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

[User] vascular malformation treatment options

Consultation with the vascular surgeon concluded with no surgical resection or focal sclerotherapy because of the asymptomatic nature of the lesions.


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

[User] vascular plug II follow-up care plan

The patient was instructed to follow up with her primary care physician and cardiologist on a regular basis and to monitor her symptoms.


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

[User] vascular surgery post-operative care plan

The patient was discharged home on the 4th postoperative day without complications. The patient was prescribed antihypertensive, antihyperlipidemic medications in combination with warfarin and acetylsalicylic acid. The patient was also involved in a psychotherapy program to quit smoking.


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[User] vasculitis treatment for leptospirosis

A slow progressive necrosis of soft tissue in both feet due to vasculitis was diagnosed, which was treated with antibiotics, vasodilators, aspirin, and minor surgical interventions instead of a both feet below the knee amputation.


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[User] vasodilator stress test complications

After the dipyridamole infusion, the patient developed tachycardia-dependent left bundle branch block followed by atrial flutter at 175 bpm and atrial fibrillation 2 min after aminophylline administration.


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

[User] vegetative state symptoms

The patient, a 17-year-old male, was admitted to the hospital after being diagnosed in vegetative state (VS) due to brain injury sustained after a traffic accident. Upon admission, he had several bone fractures due to osteoporosis and epileptic seizures.


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

[User] venous malformation sclerotherapy outcome

At a 1-year follow-up after sclerotherapy, D-USG and MRI showed no residual VM outside of the VM nest. An interdisciplinary team conference determined that the mass had been completely obliterated, and the patient was scheduled for continuous follow-up to monitor the lesion.


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

[User] venous malformation treatment options

The interdisciplinary team considered surgery for the patient's grade 2A well-defined lesion. Due to the high risk of facial nerve injury and subsequent facial deformity, the team decided to perform sclerotherapy. The patient underwent sclerotherapy and was closely monitored.


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

[User] venous thromboembolism prophylaxis after total knee arthroplasty

The patient was discharged home with home health care on postoperative day two with 3 weeks of Coumadin for venous thromboembolism prophylaxis.


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

[User] venous varices symptoms

The symptoms were exacerbated by large bowel movements or exercise and lasted around 30 minutes after a heavy cardiovascular routine.


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

[User] ventilator-associated pneumonia symptoms

A diagnosis of ventilator-associated pneumonia was established and treatment was continued. After 15 days of antibiotic therapy, the patient was found to have a 4.2 cm × 4 cm × 3.5 cm abscess in the middle lobe of the right lung that was identified through a subsequent chest CT.


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

[User] ventricular lead complications symptoms

The patient was admitted with a complaint of a tender left chest wall mass and complete heart block. A CT scan showed that the lead had perforated the right ventricle and burrowed through the pericardial space, resulting in a hematoma in the subcutaneous tissue of the left chest wall over the last 2 years.


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

[User] ventricular septal rupture treatment options

Due to his age and critical condition, the patient underwent a palliative approach with pulmonary artery banding (PAB) before surgical VSR closure and bypass grafting seven days later.


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

[User] ventricular tachycardia treatment

The patient underwent percutaneous radiofrequency ablation and implantation of the ICD. However, the patient suffered repeat sustained monomorphic VT during the next period, which was resistant to maximal pharmacotherapy. Transthoracic echocardiography revealed aneurysm of the apex of the left ventricle with thrombus formation inside the aneurysm.


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

[User] ventricular tachycardia treatment options

VT ablation was successfully performed with combined epicardial and endocardial approaches. After the ablation, the patient has been event-free for the last ten months without any drug therapy.


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

[User] ventriculomegaly diagnosis

Further testing revealed ventriculomegaly and atrophy on bilateral frontal, temporal and occipital lobes, and genetic testing confirmed DM1.


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

[User] ventriculoperitoneal shunt complications

The patient experienced severe bleeding and subsequently presented with a right oculomotor nerve palsy and left facial nerve palsy.


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

[User] verapamil overdose symptoms

The patient was admitted through the pediatric emergency room due to vomiting and dizziness. She had ingested 40 tablets of a medication containing verapamil. Upon arrival, she was lethargic with low arterial blood pressure, heart rate, and respiration rate.


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

[User] vernal keratoconjunctivitis symptoms

The patient had a four-year history of vernal keratoconjunctivitis and was referred to our facility due to uncontrolled intraocular pressure.


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

[User] verrucous papules symptoms

The patient was admitted with numerous verrucous papules over the penile shaft, prepuce, and glans.


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

[User] verrucous papules treatment

The patient received 0.5 ml of MMR vaccine intralesionally in both the glans and prepuce lesions.


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

[User] verrucous plaque on the nose treatment

The patient was initially treated with topical clobetasol propionate ointment for four weeks but did not respond favorably. The lesion responded positively to a treatment course of triamcinolone ointment and a onetime intralesional injection of triamcinolone 2.5 mg/mL.


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[User] vertebral artery occlusion symptoms

The patient in his 50s was admitted with dizziness and history of smoking for 20 years with an average of six cigarettes per day and alcohol abuse for 30 years. Physical examination demonstrated blood pressure 123/78 mmHg, clear consciousness, slightly bad spirits and no abnormality in the cranial nerve.


