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

[User] Radiation therapy for breast cancer

To manage the progression, radiation therapy (RT) was initiated on the left breast, supraclavicular area and internal mammary chain (IMC) using a standard 4-field technique and an electron patch for the IMC.


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[User] Radiation therapy for metastatic adenocarcinoma in the trachea

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


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[User] Radiation therapy for metastatic ovarian cancer

A post-surgery WBRT was performed.


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[User] Radiation therapy for multiple myeloma side effects

Radiation therapy was initiated on the L3 vertebra plasma cell neoplasm, with a total dose of 3,940 cGy.


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[User] Radiation therapy for myxopapillary ependymoma

The patient underwent cranio-spinal radiation therapy, with the amount of radiation being 30 Gy for the brain-C2, C3-T10 and T11-S levels, and 10 Gy for the L1-S levels. The patient experienced symptoms such as nausea, vomiting, disorder of the sense of taste and depilation, as well as leukocytopenia (< 2,000/µl) post-radiation therapy.


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[User] Radiation therapy for para-aortic lymph nodes

The patient was administered radiation to the increasing para-aortic lymph nodes.


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[User] Radiation therapy for prostatic cancer complications

The patient underwent radiotherapy for prostatic cancer 4 years ago, which led to the diagnosis of radiation proctopathy.


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[User] Radiation therapy treatment plan

After surgery, the plasma ACTH level immediately decreased to less than normal, and she received postoperative radiation therapy of 60 Gy.


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[User] Radiation treatment for HCC in the humerus

The patient was recommended to start radiation to the humerus and sorafenib after recovery from surgery.


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[User] Radical laparoscopy-assisted abdominoperineal resection follow-up care

The patient was discharged and recommended to follow up with their primary care physician. The patient was also advised to come for follow-up appointments with their primary care physician.


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[User] Radioactive iodine treatment plan

We counseled the patient for over an hour and explained that an allergy to elemental iodine does not exist. Additionally, we informed him that he did not have any reactions with his thyroid supplementation or daily salt intake that contain iodine. We encourage the patient to consider radioactive iodine treatment for his papillary thyroid carcinoma.


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[User] Radioactive iodine uptake scan results for thyroid nodules

The radioactive iodine uptake scan indicated a "cold" nodule, which necessitated surgery.


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[User] Radiofrequency ablation outcomes for HCC

The liver mass was diagnosed as HCC and was treated using radiofrequency ablation (RFA).


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[User] Radiographic examination benefits

The orthopantomograph showed no evidence of missing tooth in the mandibular arch, and radiographic examination of 35 revealed pulpal involvement with complex coronal and radicular pulpal anatomy.


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[User] Radiographic features of juvenile OF

Radiographs displayed a large radiolucency in the mandible on the right side. The panoramic view showed erupted first molar without root completion and developing second molar tooth bud in the posterior part of the mandible.


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[User] Radiographic findings of chondrosarcoma

Physical examination and radiographic investigation revealed a large mass over 10 cm in diameter on the proximal humerus with cartilaginous dysplasia involving the upper part of the humerus, most evidently, and multiple enchondromatosis in the humerus and lower part of the radius of the right upper limb.


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[User] Radiological examination findings

Radiological examination revealed a near complete compression L3 vertebrae with end plate sclerosis.


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[User] Radiological findings for malignant pleomorphic tumour

A CT scan revealed a large necrotic mass.


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[User] Radiotherapy for parathyroid carcinoma

Radiotherapy was then planned and delivered with volumetric modulated arc therapy. The patient reported no significant acute toxicity and experienced only reversible ≤grade 2 radiation-induced dermatitis.


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[User] Radiotherapy for residual lung lesions procedure

The patient was not discharged and was planned for radiotherapy to residual lung lesions.


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[User] Rapidly progressive renal failure treatment

The patient was treated with cyclophosphamide and prednisolone, which was later switched to mycophenolate mofetil. The patient showed a progressive recovery in her renal function. The prednisolone dose was tapered slowly to 5 mg/day.


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[User] Raynaud's phenomenon management options

The patient was admitted to our institution with a complaint of right-hand pain secondary to Raynaud’s phenomenon, which persisted despite medical management.


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[User] Reason for diplopia

The diplopia symptom was determined to be due to paralytic strabismus according to an ophthalmologic examination.


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[User] Reason for hospital admission

The patient was admitted to the hospital due to suspicion of glaucomatous progression in visual fields despite apparently "controlled" IOP in the mid-teens for 7 years.


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[User] Reason for hospitalization

The patient presented with progressive back pain and impaired motor and sphincter function for 7 years.


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[User] Reason for patient's hospital admission

The patient presented to the clinic with esthetic concerns related to her upper left lateral incisor.


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[User] Reasons for a 46 XX Caucasian female's hospital admission

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


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[User] Recommendations for family members with BRCA mutations

Genomic analyses for other family members were also recommended.


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[User] Recommendations for follow-up care

Follow-up care is recommended.


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[User] Recommendations for managing headaches

The following recommendations were provided to the patient upon discharge: Continue yoga therapy to manage stress. Avoid any substance use that may trigger headaches. Maintain a headache diary to keep track of symptoms.


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[User] Recommendations for post-discharge care

Follow-up with primary care physician and referral to hepatologist was provided for continued management of drug-induced liver disease. The patient was advised to maintain a healthy diet and lifestyle to optimize liver function.


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[User] Recommended follow-up care for cataract surgery

The patient was advised to undergo cataract surgery but did not return for follow-up. Follow-up with an ophthalmologist to assess the need for cataract surgery.


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[User] Recommended follow-up care for lymphatic mesenteric cyst

The patient was advised to follow-up with the primary care physician for routine monitoring and evaluation. No further recommendations or interventions were needed at this time.


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[User] Recommended follow-up care plan

Recommended follow-up care includes regular visits with a healthcare provider to monitor the patient's continuing growth and development.


