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

[User] management of pseudoaneurysm of Anterior Tibial Artery

A vascular surgeon was called to clip her ATA to manage her symptoms. The positions of the nail and bolts were not changed to prevent the rupture of the pseudoaneurysm.


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[User] management of recurrent basaloid squamous cell carcinoma

The patient underwent CRS with HIPEC to manage recurrent AC. The surgical procedure involved midline laparotomy and removal of all metastatic disease, with a completeness of cytoreduction score of 0.


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

[User] management of recurring nail symptoms in Alopecia Areata patients

However, at the one-year follow-up, mild recurrence of nail symptoms was noted. No further treatment was prescribed.


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

[User] management of refractory intracranial hypertension

The patient developed sustained refractory intracranial hypertension which eventually led to the evolution of diffuse supratentorial cytotoxic edema.


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

[User] management of respiratory failure in thyroid storm

The patient developed respiratory failure and progressive disturbance of consciousness, requiring intubation. High-output heart failure and pulmonary edema followed, treated with diuretics, short-acting β blocker, and norepinephrine.


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

[User] management of scoliosis in proteus syndrome

Physical therapy and pain management were prescribed for scoliosis.


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

[User] management of self-inflicted neck injury

He was prepared for tracheostomy and primary wound closure. Tetanus prophylaxis was given to him from the referring hospital. Parenteral ceftriaxone, metronidazole, and pentazocine were administered.


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

[User] management of sensory peripheral neuropathy

The patient’s presence of sensory peripheral neuropathy was confirmed with a Bio-Thesiometer, which indicated an increased risk of 19.8% for diabetic ulcers.


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

[User] management of severe multivessel spasm

IC nitroglycerin was administered resulting in the resolution of the spasm and ST-elevation. The patient was started on IV nitroglycerin which was later changed to isosorbide mononitrate.


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

[User] management of severe thrombocytopenia in pediatric patients

The patient was diagnosed with an unknown illness, and plan for treatment was initiated immediately. Throughout the hospital course, the patient was constantly monitored for any changes in her condition.


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

[User] management of vasospasm after aneurysm clipping

She was managed with volume expansion and permissive hypertension. The patient’s condition improved after being administered 20 mg intra-arterial verapamil once again.


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

[User] management of vitiligo-like patches

The patient should be advised that biopsy and photography of the lesions may provide further information about their etiology. The patient should be instructed to avoid imiquimod and other similar topical medications until further consultation.


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

[User] management plan for cardiac amyloidosis

The patient was discharged with follow-up appointments for monitoring and management of his symptoms. He was treated with furosemide, low doses of beta-blockers, and an angiotensin II antagonist.


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

[User] mandible cyst diagnosis

Intraoral examination indicated tenderness in the buccal vestibule over the first molar, which was sensitive to percussion and had a vestibular obliteration. The panoramic radiograph showed a 3-4cm well-circumscribed, multiloculated radiolucency in the right body to ramus of the mandible.


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

[User] mandible deviation diagnosis criteria

The patient was diagnosed with an asymmetric mandible with skeletal and functional factors. Intraoral examination showed a half-step Class II molar and canine relationship on the right and a Class I relationship on the left.


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

[User] mandible deviation symptoms

The patient was admitted to the clinic with complaints of mandibular deviation and crowded dentition. The patient's facial examination revealed an asymmetrical face with a mandible shift to the right side and a soft-tissue asymmetry.


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

[User] mandible hypoplasia symptoms

The patient had obvious left mandible hypoplasia with the chin slightly deflected to the affected side.


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

[User] mandible osteomyelitis treatment

Sequestrectomy and saucerization were carried out along with plating along the inferior cortex of the mandible for the left body of the mandible that showed a pathologic fracture.


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

[User] mandibular angle fracture treatment options

The patient underwent open surgery to treat the fracture, and the procedure was successful.


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

[User] mandibular bone tumor symptoms

The patient was admitted with complaints of swelling in the floor of the mouth, difficulty in chewing, and inability to move the tongue and open her mouth fully. She also complained of malaise, pain in the floor of the mouth loss of appetite and loss of weight.


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

[User] mandibular dentigerous cystectomy complications

The patient's postoperative course was uneventful, and she was discharged the day after the surgery.


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

[User] mandibular dentigerous cystectomy hypertension risks

The patient was diagnosed with hypertension and had been taking medication for 2 years. Two 8-mg intravenous injections of ephedrine were administered, which stabilized the patient's systolic blood pressure.


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

[User] mandibular lesion symptoms

The patient presented with a slow-growing, painless expansion of the lower jaw for the past 8 years.


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[User] mandibular mucosa melanoma symptoms

The patient was referred to the Department of Oral and Maxillofacial Surgery at Dental School of Isfahan University of Medical Sciences with the complaint of swelling and bleeding in the right anterior region of mandibular mucosa.


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

[User] mandibular prognathism treatment options

The maxilla was rehabilitated using both tooth and implant supported fixed partial dentures. For the lower jaw, it was decided that the patient was able to receive implant-supported rehabilitation.


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

[User] mandibular ramus tumor symptoms

The patient showed a firm non-tender fixed mass with a local sensation of warmth on the right lateral aspect of the chin, wrapped around the angle of the mandible. A sensation of numbness was identified in the right lower lip and in the skin of the chin.


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

[User] mandibular reconstruction with free fibula flap

The patient underwent reconstruction with a free fibula osteoseptocutaneous flap that measured 8 cm × 5 cm.


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[User] mandibular tori diagnosis

A diagnosis of mandibular tori was made based on the findings of the MRI and CT scan, which showed two relatively symmetrical protuberances on the lingual aspect of the mandible with very low signal intensity in all sequences and no signs of contrast media uptake.


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

[User] mandibular tumor treatment options

The patient underwent hemimandibulectomy with secondary reconstruction for a mandibular tumor. The procedure was successful, and a vascularized iliac crest flap was used to reconstruct the mandibular angle.


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

[User] mango skin exposure symptoms

The patient presented to the emergency department (ED) with a severe and worsening pruritic rash that had been present for four days. The rash started in the inguinal regions and spread to his trunk and extremities.


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

[User] manic episode in pregnancy treatment

The patient was offered ECT as the first-line treatment, but it was not carried out because of her family's refusal. Olanzapine was reinstituted at week 25 of gestation with a dose of up to 7.5 mg/day, and the patient was discharged early due to family demands even with symptom persistence.


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

[User] mantle cell lymphoma prognosis

The patient was asymptomatic and no other evidence of lymphoma was found on CT with contrast of the chest, abdomen, and pelvis. It was decided to monitor and adopt a watchful waiting approach.


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[User] manubriosternal disruption symptoms

The patient was admitted to the Thoracic Surgery Unity at the Joseph Ravoahangy Andrianavalona Hospital complaining of chest pain at the MSJ that worsened with slight movements.


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

[User] manubriosternal disruption treatment options

The patient underwent surgery for surgical reduction under general anesthesia with single-lumen intubation in a supine position.


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[User] maryland bridge follow-up schedule

A 6-month follow-up was advised until the patient is ready to replace the bridge with a more permanent solution.


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[User] maryland bridge procedure steps

After a successful metal try-in and trial fitting, the bridge was modified with webbings on the incisal edge for increased retention. After isolation with a rubber dam, the Maryland bridge was cemented using a resin cement and macro-bonding in the webbed area using a conventional composite resin.


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[User] mass in the maxillary sinus treatment options

An excisional biopsy of the lesion was performed, which revealed a well-circumscribed nonencapsulated solid tumor characteristic of periocular myxoma. The patient underwent follow-up appointments at 7 days, 6 months, one year, and 4 years after surgery, and has shown no evidence of recurrence.


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

[User] mass in the pancreatic head treatment

Endoscopic ultrasonography revealed a low echoic mass in the pancreatic head, which was confirmed to be non-malignant on EUS-guided fine-needle aspiration cytology.


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

[User] mass involving left ureter treatment options

A laparoscopic excisional biopsy was performed, and the mass-forming lesion was diagnosed as IgG4-related focal retroperitoneal fibrosis.


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

[User] masseteric space abscess symptoms

The patient, a 35-year-old male, presented at our department with complaints of pain and swelling in the maxillary left posterior region.


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

[User] massive hematemesis treatment

The patient was urgently admitted and undergone total gastrectomy in October 2008 due to massive hematemesis.


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

[User] masticator space infection symptoms

A provisional diagnosis of masticator and predominantly temporal space infection secondary to carious mandibular right third molar was given.


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

[User] mastoid abscess treatment

He was initially treated with a combination of intravenous (IV) vancomycin, ceftriaxone, and dexamethasone. The patient remained on a prolonged steroid taper and completed an additional 4-week course of vancomycin, rifampin, ceftaroline, and moxifloxacin.


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

[User] mastoiditis causes

Mastoiditis is a serious infection of the mastoid bone, which is located behind the ear. The patient was diagnosed with mastoiditis with facial nerve paralysis.


