiety, depression, fatigue, yawning, insomnia, and musculoskeletal pain after decreasing his methadone dose to 30 mg.


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[User] Methadone maintenance therapy benefits

Due to the financial stress of his heroin addiction, the patient underwent methadone maintenance therapy (MMT) and was able to successfully manage his addiction for several years.


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[User] Methaemoglobinaemia treatment options

The patient received one dose of methylene blue intravenously, and his methaemoglobin levels and saturation gradually improved over the next several hours.


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[User] Method of reconstruction after esophagectomy

The patient underwent a video-assisted thoracic subtotal esophagectomy with gastric tube pull-up followed by reconstruction of the gastric tube. A Roux-en-Y gastro-jejunostomy was performed via the ante-sternum route without vascular anastomosis.


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[User] Methylprednisolone dosage and tapering

The patient was treated with Methylprednisolone, and after one week, the dose was tapered to a daily dose of 20 mg for two weeks, 12 mg for 2 weeks, and 8 mg for 4 weeks.


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[User] Methylprednisone treatment outcome

High dose methylprednisone was started and led to the normalization of C-reactive protein and troponin levels. The patient's renal and cardiac function gradually improved, and the ImpellaTM device was successfully explanted on Day 5.


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[User] MiCORE study medication management benefits

The patient was enrolled in the Corrie Myocardial Infarction, Combined-Device, Recovery Enhancement (MiCORE) study, a smartphone application for medication management, education, vitals and care coordination.


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[User] Micro-invasive squamous cell carcinoma prognosis

The final diagnosis was acantholytic variant of Bowen's disease with micro-invasive squamous cell carcinoma.


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[User] Microcephaly in children symptoms

She was initially noted to have a small head with a head circumference of 26.7 cm at birth and later developed dystonic-like movements of the head and limbs. The patient had specific facial features including broad forehead, thin long eyebrows, upslanting palpebral fissures, a prominent nose, and large ears with prominent antihelix.


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[User] Microhematuria treatment

However, urine analysis showed microhematuria and proteinuria. The patient underwent CHOP chemotherapy, which resulted in regression of the tumor by approximately 70%.


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[User] Microscopic examination results of the thyroid tissue

Microscopically, the goiter was composed of thyroid tissue with normo- and macroscopic follicles that contained colloid and a coated monolayer of cells with regular, uniform nuclei that were round to oval and had fine chromatin, as well as homogeneous eosinophilic cytoplasm.


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[User] Microvascular decompression surgery success rate

The patient’s symptoms disappeared immediately after the surgery, and she has been free of symptoms for over a year now. CT scans taken postoperative one week, and MRI scans taken at postoperative six months confirm a maintained free space over the REZ.


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[User] Microwave ablation of lung cancer complications

The CT examination 1 week after ablation revealed no significant pneumothorax or pleural effusion. The patient was closely observed and monitored after the procedure, and the follow-up CT scan at the 10th month showed no recurrence.


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[User] Mild headache and occasional dizziness symptoms

The patient was admitted with complaints of mild headache and occasional dizziness.


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[User] Miller Fisher Syndrome diagnostic tests

Brain computed tomography and magnetic resonance imaging revealed no abnormalities and routine laboratory examinations were unremarkable. After a positive serum anti-GM1-IgM result, the patient was diagnosed with Miller Fisher Syndrome (MFS)


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[User] Miller Fisher Syndrome symptoms

A 40-year-old male presented with a 3-day history of unsteady walking and numbness on both hands, and a 2-day history of seeing double images and unclear articulation. His symptoms gradually worsened and he was admitted to the hospital on the 4th day. On admission, he presented with velar nasal articulation, slightly limited movement of the bilateral eyeballs, obtuse pharyngeal reflex, areflexia with no limb muscle weakness and ataxic gait.


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[User] Miller Fisher Syndrome treatment plan

The patient was treated with 0.4 g/kg per day of intravenous immunoglobulin (IVIG) for 5 days. The patient was given 3 days of 1000 mg/day methylprednisolone via intravenous drip which was halved every 3 days until the dose reached 60 mg/day methylprednisolone via intravenous drip.


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[User] Miller class II recession symptoms

A gingival recession defect was found in the FDI tooth #31 area with a clinical attachment loss (CAL) of 6 mm, corresponding to Miller class II recession.


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[User] Miller's Class I gingival recession symptoms

The patient presented to the Department of Periodontics at Sri Sai College of Dental Surgery due to sensitivity and receding gums for the past 2 years. Miller's Class I gingival recession was diagnosed in tooth 21 and Class II in tooth 22 and 23.


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[User] Minimal change disease symptoms in children

The patient, a 5-year-old child, was admitted to the hospital for edema and proteinuria on April 10, 2008.


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[User] Mirizzi syndrome causes

Diagnostic tests show evidence of Mirizzi syndrome and an impacted stone in the neck of the gallbladder causing obstruction of the common hepatic duct.


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[User] Mitochondrial disorder diagnosis

The sequencing of the whole mitochondrial genome (mtDNA) revealed the presence of the A to G mitochondrial DNA (mtDNA) point mutation at position 3243 (m.3243A>G) in tRNA Leu(UUR) gene.


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[User] Mitochondrial disorder treatment plan

After a lengthy hospital stay with supportive care, the patient was discharged from the hospital to home asymptomatic and without further complications.


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[User] MitraClip procedure outcome for severe TR

The patient underwent the MitraClip procedure with first good success but suffered early partial clip dehiscence thus leaving her with persistent severe TR.


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[User] Mitral valve plasty post-operative care plan

The patient's postoperative course was uneventful, and he required long-term rehabilitation. He was discharged two months after the surgery. Follow-up appointments were scheduled for monitoring of the patient's condition.


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[User] Mitral valve repair for endocarditis symptoms

The auscultation showed normal heart sounds with no murmurs.


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[User] Mixed connective tissue disorder symptoms

The patient was admitted with severe dyspnea and muscle weakness following a 2-year history of skin ulcer compatible to pyoderma gangrenosum. The patient also reported a 1-year history of discoloration of his fingers in cold temperatures.


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[User] Mixed sliding and paraesophageal hernia complications

The patient had a successful surgery and was discharged on the fourth postoperative day. There were no intraop/postoperative complications.


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[User] Molar pregnancy symptoms

The patient was admitted to the emergency department with heavy vaginal bleeding and abdominal pain.


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[User] Mondor's disease diagnostic tests

Computed tomography (CT) scan of the thorax, abdomen and pelvis revealed no signs of cancer or local lymphadenopathy. Ultrasound was not performed as it was not considered to be of clinical use.


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[User] Mondor's disease symptoms

The patient presented with a painful palpable cord along the left lateral thoracoepigastric vein.


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[User] Monitoring for adverse effects of sitagliptin treatment

Occasional mild hypoglycemia was observed after starting sitagliptin, but the patient was able to manage it with glucose drinks. No adverse effects were seen in kidney or liver function, nor were any weight gain or gastrointestinal issues noted.