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[User] Recommended follow-up consultations for hereditary connective tissue disorder

The patient was discharged without specific management, and follow-up consultations were recommended with a rheumatologist to establish further management.


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[User] Recommended follow-up schedule after internal herniation surgery

The patient shall be for a regular follow-up with a healthcare provider, as recommended.


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[User] Recommended medications for foreign body aspiration

Discharge Medications: N/A


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[User] Recommended post-discharge care for GCMN patients

The patient was discharged in stable condition with instructions to the parents on frequent follow-up visits to their pediatrician and to the hospital.


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[User] Recommended postoperative follow-up

CT scans for monitoring were recommended, with no need for adjuvant chemotherapy. The patient was discharged in stable condition with instructions to continue follow-up with annual CT scans.


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[User] Recommended treatment and follow-up care

The patient was discharged with a recommendation for regular treatment consisting of radiotherapy, chemotherapy and zoledronic acid. The patient should continue to receive regular treatment consisting of radiotherapy, chemotherapy and zoledronic acid in accordance with her medical plan.


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[User] Recommended treatment duration for regorafenib

In November 2012, external radiotherapy combined with regorafenib was administered due to increase in size of the paracaval mass, and the patient has maintained a stable disease, both in the liver and in the radio-treated mass, for over three years until now.


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[User] Recommended treatment for OSAS due to giant retropharyngeal lipoma

No further medical intervention was required, and the patient was discharged in a stable condition.


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[User] Recovery and follow-up after GCA surgery

The patient did not experience a recurrence during the 2-year follow-up period, and good cosmetic and functional results were achieved.


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[User] Recovery from below knee amputation

The patient was discharged after an uneventful recovery from right below knee amputation with targeted muscle reinnervation and application of a PREVENA RESTOR BELLA•FORM™ System set to 125 mmHg continuous suction. Post-operatively, the patient progressed without complications.


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[User] Recovery time for open cholecystectomy

The patient was discharged on [REDACTED].


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[User] Rectal bleeding post-colonoscopy

During the first two days of admission, the patient passed a small amount of blood clot per rectum.


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[User] Rectal cancer symptoms

The patient presented with an asymptomatic skin eruption, unexplained weight loss of 60-70 pounds, acute onset back pain, and intermittent rectal bleeding.


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[User] Rectal tumor characteristics

Colon exams found stenosis in the rectum and transverse colon, and endoscopic ultrasonography indicated a tumor in the muscular layer of the rectum invading from the peritoneal cavity.


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[User] Recurrence rate of liver nodules after segmentectomy

The patient remained asymptomatic without any signs of recurrence or liver diseases for two and a half years after the procedure.


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[User] Recurrent ECU tendon dislocation treatment

Surgical reconstruction of the ECU tendon sheath was carried out after a failed conservative management period, and the patient was prescribed a six-week splinting and rehabilitation program.


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[User] Recurrent cerebral and cerebellar white matter high signal changes management

The patient had suffered from three similar presentations in the past at the ages of 10, 12, and 18.


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[User] Recurrent depressive disorder treatment options

Initially treated with fluoxetine 40 mg and amitriptyline 25 mg, the patient reported heaviness in breasts and increased breast size with creamy white discharge. Subsequently, the patient's treatment was changed to sertraline, after which breast secretions stopped completely with normal PRL levels.


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[User] Recurrent lumbar disc herniation treatment options

Initial management was pharmacologic pain control and selective root block. However, two months after the surgery, the leg pain reappeared. The patient was found to have recurrent upper lumbar disc herniation at the L2–L3 level after CT and MRI scans, and since caudal block and selective lumbar nerve block were effective for a short period, the surgeon decided to perform surgery.


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[User] Recurrent palatal lesion treatment

The patient underwent an excision procedure, where the soft palate was removed along with left maxillary sinus, and several teeth were extracted.


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[User] Recurrent shoulder infection treatment

The patient was treated with cloxacillin and responded well initially. However, one year later, the symptoms recurred and the patient was treated again, but his condition worsened two years after that. The patient underwent an operation consisting of ostectomy, joint lavage, wound debridement, and removal of the implanted silicone graft.


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[User] Recurrent subcutaneous abscesses causes

He was diagnosed with recurrent subcutaneous abscesses caused by K. pneumoniae, Enterobacter aerogenes, and Serratia marcescens, enteric fever by group B Salmonella spp., pneumonia by Haemophilus influenzae and Staphylococcus aureus, and liver abscess by S. aureus.


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[User] Recurrent thyroiditis symptoms and treatment plan

She reverted back to euthyroid state which persisted for the next eleven months until she developed recurrent thyroiditis. The patient received symptomatic treatment with propranolol.


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[User] Recurrent tonsillitis treatment

The patient was treated with dual-therapy regimen with single-dose ceftriaxone intramuscular injection and a single dose of 1g oral azithromycin according to the current CDC guidelines for STD treatment. Her symptoms were resolved within one week.


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[User] Red blood cell exchange procedure risks

After a single emergency automated red blood cell exchange, the parasitemia level decreased to 3.1%, and the patient improved significantly within 24 hours.


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[User] Red blood cell transfusion risks

The patient underwent red blood cell transfusion to correct the anaemia, and erythropoietin, cyclosporin A, stanozolol, and reconstituted blood platelets were administered. The patient's hemogram recovered and symptoms improved.


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[User] Redo CABG surgery procedure details

A redo off-pump CABG surgery was performed 10 years after the initial surgery, and a great saphenous vein was harvested and interposed between the middle part of in situ right internal thoracic artery (ITA) and distal part of in situ RGEA grafts used previously to allow blood flow from the right ITA graft to the posterior descending coronary artery.


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[User] Reel syndrome diagnosis criteria

The patient was diagnosed with Reel syndrome due to the migration of the right ventricular lead to the right atrium and loss of capture.