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[User] vertebral artery occlusive disease treatment options

The patient was administered 100 mg aspirin orally once a day and 75 mg clopidogrel orally once a day. Aspirin was replaced with 100 mg cilostazol orally twice a day. The endocrinologist recommended 200 mg CELEBREX® orally once a day, 40 mg febuxostat orally once a day, and 500 mg sodium bicarbonate orally three times a day for 1 week.


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[User] vertebral artery pseudoaneurysm treatment options

The patient received a left vertebral artery origin stent. The stent was a bare metal stent that was used to slow the flow of blood within the pseudoaneurysm, which promoted thrombosis.


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[User] vertical gastroplasty complications

Post-surgery, LSB experienced a significant reduction in her usage of antihypertensive and oral anti-diabetic medications. However, two months post-surgery, LSB reported colic abdominal pain and underwent videolaparoscopic cholecystectomy.


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

[User] vertigo and left ear discharge symptoms

The patient was urgently referred to the ENT clinic in Al Wakra Hospital from the emergency department due to rotatory vertigo, hearing impairment, tinnitus, and left ear discharge. The ear discharge was purulent, odorless, and intermittent for the last few years, but it became profuse and continuous for the last few days in the context of severe left-sided headache and diplopia.


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

[User] vertigo and vomiting treatment

The patient was admitted with sudden deafness, vertigo, and vomiting. However, the next morning, her level of consciousness decreased, and she was readmitted to the hospital.


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

[User] vertigo symptoms after CT scan

The patient experienced a vertigo attack and nausea after standing up rapidly following the cranial CT imaging. A Dix-Hallpike test revealed vertigo and rotatory nystagmus during the right-side swing.


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

[User] vertigo treatment options

The patient received standard medical care and was given medication to manage her symptoms.


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

[User] vesico-vaginal fistula repair procedure

The fistula margins were dissected with scalpel and scissors and some scarred tissue was excised. Repair of the bladder was commenced in a transverse direction, using interrupted sutures, followed by repair of the vaginal wall.


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

[User] vesicular lesions diagnosis

Based on the patient's symptoms, it was determined that they were suffering from vesicular lesions.


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

[User] vestibular gingival mucosa swelling symptoms

The patient presented with swelling of the vestibular gingival mucosa at the level of the lower right incisors.


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

[User] vestibular nerve involvement in sensory polyneuropathy

The vestibular nerves remained intact.


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

[User] video laryngoscopy intubation complications

Although the glottis was initially seen clearly with video laryngoscopy (VL), it eventually became obstructed by the endotracheal tube.


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

[User] video-assisted thoracoscopic left lower lobectomy complications

The patient underwent video-assisted thoracoscopic left lower lobectomy as the second stage of the surgery. The patient had an unremarkable postoperative course.


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

[User] video-assisted thoracoscopic pericardial window complications

The postoperative course was uneventful. The patient recovered well after the operation.


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

[User] villous adenoma diagnosis

Further examination revealed that the mass was a villous adenoma with well-differentiated adenocarcinoma.


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

[User] viral encephalitis symptoms

The patient is a 31-year-old male who was diagnosed with viral encephalitis at the age of 30 months. He suffered from generalised tonic-clonic status epilepticus and in-hospital respiratory arrest, which was promptly resuscitated.


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

[User] viral encephalitis treatment intravenous ganciclovir

Aripiprazole was discontinued, and the patient was started on intravenous ganciclovir. After two weeks of antiviral treatment, the patient showed significant improvement.


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

[User] viral eruption treatment options

The patient was treated with acyclovir 800 mg five times a day for 7 days. The blistering and discomfort resolved in 14 days, and the secondary dyspigmentation took 3 months to completely fade.


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

[User] viral hepatitis B symptoms

The patient had a family history of hepatitis B and her mother was an HBV carrier. The patient's symptoms, such as fatigue and loss of appetite, had improved.


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

[User] virilizing symptoms causes

The patient, a 36-year-old woman with a history of primary sterility for 11 years, was admitted with virilizing symptoms and secondary amenorrhea.


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

[User] vision improvement treatment

The patient underwent vitrectomy, which led to improvement in his vision.


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

[User] vision loss OCT findings

OCT was carried out which showed an increase in thickness and reflectivity of the inner retinal layers, consistent with intracellular oedema.


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

[User] vision loss after phacoemulsification surgery symptoms

Slit-lamp examination revealed hypopyon with minimal anterior chamber flare, but no keratic precipitates, corneal edema, ciliary flush, capsular fibrosis, or anterior and posterior synechiae.


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

[User] vision outcome after hospital discharge

The vision improved to 20/100 post-dilation with a quiet eye, a thin central corneal scar and marked reduction in corneal vascularization six months after hospital discharge.


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

[User] vismodegib side effects

Within the first 3 weeks of vismodegib, the patient had muscle spasms in her calves (grade 2), nausea (grade 2), and dysgeusia (grade 1).


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

[User] vismodegib therapy effectiveness

After a year of treatment with 150 mg of vismodegib daily, the patient showed no reduction in tumour size and increased tumour burden.


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

[User] visual acuity after LASIK surgery

The patient had a best-corrected visual acuity of 20/25 OU, normal intraocular pressure, extraocular movements, optic nerve function, and dilated fundus examination.


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

[User] visual acuity after quinine overdose

Ophthalmological diagnosis confirmed the patient's visual acuity of no light perception and bilateral afferent pupillary defect.


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

[User] visual acuity in patients with pseudoexfoliation syndrome

The measurement of best visual acuity using a semiquantitative scale resulted in "counting fingers" (right eye) and "hand motion" (left eye) at 30 cm distance.


