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

[User] Hurley III HS symptoms

The patient, a 63-year-old female with longstanding Hurley III HS affecting her bilateral axillae, inframammary region, and groin, was admitted to the hospital with a three-month history of unilateral breast redness and heaviness.


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[User] Hyalinizing clear cell carcinoma diagnosis

Histopathologically, the invasive proliferation of tumor cells with clear cytoplasm was arranged in trabeculae, cords, or irregular solid nests surrounded by hyalinizing stroma in the submucosal minor salivary glands. The microscopic examinations of the final specimen confirmed the diagnosis of HCCC, so-called CCC (NOS), with negative resection margins.


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[User] Hydatid cyst treatment options

The hydatid cyst was surgically removed, and the pathological examination confirmed the diagnosis.


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[User] Hydatidiform mole evacuation procedure complications

One unit of packed red blood cells was transfused during the procedure in view of anemia and intraoperative blood loss of 500 ml.


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[User] Hydrocortisone dosing instructions

The patient was advised to double the doses of hydrocortisone and seek medical attention regarding trauma, infection, and fever.


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[User] Hydroxyurea dosage for extramedullary hematopoiesis

The patient was started on hydroxyurea 15 mg/kg/day and gradually increased to 2000 mg daily to achieve maximum possible hematopoiesis suppression.


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[User] Hyper-IgM syndrome and asthma treatment

At 10 years of age, she developed bronchial asthma, which is well-controlled by inhaled corticosteroids and beta agonists.


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[User] Hypercalcemia and bilateral nephrocalcinosis treatment options

The patient was treated with IV hydration, furosemide, prednisolone and pamidronate. Calcium dietary restrictions were also imposed.


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[User] Hyperkinetic gallbladder diagnosis

Her workup was normal except for a cholecystokinin 99m technetium-labeled hepatoiminodiacetic acid (CCK-HIDA) scan finding of gallbladder ejection fraction of 86%. The patient was diagnosed with hyperkinetic gallbladder and underwent laparoscopic cholecystectomy.


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[User] Hyperphosphatemia treatment

The patient was treated with calcium carbonate and alfacalcidol, and her symptoms were resolved. The brother was treated with an antiepileptic medication and calcium carbonate, and later underwent EEG and brain imaging.


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[User] Hyperpigmented lesions symptoms

The patient has been experiencing mildly pruritic, unilateral, hyperpigmented, and keratotic papules localized to the right infra mammary region. These lesions occurred only during the summer months, from March to June, and spontaneously disappeared afterwards.


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[User] Hypertension management plan

The patient is advised to continue with ART therapy and routine follow-ups with HIV care. The patient's blood glucose level must be monitored regularly as well as maintaining good blood pressure and cholesterol levels.


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[User] Hypertensive emergency treatment

A calcium channel blocker was used to manage hypertensive emergency and oral captopril was prescribed after diagnosis of unilateral renal artery stenosis.


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[User] Hypocalcemia induced by hypoparathyroidism treatment

The patient received treatment with calcium carbonate, alfacalcidol, and thiazide.


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[User] Hypocalcemic cardiomyopathy treatment

Calcium supplementation therapy was administered to restore normocalcemia. Digoxin was used, and regular hemodialysis treatment was continuously performed to attempt to improve cardiac function through enhanced ultrafiltration and control of dry weight.


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[User] Hypoglycemic unawareness symptoms

The patient exhibited no sympathetic symptoms despite glucose concentrations below 1.8 mmol/L, indicating a possible development of hypoglycemic unawareness.


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[User] Hypohidrotic Ectodermal Dysplasia symptoms

The patient exhibited several physical characteristics related to the condition, including wrinkled and dry skin, hyperkeratosis, alopecia of the eyelashes and eyebrows, dry and crusted eyes, periorbital, perioral, and nasal pigmentation, and bilateral deformity and low implantation of the ear.


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[User] Hypohidrotic Ectodermal Dysplasia treatment options

Speech therapy was recommended to improve the functions of the stomatognathic system and to stimulate the growth of the jaw bones. Provisional prostheses will continue to be made until the complete development of the mandible and maxilla, after the eruption of the preexisting deciduous teeth.


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[User] Hypomanic symptoms causes

The patient was admitted to the psychiatric unit due to recent onset of hypomanic symptoms including anger outbursts, mood swings, excessive crying, talkativeness, flight of ideas, grandiosity, distractibility, indiscretion, hyperactivity, and decreased sleep.


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[User] Hypothyroidism treatment plan

He was also given IV hydrocortisone to cover for adrenal insufficiency although that was thought less likely in this patient. Given his poor outcome and severe prognosis, multiple discussions were held with his healthcare proxy regarding goals of care, and the patient was made comfortable and terminally extubated.


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[User] Hypotonic hyponatremia treatment

The patient was started on olanzapine and the dose of escitalopram was reduced from 20 mg to 15 mg. Laboratory results showed an improvement in sodium level to 140 and chloride level to 103.


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[User] Hysterectomy plus bilateral adnexectomy complications

The patient was scheduled for mini-invasive exploratory laparoscopy with possible hysterectomy plus bilateral adnexectomy and lymph node biopsy.


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[User] IBD treatment and outcome

The patient was treated with corticosteroids and started on mesalamine for maintenance therapy with subsequent improvement in his symptoms and a decrease in size of the nodules on CT scan. Infliximab was initiated, and symptoms dramatically improved, with resolution of nodules noted on CT scan four months later.


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[User] ICC treatment options for stage IV

The patient underwent various treatments including intraperitoneal chemotherapy, core needle biopsy, and everolimus. The patient also underwent surgical biliary drainage to reduce icterus.


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[User] ICD extraction procedure complications

The patient tolerated the procedure well without any complications and was discharged from the hospital in stable condition.


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[User] ICD implantation post-operative care plan

Follow-up to date has been uneventful.


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[User] ICD lead failure symptoms

The EGM from the post-shock phase shows simultaneous atrial and ventricular over-sensing suggestive of both atrial and defibrillator lead failure.


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[User] ICD lead placement complications

Due to the potential risk of major cardiovascular complications, including vascular injury, cardiac perforation resulting in cardiac tamponade, and occasionally thromboembolic complications or even death, a decision was made to proceed with conservative management, given the patient's chronic anticoagulant treatment.


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[User] ICG-PDR results in patients undergoing FOLFOX4 chemotherapy

ICG-PDR did not indicate any clear trend and maintained levels within the reference range.


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[User] ICI-induced hepatitis treatment options

As hepatic toxicity was Grade 3, according to the CTCAE v5.0 classification, we stopped using pembrolizumab and administered 40 mg daily prednisolone.


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[User] ICI-induced myasthenia gravis diagnosis

The diagnosis of ICI-induced MG was made. Anti-striational antibodies were found to be positive with an elevated titer of 1:80.


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[User] ICI-mediated immune thrombocytopenia symptoms

The patient was admitted to our hospital with petechiae three cycles after pembrolizumab treatment.


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[User] ICU admission criteria for COVID-19 pneumonia

After three days of hospitalization, the patient’s clinical condition deteriorated, and she required ICU admission. The chest x-ray revealed hazy bilateral lobe opacity, and the patient was diagnosed with CRS.


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[User] ICU care plan

The patient's condition continued to deteriorate, and he was admitted to the intensive care unit, where his anti-TB medications were continued alongside oxygen therapy.


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[User] ICU complications management

He was intubated and transferred to the ICU, where he developed secondary bacterial pneumonia. The patient received full courses of antibiotics and eventually improved, extubated, and transferred to the floor.


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[User] ICU discharge criteria

The patient was discharged from the ICU after 22 days and discharged from the hospital in good condition another 14 days thereafter.


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[User] ICU sedation management protocol

The patient's sedation during the admission in ICU was managed using dexmedetomidine and propofol. After stopping ventilator usage, propofol administration was discontinued, and dexmedetomidine was continued for the purpose of sleeping.


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[User] ICU transfer criteria for suspected neuroleptic malignant syndrome

She was transferred to ICU for suspected neuroleptic malignant syndrome or encephalopathy, however, CT brain imaging was normal at the time.


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[User] ICU treatment and duration

The patient was transferred to the ICU due to respiratory distress... The patient was intubated for seven days and hospitalized for 33 days, including 15 days in the ICU.


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[User] ICU treatment duration for CO poisoning

On the seventh and eighth ICU days, the patient was weaned from V-V ECMO and the ventilator, respectively.


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[User] ICU treatment for metabolic acidosis

The patient was admitted to the intensive care unit (ICU) and supplemental oxygen was given by facemask, and two wide-bore intravenous (IV) lines were saved. The patient's blood pressure, SpO2, and BSL were continuously monitored, and a Foley catheter was placed to monitor fluid input and output.


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[User] ID Pain scale assessment

The patient was assessed using the ID Pain scale, which indicated the presence of neuropathic pain.


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[User] IDSA guidelines for treating blastomycosis

The patient was placed on oral itraconazole, 200 mg per day for 18 months as per IDSA guidelines for disseminated blastomycosis, with monitoring for blood levels once per month.