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[User] Refractory absence seizures prognosis

The patient is currently off all medications and remains seizure free for 2 years, with absolutely normal video EEG results.


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[User] Refractory absence seizures treatment options

A course of intravenous methyl prednisolone for 5 days was administered. Amantadine was started along with ongoing AED therapy (VPA, LEV, and clobazam). Symptoms resolved within 72 hours, and the patient remains seizure-free after being weaned off all medications.


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[User] Refractory morbid obesity treatment

The patient was successfully treated with bilateral hypothalamic DBS for refractory morbid obesity at our facility. She was implanted according to previously described protocols targeting the lateral hypothalamic area (LHA) for obesity.


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[User] Rehabilitation plan after surgical debridement

The patient underwent surgical debridement of the necrotic tissue. Three weeks after that, when the progression had stopped, the patient underwent surgical debridement of the necrotic tissue.


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[User] Rehabilitation therapy for the patient's gait disturbance

After three months of follow-up, the patient's condition had improved, allowing him to walk and to return home, even if the help of a wheelchair was sometimes required.


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[User] Relevance of iron deficiency for development of Cri du chat syndrome

Laboratory investigations revealed stage 2 iron deficiency.


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[User] Removal of stuck dentures

The dentures were stuck in the esophageal wall, and we could not remove them. Thus, esophagotomy was performed at the perforation site, and the dentures were removed.


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[User] Renal biopsy results for minimal change disease

A renal biopsy revealed minimal change disease.


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[User] Renal cell carcinoma diagnosis methods

Computed tomography (CT) scans showed an endophytic 5.4 cm mass within the anterior middle and lower poles of the left kidney, with avid contrast enhancement and areas of internal low-attenuation.


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[User] Renal cell carcinoma metastasis symptoms

A large mass with a diameter of 10 cm in the left kidney in abdominal computed tomography (CT) images. Radical nephrectomy was performed two weeks later for the other newly identified kidney mass.


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[User] Renal cell carcinoma treatment

The patient was initiated on therapy with a vascular endothelial growth factor (VEGF) inhibitor and radiation therapy to the brain.


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[User] Renal clear cell carcinoma diagnosis and treatment

The patient was diagnosed with renal clear cell carcinoma and underwent a partial nephrectomy with laparoscope under general anesthesia. The pathology of the renal mass was determined as renal clear cell carcinoma, which stained positive for AQP4.


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[User] Renal function recovery after hospitalization

The patient's renal function improved with a quicker fall in the serum creatinine compared to the BUN.


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[User] Renal function treatment plan

The patient was given four sessions of hemodialysis along with parenteral antibiotics and nutrition. The urine output improved, and the patient became dialysis-free. The serum creatinine stabilized at 2-2.5 mg/dl.


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[User] Renal oncocytoma prognosis and follow-up

After 60 months of active surveillance, radiological studies have shown no growth, regression, or any other morphological changes to the renal oncocytoma. The patient is alive and well. The patient should continue to undergo annual MRI monitoring to ensure that the tumor remains stable.


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[User] Renal pelvis and ureter cancer symptoms

The patient presented with bilateral ptosis, restriction of eye movements, and dropped head and lower extremities. Further examination revealed diminished deep tendon reflexes and left lateral femoral weakness.


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[User] Renal transplant complications

The patient developed a large subcapsular hematoma after the biopsy, which was drained and a Jackson-Pratt (J/P) drain was placed.


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[User] Renal transplant evaluation plan

He was arranged to meet with transplant nephrologist for evaluation of renal transplant in the future.


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[User] Renal transplant rejection treatment

She required hemodialysis due to acute chronic renal transplant rejection.


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[User] Renal ultrasound results

Renal ultrasonography showed symmetrical and unobstructed kidneys with normal cortical echotexture.


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[User] Rendu-Osler-Weber disease and epistaxis

The patient reported that epistaxis first occurred in her adolescence and showed a clear progression over the years. Her family history was strongly positive for Rendu-Osler-Weber disease.


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[User] Repair of ventral dural gap surgery benefits

The patient demonstrated an improvement in muscle strength in the lower limbs post-surgery and could walk with assistance (a cane or walker).


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[User] Residual risk of Echinococcus infection after treatment

The patient was screened for signs of an Echinococcus infection by sonography and CT scans, but no indications of a hydatid cyst were found.


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[User] Respiratory clinic follow-up plan

During hospitalization, the patient was allocated to a pneumology outpatient clinic for monitoring due to underlying silicosis and pulmonary tuberculosis.


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[User] Respiratory complications in COVID-19 pregnancy

The patient required non-invasive ventilation therapy, intravenous fluids, and prophylactic doses of low-molecular-weight heparin. The patient's respiratory condition worsened, and she was transferred to the tertiary center for extracorporeal membrane oxygenation (ECMO) evaluation.


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[User] Respiratory distress causes in sarcoidosis

The patient consulted seven months later with respiratory distress and was diagnosed with TA associated with sarcoidosis. Chest radiography showed bilateral interstitial involvement.


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[User] Respiratory infection treatment options

The patient improved clinically and was transitioned to intravenous ceftriaxone and metronidazole following culture speciation. At the completion of a 12 day hospitalization, the patient was discharged to home on an extended course of oral amoxicillin-clavulanate.


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[User] Restoration of hypoplastic and carious defects procedure

The patient underwent thorough oral prophylaxis and composite resin build up with Filtek Z250 to restore the hypoplastic and carious defects.


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[User] Results of Indium-111-labeled WBC scan

An Indium-111-labeled WBC scan was also performed, showing a focal collection of radiotracer labeled white blood cells overlying the expected region of the mitral valve, consistent with endocarditis, as well as focal uptake over the sacrum in the area of the decubitus.


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[User] Retinal arterial occlusion treatment options

Panretinal laser therapy was performed to reduce the risk of neovascularization. The patient is now being followed at 3-month intervals, and there is no evidence of neovascularization or changes in visual field defects.