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

[User] visual acuity test results

The patient had normal visual acuity, and no deficits were noted on 24-2 Humphrey Visual Field analysis.


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[User] visual difficulties in patients with mild intellectual disability

The patient had normal development without any neuromuscular or sensory involvement and mild intellectual disability. The patient had a decreased best corrected visual acuity to 0.3 in the right eye and 0.4 in the left eye.


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

[User] visual disturbance symptoms

The patient was initially examined in neurosurgery for visual disturbance of the left eye.


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

[User] visual electrophysiology results

The flash ERG was undetectable from both eyes, and the VEP to binocular stimulation with flash, pattern-reversal, and pattern-onset stimuli was undetectable as well. These findings were consistent with the patient's visual behaviour and suggested that a generalised retinal dysfunction was the cause.


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

[User] visual loss in one eye causes

The patient presented with sudden visual loss in his right eye, which was examined in our retina clinic.


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

[User] vitamin B12 deficiency symptoms

Irritability, fever, oral aphthous ulcers, and diarrhea.


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

[User] vitamin b12 deficiency symptoms

The patient had symptoms of paresthesia, weakness in the lower extremities, and voiding difficulty. The patient's symptoms were consistent with cervical myelopathy caused by vitamin B12 deficiency.


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

[User] vitiligo in dogs symptoms

The patient presented with pigment changes of the nose and haircoat. The physical examination showed bilaterally symmetrical areas of leukotrichia interspersed with pigmented hair and no evidence of erythema, alopecia, or crusting.


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

[User] vitrectomy complications

The CME gradually disappeared, and at five months after the vitrectomy, the BCVA had improved to 1.0.


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

[User] vitreous Dirofilaria repens treatment

A 23-gauge pars plana vitrectomy was performed to remove the worm. He did not receive any systemic antiparasitic medications.


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

[User] vitreous floaters treatment options

The patient underwent vitrectomy on his left eye using a 25-gauge system. ... The vitreous body including the ABs just posterior to the intraocular lens was excised, and the peripheral vitreous and ABs were removed with compression on the sclera under microscopic coaxial illumination.


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

[User] vitreous hemorrhage treatment options

23-gauge three-port pars plana vitrectomy (PPV) was performed to remove significant subretinal hemorrhage and exudative detachment. Tissue plasminogen activator (TPA) was injected into the subretinal space, and sulfur hexafluoride 20% was injected into the eye.


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

[User] vocal cord paralysis diagnosis

Flexible laryngoscopy revealed a flaccid vocal fold, indicative of unilateral vocal cord paralysis.


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

[User] vocal cord tumor symptoms

The patient was admitted with hoarseness.


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

[User] vocal cord tumor treatment options

The patient was treated for the vocal cord tumor, with the treatment regimen lasting during his hospital stay.


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

[User] volar dislocation of the trapezium diagnosis

Volar dislocation of the trapezium.


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

[User] volar dislocation of the trapezium treatment

Closed manipulation under general anesthesia and stabilization of the trapezium with percutaneous Kirschner wires. The wrist was immobilized in a below-elbow molded POP thumb spica cast for six weeks.


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

[User] vomiting after feed symptoms newborn

The patient was admitted with vomiting after every feed since birth. The patient was born through spontaneous vaginal delivery in a private hospital. During newborn resuscitation, the silicone suction catheter was accidentally detached from the suction machine piping and the baby swallowed it.


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

[User] vulvar lymphedema diagnosis

The patient's condition was diagnosed as vulvar lymphedema, and standard treatments for lower-limb lymphedema were unsuccessful in providing relief to the patient.


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

[User] vulvar lymphedema treatment options

Vulvar excisional and vaporization treatments (three sessions) were performed using colposcopy-guided laser CO2. A three-day regimen of the antibiotic azithromycin was administered due to the patient's history of erysipelas.


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

[User] vulvar mass histopathology

The pathology report concluded the presence of nodular proliferation of mammary gland-like tissue with florid hyperplasia, cystically dilated ducts, and apocrine metaplasia involving even the deep resection margins.


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

[User] vulvar mass symptoms

She presented with a mass in the vulva and intermenstrual bleeding. She had a history of unsuccessful sexual intercourse due to fear of pain, and the mass had gradually enlarged over the past 3 years.


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

[User] vulvar tumor symptoms

The patient had been aware of a right vulvar tumor for 10 years, which was excised at the Department of Plastic Surgery of our hospital.


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

[User] warfarin DVT symptoms

The patient experienced pain and swelling in the left leg and upper thigh. A duplex Doppler ultrasound confirmed the diagnosis of left femoral DVT.


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

[User] warfarin DVT treatment

To manage the DVT, anticoagulation therapy was initiated with low molecular weight heparin and warfarin sulfate. Anticoagulation was finally achieved on day 6 of hospitalization.


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

[User] warfarin diet and lifestyle modifications

The patient was discharged on warfarin, instructed on diet and lifestyle modifications, and advised to continue follow-up in the clinic for another six months.


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

[User] warfarin dosage for dural sinus thrombosis

The patient was treated with warfarin with an international normalized ratio (INR) of 2.5–3.


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[User] warfarin dosing for portal vein thrombosis

The patient was initiated on oral warfarin and low-molecular-weight heparin injections with the recommended INR therapeutic range of 2.0 and 3.0. Warfarin dosing was changed six times during the 90-day follow-up period.


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

[User] warfarin management after hospitalization

She was discharged on fondaparinux and her warfarin was restarted after 5 days when her platelet counts normalized.


