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

[User] LPIN1 gene and rhabdomyolysis

At the age of 19 years, DNA sequence analysis of the LPIN1 gene revealed the presence of a common pathogenic intragenic deletion within the LPIN1 gene.


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[User] LT4 absorption test result

The absorption rate of the patient was 8.4%, confirming true malabsorption status of LT4 without obvious organic problems.


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[User] LV ejection fraction at discharge

LV ejection fraction was 37%. D-dimer was elevated at admission (785 μg/L) and normalized by the time of discharge (265 μg/L).


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[User] LV ejection fraction cardiac MRI

Cardiac MRI performed 2 days after admission revealed an LV ejection fraction of 36% and hypokinesis of the basal and mid-ventricular segments, with no myocardial-enhancing lesions noted on late gadolinium images.


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[User] LV ejection fraction echocardiogram

The patient had a mildly dilated left ventricular cavity with severe hypokinesis of the basal and mid-segments and markedly reduced ejection fraction, as revealed by transthoracic echocardiogram.


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[User] LV ejection fraction improvement after treatment

Holter monitoring recorded no further WCT episodes, and her echocardiogram recorded an improved LV ejection fraction of 48%.


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[User] LV stunning symptoms

The sudden grief reaction after learning about her elderly mother's death might have caused a sympathetic surge, LV stunning anteriorly, and evolving deep T-wave inversions without Q-waves.


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[User] LV stunning treatment

The patient was started on nitro, a beta-blocker, and heparin treatment, and her myocardial biopsy did not reveal any inflammation.


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[User] LV systolic dysfunction and cross bridging muscular projections

CMR demonstrated a distorted LV and confirmed the presence of numerous cross bridging muscular projections originating from the inferior wall, inferior interventricular septum and lateral LV walls.


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[User] LV tumor histologic evaluation

On histologic evaluation, the mass was diagnosed as angiofibroma.


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[User] LV wall thickness range

Further testing was performed, which revealed LV wall thickness of 11/12 mm, thickened mitral papillary muscle, and mild diastolic dysfunction.


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[User] LV-PA conduit replacement procedure

The surgical procedure involved mitral bioprosthesis replacement, excision of the valved conduit, interposition of a PTFE tube graft between the LV and proximal conduit, and reattachment of omentum in the mediastinum.


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[User] LVAD HeartMate II complications

The patient experienced repeated life-threatening septic complications accompanied by pulmonary interstitial pneumonia and respiratory insufficiency. The patient also experienced gastrointestinal bleeding that was treated with blood transfusions.


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[User] LVAD HeartMate II postoperative care plan

At the time of discharge, the calculated LVAD flow ranged between 5.0 and 6.0 L/min, and there were no LVAD suction events detected. The patient was listed for heart transplantation, which was performed without complications.


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[User] LVAD implantation as bridge to transplant

He was accepted as a candidate for LVAD implantation as a bridge to transplant or destination therapy.


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[User] LVAD support procedure complications

The patient was immediately taken to the cardiac catheterization laboratory where left ventricular assist device (LVAD) support was administered using an Impella 2.5 LP device. Over the next 24 hours, the patient showed steady improvement and the Impella LVAD was removed after 60 hours.


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[User] LVAD therapy outcome

The patient's cardiac function improved with LVAD therapy and was successfully weaned off the LVAD.


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[User] LVNC symptoms and diagnosis

The patient was admitted to the hospital due to atypical chest pain, palpitations, right upper quadrant pain, nausea, and weakness. An echocardiogram revealed diffuse hypokinesis with an LV ejection fraction of 37%, and diagnostic tests confirmed LVNC (left ventricular noncompaction).


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[User] LVV symptoms and treatment

The patient's PUK symptoms and inflammation improved after a few days of topical betamethasone eye drops and 30 mg/day of oral prednisolone. The dose of prednisolone was tapered down, and the patient did not experience any recurring symptoms.


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[User] Lab tests for Lupus diagnosis

Laboratory tests showed positive ANA and anti-dsDNA antibodies.


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[User] Lab tests for diagnosing Hemolytic Uremic Syndrome

A blood test revealed hemoglobin level drop, reticulocytosis, and the presence of schistocytes in his peripheral blood smear. His serologic results were negative for Hepatitis B and C, HIV, and other tests.


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[User] Lab tests for diagnosing TBEV

Positive anti-Tick-borne encephalitis virus (TBEV) IgM and IgG titres were detected in blood samples taken from the patient. The patient's serum samples also tested positive for anti-TBEV IgM and IgG.


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[User] Labial gland biopsy result

A labial gland biopsy confirmed the diagnosis of Sjogren's Syndrome and Hashimoto's Thyroiditis.


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[User] Labor induction methods for patients with hypertension

At the request of the patient and her family, a vaginal trial production was performed at 36 weeks GA. However, due to worsening hypertension during the application of oxytocin, a caesarean operation was performed, and a live female infant was delivered.


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[User] Laboratory findings for granulomatosis with polyangiitis

Laboratory evaluation revealed iron deficiency anemia, low albumin, elevated alkaline phosphatase, mild transaminitis, microscopic hematuria, and elevated inflammatory markers. A chest radiograph showed a small ill-defined patchy infiltrate in the upper lobe of his right lung.


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[User] Laboratory findings indicating small cell lung cancer

laboratory findings showed attenuated respiratory sounds in the upper right lung field, WBC count of 9000/mm3 with 63.9% neutrophils and 24.2% lymphocytes, haemoglobin of 9.2 g/dL, albumin of 3.4 g/dL, LDH of 341 IU/L, calcium of 9.4 mg/dL, C-reactive protein of 3.32 mg/dL, carcinoembryonic antigen of 122.7 ng/mL, and pro-gastrin-releasing peptide of 2850 pg/mL.


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[User] Laboratory test results for liver function

Liver function tests revealed elevated levels of bilirubin, ALT, and alkaline phosphatase. Extensive laboratory investigations were carried out to determine the cause of acute hepatitis but were negative for common etiologies.


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[User] Laboratory test results for pycnodysostosis diagnosis

All laboratory investigations were normal, including liver and renal function tests, serum electrolytes, serum calcium, and phosphate. Alkaline phosphatase level was found to be within normal limits.


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[User] Lachancea fermentati antifungal therapy duration

The patient was treated with antifungal therapy for 3 months.


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[User] Lamotrigine side effects

The patient was treated for DRESS Syndrome, which is a drug reaction with the new medication, lamotrigine.


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[User] Lance Adams syndrome symptoms

The patient exhibited a bouncy gait, hesitant and wide-based, with a tendency to falls. The patient also had positive action myoclonus in the arms, with mild-to-moderate amplitude. Additionally, the patient experienced mild-to-moderately slurred speech and a MoCA score of 17/30.


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[User] Landau-Kleffner syndrome diagnosis

Based on clinical presentation and investigation, the patient was diagnosed with LKS.


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[User] Landau-Kleffner syndrome symptoms in children

The patient, a 7-year-old male, was admitted to the pediatric outpatient department with aggressive and hyperactive behavior, frequent falling from sitting and standing posture, and loss of speech. These symptoms had progressed rapidly during the first month but had been static for four months.


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[User] Langerhans cell histiocytosis (LCH) diagnosis methods

Surgical pathology samples returned positive for histiocyte proliferation in a background of eosinophilic and lymphoplasmacytic inflammation consistent with Langerhans cell histiocytosis (LCH). Immunohistochemical stains performed demonstrated diffuse positivity for CD1a and S-100. Further staining was positive for Langerin (CD207).


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[User] Langerhans cell histiocytosis (LCH) treatment options

The patient was offered outpatient treatment with systemic chemotherapy with prednisone versus vinblastine/prednisone.


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[User] Langerhans cell histiocytosis symptoms

The patient was diagnosed with Langerhans cell histiocytosis (LCH) after presenting with a large ulcer at the right axilla, cutaneous eruptions, and abnormal brain MRI findings.


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[User] Laparoscopic anatomical segmentectomy for liver nodules

The patient underwent laparoscopic anatomical IV segmentectomy of the liver.


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[User] Laparoscopic cholecystectomy complications

The patient had slight omental adhesions to the gallbladder.


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[User] Laparoscopic cholecystectomy procedure details

The procedure was performed using the pneumoperitoneum technique with four ports for the maintenance of intraperitoneal pressure. The pneumoperitoneum time was 55 minutes.


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[User] Laparoscopic cholecystectomy recovery

The patient's symptoms significantly improved after surgery. After 3 weeks of pancreatic enzyme replacement therapy, the patient's symptoms of bloating after meals significantly improved.


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[User] Laparoscopic deroofing of liver cysts recovery time

Although she was planned for laparoscopic deroofing of liver cysts, the patient was lost to follow-up. The patient should be advised to continue treatment as prescribed and follow-up appointments should be scheduled.


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[User] Laparoscopic lysis of adhesions and reduction of intussusception complications

The patient underwent laparoscopic lysis of adhesions and reduction of intussusception, which revealed involvement of approximately 60 cm of jejunum. The involved bowel appeared viable, and no resection or revision was performed.