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[User] Monomorphic ventricular tachycardia treatment options

The patient was treated with IV flecainide which resulted in the termination of the tachycardia. Additionally, an unmasked type 1 Brugada ECG pattern was observed. After discussion with the electrophysiology service, a diagnostic EPS was recommended.


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[User] Mood disorder treatment plan

His mood disorder was diagnosed two weeks before the visit and was started on 5 mg of escitalopram once daily to be increased to 10 mg once daily after a week.


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[User] Morell-Lavallée lesion symptoms

The patient presented to the Emergency Department (ED) with progressive swelling in the area but no back pain, weakness, or numbness. Four days later, the patient returned to the ED for worsening pain and swelling of his buttock. The injured area had become increasingly tender to touch since his previous visit to the ED, and he was unable to tolerate running and had worsening pain upon walking.


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[User] Morell-Lavallée lesion treatment options

Plastic Surgery was consulted, and the patient was given a pressure dressing for the lesion and recommended to follow up with Plastic Surgery clinic for further management of the lesion.


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[User] Mother and infant TB treatment outcome

Her convulsions, dyspnea, fever, and cough resolved. The infant also received anti-tuberculous therapy and was successfully treated.


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[User] Motor function regression treatment options

Treatment had to be discontinued, and the patient's motor function consequently regressed to its state before treatment.


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[User] Motor vehicle accident injuries symptoms

The patient was admitted to the hospital after a motor vehicle accident. He was found to have injuries to multiple areas of his body including the right arm, chest wall, and shoulder region.


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[User] Motor vehicle collision injury diagnosis

A grade 1 left kidney laceration with retroperitoneal haematoma and flexion/distraction chance-type fracture of L2-L3 vertebrae were identified by whole-body CT imaging.


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[User] Motorcycle accident injury symptoms

The patient complained of pain in his back and right thigh, numbness and weakness in both lower extremities.


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[User] Motorcycle accident scapula fracture symptoms

The patient was admitted to our clinic with complaints of constant, posterior shoulder pain along the right scapula. This pain followed a motorcycle accident which caused a right scapular body and right clavicle fracture.


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[User] Motorcycle accident upper limb injury symptoms

The patient complained of pain, swelling and bleeding in the left upper limb.


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[User] Moyamoya disease symptoms

The patient was admitted to the hospital for abrupt onset of worsening headaches. Further examination, including a head CT scan and cerebral angiogram, showed a hematoma in the left thalamus with expansion into the lateral ventricle.


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[User] Moyamoya vasculopathy treatment options

The patient was treated with potassium iodide for GD and subsequently treated with intravenous methylprednisolone (IVMP), clopidogrel, and aspirin, which stopped the attacks.


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[User] Ms. A's diagnosis

Ms. A, a 24-year-old female college student with a psychiatric history of bipolar I disorder, was admitted due to severe manic symptoms with mood fluctuations.


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[User] Ms. A's follow-up care plan

She was advised to follow up regularly with the outpatient clinic to monitor her psychiatric condition.


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[User] Ms. A's response to treatment

However, after 85 days of hospital treatment, she showed partial remission with a combination of medications. Her mood fluctuations were various and complex. During the follow-up period, she exhibited residual mood fluctuation and changes to mood-related behaviors such as social withdrawal and excessive exercise.


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[User] Mucopolysaccharidosis type II symptoms

Rough facial features with stiffness of major and small joints.


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[User] Mucormycosis diagnosis

A transcutaneous needle biopsy of the nodule at the left lower lobe showed thick fungal hyphae with right-angle branching, highly suggestive for mucormycosis.


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[User] Mucormycosis symptoms

The patient presented with a chief complaint of sputum, productive cough with yellowish sputum for two months, and four pulmonary nodules in both lungs which were detected in chest computed tomography.


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[User] Mucormycosis treatment follow-up

After the end of the treatment for 3 months, chest radiography revealed no definitive relapse of mucormycosis. The chest CT in the follow-up showed that the size of the nodules was reduced.


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[User] Mulholland deformity symptoms

The patient was admitted to our tertiary care hospital with pain and swelling over the heel, pain during rest, and more during ambulation.


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[User] Multifocal motor neuropathy diagnostic criteria

Multifocal motor neuropathy (MMN) was diagnosed using established diagnostic criteria.


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[User] Multiple Myeloma treatment goals

The patient was treated with carfilzomib, cyclophosphamide, and dexamethasone. Her kappa light chain values dropped significantly in the first three months, but unfortunately, her clinical status declined, and hospice care was initiated.


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[User] Multiple Sclerosis diagnosis criteria

An MRI found multiple lesions in periventricular, centrum semiovale, and corpus callosum, which were compatible with a diagnosis of Multiple Sclerosis according to 2005 McDonald's criteria.


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[User] Multiple System Atrophy with predominant parkinsonism symptoms

Parkinson's syndrome with autonomic failure involving urinary incontinence and poorly levodopa-responsive parkinsonism satisfied the requirements of criteria for the diagnosis of probable Multiple System Atrophy with predominant parkinsonism (MSA-P).


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[User] Multiple myeloma and prostate cancer prognosis

At 37 months after the initial diagnosis and treatment, the patient is doing well without evidence of tumor recurrence. PSA decreased to 0.05 ng/mL.


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[User] Multiple myeloma patient prognosis

The patient passed away five weeks after the onset of double vision.


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[User] Multiple myeloma prognosis after autologous HSCT

The patient has recovered well from the autologous HSCT and exhibits no further symptoms of MM.


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[User] Multiple myeloma relapse symptoms

The patient presented with symptoms of fatigue and dizziness. Physical examination revealed markedly pale conjunctiva and mild tenderness over thoracolumbar spines.


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[User] Multiple myeloma symptoms

The patient was admitted with complaints of right-sided chest pain, breathlessness, loss of appetite, and weight loss.


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[User] Multiple myeloma treatment options

The patient received intravenous Pamidronate, adapted hydration, and chemotherapy with bortezomib, cyclophosphamide, doxorubicin, and dexamethasone.


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[User] Multiple myeloma treatment options for spinal cord compression

High-dose steroid therapy and fractioned radiotherapy were conducted for the spinal cord compression lesion. An emergent decompressive laminectomy was performed, revealing a friable bluish-gray colored soft tissue mass at the epidural space compressing the spinal cord with mild adhesion to the underlying dura.


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[User] Multiple sclerosis follow-up care

The patient's visits to South Africa and medications will continue to be covered through her workplace.


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[User] Multiple sclerosis symptoms

The patient had a history of multiple sclerosis (MS) and had been treated with glatiramer acetate, methotrexate, and repetitive cycles of plasma exchange.