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

[User] warfarin reversal treatment

The anticoagulation was reversed with 1 mg of vitamin K orally and two units of fresh frozen plasma. Over the next six hours, patient’s symptoms improved rapidly and repeat INR was 1.1.


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

[User] warfarin therapy complications

Notable laboratory results included a prolonged prothrombin time and International Normalized Ratio, consistent with the patient's long-term use of warfarin for atrial fibrillation.


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

[User] warfarin therapy for deep vein thrombosis

The patient was started on systemic anticoagulation with warfarin, and was discharged with instructions for her continued outpatient warfarin therapy. She was given therapeutic subcutaneous enoxaparin injections and discharged on warfarin therapy.


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

[User] warfarin treatment for cerebral venous thrombosis

The patient was discharged home on warfarin, followed up with INR (with a target level of 2-3 times of normal) for six months.


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

[User] well-differentiated keratinizing squamous epithelium lined dermoid cyst diagnosis

The discharge diagnosis was well-differentiated Keratinizing Squamous Epithelium Lined Dermoid Cyst at T6 Vertebra. Physical examination revealed a skin dimple with hair and paraparesis with exaggerated knee and ankle reflex, and sensory level at T6.


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[User] what are the common side effects of hyaluronic acid lip fillers

The patient reported no bruising, edema, or other complications after the procedure.


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

[User] what are the follow-up requirements for the patient?

The patient will require regular follow-ups to monitor for any recurrence and for the management of any side-effects.


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

[User] what are the post-operative care plan for patient

The child was generally in good condition after the operation and was discharged from the hospital after recovery. At the 1-month follow-up, no recurrence or tumour metastasis was found.


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

[User] what are the potential risks of adenoid cystic carcinoma?

The patient was recommended to continue follow-up with oncologist for further treatment and monitoring, and continue close monitoring for any recurrence or progression of the disease.


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[User] what are the potential side effects of topiramate in pediatric patients?

The patient was cautioned about the side effects of the medication and her dose was decreased to 50mg daily when she reported some 'memory' issues 10 months after starting the medication.


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[User] what are the recommendations for the patient's follow-up care?

M2 is being discharged with instructions to continue follow-up with her healthcare provider to ensure proper management of her schizoaffective disorder. It is recommended that M2 not re-initiate breastfeeding due to the risk of relapse of her psychotic symptoms.


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[User] what are the risk factors for cardiovascular disease mentioned in the note?

The patient had numerous risk factors for cardiovascular disease including high BMI (40) and high cholesterol and triglyceride levels, Type II Diabetes Mellitus, and a history of cigarette smoking.


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[User] what are the risks of pulmonary bulla

The patient is advised to abstain from smoking and lead a healthy lifestyle in order to prevent further pulmonary complications.


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[User] what are the risks of recurrence for periocular myxoma

The patient underwent follow-up appointments at 7 days, 6 months, one year, and 4 years after surgery, and has shown no evidence of recurrence.


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[User] what are the signs of infection after thyroidectomy surgery

The patient is advised to monitor the surgical wound for any signs of infection, pain, or swelling. In case of any of these symptoms, the patient is advised to report to the hospital immediately.


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[User] what are the signs of pulmonary cement embolism

Intraoperative X-ray and postoperative CT revealed cement embolism in both the right- and left-side veins of the Th12 vertebral body without any complications or signs of pulmonary cement embolism (PCE).


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[User] what are the symptoms of VKH?

The patient presented to the hospital with a history of throbbing headache, tinnitus, and blurred vision. Upon examination, positive meningeal signs and cerebrospinal fluid (CSF) lymphocytic pleocytosis were observed, along with a central scotoma in the right eye and serous retinal detachment in both eyes.


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

[User] what are the symptoms of peritoneal adhesions after gastrostomy?

The abdomen was distended and diffusely tender, predominantly in the left hypochondrium and flank, close to the stoma.


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

[User] what did the patient's intra-oral examination reveal

Intra-oral examination revealed a mass in the left anterior maxillary region with a bicortical expansion resulting in obliteration of the buccal vestibule.


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[User] what follow-up care was recommended for the patient?

The patient was discharged with instructions to follow up with a dermatologist.


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[User] what happened to the patient after AML recurrence

The patient was referred to a clinical trial of an experimental FLT3 inhibitor. However, the patient was not deemed a candidate for clinical trial due to the lack of overt morphological disease and decided to resume observant therapy. Thirty-five days from first documented marrow remission, the patient presented with overt disease recurrence and decided to forego further treatment and died a few weeks later.


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

[User] what is congenital cystic adenomatoid malformation

The pathology from the fetal excision demonstrated pulmonary mass hyperplasia consistent with CCAM-like changes.


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

[User] what is differential reinforcement and how was it used in treatment

The parents were taught the principle of differential reinforcement, which involved punishment and negative reinforcement for unwanted behaviour and positive reinforcement when the child stopped pulling her hair. The maladaptive learnt behaviour was made extinct, and the energies of the child were channelled towards play activities and drawing to build her confidence.


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

[User] what is masseteric hypertrophy

Provisional diagnosis of right masseteric hypertrophy was made, and differential diagnosis included fibroma, lipoma, and parotid tumour.


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[User] what is revolving door flap procedure

A revolving-door (RD) flap was performed to cover the anterior concha defect as a single-stage procedure. The flap was dissected around the periphery and meticulously elevated along a deep plane.