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[User] Laparoscopic splenectomy recovery time

The patient recovered well after the surgery and started his diet on the first postoperative day.


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[User] Laparoscopic total gastrectomy complications

The patient had an uneventful post-operative recovery and was discharged after six days. Diet was commenced within 48 hours post-operation, and the patient is scheduled to be followed up for three months in the first year, six months in the second year and annually thereafter, with a focus on surveying nutritional status.


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[User] Laparotomy outcome for ileocecal intussusception

Radiographically guided hydrostatic reduction with water-soluble contrast failed, and laparotomy was performed to confirm the diagnosis. Following surgery, bowel perfusion was adequate without need for resection.


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[User] Laparotomy procedure for Hepatic Ectopic Pregnancy

Laparotomy was performed through a right subcostal incision of 20 cm in length, and the right lobe of the liver was fully exposed. The first hepatic hilum was ligated temporarily, and the clamp method was used to completely remove the ectopic pregnancy lesion, with no active bleeding or bile leakage found in the section of the liver.


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[User] Laparotomy wound dehiscence treatment

Post laparotomy she developed ileus and laparotomy wound dehiscence. Finally 13 days post laparotomy, she was discharged home with district nursing for wound management and stoma care.


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[User] Large mass in right shoulder diagnosis

A differential diagnosis of neurogenic tumor was made based on imaging findings. However, a diagnosis of malignant peripheral nerve-sheath tumor with rhabdomyoblastic differentiation was made based on existing evidence and diagnostic criteria.


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[User] Large shunt in AVF symptoms

The patient presented with exertional symptoms, tingling, and frigid digits due to the large shunt in the left forearm AVF. These symptoms disappeared immediately following the removal of the AVF and distal bypass procedure.


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[User] Large volume multinodular thyroid goiter symptoms

The patient presented to our institution with a large volume multinodular thyroid goiter that caused deformity and symptoms suggestive of cervical spine compression.


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[User] Laser Interstitial Thermal Therapy (LITT) procedure risks

The thermal lesioning was carried out following the long axis of the tumor, and eventually, almost total ablation of the tumor was achieved, without damaging the corticospinal tracts.


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[User] Late-stage parkinsonism with calcifications symptoms

84-year-old woman presented with mild depression, late-stage parkinsonism, and large calcifications (10.85 cm) in the basal ganglia and cerebellum.


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[User] Le Fort I osteotomy procedure steps

The patient underwent Le Fort I osteotomy and PMSO, with planned total setback of 5.5 mm, posterior impaction 3.0 mm, and medial shift of maxillary right molar by 5.0 mm. The surgery was performed under general anesthesia, and after maxillary down fracture, maxillary setback was secured using the intermediate wafer. Vertical osteotomy and palatal osteotomy were then conducted between the maxillary right lateral incisor and maxillary right canine, and osteotomy of the maxillary right molar was finished.


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[User] Lead poisoning symptoms and diagnosis

The patient was admitted with convulsive status epilepticus and a history of recurrent episodes of severe abdominal pain associated with vomiting. Physical examination showed pallor and hypertension. Laboratory investigations revealed hemoglobin 7.7 g/dl and hypochromic microcytic anemia with blood lead level measuring 97.5 µg/dl.


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[User] Leber's congenital amaurosis symptoms in infants

The patient, a 15-month-old female, was admitted to the paediatric ophthalmologist for a second opinion due to a history of poor eye contact and inability to follow objects.


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[User] Left MCA territory perfusion delay symptoms

The patient presented to the ED with a 30-minute history of right-sided muscle weakness (hemiparesis). The patient's NIHSS score indicated a severe neurological deficit.


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[User] Left atrial flutter symptoms

The ECG showed wide complex tachycardia at a rate of 164 beats per minute and QRS duration of 149 ms with a LAF-B.


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[User] Left entropion and acquired trichiasis symptoms

A clinical examination revealed restricted eye movement and hypotropia in his left eye. The patient showed mild chemosis and conjunctival congestion.


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[User] Left eyelid twitching symptoms

The patient presented to the neurology clinic with left eyelid twitching lasting for about 5 minutes, with episodes separated by 1-3 hours, that started two weeks before the visit.


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[User] Left flank swelling causes

The patient presented with a complaint of swelling in the left flank region that had been present for 1 month. Further examination revealed evidence of bowel herniation lateral to the left iliac crest. X-ray of the pelvis showed a large, full-thickness defect of the left iliac crest bone grafting site.


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[User] Left frontal intraparenchymal tension pneumatocele causes

large Left frontal intraparenchymal tension pneumatocele with air-fluid level causing mass effect


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[User] Left internal carotid artery narrowing management

The patient received antithrombotic therapy with warfarin, with a target range of prothrombin time/international normalized ratio of 2.0-3.0. However, the note does not discuss any surgical management of the narrowed artery.


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[User] Left lower motor facial nerve palsy symptoms

The patient still shows a House-Brackmann grade 3 left lower motor neuron facial palsy, although the patient's ear symptoms of otalgia and persistent discharge have resolved.


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[User] Left patella dislocation symptoms

The patient reported severe pain and inability to bear weight on the left leg.


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[User] Left total hip arthroplasty postoperative care plan

The patient was discharged from the hospital with postoperative care instructions including medication management, physical therapy, and close monitoring for possible complications. A follow-up appointment with the referring physician was also scheduled for the patient.


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[User] Left upper eyelid cellulitis treatment

The patient was initially treated with cefazolin 1 g/day for 3 days but failed to improve. Therefore, he underwent an incision under local anesthesia, which resulted in the excretion of copious amounts of pus and blood leading to significant improvement in the left upper eyelid. The patient was then treated with ceftriaxone 4 g/day, clindamycin 1.2 g/day, and fosfomycin 4 g/day postoperatively.


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[User] Left ventricular laceration treatment options

The left ventricle stab wound was closed, and a partial pulmonary lobectomy was performed.


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[User] Left-sided pleural effusion treatment

The patient received high dose intravenous ampicillin sulbactam (400 mg/kg/day) empirically, which was switched to teicoplanin after nine days due to incomplete resolution of pneumonic consolidation.


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[User] Left-sided pleural effusion treatment options

Diagnostic left thoracocentesis was conducted, and intravenous furosemide was initiated as a forced diuresis measure.


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[User] Legh syndrome diagnosis

The clinical diagnosis was suggestive of S/O LEGH. Diagnostic tests revealed the presence of a multicystic lesion with atypical glandular cells (NOS) and positive gastric type mucin.


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[User] Leigh Syndrome diagnosis tests

An MRI was performed, showing bilateral, symmetric hyperintense signal in the putamen and right caudate nucleus on T2-weighted imaging, and a high lactate peak in the affected areas on MR spectroscopy. The mutation analysis of the NDUFV1 gene revealed a homozygous mutation p.Thr423Met (c.1268C > T).


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[User] Leigh Syndrome diagnostic criteria

MRIs revealed the presence of bilaterally hyperintense signals in the basal ganglia and thalami, and of periventricular white matter. The patient had increased levels of plasma lactate, alanine, and valine and reduced levels of citrulline.


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[User] Leigh Syndrome symptoms in adults

The patient presented with nystagmus, convergent strabismus, and mild lower spasticity at 7 months of age. Developmental psychomotor regression, ataxia, and chorea of the arms and dystonia of the trunk appeared later. Over time, the patient presented with dyskinetic tetraparesis, severe scoliosis, epileptic encephalopathy, and cerebral visual impairment.


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[User] Leigh Syndrome symptoms in children

The patient was admitted to the hospital with progressive difficulty in walking and slurred speech for one year. Clinical examination revealed dysarthria, bilateral dysmetria and intention tremor, dysdiadochokinesia, and gait ataxia.


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[User] Leiomyoma recurrence prevention

The patient was advised of the potential risks of recurrence and advised to report any symptoms indicative of such.


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[User] Leiomyosarcoma treatment options

The patient underwent surgical removal of the tumor and was discharged in good condition.


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[User] Leishmania antigen detection methods

Immunohistochemistry procedures revealed cells positive for CD68 and Leishmania antigen. The positivity of the IDRM test proved the hypothesis.


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[User] Leishmania spp. diagnosis

A laryngeal biopsy revealed the presence of chronic inflammatory tissue with a wide amount of histiocytes, containing a large number of round parasites, which were identified as Leishmania spp.


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[User] Leishmania spp. treatment

The patient was treated with liposomal amphotericine B for 7 days, followed by 5 weeks of continued treatment.


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[User] Leishmaniasis diagnosis methods

Histopathological examination revealed an early granuloma formation, along with lymphocytes, histiocytes, and plenty of plasma cells throughout the dermis and panniculus causing septal and lobular panniculitis. Leishmania tropica (LT) bodies were seen in numerous numbers inside the macrophages of the superficial dermis, and some of them were extracellular.


