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

[User] hereditary neuropathy with liability to pressure palsies symptoms

The patient initially presented to the neurology clinic with weakness in both lower extremities, progressively worsening tingling and numbness, and difficulty in getting up from the chair.


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

[User] hereditary neuropathy with liability to pressure palsies treatment

The patient was advised on the use of appropriate footwear, orthotics, and taking necessary measures to avoid overuse of hands and feet. The patient was also advised on precautions to avoid pressure palsies.


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

[User] hereditary spastic paraplegia symptoms

The patient presented with an abnormal gait. Her lower limbs were spastic with severe weakness (power grade 3), and she had bilateral deformities in the feet.


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

[User] hernia repair surgery complications and treatment

The patient reported to our outpatient clinic with scrotal pain and swelling. Emergency surgery was decided. A large amount of cloudy serous fluid was drained. Left testicle and surrounding soft tissue were significantly necrotic and orchiectomy and debridement of necrotic soft tissue were performed. Antimicrobial therapy and daily debridement sessions were carried out.


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

[User] herpes virus induced progressive outer retinal necrosis symptoms

The patient was admitted with a profound diminution of vision in both eyes, diagnosed as herpes virus induced progressive outer retinal necrosis (PORN). It was noted that there was no associated pain, redness, or floaters.


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

[User] herpes zoster infection symptoms in vaccinated children

The patient presented with a sudden eruption of a papulovesicular rash on the left arm and shoulder, accompanied by a burning pain with an intensity of 7/10, assessed by the patient using the Numeric Rating Scale. The patient also developed a febrile episode within the last 48 hours before referral to our department, which resolved with paracetamol.


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

[User] herpes zoster infection treatment in children

The patient was treated with intravenous acyclovir and analgesic treatment with ibuprofen for five days, to which the patient responded rapidly.


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

[User] heterozygous Factor V Leiden mutation symptoms

The patient is a 33-year-old man with known heterozygous Factor V Leiden mutation and a remote history of deep vein thrombosis who presented with 2 days of mild pleuritic chest pain and a dry cough.


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

[User] hidradenitis suppurativa discharge instructions

Follow-up: The patient is advised to continue practicing meticulous hygiene, attending all follow-up appointments, and notifying the healthcare provider if any recommendations are not followed.


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

[User] hidradenitis suppurativa symptoms

The patient, a 48-year-old female with a history of hypertension, was admitted with more than a 20-year history of recurrent HS affecting both axillae and groins. The patient had meticulous hygiene of the affected areas and had previously been treated with oral and topical antibiotics and steroids with no improvement. On examination, the left axilla showed severe HS with multiple abscesses discharging pus with surrounding induration and scarring.


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

[User] high CPK levels in viral infections

Elevated CPK levels can also occur in viral infections, thyroid conditions, and autoimmune disorders.


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

[User] high flow arteriovenous shunt symptoms

Upon examination, the patient had no light perception in the left eye, an intraocular pressure of 50 mmHg, profound relative afferent pupil defect, severe proptosis, frozen eye, subconjunctival hemorrhage, and periorbital ecchymosis.


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

[User] high grade mixed olfactory neuroblastoma symptoms

The patient presented to the emergency department with a right-sided nasal mass and associated progressively worsening lower right eyelid swelling over the course of several months.


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

[User] high grade pleomorphic sarcoma surgery

A wide excision was planned and carried out with sufficient removal of skin and subcutaneous tissue due to the extracompartimental localization of the sarcoma.


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

[User] high thyroid-stimulating hormone symptoms in infants

The patient was admitted with a high thyroid-stimulating hormone (TSH) level and a low free thyroxine (fT4) level.


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

[User] high voltage electric injury treatment

The patient underwent wound dressing using sulfadiazine silver paste and was given anti-infection and symptomatic supportive care. The wound was debrided and dissected, and a xenobiotic skin dressing was performed on the 6th day of admission. On the 11th day of admission, the wounds were further debrided, and an autologous skin grafting was performed using a right lower trapezius myocutaneous flap to cover the defect at the shoulder and scapular ridge.


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

[User] high-dose corticosteroid therapy in Löffler endocarditis

High-dose corticosteroid therapy was initiated, and the percentage of eosinophils decreased significantly.


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

[User] high-grade clear cell carcinoma symptoms

abnormal vaginal bleeding


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

[User] high-grade ductal carcinoma in situ symptoms

A core biopsy of the right breast showed high-grade ductal carcinoma in situ (DCIS).


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

[User] high-grade neuroendocrine carcinoma symptoms

A 60-year-old male who presented with a 4 cm hilar mass of the left lung, no prior history of malignancy and a long history of smoking.


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

[User] high-risk mono-chorionic diamniotic twin pregnancy complications

There was a significant discordant growth of twins observed, with one fetus having hypoplastic left heart, transposition of the great arteries, and pulmonary atresia.


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

[User] high-risk neural tube defects symptoms

The patient was a 28-year-old second gravida referred with high-risk neural tube defects at 21 weeks of pregnancy.


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

[User] high-velocity crush injury complications

The patient had a large open wound in the anterior aspect of the left knee upon admission to the emergency room. Distal pulses of dorsalis pedis artery and posterior tibial artery were absent, and only femoral pulse was palpable on the injured left lower extremity.


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

[User] hip arthroplasty complications

The patient experienced complications such as recurrent dislocation and an infected revision THA, which were addressed with stem revision and two-stage revision surgery, respectively.


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

[User] hip arthroscopic revision surgery indications

The patient experienced recurrent pain and instability in the right hip joint 1 year after surgery, which led to right hip arthroscopic revision surgery. The detailed course, diagnosis and criteria for treatment in the other hospital are unknown, but the procedure was presumed to be for hip labral tear caused by cam-type femoroacetabular impingement (FAI) resulting from the prior surgical procedures.


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

[User] hip joint dislocation symptoms

The patient was admitted to the emergency department after a road traffic accident. He was diagnosed with an anterior dislocation of the hip joint with fracture neck of femur.


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

[User] hip replacement surgery complications

During the hip replacement surgery, muscular rupture of the posterior two-thirds of the gluteus medius was observed, together with blackening of the periprosthetic tissue with metal debris throughout compatible with metallosis.


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

[User] hip replacement surgery recovery time

Approximately 10 years after the first and 7 years after the second revision operation, the patient is doing fine and fully returned to normal daily activities.


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

[User] hip resurfacing complications

The patient, a 65-year-old male with painful right MOM hip re-surfacing, was admitted to the hospital with high blood metal ion levels. An AP radiograph revealed that the femoral component was loose and the acetabular bone was thin.


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

[User] hirsutism and acne in a pregnant woman symptoms

The patient presented at 28 weeks of gestation with symptoms of facial acne and abdominal and facial hirsutism appearing first at 23 weeks of gestation.


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

[User] histicocytosis treatment protocol

Treatment was initiated with oral prednisolone (40 mg/m2/day) and intravenous vinblastin (6 mg/m2) following the diagnosis. However, this protocol failed, and the treatment was changed to cytosine arabinozid (1 g/m2/day) + chlorodeoxyadenosine (8.9 mg/m2/day) as a rescue protocol.


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

[User] histiocytic sarcoma symptoms

The patient was admitted with a swelling on the left side of the neck.


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

[User] histoid leprosy skin symptoms

The patient presented to the Dermatology Clinic with multiple nodules on the trunk, back, ears, forearms, and thighs. The lesions appeared around one year ago and progressed to other areas of the body. The patient further reported developing episcleritis a year before the skin lesions started appearing.


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

[User] histologic diagnosis after surgery

Histologic diagnosis was confirmed to be osteoid osteoma.


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

[User] histologic evaluation of ulnar artery aneurysm

Histologic evaluation confirmed an ulnar artery aneurysm measuring 1.3 cm in diameter by 1.5 cm in length, containing an organizing thrombus.


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

[User] histological characteristics of benign salivary gland neoplasm

Histologically, the tumor was characterized by the presence of multiple separate cysts filled with amorphous secretory material and numerous needle shape and polyhedral glassy pink crystalloids varied in size and shape.


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

[User] histological diagnosis of cecum mass

The tumor was positive for CD31, FLI-1, and CD34, supporting a diagnosis of KHE. Resected margins and lymph nodes were negative for the tumor.


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

[User] histological examination of ovarian mass

Histological examination revealed the presence of a follicular variant of papillary thyroid carcinoma (0.9 cm) harbored in a mature teratoma.


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

[User] histological examination of the resected specimen

A histological examination of the resected specimen revealed pseudo-pyloric gland metaplasia and Rokitansky-Aschoff sinuses, leading to a diagnosis of acute and chronic cholecystitis without malignancy.


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

[User] histological features of clear cell RCC

These 15 masses had typical histological features of clear cell RCC characterized by a solid to alveolar growth pattern with rich vascular networks and occasional tubule formation.


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

[User] histology report for left colon carcinoma

The histology report demonstrated a signet ring cell carcinoma.


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

[User] histopathologic findings of malignant neoplasm

Histopathologic findings showed a malignant neoplasm covered by stratified squamous epithelium with intracellular black pigment.