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[User] Multiple trauma diagnosis

The initial diagnostic evaluation performed according to the Advanced Trauma Life Support (ATLS) guidelines included a focused assessment with sonography in trauma (FAST), chest x-ray, and pelvic and femoral x-rays, which revealed diffuse intracerebral contusion, bilateral mediastinum and lung contusion, maxillary-orbital and temporal bone fractures, a small parieto-occipital subarachnoid hemorrhage on the right, and a femoral shaft fracture on the left.


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[User] Mumps virus infection symptoms

The patient received a thorough clinical evaluation during her stay at Louisiana State University Hospital. Due to an incomplete vaccination history and a concern over parotid swelling, she was tested for Mumps virus, and her IgM was positive. She also tested positive for rhinovirus and enterovirus. Further investigation revealed leukopenia and autoimmune hemolytic anemia associated with cold agglutinin.


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[User] Muscle wasting disease diagnosis

The patient's symptoms were suggestive of a degenerative neuromuscular disease.


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[User] Myasthenia gravis treatment

The patient's symptoms were stabilized with the administration of prednisolone (5 mg daily).


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[User] Mycobacterial TB infection symptoms

He had a history of recurrent discharging scrotal ulcers and was admitted with a history of recurrent discharging scrotal ulcers.


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[User] Mycobacterium abscessus treatment options

Treatment was initiated with intravenous antibiotics and debridement, followed by oral sulfamethoxazole for an additional three months upon discharge.


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[User] Mycobacterium haemophilum symptoms

Patient presented with pain, swelling, and redness of the left thumb due to purulent flexor tenosynovitis.


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[User] Mycobacterium kansasii treatment

Empirical treatment with anti-mycobacterial agents was initiated, and the patient showed gradual clinical improvement. The patient was started on anti-mycobacterial agents, plasmapheresis, IV methylprednisolone, and IV cyclophosphamide.


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[User] Mycobacterium sherrisii symptoms

He had a history of pulmonary tuberculosis treated 11 years ago. During follow-up, he developed a worsening of cough and expectoration pattern.


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[User] Mycobacterium simiae lung disease treatment

The patient received combination antibiotic treatment including azithromycin, ethambutol, rifampin, and moxifloxacin.


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[User] Myelofibrosis treatment options

The patient underwent an allogenic stem cell transplantation. The patient received ruloxitinib and fludarbine-busulphan myeloablative conditioning regimen.


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[User] Myocardial abscessus symptoms

The patient presented with swelling, nodules, ulcers, and pain in the right leg.


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[User] Myocardial contraction band necrosis symptoms

The patient was admitted with complaints of cefalea, dizziness, diplopia, and oscillopsia for two days.


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[User] Myocardial infarction diagnosis

The histological examination revealed focal myocytes necrosis with massive and diffuse polymorphonuclear leukocytes infiltrate, especially on the anterior left ventricular samples to demonstrate an early myocardial infarction.


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[User] Myocarditis symptoms and complications

The patient had a history of myocarditis relapse and was diagnosed with ectopic atrial tachycardia and severe left ventricular dysfunction. Cardiac magnetic resonance imaging showed midwall fibrosis of the interventricular septum and basal inferior wall, and the second endomyocardial biopsy showed the presence of inflammation with lymphomonocytic infiltration.


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[User] Myocarditis treatment plan

The patient was treated conservatively with analgesia and 5-ASA was promptly withdrawn from the treatment regimen.


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[User] Myocarditis treatment with steroids

With high-dose steroid treatment, the LVEF improved.


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[User] Myxedema coma treatment

The patient was diagnosed with myxedema coma (TSH level of 171 with a free T4 of 0.38) and was immediately started on intravenous levothyroxine and oral liothyronine.


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[User] Myxopapillary ependymoma symptoms

The patient presented with a gradually increasing bilateral buttock pain, intermittent claudication after walking 500 m, dysuria, and cauda equina syndrome below the L2 level.


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[User] N-acetylcysteine administration via nasogastric tube procedure

The decision was made to proceed with N-acetylcysteine (NAC) which was given over the course of three days via nasogastric tube. The infant required eight doses of NAC to achieve clear gastric aspirate.


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[User] NBTE cancer unknown origin diagnosis

Diagnosis was ultimately NBTE associated with cancer of unknown origin.


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[User] NBTE diagnosis and treatment plan

The diagnosis was revised to NBTE secondary to known ovarian malignancy. The acute embolic stroke was attributed to embolization of tricuspid vegetation through pulmonary AVM. Anticoagulation was contraindicated due to the hemorrhagic conversion of the stroke.


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[User] NBTE secondary to ovarian malignancy symptoms

The patient was admitted to the emergency room (ER) with fever, shortness of breath, generalized weakness, and confusion. The diagnosis was finally revised to NBTE secondary to known ovarian malignancy.


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[User] NET symptoms

The patient presented with icterus, itching, and 8 kg weight loss during 5 months.


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[User] NF Type 1 symptoms

The patient presented with a two-month history of neck pain and bilateral upper limb pain, along with tingling and numbness. The patient was diagnosed with NF Type 1 and had multiple cafe-au-lait spots all over the body.


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[User] NF Type 1 treatment options

The patient underwent operative treatment, which was divided into three steps. In the first step, total C3, C4 and C5 corpectomy was accomplished, keeping the posterior longitudinal ligament (PLL) intact.


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[User] NF-1 symptoms

The patient indicated a family history of NF-1. Numerous peripheral cutaneous neurofibromas were identified on the trunk and limbs, along with café-au-lait spots, brownish axillary freckling, and a glioma on the left optic nerve.


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[User] NF-1 symptoms in young adults

A 22-year-old male presented with a gradually progressive upper back deformity and gait imbalance. On examination, a prominent hump was noted in the upper back region.


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[User] NF1 eye examination findings

Her ophthalmologic examination was normal.


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[User] NG tube complications in ICU patients

Complications: Chest X-ray showed misplaced NG tube at the right main bronchus down to the right pleural space and development of new 7.8 mm right sided pneumothorax.


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[User] NGCO chemotherapy treatment options

The patient underwent chemotherapy after surgery and tolerated six cycles of treatment without any problems. The treatment was BEP: bleomycin, etoposide, and cisplatin.


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[User] NGCO of the right ovary symptoms

The patient presented at the hospital with complaints of irregular menstrual cycles and an ovarian tumor detected on imaging.


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[User] NIH protocol for lupus nephritis

Patient was administered 5 daily pulses of methylprednisolone, two sessions of hemodialysis, and started on monthly cyclophosphamide as per the National Institutes of Health (NIH) protocol for lupus nephritis.


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[User] NIHSS score improvement in thalamic infarction

The patient's NIHSS score improved from 6 to 2 points and the GCS score improved from 13 to 15 points.


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[User] NIHSS score interpretation

His NIHSS score was 18, and the MTT map showed a perfusion delay on the right MCA territory.


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[User] NK-LGL activity treatment

Later the patient presented with diffuse enlargement of the thyroid gland, but thyroid function tests and isotope thyroid scan I123 were normal.