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[User] Leishmaniasis treatment options

The patient was treated with oral miltefosine and systemic sodium stibogluconate. Patient responded well to the treatment with regression of lesions.


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[User] Leptospirosis diagnosis methods

MAT was performed for Leptospirosis due to the patient's history of high-risk exposure to contaminated water, yielding a positive titer of >1/840.


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[User] Leptospirosis symptoms after water exposure

The patient presented with diffuse headache, neck pain, photophobia, and recurrent episodes of vomiting. He indicated a recent high-grade fever, headache, arthralgia, and myalgia which improved within three days of taking an antibiotic prescribed by his general practitioner.


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[User] Lesion growth after one year

Repeat imaging performed one year after the patient first presented with symptoms failed to demonstrate any lesion growth.


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[User] Lesion type based on MRI findings

The MRI scan confirmed the presence of a well-defined T1-hypointense and T2-hyperintense lesion at the right masticator space invaginating into the right mandibular canal. Impression of the lesion radiographically was either schwannoma or neuroma.


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[User] Leukocytosis normal range second trimester pregnancy

Laboratory results demonstrated a leukocytosis of 16.1 K/μL with 88% polymorphonuclear leukocytes, which was within the normal range for the second trimester of pregnancy.


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[User] Levetiracetam dosage for mitochondrial encephalomyopathy

During his hospitalization, the patient was treated with levetiracetam and mitochondrial supplements, such as coenzyme Q10, and vitamins B2, B3, C, and E.


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[User] Levodopa treatment for DRD

The patient was diagnosed with DRD and treated with levodopa. After treatment, the patient showed significant improvement.


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[User] Leydig cell tumor symptoms

The patient was admitted with an enlarged left testicle that had been present for the past 3 months. The left testicle was painless and showed no signs of inflammation, while the right testicle was normal in size and appearance.


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[User] Leydig cell tumor treatment options

A radical inguinal orchiectomy of the left testicle was performed under general anesthesia. The histopathological examination confirmed the diagnosis of LCT with suspected features of malignancy.


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[User] Lifestyle changes for breast cancer survivors

To reduce the risk of future health complications, it is recommended that the patient maintains a healthy diet, engages in regular physical activity, and avoids smoking and excessive alcohol consumption.


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[User] Lifestyle modifications after coronary artery treatment

The patient is advised to adhere to a healthy lifestyle, including regular exercise and a well-balanced diet.


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[User] Lifestyle recommendations after surgery

It is also advised that the patient maintain a healthy and active lifestyle, including a healthy diet, regular exercise routine, and avoiding smoking and excessive alcohol consumption.


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[User] Light-chain monoclonal gammopathy of undetermined significance (MGUS) symptoms

The patient was asymptomatic and did not require any treatment.


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[User] Lightning strike injury symptoms

First- and second-degree burns were visible on her body. She experienced a transient loss of consciousness and was in grave general condition with symptoms of shock.


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[User] Limbal Leiomyosarcoma symptoms

The patient was admitted with gradually progressive conjunctival swelling in the right eye.


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[User] Limbal Leiomyosarcoma treatment options

Plaque brachytherapy using a notched Ruthenium-106 plaque was performed in the same sitting to treat the base and angle involvement, with 6000 cGy dose to the tumor apex.


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[User] Linear nevus sebaceous syndrome symptoms

The patient presented with multiple skin lesions, café-au-lait patches, and social communication disorder. Physical examination revealed large nevus sebaceous on the scalp, oral and nasal cavity, neck, and chest.


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[User] Lingual nerve reconstruction recovery time

At six months and one year after the operation, the patient showed remarkably improved sensory recovery reaction.


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[User] Lipoma of the orbit symptoms

The patient was admitted with complaints of forward budging of the right eye for 2 months which was associated with on and off redness of the right eye.


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[User] Lipoma symptoms in postauricular area

The patient was admitted to the department with a complaint of a painless and slowly growing mass on the right postauricular area.


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[User] Lipoma treatment options

The patient underwent right transcutaneous transeptal superior anterior orbitotomy and excisional biopsy under general anesthesia. The entire mass was separated and removed in total.


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[User] Lipomatous Pseudohypertrophy of the Pancreas symptoms

The patient presented with symptoms of fatigue, tiredness, generally being unwell, melena and anemia. Three days before presentation, he had a fever of 39C and right quadrant pain. He experienced an unexplained weight loss of 13 kg within two weeks.


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[User] Listeria meningitis treatment

The patient was started on empiric treatment with ampicillin, ceftriaxone, and aciclovir, which was changed to ampicillin monotherapy after detection of Listeria monocytogenes. The patient was treated with antibiotics for 21 days, which led to substantial improvement.


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[User] Listeria monocytogenes infection and brain abscess symptoms

The patient presented with acute mental status changes and right-sided weakness, disorientation, and reduced power in his right extremities, and subsequent blood cultures showed the presence of Listeria monocytogenes.


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[User] Listeria monocytogenes infection and mitral valve vegetation relationship

Repeat echocardiogram showed a small mitral valve vegetation with no significant regurgitation.


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[User] Lithium dosage for pediatric patients with mania

Subsequently, escitalopram was stopped and tablet lithium 600 mg per day was started, which was increased to 750 mg along with tablet risperidone 1 mg per day.


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[User] Liver biopsy procedure complications

A liver biopsy procedure was not possible because the patient did not give his consent.


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[User] Liver biopsy procedure outcome

The patient did not undergo a liver biopsy.


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[User] Liver cancer symptoms

The patient reported bloody stools with no obvious causes. The computed tomography scan showed an intussusception of the ileum and intrahepatic bile duct stones with mild bile duct expansion.


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[User] Liver cancer treatments options

The patient underwent mesohepatectomy with total caudate lobectomy of the liver.


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[User] Liver function after treatment

After the intervention, laboratory tests showed improved liver function. However, the patient's liver function deteriorated and he was discharged with Child-Pugh class C.


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[User] Liver function assessment after TAE

His vital signs and laboratory results improved consistently, and he was finally discharged with outpatient follow-up.


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[User] Liver function monitoring after liver surgery

Close monitoring of her liver function is recommended, and she should continue to follow up with her primary care physician.


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[User] Liver mass resection complications

The patient was discharged postoperative day seven without any complications.


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[User] Liver metastasis treatment options

Despite several unsuccessful attempts at biliary drainage, the use of preoperative 3D images was successful in identifying the relation between dilated biliary branches and drainage tubes placed, leading to successful biliary drainage without complications.


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[User] Liver transplant as a treatment option for the patient

Further treatment options, including potential liver transplant, should be discussed with the patient and their medical team.


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[User] Liver transplantation as a treatment option for liver failure

Liver transplantation was ruled out as unfeasible.


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[User] Liver transplantation post-operative care

The patient is presently doing well six months after liver transplantation with no evidence of clinical EBV infection or lymphoproliferative disease.


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[User] Liver tumor mass characteristics

Imaging studies were conducted, which revealed a liver tumor mass (4.5x3.5 cm) located mainly in segments IVa and VIII of the liver with an extent to segment I. The tumor displaced the adjacent hepatic veins and the Inferior Vena Cava (IVC) without any signs of vessel invasion.


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[User] Liver tumor surgery post-operative care plan

The patient was discharged nine days following surgery in good condition. The patient was discharged following treatment for thrombophlebitis.


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[User] Liver tumor treatment plan

The patient was scheduled for an exploratory laparotomy to remove the liver tumor mass with a provisional diagnosis of an intrahepatic cholangiocarcinoma (ICC). During the operation, a cholecystectomy and lymph node sampling from the hepatoduodenal ligament were performed which were negative for malignancy on frozen section.


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[User] Living donor kidney transplant procedure risks

Both donor and recipient understood the risks and uncertainties involved in the transplant and decided to proceed with the operation following consultation with international experts in IgAN.


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[User] Living donor liver transplant complications

His early posttransplant course was complicated by portal vein stenosis and ascites that were treated with angiographic portal vein balloon dilatation and percutaneous drainage.


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[User] Loa Loa infection symptoms

The patient presented to the ophthalmology outpatient department with foreign body sensation, blurring of vision, itching, and lacrimation in the left eye.


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[User] Localized Scleroderma symptoms

No general symptoms, such as Raynaud's phenomenon, were noted.


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[User] Localized Scleroderma treatment options

The patient was diagnosed with localized scleroderma and oral treatment with etretinate 20 mg/day was initiated.


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[User] Localized chronic periodontitis symptoms

The patient was admitted to the Department of Periodontics with the chief complaint of pain and food impaction in relation to 16. Upon examination, it was determined that the patient was suffering from localized chronic periodontitis.


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[User] Localized granulomatous inflammation symptoms

The patient was admitted to the hospital with complaints of painless swelling in his right lower bulbar conjunctiva.


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[User] Localized pain in region 1.1 and 2.1 during function causes

The clinical examination showed the presence of a secreting fistula in correspondence of the mucosa in the apical area of 1.1, as well as probable root vertical fractures of the tooth 1.1 and possible vertical fracture of the tooth 2.1.