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

[User] histopathological diagnosis of the excised femoral head

The anatomic and histopathological studies of the graft showed fibrotic tissue with variable cellular density mainly composed by mature fibroblasts. The femoral head that was excised was also sent to the pathology department, and the final histological report concluded that, in fact, there was histopathological evidence of necrosis of the femoral head.


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

[User] histopathological evaluation of CRCC

Post-surgical histopathological evaluation revealed that the tumor was a biphasic tumor with malignant spindle cells and lacy malignant osteoid intermingled with sarcomatoid areas, in addition to areas of hemorrhage and coagulative necrosis. Epithelial tumor cells were immunoreactive for CK7 and E-cadherin and immunonegative for CD10 and Vimentin. The sarcomatoid areas were immunopositive for Vimentin.


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

[User] histopathological evaluation techniques for suspected juvenile hemangioma

Histopathological evaluation was performed using H and E staining and immunohistochemical analysis for the traditional markers CD 34 and CD 31.


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

[User] histopathological examination of the lesion

Histopathological examination showed islands, chords, and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla.


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

[User] histopathological examination of thyroid tumor

Postoperative pathology reported that tumor cells were arranged in bundles with a high percentage of dense collagen fibers and focal calcification and lymphocytes infiltration seen in the interstitium. Positive for tumor cells vim and smooth muscle actin, negative for Desmin, CD34, CD99, and STAT6 was demonstrated by immunohistochemical staining. Calcified fibrous tumor was diagnosed according to the morphology and immunohistochemical results.


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

[User] histopathological examination of tick bite

Histopathological examination revealed deep embedding of the larval tick's mouthparts, with extension into the conjunctival stroma.


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

[User] histopathological examination results follow-up

The lesion was excised and sent for histopathological examination. The patient is advised to follow up with their primary care physician to monitor their diabetes and overall health.


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

[User] histopathological examination results of the tumor

The patient's tumor was completely excised and found to be pleomorphic adenoma on histopathological examination.


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

[User] histopathological features of trichoepithelioma

The biopsy revealed solid areas resembling basal cell epithelioma, cord-like proliferation of basaloid cells, and other characteristic features of TE.


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

[User] histopathological findings of cerebellar degeneration

Histopathological findings of both cerebellar hemispheres showed degenerative changes with neuronal death, white matter demyelination, and severe Purkinje cell loss. Additionally, decreased granule cell density, and moderate gray matter gliosis were observed.


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

[User] histopathological findings of skin sample

Histopathological examination of a facial skin sample showed chronic and granulomatous findings. Dermal edema, vascular ectasia and lymphohistiocytic inflammatory infiltrates were noted around sebaceous follicles configuring small granulomas surrounded by occasional neutrophils.


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

[User] histopathological findings of vitiligo in dogs

Histopathological findings indicated patchy and sharply demarcated loss of melanocytes in the epidermis and follicular epithelium. There was a mild, perivascular lymphocytic infiltrate with frequent migration of lymphocytes into the epidermis in some areas, particularly in samples from the planum nasale.


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

[User] histopathology of lung mass

Histopathology: FB, lymphocyte interstitial pneumonia (LIP), and abscess. Pathological staining for bacteria, mycobacterium tuberculosis, and fungus were negative.


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

[User] histoplasmosis symptoms in renal transplant recipients

The patient presented with complaints of pain and swelling in the scrotum and fever of one week duration, three years after the transplant. Local examination revealed an enlarged tender epididymis on the right side.


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

[User] history of mitral stenosis symptoms

The patient was a 43-year-old male with a history of mitral stenosis and mitral valve replacement admitted with productive cough and fever.


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

[User] horizontal high signal cleavage in the DLM treatment options

Surgery and postoperative therapy were performed to address the issue.


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

[User] hornet sting symptoms and treatment

The patient was brought to the hospital after experiencing a hornet attack while collecting firewood in a nearby wood. On admission, she had a low blood pressure of 90/50mmHg, and received initial resuscitation with medications such as hydrocortisone, chlorpheniramine maleate and promethazine.


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

[User] how did the patient recover after surgery?

The patient made an uneventful recovery and is well with a normal weight gain at the 6-month follow-up.


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

[User] how does OSP affect calcium and phosphate levels

The nephrologists concluded that the patient developed acute hypocalcemia and hyperphosphatemia secondary to OSP.


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

[User] how does anxiety contribute to trichotillomania

The patient displayed signs of anxiety, and she was observed to be clinging to her mother during her visit.


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

[User] how does chloroquine toxicity affect the retina

OCT showed retinal nerve fiber layer atrophy and irregular RPE signals. However, the central fovea thickness was not decreased to as great an extent as that observed in Patient 1.


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

[User] how does insulin autoimmune syndrome affect fasting blood glucose levels

On admission, his fasting blood glucose level and HbA1c were 62 mg/dL (3.4 mmol/L) and 9.3% (82 mmol/mol), respectively. Total insulin level was extremely elevated at 4500 μU/mL.


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

[User] how does the immunosuppressive treatment impact the patient's COVID-19 infection?

The patient received antiviral treatment with favipiravir and hydroxychloroquine, as well as anticoagulant treatment with the prophylaxis dose. Daily electrocardiogram was taken and QTc was monitored. Thoracic CT showed no regression nor progression, and his diarrhea resolved after five days of antiviral treatment.


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

[User] how does the patient's family history relate to his condition?

The patient, a 17-year-old active male with a family history of optic nerve head drusen and advanced open-angle glaucoma in his father, was admitted to the eye clinic with mild discontinuous headaches and blurred vision in both eyes.


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

[User] how long after total thyroidectomy can a patient return to work?

At his one-year follow-up, he was symptom-free, and he had resumed his job.


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

[User] how long did it take for the patient's biochemical levels to return to normal after surgery

Follow-up visits demonstrated both biochemical cure and lack of symptoms with an unremarkable 42-month follow-up.


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

[User] how long did the patient remain on medications after discharge?

The patient remained asymptomatic on linezolid 300 mg daily and moxifloxacin 400 mg daily for 12 months.


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

[User] how long did the patient stay in the hospital after surgical resection

The patient's postoperative period was unremarkable, and the patient was discharged without complications.


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

[User] how long did the patient survive after treatment of osteosarcoma

The patient after regular follow-up for 1 year was symptom-free with no signs of local recurrence or distant metastasis.


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

[User] how long did the patient take to recover after the Caldwell-Luc procedure?

The patient's condition improved postoperatively, and no recurrent signs were observed during the follow-up period of more than 6 years.


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

[User] how often should the patient have follow-up imaging studies?

The patient should be advised to undergo regular imaging studies to monitor the progression of the disease and any potential metastasis.


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

[User] how to manage diabetes with lifestyle changes

The patient was advised to continue taking medication regularly and maintain a healthy lifestyle. He was also advised to follow up with a general practitioner for regular check-ups. Discharge Instructions: Continue taking prescribed medication regularly as per the instructions of the general practitioner, Follow a healthy diet and avoid sugary and fatty foods, Maintain proper hygiene and take care of the wound, Follow-up with a general practitioner for regular check-ups and advice, Attend lifestyle education classes for managing diabetes


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

[User] how to treat ocular fungal infection with Rhodotorula mucilaginosa

The patient was initially treated with Amphotericin B and natamycin 5% drops, and oral itraconazole 100 mg twice daily. Therapeutic keratoplasty with a donor corneal button was done at Day 7. At Day 18, medical therapy with topical voriconazole (2%) was initiated along with voriconazole lavage of the anterior chamber, which led to resolution of the infection.


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

[User] hrNGF treatment duration for PTCD patients

The patient received hrNGF treatment in the right eye for 8 weeks. Cenegermin 20 μg/mL was administered 1 drop in the conjunctival sac 6 times a day at 2 hourly intervals, from 8 am to 8 pm.


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

[User] hrNGF treatment side effects

The patient's corneal opacity was slightly reduced, and smoothness of the corneal epithelium was improved at the 4-week follow-up visit.


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

[User] human epidermal growth factor receptor 2 positive treatment

The patient was diagnosed with infiltrative ductal carcinoma, estrogen receptor negative, progesterone receptor negative, and human epidermal growth factor receptor 2 positive. The patient was treated with antibiotics for the infection. She is currently undergoing chemotherapy and radiation treatment for stage IV metastatic breast cancer.


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

[User] human metapneumovirus symptoms in immunocompromised patients

The patient, a 51-year-old woman with a history of HIV, obstructive sleep apnea, and intravenous drug use, presented with a one-week history of pleuritic chest pain, shortness of breath, wheezing, and subjective fever associated with a productive cough with yellow sputum.


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

[User] human papillomavirus positive basaloid SCC treatment options

The patient was initially hesitant about undergoing surgery or systemic treatment, but agreed to undergo cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) to manage her recurrent AC.