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[User] NKD diagnosis symptoms

The patient was diagnosed with NKD and was treated with interferon-beta 1a injection.


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[User] NLCH diagnosis procedure

The histopathological examination of the nodule showed ulcerated epidermis with dermal aggregates of proliferating spindle cells admixed with foamy macrophages. Biopsy from ichthyotic patch demonstrated epidermal spongiosis and superficial perivascular infiltrates. There was no evidence of acid-fast bacilli (on slit skin smear and on biopsy), abnormal lymphocytes, or intracellular amastigote forms (on Giemsa stain). A strong positivity for CD68 and negative reaction for CD1a and S100 protein on immunohistochemistry pointed to a diagnosis of NLCH.


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[User] NLCH treatment options

As part of screening, indirect laryngoscopy was performed which showed swelling, congestion, and cobblestoning due to infiltrated lesions over laryngeal mucosa with freely mobile vocal cords. As the patient was asymptomatic with patent airways, no active intervention was advised with regular clinical and laryngoscopic follow up.


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[User] NMOSD prognosis with malignant melanoma

However, disease progression was observed, and the patient died 120 days after the diagnosis of malignant melanoma.


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[User] NMOSD symptoms

Fever, urinary retention, weakness in bilateral lower extremities, motor symptoms, and grade II strength in bilateral lower extremities.


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[User] NMOSD treatment options

The patient was treated with immunosuppressive therapy with intravenous immunoglobulin 0.4 g/kg for 5 days and methylprednisolone 1 g for 3 days, followed by 500 mg for 3days, 240 mg for 3 days, 120 mg for 3 days, as well as prednisone (1 mg/kg) and tacrolimus (3 mg per day) for NMOSD.


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[User] NPC disease diagnosis procedure

Niemann-Pick type C disease was finally diagnosed by a skin biopsy. Two heterozygous changes (one nonsense and one missense) in NPC1 were identified by nucleotide sequencing.


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[User] NPHP1 gene deletion symptoms

A homozygous full gene deletion of NPHP1 and heterozygous substitutions in PKD1, BBS1, and INPP5E were identified through targeted sequencing.


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[User] NSCLC with brain metastasis treatment options

The patient was treated for seven months with CIMAvax EGF plus nimotuzumab for NSCLC. Fifty-one days after the last dose of CIMAvax EGF and fifty-seven days after the last dose of nimotuzumab, the patient underwent a craniotomy due to brain metastasis.


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[User] NSTEMI diagnosis

The patient was diagnosed with a type 2 NSTEMI due to demand ischemia.


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[User] NTM species treatment regimen

The patient's treatment regimen was adjusted accordingly, with the replacement of rifampin with rifabutin, inclusion of trimethoprim-sulfamethoxazole, and suspension of streptomycin after two months.


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[User] Nail patella syndrome symptoms

A twisting injury to the right knee following a fall. The knee was swollen and painful on attempted weight bearing.


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[User] Nance-Horan syndrome symptoms

The patient had features of facial dysmorphism, anteverted pinnae with increased fold in both ears, and ocular abnormalities. Intraoral examination revealed poor oral hygiene with Simplified Oral Hygiene Index score of 3.2, and class III skeletal and molar relationship with bilateral posterior cross bite and anterior open bite.


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[User] Nance-Horan syndrome treatment plan

Under short-term treatment plan, meticulous preventive treatments including preventive resin restorations were given, and the patient was professionally monitored regularly to reinforce preventive treatments. Root canal therapy was done, and stainless steel crown was given on multiple teeth. Some teeth were extracted, and band and loop space maintainer was given. Fractured teeth were restored with light-cured composite resin. The long-term treatment included orthognathic surgery along with fixed orthodontic treatment after growth and development of patient is complete.


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[User] Nasal cavity mass treatment options

The mass was excised without complications. The patient was followed up throughout the recovery period, and no index of recurrence was detected.


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[User] Nasal obstruction and facial pain symptoms

The patient presented with nasal obstruction, facial pain and reduced sense of smell. She had been experiencing nasal respiration obstruction for about 3 months with right-side preponderance, severe right-side facial pain and a subjectively reduced sense of smell.


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[User] Nasal packing removal complications

Nasal packing was placed to control bleeding, and was removed without complications two days later.


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[User] Nasolabial repair procedure for cleft lip

Nasolabial repair was undertaken at 8 months of age. Her repair followed the proposed approach, and the crease on the right was used as a reference for the left given the distortion by the hamartomas on the left. The cutaneous polyps were excised so that the configuration of nasal base landmarks and nasolabial creases matched on either side of the cleft.


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[User] Nasopharyngeal carcinoma metastasis symptoms

The patient was admitted to the hospital in February 2019 due to shortness of breath and palpitations.


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[User] National Institute of Health Stroke Scale

Neurological testing of the patient was performed with a National Institute of Health Stroke Scale of zero,


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[User] Nausea, vomiting and abdominal pain diagnostic procedures

Diagnostic tests showed small-bowel dilation and a closed loop obstruction secondary to midgut volvulus.


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[User] Nd:YAG laser peripheral iridotomy complications

Nd:YAG laser peripheral iridotomy was performed to confirm the diagnosis, with a patent iridotomy in both eyes.


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[User] Nd:YAG laser posterior capsulotomy purpose

Nd:YAG laser posterior capsulotomy was performed, which displaced the liquid inside the capsular bag into the vitreous cavity and resolved the IOL displacement.


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[User] Neck CT scan findings for thyroid ala fracture

Contrast-enhanced computed tomography of the neck revealed a nondisplaced vertical fracture of the right thyroid ala, subcutaneous air in the anterior cervical fascial planes, and edema of the right true vocal fold.


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[User] Neck injury with screwdriver symptoms

The patient presented to the emergency department with a penetrating injury in the back of his neck sustained in a personal brawl with a fellow truck driver.


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[User] Neck pain radiating to arm symptoms

She also experienced tingling and paresthesia of the medial aspect of her right arm and forearm.


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[User] Needle aspiration procedure for lingual abscess

CT scan revealed a lingual abscess, and needle aspiration was followed by incision and drainage to treat the condition.


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[User] Neisseria meningitidis infection symptoms

The patient presented to the emergency department with high-grade fever, muscle soreness, and a history of traveling to Kinmen, Taiwan. The initial evaluation was unremarkable. However, the patient presented again after one day with persistent high-grade fever, subconjunctival hemorrhage, petechial skin rash, and epigastric pain.


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[User] Neisseria meningitidis treatment

The initial empirical antimicrobial treatment included piperacillin-tazobactam, amikacin, and clindamycin.


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[User] Neonatal respiratory support after cardiac tumor resection

The neonate was intubated and required mechanical respiratory support due to the cardiac mass compression.


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[User] Neonate care plan after pacemaker insertion

The pediatric cardiology consult was given, and the neonate continued care under the neonatologist and pediatric cardiologist after discharge.