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[User] Localized pain in region 1.1 and 2.1 during function symptoms

The patient was referred to the Dental School of the University Federico II of Naples for localized pain in region 1.1 and 2.1 during function.


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[User] Localized thickening of the heart

Transthoracic echocardiography study showed extensive localized thickening of the right ventricle, right atrium, interatrial septum, and basal to mid interventricular septum associated with a pericardial effusion.


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[User] Locally advanced tumor in the transverse colon diagnostic procedures

Computed tomography revealed the tumor to be extending to the jejunum and the greater curvature of the stomach with local carcinomatosis. A repeat colonoscopy was performed, and it was possible to pass the colonoscope through the stented segment of the tumor.


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[User] Long QT Syndrome diagnosis criteria

Genetic testing revealed LQTS1, and an implantable cardiac defibrillator (ICD) was placed for secondary prevention of sudden cardiac death.


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[User] Long-term complications of Henoch-Schönlein Purpura

Almost 4.5 months after discharge, the patient was admitted to the Children Medical Center with blurred vision, ataxia, and persistent headaches. Magnetic resonance angiography (MRA) showed stenosis of the internal carotid artery and diagnostic moyamoya view made by the small collateral vessels in the brain imaging defining the third grade of moyamoya according to Suzuki angiographic classification grades.


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[User] Long-term complications of optic disc avulsion

Follow-up imaging studies confirmed persistent disruption in the lamina cribrosa region, despite treatment.


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[User] Long-term effects of CRT-D therapy on heart function

The width of the intrinsic QRS complex was not recovered during an 18-month follow-up.


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[User] Long-term effects of HBOT for DNS of CO intoxication

The patient was discharged 228 days after his suicide attempt and returned to work 338 days later. The patient's neuropsychiatric conditions remain unchanged about two and a half years post-suicide attempt.


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[User] Long-term effects of Loa Loa infection on vision

There were no complications during the course of treatment, and the follow-up visit showed improvement of symptoms with a resolution of the worm.


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[User] Long-term effects of antifreeze poisoning

During the outpatient follow-up visit at 3 months after discharge, his renal function had improved significantly, with no proteinuria or hematuria.


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[User] Long-term effects of electrical burns on the nervous system

The exact mechanism of nerve injury is not yet clear. Patient is recommended to follow up with primary care physician for ongoing review of rhabdomyolysis and any potential long-term effects from the electrical burn.


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[User] Long-term effects of kidney donation on the donor's health

The donor has an estimated glomerular filtration rate (eGFR) of 51 mL/min/1.73 m2, controlled blood pressure, and normal urinalysis results. The donor is advised to maintain control of blood pressure and attend regular follow-up appointments.


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[User] Long-term effects of tacrolimus hydrate on rheumatoid arthritis

Tacrolimus hydrate was administered for the patient's rheumatoid arthritis, which resulted in no significant adverse effects.


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[User] Long-term effects of uterine septum resection

After 3 years, a thick muscular layer, which appeared to be normal, was observed on the uterus during a follow-up MRI scan.


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[User] Long-term efficacy of FMT for ulcerative colitis

The patient did not experience any recurrence of his condition during the 9-month follow-up. Mayo scores were calculated before and after FMT, showing that clinical and endoscopic remission was induced and maintained by FMT.


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[User] Long-term follow-up after ear canal mass removal

Post-surgery, the patient had a significant improvement in the intermittent bleeding and showed no recurrence of the cystic mass after two years and six months.


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[User] Long-term follow-up care

The patient was followed up after ten days and one year, with minor furcation horizontal bone gain observed and a small CAL at the buccal site.


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[User] Long-term follow-up care for patients undergoing hip replacement revision surgery

The patient will continue with follow-up care appointments as recommended by the specialist. The patient will need to receive a permanent treatment course after leaving the hospital. The patient also requires medication on a long-term basis and should be monitored for the presence of any complications.


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[User] Long-term follow-up care for the patient's condition

Bimestral endothelial counts have been recorded without significant endothelial loss, and the patient has been discharged without any new concerns.


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[User] Long-term follow-up for spinal lipoma treatment

After a 6-year follow-up course, the patient’s walking ability had improved significantly.


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[User] Long-term management of bilateral adrenal hematomas

Repeat CT scans demonstrated a marked degree of resolution of the bilateral adrenal hematomas. The patient underwent follow-up short Synacthen tests at 10 months and 2 years after presentation, which confirmed on-going adrenal insufficiency.


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[User] Long-term management plan for the patient's hypertension

The patient's past medical history was only significant for hypertension, for which he was receiving atenolol daily.


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[User] Long-term outcome C5-6 anterior cervical discectomy and fusion

After 7 years of follow-up, the patient remains pain-free, using only naproxen as needed, and has successfully regained her normal lifestyle.


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[User] Long-term outcome after allo-HSCT

The patient is now in molecular complete remission for NPM1 and BCR-ABL1, 12 months after the allo-HSCT.


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[User] Long-term outcome after liver graft stent insertion

The liver parenchyma recovered a normal appearance, and the liver graft maintained excellent function for the next two and a half years until the present.


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[User] Long-term outcome of ACoA aneurysm surgery

Her postoperative hypophyseal function was normal. Her modified Rankin Scale (mRS) at 12 months was 1.


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[User] Long-term outcome of AIN lesion treatment

A tendon transfer using the FDS of the ring finger was performed at 6 months after onset, which resulted in strong active flexion in the right thumb's IP joint. However, the patient presented with similar symptoms in his left arm 6 years after the right-sided episode, which resolved on its own 15 months after onset.


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[User] Long-term outcome of Guillain-Barre Syndrome after organ transplantation

The symptoms ultimately resolved and the patient was able to regain full physical strength approximately three months later.


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[User] Long-term outcome of diaphragmatic hernia repair

The patient's most recent renal ultrasound scan done 3 years postoperatively shows well and equally perfused kidneys with no evidence of recurrent diaphragmatic hernia or renal obstruction.


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[User] Long-term outcome of liver biopsy after gluten-free diet

Three years after her initial presentation, the patient is asymptomatic and is doing well and is completely adherent to the GFD.


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[User] Long-term outcome of oesophageal ulcers

The patient's body temperature gradually normalized, and after active anti-inflammatory treatment, he was discharged from the hospital with improved white blood cell, platelet count, liver and kidney function.


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[User] Long-term outcome of patella dislocation

There have been no recurrent episodes of dislocation, and the patient has not returned for further follow-up at 24-months post-injury.


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[User] Long-term outcome of patients with JPA

His most recent MRI two years after surgery shows no recurrence. Serial thin cut T2 fluid-attenuated inversion recovery (FLAIR) images along the surgical corridor showed minimal gliosis. Neurologically, there is near-complete recovery of his hemiparesis and he has started to participate in sports activities.


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[User] Long-term outcome of positioning-induced pressure injury of the suprascapular nerve

In her two-year follow-up, the patient's pins and needles have settled, but she is left with a residual decreased sensation on the dorsum of the hand in the suprascapular nerve distribution.


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[User] Long-term outcome of renal autotransplantation in patients with bilateral RAS

Another patient of 18-year old was diagnosed with bilateral RAS while being evaluated for progressive vision dimness and hypertension. The patient underwent right renal artery stenting followed by left renal artery angioplasty and stenting within a gap of 6 months. BP continued to rise and right renal artery stenting was reattempted after a year. Right laparoscopic nephrectomy was performed on nonfunctioning right kidney. Left RAS worsened, and end to end left lienorenal arterial revascularization was performed.


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[User] Long-term outcome of scopolamine intoxication

The patient completely recovered from the episode within a period of 6 to 8 weeks. A PET scan was repeated on October 25, 2011, and the tracer distribution in the basal ganglia and cortex was found to be near-normal.


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[User] Long-term outcome of strongyloidiasis treatment

A repeat test four months later showed decreased strongyloid antibody titer to 5.0, indicating a positive response to treatment.


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[User] Long-term outcome of the patient

On the 45th day of hospitalization, he was discharged home for out-patient monitoring with prescription of ciprofloxacin and clindamycin. He returned for follow-up consultation 14 days after taking the antibiotics reporting no symptoms since the hospital discharge.


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[User] Long-term outcome of the patient's condition

Eight months later, the lesions on the patient's torso have melted away to less than 5% of their original presentation. The large lemon-size mass along the medial aspect of his right foot had completely resolved, and necrotic tissue on the plantar surface of the foot was replaced with viable tissue with intact sensation. One year later, his right leg remained intact, and he was able to walk on his foot, although some of the skin changes persisted.


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[User] Long-term outcome of the patient's treatment

Ten months later, she returned to the operating room for reconstruction and underwent hip disarticulation two years after her index procedure.


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[User] Long-term outcome of tularemia treatment

On the follow-up visit at three weeks, the patient was doing better with complete resolution of symptoms and return to a normal routine.