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

[User] humeral splints diagnosis procedure

The patient underwent several imaging scans, including a plain radiograph, magnetic resonance imaging (MRI), and computed tomography (CT). The plain radiograph showed cortical thickening along the lateral aspect of the distal third of the left humeral diaphysis. The MRI revealed a linear area of high signal intensity at the periosteal side of the humeral shaft as well as adjacent muscle edema at the insertion of the brachialis muscle on Fat suppressed (FS) T2-weighted image. Subsequent CT excluded an osteoid osteoma and confirmed focal cortical thickening with solid periosteal reaction. Based on these imaging findings, the diagnosis of humeral splints was made.


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

[User] humerus fracture treatment options

Humerus fixation was performed with an interlocking nail, followed by clavicle fixation with a reconstruction plate and reconstruction of coracoclavicular ligaments for acromioclavicular joint stabilization.


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

[User] hump-nosed viper snakebite symptoms

On admission, she had swelling and blistering below the left ankle.


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

[User] hyaluronic acid injection complications

The patient had a history of receiving HA injection five years previously and was not known for allergy. Following Voluma and Volift injections in the cheeks, mandible and chin, the patient reported a sore throat on the following day.


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

[User] hydatid cyst complications

The patient was initially diagnosed with hydatid cyst with choledocholithiasis and was managed with endoscopic retrograde cholangiopancreatography (ERCP), common bile duct (CBD) clearance, and stenting of the bile duct elsewhere. Later he developed recurrent cholangitis due to stent block and was managed surgically with open choledochotomy and extraction of hydatid cyst and T-tube drainage in another hospital.


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

[User] hydatid cyst diagnosis

Coronal thoracic CT scans and MRI revealed a lytic lesion with vertebral destruction that had extended to the paravertebral tissue of T9 T12. A cystic mass of 5 × 2.9 cm diameter was located in the posterior mediastinum at the level of T11. Histopathological examination revealed a hydatid cyst.


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

[User] hydatid cyst diagnosis methods

Hydatid serology was negative. No history of prior surgery for a hydatid cyst in any other organ was reported. To confirm the diagnosis of hydatid cyst and demonstrate the relationship of cyst to adjacent organs, Magnetic Resonance Imaging (MRI) and computed tomography (CT) were performed.


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

[User] hydatid cyst postoperative care

The patient was administered 15-20 mg/kg daily albendazole for two postoperative months, and no postoperative complications or recurrence occurred. The patient is currently on postoperative month 18.


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

[User] hydatid cyst recurrence rate after treatment

The patient did not experience any postoperative complications or recurrence occurred. The patient is currently on postoperative month 18.


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

[User] hydatid cyst symptoms

The patient presented with back pain, progressive weakness, and numbness in both legs and difficulty in walking. Physical examination revealed a spastic paraparesis and hypoesthesia below L1.


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

[User] hydatid cyst treatment plan

The decortication procedure was performed with cystotomy and the patient was discharged on the seventh day after the surgery. Albendazole was started at the dose of 10 mg/kg as a postoperative prophylactic measure to prevent recurrence of the condition.


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

[User] hydranencephaly diagnosis

The pattern of hydranencephaly was observed due to the presence of two large fluid-filled cystic cavities bounded by a thin rim of brain tissue that was found in the cerebral hemisphere.


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

[User] hydrocortisone dosage during adrenal insufficiency

Hydrocortisone was administered both intravenously and orally, with fludrocortisone added for mineralocorticoid replacement to manage adrenal insufficiency.


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

[User] hydrocortisone dose for adrenal damage

Intravenous hydrocortisone was administered at a dose of 50mg three times a day for five days, followed by maintenance oral dosing of 20mg in the morning and 10mg in the afternoon.


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

[User] hydronephrosis symptoms in toddlers

The patient, a two-year-old girl, was admitted electively due to incidentally discovered hydronephrosis and abdominal pain concerns.


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

[User] hydroxyapatite grafting procedures

Regenerative therapy with hydroxyapatite grafting was carried out, and flaps were approximated with direct sutures.


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

[User] hydroxycarbamide dosage for essential thrombocythemia

The patient was discharged with a prescription of hydroxycarbamide 500 mg every other day, which has managed to keep her platelet count stable at around 500 × 10^9/L.


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

[User] hydroxychloroquine retinopathy treatment options

The patient was counseled on the diagnosis of hydroxychloroquine retinopathy and advised to discontinue the medication. The patient was referred to rheumatology for alternative treatment options for lupus erythematosus.


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

[User] hydroxyurea treatment for chronic neutrophilic leukemia

The patient was managed with hydroxyurea, which was administered to control the leukocytosis.


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

[User] hyper-CVAD regimen side effects

On the seventh day after completion of chemotherapy, the patient's temperature was noted to be 36.6oC, heart rate was 141 beats per minute, and blood pressure dropped to 74/54 mm Hg. Laboratory testing showed decreased white blood cell (WBC) and hemoglobin (HB) and platelet (PLT) counts. Creatinine kinase (CK) and creatinine levels were elevated.


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

[User] hyperbaric oxygen therapy for preeclampsia

The patient was offered an experimental treatment but received only hyperbaric oxygen therapy due to the unavailability of an appropriate amino acid solution. After receiving HBO with 1.4 atmospheres absolute for 50 minutes, the patient complained of uterine contractions that were treated with iv tocolysis.


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

[User] hypercalcemia diagnostic tests

Various causes of hypercalcemia were excluded including primary hyperparathyroidism, hyperthyroidism, malignancy, sarcoidosis, tuberculosis, and granulomatous diseases. Syndrome of apparent mineralocorticoid excess (SAME) was considered as a possible diagnosis


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

[User] hypercalcemia in pediatric patients

Blood tests revealed an elevated hemoglobin level and mild thrombocytosis, along with hypercalcemia, hypercalciuria, and microscopic hematuria.


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

[User] hypercalcemia symptoms

The patient presented with complaints of generalized bone pain and muscle weakness. Laboratory testing revealed abnormalities consistent with hypercalcemia and hypophosphatemia.


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

[User] hypereosinophilic ANCA-negative vasculitis treatment

Treatment started with oral prednisone of 1 mg/kg daily and azathioprine. The patient was seen in the outpatient department, two weeks postdischarge, where his ischemic symptoms improved, and his skin rash healed.


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

[User] hypereosinophilic vasculitis follow-up care

The patient was seen in the outpatient department, two weeks postdischarge, where his ischemic symptoms improved, and his skin rash healed. The patient maintained his remission on a 2-year follow-up, with no active lesions despite an eosinophil count of more than 1.5 K/μL during this period.


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

[User] hypergalactosemia treatment

Though lactulose had been used to treat hyperammonemia, serum ammonia levels were still high.


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

[User] hyperglycemic-hemichorea syndrome symptoms

The patient was admitted due to involuntary, abrupt, and purposeless movement of left upper and lower limbs, and difficulty walking that were getting worse over the last two weeks. He had hyperkinetic dance-like movements in the left limbs, which partially suppressed by rest and totally disappeared during sleep.


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

[User] hyperparathyroidism diagnosis

Laboratory tests confirmed primary hyperparathyroidism with high parathyroid hormone levels.


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

[User] hyperparathyroidism treatment options

She underwent resection of all four parathyroid glands and the clinical diagnosis of MEN1 was made and genetic analysis was performed.


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

[User] hyperprolactinemia and amenorrhea treatment

The patient was started on 100 μg/day of levothyroxine (L-T4), on an empty stomach in the morning.


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

[User] hypertension and proteinuria symptoms

The 16-year-old female patient with a history of hypertension and persistent proteinuria >2 g/day was admitted to our hospital due to worsening dyspnoea.


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

[User] hypertension treatment for patients undergoing surgery

He had been treated for hypertension with a beta-blocker for 4 years, although he had no other cardiovascular disease.


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

[User] hypertension-induced stroke symptoms

The patient presented to the ED with complaints of right arm weakness. CT scan and MRI of the head were both negative for any acute intracranial hemorrhage, but a tiny curvilinear focus of restricted diffusion was noted in the left frontal/insular region, likely due to recent cortical infarct.


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

[User] hypertensive anterior uveitis diagnosis tests

Extensive uveitis workup was negative. IgG for HSV, VZV, CMV, and rubella viruses were positive, but with negative IgM for these viruses. PCR results were positive for CMV, along with mild inflammation in the anterior chamber (AC) and sparse nummular keratic precipitates (KPs).


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

[User] hypertensive anterior uveitis treatment

The patient was treated with topical 0.15% ganciclovir gel and dexamethasone drops, which showed a successful clinical response.


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

[User] hypertensive retinopathy symptoms

The patient was admitted with raised intraocular pressure and hypertensive retinopathy. The patient's diagnosis was malignant hypertension with bilateral retinal haemorrhages and absent left renal artery.


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

[User] hypertensive thalamic bleed treatment options

The surgical options of stereotactic thalamotomy or deep brain stimulation of thalamus were also discussed with family, but they opted to continue with medical management only.


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

[User] hyperthyroidism treatment options

Surgery was considered at first but was abandoned due to the location and high vascularity of the thyroid gland. The patient was then administered with radioactive iodine, and her thyroid function gradually returned to normal.


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

[User] hypertrophic cardiomyopathy diagnostic criteria

The diagnosis of HCM was confirmed in a genotype and phenotype positive patient.