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[User] ILD diagnosis procedure

Diagnostics revealed bilateral reticular shadows in both mid and lower lung fields, diffuse interstitial infiltrates, and an elevated total cell count in BAL fluid. Cytological findings of BAL fluid showed a large number of lymphocytes, but no malignancies. Transbronchial lung biopsy showed mixed intra-alveolar and interstitial changes suggestive of a hypersensitivity pneumonitis pattern.


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[User] ILE therapy for baclofen toxicity

The patient received a 1.5 mL/kg bolus followed by 0.25 mL/kg/minute for 30 minutes. Then, the CRI was continued at a low rate of 1 mL/kg/hour for 12 hours, and partial parenteral nutrition with a commercial product (Pro-calamine; B. Braun Medical Inc., Bethlehem, PA, USA) was provided.


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[User] ILFS2 treatment options

The patient was treated with interferon-beta 1a injection. The dosage of the injection was increased from 10 mcg to 15 mcg once per week, and the patient was later administered 22 mcg three times per week.


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[User] ILM peeling in MH surgery

During the previous surgeries, ILM peeling was not done. The ILM was peeled off for 2 disc diameters around the MH but was not completely removed.


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[User] IMT with atypical features symptoms

The patient was admitted with a painless palpable mass in the upper outer quadrant of the right breast. A physical examination revealed a solitary, hard, nontender, and nonmobile mass.


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[User] IO line removal complications

Following adequate resuscitation, removal of the IO line was attempted but proved unsuccessful and radiographs revealed a bent needle without evidence of fracture.


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[User] IOP monitoring techniques

IOP monitoring with Icare HOME tonometer showed significant peak IOP fluctuations up to 32mmHg in the right eye and 43mmHg in the left eye.


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[User] IP-SSc treatment options

The patient was started on combination therapy of prednisolone (PSL) and azathioprine (AZA) on April 11, 2006, which showed gradual improvement in the patient's condition.


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[User] IPEX Syndrome diagnosis

Atypical symptoms were identified in the patient, including milk protein intolerance, seborrheic dermatitis, and eczema, which are consistent with the diagnosis of IPEX syndrome. Previously identified maternally inherited, hemizygous, pathogenic canonical splice site variant was found in FOXP3, and protein expression analysis confirmed decreased FOXP3 expression in T regulatory cells.


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[User] IPEX Syndrome treatment plan

Rituximab was initiated, but the patient's symptoms continued, and he was referred to the blood and marrow transplant team. HLA typing was performed, and the decision was made to perform an allogeneic HSCT.


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[User] IPMC treatment options

Subtotal stomach-preserving pancreaticoduodenectomy was performed, and the surgery was successful.


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[User] IRE treatment for pancreatic cancer

The patient was then recommended for IRE treatment for his pancreatic cancer. Three IRE needles were placed using fusion with PET/CT for targeting the tumor area.


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[User] ISTAP type 1 laceration

The full-thickness laceration was identified as ISTAP type 1, and measured 7.5 cm in length.


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[User] ITP secondary to vaccination prognosis

Her platelet counts improved to over 100,000 platelets/μL 6 days after treatment. Her ecchymoses gradually improved and she was discharged without complications.


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[User] ITP treatment options

The patient's medical history was significant for a prior diagnosis of ITP which had been managed with splenectomy 13 years prior. He presented with recurrent symptoms that had not responded to standard corticosteroid therapy and subsequent treatments including dexamethasone and rituximab.


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[User] IUD complications symptoms

She had undergone an IUD insertion more than 9 years ago and the string had disappeared 6 months later... Over the last 3 years, she has been experiencing difficulty conceiving and a foreign body in the right lower quadrant was detected during radiological tests.


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[User] IV antibiotics for cellulitis

IV vancomycin, piperacillin/tazobactam, and clindamycin


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[User] IV immunoglobulins treatment for thrombocytopenia

The patient was started on IV immunoglobulins, following which there was an improvement in platelet count.


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[User] IV penicillin G dosage for rat bite fever

The patient underwent a 7-day course of intravenous penicillin G and a 7-day course of oral penicillin.


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[User] IVAD dysfunction symptoms

Fluoroscopy revealed reflux with fibrin formation around the catheter tip, suggesting IVAD dysfunction.


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[User] IVAD removal procedure risks

Following the procedure, adequate blood flow via the IVAD was reestablished without any patient complications.


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[User] IVC leiomyosarcoma diagnosis

Final Diagnosis: High grade leiomyosarcoma originating from the IVC, with wide areas of necrosis, focally prominent cytological atypia and mitotic activity.


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[User] IVF treatment for tubal factor infertility

The patient was referred for IVF treatment. With controlled hyperstimulation and Time-lapse observation, the special embryo was chosen, and single embryo transfer was performed.


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[User] IVF treatment protocol

The patient underwent programmed ovarian hyperstimulation, and a four-day course of methylprednisolone was started on the day of oocyte retrieval. IVF resulted in the ultrasound-guided transfer of four embryos at post-fertilization day three.


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[User] IVIG dosage and administration

Intravenous immunoglobulins (IVIG) at the dosage of 2 g/kg in 48 h and methylprednisolone at the dosage of 2.25 mg/kg/day were started.


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[User] IVIG infusions efficacy in myopathy treatment

IVIG infusions were started at 2 g/kg every four weeks while continuing MMF 2 g twice daily. The patient experienced symptomatic improvement, and CK levels decreased to 600 IU/L.


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[User] IVIG treatment for autoimmune encephalitis

The patient was then treated with a 5-day course of high-dose IVIG that stabilized the cognitive decline and ceased absence-like episodes.


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[User] IVIg treatment outcome

After the resolution of encephalopathy, IVIg was given and the patient showed improvement in weakness over two months.


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[User] IWMI treatment options

The patient was immediately transferred to the cardiac catheterization laboratory for an emergent coronary angiogram procedure, which revealed an LAD wrapped around the apex with 95% stenosis. Balloon angioplasty was successfully performed, and a drug-eluting stent was placed in the 95% lesion of the LAD with minimal residual stenosis.


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[User] Idiopathic intracranial hypertension treatment options

The patient was started on acetazolamide 5 mg/kg twice daily which was titrated to 10 mg/kg. The patient was maintained on acetazolamide throughout the admission with gradual improvement of symptoms.


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[User] Idiopathic neuroretinitis prognosis

The patient remained asymptomatic during the follow-up period of the next two years.


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[User] Idiopathic pulmonary fibrosis treatment plan

She had been previously diagnosed with idiopathic pulmonary fibrosis (IPF) and was taking corticosteroids along with oxygen therapy. The patient was advised to proceed with a lung transplantation evaluation.


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[User] IgA lambda monoclonal plasma cell population treatment

Systemic chemotherapy consisting of melphalan, prednisone, and thalidomide was started after three cycles of chemotherapy and she continued to have a satisfactory response.


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[User] IgA nephropathy diagnosis methods

A kidney biopsy that revealed IgA staining in the mesangium and dense immune-type deposits in the paramesangial space.


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[User] IgA nephropathy symptoms

The patient was admitted with bilateral limb and scrotal swelling, fatigue, and vomiting for the past two weeks.


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[User] IgA nephropathy treatment

Tonsillectomy and steroid pulse therapy were administered to the patient, along with angiotensin II receptor blocker.


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[User] IgA vasculitis symptoms

The patient presented to the orthopedic outpatient clinic with complaints of pain in both lower legs and left ankle pain.


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[User] IgAκ MM treatment options

The patient was initially treated with vincristine, doxorubicin, and dexamethasone (VAD; 6 cycles) and showed a partial response. Subsequently, the patient was treated with 5 cycles of CTD and achieved a very good partial response (VGPR). The patient achieved another VGPR following treatment with bortezomib, cyclophosphamide, and dexamethasone (VCD).


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[User] IgG-kappa MM treatment

The patient underwent bortezomib, thalidomide, dexamethasone, cisplatin, etoposide, cyclophosphamide, doxorubicin (VTD-PACE) regimen, a partial response was achieved after autologous stem cell transplantation. Treatment with lenalidomide resulted in very good partial response (VGPR) and the patient underwent a second autologous stem cell transplantation.


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[User] IgG4 related disease symptoms

The patient was admitted with complaints of swelling in bilateral upper lids, bilateral cervical swellings, and gradually progressive weakness in both the lower limbs. History: Painless swelling, weight loss, loss of appetite, intermittent low-grade fever, no significant past medical or surgical history


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[User] IgG4-RD treatment plan

Prednisolone (40 mg daily) was administered orally, following which the patient's clinical symptoms improved rapidly.


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[User] IgG4-RKD symptoms

The patient was admitted for a gradual decrease in renal function.


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[User] IgG4-Related Disease symptoms

9-month history of mild dyspnea, cough, nasal obstruction and bulging of left nasolabial fold


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[User] IgG4-related RPF diagnosis criteria

The biopsy of the retroperitoneal mass under CT-guidance revealed significant infiltration of lymphocytoplasma cells, fibrosis, and fibrin accumulation. However, immunohistochemical staining did not show IgG4-positive plasmacytes in the retroperitoneal mass.