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[User] Long-term outcomes for patients with calciphylaxis and ESRD

Poor nutrition, evident by her low serum albumin and phosphorus levels, failed to heal her calciphylaxis lesions. The patient requested cessation of all treatment 2 months after the diagnosis, and she expired shortly thereafter.


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[User] Long-term outcomes for percutaneous coronary intervention

A nine-month follow-up revealed a patent both in LAD and LCx stents, and the patient had no chest pain.


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[User] Long-term outcomes of DAIR surgery for joint infections

At 20 months following surgical debridement, the patient had returned to her premorbid functional state with no clinical signs or symptoms of relapse.


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[User] Long-term outcomes of Evans syndrome treatment

The patient was asymptomatic, with no relapse of the condition. The peripheral blood cell count and hemolysis index were normal.


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[User] Long-term outcomes of TAVI with periprosthetic abscess

The patient continued to attend follow-up appointments and remains free of active infection or complications for over two years.


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[User] Long-term outcomes of bronchial-esophageal-fistula surgery

Two years postoperatively, the patient showed satisfactory progress without any respiratory or swallowing problems.


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[User] Long-term pain management plan

Pregabalin was started for neuropathic pain.


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[User] Long-term prognosis

The patient's overall prognosis appears favorable.


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[User] Long-term prognosis for IMT bladder tumor

The patient was discharged in good condition and has not experienced recurrence in the 10 months since resection of the bladder tumor.


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[User] Long-term prognosis for SCIWORA patients

After six months of hospital staying, partially in acute-care setting and partially in rehabilitation center, he did not show any neurological improvement.


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[User] Long-term prognosis for internal hernia patients

The patient was discharged with a stable condition. The patient was advised to follow up with his primary care physician for further evaluation of his intermittent, colicky periumbilical pain.


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[User] Long-term prognosis for oesophageal diverticulum after surgery

Long-term follow-up two years after the last surgery shows that the patient is doing well, tolerating an oral diet and growing appropriately.


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[User] Long-term prognosis for patients with esophageal foreign bodies

The patient was asymptomatic at the time of discharge.


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[User] Long-term prognosis for squamous cell carcinoma of the lung

The follow-up CT scan at the 10th month showed no recurrence.


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[User] Long-term prognosis of kala azar

Her left eye continued to deteriorate with phthisis bulbi, and she developed perioral scarring limiting her mouth movements.


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[User] Long-term prognosis of patients with SAH and IVH

Due to the poor prognosis, an EVD was not placed. The post-operative CT scan showed an increase in hematoma volume as well as progression of hydrocephalus, IVH, SAH, and tonsillar herniation.


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[User] Long-term results of brief CBT intervention in pediatric anxiety

The patient was not readmitted to the ED in the six months following the visit.


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[User] Long-term risks and complications

A follow-up in 6 to 12 months was scheduled to rule out growth disturbance and to discuss the pros and cons of screw removal.


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[User] Lorenzo's oil side effects

The patient was educated about the side effects of Lorenzo's oil and asked to return if he notices any new symptoms.


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[User] Loss of memory after bone marrow transplant symptoms

The patient presented with a chief complaint of continued loss of memory since the end of 2005. He had a history of AML and underwent ASCT in October 2001.


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[User] Lovaza daily dosage

The patient was prescribed Lovaza at a daily dose of 1,860mg EPA and 1,500mg DHA (total EPA + DHA dose: 3,360 mg/d)


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[User] Low hemoglobin causes and symptoms

Initial lab results showed low hemoglobin, normal white blood cell count, and slightly elevated platelets.


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[User] Low vision rehabilitation assessment follow-up care

Follow-up visits were conducted every three months to monitor the progress of her mental and physical health. The patient was advised to continue with her sessions at the clinics and to return for a follow-up visit in three months.


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[User] Low-flow carotid-cavernous sinus fistula symptoms

The patient was admitted with epistaxis and upon examination, a pulsating blood clot was discovered in the area of the ostium of the right sphenoid sinus.


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[User] Low-grade chondrosarcoma symptoms

The patient presented with a left shoulder lesion which was diagnosed as low-grade chondrosarcoma after appropriate imaging studies and biopsy.


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[User] Low-grade fibromyxoid sarcoma diagnosis

The patient, a 74-year-old male, was diagnosed with a low-grade fibromyxoid sarcoma (LGFMS) after an abdominal wall mass was identified on abdominal ultrasonography during a routine examination.


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[User] Low-grade fibromyxoid sarcoma symptoms

The patient was admitted with a complaint of a slowly growing mass on the posterior aspect of his lower left thigh. The mass was mobile, without tenderness, redness, or warmth.


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[User] Low-grade myoepithelial tumor symptoms

On follow-up, the patient remained asymptomatic and well 12 months after the surgery.


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[User] Lung Adenocarcinoma ALK inhibitors

Received crizotinib (250 mg twice daily) after the discovery of positive ALK by fluorescent in situ hybridization assay. Switched to alectinib 600 mg twice daily due to progressive disease in the brain after 31 months.


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[User] Lung Adenocarcinoma stage IIIB treatment options

Treated with paclitaxel, carboplatin, and bevacizumab for six cycles. Received whole brain irradiation (WBRT) followed by pemetrexed for five cycles. Administered erlotinib as third-line chemotherapy.


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[User] Lung adenocarcinoma diagnosis

The patient was diagnosed with advanced lung adenocarcinoma (poorly differentiated).


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[User] Lung adenocarcinoma treatment

Patient diagnosed with non-oncogene addicted stage IV lung adenocarcinoma with PD-L1 expression in 2% of tumor cells. Received 4 cycles of first-line chemotherapy with carboplatin plus pemetrexed, followed by 3 cycles of maintenance treatment with pemetrexed.


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[User] Lung adenocarcinoma treatment options

The treatment with Icotinib 125mg three times daily followed by stereotactic radiotherapy to the mediastinum and supraclavicular was initiated. Four cycles of pemetrexed, carboplatin, and bevacizumab were administered, but multiple vertebral metastases were detected via MRI. The treatment with erlotinib (150 mg daily) was started in August 2017. However, brain metastasis was confirmed by MRI in January 2018. The therapy was switched to osimertinib at 80 mg daily, which decreased the levels of multi-tumor markers, and stabilized the lesions of brain and lungs for 16 months.


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[User] Lung adenocarcinoma treatment options with EGFRex20ins mutation

Given the patient's novel EGFRex20ins mutation, osimertinib was administered with much success for 9 months.


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[User] Lung adenocarcinoma treatment outcome

The patient's tumor was in remission without recent worsening of low back pain.


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[User] Lung adenocarcinoma treatment plan

Given his maintained major molecular response of CML, the medical team discontinued nilotinib and started treatment with afatinib. After four months, a partial response of the lung adenocarcinoma was confirmed by a CT scan.


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[User] Lung agenesis symptoms

The patient was admitted with complaints of low grade fever and cough with mucopurulent sputum since 10 days with history of recurrent similar episodes since childhood.


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[User] Lung agenesis treatment plan

The patient was managed conservatively and showed improvement in symptoms. The patient received supportive care and was monitored for symptoms of infection.


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[User] Lung biopsy analysis results for CPFE

Lung biopsy analysis revealed air space enlargement of varying size with thick walls (honeycombing) and patchy centrilobular fibrosis.


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[User] Lung biopsy results

Three lung biopsy specimens were obtained and showed a diffuse proliferation of large atypical cells lacking any significant architectural pattern with angioinvasion of the blood vessels, areas of necrosis, and background alveolar lung parenchyma.


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[User] Lung cancer brain metastasis treatment

The therapy was switched to osimertinib at 80 mg daily, which decreased the levels of multi-tumor markers, and stabilized the lesions of brain and lungs for 16 months.


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[User] Lung cancer metastasis symptoms

FDG uptake was detected in skin and subcutaneous fat tissue in both axillary, periscrotal, and perianal regions suspicious for metastasis


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[User] Lung cancer patient treatment with tremelimumab/durvalumab

The patient received tremelimumab/durvalumab combinational immunotherapy as part of the NEPTUNE trial. The treatment resulted in a partial response after four cycles of administration.


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[User] Lung nodule cryoablation complications

During this admission, the three largest lung nodules were cryoablated, and a left pleural effusion was discovered.


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[User] Lung plasmacytoma treatment options

The patient was planned to be referred to the oncology department for chemotherapy but was not willing to undergo any form of definitive treatment.


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[User] Lung squamous carcinoma treatment options

The patient received nivolumab therapy, which resulted in partial remission of the primary lesion, but showed an increase in secondary fibrosis. To manage carcinoma regression, the patient was administered methylprednisolone.


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[User] Lung squamous cell carcinoma symptoms in former smokers

The patient, a 61-year-old former smoker, was admitted in May 2018 with complaints of cough and neck pain. Radiological tests revealed a left lung mass with lymphadenopathy.


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[User] Lung transplantation post-operative care plan

At 35 years of age, he underwent lung transplantation for end-stage pulmonary disease, necessitating long-term corticosteroid and immunosuppressive therapy with tacrolimus and mycophenolate mofetil.