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

[User] maternal and paternal age related risks

At birth, the mother was 31 and the father 55 years old.


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

[User] mature NK-cell leukemia treatment options

Despite receiving medical interventions such as antibiotics, IV fluids, dobutamine, etoposide, dexamethasone, methylprednisolone, fresh frozen plasma, IV immunoglobulin, and apheresis platelets, the patient's condition continued to deteriorate


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

[User] mature teratoma treatment

There is no evidence of malignancy, and chemotherapy is not indicated. However, teratomas of the peritoneal cavity can show multifocality and close followup would be needed to ensure that there is no local recurrence.


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

[User] maxilla implant rehabilitation complications

The healing period after implant placement proceeded uneventfully without any complications.


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

[User] maxillary anterior teeth area symptoms

The clinical and radiographic examinations revealed that the patient was suffering from chronic periodontitis localized in the maxillary anterior teeth area and pathologic tooth migration.


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

[User] maxillary central incisor irregularities symptoms

On oral physical examination, asymmetries were observed in the shape and contour of the maxillary central incisor and irregularities in the gingival regular concave arch of the left maxillary central and lateral incisors.


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

[User] maxillary expansion procedure complications

The skeletal maxillary expansion procedure was effective, as shown by a resolution of the posterior cross-bite on the right side and the appearance of the diastema between maxillary central incisors.


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

[User] maxillary full-arch fixed prosthesis procedure steps

Following surgical stent fabrication, six Straumann STL RN implants were inserted in the maxilla using a flapless approach. Intraoral scanbodies were hand-tightened on the implants, and an intraoral digital impression of the maxillary arch was acquired using an intraoral scanner. To register the established occlusal vertical dimension, the surgical guide was secured on the mesial implants using modified implant carriers and flow resin, and a bite registration material was used to further stabilize the centric relation. The complete digital bite registration was finalized in the IOS software, and the case was inserted in a CAD design software. A milled PMMA prototype was constructed and used for the verification of anterior esthetics, and the minor adjustments in the established occlusal vertical dimension and centric relation were finalized using a bite registration material. A full-arch cement-retained metal-ceramic restoration on Straumann synOcta abutments was finally fitted.


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

[User] maxillary left central incisor restoration procedure

Removal of caries was performed, during which a pulp exposure occurred and was treated accordingly. In the following week, the pulp chamber was filled with a thick paste of zinc oxide eugenol (ZOE), after which direct restoration of dental crowns with composite resin was performed.


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

[User] maxillary left first and second molars caries treatment

The patient was successfully treated for a masseteric space abscess secondary to caries of the maxillary left first and second molars, which caused pain and swelling in the maxillary left posterior region.


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

[User] maxillary molar eruption symptoms

At the time of admission, clinical and radiological examinations had shown that the patient was only able to bite on the left side, with an excessive downwards canting of the right maxillary molar by 3 mm, leading to a scissor bite. Further examination revealed maxillary and mandibular hypo-growth, maxillary arch length discrepancy, acute nasolabial angle (90°), and protruded upper lip.


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

[User] maxillary molar impaction treatment

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.


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

[User] maxillary multilocular radiolucent lesion symptoms

The patient presented with a painless swelling on the left side of the upper jaw, which was increasing slowly. Extraoral examination revealed facial asymmetry with a hard swelling on the left buccal side of the upper jaw, extending from temporal area to the cheek.


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

[User] maxillary multilocular radiolucent lesion treatment

The lesion was treated by enucleation under general anesthesia and with the removal of the impacted tooth. The histopathological examination revealed a tumor consisting of fibrous tissue with myxoid areas along with islands and strands of the inactive odontogenic epithelium.


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

[User] maxillary region pain causes

The patient had no obvious inducement for this pain and reported difficulty with brushing her teeth and eating.


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

[User] maxillary right central tooth discomfort diagnosis

The patient was diagnosed with discomfort in her maxillary right central tooth leading to a sinus tract clinically identified to be present on the midfacial attached gingiva.


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

[User] maxillary right central tooth resorption treatment

Conservative filing and medication with calcium hydroxide (CH) mixed with saline followed for the canal walls. A temporary filling was used to seal the cavity, and the CH dressing was renewed two times in 2 months due to exudation in the canal.


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

[User] maxillary right first molar root canal complications

None mentioned in the note.


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

[User] maxillary right first molar root canal treatment procedure

Root canal treatment of the tooth was proposed and the patient consented to it. Access cavity was prepared using Endo Access Kit while under local anesthesia of 2% lignocaine with 1:100,000 epinephrine.


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

[User] maxillary right second molar root canal therapy procedure

The affected tooth was anesthetized and isolated with a rubber dam, and a standard access opening was prepared using a round diamond bur. Four canal orifices were confirmed by clinical evaluation of the chamber floor. An Apex locator was used to estimate the working length of each canal, which was confirmed by conventional intraoral periapical radiography. NiTi rotary ProTapers and 5.25% NaOCl were used to prepare and clean the root canals, which were then obturated by using the cold lateral condensation technique with AH26 sealer and gutta-percha cones.


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

[User] maxillary sinus carcinoma treatment options

HDR interstitial brachytherapy of 42 Gy in 12 fractions for 6 days, and palliative resection was considered but refused by the patient.


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

[User] maxillary sinus mass diagnosis

Fine needle aspiration of the mass revealed scant groups of cohesive cells with nuclear enlargement, hyperchromasia, and mild cellular crowding, without high-grade features. Special staining further revealed positivity for cytokeratin AE1/AE3, p63, and p40, but was negative for S100, diagnostic for ameloblastoma.


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

[User] maxillary sinus mass symptoms

The patient reported having intermittent blood-tinged mucus for over 2 years with episodes of epistaxis over the last month. They also reported 1 week of left facial numbness, and one day of drooling from their left oral commissure.


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

[User] maxillary sinus non-Hodgkin's lymphoma treatment

The patient received 6 cycles of standard (R-CHOP) regimen, Rituximab 375 mg/m2 d1, Cyclophosphamide 750 mg/m2 d1, Doxorubicine 50 mg/m2 d1, Vincristine 1.4 mg/m2 d1, and Prednisolone 100 mg (Day 1-5).


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

[User] maxillectomy complications

The patient underwent infrastructural maxillectomy with safe margins in our hospital.


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

[User] maxillofacial trauma treatment follow-up

At 3 years after surgery, he is receiving ambulatory follow-up, and has shown a good clinical course.


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

[User] mechanical aortic valve replacement complications

During the surgery, it was discovered that one of the hemidisks was locked by pannus ingrowth and fresh pivotal thrombi, necessitating the removal of the prosthesis and its replacement with a bovine pericardium bioprosthesis in supraannular position. Postmortem examination revealed the cause of death to be extensive myocardial infarction due to the intraoperative occlusion of both coronary ostia by bioprosthesis malpositioning.


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

[User] mechanical mitral valve regurgitation treatment

The patient underwent primary percutaneous coronary intervention and was treated with aspirin, clopidogrel, and heparin infusions. Subsequent echocardiography revealed a mobile mitral leaflet with residual thrombus, which was treated with tissue plasminogen activator (tPA).


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

[User] mechanical ventilation for COVID-19 patients with respiratory failure

The patient was intubated and started on mechanical ventilation on hospital day 2 due to worsening hypoxia.


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

[User] meconium peritonitis symptoms

The patient, born preterm, was delivered through emergency Cesarean section due to respiratory distress, anasarca, and marked abdominal distention.


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

[User] medial meniscus tear treatment

Arthroscopic surgery was performed to shave the cyst and repair the tear in the meniscus.


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

[User] medial solus tear treatment options

A visible medial solus tear was noted during irrigation and debridement 2 days after the four-compartment fasciotomies.


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

[User] median nerve tumor symptoms

Examination revealed fullness over the wrist and interthenar area of the palm, as well as a soft, non-pulsatile, non-compressible, and tender swelling at the base of the index finger.


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

[User] mediastinal actinomycosis symptoms

The patient presented with left-sided chest pain exacerbated by deep inspiration.


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[User] mediastinal germ cell tumor treatment options

The patient was treated with 5FU/leucovorin/irinotecan-based chemotherapy directed to the transformed histology and achieved clinical response with radiologically stable disease.


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

[User] mediastinal mass diagnosis methods

An unenhanced chest CT scan revealed a mass of 10.3 × 7.6 cm in the anterior mediastinum. The mass was excised, and the tissue sections showed an intact capsule and fleshy pinkish white surface.


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

[User] mediastinal mass treatment options

Emergent pericardiocentesis drained 1100 mL of serosanguineous fluid... Two cycles of R-CHOP chemotherapy were completed, and pericardial window placement was necessary due to fluid recurrence.


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[User] mediastinal teratoma diagnosis

A preoperative diagnosis of mediastinal teratoma was entertained. The patient underwent five IR CT-guided core needle biopsies from different regions of the mass, which yielded minute fragments of amorphous, acellular material that was insufficient for pathological diagnosis.