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[User] IgG4-related RPF prognosis

At six-month follow-up, the patient had no disease recurrence.


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[User] IgG4-related RPF symptoms

The patient presented to our hospital with mild left lower abdominal pain which had started ten months prior to his admission. Physical examination showed upper right abdomen and periumbilical mild tenderness.


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[User] IgG4-related disease diagnosis

The patient was diagnosed with IgG4-related disease after clinical evaluation indicated a significant elevation in IgG4 levels and biopsy analysis revealed dense fibrosis, lymphoplasmacytic infiltrates, and proliferated small blood vessels.


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[User] IgG4-related disease imaging tests

ultrasonography, Endoscopic ultrasound (EUS), Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and 18F-Fluorodeoxyglucose Positron Emission Tomography (18F-FDG PET/CT)


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[User] IgG4-related disease symptoms

diffusive discomfort in the middle upper abdomen accompanied by brown urine, mild yellow sclera, and occasional malaise


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[User] IgG4-related periodontitis symptoms

Generalized gingival enlargement, loose teeth, and tooth loss. The patient had poor oral hygiene and a mass of dental plaque and debris covering almost all the teeth. The patient was diagnosed with periodontitis (Stage III, generalized, Grade C) and manifestation of systemic diseases based on the new classification of periodontitis from a 2017 workshop.


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[User] Ileocolectomy surgery recovery plan

The patient successfully completed 8 cycles of Rituximab+ chlorambucil chemotherapy, and now he is asymptomatic without evidence of lymphoproliferative recurrence ten months after surgery. The patient is advised to follow a strict diet and medication regimen as recommended by his physician and to undergo regular follow-up visits as scheduled.


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[User] Ileocolic intussusception symptoms

The patient presented to our emergency department with complaints of abdominal pain and bleeding per rectum. The patient was diagnosed with new-onset rectal prolapse and was found to have abdominal tenderness and fresh blood on rectal exam.


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[User] Ileocolic intussusception treatment

An emergency open appendectomy and manual reduction of intussusception were performed promptly.


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[User] Imaging findings in acute hepatitis

Imaging revealed a diffusely thickened gallbladder wall most consistent with acute hepatitis with fulminant hepatic failure due to INH.


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[User] Imaging modalities for renal oncocytoma

The patient underwent ultrasonography every 2 months for the first year, followed by magnetic resonance imaging (MRI) every year.


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[User] Imaging studies for pulmonary thromboembolism

A chest CT showed findings of pulmonary thromboembolism, alveolar infiltrates in the left lung and interstitial fibrotic lesions, bulla, bilateral pleural effusion and right cardiomegaly.


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[User] Imaging tests for Nutcracker Syndrome

Color Doppler Ultrasound and computed tomography (CT) images were conducted which showed compression of the left renal vein between the abdominal aorta (AA) and superior mesenteric artery (SMA) and dilatation of the left ovarian vein attributable to NCS.


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[User] Imaging tests for diagnosing spondylodiscitis

An MRI scan of the spine showed a T1 post-enhancement had increased the signal of the anulus L3–L4 of the adjacent soft tissue, suggesting an infective SD.


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[User] Imaging tests for liver lesion

The patient had a 1.2-cm-sized hypodense lesion in hepatic segment II from the previous regular liver CT scans. ... The patient underwent liver magnetic resonance imaging (MRI)...


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[User] Imaging tests for mixed germ cell tumor

Future imaging tests and treatment plans will be determined as necessary based on the results of follow-up visits.


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[User] Imaging tests for plasmacytoma diagnosis

Further evaluation showed elevated serum free light chain lambda and β2-microglobulin levels, immunoelectrophoresis detected the presence of an abnormal band of immunoglobulin G and lambda lanes, and plasma cells were increased on bone marrow biopsy. Contrast-enhanced abdominal CT revealed a suspicious ill-defined marginated mass in the body of the pancreas, and the magnetic resonance imaging of the pancreas confirmed the presence of a mass.


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[User] Imatinib side effects

However, the patient developed hepatocellular injury with markedly elevated liver enzymes.


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[User] Imatinib treatment for CML relapse

The patient was re-initiated on treatment with imatinib 400mg daily and monitored closely for progression of plasma cell dyscrasia.


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[User] Imatinib treatment plan

The patient was started on 400 mg imatinib daily. After one month of treatment, his white blood cell counts started to decrease and cytogenetic tests showed the presence of clonal evolution. The dose of imatinib was increased to 600 mg daily, which led to a significant drop in white blood cell counts.


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[User] Immune-related side effects of nivolumab

Nivolumab-related colitis, grade 3 diarrhea, grade 2 diarrhea, and grade 3 asthenia. Acute isolated left peripheral VII cranial nerve palsy diagnosed as Bell’s palsy. Recurrence of diarrhea and Bell’s palsy suspected to be immune-related.


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[User] Immunodeficiency symptoms in young adults

The patient was admitted with a strong clinical suspicion of an underlying immunodeficiency that had been in development since childhood, manifesting as purple plaques of the skin and deep atrophic scars over time.


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[User] Immunohistochemical markers for IMT

The spindle tumor cells were strongly positive for anaplastic lymphoma kinase (ALK) and smooth-muscle actin, weakly positive for cytokeratin AE1/AE3 and p53 but negative for desmin.


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[User] Immunohistochemical panel for cancer results

An immunohistochemical panel for cancer was created, which showed positive results for CD30, CD3 and CD15 markers, and negative results for Ki67 and ALK markers.


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[User] Immunohistochemical results for lung biopsy

Specific immunohistochemical results were as follows: TTF1(+), Napsin A(+), CK7(+), P63(-), and CK5/6(-).


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[User] Immunosuppressant treatment for VKH disease

IVMP was administered for three days and the patient was discharged with immunosuppressant medication tablet Imuran, oral prednisolone, calcium, and ranitidine for 6 weeks.


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[User] Immunotherapy for cardiac metastasis

The patient received off-label treatment with sintilimab starting on March 15, 2019, due to PD-L1 positive expression in the tumor tissue.


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[User] Impact of COVID-19 on Herpes Zoster diagnosis

The patient’s past medical history revealed a positive SARS-CoV-2 infection in May 2020 and symptomatic reinfection of COVID-19 in April 2021. At the time of his HZ-specific symptoms, his RT-PCR for SARS-CoV-2 came negative.


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[User] Impact of HELLP syndrome on PPCM treatment

The patient, a 37-year-old woman, presented with Postpartum Cardiomyopathy (PPCM) and Heart Failure (HF) symptoms 2 weeks after delivering twins at 36 weeks with HELLP syndrome.


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[User] Impact of IL-31 and IL-33 serum levels on CML treatment

IL-31 and IL-33 serum levels were found to be markedly higher than those in the control group. The patient's pruritus became constant and involved his entire body.


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[User] Impact of ILD treatment on GIST recurrence

The patient underwent total gastrectomy and partial hepatectomy for the treatment of GIST one year after the initiation of the corticosteroid treatment with no recurrence of ILD.


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[User] Impact of MiCORE study on patient's cardiac health

The intervention engages patients early during hospitalization and facilitates adoption of guideline-directed medical treatment and lifestyle modifications known to improve health outcomes.


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[User] Impact of Valsalva maneuver on internal jugular vein

Ultrasound and Doppler studies revealed significant dilatation of the right internal jugular vein during the Valsalva maneuver.


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[User] Impact of family history on patient's condition

The patient's family history was positive for easy fatiguability, photosensitivity, tremors, myocloni, seizures, Parkinsonism, ataxia, and hypothyroidism. The mother, brother, and aunt all carried the same m.8344A > G variant.


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[User] Impact of nilotinib on hepatic function in CML patients

After nilotinib was introduced, the patient presented with hepatic dysfunction (grade 3), and the drug was discontinued. After nilotinib was discontinued, the patient's hepatic function improved.


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[User] Impacted incisor treatment options

The treatment goal was to reopen the incisor space and bring the impacted incisor into its position.


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[User] Impacted supernumerary teeth treatment options

The patient needs further evaluation and management, and they have been advised to follow-up with their primary care practitioner.


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[User] Impaired consciousness and general malaise symptoms

The patient was admitted to our hospital with impaired consciousness and general malaise. She was diagnosed with anti-aminoacyl-tRNA synthetase antibody-positive interstitial pneumonia 13 months before admission.


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[User] Impaired molar relationship treatments

Impaired molar relationship due to loss of tooth #36, and a canine and molar relationship that was also impaired on the right side due to tooth #12 being transposed with #13, as well as loss of tooth #16, respectively.


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[User] Impella CP device insertion procedure

Femoral balloon angioplasty was carried out to allow insertion of an Impella CP device. Balloon aortic valvuloplasty was performed to facilitate insertion of the Impella device into the LV cavity.


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[User] Impella LVAD removal procedure

Over the next 24 hours, the patient showed steady improvement and the Impella LVAD was removed after 60 hours.


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[User] ImpellaTM device implantation complications

An ImpellaTM device was implanted due to rapid haemodynamic deterioration. Suction events occurred during the implantation, which led to a decrease in the pump flow, but was resolved with a low dose of milrinone.