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[User] Lupus Panniculitis treatment options

The patient was started on oral prednisolone, azathioprine, hydroxychloroquine, topical mometasone furoate (0.1%) ointment, and broad-spectrum sunscreen.


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[User] Lupus nephritis treatment and follow-up

The patient was discharged in stable condition, and further outpatient care and follow-up with rheumatology were recommended for continued monitoring and management of her lupus nephritis.


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[User] Lyme disease symptoms and diagnosis

The patient was admitted with a one-week history of fever, chills, migratory joint pain, and palpitations. Physical examination revealed erythema migrans on multiple body parts. Blood work showed mild anemia and a positive Lyme IgM test.


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[User] Lyme disease symptoms in elderly

The patient was admitted to the hospital with left-sided chest tightness, lightheadedness, and presyncope. He also reported exertional shortness of breath.


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[User] Lyme disease treatment plan

The patient was treated with ceftriaxone for early disseminated Lyme disease. She was discharged on a four-week course of ceftriaxone.


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[User] Lymph node involvement in PCMZL

PET-CT showed no lymph node invasion or distant metastasis.


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[User] Lymphangioleiomyomatosis diagnosis

Computed tomography (CT) scan showed a diffuse nodular interstitial pattern with thin-walled cysts highly suspicious for lymphangioleiomyomatosis (LAM). Tissue obtained from a transbronchial biopsy stained positive for smooth muscle actin, and two of five samples were weakly positive for human melanin black-45 antibody (HMB-45).


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[User] Lymphangioma symptoms

The patient was admitted to our hospital with complaints of mild to moderate right lower abdominal pain. Laboratory tests revealed increased white blood cell count and an elevated C-reactive protein level, but tumor marker findings were normal.


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[User] Lymphocytic infiltration in Sjogren's Syndrome

Areas of lymphocytic infiltration were noted consistent with a diagnosis of SS.


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[User] Lymphocytic interstitial pneumonitis symptoms

The patient was admitted due to deteriorating dyspnoea, which was investigated for one year on a background of well-controlled asthma.


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[User] Lymphoma diagnosis procedures

Histopathological examination of a punch biopsy revealed lymphoid aggregations with multiple granulomas. Contrast-enhanced CT revealed a mass on the forehead and nose tip, both with involvement extending from the skin to the subcutaneous layer.


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[User] Lymphopenia management

During her 12-day stay at the hospital, Patient 11 showed signs of lymphopenia, with an absolute lymphocyte count (ALC) of 190/mm3.


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[User] Lymphoproliferative B-cell lymphoma symptoms

A 65-year-old female presented with a persistent cough, breathlessness, and generalized weakness for 1 month.


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[User] Löffler endocarditis symptoms

Severe shortness of breath. Bilateral coarse crackle at the bases.


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[User] M. tuberculosis infection treatment plan

The patient was prescribed standard oral anti-tubercular treatment with four drugs, isoniazid, rifampicin, ethambutol, and pyrazinamide, for 2 months. After treatment, the patient's symptoms were relieved, and the swelling in the thighs and calves appeared to decrease in size. Further isoniazid and rifampicin were given.


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[User] MA diagnosis treatment

Histopathologic analysis revealed findings consistent with MA. Limited resection of the mass was performed, and the patient made an excellent recovery with no neurologic deficits.


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[User] MADD symptoms in children

The patient presented with hypotonia with motor delay and polyneuropathy but had no metabolic decompensations till 1.8 years of age. At 1.8 years of age, the patient presented with vomiting, acute epigastric pain, and feeding intolerance, requiring intravenous fluids and dextrose 10%.


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[User] MANEC esophagogastric junction symptoms

An 81-year-old male was admitted to our hospital with a 5-month history of dysphagia.


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[User] MCAD deficiency diagnosis criteria

Acylcarnitine analysis showed a typical MCAD deficiency pattern, which was later confirmed by mutation analysis of ACADM.


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[User] MCD and stress-induced cardiomyopathy treatment

The patient was started on chemotherapy and underwent percutaneous transhepatic gallbladder drainage before undergoing an elective open cholecystectomy. Despite aggressive treatment, the patient expired three days later.


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[User] MCD symptoms

Patient was a 52-year old male with a history of MCD and acute calculous cholecystitis who presented with general weakness and right upper quadrant pain.


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[User] MCTD diagnosis criteria

The patient met the Kasukawa diagnostic criteria with one common symptom of Raynaud's, positive serology, and mixed findings of leukopenia/thrombocytopenia, acrosclerosis, and muscle weakness.


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[User] MD treatment plan

Noninvasive intermittent positive-pressure ventilation was recommended following overnight polysomnography. The patient was started on intramuscular testosterone injections of 250 mg monthly to alleviate gonadal symptoms associated with hypogonadotropic hypogonadism.


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[User] MDR-TB treatment with amikacin side effects

The treatment was, therefore, interrupted. Further investigations revealed no additional causes of liver injury, and a liver biopsy was consistent with a grade 9 (A3 + B2 + C2 + D2), stage 4 of Ishak score and grade A2 (PMN2 + LN1), F2 of Metavir score.


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[User] MDS with ring sideroblasts symptoms

The patient presented with dizziness, fatigue, and night sweats. Vital signs were stable, and blood count showed a decrease in blood cells compared to previous admission.


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[User] MEN1 treatment plan

The patient should have regular monitoring, especially for screening for other manifestations of MEN1, such as pituitary and other pancreatic tumors. The patient also should have long-term monitoring of her renal function and bone density.


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[User] MERS-CoV symptoms

The patient presented to the emergency room with a 4-day history of fever, generalized myalgia, dizziness, and productive cough.


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[User] MFD and associated syndromes

Endocrinopathies and associated syndromes were ruled out.


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[User] MFD diagnosis age

The patient was diagnosed with MFD at the age of 5 years.


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[User] MFD treatment plan

The patient was advised to wait until growth completion for the initiation of treatment.


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[User] MFPP treatment options

The patient was treated with radiation therapy (40 Gy in 20 fractions) for his MFPP.


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[User] MGFA classification

He was classified as MGFA Class IIa, based on the Myasthenia Gravis Foundation of America (MGFA) criteria.


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[User] MGUS-induced acquired von Willebrand syndrome treatment

The patient was diagnosed with MGUS-induced acquired von Willebrand syndrome (AVWS), and treatment with intravenous immunoglobulin (IVIG) was initiated. The levels of VWF:Ab improved significantly following IVIG treatment, and a total thyroidectomy was performed successfully.


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[User] MIS-C treatment options

Treatment included intravenous immunoglobulins and antibiotics.


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[User] MM Stage III treatment plan

After enduring chemotherapy and subsequent radiation treatment, he was switched to the VRd treatment plan. The patient went on to undergo high dose chemotherapy, and autologous HSCT, which he has recovered well from and exhibits no further symptoms of MM.


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[User] MMD symptoms in children

The patient has a history of multiple strokes since the age of 4 years, diagnosed with MMD based on MRI brain. Altered signal intensity with restriction of diffusion involving the right temporal, occipital, parietal, and posterior frontal regions, and chronic lacunar infarcts present in the left frontal and right occipital white matter.


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[User] MNH symptoms and diagnosis

Patient presented with a small lytic lesion on CT scan and underwent surgical treatment three times due to recurrent swelling. Histopathology examination results were suggestive of MNH.


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[User] MNH treatment options

The patient underwent surgical treatment three times, followed by external beam radiotherapy.


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[User] MOG-ab levels in serum and CSF

MOG-ab was positive in her serum (titer 1:100) and CSF (titer 1:10).


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[User] MPNST diagnosis symptoms

The patient was admitted initially presenting with a 6-month history of low back pain that worsened over time with radiating pain to his anterior thigh.


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[User] MPO-ANCA positive treatment plan

The patient was treated with methylprednisolone pulse therapy followed by oral prednisolone (PSL) and cyclophosphamide intravenously.


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[User] MPS type I symptoms

The patient presented with a coarse face, joint stiffness, short stature, and mental retardation.


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[User] MRCP control procedure purpose

The patient will have a MRCP control procedure planned for one week later.


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[User] MRCP results for pancreatic adenocarcinoma

The Magnetic resonance cholangiopancreatography (MRCP) and computed tomography of the thorax, abdomen and pelvis (CT TAP) confirmed a tumour mass to the head of the pancreas with significant intra and extrahepatic biliary dilatation and pancreatic ductal dilatation.


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[User] MRI brain findings

MRI of the brain was suggestive of chemotherapy-induced neurotoxicity.


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[User] MRI findings

MRI revealed marked C5-6 cord compression with extensive intramedullary high intensity on T2 weighted images from C5 to C7.


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[User] MRI findings catheter-tip-associated granuloma

a magnetic resonance imaging (MRI) of the spine revealed high-grade compression of the spinal cord. ... another MRI revealed a mass suspicious for a catheter-tip granuloma causing compression of the thoracic spine associated with a secondary myelomalacia.