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[User] Neonate's condition after sigmoid colon colostomy

The sigmoid colon colostomy procedure was performed a day after birth, which was successful. The neonate was able to take oral feeds two days later.


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[User] Nephroureterectomy post-operative care plan

After recovering from the operation, the patient was discharged and referred for follow-up routine check-ups.


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[User] Neurocysticercosis treatment options

The patient was prescribed carbamazepine for treatment and discharged from the hospital after a two-day stay.


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[User] Neurofibromatosis type 1 atlantoaxial dislocation symptoms

The patient presented with multiple café-au-lait spots, family history of neurofibromatosis, and a prior diagnosis of NF1 by a primary doctor. The patient's main complaints included numbness of the upper limb and gait disturbance from 1 month prior.


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[User] Neurofibromatosis type 1 symptoms

The patient with a known history of NF1 was admitted to our hospital for routine control.


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[User] Neurofibromatosis type 1 vs type 2 symptoms

A formal diagnosis of neurofibromatosis was entertained but could not be made clinically based on published criteria. Genetic testing did not reveal any chromosomal abnormalities diagnostic for neurofibromatosis type 1 or neurofibromatosis type 2. Segmental neurofibromatosis type 1 or neurofibromatosis type 2 were considered as the lesions were found only on the right side of the body.


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[User] Neurological complications of digoxin toxicity

She had developed myoclonus and choreiform movements. The patient was reviewed by neurology and commenced on 0.5 mg of haloperidol twice daily, which improved her clinical state in correlation with supportive measures for haemodynamics and renal function.


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[User] Neurological exam findings

His neurological exam was unremarkable except for the repetitive forceful left eye closure associated with elevation of the left eyebrow and minimal mouth deviation to the left.


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[User] Neurological examination findings

On neurological examination, the patient had an intention tremor, neuropathy symptoms, and ataxia.


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[User] Neuromyelitis Optica IgG antibodies diagnosis

The patient has a history of Neuromyelitis Optica (NMO) with positive NMO-IgG/Aquaporin-4 antibodies (AQP4-Ab).


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[User] Neuropathic pain symptoms

The patient complained of severe pain that was neuropathic in nature and took anodyne, which did not relieve his symptoms.


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[User] Neutropenia treatment options

Following daily supplementation with 150 mg Vitamin B6, blood B6 levels normalized and the neutropenia resolved.


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[User] Nevirapine-induced DRESS syndrome diagnosis criteria

Further investigations revealed the patient had Nevirapine-induced DRESS syndrome.


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[User] Nevirapine-induced DRESS syndrome symptoms

The patient experienced fever, right hypochondrium pain, jaundice, and skin rash. The patient had been well until twenty days before admission when a diffuse maculopapular rash appeared, followed by myalgias, arthralgias, choluria, pruritus, and vague abdominal pain. Three days before admission, the patient experienced nausea, vomiting, and decreased oral intake.


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[User] Newborn follow-up care plan after being treated for surfactant deficiency lung disease

The patient was discharged with the mother on day 33 of life.


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[User] Next steps for managing monocytosis and progressive thrombocytosis

However, the mutational profile favors a JAK2/CALR-driven MPN. TET2 mutations are of little value, as they can be present both in MPN, MDS/MPN, and in clonal hematopoiesis of indeterminate potential (CHIP).


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[User] NiTi files and reamers procedure steps

The endodontic treatment of the carious teeth was carried out using NiTi files and reamers and after complete sterilization of canals obturation with Vitapex was done.


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[User] Nieman-Pick disease type C treatment options

The patient was subsequently discharged with recommendations for further follow-up and ongoing care.


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[User] Niemann Pick Disease Type C diagnosis

Genetic testing revealed a mutation identical to that of her brother, and filipin staining results were positive. Based on the evaluations, the patient was diagnosed with NP-C.


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[User] Niemann Pick Disease Type C symptoms

The patient presented with a history of clumsiness in the right hand at the age of 19, followed by the development of psychosis, cognitive impairment, and gait disturbance over the next 4 years.


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[User] Niemann-Pick disease type C diagnosis

Nucleotide sequencing found two heterozygous changes in NPC1, which confirmed the diagnosis of NPC.


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[User] Niemann-Pick type C disease treatment

The patient initiated treatment recently with miglustat 200 mg every 8 hours.


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[User] Nifedipine-induced gingival overgrowth symptoms

The patient presented to the Department of Periodontology with a complaint of swollen gums.


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[User] Nilotinib dosage adjustments for hepatic dysfunction

After nilotinib was introduced, the drug was initially administered at a dose of 600mg twice a day (BID). However, a few months later, the patient experienced hepatic dysfunction, and the decision was made to discontinue nilotinib. After nilotinib was discontinued, the patient's hepatic function improved, and the drug was reintroduced at a lower dose of 300mg BID.


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[User] Nocardia asiatica infection long-term prognosis

At follow-up after five months, the patient was deemed to be doing well, with no signs of recurrence of infection clinically or radiographically.


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[User] Nocardia asiatica infection symptoms

The patient presented to AUB-MC with fever, weight loss, chest pain, anorexia, and chills.


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[User] Nocardia asteroides treatment

The sputum culture revealed an infection with Nocardia asteroides, which was treated with intraperitoneal vancomycin and ceftazidime.


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[User] Nocardia brasiliensis infection treatment

The bacterium was identified as N brasiliensis by standard biochemical tests and was found to be susceptible to amikacin, ceftriaxone, doxycycline, chlorpheniramine, and imipenem but resistant to cotrimoxazole and aztreonam.


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[User] Non-Hodgkin Lymphoma symptoms

The patient presented to our Rheumatology Clinic with complaints of persistent dry mouth, dry eyes and swelling on the right side of her eye. After two years, she developed swelling in her right orbital region and progressive droopiness of her right eyelid.


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[User] Non-Hodgkin's lymphoma diagnosis

She presented to the Department of Gynecology with physical examination and further diagnostic imaging revealed pelvic masses. Postoperative examination revealed endometrial lymphoma, which was diagnosed as non-Hodgkin's lymphoma, consistent with diffuse large B-cell non-Hodgkin's lymphoma.


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[User] Non-Hodgkin's lymphoma of B-cell type symptoms

The patient was admitted to the department of oral and maxillofacial surgery with complaints of a growth in the left upper jaw at the site of extraction wound.


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[User] Non-Hodgkin's lymphoma of B-cell type treatment options

Three cycles of classical CHOP therapy comprising of using cyclophosphamide, doxorubicin, vincristine, and prednisolone were advised at the gap of every 3 weeks. The patient was also started on anti-retroviral treatment.


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[User] Non-ST elevation MI symptoms

The patient was admitted with complaints of epigastric and chest pain that radiated to the lower jaw and left arm.