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[User] Implantable cardioverter-defibrillator placement indications

Based on the patient's risk of sudden death, an implantable cardioverter-defibrillator (ICD) was placed according to the European Society of Cardiology guidelines.


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[User] Implications of Granulomatous Myositis on muscle function

A musculoskeletal MRI showed diffuse abnormal signals on the bilateral calf and thigh muscles, suggesting infectious lesions or myopathy.


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[User] Implications of a 47,XYY karyotype on development

Consulting was done for genetic counseling, and the chromosome test results showed a 47,XYY karyotype. On further evaluation, developmental status and peer relations appeared to be normal.


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[User] Implications of bilateral protostylids on dental development

The note does not specifically discuss implications on dental development, but it does describe the bilateral protostylids in detail.


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[User] Importance of avoiding smoking after coronary artery bypass grafting

The patient should avoid smoking and exposure to secondhand smoke.


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[User] Importance of blood pressure monitoring in SLE patients

The patient should also be informed about the importance of monitoring her blood pressure and seeking medical attention if any new symptoms appear.


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[User] Importance of follow-up appointments after bladder tumor resection

The patient was advised to follow up regularly with their primary care physician. ... Instructions were given for proper wound care and follow-up appointments were recommended for monitoring.


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[User] Importance of follow-up appointments for patients with B. coli infection

Schedule a follow-up appointment in 2 weeks with their healthcare provider to monitor their progress and assess the need for any further evaluation or treatment.


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[User] Importance of follow-up care for coronary artery health

The patient was discharged with instructions to follow up with the appropriate medical professionals as recommended and for continued monitoring of her condition. Follow-up Plans: The patient is recommended to follow up with her primary healthcare provider for continued monitoring of her condition.


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[User] Importance of follow-up care in IP-SSc management

The patient is recommended to follow-up with her healthcare provider as scheduled to monitor the progress of the IP-SSc and to adjust the treatment plan as necessary.


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[User] Importance of monitoring INR levels during IVT treatment

Normal range INR was measured by a commercial POC device and coagulation parameters were within normal limits.


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[User] Importance of occupational therapy in vision rehabilitation

She was also referred to an ... occupational therapy clinic.


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[User] Importance of prompt medical attention for patients with implantable cardiac devices

Patients should be educated about the risks and benefits of implantable cardiac devices and advised to seek medical attention promptly if they experience any symptoms or issues related to their devices.


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[User] Importance of quitting smoking in periodontitis treatment

The patient had a history of smoking for 20 years. The periodontist suggested that the patient should quit smoking.


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[User] Importance of regular follow-up for treatment monitoring

She was also instructed about the importance of regular follow-up with her doctors to monitor the progress of her treatment and make any necessary adjustments.


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[User] Importance of regular follow-up visits in managing acute appendicitis

The patient was educated on the importance of regular follow-up visits and was counseled to maintain a healthy lifestyle.


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[User] Importance of sun protection after skin lesion excision

The discharge instructions were given to the patient, emphasizing the significance of proper sun protection and the observation of any new skin lesions.


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[User] In-hospital management of COVID-19 pneumonia

She was treated with atorvastatin, vitamin C, and zinc on admission, and her steroids were converted to intravenous methylprednisolone on the fourth day of her hospitalization. During hospitalization, the patient required increasing oxygen support and exhibited elevated inflammatory and coagulation markers.


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[User] In-hospital treatment for COVID-19 patients with elevated d-dimer

The patient was managed with intravenous fluid hydration with ringers lactate alternating with normal saline, resumption of home medications, and inpatient physical therapy. She was also treated with a five-day course of intravenous remdesivir therapy and a 10-day course of dexamethasone 6mg daily.


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[User] In-stent restenosis treatment plan

One year later, the patient underwent PCI with the implantation of a cypher stent due to in-stent restenosis in the right coronary artery.


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[User] Incarcerated Spigelian hernia symptoms

The patient was admitted to the hospital with a history of nausea, vomiting, and a painful abdominal swelling located in the right lower quadrant. Abdominal examination revealed the presence of a tender, irreducible mass located between the umbilicus and right anterior superior iliac spine.


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[User] Incidental eosinophilia diagnosis

The patient was admitted with an incidental eosinophilia (12.4% eosinophils, absolute eosinophil count of 800 cells/mm3).


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[User] Incidental findings on autopsy

The autopsy revealed incidental bilateral fenestrations of A1 segments.


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[User] Incidental suprasellar cystic-solid mass diagnosis procedure

Biopsy-aspiration of the cyst followed by Gamma Knife radiosurgery, Ommaya reservoir insertion


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[User] Incidentally discovered liver lesions in patients with no prior medical history

The patient was a 76-year-old Japanese female, with no prior medical history, who presented to our hospital with an incidentally discovered heterogeneous hypoechoic lesion in the liver segment VI during abdominal ultrasonography.


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[User] Incisional hernia repair complications

The patient underwent an urgent exploratory laparotomy, during which a freely mobile segment of bowel loop with ileocecal junction and small bowel trapped in hernial cavity was discovered. Meticulous adhesiolysis and retrieval of the gut segment done along with the caecum fixation in the lateral abdominal wall by caecopexy, large collection of pus drained, through a separate incision, and thorough peritoneal toileting was done.


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[User] Incisional hernia vs inguinal hernia

The patient had a history of previous lower segment caesarean section 14 years ago, following which she developed incisional hernia after 2 years.


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[User] Indian tick typhus symptoms

The patient was admitted to the hospital due to loss of consciousness, vomiting, fever, and rash.


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[User] Indicated medications at discharge

The patient was discharged with instructions to continue taking his medications as prescribed.


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[User] Indolent sclerosing cholangitis diagnosis criteria

Given the patient's medical history and the presence of relatively rare conditions such as indolent sclerosing cholangitis, presumed autoimmune pancreatitis with endocrine insufficiency, and inflammatory pseudotumors of the lung, the patient was diagnosed with IRSSD.


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[User] Infantile muscle weakness diagnosis

Investigations revealed normocytic normochromic anemia, marginally raised creatinine and creatinine kinase level. Nerve conduction study was indicative of normal sensory nerves with preferential involvement of motor nerves. Electromyography was indicative of denervation.


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[User] Infected silicone granuloma treatment

The patient was managed for her infected silicone granuloma with intravenous flucloxacillin and fusidic acid, which led to clinical improvement.


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[User] Infection after knee arthroplasty symptoms

Presented with 24 hours of fever, headache, vomiting, diarrhea, and a painful swollen right knee.


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[User] Infectious agents testing results

Additional testing for various infectious agents and immune difficulties were normal or negative, besides a concerning chest X-ray which revealed a mediastinal mass and left upper lobe consolidation.


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[User] Infective endocarditis post-operative care plan

The patient is advised to continue oral medications for three months with doxycycline and trimethoprim-sulfamethoxazole. Regular follow-up visits with the healthcare provider to monitor and manage any recurring symptoms or potential complications.


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[User] Infertility due to balanced translocation symptoms

The patient was diagnosed with primary infertility due to a balanced translocation in his genome. His wife had experienced 3 spontaneous abortions before 13 weeks of gestation after 3 years of their marriage.


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[User] Infertility treatment for patients with CML

Patient was admitted to the hospital for infertility treatment and to undergo in vitro fertilization (IVF). After the patient's BCR-ABL levels became undetectable, she stopped IFN-α and dasatinib treatment and resumed infertility treatment three months after the last dose.


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[User] Inflammatory Pseudotumor treatment options

Corticosteroid therapy was initiated and gradually tapered over six months, resulting in resolution of cough and dyspnea, but bulging of the nasolabial fold remained. Surgical debulking is under consideration due to poor response of IgG4-RD to steroids in the oral cavity


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[User] Inflammatory myopathy diagnosis

MRI of the patient's muscles indicated inflammation, suggesting inflammatory myopathy.


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[User] Inflammatory pseudotumor-like variant of follicular dendritic cell sarcoma symptoms

The patient was admitted with fever and lethargy. On examination, a firm non-tender mass extending 5 cm below the right costal margin was palpable, and a heterogeneous hypodense mass measuring 13.4×12.6×10.3 cm in the right lobe of the liver with vascularity was found in the ultrasound of the abdomen.


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[User] Infliximab treatment plan for Crohn's disease

Infliximab was started for the presumed flare of CD. However, before his second dose of infliximab, ulcerations in the perineal region recurred.


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[User] Influenza A and COVID-19 treatment protocols

The patient was admitted to the medical department and treated for community-acquired pneumonia with Tamiflu, azithromycin, and ceftriaxone, as well as hydroxychloroquine for suspected COVID-19 as per hospital protocol.


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[User] Influenza B symptoms in young adults

The patient presented to the emergency department with complaints of intermittent fevers, generalized body aches, non-productive cough, congestion, and nausea for four days.


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[User] Infrarenal AAA treatment options

An endovascular exclusion was planned and performed according to the patient's aorto-iliac anatomy and preference. A standard EVAR (Endurant II) was utilized, which was performed without any intraoperative complications.