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

[User] hypertrophic cardiomyopathy symptoms

The patient had no complaints like dyspnea, chest pain, fatigue, or edema.


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

[User] hypertrophic cardiomyopathy treatment

A cardiac ultrasound revealed hypertrophic cardiomyopathy (HCM) with IVSd 8 mm, which was mild on a later cardiac ultrasound.


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

[User] hypertrophic obstructive cardiomyopathy symptoms

The patient was admitted to the emergency room with sudden dyspnea and orthopnea. She had a blood pressure of 110/70 mmHg, a regular pulse of 134 beats per minute, and a respiratory rate of 34 per minute with 68% of partial oxygen saturation.


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

[User] hypertrophic scar treatment after breast surgery

The patient was instructed to continue with topical silicone gel treatment to aid the healing of the hypertrophic scar on the right breast.


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

[User] hypochromic microcytic anemia causes

The patient was diagnosed with hypochromic microcytic anemia.


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

[User] hypofractionated radiation therapy side effects

The patient underwent hypofractionated radiation therapy with concomitant low-dose weekly paclitaxel (25 mg/m2) on bone tumors.


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

[User] hypogonadotropic hypogonadism symptoms

She remained amenorrhoeic despite undergoing partial pubarche and thelarche. Basal hormonal evaluation revealed low serum oestradiol, high serum prolactin, suppressed LH and FSH levels. Anterior pituitary function was normal, including normal thyroid function and a normal short synacthen test.


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

[User] hypogonadotropic hypogonadism symptoms in adolescents

The patient suffered from hypogonadotropic hypogonadism, secondary adrenal insufficiency, central hypothyroidism, and absolute growth hormone deficiency. The absence of spontaneous pubertal development led to the initiation of Estradiolvalerate treatment.


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

[User] hyponatremia causes in psychiatric patients

Hyponatremia secondary to psychiatric medication use, with secondary adrenal insufficiency. Sodium levels were monitored and treated with low-dose prednisolone due to secondary adrenal insufficiency caused by the psychiatric drugs.


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

[User] hyponatremia secondary to SIADH symptoms

The patient was brought to the emergency department with symptoms of mental confusion and reports of frequent falls.


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

[User] hypoosmolar hyponatremia symptoms

The patient was brought in by emergency medical services after ingesting a brown liquid in a suspected suicide attempt. The patient presented with a mildly secondary respiratory acidosis. The patient showed signs of hypoosmolar hyponatremia.


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

[User] hypoparathyroidism treatment

Hypoparathyroidism diagnosed 8 years prior to admission, isolated hepatic calcification was incidentally found, which may have been due to hypoparathyroidism.


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

[User] hypoperfusion symptoms in bilateral anterior and medial frontal lobes

DG, a 79-year-old female, presented with widespread musculoskeletal pain and fatigue, along with other physical symptoms such as dizziness, tension headache, tinnitus, cold feet, dry mouth, and difficulty swallowing.


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

[User] hypopharyngectomy postoperative care

The patient was transferred postoperatively to the ward, where O2 was maintained via simple mask delivery. Conservative care without antibiotic therapy was given, and the patient remained hemodynamically stable without complications related to the aspiration.


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

[User] hypopharyngectomy recovery time

The patient was discharged on postoperative day 12 without complications related to the aspiration.


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

[User] hypopigmented spots in the perifovea area treatment

The patient was given 1% tropicamide and 2.5% phenylephrine for dilation. The patient was discharged with instructions to return in two months for dilation and Cirrus optical coherence tomography of the left eye.


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

[User] hypopigmented streaks causes

The patient was admitted to our department for evaluation of hypopigmented streaks on the right leg and trunk, which were initially noticed at 3 months of age after sun exposure.


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

[User] hypopigmented streaks treatment

Given the information provided, there is no additional need for further treatment or specialized medical intervention, and the patient was discharged from the department in good health with instructions to continue regular checkups with a pediatrician.


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

[User] hypopituitarism diagnosis

Hypopituitarism with characteristics of CDI, central hypogonadism, and central hypothyroidism were diagnosed based on laboratory tests and imaging.


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

[User] hypopituitarism treatment options

Replacement therapy consisting of levothyroxine and DDAVP (150 μg/day) was initiated immediately following diagnosis.


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

[User] hypoplastic AI treatment options

Patient underwent a three-phase treatment plan based on priorities of dental sensitivity, masticatory function, cross-bite malocclusion, and aesthetics: preventive treatment, orthopedic treatment for 6 months, and rehabilitation treatment.


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

[User] hypoplastic left transverse sinus symptoms

The patient presented with medication-refractory headaches and pulse-synchronous tinnitus. She was diagnosed with hypoplastic left transverse sinus and stenosis of the dominant right transverse sinus.


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

[User] hypoplastic leukemia treatment regimen

The patient was diagnosed with hypoplastic leukemia and treated with low-dose cytarabine and aclarubicin in combination with G-CSF (CAG regimen).


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

[User] hyporexia treatment pediatric patient

The patient was discharged and instructed to discontinue the consumption of pomegranate juice. Feeding guidelines were provided to the parents.


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

[User] hypothermia treatment plan

The patient was treated with intravenous normal saline, ceftriaxone, and azithromycin. He was also warmed up with a warming blanket.


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

[User] hypothermic cardiac arrest symptoms

The patient developed recurrent VF, and m-CPR was initiated during transport. The patient's core temperature was noted to be 24°C.


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

[User] hypothyroidism diagnosis criteria

Based on the investigations, the patient was diagnosed with multiple endocrine insufficiencies, including Addison's disease, hypothyroidism, and primary ovarian failure.


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

[User] hypotony maculopathy symptoms

The patient presented to our service with reduced vision in the left eye following a work-related projectile injury.


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

[User] hypoxic respiratory failure causes

The patient presented with hypoxic respiratory failure after a month of progressive dyspnea. On admission, chest X-ray revealed patchy opacities in the bilateral lower bases, left more than right.


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

[User] hysteroscopic myomectomy complications

During the procedure, glycine 1.5% was infused for distension of the uterine cavity and better visualization during hysteroscopy. Following the procedure, she complained of visual loss and nausea, vomiting, and complete bilateral blindness an hour after recovery in the PACU. A presumptive clinical diagnosis of glycine toxicity was made, and the patient was reassured that the blindness was a transient phenomenon.


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

[User] iatrogenic Cushing syndrome symptoms

The 82-year-old female patient was admitted to the emergency department with dyspnea and generalized weakness.


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

[User] iatrogenic aortic dissection symptoms

The patient experienced severe chest pain, and the procedure was suspended immediately.


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

[User] iatrogenic biliary cirrhosis symptoms

Admitted: 32-weeks' gestation for shortness of breath, midepigastric pain, and persistent nausea/vomiting.


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

[User] iatrogenic fracture of the proximal femur treatment

Based on previous experiences with obese patients, the medical team chose to maintain a vertical trajectory approach during nail insertion and fully reamed the proximal femur canal.


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

[User] iatrogenic gastric perforation treatment

Wedge resection of gastric perforation site, massive irrigation with normal saline for contaminated thoracic cavity, and chest tube drainage were performed.


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

[User] iatrogenic jaundice causes

The diagnosis of iatrogenic jaundice was made, likely induced by azithromycin, and confirmed by a liver biopsy.


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

[User] idiopathic HES symptoms

The patient was admitted to our department of hematology due to marked eosinophilia, multiple lymphadenopathy, and splenomegaly.


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

[User] idiopathic HS treatment options

The child and his parents were advised of the benign nature of this condition and were advised to attend regular follow-ups without medication.


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

[User] idiopathic accelerated gastric emptying symptoms

The patient presented to our facility with a four-month history of epigastric distension and pain soon after eating associated with a change in bowel habit. She experienced intermittent diarrhea, which on occasions was severe. She also reported marked fatigue and intermittent nausea and sweating.


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

[User] idiopathic dilated cardiomyopathy treatment

The patient was treated with intravenous inotropes, extracorporeal membrane oxygenation (ECMO) and intra-aortic balloon pumping (IABP). An external LVAD (AB 5000, ABIOMED, Danvers, MA, USA) was implanted. After surgery, she was given carvedilol, enalapril, and bromocriptine for 2 weeks and 6 weeks, and underwent rehabilitation.


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

[User] idiopathic encephalitis diagnosis

The patient received a presumptive diagnosis of idiopathic encephalitis and was treated empirically with intravenous methylprednisolone followed by a prednisone taper.


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

[User] idiopathic granulomatous lung disease diagnosis

The biopsy findings suggested that the patient had chronic, idiopathic granulomatous lung disease, and the decision was made to start the patient on a moderate dose of prednisone and taper her dose over 6 months.


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

[User] idiopathic guttate hypomelanosis repigmentation timeline

After treatment, the patient achieved good repigmentation on small macules, and larger macules continued to improve. The patient received combination treatments for a further six sessions.


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

[User] idiopathic guttate hypomelanosis treatment outcome

After treatment, the patient achieved good repigmentation on small macules, and larger macules continued to improve.