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[User] what is the apixaban plasma concentration

Apixaban plasma concentration was quantified using ultra-performance liquid chromatography-tandem mass spectrometry. The plasma concentration accounted for 1100 ng/ml approximately 3 hours after the last drug intake, revealing an elimination half-life of approximately 31 hours.


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[User] what is the appropriate treatment for sudden vision loss in the left eye

The patient received the appropriate care and had an uneventful inpatient stay. He was ultimately discharged in good condition and will follow up with his primary care physician to continue his ongoing care and management.


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[User] what is the follow-up care plan for acute lymphoblastic leukemia?

The patient is advised to follow a prescribed regimen and to attend regular follow-up appointments with his healthcare provider. Any signs of complications or recurrent symptoms should be immediately reported to the healthcare provider.


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

[User] what is the follow-up care plan for the patient?

Over the following 12 months there was no recurrence of symptoms.


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

[User] what is the follow-up plan after treatment for tuberculosis of the thyroid gland?

The patient will continue with the current treatment regimen and will be monitored closely through outpatient follow-up. Further imaging will be done as necessary to monitor the progress of the disease.


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

[User] what is the follow-up plan for priapism?

The patient was advised to discontinue use of quetiapine and arrange follow-up with his primary care physician. The patient returned to the ED 4 times over the subsequent year.


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

[User] what is the follow-up plan for the patient?

Follow-up Plan: The patient was advised to follow-up with her CT surgeon and take all prescribed medications as scheduled.


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[User] what is the outcome of the carotid artery stenting procedure on the patient's neurological status

After the procedure, the patient had a normal clinical status and neurologic examination. At the 3-month follow-up, the patient remained asymptomatic and without new complications.


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

[User] what is the patient's condition after 6 months of follow-up

The patient will be regularly supervised via clinic appointments to monitor any progress.


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[User] what is the patient's current condition after treatment?

The patient remains free of symptoms and skin condition with no signs of active disease at 14 months of treatment, except for a persistent but decreasing dandruff.


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

[User] what is the patient's current medication regimen?

She has been discharged home and is taking atenolol, amlodipine, and enalapril to manage her blood pressure.


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[User] what is the post-operative care plan for the patient?

Recommendations: Continue with jaw exercises using acrylic screws as directed. Follow-up with the treating physician for further management as needed. The patient is advised to avoid activities that may aggravate the injury and to report any new or worsening symptoms immediately.


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[User] what is the prognosis for patients with aneurysmal interatrial septum

Aortic root dilation and distortion of the interatrial septum were observed, contributing to the shunt. As a result, surgical correction was performed with no recurrence of symptoms observed after 12 months.


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

[User] what is the prognosis of gastric hernia post-laparoscopic abdominoperineal resection for rectal cancer?

No recurrence of hernia was observed within the 20 months of follow-up after surgery.


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[User] what is the treatment for perianal abscess

The patient underwent an emergency operation under lumbar anesthesia in the jackknife position. The swollen site on the left-side buttock was cut, and purulent discharge was drained. Foreign bodies, including a fish bone, were extracted from the abscess cavity. The abscess cavity was irrigated with saline, and an 8 mm Penrose drain was placed.


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[User] what is the treatment plan for DHS with AKI

Treatment: Intravenous fluids replacement and empirical antibiotics. All anti-parkinsonian medications were stopped, and oral clonazepam was started.


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

[User] what is the treatment plan for basal ganglia infarct

As part of the patient's treatment plan, he was started on aspirin therapy, vitamin E and physiotherapy.


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

[User] what is the underlying cause of trichilemmal carcinoma?

The patient was diagnosed with a trichilemmal carcinoma, a rare form of skin cancer that originates in the hair follicles.


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[User] what medications is the patient taking at discharge?

Discharge Medications: Tiotropium, Amlodipine, Olmesartan, Carvedilol, Simvastatin, Levothyroxine, Fluticasone/salmeterol, Escitalopram


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

[User] what treatment did the patient receive for hypertension?

The patient developed arterial hypertension, which was managed by propranolol and captopril.


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[User] what treatments were provided during hospital stay?

During the hospital stay, the patient was closely monitored, and supportive measures were provided. No specific treatments were given.


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[User] what was done to the tooth before fixing it back?

The tooth was rinsed in normal saline, sectioned in a horizontal plane at the level of the cement-enamel junction, and the pulp was extirpated from the cervical area. The crown portion was contoured, and the pulp chamber was etched, followed by application of adhesive and a hybrid resin composite material.


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[User] what was the causative agent of the abscess

Cultures from the abscess grew Streptococcus anginosus.


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[User] what was the cause of patient's loss of consciousness

The patient was hospitalized due to loss of consciousness caused by a hypoglycemic event.


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[User] what was the diagnosis

Discharge Diagnosis: • Abnormal mass in the right cerebellopontine angle • Giant mass in the right thoracic cavity • Cholesteatoma


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[User] what was the diagnosis of the patient?

The diagnosis of AML-M5 with trisomy 6 karyotype was confirmed.


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[User] what was the effectiveness of the treatment?

Symptoms of chorea decreased within one week and disappeared completely within one month. Patient's urine output improved to 1600ml/day and serum creatinine normalized to 1 mg/dl by the sixth day of admission.


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[User] what was the final outcome of the patient's treatment?

She did not tolerate chemotherapy and discontinued all therapy, ultimately passing away.


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[User] what was the follow-up care plan for the neonate after discharge?