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[User] Non-Seminomatous Mixed Germ Cell Tumor symptoms

The patient experienced severe abdomen pain and constipation, which he was treated for with laxatives, enema and pain relief medication, including fentanyl infusion.


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[User] Non-Seminomatous Mixed Germ Cell Tumor treatment options

The patient had undergone orchidectomy and 4 cycles of adjuvant BEP regimen. After the fourth cycle, residual disease was observed in the lung. As the patient was not willing to undergo surgery, he was planned for and received second-line VeIP regimen, which he completed one cycle of before being admitted to the hospital.


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[User] Non-Small Cell Lung Cancer diagnosis

Admitting Diagnosis: Dyspnea, Cavitary lesion with air-fluid level in the right upper lobe, Pericardial effusion, Pleural effusion, Right middle lobe medial segment collapse, Extensive mediastinal adenopathy, High expression of PD-L1, Positive BRAF c.1780G>A (p.D594N) mutation. Discharge Diagnosis: Stage IV Non-Small Cell Lung Cancer, Adenocarcinoma.


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[User] Non-Small Cell Lung Cancer symptoms

The patient was admitted to the hospital with progressively worsening dyspnea, fatigue, weight loss, cough, and history of long-term smoking, occasional marijuana and cocaine use, and family history of lung cancer.


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[User] Non-bacterial thrombotic endocarditis treatment

The diagnosis of non-bacterial thrombotic endocarditis was made, and the patient was treated with empiric vancomycin and ceftriaxone, along with steroids.


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[User] Non-caseating necrotizing granulomatous lesions symptoms

The patient presented with complaints of cough, joint pains with morning stiffness involving small and large joints, gangrene of right toe, and right upper motor neuron facial palsy. She also reported a history of oral ulcers, blueing of fingers, redness and drying of eyes.


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[User] Non-caseating necrotizing granulomatous lesions treatment

During the hospital stay, the patient was treated with standard therapies including nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief and various supportive measures.


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[User] Non-contrast computed tomography (NCCT) scan of orbit findings

Non-contrast computed tomography (NCCT) scan of orbit showed infiltrative soft tissue mass in right pre-orbital region, right sphenoid wing dysplasia and fracture of right lateral orbit wall.


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[User] Non-invasive prenatal testing risks

The patient opted to undergo non-invasive prenatal testing (NIPT) to avoid potential complications of invasive testing at 19 weeks of gestation.


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[User] Non-seminomatous germ cell tumor treatment options

The patient received BEP chemotherapy protocol and underwent thrombectomy. A subsequent surgery involved retroperitoneal mass excision, bilateral nerve sparing with retroperitoneal lymph node dissection, inguinal scar excision, left spermatic cord excision, left uretrouretorostomy, left double-J insertion, and transdiaphragmatic left single-port VATS lower lobe pulmonary metastasectomy.


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[User] Non-small cell lung cancer symptoms

The patient was evaluated for prolonged bloody sputum and a lung nodule on chest X-ray.


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[User] Non-small cell lung cancer symptoms and diagnosis

A routine X-ray revealed a right lower lobe lung mass which was diagnosed as non-small cell lung cancer (NSCLC) following a CT chest and bronchoscopy.


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[User] Nonunion fracture shaft of right humerus symptoms

The patient presented with a nonunion fracture shaft of right humerus, which was initially treated with closed reduction and U-slab elsewhere. However, the fracture showed no signs of healing even after 8 weeks of conservative treatment.


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[User] Nonunion of the fracture site symptoms right humeral shaft

The patient was admitted due to instability and pain at the fracture site of her right humeral shaft after undergoing initial intramedullary nail fixation using a deltopectoral splitting approach eight months prior.


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[User] Noonan syndrome complications

The patient had a history of Noonan syndrome, left-sided cryptorchidism, scoliosis, rocker bottom foot, cubitus valgus, and joint hyperextensibility. The patient had several morphological abnormalities suggestive of Noonan syndrome such as hypertelorism, ptosis, high-arched palate, and webbed neck.


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[User] Noonan syndrome symptoms in infants

The patient was admitted to the tertiary care children's hospital for genetic assessment and cardiologic consultation due to preterm birth complicated by various symptoms resulting from Noonan syndrome with a PTPN11 gene mutation (c.923A>C; p.N308T). At 12 hours of life, the patient became hypotensive and did not respond well to fluid resuscitation.


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[User] Noonan's syndrome symptoms

The patient is a 64-year-old Caucasian female with Noonan's syndrome who presented to the hospital with sudden onset of coffee ground emesis.


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[User] Normal Pressure Hydrocephalus diagnosis

MRI scans showed hydrocephalic dilatations of the lateral, the third and the fourth ventricles, and LP revealed an opening pressure of the cerebrospinal fluid. The patient was diagnosed as NPH and underwent a successful L/P shunt insertion.


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[User] Nutcracker Syndrome symptoms

The patient was admitted to the emergency department due to left flank pain, chronic pelvic pain, and hematuria.


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[User] Nutritional treatment plan for esophageal and stomach mucosa injuries

Total parenteral nutrition was given for the first 7 days, with clear liquids and semi-solid foods slowly introduced afterwards. Solid foods were permitted after 6 weeks, as repeat endoscopy detected normal esophageal and gastric mucosa.


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[User] O3 epidurolysis procedure complications

On the second day, while administering the O3-oxygen mixture, she abruptly became unconscious and went into cardiopulmonary arrest. After cardiopulmonary resuscitation and mechanical ventilation, the patient regained normal sinus rhythm and consciousness. Cranial computed tomography revealed the presence of air images in multiple regions of the brain, which resolved naturally.


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[User] OCD and MDD with psychosis symptoms

The symptoms began at the age of 11 years, initially focused on her body's physiological activities such as breathing and swallowing. Later, it progressed to thoughts of death and compulsion of cursing the dead, triggered by seeing the graveyards. This led to significant symptoms of depression including suicidal ideas.


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[User] OCD diagnosis criteria

The patient met SCID-I criteria for OCD, and had a low severity of symptoms according to Y-BOCs.


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[User] OCD symptoms in COVID-19 pandemic

The patient was admitted to the hospital due to excessive fear to go out of the home with a suspicion that he might contract COVID-19 and ruminating worrying thoughts that his family members would get affected with the same. He also had low mood and changes in sleep and appetite.


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[User] OCD treatment with cognitive-behavioral psychotherapy

During the patient's inpatient stay, cognitive-behavioral psychotherapy was effective in reducing the severity of behavior symptoms associated with OCD.


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[User] OCD with mania treatment options

The patient was started on escitalopram 5 mg per day and received behavioral intervention for the self-injurious behaviors. Subsequently, escitalopram was stopped and tablet lithium 600 mg per day was started, which was increased to 750 mg along with tablet risperidone 1 mg per day.


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[User] ODP-M symptoms

Patient presented with painless, progressive diminution of vision in her left eye.