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

[User] medical termination of pregnancy indications

Due to the patient's high-risk obstetric history and hyperglycemic status, the advice of obstetrician and endocrinologist was sought. As per their advice, the patient underwent medical termination of pregnancy (MTP)


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

[User] medication for irritant contact dermatitis

Under suspicion of irritant contact dermatitis, antihistamines were prescribed and an ointment was applied.


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[User] medication prescribed at discharge

Discharge Medication(s): - None


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[User] medication regimen adjustment for schizophrenia

Risperidone was initiated, but the patient continued to experience psychotic symptoms. Hence, loxapine was added to her medication regimen, which resulted in optimal control of her agitation, thought process, and paranoia.


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

[User] medication regimen for pediatric hypertension

Treatment included medication to manage the hypertension [amlodipine (10 mg/day), hydrochlorothiazide (12.5 mg twice a day), and carvedilol (6.25 mg twice a day)].


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[User] medications adjusted during hospitalization

Adjustments to propranolol, enoxaparin, and nitrate were made, as well as vaginal tablets of natural micronized progesterone.


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[User] medications after coronary intervention

The patient was discharged with a triple combined anti-platelet regimen of aspirin, clopidogrel, and cilostazol per day after resistance testing.


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[User] medications at discharge

None prescribed on discharge.


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[User] medications changed during hospital stay

The patient's bisoprolol was increased and dulaglutide was stopped.


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[User] medications for hypertensive thalamic bleed

The patient was started on oral tetrabenzine and parentral haloperidol for control of the continuous movements, but the movements could not be controlled. Atypical antipsychotics including quetiapine and clozapine were also tried, along with add-on drugs such as clonazepam, sodium valproate, levetiracetam and topiramate.


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

[User] medications for leukocytoclastic vasculitis

The patient was put on vancomycin and colchicine, which led to improvement in the rash.


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[User] medications for treating granulomatous hepatitis caused by BCG infection

Empirical treatment with isoniazid 300 mg/day and rifampicin 600 mg/day was started, and the patient received 9 months of dual anti-bacillary treatment.


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

[User] medications prescribed at discharge

There were no medications prescribed upon discharge.


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[User] medications prescribed at discharge after readmission

The patient was discharged on aspirin, atorvastatin, and isosorbide mononitrate.


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[User] medications that can cause priapism

He had a history of back pain, for which he was under treatment with pregabalin. He had received three doses of pregabalin, and after the third dose, he experienced an erection that became painful.


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[User] medications used during hospital stay

The patient's condition continued to deteriorate, requiring additional treatments such as hemodynamic support with norepinephrine, epinephrine, and vasopressin. She was diagnosed with sepsis secondary to pneumonia and started on antibiotics.


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

[User] medications used for immunosuppressive therapy

The patient was treated with tacrolimus, prednisone, and mycophenolate mofetil (MMF) as immunosuppressive therapy.


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[User] medications used for renal clear cell carcinoma

The patient had previously received etanercept and a single dose of infliximab for her JIA. DISCHARGE MEDICATIONS: Not Applicable.


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

[User] medications used to treat SOJIA

Previous use of anakinra for treatment of SOJIA. Treatment with glucocorticoids, ursodexoxycholic acid, N-acetylcysteine, and subcutaneous certolizumab pegol was initiated.


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

[User] medications used to treat sarcoidosis in children

Treatment was initiated with oral administration of corticosteroids, leading to an improvement in the patient's symptoms and blood test results after approximately two weeks.


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[User] medications used to treat scurvy

During her admission, the patient slowly improved with a provided diet and daily multivitamins. She was recommended to take daily multivitamins and supplemental ascorbic acid.


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[User] medulloblastoma chemotherapy agents

Treatment was initiated, including bi-fractionated craniospinal irradiation, followed by chemotherapy with various agents. Maintenance therapy was delivered until December 2012.


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[User] medulloblastoma treatment options

During hospitalization, the patient underwent further evaluation to determine the extent and severity of the tumor. The appropriate treatment plan was put in place.


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[User] melanoma in mid ureter treatment

Endoscopic resection was performed in July 2015, and the mass was removed in three pieces using a basket through a sheath. The stalk was lasered, and the full thickness of the lesion was treated to ensure maximal clearance. A ureteric stent was placed to lessen the risk of postoperative stricture.


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

[User] meloxicam side effects

Patient was taking Meloxicam 15 mg daily for knee pain prior to presentation and was advised to avoid its use due to meloxicam-induced gynecomastia.


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

[User] membranous nephropathy symptoms

The patient was admitted to the emergency department with the chief complaint of progressive symptomatic fatigue. Physical examination revealed fatigue, oedema of lower limbs and oliguria.


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

[User] membranous nephropathy treatment

After IFN withdrawal, the patient started double renin-angiotensin-aldosterone system-blockade and immunosuppressive therapy. Due to complications, the patient discontinued the immunosuppressive therapy after about a month.


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

[User] memory loss diagnosis and treatment

The patient was diagnosed with partial amnesia and it was determined that he would benefit from additional psychiatric evaluation and treatment to address his long-term memory loss.


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[User] memory loss symptoms and duration

He had approached a bus driver to seek assistance as he was unable to remember any identifying information. The patient appeared to have recently arrived in the city, and had no memory of his current location or whereabouts. He was unable to recollect his family's details and did not have any identification papers, except for $600 in his sock.


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

[User] memory problems in elderly diagnosis

A neuropsychological test revealed that she was in the early stages of dementia, which was consistent with a frontal or frontal-subcortical syndrome. Her attention and concentration were decreased, and she had difficulty with her executive function.


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

[User] men1 heterozygous mutation symptoms

The patient presented with hypercalcemia and elevated serum PTH levels. Genetic testing confirmed the presence of a MEN1 heterozygous mutation. The patient had a family history of MEN1.


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

[User] meningioma WHO grade progression

The second pathological examination confirmed the histological transformation (from WHO grade I to II).


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[User] meningioma symptoms

The patient was admitted presenting with a history of binocular diplopia and a limitation in abduction movement in the left eye.


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[User] meningioma treatment options

Although surgical resection of meningioma was considered too risky and inadvisable due to serious comorbidity, the patient will remain under serial radiological (MRI scan) surveillance for his meningioma.


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[User] meningo-encephalitis treatment

The patient was treated with appropriate medical care and administered antibiotics. The patient's performance status improved during treatment.


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[User] meningoencephalitis treatment

We suspected meningoencephalitis and initiated empirical treatment with ceftriaxone, amoxicillin, vancomycin, and acyclovir, in combination with systemic corticosteroids.


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

[User] meningothelial meningioma symptoms

The patient was admitted to the hospital due to anosmia and headache.


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[User] meniscal repair devices

An all-inside meniscal repair device was utilized to repair the vertical, full-thickness lateral meniscus tear from the posterior root to the popliteal hiatus in the red-white junction.


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

[User] meniscus cyst treatment options

Arthroscopic surgery was performed under general anesthesia and a tourniquet was used. The cyst was shaven and the tear in the meniscus was repaired.


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

[User] menkes disease diagnosis

Genetic testing revealed the presence of a heterozygous mutation, C.1138G>A (p.Val380Met) in the ATP7A gene, which is associated with Menkes disease.


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

[User] mental abnormality and hypomnesia symptoms

The major mental symptoms were gibberish, irrational talk, and impaired mental attention. The patient did not present with any significant hallucinations or delusions. The patient also intermittently experienced abdominal pain, vomiting, constipation, and urinary incontinence for 1 month.


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

[User] mesalazine side effects

He also developed tenesmus and hematochezia after treatment with mesalazine and prednisolone.


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

[User] mesangial hypercellularity diagnosis

After undergoing a renal biopsy, it was observed that the patient had mesangial hypercellularity with an increase in the mesangial matrix.


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

[User] mesangial proliferative glomerulonephritis treatment

Following prednisone treatment, he achieved remission.


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

[User] mesenteric cystic lymphangioma diagnosis methods

Plain abdominal radiographs suggested intestinal occlusion. Pathological examination confirmed a diagnosis of mesenteric cystic lymphangioma containing chylous milky fluid.


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

[User] mesenteric cystic lymphangioma symptoms

The patient was admitted due to severe abdominal distention, nausea, vomiting, and severe pain.


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

[User] mesenteric lipoma symptoms in children

The patient presented with an abdominal mass that was incidentally discovered by a pediatrician during a physical examination for distention and chronic diarrhea.


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

[User] mesenteric panniculitis treatment plan

The patient's care consisted of a combination of antibiotics, including third-generation cephalosporin, dilatants, and fluid infusions. Symptomatic treatment included antispasmodics, laxatives, and low-flow oxygen therapy. Glucocorticoid treatment with methylprednisolone was started in collaboration with a rheumatoid specialist.


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

[User] mesh plug anesthesia complications

Mesh plug anesthesia was fixed in the preperitoneal space and had not violated the peritoneal layer. Pressing of cecal wall against non-deployed mesh plug led to extrinsic compression.