Both mother and neonate tested negative for EBOV and were discharged. However, within a few days of discharge, the patient developed a fever and died en route to the hospital after a motorbike accident.


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[User] what was the histological examination result of the specimen?

The specimen was confirmed as the left ureter histologically.


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[User] what was the main cause of patient admission

The patient was admitted to the hospital and diagnosed with a corneal ulcer with +3 conjunctival injection resulting from an injury sustained to the right eye by a blow containing dust.


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[User] what was the main reason for hospital admission?

The patient was admitted to the Department of Cardiology for the evaluation of possible hypertrophic cardiomyopathy (HCM).


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[User] what was the outcome of the patient's PRK procedure

The patient's refractive error was corrected via PRK with no residual refractive errors, complications, or HOA, and the patient was discharged.


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[User] what was the outcome of the patient's cystoscopic examination?

Cystoscopic examination showed irregularity of the mucosa on the posterior wall and an actively bleeding papillary tumor on the left side of the posterior wall.


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[User] what was the outcome of the patient's treatment?

The patient had experienced stable disease for a few months following each course of treatment, but eventually progressed and developed superior vena cava syndrome, and ultimately passed away.


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[User] what was the outcome of the surgical procedure for Brodie's abscess?

At the last follow-up (17 months), the clinical observation showed no signs of adverse reactions to the biomaterial, no clinical, or hematological indices for infection recurrence. Radiographic examinations showed good bone filling of the neocavity without alterations of the growth plate.


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[User] what was the patient diagnosed with?

The patient was diagnosed with rhinoscleroma due to positive sputum cultures that grew K rhinoscleromatis.


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[User] what was the patient's condition after taking tinidazole?

He experienced itching, burning sensation of both upper and lower lips, and external genitalia, along with pain, redness, and excessive watering from both eyes. Local examination revealed blisters on both upper and lower lips.


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[User] what was the patient's condition at discharge

The patient was discharged in stable condition with instructions to follow up with their dentist for further evaluation and management of the condition.


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[User] what was the patient's condition at discharge?

Patient improved significantly during the hospital course and was discharged in stable condition with follow-up appointments with rheumatology and nephrology.


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

[User] what was the patient's condition at the time of discharge?

The patient was discharged in a stable condition.


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

[User] what was the patient's condition upon discharge?

The patient was discharged from the hospital in stable condition and advised to follow up with pediatric dermatology in 4 weeks for a postoperative checkup.


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[User] what was the patient's diagnosis?

He was diagnosed as a case of amoebiasis. The patient was treated with antiallergics, vaseline, and diclofenac locally on lips, lubricating drop instilled six times a day in both eyes, and tinidazole was discontinued.


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[User] what was the patient's initial complaint?

Massive lesion on the left side of the face including eye and ear.


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[User] what was the patient's initial diagnosis

The patient was diagnosed with acute myeloid leukemia (AML), NPM1-mutated, FAB M5 subtype.


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[User] what was the patient's main complaint postoperatively?

The patient was stable but complained of shortness of breath and a sensation of blockage in her neck and chest without radiation to her back, jaw, or arm.


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[User] what was the patient's main complaint?

The patient was admitted with abdominal distention, loose stools, and bilious vomiting.


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[User] what was the patient's treatment outcome

The patient's symptoms gradually decreased, and she became free of symptoms in a month. The parents kept reinforcing the behavioural treatment plan, and they were successful in achieving symptom-free status. The patient has been symptom-free for the past eight months.


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[User] what was the patients diagnosis at discharge?

The patient was diagnosed with an unspecified abdominal condition, which presented with abdominal pain and fever.


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[User] what was the reason for the patient's hospitalization?

Reason for Admission: Anogenital papillomatosis changes. The patient was brought to the Dermatological Clinical Center by the mother with a 7-month history of papillomatosis changes in the anogenital area.


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[User] what was the result of the coronary angiography?

A coronary angiography was performed, showing triple-vessel disease. Successful bypass surgery without extracorporeal circulation was performed a few days later.


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[User] what was the result of the panoramic radiograph?

On panoramic radiograph, both arches had over-retained deciduous teeth with unresorbed roots.


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[User] what was the size of the aneurysm after coil embolization?

CTA was performed and demonstrated metallic coiling in the right renal artery and a 7.5 cm aneurysm without contrast enhancement on arterial or delayed phases of imaging. Subsequent follow-up CTA showed stable size of the excluded renal aneurysm sac


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[User] what was the treatment plan for the patient's COVID-19

The patient was treated with various medications including naproxen, hydroxychloroquine, famotidine, zinc, and neurobion to control the symptoms of COVID-19 and boost the immune system. Additionally, anticoagulant therapy with injected heparin and acetylsalicylic acid tablets were administered along with high-flow oxygen.


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[User] what was the treatment plan for the patient?

The patient was treated with two rounds of induction therapy; the first with cytarabine and daunorubicin and the second with mitoxantrone and high-dose cytarabine (HAM).


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[User] what were the findings during the physical examination?

During physical examination, a hard immobile mass was observed in the left nasal cavity between the deviated nasal septum and the nasal sill. The mass had the appearance and density of a tooth that was later diagnosed as an ectopic tooth.


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[User] what were the findings from the skin biopsy?

Skin biopsy from the erythematous macule revealed vasculopathy involving the small vessels of the superficial plexus. The affected vessels showed abundant collagenous deposit in the wall, showing dilatation, and moderately dense lymphocytic infiltrate around them. Collagenous deposits in the vessel walls were Periodic Acid Schiff positive. No vasculitis or perivascular hemosiderin deposition was found.