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[User] ODP-M treatment options

Wet hAMG of size 3 mm was cut, stained with brilliant blue, and introduced into the eye with the help of intravitreal forceps and stuffed into the ODP. Proper position of the hAMG was confirmed by intraoperative OCT.


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[User] Occupational hazards causing acute renal failure

The patient had direct skin contact with jet fuel spills multiple times per day, despite wearing a uniform and gloves. ... Discharge Diagnosis: Acute renal failure (ARF) due to occupational exposure to jet fuel.


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[User] Octreotide LAR side effects in treating pancreatic tumor patients

Despite treatment, hypoglycemia was not controlled, and the patient was advised to consume frequent, carbohydrate-rich meals.


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[User] Oesophageal SCC recurrence treatment

Three ultrasound treatment sessions were performed at an interval of 10- days with usual treatment parameters. A complete necrosis of the proximal lesion and an estimated 90% necrosis of the more distal one were achieved.


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[User] Olive branch scratch symptoms

It was determined that the patient may have been scratched by an olive branch.


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[User] Omental cake treatment

The ultrasound examination revealed infiltration of the greater omentum, interpreted as omental infiltration or ‘omental cake’. CT scans of the thorax and abdomen confirmed the diffuse tumor infiltration of the greater omentum as well as the free fluid in all 4 abdominal quadrants.


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[User] Ongoing monitoring needed for patients with iron deficiency anemia

Follow-up laboratory studies were recommended for treating any residual iron deficiency anemia. The patient was advised to continue therapy until complete recovery.


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[User] Ophthalmological surveillance recommendation for LOXHD1 mutations

Ophthalmological surveillance was recommended, and regular check-ups with an ophthalmologist were advised.


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[User] Ophthalmologist follow-up care for BBS patients

They will also be referred to an ophthalmologist for cataract surgery and follow-up care for their vision loss. Other recommended follow-up appointments include those with an ophthalmologist to monitor vision care.


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[User] Opiate overdose management

The patient was managed with naloxone, ondansetron, and clonidine to manage the reported opiate overdose, and these interventions were repeated due to no improvement in the patient's clinical status.


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[User] Oral antibiotic treatment for chronic kidney disease patients

The patient was on hemodialysis through a prosthetic arteriovenous fistula in the right arm and was receiving oral antibiotic treatment.


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[User] Oral cavity examination with Valsalva maneuver procedure steps

Initial diagnostic tests included oral cavity examination with Valsalva maneuver... The patient presented with progressive dysphagia for five years and a protrusion of a mass in the oral cavity provoked by Valsalva maneuver or intra-abdominal pressure increase.


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[User] Oral corticosteroid treatment for fixed drug eruption

The patient was started on Prednisolone and Glimepiride, and five days after initiation of oral corticosteroids, the lesions subsided with residual hyperpigmentation.


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[User] Oral hygiene post restoration

The patient was advised to maintain good oral hygiene and to follow up with regular dental check-ups for long-term care of the restored teeth.


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[User] Oral pemphigus skin involvement

No skin involvement was observed, and Nikolsky’s sign was negative.


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[User] Oral propranolol treatment for facial lesion

The patient was treated with oral propranolol, and the lesion regressed to nearly half of its visible size over a period of one month.


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[User] Oral rehabilitation treatment under local anesthesia

The patient received whole oral rehabilitation treatment under local anesthesia, which included extractions, pulp therapy, composite restorations, and a space maintainer.


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[User] Oral treprostinil dosage after transitioning from IV

Oral treprostinil was titrated up to 8 mg every 8 hours, and IV treprostinil was discontinued.


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[User] Orbital MRI findings

The patient underwent orbital MRI which revealed left upper palpebral cellulitis, sinusitis in the left frontal and ethmoid sinuses, and no intracranial complications.


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[User] Orbital carcinoma follow-up care

The patient had no evidence of recurrence or metastasis during the 9-month follow-up. Mammography examination showed hyperplasia of the mammary glands.


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[User] Orbital carcinoma treatment plan

The patient underwent Exenteration with radical orbitectomy and postoperative radiotherapy 1 month after biopsy.


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[User] Orbital magnetic resonance imaging findings

Orbital magnetic resonance imaging revealed a well-defined mass measuring 32 mm × 31 mm × 25 mm in intraconal region of the right eye.


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[User] Orbital tumor removal procedure

Lateral orbitotomy through upper lid skin crease incision was performed, and the tumor was successfully removed.


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[User] Orthodontic correction of transposed teeth

Extraction of tooth #12 was recommended to correct the transposition and replace the transposed tooth by the right maxillary canine (#13).


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[User] Orthodontic extrusion procedure

Adequate bone was removed from the impacted premolar using a slow-speed handpiece with surgical bur and saline irrigation. An orthodontic bracket was attached to the buccal surface of the premolar, and a ligature wire was tied to the bracket.


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[User] Orthodontic treatment follow-up plan

Follow-up: The patient should follow up with the Orthodontic Department at Peking University School of Stomatology for further evaluation and treatment.


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[User] Orthodontic treatment for tooth crowding

Treatment: Orthodontic treatment.


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[User] Orthodontic treatment plan for Class II division 1 malocclusion

The patient was referred to the orthodontic department for orthodontic evaluation and potential treatment.


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[User] Osimertinib treatment outcomes

The patient was shifted onto osimertinib treatment, which recorded a partial response along with a progression-free survival (PFS) of five months.


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[User] Osteomyelitis and Myositis ossificans symptoms

The patient presented to the foot clinic with an ulcer on the plantar aspect of his right second metatarsophalangeal joint as well as his right dorsal second toe. He was diagnosed with osteomyelitis in the second metatarsal bone due to destruction of the bone and dislocation of the metatarsophalangeal joint.


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[User] Osteomyelitis pubis symptoms

The patient presented with severe pelvic pain and difficulty walking. However, the patient continued to have severe pain, and when she presented to our institution, she was unable to ambulate and had soiled herself due to difficulty reaching the bathroom.


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[User] Osteomyelitis treatment protocols

The patient received a course of oral co-amoxiclav antibiotics and broad spectrum antibiotics for treatment of the osteomyelitis.


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[User] Osteopetrosis treatment plan

The patient and family have been instructed to contact their medical provider if there are any changes in the patient's condition or if they have any questions or concerns.


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[User] Osteoporosis treatment plan

The patient underwent intensive insulin therapy with aspart 30 and was advised to follow vitamin D3 and calcium replacement therapy to manage osteoporosis.


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[User] Osteosarcomatous change of the pleomorphic adenoma symptoms

The patient presented with slow progression of left side exophthalmos and later with worsening symptoms, including left-sided ptosis.


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[User] Outcome after colchicine treatment

The patient's condition improved with colchicine treatment, and the patient was discharged in good health.