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

[User] mesothelioma symptoms

The patient was referred to our outpatient department due to chest radiographic findings and persistent symptoms of dry cough, nonspecific chest pain, and dyspnea on exertion of MMRC grade 1 since 2013.


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

[User] mesothelioma treatment options

The patient was treated with combination chemotherapy of cisplatin and pemetrexed every 3 weeks. After two cycles of chemotherapy, pleural effusion was decreased, and dyspnea was improved.


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

[User] metabolic acidosis symptoms in children

The patient, a 6-year-old male with Down syndrome, was admitted due to vomiting, weakness, polyuria, polydipsia, irritability, and weight loss.


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

[User] metallosis symptoms

The patient was referred to an internal medicine outpatient clinic due to asthenia, anorexia, weight loss, headaches, nausea, vomiting, and hand and foot paraesthesia along with impaired memory, fatigue, difficulty concentrating and apathy.


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

[User] metastasis of lung cancer treatment options

The patient underwent neoadjuvant chemotherapy followed by concomitant chemoradiation and surgery to treat the cancer. Sequential treatment with gemcitabine and carboplatin area under the curve 6 on day one was initiated.


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

[User] metastatic NET treatment options

The patient was treated with a long-acting somatostatin analogue (SSA), radiolabelled metaiodobenzylguanidine (MIBG), and telotristat etiprate due to progressive symptoms.


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

[User] metastatic SCC treatment options

The patient was enrolled in a trial and treated with carboplatin, 5-FU, and pembrolizumab at a dose of 200 mg.


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

[User] metastatic adenocarcinoma of the lung symptoms

A 53-year-old Caucasian woman with a one month history of painful right eye associated with decreased vision and diplopia was admitted. She reported mild tenderness over the distal right femur and right knee pain.


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

[User] metastatic adenocarcinoma treatment options

The patient was treated with radiation therapy, and symptoms improved.


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

[User] metastatic breast cancer liver mass symptoms

The patient, a 64-year-old woman, was admitted to our clinic with a 9 cm left liver mass consistent with metastatic breast cancer identified by biopsy.


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

[User] metastatic breast carcinoma symptoms

The patient presented to the hospital with complaints of abdominal discomfort, diarrhea, weight loss, nausea, and vomiting for a few months. On examination, the patient had mild lower abdominal tenderness, and the rectal exam was normal, but fecal occult blood was positive.


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

[User] metastatic carcinoma expressing neuroendocrine markers symptoms

The patient presented with a skin lesion in her right antecubital fossa which was diagnosed as metastatic carcinoma expressing neuroendocrine markers.


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

[User] metastatic cholangiocarcinoma treatment options

The patient was treated with a combination of pembrolizumab, gemcitabine, and cisplatinum every 3 weeks in a double-blinded study.


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

[User] metastatic clear cell carcinoma treatment options

He refused adjuvant chemotherapy after surgery. Bilateral near total thyroidectomy was performed, and the histopathological examination of the thyroid specimen confirmed metastatic clear cell carcinoma in both lobes of the thyroid gland.


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

[User] metastatic colorectal cancer treatment options

A Hartmann operation was performed, and several hepatic metastases were found as well as an osteolytic lesion of the right acetabulum which was conformally irradiated before starting chemotherapy. Prior to chemotherapy, the patient's performance status was excellent, and she did not show any signs of infection or sepsis. Five days before admission, she had received FOLFIRI chemotherapeutic regimen.


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

[User] metastatic follicular carcinoma of the thyroid symptoms

The patient was admitted due to a firm to bony hard swelling in the right upper posterior region of maxilla that had gradually increased in severity. The condition was accompanied by mobile teeth, dull pain in 16, radiating to tempero-mandibular joint, and back of head and neck region.


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

[User] metastatic follicular carcinoma of thyroid symptoms

The patient was admitted to the hospital with painful swelling over her right upper arm that had been increasing in size for 3 months. The patient reported severe pain that disturbed her sleep and activities of daily living.


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

[User] metastatic follicular carcinoma of thyroid treatment options

The patient had undergone total thyroidectomy and received a complete course of I131 ablation therapy for follicular carcinoma of thyroid 5 years ago. Radical excision of tumor (Malawer Type 1 resection) was done, and the upper end of humerus was reconstructed with a custom made barium sulfate loaded acrylic prosthesis.


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

[User] metastatic follicular-type carcinoma symptoms

2-month history of pain and swelling at the distal part of the right thumb


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

[User] metastatic malignant germ cell tumor symptoms

The patient presented with an ulceroproliferative growth over the shin of the right lower limb. The biopsy of the lesion revealed a metastatic malignant germ cell tumor. He presented with hoarseness of voice in May 2012, and a CT of the thorax showed a large mediastinal nodal mass with multiple lung metastases.


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

[User] metastatic malignant germ cell tumor treatment options

He underwent a left high inguinal orchidectomy and left hemiscrotectomy and completed four cycles of adjuvant chemotherapy with Cisplatin and Etoposide. He received three cycles of salvage second-line chemotherapy with Vinblastine, Ifosfamide, and Cisplatin. He completed six cycles of salvage third-line chemotherapy with Carboplatin, Paclitaxel, and Gemcitabine.


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

[User] metastatic melanoma treatment options

Treatment with high-dose interleukin-2 (IL-2) followed by carboplatin plus paclitaxel combination chemotherapy was initiated, but the disease continued to progress. Nivolumab was then prescribed (3 mg/kg), after which the patient experienced tinnitus and left-sided hearing loss two weeks later.


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

[User] metastatic pituitary tumors treatment

The patient underwent CyberKnife treatment for the remnant mass in the pituitary gland, which was successful, and the patient showed normal hormone levels post-treatment.


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

[User] metastatic renal cell carcinoma symptoms

The patient presented with a 6-month history of intermittent right anterior neck and intraoral pain, and noted a tongue mass, which had grown substantially over the last several months.


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

[User] metastatic spread to other organs

Whole-body PET/CT imaging demonstrated hypermetabolism of both penile lesions, a spiculated pulmonary mass, a hypermetabolic mass in the right subscapularis muscle, and a left adrenal gland mass with no hypermetabolic lymphadenopathy identified.


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

[User] metatarsal fracture treatment options

The patient underwent an I&D procedure, followed by a definitive reconstruction procedure for the second and third metatarsals.


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

[User] metformin and nightmares

The patient reported experiencing abnormal dreams and nightmares after consuming extended-release metformin.


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

[User] metformin dosage adjustment

His metformin was then uptitrated to 1500 mg per day in a 3-month follow-up plan.


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

[User] metformin toxicity symptoms

The patient was admitted to the hospital due to altered mental status. He had a past medical history of type II diabetes and hypertension. Initially, he was found to have severe metabolic acidosis, which was presumed to be caused by metformin toxicity.


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

[User] methadone maintenance therapy benefits

The patient was started on methadone maintenance therapy to help him control his cravings. The patient responded well to the methadone maintenance therapy, which was gradually increased until the desired therapeutic effect was reached.


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

[User] methemoglobinemia diagnosis

Arterial blood gas analysis revealed methemoglobinemia, with Methemoglobin (MetHb) level at 39%. G6PD level was found to be low at 9.6 U/g Hb (normal > 6.5).


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

[User] methemoglobinemia diagnosis and treatment

During the TEE, the patient had persistent hypoxemia. A probable diagnosis of methemoglobinemia was considered. A CT angiogram of the chest was done, which showed no evidence of pulmonary embolism. The patient was treated with one dose of methylene blue 2 mg/kg IV. His repeat methemoglobin levels were 8.2%, and his hypoxia improved.


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

[User] methemoglobinemia follow-up care

The patient's family was advised to follow up with the primary care physician for routine check-ups and to report any recurrent symptoms, such as cyanosis or shortness of breath.


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

[User] methemoglobinemia treatment

Methemoglobinemia was suspected and rasburicase was discontinued. Ascorbic acid and blood products were administered, and the patient's oxygen saturation subsequently improved.


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

[User] methemoglobinemia treatment in children

Intravenous methylene blue 2 mg/kg was started along with tablet ascorbic acid, but multiple doses of methylene blue, along with packed cell transfusion, could not lower the MetHb level. Hence, single volume exchange transfusion was performed, which was successful in decreasing MetHb level to 7.8%.


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

[User] methicillin-resistant Staphylococcus aureus (MRSA) treatment options

Wound culture grew both methicillin-resistant Staphylococcus aureus (MRSA) and Enterococcus. He was treated with 48 hours of intra-venous clindamycin and discharged with a two-week course of oral clindamycin as guided by the infectious diseases team.


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

[User] methicillin-sensitive Staphylococcus aureus infection treatment

The patient was continued on intravenous vancomycin and underwent therapeutic ultrasound-guided drainage of both collections.


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

[User] methicillin-sensitive Staphylococcus aureus treatment

The patient was treated with intravenous nafcillin, and after six weeks, she showed improvement and was discharged.