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[User] Initial antibiotic treatment for neck abscess

Upon admission, IV flucloxacillin and cefotaxime were administered, and a CT scan was performed.


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[User] Initial diagnosis of the patient

The patient was admitted to the trauma bay due to a non-expanding hematoma in the left neck region caused by a gunshot wound to the left upper back scapular region. The chest X-ray report showed a hemopneumothorax, secondary to which a chest tube was placed.


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[User] Initial presentation of the patient

Patient born to a 28-year-old G1P1 mother at 39 weeks gestation with chorioamnionitis. Birth weight, length, and head circumference within normal range except for ambiguous external genitalia.


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[User] Initial reason for hospital admission

The patient was admitted with hoarseness due to left recurrent laryngeal nerve palsy.


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[User] Initial treatment for Flubromazolam withdrawal

He was admitted to the intensive care unit for further monitoring.


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[User] Insulin management for type 1 diabetes mellitus

The patient was discharged on Glargine and Novolog and continued to follow her insulin management.


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[User] Intensity-modulated radiation therapy (IMRT) side effects

Postoperatively, the patient received intensity-modulated radiation therapy to the resection cavity with a total dose of 60 Gy in 30 fractions starting on postoperative day 13.


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[User] Intensity-modulated radiotherapy for epistaxis

The patient received intensity-modulated radiotherapy to optimally spare the surrounding normal tissues. Altogether 50 Gy was administered in 2 Gy single fractions, and the therapy lasted five weeks without interruptions.


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[User] InterStim device malfunction symptoms

Upon examination, clear entry and exit points were noted without any signs of infection or induration.


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[User] InterStim hardware wire erosion treatment

A salvage procedure was performed, where the wire was carefully buried back and the wound was closed in two layers. During the procedure, the wound was irrigated well with clindamycin wash.


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[User] InterStim implantation procedure

During her admission, she underwent percutaneous nerve evaluation, which was followed by InterStim implantation.


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[User] Intermittent upper abdominal pain causes

The patient presented to the emergency department with complaints of intermittent upper abdominal pain and unintended weight loss of 10 pounds in two months. The patient suffered from hematemesis followed by hematochezia and became hypotensive and tachycardic.


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[User] Internal Inflammatory Root Resorption symptoms

The patient was admitted for evaluation of dull pain and swelling in the upper-lip area. A sinus tract was evident in periradicular area of the maxillary left central incisor.


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[User] Internal fixation of tibial bone complications

Following replantation, the Vacuum-Assisted Closure System (KCI Medical, San Antonio, TX, USA) was applied for demarcating the necrotizing portions. The patient's recovery was monitored regularly and no immediate complications were observed.


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[User] Internal hernia treatment options

The patient underwent open laparotomy and the herniated small bowel loops were repositioned and the defects were closed.


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[User] Interphalangeal joint tumor diagnosis

After a thorough evaluation, it was determined that the patient was suffering from a cystic tubulopapillary epithelial tumor.


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[User] Interpreting ABI and SPP scores in limb ischemia

Her ABI and SPP scores were low, categorizing her limb as stage 4.


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[User] Interpreting PET/CT and liver biopsy results in Hepatic TB patients

The patient was referred for a whole-body PET/CT scan to find the lesion site for biopsy. A liver biopsy showed signs of TB follicle, which was confirmed by a T-SPOT TB test.


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[User] Interstitial Pneumonia with Scleroderma symptoms

The patient presented to the hospital in 1994 with dry cough and exertional dyspnea, which was found to be caused by IP after HRCT of the chest. In 2000, the patient developed Raynaud's phenomenon and dermal sclerosis, and was consequently diagnosed with IP-SSc.


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[User] Interstitial pregnancy complications

The ultrasound revealed an interstitial pregnancy with a yolk sac in the left cornual region, and an IUD in the endometrial cavity.


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[User] Interventional Pulmonary service procedures for obstructing mass

Interventional Pulmonary service was consulted, and bronchoscopy was performed. The patient was found to have a broad-based mass obstructing the bronchus intermedius consistent with the known primary colon carcinoma. After photoablation and mechanical debulking, the mass was found to be arising near the origin of the superior basal segment of the right lower lobe (RB6).


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[User] Interventions for significant hypoxemia and cardiac arrest in pulmonary arteriovenous malformations patients

During her hospital stay, she experienced massive hemoptysis with significant hypoxemia and cardiac arrest. Post-cardiac arrest, extracorporeal membrane oxygenation was initiated.


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[User] Intestinal mass adenocarcinoma symptoms

The patient was admitted to the hospital due to epigastric abdominal pain that was progressively increasing in frequency and intensity.


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[User] Intra-cerebral hemorrhage diagnosis

Intra-cerebral Hemorrhage


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[User] Intracardiac thrombus symptoms

A large intracardiac thrombus in the left ventricular cavity was diagnosed.


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[User] Intracerebral hemorrhage symptoms

The patient was admitted to our department with residual weakness and paresthesia in the right side of the body after undergoing hematoma evacuation for intracerebral hemorrhage involving the left pons.


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[User] Intracerebral hemorrhage with subarachnoid component causes

She was diagnosed with an intracerebral hemorrhage with subarachnoid component and subsequently transferred for further management.


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[User] Intraconal mass treatment options

The patient underwent right fronto-orbital craniotomy with unroofing of the orbit. The tumor was completely removed, and the patient's proptosis was fully resolved with improved ocular movement.


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[User] Intracorneal ring segment implantation in asymmetrical keratoconus

The patient underwent intracorneal ring segment (ICRS) implantation on the left eye (LE) using femtosecond laser (Visumax Zeiss). Two Ferrara rings of 160 (AJL Ophthalmic S.A., Spain) were implanted at 400-μm corneal depth by using an incision at 65.


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[User] Intracranial aneurysm treatment options

The patient underwent cranial microsurgery for cerebral aneurysm clipping that confirmed the intradural location of the aneurysm, arising from a tortuous cavernous internal carotid artery.


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[User] Intracranial hemorrhage symptoms in newborns

The patient was born to a 34-year-old mother with a history of hydrocephalus internus due to an intracranial hemorrhage.


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[User] Intracranial hypertension diagnosis method

Work up showed an opening pressure of 36 cmH2O which confirmed the diagnosis of IIH.


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[User] Intracranial tumor symptoms

The patient presented to the OPD with complaints of headache and defective vision.


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[User] Intradural arachnoid cyst symptoms in pediatric patients

The patient, a 13-year-old male, presented to the hospital with lower extremity weakness and mild limb numbness. Diagnostic examination confirmed paraparesis with decreased pain sensation below the level of C7.


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[User] Intradural tumor surgery outcomes

The patient underwent an en-bloc lumbar laminectomy, and the tumor was successfully removed with an opening of the dura mater. The patient has been asymptomatic for 3.5 years since the operation and radiation therapy, and MRI scans of the patient's brain, spinal cord, and cauda equina show no signs of recurrence.


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[User] Intrahepatic bile duct stricture treatment options

The patient was advised to follow up with a healthcare provider for subsequent evaluation and treatment of her intrahepatic duct strictures.


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[User] Intramedullary neoplastic lesion symptoms

The patient was admitted with an initial symptom of isolated neck pain. Three weeks later, the patient returned with persistent neck pain.


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[User] Intramural hematoma treatment options

A CT scan of the abdomen showed an IDH and peri-pancreatic edema. Hemoglobin levels decreased to 7.3 g/dL and were appropriately treated with a unit of PRBC transfusion.


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[User] Intraocular foreign body symptoms

The patient, a 34-year-old male, was admitted to the hospital with traumatic cataract and corneal tear in the right eye with a radiodense object more radio-opaque than bone in the posterior segment.


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[User] Intraocular pressure post retinal surgery

On the 1st postoperative day, the eye had a formed anterior chamber, and the patient was digitally found to have an intraocular pressure (IOP) in the midteens.


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[User] Intraocular pressures in both eyes

The intraocular pressures were 11 mmHg in the right eye (OD) and 8 mmHg OS.


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[User] Intraperitoneal perfusion therapy side effects

Incomplete cytoreductive surgery (CRS) following hyperthermic intraperitoneal perfusion with chemotherapy (HIPEC) was performed. Postoperative recovery was relatively slow, and a new locus with increased metabolic activity was found in the anterior mediastinum during a restaging scan.


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[User] Intraretinal crystals diagnosis

The patient's clinical examination, laboratory results, and medical history led to the diagnosis of intraretinal crystals.


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[User] Intraretinal crystals symptoms

Throughout the duration of the patient's admission, there were no complaints or symptoms observed.


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[User] Intrathecal baclofen pump complications

No adverse effects were observed.


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[User] Intrathecal pump implantation complications

The administration of the analgesic via intrathecal pump implantation in the cisterna magna reduced the patient's pain levels and number of breakthrough pains.


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[User] Intrathoracic meningocele pouch diagnosis methods

MRI of the thoracic vertebra suggested the presence of an intradural arachnoid cyst and one intrathoracic meningocele pouch that required T1-T3 laminectomy and subsequent fastening of the meningocele neck with muscle.