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[User] MRI findings for corpus callosum lesion

Cerebral MRI revealed an isolated lesion in the splenium of corpus callosum with slight hyperintense on T2 weighted images (T2WI), slight hypointense on T1 weighted images (T1WI), no enhancement on contrast images, obvious hyperintense on diffusion weighted imaging (DWI), and decreased apparent diffusion coefficient (ADC) values.


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[User] MRI findings for lower extremities weakness

An MRI showed abnormal non-enhancing hyperintense T2 hypointense T1 signal extending from central cerebellar white matter, superior cerebellar peduncles, near entirety of the pons, cerebral peduncles, and left cortical spinal tract.


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[User] MRI findings for mallet finger

MRI was performed to confirm the diagnosis and exclude underlying osteomyelitis.


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[User] MRI findings for migraine diagnosis

Further clinical investigation revealed possible triggers related to sugar and inadequate rest, as well as failed abortive therapy. MRI findings showed hypertensive changes in the white matter.


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[User] MRI findings for progressive multifocal leukoencephalopathy

The patient had a round lesion on MRI located in the biventor lobule adjacent to the flocculus, tonsil, and inferior cerebellar peduncle.


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[User] MRI findings for rectal perforation

She was discharged on day five of admission after undergoing an MRI which showed no peri-rectal collection and identified no obvious perforation.


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[User] MRI findings for rheumatoid arthritis

Further, the data was analysed using the voxel-by-voxel-based approach, incorporated into the software, and the enhancement characteristics of each voxel was computationally mapped to one of 4 enhancement models.


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[User] MRI findings for rotator cuff tear

MRI revealed a full thickness rotator cuff tear with fatty infiltration, leading to a diagnosis of the condition.


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[User] MRI findings for spinal cord

MRI revealed a hyperintense T2 lesion in the spinal cord extending from T2 to T11.


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[User] MRI findings for synthol injections

Magnetic resonance imaging (MRI) was performed, revealing cystic lesions scattered throughout the muscle tissue with a hyperintense signal. It was concluded that his muscle underwent fibrotic changes in its appearance. In addition, contrast enhancement was inhomogeneous, indicating the presence of inflammation.


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[User] MRI findings for the duplication cyst

On further investigation through magnetic resonance imaging (MRI), a cyst was identified at the ileum and attached to the appendix. The patient underwent a third MRI with contrast, which characterized the cyst as a possible duplication cyst.


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[User] MRI findings for the patient

MRI exhibited caudate and putam-inal bilateral lesions with hyperintensities on T2/Flair MRI sequences and hypointense signal on T1-weighted sequence. There were no hyperintensities on diffusion sequences.


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[User] MRI findings in NF1

On MRI scans, numerous, extensive neurofibromas localized in the sacral and pelvic regions were found showing high signal intensity on T2 weighted images in the first patient.


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[User] MRI findings in lead poisoning cases

MRI findings were suggestive of bilateral symmetric hyperintensities of thalamus, lentiform nucleus, external capsules, and sub-cortical white matter in T2-weighted axial sequences.


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[User] MRI findings in patients with heavy drinking history

Upon conducting MRI, high signal intensity was observed in the dorsal medulla and pons.


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[User] MRI findings of MS patients

MRI revealed a contrast-enhancing lesion in the right paracentral lobule and 23 supratentorial and 1 infratentorial lesion on T2-weighted scans. Later MRI examination displayed a new lesion located paramedian in the medulla oblongata.


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[User] MRI findings of hyperglycemic-hemichorea patients

MRI brain with contrast showed right-sided basal ganglia hyperintense lesion in the lentiform nucleus on T1 weighted images.


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[User] MRI findings of para-infectious long extensive transverse myelitis

MRI of the spine showed longitudinally extensive abnormal cord signaling extending from cervical C-2 to thoracic T-11 vertebral level without enhancement or haemorrhage or no diffusion restriction and normal appearance of conus medullaris and cauda equina nerve roots.


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[User] MRI findings of the lumbar spine

An MRI of the lumbar spine showed increased T2 signal involving the L4-L5 disc, adjacent vertebral endplates, and right psoas muscle. Additionally, there was no significant enhancement seen on a contrast enhanced MRI.


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[User] MRI findings of the spinal cord

MRI revealed focal symmetrical atrophy of the spinal cord in the C5-C6 region with intramedullary T2 hyperintensity predominantly in the region of anterior horns, and flexion scan of the neck showed 5 mm forward displacement of posterior dural sac with prominent posterior epidural space appearing iso to hyperintense on T1 and T2 weighted image.


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[User] MRI findings of the tumor

MRI was done to evaluate the communications of the tumor with neighboring structures and showed a multilobulated, relatively homogenous, high-signal-intensity solid mass with focal invasions at the deltoid muscle and deep extensions into the biceps, brachialis, and triceps muscles inferiorly; there was also infiltration of the cutaneous and subcutaneous tissues on fat-suppression images.


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[User] MRI findings of vaginal lesion

An MRI revealed a lesion measuring 3.1 × 2.4 × 2.2 cm shown along the anterior wall of the vagina, adjacent to the base of the bladder.


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[User] MRI findings post-GKS

An MRI at 6 months post-surgery showed no significant changes.


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[User] MRI findings with contrast

MRI with the administration of contrast did not yield any additional information compared to CT scan.


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[User] MRI of the brain findings

An MRI of the brain revealed bilateral periventricular white matter hyperintense foci on FLAIR sequence, without associated restricted diffusion, enhancement, or hemorrhage.


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[User] MRI of the brain without contrast results

MRI of the brain with and without contrast was also performed.


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[User] MRI results for brain metastasis

Brain and facial MRI with gadolinium ruled out brain metastasis, ischemic or hemorrhagic lesions, and showed no alterations along the VII cranial nerve.


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[User] MRI scan findings

A magnetic resonance imaging (MRI) scan showed focal enhancement on the left trochlea, and left frontal, ethmoidal, and maxillary sinusitis was also detected.


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[User] MRI scan results before emergency surgical intervention

MRI scans revealed a compressing lesion on the spinal cord which led to emergency surgical intervention.


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[User] MRI scan results for arachnoid cyst

MRI scan revealed a large posterior fossa arachnoid cyst causing severe compression over the cerebellar vermis, which was pressing against the dorsal aspect of pons and medulla.


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[User] MRI scan results in older adults with depression

The MRI scan revealed a Fazekas DWMH rating of 2 and a PVWMH rating of 3, which demonstrated scattered deep and subcortical punctate foci of hyperintense FLAIR signal in the bilateral frontal, parietal and temporal lobes. According to the radiologist, these are nonspecific patterns likely to represent sequela of migraine headaches, Lyme infection, vasculitis or microvascular ischemia.


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[User] MRI scan results of pelvis

An MRI scan of the pelvis revealed a focal osteolytic lesion with cortical destruction in the left greater trochanter and an enlarged trochanteric bursa with an enhancing wall suggestive of an abscess.


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[User] MRONJ diagnosis criteria

The possibility of MRONJ due to simvastatin drug was considered in the light of clinical and radiographic examinations as well as her previous medical and dental records. Histopathological examination confirmed the diagnosis of MRONJ.


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[User] MRONJ stage 2 symptoms

The patient was admitted for treatment for bone exposure following dental implant surgery in upper left jaw. Diagnosed with medication-related osteonecrosis of the jaw (MRONJ) stage 2.


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[User] MRONJ stage 2 treatment

Treated conservatively with antibiotics and chlorhexidine rinses for 15 days. Denosumab discontinued. Resection of exposed necrotic bone, curettage, and regeneration using platelet and leukocyte-rich fibrin (PRF-L) was performed.


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[User] MRONJ symptoms and causes

The patient, [name], was admitted to our hospital on [date] with complaints of swelling, pain, and purulent drainage in the posterior right mandible. She had undergone a traumatic extraction of her right mandibular molars (teeth 46 and 47) three months prior to the onset of symptoms. Radiography showed an ill-defined radiolucency in the right mandible indicative of a segment of necrotic bone.


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[User] MRSA bacteremia symptoms

The patient was readmitted due to methicillin-resistant Staphylococcus aureus (MRSA) bacteremia.


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[User] MRSA colonization symptoms

The patient was admitted due to MRSA colonization, which progressed to various sites, including inflammation of the eyes, swelling and blistering of the oral mucosa, swollen lymph glands in the groin, and formation of several furuncles over the entire body.


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[User] MRSA colonization treatment options

The patient was treated with antibiotics, which gradually improved the condition. However, due to the persistence of symptoms, the swabs were taken to reveal pharyngeal and oral colonization with MRSA.


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[User] MRSA diagnosis

Blood cultures were positive for MRSA.


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[User] MRSA endocarditis symptoms

No active symptoms were present at discharge.