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

[User] methomyl poisoning treatment

The patient received gastric lavage, activated charcoal, cathartics, and antiemetics in the hospital.


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

[User] methotrexate injection for ectopic pregnancy

Initially, 1cc of 10% KCl was injected in the gestational sac, followed by injection of 5cc methotrexate (50 mg) in the gestational sac and its surroundings.


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

[User] methotrexate side effects

The patient was counseled regarding the importance of medication adherence and informed about potential side effects of the current medications.


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

[User] methotrexate side effects in this patient

Methotrexate was discontinued due to gastrointestinal intolerability.


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

[User] methotrexate toxicity symptoms

The patient, a 79-year-old man with diffuse large B-cell lymphoma with central nervous system involvement and a history of gastroesophageal reflux disease, was admitted with elevated serum creatinine levels following intrathecal and intravenous methotrexate (MTX) administration. Pancytopenia developed early, and multiple treatments were attempted to decrease the serum MTX concentration and improve renal function.


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

[User] methotrexate toxicity treatment

During hospitalization, the patient received charcoal hemoperfusion and continuous venovenous hemofiltration (CVVH) to manage the toxic effects of MTX. The patient received a 1200-mg bolus of leucovorin following charcoal hemoperfusion and a 500-mg/h maintenance infusion thereafter.


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

[User] methotrexate treatment side effects

After the diagnostic evaluation, treatment was initiated with methotrexate in weekly doses. The patient responded well to the treatment, and her clinical condition improved.


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

[User] methyl iodide poisoning symptoms

The patient presented to the emergency department with sudden onset neurological symptoms including slurred speech, double vision, heaviness on the right side of his body, and unsteadiness of gait, along with an elevated blood pressure and raised temperature.


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

[User] methylation abnormalities diagnosis

The patient was admitted to the hospital for further evaluation due to methylation abnormalities in ICR1 and ICR2 found during routine medical screening.


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

[User] methylephedrine induced heart failure

The patient had been habitually taking a paediatric OTC cough syrup containing methylephedrine for 20 years. The cough syrup was immediately discontinued, and low-dose dobutamine infusion was started for low cardiac output symptoms.


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

[User] methylprednisolone therapy for psychosis

A rheumatologist consultation was needed, and methylprednisolone 500 mg intravenous infusion once daily was suggested for 3 days during initial 2 weeks of admission. After methylprednisolone therapy, the patient's psychotic symptoms were in remission totally within 3 days, and risperidone dosage was even reduced to 2 mg/d before discharge.


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

[User] metronidazole side effects in giardiasis treatment

No major complications were noted during the patient's hospital course.


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

[User] microabscess liver treatment

The patient was prescribed IV piperacillin/metronidazole and oral chloroquine for ten days, which did not yield a satisfactory response.


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

[User] microbiology of patient's diagnosis

The patient was diagnosed with an inflammatory, cellular infiltration in the lung caused by a thin, filamentous, Gram-positive, branching organism.


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

[User] microcystic meningioma symptoms

The patient presented with progressive hearing loss, disequilibrium, occasional difficulty swallowing, and facial numbness.


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

[User] micrognathia symptoms in newborns

Airway obstruction was present in the newborn. Complete soft palate cleft and glossoptosis were visualized in addition to prenatally diagnosed micrognathia.


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

[User] microscopic polyangiitis diagnosis criteria

A skin biopsy revealed leukocytoclastic vasculitis involving poor immune complex deposition, which is typical of AAV rather than SLE. A renal biopsy revealed necrotizing glomerulonephritis with cellular and fibrocellular crescent formations, resembling ANCA-associated glomerulonephritis rather than LN. The diagnosis of microscopic polyangiitis was made based on these findings and MPO-ANCA positivity.


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

[User] microscopic polyangiitis follow-up care

The patient is in near remission except for occasional hypocomplementemia treated with PSL, mizoribine, and tacrolimus. Five years from the diagnosis, the patient's condition remains stable.


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

[User] microscopic polyangiitis symptoms

The patient was admitted with complaints of hemoptysis, shortness of breath, and fever.


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

[User] microscopic polyangiitis treatment

She was a known case of microscopic polyangiitis (MPA) for the last 3 years and was treated with cyclophosphamide infusion 900 mg for 10 monthly pulses followed by oral azathioprine 150 mg once a day and tapering doses of oral prednisolone with good response.


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

[User] microscopic polyangitis treatment options

The patient underwent dialysis and received angiotensin converting inhibitor (ACE) and furosemide before renal biopsy. After renal biopsy, the patient received medication for the condition.


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

[User] microsporidial stromal keratitis treatment options

Despite medical therapy, the patient underwent a penetrating keratoplasty due to the lack of response. Postoperatively, the patient received topical chlorhexidine 2%, topical prednisolone acetate 1%, and topical atropine sulphate 1%.


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[User] microtia treatment options type E

The treatment plan for this patient consisted of reconstruction of the earlobe using the method demonstrated in type E.


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[User] microvascular angina diagnosis

The patient underwent coronary angiography, revealing normal epicardial coronaries with slow flow, which suggested microvascular angina.


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

[User] microwave ablation adenocarcinoma of the left lung

Microwave ablation was performed with a power of 40 W and a time of 5 min.


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

[User] mid LAD occlusion treatment options

Acute invasive angiography revealed occlusion of the mid-LAD, which was successfully recanalized and stented later on.


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

[User] mid-oesophageal foreign body treatment

The patient underwent an urgent thoracic endovascular aortic repair (TEVAR). The following day, the patient's dental bridge was removed via a right postero-lateral thoracotomy.


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

[User] midbrain glioma treatment options

The neurosurgery service recommended that revascularization surgery is not required, and the patient was kept on medical therapy.


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

[User] midbrain infarction conservative management

After receiving conservative management, there was improvement in her conscious level, but she still faced difficulty opening her eyes.


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

[User] midbrain infarction symptoms

An 81-year-old female patient with a history of high blood pressure and high cholesterol visited the emergency department after experiencing dysarthria and right-sided weakness.


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

[User] midbrain tuberculoma treatment options

Antitubercular treatment consisting of rifampicin, isoniazid, ethambutol, and pyrizinamide was started as a presumptive diagnosis of tuberculoma of the midbrain was made based on MRI findings and the endemicity of tuberculosis in the patient's country.


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[User] midface hypoplasia symptoms

The patient previously underwent treatment for nasopharyngeal rhabdomyosarcoma at the age of four, which resulted in delayed growth, midface hypoplasia, microdontia with root malformation, velopharyngeal insufficiency, and frequent ear infections with impaired hearing.


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

[User] midface hypoplasia treatment options

The treatment plan included Hyperbaric oxygen therapy and Le Fort III osteotomy with placement of a rigid external distraction frame (RED).


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[User] miglustat treatment outcome

He had complicated aspiration pneumonia, which required admission to ICU, pulmonary artificial ventilation, and tracheostomy. He is now relatively stable with tracheostomy and GI tube for feeding and restarted very recently treatment with miglustat 200 mg every 8 hours. However, he shows a higher disability score of 21.


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

[User] migraine headache triggers

These headaches were triggered by intense emotions and resulted in nausea and sensitivity to photic or acoustic stimuli.


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

[User] migraine with aura treatment

The treatment plan centered around preventive measures to deal with migraines. Recommendations were given to alter lifestyle habits to include improved diet control and sleep hygiene. The patient's medication regimen would remain the same - continuing gabapentin, with regular follow-up required.


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

[User] migraine with aura treatment options

The patient was advised to avoid migraine triggers such as alcohol and high altitude. The patient was discharged with instructions to follow up with her cardiologist and primary care physician for continued management of her cardiac condition and migraine attacks.


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

[User] mild cognitive impairment amnestic type symptoms

The patient had applied a post-auricular transdermal scopolamine patch before boarding a cruise ship to prevent seasickness. However, she became confused, delirious, agitated and experienced visual hallucinations during the journey.


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

[User] mild non-proliferative diabetic retinopathy symptoms

The patient, a 76-year-old female with mild non-proliferative diabetic retinopathy, presented with blurred vision in her right eye.


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

[User] mild respiratory symptoms in teenagers

The patient, a 17-year-old male, was admitted to our Emergency Department with a complaint of mild dyspnoea as the only clinical symptom.


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

[User] miliary tuberculosis symptoms

The patient presented to the ED with high-grade fever, chills, rigors, and weight loss.


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

[User] milrinone and nitroprusside administration

Milrinone and nitroprusside were administered following which orthotopic heart transplant was performed.


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

[User] mineralized mass in the knee joint symptoms

The patient presented with a 3-year history of fullness and dull pain involving the left knee.


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

[User] mineralocorticoid supplementation for primary adrenal insufficiency

Fludrocortisone was prescribed as mineralocorticoid supplementation, and the patient's serum electrolyte levels normalized.


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

[User] minimal change disease symptoms

The patient was admitted to the hospital with bilateral lower extremity edema and chest pain. Laboratory tests revealed hypoalbuminemia, elevated D-dimer, creatinine, and proteinuria.