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[User] Intrathoracic stomach surgery follow-up

The patient was referred to the surgical outpatient clinic, where the surgeon advised not to operate on the intrathoracic stomach because the patient had no symptoms.


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[User] Intrathyroidal parathyroid carcinoma symptoms

The patient, a 56-year-old female, was admitted to the private practice in January 2018 with a medial cervical mass. Neck examination revealed an enlarged thyroid gland.


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[User] Intravenous antibiotics treatment plan

The patient was empirically treated with intravenous ceftriaxone, vancomycin, and acetaminophen. During the hospital stay, the patient was treated with intravenous ceftriaxone, vancomycin, acetaminophen, and oseltamivir.


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[User] Intravenous bisphosphate therapy side effects

The patient had undergone intravenous bisphosphate therapy since the age of 19 months.


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[User] Intravenous immunoglobulin treatment success rate

Intravenous immunoglobulin (IVIg) was administered during the hospital stay to treat MMN and was effective in almost completely recovering the patient’s motor function at a 2-week follow-up.


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[User] Intravenous nivolumab injections for metastatic renal cell carcinoma

Currently, the patient was being maintained on fortnightly intravenous nivolumab injections.


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[User] Intussusception symptoms

The patient was admitted to our tertiary hospital with a 24-hour history of sudden onset of upper quadrant pain accompanied by 2 days of increasing nausea, vomiting, and inability to tolerate solids.


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[User] Intussusception symptoms post meal

A 36-year-old female presented with new onset abdominal pain following a recent meal. Diagnostic imaging revealed small bowel obstruction due to intussusception.


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[User] Intussusception treatment options

Consequently, she underwent emergency laparotomy, and a segment was resected due to the presence of intussusception caused by a solitary polyp.


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[User] Intussusception with polyp of the small intestine symptoms

The 19-year-old Greek female patient presented with recurrent episodes of abdominal cramping, nausea, and vomiting, with a previous history of incomplete obstructive ileus and partial gas/feces retention.


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[User] Inuit-Canadian gait dysfunction symptoms

Gait dysfunction and speech difficulties. Spasticity, weakness, hyperreflexia, nonsustained bilateral ankle clonus were noted during this evaluation.


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[User] Invasive Ductal Carcinoma risk factors

The patient had been previously treated for stage IIIBS Hodgkin's Lymphoma with chemotherapy and radiation therapy.


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[User] Invasive Ductal Carcinoma treatment options

The patient underwent neoadjuvant chemotherapy, followed by left mastectomy with axillary node dissection, adjuvant treatment with trastuzumab and postoperative irradiation of the left mammary region.


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[User] Investigational treatment for stage IV lung adenocarcinoma

Investigational Regimen: Bevacizumab was discontinued in February 2010, and the patient was included in a compassionate program including Racotumomab. Pemetrexed was administered together with immunotherapy, and the patient is still on treatment. Partial response was maintained.


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[User] Is Gingival Fibromatosis hereditary?

A diagnosis of hereditary nonsyndromic gingival fibromatosis was made based on the family history and clinical presentations. The patient's elder sister, elder brother, and mother exhibited a history of similar presentations.


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[User] Is PRES a reversible condition?

A follow-up MRI a month later showed complete resolution of the abnormalities in the brainstem, confirming the rare but reversible characteristic of the lesions following antihypertensive treatment.


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[User] Is ankylosing spondylitis hereditary?

The patient's father was also diagnosed with ankylosing spondylitis, indicating a family history of the disease.


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[User] Is ceramic head with titanium sleeve effective for revision hip surgery?

The worn CoCr femoral head was removed and replaced with a 4th-generation ceramic head (Biolox delta) with a titanium sleeve.


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[User] Is cerebral cavernous malformation hereditary?

Genetic and brain MRI screening confirmed the presence of the condition in the patient's father, one uncle, and two aunts. Mutation analysis of his family demonstrated c. 940_943 del (p. Val314 Asn315delinsThrfsX3) frameshift mutation in exon 7 of the CCM1 gene of the affected family members, a mutation that had not been previously reported.


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[User] Is follow-up imaging recommended after APER surgery?

The operative findings revealed the tumour involving anorectum up to the distal sigmoid colon with no liver or peritoneal metastasis. An APER was performed for the removal of the tumour.


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[User] Is hemodialysis effective for SARS-CoV-2 pneumonia patients?

The patient received hemodialysis for intractable metabolic acidosis, with subsequent improvement in renal function, electrolyte imbalances and normalization of vital signs.


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[User] Is levetiracetam used in glioneuronal tumor treatment?

The patient was started on oral baclofen and prophylactic anticonvulsant therapy with levetiracetam to manage spasticity in lower extremities and hyperactive deep tendon reflexes.


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[User] Is physical therapy recommended after ganglion cyst surgery?

The note does not specifically mention physical therapy, but mentions that the patient's claudication has completely recovered after one month of follow-up.


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[User] Is the patient at risk for melanoma recurrence?

Following the treatment, the patient settled with no evidence of thinning or recurrence of melanoma.


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[User] Is the patient cured of pre-B ALL?

The patient received treatment as per the regimen and was discharged on [Redacted].


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[User] Is the patient's condition related to trauma?

The patient gave a history of trauma three years back, and as a result, a clinical diagnosis of hematoma was made. However, the exact relationship between the trauma and the current condition is not explicitly stated.


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[User] Is there a connection between PCOS and earlobe creases?

The patient had a diagnosis of Polycystic Ovary Syndrome (PCOS) which was based on her menstrual irregularity and hirsutism.


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[User] Is there a correlation between Diogenes syndrome and poor physical health?

Poor prognostic factors include poor physical health, early age at onset, and advanced state of health due to neglect.


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[User] Is there any surgical cause for the patient's symptoms?

The patient's medical history and examination did not reveal any pathological or surgical causes for his symptoms.


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[User] Is there evidence of bowel perforation?

There was no discrete peritoneal fluid collection, focal bowel wall thickening, or intraperitoneal air.


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[User] Ischemic cardiomyopathy symptoms

The patient was diagnosed with ischemic cardiomyopathy, elevated LDL-cholesterol, hypertension, and type 2 diabetes. However, no specific symptoms are described.


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[User] Ischemic colitis diagnosis

A diagnosis of ischemic colitis was made after a flexible sigmoidoscopy demonstrated patchy, dusky areas of mucosa with submucosal swelling and erythema but no frank ulcerations.


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[User] Ischemic gangrene prognosis

The patient was admitted with ischemic gangrene in the right foot with Rutherford classification of R5. The ABI had also improved from 0 to 1.07.


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[User] Ischemic gangrene treatment options

The lesion was successfully treated using Agosal XS, Treasure XS, and CS. A 3.5-mm balloon was inflated for 60 seconds up to 10 atm and then a 7-mm balloon was inflated for 120 seconds up to 14 atm.


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[User] Ischemic heart disease symptoms

The patient was admitted to the hospital with sustained ventricular tachycardia, history of acute transmural myocardial infarction, and ischemic heart disease.


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[User] Ischemic stroke complications symptoms

A right-handed, 43-year-old Tunisian man presented with frequent spells of inappropriate laughing and crying, occurring after an ischemic stroke eight years ago.


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[User] Isolated lacrimal gland amyloidosis diagnosis

CT scan detected a well-defined, homogenous enlargement of the left lacrimal gland, with no indentation of the globe, calcification, or bony erosion. The patient underwent an incisional biopsy of the left lacrimal gland, which revealed extensive replacement of lacrimal gland acini with amorphous, eosinophillic hyaline deposits.


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[User] Isolated medial meniscal tear diagnostic procedures

Confirmed on X-ray and computed tomography (CT) arthrogram, the patient was diagnosed with an isolated medial meniscal tear and grade 1a International Cartilage Repair Society (ICRS) cartilaginous lesion.


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[User] Isolation protocol for COVID-19 patients

The patient was moved to negative pressure isolation with a high degree of suspicion for COVID-19 infection.


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[User] Itraconazole side effects in women

At monthly control, the patient reported unexpected vaginal bleeding of 3-day duration 6 days after initiation of antimycotic therapy... No abnormalities were found on gynecological examination, and itraconazole was discontinued.


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[User] Itraconazole treatment for perforating dermatosis

A diagnostic treatment with itraconazole was suggested. Unexpectedly, the ulcers rapidly healed and formed scars in a week. Itraconazole treatment was discontinued, but the patient’s condition worsened after interruption. With the consent of the ethics committee and the patient, itraconazole 200 mg BID for 8 weeks was administered.


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[User] Ivermectin treatment for skin lesions

Subcutaneous ivermectin had been administered by a veterinarian suspected sarcoptic mange, but skin scrapings and cytological examination were negative.


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[User] JC virus cerebellitis diagnosis

CT scan demonstrated low density in the left cerebellar hemisphere, which did not enhance. MRI showed high-signal changes in the left cerebellar hemisphere, left superior cerebellar peduncle and diffusely in the pons. CSF examination revealed JC virus.


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[User] JC virus cerebellitis symptoms

The patient's clinical examination was significant for nystagmus, dysarthria, dysmetria, ataxia and left-sided hemisensory loss.