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[User] what were the findings of the cardiac magnetic resonance test?

Cardiac magnetic resonance (CMR) was performed for further assessment, which confirmed the thickened anteroseptal myocardium with 23 mm thickness and focal delayed enhancement within the basal anteroseptal segment with mid wall fibrosis. CMR also revealed large myocardial crypts in the anterior wall.


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[User] what were the outcomes of the patient's treatment

Postoperatively, the patient showed significant improvement in the range of motion due to physiotherapy and oral indomethacin. The follow-up was only for 1 month since the patient died from a pulmonary embolism.


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[User] what were the patient's cognitive deficits?

The patient gradually regained consciousness, though she experienced some mild cognitive deficits, including decreased attention and visual memory.


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[User] what were the patient's initial symptoms?

The patient is a 64-year-old Asian male with a history of smoking, who was admitted with progressive exertional dyspnea and was diagnosed with adenocarcinoma of the right middle lobe.


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[User] what were the patient's injuries upon admission?

The patient had an open wound on his forehead, left ear, and left calf, and abrasions at his right forearm.


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[User] what were the patient's lab results?

Labs showed anemia, increased total leucocyte count, neutrophils and lymphocytes, as well as low serum complements.


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[User] what were the patient's main complaints upon presentation?

The patient presented with gross hematuria and clot retention. He did not have any other significant clinical symptoms.


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

[User] what were the patient's main complaints?

The patient presented with a 6-month history of progressive hoarseness and dysphagia, a 15 lb weight loss.


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[User] what were the patient's regular follow-up results?

The patient exhibited no severe arrhythmias or syncope symptoms in her regular follow-up visits.


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[User] what were the patient's results from the follow-up visit

Repeat plasma normetanephrine showed a decrease, but still mildly elevated. The patient's father was also found to carry the same genetic mutation. Incidentally, a female maternal cousin had previously been found to have a PCC.


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[User] what were the patient's symptoms after delivery?

The patient was stable but complained of shortness of breath and a sensation of blockage in her neck and chest without radiation to her back, jaw, or arm.


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[User] what were the patient's visual acuity results at follow-up

Both 1 and 6 months post procedure follow-up showed that the patient's best-corrected visual acuity (BCVA) remained 20/20 in both eyes with no significant refraction or residual refractive errors.


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[User] what were the results of chromosomal studies

Chromosomal studies confirmed the diagnosis of FA. Three chromosomal cultures showed increased chromosome breaks in metaphase chromosomal spreads.


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[User] what were the results of the microscopic examination of the tumor

Microscopic examination of the tumor revealed a low-grade malignancy of the parotid gland with an intracystic papillary growth pattern. Immunohistochemical findings suggested the tumor was positive for S-100 protein, smooth muscle actin, and p63. The Ki-67 proliferation index was less than 5%, and thyroid transcription factor-1 and thyroglobulin were negative.


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[User] what were the results of the patient's chemotherapy?

After 2 cycles, she was switched to carboplatin and etoposide. In spite of these changes, she still could not tolerate chemotherapy. She subsequently developed neutropenic fever, requiring a lowering of the dose and the addition of pegfilgrastim.


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[User] what were the results of the semen analysis?

Upon routine semen analysis, the patient was found to have male infertility with a sperm deformity rate of 99%, sperm viability rate of 9.56%, DFI of 13.58%, and HDS of 15.36%.


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[User] what were the symptoms of acute PQ poisoning?

The patient presented with typical poison-associated symptoms in the mouth and gastrointestinal tract, painful erosions in the oral cavity, and significantly abnormal CT and laboratory test results.


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[User] when to seek emergency care for allergic reactions

She was also given instructions on... the typical signs and symptoms of a severe allergic reaction.


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[User] when was the patient discharged from the hospital?

The patient's general condition gradually improved, and she was discharged from the hospital on POD 16 without complications.


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[User] whipple procedure complications

Despite these difficulties, the surgical team successfully performed a whipple procedure, and pathology reports confirmed adenocarcinoma of the ampulla grade 1. Duodenal gastric and pancreatic margins were free, as were all isolated lymph nodes.


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[User] white matter temporal lobe injury treatment

After a left temporal craniotomy was performed for decompression, a bone defect was found in close relationship with an underlying dural hole, through which the cerebrospinal fluid was observed. The team performed a watertight closure of the dura with temporalis muscle fascia and fibrin glue, and all bone defects were closed with autologous bone and fibrin glue.


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[User] whole-exome sequencing results for newborns

The patient underwent whole-exome sequencing at 2.5 months of age. The results were reported without any major health concerns, surgeries, or hospitalizations.


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[User] why patient did not inject opiates in prison

The patient did not provide a reason why he did not inject opiates in prison but expressed an understanding that injection opiate use would represent a further negative progression of his opiate addiction.


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[User] why was the patient prescribed mitomycin-C (MMC)-augmented trabeculectomy?

The patient was prescribed three glaucoma medications for the left eye, resulting in a drop in intraocular pressure (IOP) to 21 mmHg. However, Mitomycin-C (MMC)-augmented trabeculectomy was performed without complications, and at the one-month postoperative examination, IOP was 17 mmHg without medication.