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[User] Retinal surgery aftercare plan

On the 1st postoperative day, the eye had a formed anterior chamber, and the patient was digitally found to have an intraocular pressure (IOP) in the midteens. The family presented before the next scheduled postoperative visit, at which ocular examination revealed a soft eye with +2 conjunctival injection.


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[User] Retraction arches procedure

Retraction arches associated with intermaxillary elastics mechanics were used for the retraction of the maxillary and mandibular incisors.


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[User] Retroperitoneal Fibrosis complications

The patient had acute raised plasma creatinine and plasma serum Urea, as well as raised C-Reactive Protein. An ultrasound revealed bilateral hydro-nephrosis, and a CT scan showed a large retroperitoneal mass encasing the retroperitoneal vessels and ureters.


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[User] Retroperitoneal Fibrosis diagnosis

A biopsy of the retroperitoneal mass showed fibro-adipose tissue infiltrated by moderate amounts of inflammatory cells, predominantly of plasma cells and lymphocytes with scattered eosinophils present in the dense collagenous stroma, supporting the diagnosis of Retroperitoneal Fibrosis with features of Ig-G4 related disease.


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[User] Retroperitoneal Fibrosis treatment options

The patient was managed with amlodipine and high-dose prednisolone initially, followed by slow tapering doses, resulting in a significant reduction of the retroperitoneal mass after five months.


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[User] Retroperitoneal abscess treatment options

The patient was admitted to the hospital with retroperitoneal abscess and was promptly treated with appropriate medical management.


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[User] Retroperitoneal hematoma treatment options

To control the bleeding in the abdomen, transarterial embolization (TAE) was attempted.


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[User] Retroperitoneal mass symptoms in adults

The patient was admitted to our hospital with a history of recurrent abdominal pain. An ultrasonography of the abdomen revealed a large retroperitoneal mass.


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[User] Retroperitoneal paraganglioma genetic mutation

Further studies showed that the primary and recurrent tumors of the patient had the SDHB mutation c.424-2delA, which was the same as his daughter's tumor.


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[User] Retroperitoneal paraganglioma symptoms

The patient had a history of back pain.


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[User] Retroperitoneal schwannoma treatment options

The patient underwent laparoscopic exploration, during which a retroperitoneal mass was found. The patient was converted to open surgical exploration and the mass was fully excised from the retroperitoneum.


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[User] Retrospective diagnosis of chronic graft versus host disease

In the background of the history of blood transfusion, onset of symptoms after 6 months of blood transfusion, clinical features, and histopathological features, a diagnosis of lichenoid variant of chronic cutaneous graft versus host reaction was made.


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[User] Rett syndrome symptoms in adults

She was diagnosed with RS at 12 months old. She had a medical background of motormental retardation, spasticity, contractures, epileptic seizures, and awake apnea seizures.


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[User] Revision hip surgery complications

The patient underwent a second revision surgery in October 2013. Although there were no clear necrotic sections seen, an extensive necrectomy was not necessary.


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[User] Rhabdomyolysis treatment options

The patient received an intravenous infusion of 10% dextrose at 1.5 times maintenance with added electrolytes, sodium bicarbonate, morphine, and dexamethasone. Intravenous carnitine was also provided as the patient had previously observed this to be clinically beneficial.


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[User] Rheumatoid arthritis symptoms and treatment with Dashanga Lepa

The patient developed itching, redness and rashes around the area of application of the Dashanga Lepa. The patient was immediately treated with a local application of Shatadoutha Ghritha, which led to improvement in her symptoms within two days.


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[User] Rheumatoid arthritis treatment in Ayurveda

The patient was admitted to the KLE Ayurveda Hospital for treatment of rheumatoid arthritis. She was prescribed Agnitundi vati, Valuka Sweda and Dashanga Lepa as part of her treatment.


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[User] Rhinoscopic examination findings

On rhinoscopic examination, there was nearly complete nasal obstruction by an inflammatory hyperplasia of the inferior turbinate on the right side.


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[User] Rib luxation diagnosis in cats

Computed tomography (CT) scanning was performed three days later which revealed the luxation of the heads of the third and fourth ribs on the right side.


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[User] Rickets symptoms in children

The patient is a 3-year-old Korean girl who was admitted on September 27, 2007 with curved forearms, bow legs, and short stature.


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[User] Rickettsia felis infection treatment

An R. felis infection was identified in the study and the patient's antibody titer increased to 1:1,024 during the convalescent phase. Doxycycline was discontinued and methylprednisolone 40 mg per day was started on day 8.


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[User] Rickettsial Typhi treatment

The patient was initiated on doxycycline for 15 days. Symptoms improved within a few days of therapy, and ocular motility examination revealed recovery of the left lateral rectus motility.


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[User] Right RDC diagnosis imaging

Magnetic resonance imaging detected T2 prolongation in the right femoral bone head, synovial fluid retention, and bone joint fissure narrowing, consistent with a diagnosis of right RDC.


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[User] Right eye pain causes

The patient presented with right eye redness, heaviness, and dull pain lasting 10 days. Best-corrected visual acuity in the right eye was 20/50 and there was a relative afferent pupillary defect with defective color vision.


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[User] Right frontotemporal region intracerebral hemorrhage symptoms

The patient was admitted with sudden onset of loss of consciousness and left hemiplegia, which was diagnosed as SAH and ICH in the right frontotemporal area.


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[User] Right humeral shaft nonunion treatment options

Radiographs revealed a nonunion of the fracture site, which was treated with intramedullary nail removal, debridement of the fracture site, and compression plating using a combined deltopectoral and anterolateral approach. A small rhBMP-2 sponge was placed alongside the fracture site, followed by a short course of oral antibiotics.