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[User] Outcome after pelvic abscess treatment

On postoperative day 37, a repeat CT of the abdomen and pelvis showed near complete resolution of the previous pelvic abscess. The patient reported significant improvement of her symptoms


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[User] Outcome after stopping PPI treatment

Her PPI treatment was stopped and she is now under surveillance in the outpatient clinic with stable normal serum magnesium levels for 5 months after last discharge.


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[User] Outcome of GLPS with FFA treatment

The patient showed significant improvement following the treatment and is due for a follow-up visit.


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[User] Outcome of Listeria monocytogenes treatment

Despite receiving appropriate antibiotics and intensive supportive therapy, the patient's condition deteriorated, and he passed away while in the hospital.


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[User] Outcome of acute respiratory distress syndrome

The patient developed acute respiratory distress syndrome, refractory septic shock, and cardiac arrhythmia and died after 15 days.


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[User] Outcome of diplopia treatment

The diplopia improved gradually 3 days later.


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[User] Outcome of ethylene glycol poisoning treatment

The patient was stable after 72 hours with all laboratory parameters within normal range. No residual organ damages were detected upon follow-up.


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[User] Outcome of left ventricular thrombus treatment

During follow-up examinations after 15 days, 45 days, and 3 months, the size of the thrombus decreased and eventually vanished at the 3-month follow-up.


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[User] Outcome of patients with TP53 variant and prostatic origin

Unfortunately, the patient died of progressive disease before the results of WGS were available. The patient had a TP53 variant indicative of poor prognosis and a chromosome 17 region involving TP53, as well as copy-number loss of PTEN and allelic imbalance of BRCA2.


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[User] Outcome of peri-implantitis treatment

The patient was discharged from the hospital after the swelling had completely resolved without any complications after an observation period.


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[User] Outcome of pyridoxine therapy

The patient has been seizure-free since the initiation of pyridoxine therapy.


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[User] Outcome of surgery for colonic perforative peritonitis

The abdominal drainage volume decreased over time after removal of the ENBD tube on POD 87 and the abdominal drainage tube on POD 90. The patient was discharged on POD 95. A follow-up CT scan 7 months after the surgery showed the remnant gallbladder was atrophic.


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[User] Outcome of surgical drainage

No complications occurred, and the patient was transferred back to the peripheral hospital.


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[User] Outcome of the dental restoration procedure

At the 9-month follow-up appointment, the tooth was esthetically stable with no pathological clinical signs. The patient was satisfied with the functional and aesthetic rehabilitation of the anterior teeth.


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[User] Outcome of the patient after discharge?

Two months later, after receiving another 3 doses, the patient was admitted to the emergency department for cerebral infarction, hemiplegia, coma, loss of consciousness, and eventually death.


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[User] Outcome of the patient after treatment

After six months of follow-up, the patient exhibited normalized pH, HCO3, K, and serum potassium levels. Urine analysis was normal, and the patient demonstrated a nearly normal weight and height gain.


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[User] Outcome of the patient's tumour process after treatment switch

The treatment was switched, and the tumour process regressed. One year after the last session of plasmapheresis, the patient's serum was collected and masked evaluation for the presence of CMEP demonstrated inactivity of the paraneoplastic process.


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[User] Outcome of the surgery

The right L5 nerve root was severely compressed by the tumor, but it was decompressed after tumor resection. The patient died 11 months after the surgery.


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[User] Outcome of the treatment for left periorbital pain

The symptoms and signs were completely resolved after a course of treatment without the need for local steroid injection in the trochlear area. There was no recurrence during the 8-month follow-up period.


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[User] Outcome of treatment for eosinophilic pancreatitis

The patient was treated with prednisolone and montelukast with marked improvement in symptoms and normalization of eosinophil count within weeks. The follow-up EGD after 8 months showed normal antral and duodenal mucosa.


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[User] Outcome of treatment for lip ulcers

On the day of discharge, her oral mucosa/lip ulcerations were resolved, and she remained on adalimumab with controlled rheumatoid arthritis.


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[User] Outcome of treatment for paradoxical thromboembolism due to PFO

The patient's right hand had become warm, the serum D-dimer level and PTG were normalized. Doppler sonography and MRA of her right arm confirmed the achievement of reperfusion of her brachial artery after three months following discharge.


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[User] Outcome of treatment with corticosteroids

Three months of treatment with corticosteroids were ineffective.


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[User] Outcome of ventriculo-peritoneal shunt insertion

Due to the hydrocephalus, the patient required a ventriculo-peritoneal shunt insertion, but complications arose with shunt blockage and CSF infection.


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[User] Outcomes and efficacy of methylprednisolone in treating Hepatic TB

At the 3-month follow-up, the patient had no hydrothorax or hydropericardium on chest CT and no enlargement of lymph nodes on abdominal US.


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[User] Outcomes of IPT procedure after 4 years

After four years, clinical and radiographic examinations were consistent with a normal vital pulp. No signs of apical radiolucency or dentin resorption were detected. The patient was discharged without any complications.


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[User] Outcomes of carbon-ion radiation therapy for cervical cancer lymph node recurrence

The patient showed no evidence of further recurrences for 63 months after the initial RT and for 37 months after the carbon-ion RT for the recurred LN. The patient experienced no late toxicities from the treatment.


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[User] Outcomes of haploidentical stem cell donor transplants

The patient received a haploidentical stem cell donor from his father as a practical and useful choice for transplant cells. A myeloablative conditioning regimen was conducted, resulting in stable engraftment by day +18.


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[User] Outcomes of ruptured PICA aneurysm treatment

The patient's condition has significantly improved following surgery. She continues to receive ongoing evaluations to determine the long-term effects of the SAH and aneurysm.


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[User] Ovarian cancer recurrence symptoms

Eva faced ovarian cancer recurrence manifested with pelvic and liver metastasis.


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[User] Ovarian cancer treatment with carboplatin and paclitaxel

The patient was diagnosed with stage 3 high grade serous ovarian cancer at the age of 51 and underwent chemotherapy with carboplatin and paclitaxel.


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[User] Ovarian reserve monitoring frequency

The ovarian reserve was monitored closely, and the patient was informed of the risks associated with TS.


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[User] P vivax symptoms

The patient was admitted with fever, chills, headache, nausea, vomiting, and dark urine. Upon physical examination, the patient had a temperature of 39.3°C and displayed pallor and jaundice.


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[User] P vivax treatment protocols

The patient was treated with chloroquine and primaquine and is recommended to follow up with a healthcare provider if symptoms persist or worsen.


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[User] P. brasiliensis infection symptoms

He had multiple mucocutaneous lesions and bilateral nodular infiltrates on chest x-ray.


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[User] P. brasiliensis infection treatment options

The patient was started on itraconazole, but after five days of treatment, he had clinical worsening, and liposomal amphotericin B was introduced.


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[User] P. vivax malaria symptoms

The patient was diagnosed with P. vivax malaria with a parasite count of 18,320/mm3. The patient had a history of vivax malaria and was previously treated with chloroquine and primaquine for seven days.