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[User] wilms tumor symptoms in children

The patient was diagnosed with Wilms' tumor of the right kidney with an extension to the inferior vena cava (IVC) and the right atrium. Contrast-enhanced computed tomography revealed that the tumor was also blocking the ostium of the middle hepatic vein (HV).


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[User] wisdom tooth removal post-operative care

Post-operatively, the patient experienced normal sensibility, and her recovery was uneventful.


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[User] wisdom tooth transplantation post-operative care

The patient was advised to follow up with their primary care provider for any further treatment and care.


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[User] wisdom tooth transplantation procedure

The patient was admitted to the Oral and Maxillofacial Surgery Department for a possible transplantation of a wisdom tooth to replace extraction due to a fracture of tooth no. 46.


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[User] wound healing after emergency surgery

The patient was discharged at 4 weeks with completely healed wound, eating and drinking normally without any sign of aspiration.


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[User] wrist stiffness medication

The patient used to take tablet paracetamol (1 g) to relieve the pain.


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[User] xantho-granulomatous perinephritis treatment

Open biopsy performed in the left perirenal area was consistent with xantho-granulomatous perinephritis without evidence of malignancy and with negative cultures.


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[User] xanthogranuloma diagnosis procedure

Orbital computed tomography with enhancement and ocular examination showed no evidence of skin, periorbital, iris, or posterior segment involvement. Histology and immunohistochemistry: Hematoxylin and eosin-stained sections showed that the mass was a mixed inflammatory lesion, characterized by dense infiltration of epithelioid histiocytes with foamy cytoplasm, lymphocytes, and plasma cells, as well as multinucleated Touton giant cells characterized by a circumferential ring around the nuclei.


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[User] xanthogranuloma recurrence follow-up

The patient has been followed up closely for 12-months, with no sign of recurrence.


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[User] xanthogranulomatous inflammation symptoms

The patient was admitted with complaints of right breast pain and erythematous changes of the skin on her right breast. Examination revealed a right breast tumor at the site of the surgical scar.


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[User] xanthogranulomatous lesion in breast cancer patients

Pathological findings showed a xanthogranulomatous lesion with cystic changes and dense sclerosis without any evidence of malignancy.


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[User] xanthogranulomatous pyelonephritis symptoms

Upon admission, the patient presented with a large, soft, and tender left flank mass. She reported experiencing pain in the area and nonbilious, nonbloody emesis for approximately one week.


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[User] yaws symptoms in children

The patient presents with pruritic, recurrent, scaly papules on the dorsum of the left foot. The skin findings include multiple, dry scaly papules on the dorsum of the left foot and ankle area.


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[User] yew poisoning symptoms cardiac arrest

The patient had a history of recurrent depression and had collapsed non-observedly. Further evaluation showed an alternating broad complex tachycardia and bradycardia with recurrent episodes of asystole. A focused TTE demonstrated spiral ‘vermicular’ movements of the LV myocardium and a severely reduced EF.


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[User] yew poisoning treatment protocol

An ECLS system was implanted under CPR to stabilize the patient haemodynamically, and 400 mg digoxin antibodies (fab fragments) and 200 mL sodium bicarbonate 8.4% were administered IV.


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[User] zinner syndrome diagnosis criteria

The triad of incidental findings made the diagnosis of ZS. This triad includes an obstructing radiodense stone causing upstream hydroureteronephrosis, cystic dilatation of the right seminal vesicle indenting the posterior wall of the urinary bladder, and an 11-mm ejaculatory duct cyst.


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[User] zinner syndrome treatment options

The patient underwent two sessions of extracorporeal shock wave lithotripsy (ESWL) for the stone in the lower calyx of the left kidney. After two months, the stent was removed surgically, and cystourethroscopy was uneventful.


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[User] zoster eruption symptoms

The patient was admitted with a bilateral and symmetrical painful eruption on the upper abdomen that lasted for 7 days. The eruption was preceded by a 2-day history of malaise and low-grade fever.


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[User] zygoma reshaping surgery complications

The patient was followed up for 6 months without suffering any complications.


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[User] α-iduronidase deficiency diagnosis

The patient was diagnosed with MPS type I due to α-iduronidase deficiency after a blood test MS/MS assay.


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[User] α-thalassemia diagnosis and treatment

Gap-PCR revealed a heterozygote of the –α3.7 deletion (–α3.7/αα) and sequencing of the β-globin gene confirmed compound heterozygosity for HbJ-Bangkok and a mutation in the intron 2 region [IVS-II-806(G>C)].


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[User] α-thalassemia symptoms during pregnancy

The patient was admitted to the obstetric clinic for a routine pregnancy check during the first trimester at 12 weeks of gestation. She was found to have mild anemia (Hb level of 118 g/L), hypochromic microcytosis, and a mean cell hemoglobin (MCH) of 26.7 pg and a mean cell volume (MCV) of 78.9 fl.


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[User] β-thalassemia inheritance pattern

The patient and their family were advised to seek genetic counseling and testing, as β-thalassemia is a hereditary disease.


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[User] β-thalassemia major diagnosis criteria

The electropherogram showed a low level of Hb A1 and a high level of Hb F.


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[User] β-thalassemia major symptoms and treatment

The patient presented with a history of pallor and anemia. The electropherogram showed a low level of Hb A1 and a high level of Hb F. Erythrocyte transfusions were administered to the patient at the age of 2 years.


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[User] 原因 of Troponin I elevation

The patient presented to the ER with chest pain after learning about her mother's death, which was mainly retrosternal and continuous. An EKG obtained showed T-wave inversions and positive Troponin I.