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[User] Right mastoidectomy complications

A right mastoidectomy with right middle ear exploration was performed, and surgical pathology samples returned positive for histiocyte proliferation in a background of eosinophilic and lymphoplasmacytic inflammation consistent with Langerhans cell histiocytosis (LCH).


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

[User] Right rudimentary uterine horn treatment options

The patient underwent a successful laparoscopic hysterectomy (rudimentary horn) + right salpingectomy + pelvic adhesion release + hysteroscopy.


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[User] Right subclavian artery anatomy

The right subclavian artery (SCA) originated at 19.7 mm from the origin of the brachiocephalic artery and showed branching of the vertebral artery and the inferior thyroid artery. At the second portion, the costocervical artery branched off, and at the third portion, the transverse cervical artery and internal thoracic artery originated.


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[User] Right tuboovarian mass with torsion symptoms

The patient presented with a 2-day history of right-sided lower abdominal pain and associated fever.


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[User] Right vertebral artery occlusion symptoms

The patient was admitted to the emergency room due to symptoms of dizziness, hemiplegia, and dyspnea. On admission, the patient had a decreased level of consciousness and was found to have pulmonary edema and cerebral infarction in the right cerebellar hemisphere due to obstruction of the right vertebral artery.


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[User] Right vestibular neuritis symptoms

The patient presented to the ENT unit in 2004 with an acute vestibular syndrome characterized by a slight left-beating spontaneous nystagmus (SUN) and positive head impulse test (HIT) for rightward head rotations.


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[User] Right-side CH Type 2 treatment

The patient underwent single-stage surgery, which included a Right mandibular low condylectomy to remove the tumor.


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[User] Right-sided maxillary cancer reconstruction

The original plan for reconstruction was the free ALT flap, however, an alternative plan was made due to relatively less skin and soft tissue needed. Right STA pulsations were confirmed, and the reconstruction addressed the orbital floor, cavity filling, and external skin cover.


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[User] Rigid bronchoscopy procedure details

Rigid bronchoscopy was performed to extract the lodged food particle.


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[User] Rigid neck brace wear duration

The patient did not report any discomfort or side effects while wearing the brace and continued to do well throughout his hospital stay. ... After 3 months, X-ray was again performed and did not show any change. The patient was weaned off the neck brace.


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

[User] Ring-enhancing lesion in cerebellar hemisphere symptoms

CT scan revealed obstructive hydrocephalus with periventricular ooze and a ring-enhancing lesion in the left cerebellar hemisphere. The patient was started on intravenous antibiotics and subsequently developed copious pus discharge from the left ear, followed by improvement in symptoms.


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[User] Risk factors for SMV thrombosis

There was a distant history of deep venous thrombosis in her maternal grandfather after a surgical procedure. She denied any use of tobacco, alcohol, or illicit drug use.


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[User] Risk factors for TB meningitis

Review of his living conditions and housing revealed that he lives in a crowded house with multiple roommates, of which one had prolonged cough without professional diagnosis, potentially indicating a tuberculosis exposure risk factor.


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[User] Risk factors for allograft failure

After 10 years, the transplant failed due to chronic rejection, and the patient became hemodialysis-dependent.


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[User] Risk factors for cervical abnormalities

She had initiated sexual activity at the age of 16 with a single partner, and had completed seven pregnancies by age 28.


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[User] Risk factors for complications in pilonidal abscess treatment

The patient's past medical history was significant for childhood asthma and migraine headaches.


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[User] Risk factors for deep vein thrombosis

Approximately one month later, the patient presented to the emergency department with bilateral lower extremity edema and fatigue. Work-up for the edema revealed bilateral lower extremity deep vein thromboses.


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[User] Risk factors for developing recto-cutaneous fistula

The patient did not experience relief from her constipation issues, even after becoming euthyroid. The patient was later diagnosed with Hirschsprung's disease and underwent Soave pull through at the age of three years.


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[User] Risk factors for esophageal cancer in this patient

The patient had no high-risk factors for esophageal cancer.


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[User] Risk factors for hepatocellular carcinoma in this patient

The patient was diagnosed with chronic hepatitis B and antiviral therapy was initiated.


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[User] Risk factors for intentional overdose in psychiatric patients

The patient passed away due to an intentional overdose in combination with alcohol, likely due to ongoing depression and psychosocial stressors.


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[User] Risk factors for oculomotor nerve palsy

A 57-year-old male with a history of diabetes mellitus, habitual smoking, and alcohol drinking was admitted for right mandibular swelling and trismus.


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[User] Risk factors for oncocytic adrenocortical adenoma in children

The patient's bone age by Tanner Whitehouse III method was advanced by three years compared to his chronological age.


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[User] Risk factors for uterine torsion

No specific information on risk factors, but the patient was a six-year-old female multiparous Angus cow with a history of five parities.


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[User] Risk of BPOP recurrence

The patient was diagnosed with recurrent swelling of the left little finger due to BPOP with no joint involvement or recurrence after a successful wide excision of the involved cortex.


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[User] Risk of Down syndrome during pregnancy

The patient presented to our center during the second trimester of pregnancy due to high risk of Down syndrome in the baby. Serum screening in another hospital suggested that her baby was at high risk of Down syndrome (1/110).


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[User] Risk of malignancy in PJS patients

Although several polyps existed in their gastrointestinal tract, the findings of US, CT studies, and laboratory tests for neoplasm of gallbladder, biliary tract, pancreas, breast, and male sex cords were negative during these 14 years.


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[User] Risk of retinal detachment after traumatic cataract surgery

A chorioretinal scar at the impact site was noted with a deep retinal tear inferior to disc and retinal striae.


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[User] Risks associated with Fanconi anemia

They were also informed of the risks of developing malignancies.


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[User] Risks associated with IVF treatment for patients with CML

During the first attempted IVF treatment cycle, oocyte retrieval was canceled due to the risk of ovarian hyperstimulation syndrome (OHSS).