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

[User] minimal change-type nephrotic syndrome treatment protocols

The patient was started on oral prednisolone as initial treatment. After multiple failed treatment attempts, including steroid pulse therapy and adrenocorticotropic hormone administration, the patient was administered evolocumab in August 2016, which resulted in a decrease in LDL cholesterol and urinary protein excretion.


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[User] minimal vermian hypoplasia prognosis

The girl developed normally and showed no neurological abnormalities at the corrected age of 3 ¾ years.


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[User] minimally invasive parathyroidectomy recovery time

The patient's recovery was uneventful, and the patient continued to remain well with corrected calcium levels.


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

[User] minocycline side effects skin

He developed blue-gray patches over his shins that gradually spread to other parts of his body, including existing scars, sclera, and teeth. The discoloration was attributed to a side effect of minocycline, as confirmed through a skin biopsy which revealed dermal pigmentation consistent with minocycline use.


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[User] minor head trauma symptoms in toddlers

She was somnolent upon admission and had less responsiveness than normal. Her blood glucose and ketone concentrations were found to be low.


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

[User] mitochondrial encephalomyopathy treatment options

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


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

[User] mitochondrial neurogastrointestinal encephalomyopathy symptoms

He showed signs of cachexia, drooping of the levatorpalpebrae muscle, mirror tongue, positive sound of water vibration in the stomach, loss of limbs with peripheral sensory hyperalgesia, and reduced tendon reflexes.


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

[User] mitochondrial neurogastrointestinal encephalomyopathy treatment

The patient received capacity expansion, water-and-electrolyte balance maintenance, gastrointestinal decompression, TPN therapy, containing energy at 33.69 kcal/kg/day, and fat emulsion suspension. He was also administered TG at 4.88 mmol/L, as well as a Calvin injection with supplements of energy at 40 kcal/kg/day, soybean fat emulsion at 1.94 g/kg, and l-carnitine at 1 g.


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

[User] mitomycin-C 0.02% side effects

The patient underwent an uncomplicated deep sclerectomy (DS) with an intrascleral hydroxyethyl methacrylate implant, using mitomycin-C 0.02% for 1 minute.


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

[User] mitral and aortic valve replacement

The patient was a 74-year-old female with a history of mitral and aortic valve replacement due to severe rheumatic mitral stenosis and aortic regurgitation.


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

[User] mitral and tricuspid valve replacement surgery complications

The patient did not experience any postoperative complications and was discharged on postoperative day 11 in good clinical condition.


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

[User] mitral arcade diagnosis

Transthoracic echocardiography further confirmed the diagnosis of mitral arcade with anatomic details.


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[User] mitral prosthesis stenosis symptoms

The patient presented to the emergency room with acute pulmonary edema and renal insufficiency. Despite medical therapy, the patient's condition remained critical with hemodynamic instability and hypotension.


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[User] mitral regurgitation symptoms

Clinical examination revealed cardiac enlargement with a pan systolic murmur at the apex, indicating a possible heart condition. Instructions at Discharge: The parents of the patient were advised to seek medical attention if they notice symptoms of congestive heart failure, such as difficulty breathing, abdominal swelling, or changes in heart rate.


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

[User] mitral regurgitation treatment options

After careful consideration of alternative treatment options, the decision was made to perform transcatheter device closure due to its minimally invasive nature and the suitable size anatomy of the perforation.


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

[User] mitral stenosis and cardiac tamponade relationship

During the PTMC procedure, the patient developed hypotension, bradycardia, and cardiac tamponade, for which, autotransfusion was started using a 7F pigtail catheter.


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

[User] mitral stenosis complications

The patient, a 25-year-old female with a past medical history of mitral stenosis and treatment-resistant hypertension, was admitted to our cardiovascular department due to severe hypertension during pregnancy. ... The clinical examination revealed an elevated blood pressure, left parasternal holosystolic murmur, with posterior irradiation, weak pulse in both lower limbs, and left atrial hypertrophy on ECG.


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

[User] mitral stenosis symptoms and treatment

The patient was admitted for high-risk percutaneous transvenous mitral commissurotomy (PTMC) due to severe symptomatic mitral stenosis (MS) with a suspected clot in the roof of the left atrium.


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

[User] mitral stenosis treatment options

The patient underwent a surgical procedure, which included resection and end-to-end anastomosis of coarctation segment of descending thoracic aorta, closure of PDA through lateral thoracotomy approach, excision of supramitral ring, peeling off of the membrane from mitral leaflets, and closure of VSD under CPB.


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

[User] mitral stenosis with mobile mass symptoms

The patient, a 77-year-old female, was admitted to the hospital following a transfer from a local hospital due to symptoms that were suggestive of cerebral infarction. Mild aphasia and hemianopsia were noted at neurological examination. Physical examination revealed a diastolic murmur at the mitral valve area.


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

[User] mitral valve area increase after balloon mitral valvuloplasty

Diagnostic tests revealed critical mitral stenosis, mild mitral regurgitation, and mitral valve area (MVA) of 0.6 cm2. The patient underwent septal puncture and balloon mitral valvuloplasty successfully, and post-procedural MVA was 2.0 cm2, with mild mitral regurgitation.


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[User] mitral valve endocarditis diagnosis criteria

The blood and diarrheal stool culture revealed two strains of Streptococcus agalactiae (GBS), which met the Duke criteria for IE.


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

[User] mitral valve endocarditis symptoms

The patient reported a 1-month history of repetitive watery diarrhea before admission. Laboratory testing showed elevated inflammatory markers as well as severe thrombocytopenia, acute renal failure, and elevated levels of liver enzymes and blood glucose. Transthoracic echocardiography revealed an irregular mobile mass with a wide base attached to the atrial side of the anterior mitral leaflet, which was suspected as MV IE complicated by cerebral embolization.


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[User] mitral valve gradient post PTMC

The preoperative transthoracic echocardigraphy (TTE) examination revealed critical MS, thickened leaflets, submitral fusion, mitral valve gradient of 26/13, pulmonary artery systolic pressure of 59 mmHg, and grade 3 spontaneous echo contrast in the LA.


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

[User] mitral valve growth treatment

A transthoracic echocardiogram revealed the presence of a 2cm growth on the mitral valve. However, subsequent echocardiograms returned normal.


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[User] mitral valve mass pathology report

The surgical pathology showed focal areas of fibrinoid necrosis surrounded by palisading histiocytes, chronic inflammatory cells, and giant cells that were diagnostic for rheumatoid nodules.


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

[User] mitral valve mass symptoms

The patient presented with symptoms of dysarthria and inattention. Brain CT scans showed multiple embolic lesions and infarcts in the head whereas brain MRI scans revealed infarcts of the white matter, cerebellum, and pons. A TEE test demonstrated a 6mm mobile echodensity associated with the mitral valve, that was irregularly shaped and extended from the interatrial septum to the intervalvular fibrosa.


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

[User] mitral valve prolapse symptoms

The patient was previously being monitored by his cardiologist for a mitral valve prolapse and mild to moderate mitral regurgitation (MR) for the last 11 years. The patient presented to his primary care physician with symptoms of cough, low-grade fever, and malaise.


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

[User] mitral valve prolapse treatment options

The patient subsequently underwent successful MitraClip procedure with one clip and was found to have only mild residual mitral regurgitation and significant improvement in her symptoms.


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[User] mitral valve regurgitation symptoms

A thorough evaluation was conducted, which revealed the presence of a small retracted posterior leaflet with absence of coaptation.


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

[User] mitral valve regurgitation treatment options

The patient was subsequently treated with a biatrial CMP-IV procedure with mitral valvuloplasty and tricuspid annuloplasty.


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

[User] mitral valve repair post-operative care plan

Following surgery, the patient was symptom free with an unrestricted exercise tolerance. The patient was reviewed in the clinic 2 months later, where she was symptom free with an unrestricted exercise tolerance and a trace of MR.


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

[User] mitral valve replacement complications

The patient had a history of mitral valve replacement 5 years ago and was on warfarin.


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[User] mitral valve replacement procedure risks

The mitral valve was replaced, followed by coronary artery bypass grafting. Following the operation, several hemodynamic instability episodes were noted.


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

[User] mitral valve replacement surgery complications

The patient later suffered a transient ischaemic attack (TIA) which was resolved through imaging tests. In July 2020, the patient underwent a successful MVR surgery with St. Jude Medical (SJM) No. 35 mechanical valve (Abbott Laboratories, Chicago, IL, USA) via a standard approach.


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[User] mitral valve replacement therapy complications

The patient underwent mitral valve replacement therapy due to combined mitral valve stenosis and mitral valve insufficiency grade 4 in September 2013.


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[User] mitral valve stenosis diagnosis

Further investigation with echocardiography revealed mitral valve stenosis and bicuspid aortic valve.