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

[User] idiopathic hypercalciuria treatment plan

Prednisolone therapy was initiated and resulted in rapid decrease in serum calcium levels and synchronous decrease in PTH levels. Hypercalcemia relapsed several months later and was controlled with cinacalcet therapy in combination with prednisolone. Prednisolone was tapered off and monotherapy of cinacalcet was continued.


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

[User] idiopathic hypereosinophilic syndrome treatment

The patient's medications were stopped, and his dialyzer membrane was changed from polysulfone to cellulose triacetate, but his intradialytic hypotension and pruritus did not improve. Therefore, oral prednisolone was started on the 9th day of hospitalization, and his intradialytic hypotension and pruritus were immediately ameliorated.


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

[User] idiopathic hypoparathyroidism symptoms

The patient presented with Chvostek's and Trousseau's signs, and jerky movements of the right hand resembling choreoathetosis.


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

[User] idiopathic intracranial hypertension symptoms

The patient was admitted with severe headache, nausea, vomiting, and blurred vision. On examination, bilateral papilledema and severe concentric visual field constriction were observed.


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

[User] idiopathic membranous glomerulopathy symptoms

The patient presented with edema, hypertension, and elevated creatinine levels. He discontinued treatment after one year and has since reported continued improvement without symptoms of membranous nephropathy.


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

[User] idiopathic membranous glomerulopathy treatment

The patient was diagnosed with idiopathic membranous glomerulopathy and began treatment with olmesartan and simvastatin. After the disease progressed, he was treated with cyclosporine A and prednisone, which were subsequently discontinued due to complications. The patient then received mycophenolate, but only took it as prescribed during the last 3 months of treatment. The patient's condition improved and he agreed to try Acthar, which was self-administered subcutaneously.


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

[User] idiopathic membranous nephropathy symptoms

The patient presented with nephrotic syndrome caused by biopsy-proven idiopathic membranous nephropathy. She presented with a non-productive cough and dyspnoea after receiving monthly bolus cyclophosphamide without PJP prophylaxis.


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

[User] idiopathic neuroretinitis diagnosis

The slit-lamp examination disclosed a cellular vitreous humor but clear anterior segment on the right. Fundus examination of the right eye revealed an optic disc with blurred margins and hyperemia and star-shaped hard exudates distributed in the macula.


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

[User] idiopathic neuroretinitis treatment

The patient was diagnosed with idiopathic neuroretinitis and administered oral prednisolone for three weeks.


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

[User] idiopathic nodular glomerulosclerosis treatment

The patient was discharged on telmisartan and advised regular follow-up.


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

[User] idiopathic pulmonary arterial hypertension symptoms

The patient, a 43-year-old woman with idiopathic pulmonary arterial hypertension (IPAH) and a recent history of right heart failure, was admitted to the hospital with worsening symptoms including massive ascites, peripheral edema, oliguria, and hypotension.


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

[User] idiopathic pulmonary fibrosis symptoms

The patient was admitted with a 1-year history of progressive dyspnea. The patient had digital clubbing and bibasilar end-inspiratory crackles on auscultation. Pulmonary function tests demonstrated a severe restrictive defect marked by oxygen desaturation to 83% after the 6-minute walk test even with 2 liters of oxygen supplementation.


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

[User] idiopathic retinal vasculitis symptoms

An 18-year-old male presented with sudden onset right eye visual disturbances including decreased vision, phosphenes, and central scotoma.


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

[User] idiopathic retroperitoneal fibrosis symptoms

The patient presented with lower abdominal pain, decreased bowel movements, and low-grade fevers. One month later, the patient complained of epigastric pain, nausea, vomiting, fatigue, anorexia, decreased urine output, and weight loss.


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

[User] idiopathic sialoadenosis treatment

The patient was prescribed fluoxetine and pregabalin as well as rational psychotherapy and cognitive-behavioural therapy. The patient's condition improved significantly, and the vomiting ceased, and her parotid gland decreased in size.


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

[User] ileo-colic intussusception symptoms

The patient presented with severe intensity of pain, abdominal distension, nausea, and vomiting. Upon physical examination, the patient was found to have a soft, distended abdomen with increased peristalsis and diffuse pain upon palpation.


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

[User] ileocecal intussusception symptoms

The patient presented with progressive lethargy and hypertension. Blood pressure was elevated at 135/95 mm Hg on all four extremities.


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

[User] ileocecectomy with enterocolonic anastomosis risks

The patient returned to the operating room the following day, where an ileocecectomy with enterocolonic anastomosis was performed because the terminal ileum was found to be nonviable.


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

[User] ileum perforation treatment

An emergency surgery was performed due to perforation of the ileum and ischemic necrosis of the small intestine. The patient received high-dose vasopressor and inotropic treatment, broad-spectrum antibiotics, fluid resuscitation, mechanical ventilation, and continuous renal replacement therapy to maintain adequate blood pressure and organ perfusion.


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

[User] ileum stenosis diagnosis

Abdominal radiography and CT showed small bowel dilation and stenosis of the ileum with a small bowel dilation on the oral side from the region of stenosis.


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

[User] iliopopliteal dvt symptoms

The patient presented to the emergency department with painful swelling in his left leg and reported numbness and weakness. Physical examination showed purplish discolorization of the leg with detectable pulses.


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

[User] iliopopliteal dvt treatment options

Immediate IV heparin was administered and an urgent venous thrombectomy was performed under local anesthesia, providing pain relief. Anticoagulation therapy was prescribed for six months.


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

[User] imaging studies for autoimmune pancreatitis

Abdominal sonography and computed tomography showed an enlarged sausage-like pancreas consistent with AIP.


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

[User] imaging studies for diagnosis and follow-up

Contrast-enhanced CT scans showed mild cervical lymphadenopathy, bilateral multi-lobar ground glass opacities consistent with pneumonia, a right-sided paravertebral mass near T9, and mediastinal and mesenteric lymphadenopathy. Repeat imaging showed resolution of the paravertebral mass and mediastinal lymphadenopathy, with small residual pulmonary nodules.


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

[User] imaging tests for mandibular fractures

Optical projection tomography and computed tomography scan were performed to identify the fracture site.


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

[User] imatinib therapy side effects

However, imatinib was discontinued after 6 months due to pancytopenia. Acute cardiac toxicity required suspension from treatment. Medication was stopped when his heart rate dropped below 45 beats per minute and was replaced by amphotericin B regimen.


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

[User] imidacloprid toxicity treatment

The patient received forced emesis, atropine, and pralidoxime before being administered haloperidol to manage agitation.


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

[User] imiquimod cream application schedule

The patient was treated with imiquimod cream, which was applied three times per week.


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

[User] immediately loaded implant screw-retained fixed prosthesis procedure

The patient agreed to an immediately loaded implant screw-retained fixed prosthesis, and underwent implant surgery with 6 implants inserted. Abutments were attached and impressions were taken for the definitive metal framework, which was fabricated and evaluated for passive fit.


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

[User] immunoadsorption treatment for cerebellar ataxia

The patient was treated with plasma separation by immunoadsorption, which led to subtle improvement of gait ataxia. Extended treatment with further cycles of immunoadsorption eventually resulted in remarkable improvement of gait which allowed the patient to walk without her walking frame.


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

[User] immunoglobulin treatment for ITP secondary to vaccination

The patient was treated with high-dose dexamethasone and intravenous immunoglobulin (IVIG) immediately upon diagnosis. Her platelet counts improved to over 100,000 platelets/μL 6 days after treatment.


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

[User] immunohistochemical stains for Paget cells

Immunohistochemical stains revealed the presence of CEA, Cam 5.2, epithelial membrane antigen, cytokeratin (CK) 7, and pancytokeratin (AE1/AE3) in both areas. Gross cystic disease fluid protein (GCDFP-15) was also strongly expressed in the Paget cells.


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

[User] immunohistochemistry results trichilemmal carcinoma

Immunohistochemistry (IHC) studies showed that the tumor was negative for a cluster of differentiation (CD) 34, but staining with p53 was strongly positive. The tumor also showed pronounced cytokeratin 17 (CK 17) expression, while CK 7 expression was not detected.


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

[User] immunophenotyping results for AML-M5

Immunophenotyping by 6-color flow cytometry showed blast populations of cells that were positive for CD13, CD33, CD34, HLA-DR, cMPO, CD64, and CD10.


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

[User] immunosuppression medication side effects

The patient was currently on medications for immunosuppression. Due to known side effects, the dose of voriconazole was reduced.


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

[User] immunosuppression therapy for pSS-associated cerebellar ataxia

The patient received 2 doses of intravenous cyclophosphamide for pSS-associated cerebellar ataxia.


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

[User] immunotherapy side effects symptoms

Five days following the first cycle of combination immunotherapy, the patient developed diplopia, proximal muscle weakness/myalgias, abducens nerve, upward, and downward gaze palsies, along with an unsteady gait, and a diffuse rash.


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

[User] impact of HCV infection on the patient's condition

HCV infection treated successfully


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

[User] impact of cyclosporine treatment on LVEF

Cyclosporine treatment was started and the patient's LVEF and LV-GLS improved after 1 month.