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[User] Risks associated with iatrogenic injury during laparoscopic appendectomy

A simple laparoscopic appendectomy was performed, and the mucocele was gently grasped and removed without any iatrogenic injury.


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[User] Risks associated with submandibular gland excision

The surgery was uneventful and there was no complication in the postoperative period.


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[User] Risks associated with thoracic aortic saccular aneurysm

The patient was provided with information on the risks associated with the condition and when to seek medical assistance in case of any complications.


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[User] Risks associated with thyroid nodule regrowth after RFA

However, nodule regrowth was observed during follow-up appointments, indicating the possibility of malignancy. As a result, both patients ultimately agreed to undergo surgical removal of the nodules.


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[User] Risperidone side effects

A diagnosis of Risperidone-associated angioedema was made, and the medication was discontinued for a week. After discontinuation, the swelling resolved completely. When Risperidone was administered again, the swelling returned, and the drug was discontinued.


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[User] Rituximab treatment outcome

Rituximab was administered, and a moderate treatment benefit was noted on motor performance, cognitive status, and verbal memory.


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[User] Roger's syndrome symptoms in children

SA was brought to our clinic at the age of 5 and a half years with poor attainment of linear growth, poor school performance, and complaints of easy fatigability with lassitude. The clinical examination revealed pallor and grade III/IV holosystolic murmur at apex.


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[User] Role of 3D images in preoperative planning

Preoperative CT images were used to create 3D images for preoperative planning and intraoperative reference, which helped identify the relation between dilated biliary branches and drainage tubes placed.


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[User] Role of ECMO in the patient's treatment

Eighty minutes after extracorporeal membrane oxygenation (ECMO) was induced, return of spontaneous circulation was achieved.


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[User] Role of MRI in diagnosing interatrial septal mass

Magnetic resonance imaging (MRI) was unable to provide a clear view of the interatrial septum.


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[User] Role of OCT in diagnosing PCV

Furthermore, OCT examinations confirmed the presence of the CNV, and a prototypical high-penetration OCT Topcon was utilized.


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[User] Role of PCR in diagnosing corneal ulcers

The patient underwent a scraping of the ulcer for bacterial and fungal culture as well as bacterial, fungal, and viral PCR. The PCR revealed the presence of Leptotrichia species, which are anaerobic Gram-negative rods that typically exist within oral flora.


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[User] Role of Prednisone in MSU crystal deposition treatment

Prednisone and colchicine were initiated, resulting in marked improvement in back pain.


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[User] Role of RNS System in seizure management

RNS System ECoGs helped establish nocturnal seizure clustering, allowing for ASM modification. Further, the RNS System helped establish the role of IVIG infusion.


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[User] Role of TEE in diagnosing S. gordonii infection

TEE revealed a small vegetation on the posterior leaflet of the mitral valve.


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[User] Role of TNF-alpha activity in recurrent disc herniation

A nuclear imaging scan was done, which revealed a highly elevated level of TNF-alpha activity at level L5-S1, indicative of a pro-inflammatory process.


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[User] Role of abdominal aorta in Nutcracker Syndrome

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


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[User] Role of echocardiogram in Kawasaki shock syndrome diagnosis

An echocardiogram was performed, which was normal.


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[User] Role of empirical antibiotics in treating Complement factor I deficiency

The patient was treated with empirical antibiotics and antivirals with no improvement.


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[User] Role of erythromycin in treating constipation

Erythromycin was started as part of the patient's treatment plan.


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[User] Role of family history in hemochromatosis diagnosis

The patient's family was informed of the diagnosis and the necessary measures taken while hospitalized. Future family members should be advised to undergo testing for hemochromatosis if there is a family history of the condition.


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[User] Role of high flow oxygen in managing methaemoglobinaemia

The patient received high flow oxygen immediately upon arrival. He continued to receive high flow oxygen in the high dependency unit.


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[User] Role of liver biopsy in autoimmune hepatitis diagnosis

Liver histology disclosed severe piecemeal necrosis, lobular damage, and infiltration of lymphocytes, neutrophils, and scarce plasmatic cells and eosinophils. The second liver biopsy showed chronic hepatitis with mild activity and septal fibrosis, despite clinical and biochemical resolution.


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[User] Role of monoclonal gammopathy in neuropathy

The patient was diagnosed with monoclonal gammopathy, and sensory neuropathy antibody panel results were normal.


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[User] Role of occupational therapy in treating developmental delays

Early intervention and intensive therapy can significantly improve developmental outcomes.


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[User] Role of octreotide in kidney injury

A diagnosis of oxalate nephropathy with tubulointerstitial fibrosis secondary to enteric hyperoxaluria caused by octretotide and multiple antibiotic therapies was made.


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[User] Role of pembrolizumab in Hodgkin lymphoma treatment

Pembrolizumab was considered as a salvage therapy after the disease continued to progress. After six cycles of treatment with pembrolizumab, the patient achieved a very good partial response (VGPR) with relief of clinical symptoms.


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[User] Role of plasma exchange in SFTS treatment

Ribavirin and plasma exchange were administered, and his antibiotics were de-escalated by levofloxacin on the 6th day of his hospital stay.


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[User] Role of polymerase chain reaction (PCR) in diagnosis

Polymerase chain reaction (PCR) testing of the vitreous fluid obtained during surgery revealed CMV DNA.


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[User] Role of polymorphic DNA analysis in NGCO diagnosis

Polymorphic DNA analysis confirmed the non-gestational origin of the tumor.


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[User] Role of punctal plugs in treating dry eye syndrome

Punctal plugs were considered to increase the level of healthy tears.


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[User] Role of skin biopsy in diagnosing perforating dermatosis

A skin biopsy was subsequently scheduled, and the results of the haematoxylin and eosin staining indicated perforating dermatosis. On elastica van Gieson staining, the fibrous tissue was found ejected through the epidermis.