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[User] JPD symptoms in adults

The patient presented with fatigue and bone pain in her lower extremities and was diagnosed with JPD. Upon physical examination, the patient showed marked scoliosis of the lumbar spine accompanied by anterior bowing of both femora and tibias.


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[User] JPD treatment options

Due to the limited knowledge of JPD and the multifactorial nature of the disorder, there is currently no standardized treatment. Therefore, the patient was advised to be mindful of her symptoms, adopt a healthy lifestyle, and monitor the progression of her disease.


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[User] Jaundice and steatorrhea symptoms causes

The patient was admitted to the hospital for the evaluation of persistent jaundice and steatorrhea. Laboratory studies revealed elevated total bilirubin, liver, and biliary enzyme levels.


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[User] Jaundice diagnosis and treatment

The patient was diagnosed with Brucellosis melitensis and showed significant clinical and biochemical improvement after the initiation of anti-brucellar treatment. His liver function tests returned to normal within six weeks from the commencement of treatment.


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[User] Jefferson fracture follow-up care

Six months later, follow-up imaging indicated a continued nonunion of the Jefferson fracture and an increased right-sided displacement. Consequently, the patient underwent an occiput to C3 posterior spinal fusion.


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[User] Jejunal diverticulitis symptoms

The patient presented with 48 h of sudden onset abdominal pain. A CT scan of the abdomen was conducted, which revealed that the patient had jejunal diverticulitis with perforation.


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[User] Jejunal diverticulitis treatment options

The patient underwent a surgical intervention that included resection of 27 cm of the proximal jejunum and non-inflamed diverticula excision for jejunal diverticulitis. A stapled side-to-side functional end-to-end anastomosis was then performed.


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[User] Jejunal duplication cyst resection procedure

Due to the extensive wall sharing and the fibrotic nature of the cyst, resection of the cyst and the adjacent jejunal wall was performed. Anastomosis of the jejunum was subsequently performed using a longitudinal GI anastomosis stapling device.


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[User] Jejunal mass treatment options

The patient underwent exploratory laparotomy, which showed additional masses in the ileum and transverse colon, suspicious for malignancy. Partial small bowel and partial colonic resection with end colostomy and Hartmann’s pouch was performed.


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[User] Jugular venous ectasia treatment

No treatment was administered, and the patient was placed under regular follow-up.


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[User] KHE diagnosis criteria

A diagnosis of Kaposiform hemangioendothelioma (KHE) was made after a biopsy was taken, with immunohistochemistry positivity for Vimentin, CD31, and CD34, and a negative result for Cytokeratin and GLUT 1. The Ki67 was 5-10%, which was suggestive of KHE.


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[User] KLS diagnosis criteria

The patient was diagnosed with KLS and given supportive therapy. Thereafter, the patient's neurological symptoms improved, but his platelet counts remained below 10,000/μL.


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[User] KRAS mutation in sigmoid adenocarcinoma

The molecular analysis revealed KRAS G12D mutation.


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[User] KRAS mutation status

Molecular analysis using NGS revealed distinct KRAS mutations in both tumors, without other identical comutations.


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[User] KRIT1 gene and cerebral cavernous malformations

She had a family history of cerebral cavernous malformations (CCMs) and a heterozygous mutation in the KRIT1 gene.


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[User] Kabuki Syndrome diagnostic criteria

No specific diagnostic criteria are mentioned in the note, but the patient underwent genetic sequencing to rule out a suspected diagnosis of Kabuki Syndrome. However, ES resulted in a homozygous variant in the OTUD6B gene, c.433C>T (p.Arg145*), which was classified as pathogenic.


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[User] Kaposi Sarcoma treatment options

He was prescribed with oral pentoxyphylline (1,200 mg/day) and papular lesions were treated with cryotherapy. He received radical radiation therapy of 30 Gy/10 fractions for extensive KS lesions on both legs.


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[User] Kaposi sarcoma diagnosis criteria

The patient's gingival biopsy showed mitotic activity with spindled cells forming slit-like spaces with numerous extravasated red blood cells. Immunohistochemical stains were strongly and diffusely positive for HHV-8 and CD31, consistent with Kaposi sarcoma.


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[User] Kaposi sarcoma diagnostic techniques

Sequential thallium 201 and gallium 67 scintigraphy revealed delayed thallium uptake, raising concern for pulmonary Kaposi sarcoma. An ultrasound-guided core biopsy of a sub-centimeter submandibular lymph node confirmed the presence of Kaposi sarcoma.


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[User] Kaposi's Sarcoma skin lesions symptoms

The patient was admitted with multiple nodular lesions on the extremities, fever, alteration of general state of health, sore infiltrated purplish papulonodular lesions on both the forearms, palmoplantar papillomatous skin lesions, and important lymphedema of the extremities.


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[User] Kaposi's sarcoma symptoms

The patient was admitted to our hospital due to purplish, hyperkeratotic lesions all over his body and severely depressed CD4 cell count of six cells per microliter and an HIV viral load of 10,700 copies per milliliter.


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[User] Kaposi's sarcoma symptoms and signs

The patient presented with whitish patches on both great toenails that spread rapidly. Upon examination, transverse whitish patches near the proximal nail folds were observed on finger and toenails.


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[User] Kaposiform hemangioendothelioma symptoms

The patient presented with a right leg swelling that was noticed since birth. The swelling developed into an abscess, ulceration, and purulent discharge, with accompanying sepsis.


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[User] Kawasaki Disease diagnosis criteria

The child was diagnosed with Kawasaki Disease and treated with IVIG, antiplatelet therapy, and later anakinra therapy.


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[User] Kawasaki disease and cardiac complications

No coronary artery lesions or valvular lesions were observed throughout the hospitalization. However, one year after discharge, a first-degree atrioventricular block was detected on follow-up electrocardiography but resolved 2 weeks later on 24-hour Holter monitor.


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[User] Kawasaki disease diagnosis criteria

The patient presented with a maculopapular erythematous rash on the trunk and upper limbs. Generalized swelling and edema in the hands and feet, cracked lips, a tongue erythema, bilateral non-purulent conjunctivitis developed three days prior to admission. CBC showed leukocytosis with a significant neutrophil count. Elevated ESR, CRP, liver transaminases, and hypoalbuminemia were also identified.


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[User] Kawasaki disease follow-up care

The patient is advised to continue aspirin therapy (5mg/kg/day) until discharge. Further follow-up appointments are suggested to track the patient's overall health and monitor any potential cardiac issues.


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[User] Kawasaki disease symptoms

The patient presented to our emergency department with a chief complaint of fever for 5 days, maculopapular rash, nonpurulent conjunctivitis, mucositis, slight swelling of the hands and feet and submandibular lymphadenopathy.


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[User] Kawasaki disease symptoms in children

The patient presented with a fever for 6 days and conjunctival inflammation for 3 days. Physical examination revealed a strawberry tongue, prominent cervical lymph nodes, bilateral bulbar conjunctival inflammation without exudate, and diffuse erythematous rashes on the trunk and extremities.


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[User] Kawasaki disease symptoms in infants

The patient came to our hospital due to persistent fever, rashes, and conjunctival infection.


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[User] Kawasaki disease treatment

The patient was treated with multiple courses of intravenous immunoglobulin therapy, infliximab administration, and methylprednisolone pulse therapy, followed by prednisolone administration.


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[User] Kawasaki disease treatment options

On the sixth day, the patient was diagnosed with Kawasaki disease and started on intravenous immunoglobulin and high-dose oral acetylsalicylic acid. After two days of persistent fever, a second bolus of IVIG was administered, and then intravenous methylprednisolone was given for three subsequent days, with initial benefit. Eventually, oral prednisolone was started at a dose of 2 mg/kg/day for 30 days, which resolved the fever and resulted in discharge.


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[User] Kawasaki shock syndrome symptoms

The patient presented with fever, jaundice, vomiting, mucocutaneous involvement, bilateral non-purulent conjunctivitis, angular stomatitis, chapped lip, generalized maculopapular rash on body and perianal desquamation.


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[User] Kawasaki shock syndrome treatment

The patient was treated with intravenous immunoglobulin (IVIG) and aspirin. On the fifth day, the fever resolved completely, and the patient was switched to the single antiplatelet dose of aspirin.


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[User] Kayser-Fleischer rings diagnosis

The diagnosis of Wilson's Disease (WD) was confirmed due to the presence of clinical characteristics, serum ceruloplasmin (0.10 g/L), and the Kayser-Fleischer (KF) rings on slit lamp examination.


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[User] Kayser–Fleischer ring

Ophthalmologic evaluation revealed the presence of the characteristic Kayser–Fleischer ring, which is a golden brown ring at the outer surface of the cornea.


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[User] Keratoconjunctivitis sicca symptoms

The patient was admitted due to dry mouth and eyes, which were diagnosed as keratoconjunctivitis sicca.


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[User] Keratocystic Odontogenic Tumor treatment options

Two maxillary lesions were enucleated via the Caldwell Luc approach and chemical cauterization done using Carnoy's solution. Two mandibular lesions were then marsupialized with the removal of specific deciduous teeth.