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

[User] impact of falling on vertigo patients

She had fallen once and was unable to carry out her daily chores. However, medical and neurological examination showed normal results.


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

[User] impact of oseltamivir on COVID-19 symptoms

Oseltamivir was continued but there is no direct information about its impact on symptoms in the note.


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

[User] impact of percutaneous left nephrostomy procedure on the patient's kidney function

A percutaneous left nephrostogram revealed a previously unrecognized mild hydronephrosis/hydroureter with obstruction at the ureterovesical junction. After the procedure, the left nephrostomy tube was internalized, and the serum creatinine level decreased to 107.0 μmol/L after 3 weeks.


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

[User] impact of travel history on diagnosis

During the patient interview, it was revealed that the patient had frequently travelled to countries where cysticercosis was endemic. Based on this information, the treating physicians suspected cysticercosis, although DNA analysis from biopsy specimens and serum immunoblotting assay were negative.


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

[User] impact of vitamin C deficiency on wound healing

Due to his history of malnutrition, vitamin C levels were tested and found to be low. Ascorbic acid was prescribed, and within a few weeks, the patient demonstrated an improvement in alertness and mood. He regained his ability to mobilize independently with a frame, and the bruising subsided.


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

[User] impacted canine symptoms

The patient was diagnosed with a missing upper left permanent canine (23), which was impacted, with the adjacent lateral incisor (22) having slight mobility and mild inclination and 50% root resorption.


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

[User] impacted premolar treatment

After discussion with the orthodontist, it was decided to extract tooth 15 and surgically expose the impacted premolar for orthodontic extrusion.


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

[User] impacted tooth extraction procedure

The patient underwent surgical removal of both mesiodentes under local anesthesia. The palatally erupted mesiodens was extracted first, followed by the impacted tooth. Hemostasis was achieved and the surgical area was sutured with nonresorbable black silk suture.


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

[User] impacted tooth removal procedure

Over a period of 9 months, the tooth and the lesion gradually emerged and underwent five step lesion excavations.


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

[User] impacted tooth surgical removal procedure

An incision was made, and the impacted tooth was surgically removed and placed in saline. The tooth socket was prepared, and the extracted impacted tooth was transplanted into the fresh socket.


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

[User] imperforate anus with rectourethral fistula treatment

Posterior sagittal anorectoplasty was performed before discharge. Cystostomy was performed on the first day.


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

[User] implant procedure after orthodontic treatment

Temporary acrylic crowns were adapted over conventional dental implants on both sides of the lower arch 6 months after orthodontic brackets were bonded. Maxillary implants were inserted after orthodontic space opening.


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

[User] implant restoration treatment outcomes

The clinical and radiographic appearances at three months show good aesthetic result and acceptable osseo-integration of the implants.


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

[User] implant retention after dental implant surgery

The implants demonstrated successful retention. The patient's oral health condition improved significantly following treatment.


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

[User] importance of cord blood gas testing in labor

No high-risk factors were noted during labor, and cord blood gas testing was not performed due to unavailability at the community unit.


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

[User] importance of family therapy in the care plan

It was suggested that family therapy also be considered in this care plan to address the disruption of the relationship between the patient and her mother.


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

[User] importance of follow-up care after placenta accreta diagnosis

The placenta was left in situ due to minimal uterine bleeding and the patient's desire to preserve fertility.


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

[User] importance of regular dental screening

The patient was advised to attend regular dental screening appointments.


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

[User] in-stent restenosis risk factors

At three months after discharge, colour Doppler ultrasonography revealed no in-stent restenosis at the site of stent implantation. At twelve months, the CTA revealed no ISR as well.


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

[User] in-stent restenosis treatment options

Endovascular therapy was undertaken using bare nitinol self-expanding stents which initially resulted in successful outcomes. However, repetitive balloon angioplasty was necessary every 6 months after the initial procedure due to repetitive in-stent restenosis. The patient underwent NSE PTA 5.0-40 mm balloon and Senri 5.0-100 mm balloon for focal in-stent restenosis at middle SFA and diffuse in-stent restenosis at the distal SFA respectively.


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

[User] incarcerated right groin hernia symptoms

The patient was admitted to the hospital with signs of an incarcerated right groin hernia, which was later found to be associated with acute appendicitis.


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

[User] incomplete Kawasaki disease symptoms

The patient presented with high-grade fever and jaundice, which is consistent with an incomplete form of Kawasaki disease (KD). Clinical criteria were incomplete, presenting only with bilateral bulbar conjunctival injection and desquamation on the tips of fingers.


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

[User] incomplete root canal treatment symptoms

A 30-year-old female patient has been referred to our private office with severe spontaneous pain and tenderness to percussion in the right mandibular region.


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

[User] increased fetal nuchal translucency symptoms

Fetal magnetic resonance imaging and ultrasonography performed at 27 weeks and 3 days of gestation revealed increased nuchal translucency and mild polyhydroamnios.


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

[User] increased intraocular pressure symptoms

The IOPs were measured at 38.1 mmHg and 35.7 mmHg in the right and left eyes, respectively.


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

[User] indications and procedure for hemoperfusion

She underwent antimicrobial and anti-COVID-19 treatment followed by hemoperfusion.


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

[User] indications for iron supplements in anemia

The patient was evaluated for bleeding diathesis, and laboratory studies revealed hypochromic and microcytic red blood cells and low ferritin levels. Iron deficiency anemia was treated with oral therapy.


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

[User] indications for skeletal maxillary expansion

The MSE appliance with four miniscrews was placed on the palate, and the device was activated at a rate of two turns per day until the required expansion was achieved.


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

[User] indolent systemic mastocytosis symptoms

The patient reported to have generalized hyperpigmented cutaneous lesions with a wheal-and-flare reaction after scratching and exposure to warm and hot baths. He also experienced associated lightheadedness after exercise and bathing in hot water.


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

[User] induction therapy for multiple myeloma

The patient was initiated on induction therapy with carfilzomib, lenalidomide and dexamethasone for a total of five cycles prior to planned autologous stem cell transplant.


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

[User] infant diabetes treatment options

The patient received anti-infection therapy, insulin infusion, and MII during hospitalization. The patient was switched to oral glibenclamide therapy on the 5th day, but could not be weaned off insulin.


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

[User] infant skeletal muscle nodules treatment

A tissue diagnosis was obtained through an incisional biopsy of a large nodule. Her nodules were found to be benign and will continue to be monitored for any changes or growth.


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

[User] infantile HPP diagnosis criteria

Biochemistry indexes revealed decreased serum ALP and PTH levels, elevated serum Ca and urinary Ca/Cr, and normal serum levels of P and 25(OH)D3. X-ray and head CT scans detected thin ribs, decreased bone density in several bones, multiple low-density lines in bilateral distal ulnar and radial bones, and osteogenesis imperfecta of the skull. Abdominal ultrasound examinations indicated calcium deposits in both kidneys.


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

[User] infantile HPP post-discharge instructions

The patient's parents were advised to follow up with their primary care physician and pediatrician regarding the management of the patient's disease. They were instructed to continue the patient's recommended diet and to monitor the patient's growth and development closely.


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

[User] infantile HPP symptoms

Poor appetite, failure to gain weight, and soft limbs for 4 months. Underweight, developmental delay, weak mental response, low muscular tension, rachitic rosary, Harrison groove, craniotabes, and enlargement of the anterior fontanelle.


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

[User] infantile atypical Kawasaki disease diagnosis criteria

Based on the clinical history of conjunctivitis, fleeting rash, swelling of extremities, and multiple aneurysms of medium to small-sized vessels, a diagnosis of infantile atypical Kawasaki disease was made.


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

[User] infantile glaucoma treatment options

The patient was previously treated with Xolamol and Travatan. The patient was put on Pred Forte and Atropine. Plan was to taper PF, stop atropine, and start antiglaucoma medication.


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

[User] infantile panvasculitis symptoms

The patient presented to the emergency department with a one-month history of fever, one-week history of dark stools, and a two-day history of discoloration in his upper extremities. The patient also had a fleeting maculo-papular rash.


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

[User] infected diabetic foot ulcer management

During the hospitalization, the patient was managed for the infected diabetic foot ulcer.


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

[User] infected diabetic wound treatment

A dried leaf of Katupila was powdered, and paste was made by adding sesame oil and applied to the wound. The patient's symptoms improved during the hospitalization, and he was advised to continue taking medication regularly and maintain a healthy lifestyle.


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

[User] infected thoracoabdominal aneurysm treatment

Emergency surgery was performed to address the infected thoracoabdominal aneurysm and Leriche syndrome. Vancomycin and meropenem were administered for 1 month, and a duodenojejunostomy was performed as the second stage after the inflammation subsided.


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

[User] infection control measures for chronic ulcer

Culture of the wound biopsy yielded mixed growth of Klebsiella and Pseudomonas. She was given intravenous antibiotic ceftriazole 1 g every twelve hours, and metronidazole 500 mg every eight hours.