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[User] Root canal treatment for complicated crown fracture

After endodontic treatment, fractured fragment reattachment was performed on the broken tooth. The root canal surface was etched with 32% phosphoric acid to allow for reattachment of the fractured fragment intraorally.


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[User] Rotated tooth 15 complications

Clinical examination revealed the presence of all permanent teeth for his age, a fractured tooth 11, and a rotated tooth 15 with slight mesial tilt.


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[User] Rotator cuff repair complications

Postoperatively, the patient complained of pins and needles with paresthesia on the outer aspect of the lower forearm and dorsum of the hand in anatomical snuffbox on the operated side. She had isolated sensory deficit corresponding to suprascapular nerve distribution with no motor deficit.


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[User] Rotatory vertigo treatment plan

The patient was treated with infusive steroids therapy for symptom relief and was discharged with a diagnosis of right vestibular neuritis (VN). A referral was made for vestibular rehabilitation therapy to help the patient manage any residual balance and dizziness problems.


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[User] Roux-en-Y GBP surgery indications

Patient-3 is a 62-year-old female who underwent Roux-en-Y GBP surgery with no significant psychological or pathological eating concerns that would have prevented the procedure.


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[User] Ruptured HCC symptoms

The patient presented with a chief complaint of general malaise. Physical examination showed ascites retention, a palpable fist-sized tumor in the epigastric region, and mild anemia.


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

[User] Ruptured aneurysm emergency treatment

The patient underwent an emergency clipping of the ruptured ACoA aneurysm through left-side pterional craniotomy.


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[User] Rx for intraventricular hemorrhage

Immediate CT confirmed extensive intraventricular hemorrhage with early hydrocephalus. Decision was made to provide palliative care.


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[User] S. argenteus infection symptoms

dyspnea, malaise, pain at the exit site of the port catheter, painful redness of the PICC entrance site, unilateral otorrhea, decreased hearing


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

[User] S. constellatus infection symptoms

The patient was admitted with a chief complaint of fever with cough and chest pain.


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[User] S. stercoralis infection prevention education

The patient was educated on the importance of good hand hygiene and proper food preparation techniques to prevent future parasitic infections.


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[User] S. suis meningitis symptoms

Symptoms of meningitis, including neck stiffness, meningeal irritation, hearing impairment, and dizziness.


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[User] SAB with no obvious source of infection diagnosis

The patient presented with fever and malaise and was diagnosed with SAB with no obvious source of infection. CT of the thorax, abdomen, and pelvis revealed no source of the infection, but TOE showed a thickened aortic valve with calcification of the noncoronary cusp.


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[User] SAPHO syndrome symptoms

The patient presented with a history of mechanic low back pain for 20 years. The patient underwent extensive assessment, which showed osteosclerosis of vertebral bodies of D8 to D12 and L4 with paravertebral ossification.


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[User] SAPHO syndrome symptoms and treatment

The patient developed severe back pain and a rash on both palms resembling pustulosis palmoplantaris, and the investigations showed multiple vertebral lesions diagnosed with SAPHO syndrome. The patient underwent immunosuppression therapy with prednisolone, and the treatment was discontinued after five months.


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[User] SAPHO syndrome treatment options during hospital stay

The patient did not receive any specific treatment for SAPHO syndrome during her hospital stay.


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[User] SARPE procedure complications

The first week of the healing period was uneventful, however, after 2 weeks, the patient complained of nasal defluxion, consulted an ENT specialist, and underwent computed tomography which revealed that the left middle meatus was congested with radiopaque substance.


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[User] SARS-CoV-2 RT-PCR test results

The first RT-PCR for SARS-CoV-2 was negative, and a second test was also negative. SARS-CoV-2 RT-PCR tests from her stool and a third nasopharyngeal swab both resulted negative.


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[User] SARS-CoV-2 diagnosis and isolation

Patient B, a 29-year-old male, was admitted to the infectious disease isolation ward on February 2 after testing positive for SARS-CoV-2. He had been in close contact with Patient A, who was also positive for the virus.


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[User] SARS-CoV-2 infection complications

The patient was admitted with severe acute hypoxic respiratory failure due to SARS-CoV-2 infection. He experienced a right hydro-pneumothorax, which was treated with a chest drainage tube, and was successfully treated with antibiotics.


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[User] SARS-CoV-2 infection symptoms

The patient presented to the emergency department with 8 days of fever, cough, and worsening dyspnoea, with mild abdominal pain and diarrhoea despite completing a 3-day course of azithromycin as an outpatient.


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[User] SARS-CoV-2 infection symptoms in children

The patient presented with an eight-day history of fevers, sore throat, abdominal pain, diarrhea and occasional emesis with subsequent decreased urine output.


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[User] SARS-CoV-2 infection symptoms in pregnancy

The patient presented with fever, cough, dyspnea, and ageusia. The polymerase chain reaction (PCR) test confirmed the diagnosis of SARS-CoV-2 infection.


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[User] SARS-CoV-2 papilledema symptoms

The patient was diagnosed with SARS-Cov-2 infection through real-time reverse-transcription polymerase chain reaction testing of a nasopharyngeal swab. The examination revealed normal anterior segments with bilateral disc oedema and disc haemorrhage in the right eye.


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[User] SARS-CoV-2 pneumonia symptoms

Patient is a 79-year-old female, admitted for acute respiratory failure from SARS-CoV-2 pneumonia.


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[User] SARS-CoV-2 pneumonia treatment

The patient was treated with fluid resuscitation with IV normal saline, IV magnesium, and IV terbutaline, as well as a Foley catheter to address tea-colored urine and electrolyte repletion.


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[User] SARS-CoV-2 positive diagnosis symptoms

The patient presented with a 6-day history of fever, 2-day history of mouth ulcers, and diffuse erythematous skin rash. She tested positive for SARS-CoV-2 via nasopharyngeal PCR test but had no respiratory symptoms.