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[User] Keywords related to Jefferson fracture management

The patient's C6 fracture was initially treated with a posterior decompression and instrumented fusion. However, the Jefferson fracture was treated nonsurgically in a cervical collar.


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[User] Kidney cancer ablation complications

The patient experienced hematuria with clots, followed by anuria and rising creatinine. A retrograde ureteral stent was placed by the urologist. The patient regained his baseline renal function and resumed normal diuresis without hematuria.


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[User] Kidney enlargement symptoms

On clinical examination of the abdomen, there was bilateral palpable renomegaly. Her serum creatinine was elevated.


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[User] Kidney function monitoring schedule

The patient is to have close follow-up with her physician for monitoring of her kidney function and disease activity.


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[User] Kidney transplant CDC-based crossmatch test

An implausible second CDC-based crossmatch was followed by an alternative AMS-crossmatch ELISA that resulted in an unequivocally negative outcome.


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[User] Klebsiella pneumonia symptoms

Admitted with right leg cellulitis, persistent cough, and chest pain. Blood cultures grew Klebsiella pneumonia.


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[User] Klebsiella pneumonia treatment and antibiotics

Intraoperative cultures tested positive for Klebsiella pneumonia organisms where she was started on antibiotics for 6 weeks.


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[User] Klebsiella pneumoniae bacteremia symptoms

An 88-year-old female was admitted with worsening dyspnea and hypotension. On further inquiry, she was noted to have a one-week history of consistent, high-grade fever and a mildly productive cough.


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[User] Klebsiella pneumoniae panophthalmitis treatment

After admission, high-dose intravenous ceftriaxone and metronidazole were commenced with concurrent intravitreal ceftazidime and vancomycin every 48 hours. The patient completed high-dose intravenous ceftriaxone and metronidazole for two weeks, followed by oral Augmentin for four weeks.


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[User] Klebsiella pneumoniae treatment

The patient was treated with antibiotics on admission. Her C-reactive protein normalized, and she recovered well.


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[User] Klippel-Feil syndrome symptoms

Neurological examination revealed spastic paralysis (grade IV) and Hoffman's sign in the right arm, subjective weakness without pathologic sign in the left arm, and spastic paralysis (grade II) with ankle clonus and Babinski sign in bilateral legs.


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[User] Knee Effusions and Pain causes

The patient had a 10-year history of recurrent effusions and mild pain in both knee joints, which worsened with increased physical activity, specifically ski mountaineering.


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[User] Knee arthroscopy procedure steps

Knee arthroscopy was performed, and the patient underwent PRGF preparation using the Endoret PRGF system. A clot of hyaline cartilage, mixed with PPP-PRP, was placed in the KOL, which has to be slightly below the healthy surrounding articular cartilage to avoid overgrowth. The defect was completely filled with the new tissue, which had a similar color and consistency and was smooth compared to the surrounding healthy cartilage.


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[User] Knee joint effusion symptoms

The MRI showed effusion of knee joint with tear in the MPFL at the patellar attachment.


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[User] Koebner phenomenon treatment

The patient was advised to stop using the wig and advised about other hair styling options.


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[User] Krabbe disease diagnostic criteria

A decrease in the white blood cell GALC activity was indicative of the disease. T2 weighted MR images showed hyperintensities along both corticospinal tracts.


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[User] Kugel patch migration symptoms

Imaging studies revealed that a Kugel patch had migrated into the cecum wall and formed a fistula with his bladder. The patient was diagnosed with mesh infection, urinary tract infection, and epididymitis, likely due to mesh-related urinary tract infection.


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[User] Kummell disease diagnosis

The patient was diagnosed with Kummell disease (KD), which was confirmed through histological examination.


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[User] Kyle's post-discharge care plan

Kyle is advised to follow up with his primary care provider for monitoring of his ADHD and musculoskeletal symptoms. Physical therapy may be continued as a treatment option for the patient's muscular symptoms. Further medication management options may be explored if deemed necessary by his provider.


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[User] L-T4 treatment protocol for infant hypothyroidism

Treatment with L-T4 was initiated at a dosage of 8 μg/kg/day.


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[User] L2 and L4 vertebral bodies infection treatment outcome

The patient's condition improved during the hospital stay and the decision was made to discharge.


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[User] L2 compression fracture management

The 72-year-old patient was referred to Endocrinology at the Philadelphia Veterans Affairs Medical Center for management of a new L2 compression fracture at age 66, and was treated with teriparatide for 2 years, with a significant improvement in BMD at L3-L4.


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[User] L2-L3 vertebrae injury symptoms

The patient experienced complete loss of motor and sensory function to his lower limbs.


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[User] L4 dermatome symptoms

The patient's sensitivity to light touch and pinprick test showed allodynia rather than hypoesthesia on the L4 dermatome area of the anterior aspect of the thigh.


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[User] L4 spondylolisthesis prognosis

The patient was admitted to our hospital due to repeated back and leg pain for more than 2 years and the diagnosis of L4 spondylolisthesis.


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[User] L4 spondylolisthesis treatment options

The patient was treated with conservative measures with no relief, and radiologic examinations indicated spondylolisthesis of L4, instability of L5 and disc herniation of L4/L5 and L5/S1.


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[User] L4/L5 disc herniation symptoms

Neurological examination revealed left-sided extensor hallucis longus weakness (4/5) with numbness involving left L5 dermatome.


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[User] L5 burst fracture treatment

Surgical intervention was opted, which included total L5 laminectomy, bilateral foraminotomy, and open bilateral transpedicular biopsy along with spinopelvic stabilization and fusion.


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[User] L5-S1 foraminal stenosis symptoms

The patient, an 82-year-old woman, was admitted to our department with complaints of right lower limb pain and inability to walk.


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[User] L5-S1 interbody removal complications

Complications: None


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[User] L858R mutation treatment options

Four days after BCC excision, the patient was found to have an L858R mutation in his epidermal growth factor receptor (EGFR) gene, and erlotinib was immediately administered.


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[User] LAD critical lesion stenting complications

Coronary angiography was performed and revealed a proximal LAD critical lesion, which was successfully stented with one Drug Eluting Stent 3.5/18 mm.


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[User] LAD graft surgery outcomes

Post-surgery, the patient showed improvements in basal segments' contractility, with an increase in the LVEF from 9% to 30% after six months.


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[User] LAGB removal complications

The patient developed spiking fever, tachycardia, and left pleuritic chest pain on the third day post-removal. Repeat abdominal CT scan showed a suspicious perigastric abscess near the suture line along with loculated fluid collections or abscess indenting left lateral segment of liver.


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[User] LCA treatment options

An emergency splenectomy was carried out, which confirmed LCA on histopathological study of the excised tissue.


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[User] LCH brain symptoms

The patient was admitted with complaints of worsening headaches, unsteady gait and blurry vision.


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[User] LCH treatment options

The patient completed 12 cycles of cytarabine and IVIG subsequently and tolerated them without incidence.


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[User] LCS diagnosis criteria

The patient was diagnosed with LCS based on the biopsy results and underwent total surgical resection.


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[User] LDL-C levels after treatment

However, after 8 weeks of treatment, her LDL-C levels remained elevated. Following 3 sessions of LDL apheresis, her LDL-C levels lowered significantly.


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[User] LDM diagnosis in felines

Upon investigation, the patient was diagnosed with LDM with a saccular skin lesion, which was confirmed by CT and MRI of the thoracolumbar spine. The spinal cord appeared tethered at the level of L4 with a communication between it and the cutaneous mass. The images revealed a bifid abnormality of the L4 vertebra and were consistent with the diagnosis.


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[User] LDM treatment options in felines

Euthanased shortly after diagnosis as the prognosis was poor for neurological improvement. No histopathology was available to support our imaging findings.


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[User] LELC symptoms in female patients

The 41-year-old female patient was admitted with complaints of abdominal pain and nausea. She had experienced abdominal pain in the upper right quadrant for several months, and occasional nausea.


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[User] LGI-1 antibody testing procedure

Anti-LGI-1 antibody testing using indirect immunofluorescence assay was positive. Cell-based assay was highly positive for LGI-1 antibodies and confirmed by the specific hippocampal pattern by immunohistochemistry.


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[User] LIL recurrence treatment

The patient experienced a first episode of LIL in 2007 and 2008, which was cured by low-dose oral prednisone therapy. Oral prednisone therapy was initiated when the lipoatrophy area was still relatively small, and tapered off by the end of March 2013 after 20 weeks of 10mg daily dosage.


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[User] LINCL treatment options

The patient was treated with oral sodium valproate (VPA) at a median level to reduce the frequency of seizures, which was considered successful over the course of six months.


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[User] LMBA02 protocol group A treatment plan

The patient received chemotherapy according to the LMBA02 protocol, group A. The first course of treatment consisted of COP and intrathecal Methotrexate, followed by a course of R-COPADEM.


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[User] LNSS diagnosis criteria

H&E staining of skin lesions revealed epidermal hyperkeratosis, acanthosis, papillomatous hyperplasia in the epidermis, numerous mature or immature sebaceous glands in the dermis, and sparse ectopic apocrine sweat glands.