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[User] mitral valve stenosis symptoms

A 75-year-old female who has a history of diabetes mellitus, hypertension, hypothyroidism, adrenal suppression, previous stroke, and aortic valve replacement with mechanical prosthesis 15 years prior, was admitted with shortness of breath on exertion class III and lower limb edema.


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

[User] mitral valve vegetation treatment

A transthoracic echocardiogram (TTE) was performed, which confirmed a vegetation of approximately 5 mm in size on the mitral valve, and endocarditis was diagnosed.


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

[User] mivacurium side effects

Despite completing the procedure within 20 minutes, there was no recovery of neuromuscular function and no response to train of four stimulation. Four hours and twenty minutes following the administration of mivacurium, train of four response ratio was 75%. The patient was extubated 340 minutes following the administration of mivacurium.


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[User] mixed connective tissue disease symptoms

The patient, a 26-year-old male with a history of mixed connective tissue disease, presented to the hospital with a rapidly developing erythematous and painful skin rash extending from his lower back to his thigh.


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

[User] mixed germ cell tumor symptoms

The patient, a 33-year-old male, presented with severe back pain and right testicular swelling.


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[User] mixed germ cell tumor treatment

The patient underwent chemotherapy consisting of bleomycin, etoposide, and cisplatin (BEP) with a complete clinical and radiological response after four courses of BEP.


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

[User] mixed infection treatment

Treatment: After conducting a blood culture, she was treated with vancomycin and cefminox for seven days based on susceptibility test results.


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[User] mixed-lineage leukemia with MLL/MLLT3 fusion treatment

The patient was treated with broad-spectrum antibiotics, packed red cell and platelet transfusions, and vitamin K. She was initiated on low dose cytarabine but required intubation and ventilation due to increased oxygen requirements. IV azacitidine was administered as a final resort but her respiratory failure progressively worsened despite maximum intensive care support.


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

[User] mobile mass in the RVOT symptoms

The patient presented with syncope, worsening dyspnea, and a new systolic heart murmur. Physical examination revealed peripheral congestion and echocardiography indicated right ventricular dilatation and dysfunction along with a mobile mass in the RVOT and a subvalvular pulmonary stenosis.


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[User] moderate level of depression diagnosis

The patient's symptoms are suggestive of depression. The Beck Depression Inventory score was 24, indicating a moderate level of depression.


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[User] moderately differentiated squamous cell carcinoma diagnosis

A CT-scan showed an irregular mass in the upper pole of the left kidney. The patient underwent a partial nephrectomy, and the mass was found to be a moderately differentiated squamous cell carcinoma.


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[User] molar pregnancy treatment options

She was shifted to the operation theatre for suction and evacuation due to continued bleeding per vaginum. Transfusion of packed red blood cells and suction and evacuation procedure was done for continued bleeding per vaginum.


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[User] monilethrix diagnosis

Routine diagnostic tests were performed, including microscopic examinations of hair, which showed elliptical nodes with narrower internodes, leading to the diagnosis of monilethrix.


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[User] monilethrix symptoms

The patient was admitted to our facility due to decreased hair over the scalp and body since childhood. Physical examination during the admission revealed diffuse hair loss around the scalp, primarily over the occipital region with short and brittle hairs. The moustache and pubic area also showed short and broken hairs, while beard, axillary, and body hairs were not present.


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

[User] monoclonal gammopathy treatment

Treatment with chemotherapy was initiated, but the patient unfortunately succumbed to a serious bone marrow suppression and infection despite receiving supportive care.


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

[User] monoclonal proliferative solitary plasmacytoma of bone treatment

The patient will receive radiation therapy for the treatment of SPB.


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[User] monocytosis and thrombocytosis symptoms

An 80-year-old male patient presented with longstanding monocytosis and progressive thrombocytosis without anemia.


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[User] monomorphic ventricular tachycardia treatment

An implantable cardioverter defibrillator (ICD) was indicated but the patient refused ICD implantation. Catheter ablation was considered, but the routine ablation approach was not feasible with mechanical prosthetic mitral and aortic valves.


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[User] mons pubis abscess symptoms

Physical exam revealed a warm, indurated, fluctuant, 5 cm × 5cm × 4 cm left mons pubis area of swelling with moderate tenderness to palpation.


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[User] montenegro intradermal test results

The Montenegro intradermal test showed a positive reaction.


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

[User] morbid obesity symptoms in elderly

The patient, an 81-year-old morbidly obese female with a history of Type-II diabetes mellitus and uncontrolled hypertension, presented to the Emergency department with right lower quadrant abdominal pain.


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

[User] morphea symptoms

The patient presented with facial asymmetry, difficulty in articulation, and a loss of taste sensation. Additionally, skin lesions on his trunk (abdomen and back) were noted.


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

[User] morphine dosage for myoclonus control

Continuous intrathecal morphine administration (1.4 mg/day) was achieved via pump and reservoir. After these procedures, he was able to return to a gait rehabilitation program. Myoclonus continued to require the same morphine dosage for satisfactory control over a nine-month period.


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[User] most likely cause of the patient's condition

Discharge Diagnosis: Tendinitis, likely caused by a reaction to COVID-19.


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[User] motor neuron disorder diagnosis criteria

Based on the patient's initial presentation and symptoms, the diagnosis is consistent with a motor neuron disorder phenotype that mimics juvenile-onset amyotrophic lateral sclerosis.


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

[User] motor strength physical examination

Physical examination revealed normal cranial nerves, and motor strength was between 1 and 4 out of 5, depending on the muscle group, with absence of deep tendon reflexes.


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

[User] motor vehicle accident injury complications

The patient was admitted to the hospital following a severe single motor vehicle accident in which he was ejected from his vehicle and found beneath it. Upon arrival, he presented with hemorrhagic shock and was clinically stabilized. Initial musculoskeletal examination revealed severe pain and deformity in the left hip, right upper extremity, and right lower extremity, along with bilateral lower extremity weakness and inability to move them.


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

[User] motor vehicle accident injury symptoms

The patient was admitted to the emergency department after a motor vehicle accident that resulted in a left-sided pelvic fracture, left hemopneumothorax, and a diaphragmatic rupture with left kidney herniation.


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

[User] motor vehicle collision injuries treatment

A CT scan revealed a left C7 transverse process fracture and a left cervical ICA and proximal vertebral artery injury. The injuries were managed conservatively with dual antiplatelet therapy.


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[User] motorbike accident injury symptoms

Physical examination revealed decreased respiratory murmurs bilaterally and abdominal tenderness with a loss-of-substance lesion detected on inspection.


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[User] motorbike collision injuries symptoms

The patient, a 15-year-old female, was admitted to the hospital following a motorbike collision resulting in fractures of the occipital condyle, pubic rami, and midshaft femur.


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

[User] motorcycle crush injury symptoms

The patient presented with severe crush injuries to the distal portion of his right tibia due to a motorcycle accident.


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[User] movements of the left side symptoms

The patient reported that his left arm and leg moved uncontrollably, with large amplitude movements that could knock things down or affect his walking, making him fall. The patient's left leg was described as "dancing on its own." While these movements were always present, at times they were worsened by stress or anxiety.


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[User] moxifloxacin hypersensitivity reaction symptoms

The patient developed pruritus and mild erythema, followed by dizziness, a weakly palpable pulse, tachycardia, and very low blood pressure that could not be measured.


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

[User] moyamoya disease diagnosis

The DSA examination indicated the presence of moyamoya disease on the left brain.


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[User] moyamoya disease treatment options

Intracerebral hematoma was evacuated and the aneurysm was obliterated by bipolar coagulation.


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

[User] mucinous cystic neoplasm treatment

The preoperative diagnosis was mucinous cystic neoplasm, and surgery was performed accordingly.


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

[User] mucinous cystic tumor symptoms

The patient was admitted with a complaint of nausea and vomiting for over a month.


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

[User] mucocutaneous leishmaniasis symptoms

The patient complained of upper lip and upper alveolar ridge lesions present for 2 months. Physical intraoral examination revealed ulcerated and irregular lesions in the mucosa of upper alveolar ridge and palate.


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

[User] mucoepidermoid carcinoma in children symptoms

The patient, a 4-year-old girl, was admitted to the hospital with intermittent fever and nonproductive cough for 1 month. The chest radiograph showed complete collapse of the left lung.


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

[User] multibacillary leprosy symptoms

The patient presented with high-grade fever, asymptomatic skin-colored lesions over extremities, bilateral pedal pitting edema, and diffuse swelling of the face. General examination showed atrophic, wrinkled plaques over the right arm, forearm, and left lower leg.


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

[User] multicystic ovarian tumor diagnosis

Radiologic assessment in the form of transvaginal and abdominal ultrasound revealed a 13 x 9 cm sized multicystic tumor with irregular surface of the left ovary. Subsequent abdominal and pelvic computed tomography scans revealed a 16 x 9 x 14 cm sized multiseptated cystic mass with a large enhancing solid portion in the left ovary.


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

[User] multidisciplinary approach to treatment

Overall, the patient was managed with a multi-disciplinary approach, and his condition gradually improved with treatment.