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

[User] infection treatment during pregnancy

Microscopic examination of amniotic fluid by Grams stain showed Gram-positive bacilli in no particular arrangement. Further culture revealed a small colony of A. haemolyticum, which was sensitive to cephelexin, erythromycin, ciprofloxacin, ampicillin, gentamicin, and clindamycin and resistant to sulphamethoxazole-trimethoprim only.


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

[User] infection-related revision knee arthroplasty symptoms

The patient presented with persistent pain and swelling of the right knee, which had undergone infection-related revision knee arthroplasty 16 months prior. A sinus tract was visible on the medial side of the distal thigh, from which purulent discharge emptied on pressure.


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

[User] infectious mononucleosis diagnosis criteria

Serological tests confirmed the diagnosis of infectious mononucleosis. Serological tests for hepatitis A, B, C, CMV, HIV, and Toxoplasma Gondi were negative.


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

[User] infective endocarditis prophylaxis CCD

The patient underwent extraction of deciduous teeth under infective endocarditis prophylaxis in September 2009 and in May 2010 under IE prophylaxis and heparinization.


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

[User] infective endocarditis symptoms

The patient presented to the ER due to persistent fever and fatigue. The patient had multiple petechiae of the lower extremities and splinter haemorrhages of the nail beds.


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

[User] infective endocarditis treatment

Initial treatment with intravenous ceftriaxone and gentamycin was started to treat recurrent infective endocarditis.


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

[User] infective endocarditis treatment options

The patient was administered ceftriaxone and gentamicin as an empirical treatment for infective endocarditis. Despite the empirical antimicrobial treatment, intermittent low-grade fever was noted. Her blood culture was positive for Burkholderia cepacia on day 7 of hospitalization. Therefore, we changed the antimicrobial treatment to ceftazidime (6 g/d) from day 7.


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

[User] inferior rectus muscle surgery complications

Unexpectedly tight adhesions to the inferior rectus muscle and adjacent tissues were present. The tumor was stripped from the muscle in its entirety with sharp dissection.


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

[User] inferior vena cava leiomyosarcoma symptoms

The patient, a 38-year-old female, was admitted with symptoms of abdominal distension, lower extremity edema, and dyspnea.


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

[User] inferred cardiac risk factors for the patient

The patient has familial high cholesterol, pre-diabetes, tobacco use, physical inactivity, and morbid obesity.


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

[User] infiltrating ductal carcinoma diagnosis

The patient's biopsy results showed infiltrating ductal carcinoma, high-grade DCIS Comedo, and extensive metastasis in three out of twenty lymph nodes.


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

[User] infiltrating ductal carcinoma symptoms

The patient's physical examination revealed a palpable breast lump.


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

[User] infiltrating lobular carcinoma symptoms

Upon admission to our hospital, the patient presented with elevated liver enzymes and declining consciousness. A CT scan revealed only mild ascites and a left breast biopsy was performed.


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

[User] infiltrating lobular carcinoma treatment options

The patient was treated with neoadjuvant chemotherapy consisting of four cycles of Adriamycin® and cyclophosphamide every 3 weeks, followed by docetaxel every 21 days for 4 planned courses. After cycle 1 of docetaxel, the patient developed significant toxicity, which required a 1-week chemotherapy delay.


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

[User] infiltrating squamous cell carcinoma of the tongue treatment

The patient was referred to the medical oncology team for further management. Consultation with oral surgery is also recommended for further guidance on potential surgical interventions.


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

[User] infiltrative ductal carcinoma symptoms

A 49-year-old female presented to our hospital with a two-year history of a palpable mass in her right breast and nipple discharge. Imaging showed a large right breast mass with satellite lesions, multistation lymphadenopathy, bilateral lung nodules, and pleural effusion.


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

[User] inflammatory acne treatment

The patient was prescribed topical and oral medications, including tazarotene 0.1% foam, clindamycin phosphate and benzoyl peroxide gel 1.2%/3.75%, tretinoin 0.05% lotion, azelaic acid 15% foam, and sarecycline 100 mg orally.


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

[User] inflammatory bowel disease diagnosis

Colonoscopy revealed an ulcerated ileocaecal valve and a terminal ileal stricture. Biopsy of the lesions showed evidence of inflammatory bowel disease (IBD). TB PCR performed on the specimen was negative. Histology of the resected specimen showed multiple coalescent caseating granulomata involving the full thickness of the bowel wall, extending into the mesentery and pericolic fat.


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

[User] inflammatory bowel disease treatment

Initial treatment for CD with oral steroids followed by azathioprine. Inability to tolerate azathioprine and 6-mercaptopurine (6-MP) led to intravenous infliximab. Despite 3 doses of infliximab, the patient failed to respond.


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

[User] inflammatory fibroid polyp symptoms

The patient had symptoms of abdominal distention, nausea and vomiting during these episodes. Between these episodes, the patient had no significant gastrointestinal symptoms and normal bowel habits.


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

[User] inflammatory fibroid polyp treatment

The patient underwent laparoscopic assisted right hemicolectomy. The operation revealed a thickened portion of ileum. Histopathology of the resected specimen showed an inflammatory fibroid polyp measuring 3cm, composed of edematous stroma with spindle-shaped stromal cells, lymphoid nodules and eosinophils.


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

[User] inflammatory left breast mass treatment options

Afatinib 40 mg once a day was started, which showed major clinical and ultrasonographic reduction of the breast mass and thoracic objective response after two months of treatment.


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

[User] inflammatory myofibroblastic tumor symptoms

Immunohistochemistry tests on the polyp showed Alk-1 expression, suggesting inflammatory myofibroblastic tumor. The patient, a 10-year-old male, presented with right loin pain for the past three years. Dysuria and hematuria were also reported over the past six months.


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

[User] inflammatory myofibroblastic tumor treatment

Surgical excision of the tumor was then performed. The patient will be referred to an oncology specialist for further management and treatment.


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

[User] inflammatory nasal polyp symptoms

The patient was referred to the otolaryngology clinic by his general practitioner due to right-sided nasal obstruction and epistaxis that had persisted for two months.


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

[User] inflammatory orbital disease treatment options

The patient was treated with several types of immunosuppressive and anti-inflammatory medications including corticosteroid boluses, rituximab perfusions, local radiotherapy, and intravenous tocilizumab.


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

[User] inflammatory polyneuropathy symptoms

The patient was admitted to the hospital due to worsening lower extremity weakness, constipation, urinary retention, and decreased rectal tone. Despite the treatment, the patient developed burning and painful sensations in his feet bilaterally, indicating AIDP likely secondary to pembrolizumab.


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

[User] inflammatory pseudotumor of the lung treatment

The symptoms and signs improved after steroid treatment but returned upon tapering off the medication. A low dose of prednisone (10 mg/daily) was prescribed to avoid cruding.


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

[User] inflammatory pseudotumor of the thymus symptoms

The patient presented with chest pain, intermittent irregular fever, night sweats, morning phlegm (without bleeding), and dysphagia.


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

[User] inflammatory pseudotumor vs RDD (Rosai-Dorfman disease)

A preoperative diagnosis of inflammatory pseudotumor was made. However, she gave no response to a course of oral prednisolone. Then complete surgical excision of the mass was performed under general anesthesia, which revealed infiltrates composed of histiocytes, lymphocytes, and plasma cells. The histopathological examination was consistent with a diagnosis of RDD (Rosai-Dorfman disease).


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

[User] inflammatory scleritis treatment

Upon examination, severe scleritis was diagnosed which was inflammatory in nature and treated with intensive preservative free lubricants and oral Prednisolone 60 mg tapering over 6 weeks with antacids cover.


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

[User] inflammatory type HCA treatment

Treatment: The patient attempted to lose weight with diet and exercise before opting for laparoscopic partial liver resection to remove all three tumors, which were diagnosed as inflammatory type HCAs.


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

[User] influenza A/H1N1 virus symptoms

The patient presented with asthenia, pallor, and thoraco-abdominal asyncrhony with chest indrawing, and worsening breathing difficulties and flu-like symptoms.


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

[User] influenza virus treatment in pediatric patients

Oseltamivir therapy was started after a positive result of the nasal swab for influenza virus.


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

[User] infrarenal abdominal aortic aneurysm symptoms

The patient was admitted to the hospital due to critical ischemia of his right lower limb. Physical examination on admission revealed absent femoral pulses bilaterally with an ankle-brachial index (ABI) on the right of 0.50.


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

[User] infrarenal saccular aneurysm diagnosis

The magnetic resonance cholangiopancreatogram showed an infrarenal saccular aneurysm with associated periaortic soft tissue enhancement. A computed tomography angiography confirmed the presence of the aneurysm, which was further characterized by a high-resolution CT chest that identified a right middle lobe pulmonary nodule.


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

[User] infratentorial tumor symptoms

The patient was admitted with a 3 week history of headache and dizziness.


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

[User] inguinal hernia diagnosis

A CT scan showed a left fat-containing strangulated inguinal hernia with extensive fat stranding.


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

[User] inguinal hernia mesh removal post-operative care

The patient is advised to follow up with primary care physician for further management and monitoring. The patient is instructed to avoid strenuous physical activity and to take adequate rest. The patient is also advised to observe the incision site and report any swelling or drainage to their physician.