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[User] MRSA endocarditis treatment options

Vancomycin was discontinued on day 14 due to acute renal failure, and daptomycin was added to complement ceftaroline on day 20. After 21 days of ceftaroline therapy, neutropenia was observed with a decrease in the absolute neutrophil count (ANC) to 4.5 cells/mm3, leading to the discontinuation of the medication.


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[User] MRSA treatment

The patient was started on broad-spectrum antibiotics with only Vancomycin continued after the blood cultures tested positive for MRSA.


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[User] MRSA treatment options

Methicillin-resistant Staphylococcus aureus (MRSA) was identified in the pleural fluid culture, leading to the diagnosis of pleural empyema. Treatment with intravenous linezolid resulted in a decrease in fever and normalization of inflammatory markers.


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[User] MRSA treatment plan

Blood culture became positive for MRSA and the patient was started on IV vancomycin and ciprofloxacin for 21 days. The patient was prescribed 4% chlorhexidine body wash to eliminate MRSA from the skin.


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[User] MS symptoms in young adults

The patient was initially diagnosed with relapsing-remitting MS in December 1993. The patient developed numbness on the left side of her face. MRI revealed a contrast-enhancing lesion in the right paracentral lobule and 23 supratentorial and 1 infratentorial lesion on T2-weighted scans.


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[User] MSU crystal deposition symptoms

Acute severe lower back pain and left knee pain associated with fevers and chills.


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[User] MTHFR homozygous A223V mutation symptoms

The patient was admitted to our institution where MTHFR homozygous A223V mutation was identified. Folic acid intake was increased to 800 mcg/d, and no other coagulation tests were abnormal.


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[User] MTX-LPD symptoms

The patient had a history of rheumatoid arthritis and had been receiving low-dose MTX for 13 years. Due to the possibility of MTX-LPD, MTX administration was ceased and the patient was monitored closely.


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[User] MTX-lymphoproliferative disorder symptoms

The patient presented with complaints of back pain and numbness in the bilateral lower limbs for the past 3 months.


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[User] MTX-lymphoproliferative disorder treatment

The patient underwent posterior spinal decompression with laminectomy and posterolateral fixation of Th9-11 vertebrae. The patient was advised to discontinue the use of MTX. Prednisolone 5 mg/day was administered as an alternative to MTX from 1 week after surgery.


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[User] MV repair with midline sternotomy complications

A new pansystolic murmur at the apex radiating to the aortic region suggested a fault with the posterior mitral valve leaflet (PMVL). The patient was diagnosed with a flail PMVL causing severe eccentric mitral regurgitation (MR)


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[User] MV replacement surgery complications

The patient underwent uneventful induction of general anesthesia and the surgery was completed without any complications.


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[User] MV replacement surgery recovery time

The patient tolerated the procedure well and no complications arose during her hospital course.


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[User] MWS symptoms in adults

The patient later confirmed a history of cold-induced skin rash, arthralgia, and low-grade fevers, leading to the diagnosis of MWS.


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[User] Maggots Infestation treatment

Immediate treatment consisted of injection Tetanus Toxoid, oral diclofenac, instillation of 0.3% gatifloxacin eye drops, and manual removal of maggots several times a day, initially following turpentine wash and later under topical anesthesia. Several maggots continued to remain deeply buried in pockets in the lids and orbit. The patient was administered a single oral dose of 12 mg of ivermectin, following which she had a dramatic relief from pain. 1% ivermectin drops prepared by dissolving the tablet in distilled water was additionally instilled four times a day in the right orbit for a week.


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[User] Major depressive disorder in adolescents

The patient was admitted to the hospital in October 2015 for emergency psychiatric hospitalization due to psychiatric symptoms including feeling overwhelmed, confused, depressed, and agitated. He was diagnosed with MDD with psychotic features and was treated with aripiprazole.


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[User] Major depressive disorder treatment plan

The following medication therapy was prescribed: Sertraline 50 mg, Olanzapine 5 mg, and Lorazepam 2.5 mg. The patient is encouraged to maintain their medication therapy as prescribed and follow-up with their primary care physician or mental health provider for ongoing monitoring and care.


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[User] Malaria infection symptoms

The 28-year-old male patient was admitted with a one-week history of fever and upper abdominal pain.


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[User] Malaria symptoms in adolescents

The patient was admitted with a comatose state and seizures. On admission, she was febrile with elevated heart rate, respiration, and blood pressure.


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[User] Malaria treatment outcomes

The patient's condition improved and he was discharged on hospital day 15 without any symptoms. The patient continued on medication and follow-up visits and showed improvement in follow-up visits.


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[User] Male infants with trisomy 21 and complete atrioventricular canal defect

Patient: Male infant with trisomy 21, congenital hypothyroidism, failure to thrive, pulmonary hypertension, and complete atrioventricular canal defect with repair complicated by chylothorax.


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[User] Malignant mesothelioma symptoms

The patient presented with a 2-month history of pleuritic chest pain that was aggravated by exercise and breathing.


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[User] Mallet finger symptoms

Physical examination revealed extensor lag of the DIP joint and volar curvature of the distal phalanx, which was consistent with a mallet finger.


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[User] Management of CAPD catheter piercing the anterior abdominal wall

PD was discontinued, and the patient was treated with vancomycin intraperitoneally and broad-spectrum antibiotics intravenously. The options were discussed with the patient, and the need for a vascular access was explained. However, due to logistic reasons, an attempt was planned towards catheter salvage.


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[User] Management of COVID-19 infection in neonates

Both neonates were provided with pediatric care at Wuhan Children's Hospital and the nucleic acid test turned negative within 2-3 weeks after the first diagnosis.


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[User] Management of HIV status in patients with pulmonary TB

The patient's HIV status will also be monitored and treated as necessary.


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[User] Management of Rendu-Osler-Weber disease

Multiple endoscopic intranasal coagulations were performed using neodymium, CO2 lasers, or bipolar coagulation instruments. Failure in the control of the episodes of massive epistaxis led to transarterial embolisation of the maxillary, the facial, and the sphenopalatine arteries and attempts of septodermoplasty.


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[User] Management of acute kidney injury

Hemotransfusion and the FFP were continued; however, unfortunately her condition did not improve and she ceased breathing.


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[User] Management of anxiety about oral surgery

The patient agreed to be treated with a nonsurgical approach.


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[User] Management of cardiac hemangioma during pregnancy

The patient, a 32-year-old pregnant woman, was admitted to the hospital due to a fetal cardiac mass. The fetal echocardiography showed a heterogeneous lesion on the right side of the heart, with tricuspid annulus compression and pericardial effusion. The EXIT procedure was performed, and the cesarean section was completed successfully.


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[User] Management of congenital cyanotic heart disease

The patient was started on oxygen, furosemide, enalapril, and intravenous cefotaxime. Despite these measures, the patient experienced persistent hypoxemia and cardiac failure, resulting in intubation, mechanical ventilation, and pressor support.


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[User] Management of disseminated intravascular coagulation

During hospitalization, the patient showed disseminated intravascular coagulation upon admission, which was managed by replacing coagulation factors with blood products.


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[User] Management of low platelet count in patient with end-stage kidney disease

The patient was initiated on peritoneal dialysis, which improved his low platelet count.


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[User] Management of metastatic ER+/PR−/HER2− breast cancer

The patient's metastatic ER+/PR−/HER2− BC has shown mixed response to treatment, and the patient has required several changes in therapy to manage the disease. Testing of primary breast tumor demonstrated a PIK3CA E545K mutation, which was also taken into consideration for treatment planning.


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[User] Management of metastatic HCC in the form of a single mass

Open laparotomy was performed, and the mass was excised with tumor-negative resection margins. After excision, the patient's tumor marker levels rapidly returned to normal ranges.


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[User] Management of neutropenia caused by ceftaroline

G-CSF was administered daily for 7 days to manage the neutropenia.


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[User] Management of pancytopenia during chemotherapy

During chemotherapy, she was managed for pancytopenia.


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[User] Management of retroperitoneal abscess

The patient underwent a Hartmann's operation to evacuate the retroperitoneal abscess.


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[User] Management of severe peripheral vascular disease

Due to severe peripheral vascular disease, the patient was not a candidate for surgery.


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[User] Management of suspected intrauterine infection

Suspicion for intrauterine infection was low, and no antibiotics were administered during labor.


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[User] Management of the patient's high ICP?

sedation stopped on day nine, high ICP managed with muscle relaxants, mannitol, hypertonic saline infusions, and thiopental coma without success, ICP monitor removed on day eight.


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[User] Management of tumor lysis syndrome in pediatric patients

With a high risk for tumor lysis syndrome (TLS), the patient received rasburicase in addition to fluid therapy and forced diuresis treatment. Metabolic parameters were normalized seven days after the initiation of rasburicase treatment.


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[User] Management plan for epitheloid sarcoma patients

The patient was provided with counseling and support during the hospital stay. She was advised on the management of her condition and on the various resources available to her as she continued to battle her illness.


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[User] Management plan for hypertension

[PATIENT NAME] was discharged in improved condition. Follow-up appointments advised for continued monitoring and management of hypertension and depressive disorder.