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[User] multifactorial AKI causes

The diagnosis was thought to be multifactorial AKI due to dehydration, NSAIDs, and mild rhabdomyolysis.


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

[User] multifocal GGO and infiltrates on bilateral lungs symptoms

The patient was admitted with fever, dyspnea, and fatigue. Pre-admission chest CT scan showed multifocal GGO and infiltrates on bilateral lungs.


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

[User] multifocal angiomyolipomas treatment

The patient underwent laparoscopic splenectomy. The final pathology report revealed that the patient had multifocal angiomyolipomas with minimal nuclear atypia, extremely rare mitotic figures, and no necrosis.


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

[User] multifocal cerebral infarction treatment

The patient was anticoagulated with subcutaneous low molecular weight heparin and intravenous heparin was also given during the procedure. Warfarin was withheld until day 5 post ablation and then recommenced and maintained at therapeutic levels.


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

[User] multifocal lung cancer symptoms

The patient, a 46-year-old male heavy smoker, was admitted to the hospital with a diagnosis of multifocal lung cancer in the right lower lobe.


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

[User] multifocal thymic cysts treatment

The patient underwent total thymectomy and was discharged without any postoperative complications.


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

[User] multilocular cyst in pelvic cavity treatment options

The patient underwent laparoscopic surgery for the removal of the tumor.


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

[User] multilocular radiolucency with irregular borders treatment

The case was reviewed by the head and neck tumor board, and a metastatic work-up was carried out. The patient was treated with total thyroidectomy, Iodine radioactive ablation.


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

[User] multimodal monitored anesthesia care techniques

Sedation was provided by a dexmedetomidine infusion with additional midazolam, fentanyl, and ketamine for monitored anesthesia care.


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

[User] multiple colonic atresias symptoms

Patient Summary: A 1-day-old male neonate referred to us with abdominal distension, failure to pass meconium and erythema in the periumbilical region. On examination, abdomen was grossly distended with stretched shiny skin.


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

[User] multiple diverticula symptoms

The patient was admitted to the Emergency Room with sudden onset of abdominal pain, nausea, and vomiting.


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

[User] multiple drug overdose treatment

She was treated with IV calcium gluconate, insulin infusion, glucagon and intralipids, which led to improved hemodynamics within 12 hours.


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

[User] multiple endocrine insufficiencies treatment

The patient was treated with intravenous hydrocortisone and oral L-thyroxine after investigations showed Addison's disease and hypothyroidism. She improved with these measures and was discharged after one week on oral prednisolone, fludrocortisone, L-thyroxine, estrogen, and progesterone.


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

[User] multiple endocrine neoplasia type 1 symptoms

The patient underwent a genetic analysis which revealed MEN1 missense mutations causing multiple endocrine neoplasia type 1 (MEN1) syndrome.


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

[User] multiple enhancing lesions in the brain treatment

Magnetic resonance imaging brain showed multiple enhancing lesions. Started on empiric treatment and diagnosis of disseminated protothecosis was made.


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

[User] multiple fractures symptoms

The patient was diagnosed with multiple fractures, including distal clavicular, clavicle shaft, and non-displaced acromion fractures accompanied by the right coracoid fracture, after a fall from a height of 10 meters.


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

[User] multiple fractures treatment

The patient underwent several procedures, including ORIF for a butterfly fracture at the junction of the proximal and middle thirds of the left femur and a left olecranon fracture, partial fasciotomy for a right leg compartment syndrome, and treatment for a right calcaneal fracture, nondisplaced maxillary fracture, and a nondisplaced T12 vertebral body fracture.


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[User] multiple myeloma chemotherapy side effects

Treatment was then initiated with pomalidomide and subcutaneous daratumumab, with the patient experiencing left-sided Bell's palsy and thrombocytopenia, which was managed with platelet transfusions and discontinuing apixaban and pomalidomide.


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

[User] multiple myeloma diagnosis

The patient's bone marrow aspiration showed more than 30% of plasma cells and urine was positive for Bence Jones protein in one case. The serum protein electrophoresis revealed an "M" spike in both the cases.


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[User] multiple myeloma diagnosis criteria

The patient was diagnosed with Stage II IgAκ MM with 17% clonal bone marrow plasma cells. The patient's abnormal IgAκ/IgAλ HLC ratio was confirmed through retrospective HLC analysis.


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

[User] multiple myeloma diagnostic criteria

The patient had several symptoms of MM, including hypercalcemia, bone fractures, anemia, and renal insufficiency. A biopsy showed atypical clonal plasma cells with Cluster of Differentiation (CD)138 positive infiltration.


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[User] multiple myeloma hypercalcemia treatment

The patient's hypercalcemia improved when treated with intravenous fluid, calcitonin, and zoledronic acid.


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[User] multiple myeloma symptoms

The patient was admitted to the hematology policlinic with the complaints of fatigue in May 2011. Anemia (hemoglobin 8.16 gr/dl) and leucopenia (White blood cell 2.9x103/uL) were observed during examination.


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

[User] multiple myeloma treatment options

The patient was diagnosed with stage IIIA IgA type multiple myeloma and MP treatment was started. During the treatment, the patient's levels of IgA and monoclonality decreased.


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[User] multiple myeloma vs prostate cancer symptoms

The patient was admitted with complaints of lower back pain and urinary symptoms, including hesitancy, mild voiding difficulties, and residual urine sensation. The patient was diagnosed with multiple myeloma showing biclonal gammopathy accompanied by stage IV prostate cancer (due to an ischial bone metastatic lesion).


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[User] multiple organ failure symptoms

The patient was found to be neurologically disturbed and difficult to rouse upon admission to the hospital. He was intubated after showing signs of aspiration and sedated.


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[User] multiple rib fractures treatment options

A fixation plate was recommended to be attached to the sternum and to the rib bone to ensure adequate firmness.


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[User] multiple sclerosis symptoms in adolescents

Admitted due to intermittent headache, vomiting, convulsions, ataxia, and slurred speech for three years


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[User] multiple sclerosis symptoms in women

A 32-year-old female with a history of difficulty walking, paresthesias in lower extremities, squeezing sensation in chest, right-hand weakness, difficulty with bilateral vision, and multiple periventricular and subcortical T2 hyperintensities on MRI of the brain and total spine was diagnosed with relapsing-remitting multiple sclerosis (RRMS).


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[User] multiple sclerosis vaccine adverse reaction

The patient was a 66-year-old woman who received the first dose of COVID-19 vaccine on April 11, 2021. One week later, she began to complain of postural instability and visual disturbance on her right limbs.


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[User] multiple trauma injuries symptoms

The patient was hemodynamically unstable and intubated upon arrival after resuscitation. The patient had a chest drain, floating right femur, dislocated left shoulder, and distended abdomen.


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[User] multisystem autoimmune disease symptoms

The patient presented with red-raised, scaly lesions present over hands, feet, forearms, and lips. The patient reported experiencing these symptoms gradually increasing in size and number over the past 10 years. Additionally, the patient reported having multiple joint pains, without any redness or swelling, which started in the knee joint. The patient had a history of recurrent painless oral ulcers over buccal mucosa and the hard palate for the same duration.


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[User] muscle biopsy results interpretation

Muscle biopsy showed evidence of necrosis with signs of degeneration and regeneration, without inflammation.


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[User] muscle strength after surgery for spinal cord tumor

Postsurgery neurological assessment showed grade IV muscle strength in both lower limbs.


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[User] muscle weakness diagnosis

He had a positive Romberg's sign and a positive bilateral heel-knee-tibia test, and his muscle strength was at grade 5 in all four limbs with increased muscle tension in the lower limbs.


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[User] myasthenia gravis symptoms

The patient presented with body weakness, dysphagia and dysarthria of 14 days duration.


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[User] myasthenia gravis treatment options

The patient received six sessions of plasmapheresis and was prescribed prednisolone, pyridostigmine, azathioprine, vitamin D and thyroxin.


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[User] myasthenic crisis symptoms

Weakness of the neck and limb muscles and dyspnea, which rapidly progressed to myasthenic crisis.


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[User] mycobacterium gordonae treatment

Treatment with oral ciprofloxacin (1 g daily) was given in accordance with the results of the drug sensitivity test. The patient showed rapid improvement, and the skin lesions resolved completely after six months of treatment.


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[User] mycosis fungoides symptoms and complications

The patient presented with disseminated itching cutaneous erythematous hyperpigmented plaques affecting the face, chest, and arms, which gradually disseminated to most of her body surface area.


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[User] mycosis fungoides treatment options

The patient was treated with topical steroids and hydroxychloroquine, but with no response. A change in treatment to thalidomide also failed to produce improvement. Oral methotrexate was prescribed at increasing doses in the following months. The patient received a new treatment with single-agent enzastaurine, but had no response with the first course of treatment. In January 2009, magnesium valproate and hydralazine was administered in a compassionate manner, resulting in a significant decrease in the severity of pruritus, size, and erythema of plaques.