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

[User] inguinal hernia mesh repair complications

The postoperative period was uneventful, and the patient received fluid therapy during his hospital stay.


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

[User] inguinal hernia postoperative care

Post-surgical care included close monitoring for abdominal compartment syndrome. Upon the postoperative tenth day of hospitalization, the patient's drainage was below 10 milliliters per day and was discharged.


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

[User] inguinal hernia repair complications

During the procedure, a pneumoperitoneum occurred due to the violation of the peritoneum while placing the dissection balloon. The peritoneal tear was repaired using endo-loops.


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

[User] inguinal hernia repair complications symptoms

The patient was admitted with lower abdominal pain and was found to have a poorly defined mass in contact with the cecal wall in the right inguinal region. Imaging studies revealed that a Kugel patch had migrated into the cecum wall and formed a fistula with his bladder.


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

[User] inguinal hernia repair post-operative testicular complications

Discharge Diagnosis: Infarcted right testicular parenchyma. Discharge Condition: Non-viable right testicle post Right Orchiectomy.


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

[User] inguinal hernia repair postoperative care

The patient had an uneventful postoperative course and was discharged on postoperative day 2. Postoperative analgesia was provided by injecting 0.2% ropivacaine (3 mL) locally.


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

[User] inguinal hernia surgery recovery

The patient recovered well post-surgery with no notable complications, and upon 5-month follow-up is in good health.


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

[User] inguinal hernia symptoms

The patient presented to the emergency department with an irreducible right inguinal hernia, nonpassage of stool, flatus, and bilious projectile vomiting. Upon examination, the patient displayed tenderness and erythema of the overlying skin, and had tachycardia.


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

[User] inguinal hernia treatment options

The sac contained the caecum and appendix, however, the bowel remained viable and healthy despite being edematous. The obstruction was relieved, contents were reduced, and herniorrhaphy (Bassini's repair) was performed successfully.


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

[User] inguinal hernia with appendix symptoms

The patient underwent laparoscopic TAPP hernia repair. Initial laparoscopy showed indirect hernia with caecum and omentum adherent to deep inguinal ring. Adhesions were released which revealed herniation of appendix into the inguinal canal. Appendix was mildly congested without gross evidence of inflammation.


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

[User] inguinal herniation complications

An 86-year-old male with a history of right kidney stones was admitted to our University Hospital due to right flank pain of 2 days' duration, radiating to the ipsilateral inguinal fossa with concomitant acute urinary retention, worsening constipation, and mild dyspnea.


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

[User] inguinal hernioplasty complications

The patient presented with post-operative pain a month after undergoing right inguinal hernioplasty at a different hospital. The CT scan showed bilateral hip joint degenerative changes, oedema at the region of the right inguinal hernioplasty and encapsulated effusion at the right pelvic cavity.


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

[User] inguinal mass symptoms

A tender inguinal mass that had been progressively enlarging over the past one and a half months.


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

[User] inguinal pain causes

The patient presented to the emergency department with severe right inguinal pain.


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

[User] inguinal swelling diagnosis

Diagnosis: Leiomyoma of the round ligament


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

[User] initial chemotherapy regimen

The patient was started on gemcitabine and oxaliplatin based chemotherapy.


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

[User] initial diagnosis

A diagnosis of Purtscher’s retinopathy of the left eye was made and the patient was followed up without treatment.


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

[User] initial diagnosis and treatment

The patient presented with symptoms of asthenia, pain in both legs, and apathy, which were initially diagnosed as a depressive episode and treated with sertraline.


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

[User] initial symptoms of catheter-tip-associated granuloma

new-onset paresthesia sub-T5


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

[User] initial symptoms of hemophagocytic lymphohistiocytosis

The patient was presented with fever, throat pain, and a skin rash.


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

[User] initial treatment for immune thrombocytopenia

The patient was initially diagnosed with immune thrombocytopenia (ITP) and was treated with corticosteroids. The patient received a single dose of immunoglobulin and dexamethasone continued in descending doses.


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

[User] insulin autoimmune syndrome symptoms

The patient was admitted due to severe morning hypoglycemia and postprandial hyperglycemia.


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

[User] insulin injection technique complications

The patient had been administering the insulin intradermally instead of injecting it subcutaneously. He was inserting the needle horizontally, at less than 15° with respect to the plane of the skin fold. With every faulty injection, he experienced significant pain and noticed the development of a small bleb over the application site.


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

[User] insulin pump therapy for type 2 diabetes

RW was initiated on pump therapy with U500 insulin. This allowed him to achieve a more physiologic insulin replacement regimen, resulting in better lifestyle acceptability and improved glycemic control.


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

[User] insulin therapy for LADA

The patient was started on insulin therapy and gradually transitioned to subcutaneous insulin after two nights in the ICU.


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

[User] insulinoma symptoms

The patient was referred to our facility for diagnostic evaluation of recurrent episodes of hypoglycemia that required intravenous glucose infusion.


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

[User] insulinoma treatment options

A distal pancreactectomy with splenectomy was performed, and the histopathology confirmed insulinoma with uncertain malignant potential.


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

[User] integrin αIIbβ3 deficiency symptoms

The patient had recurrent episodes of severe nose bleeding, dryness of skin, and a few scars. The patient's medical history included delayed umbilical cord separation, petechial rash over his arms, seborrheic dermatitis over his scalp, marked leukocytosis, and significant skin rash (eczema-like).


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

[User] intensive inpatient neurorehabilitation benefits

She underwent 4 months of intensive inpatient neurorehabilitation followed by ambulatory speech therapy, physiotherapy, and ergotherapy. At the 9-month follow-up, ... her written expression had much better recovered, while her oral expression was still very severely impaired.


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

[User] inter-atrial septoplasty indications

During her hospital stay, the patient's condition improved with appropriate management including right and left heart catheterization, inter-atrial septoplasty, and subcutaneous treprostinil transitioned to intravenous administration via a PICC line.


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

[User] interatrial septal mass diagnosis

A series of tests and diagnostic workup revealed a sessile lesion measuring 10 × 12 cm in diameter arising from the interatrial septum in an otherwise normal-sized left atrium.


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

[User] interatrial septal mass symptoms

The patient complained of daily headaches, which were diffuse in nature and occurred mostly in the morning. The patient initially received a diagnosis of migraines but later developed epileptic ataxia and diplopia.


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

[User] interatrial septal mass symptoms and diagnosis

Physical examination also showed maculopopular rashes on his chest wall, upper back, neck, face, and extremities. Lateral head and neck radiography revealed a mass in the subglottic area. Diagnosis: Diffuse large cell lymphoma (High grade) was determined by the immunohistochemistry report.


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

[User] interatrial septal mass treatment

Surgical removal with tricuspid valve curettage was performed to improve the symptoms of congestive heart failure and prevent pulmonary embolism.


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

[User] intercranial soft tissue masses diagnosis

X-ray and CT scan of the head revealed a calvarial soft tissue mass in the left temporo-occipital region with a defect in the occipital bone, and the VP shunt tip was noted in the left lateral ventricle. MRI of the brain revealed a soft tissue mass with multiple flowvoids, homogeneously enhancing with contrast.


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

[User] interhemispheric Subdural Empyema symptoms

A 21-year-old female presented to the emergency department with fever, headache, generalized tonic-clonic seizures, and left-side hemiparesis.


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

[User] interictal periods brain activity

Long-term electroencephalogram monitoring demonstrated multifocal sharp and sharp-slow waves in the bilateral frontal and temporal regions during the interictal periods.


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

[User] intermediate type left-to-right shunt diagnosis

The transthoracic echocardiography indicated an enlarged left ventricle/ left atrium, moderate mitral valve regurgitation, and a left-to-right shunt of intermediate type.


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

[User] intermenstrual bleeding causes

She presented with a mass in the vulva and intermenstrual bleeding.


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

[User] intermittent abdominal pain causes

A 65-year-old man presented with intermittent abdominal pain without an apparent cause for 2 years.


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

[User] intermittent claudication treatment options

The patient had received clopidogrel and cilostazol as medication but refused surgical revascularization. Endovascular therapy (EVT) was chosen as the treatment option, and the patient gave written consent.


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

[User] intermittent compression cryotherapy benefits

The patient underwent conservative treatment, including intermittent compression cryotherapy and pain control, along with fluid resuscitation and transfusions.


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

[User] intermittent left flank pain causes

The patient, an 83-year-old male, was referred to our clinic for intermittent left flank pain that persisted for one week. Despite negative urine culture, the patient had two left lower ureteral stones, which were successfully treated with semi-rigid ureteroscopy with holmium laser by an experienced surgeon.


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

[User] intermittent lower abdominal pain causes

A 22-year-old male patient with a history of intermittent lower abdominal pain, burning micturition, and an abdominal lump in the lumbar region to the right of midline lasting for three months was admitted to the hospital.


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

[User] intermittent neck swelling symptoms

The patient was admitted with complaints of bilateral intermittent neck swelling and intermittent food regurgitation.