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[User] SARS-CoV-2 positive newborn symptoms

The child had a positive swab on day 4, day 14, and day 21, while being asymptomatic.


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[User] SARS-CoV-2 symptoms and treatment

The patient had a 1-week history of nasal congestion, cough, sore throat, rhinorrhea, and fever with chills, which developed 4 days after returning from New Orleans, Louisiana. He was started on hydroxychloroquine, oral azithromycin, and intramuscular ceftriaxone.


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[User] SARS-CoV-2 symptoms during pregnancy

The patient tested positive for SARS-CoV-2 upon admission but did not report any symptoms.


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[User] SARS-CoV-2 test results for the patient

The patient received a positive result for SARS-CoV-2 on the 2nd day after sampling. However, the patient did not show any COVID-19-related clinical symptoms. The woman tested negative for SARS-CoV-2 for all five subsequent tests.


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[User] SARS-CoV-2 treatment

The patient was kept in a dedicated COVID-19 unit for the duration of his monitoring, during which his fever was successfully treated with antipyretic therapy.


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[User] SARS-CoV-2 treatment options

As there were no pulmonary complaints and the patient did not require oxygen therapy, no steroids or antivirals were administered.


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[User] SCC in situ symptoms

The patient presented with multiple pigmented skin lesions on the face, back, hand, forearm, ear, and neck.


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[User] SCC treatment options

A partial glossectomy with 10-mm tumor-free margins was performed, and a microscopic examination was performed using whole-tissue sections.


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[User] SCD diagnosis

Laboratory examinations revealed increased serum vitamin B12 levels, decreased folic acid levels, increased serum homocysteine levels, and declined serum copper levels. Blood routine test presented macrocytic anemia. Motor and sensitive nerve conduction velocities and electromyography showed decreased motor and sensory nerve conduction velocities in extremities and sensorimotor polyneuropathy. Spinal and brain MRI were carried out and the former revealed abnormal signals in posterior and lateral columns of the spinal cords, presented as inverted “V”- shaped lesions.


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[User] SCIC associated with dengue treatment options

The patient received treatment with hydration, transfusion of packed red blood cells, and intravenous antibiotics. Despite treatment, the patient developed respiratory distress, worsening anemia, and multiple organ failure leading to her death.


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[User] SCIWORA diagnosis criteria

Based on the results of the patient's clinical presentations and images taken from CT scan and MRI, he was diagnosed with spinal cord injury without radiological abnormality (SCIWORA).


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[User] SCLC treatment options

The patient was treated with chemotherapy, and after three cycles, a partial response was achieved, followed by concomitant radiotherapy. After three cycles of chemo radiation, a complete response was achieved.


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[User] SDC in the right EAC treatment options

The patient underwent surgical extirpation of a 1.8 × 1.6 cm tumor in the right EAC via canalplasty. CCRT was initiated due to the tumor coming close to the margin.


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[User] SDC metastatic symptoms

Serial radiographic imaging showed slow progressive growth of the pulmonary nodules.


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[User] SDOCT results for BEST1 mutation

SDOCT revealed milder cystic degeneration than patient one.


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[User] SEROUS DETACHMENT symptoms

The patient had a large CCH situated superonasal to the disc and SEROUS DETACHMENT with intraretinal cystic spaces affecting the macula.


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[User] SFTS diagnosis criteria

The patient was diagnosed with severe fever with thrombocytopenia syndrome virus (SFTS).


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[User] SFTS lab results and cytokine levels

The laboratory data showed depressed WBC count, depressed platelet count, and elevated levels of enzymes and proteins such as aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, ferritin, and C-reactive protein. SFTSV RNA was detected on day 8 with a viral load of 5.86 log10 RNA copies/mL but not after day 10. Blood tests revealed elevated serum cytokine and chemokine levels during both the acute and recovery phases.


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[User] SFTS symptoms and diagnosis

The patient presented with a high-grade fever and general malaise, along with tenderness and swelling of right inguinal lymph node. The patient was diagnosed with SFTS on day 6 of illness.


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[User] SFTS treatment protocol

Ribavirin and plasma exchange were administered, and his antibiotics were de-escalated by levofloxacin on the 6th day of his hospital stay.


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[User] SGB procedure complications

The patient experienced ptosis, miosis, and conjunctival injection (Horner’s syndrome) on the left, contralateral side, and exhibited no other symptoms.


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[User] SIADH diagnosis criteria

A diagnosis of SIADH was made based on the patient's high urine osmolality and low plasma osmolality.


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[User] SIADH management strategies

Fluid restriction of 1 L/day was done and the patient was managed with appropriate oxygenation and intravenous medications.


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[User] SIADH symptoms in adults

The patient presented with a 3-day history of nausea and vomiting. He denied any abdominal pain or diarrhea and did not complain of any recent pulmonary symptoms.


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[User] SIADH treatment

Due to hypo-osmolar hyponatremia, the diagnosis of SIADH was established, and fluid restriction, low-dose loop diuretics, and concomitant substitution of ongoing fluid losses were initiated.


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[User] SJ syndrome diagnosis

The patient was diagnosed with SJS based on his short stature, myotonia, and physical appearance. The preanesthetic examination revealed facial features associated with SJS, including low-set ears, micrognathia, fixed facial expression with pursed lips, and blepharophimosis.


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[User] SJS treatment plan

The patient recovered following treatment that included an injection of NS 1 L IV, injection ceftriaxone 1 g IV BD, injection Dexona 1 cc IV BD, injection Avil 1 amp IV BD, injection Zantac (ranitidine) 2 ml BD, injection Febril (paracetamol) if T >101 F, candid oral paste (co-trimoxazole) for mouth, tablet Levipil (levetiracetam) 500 mg, tablet clonidine 100 mg BD, and tablet telmisartan 80 mg OD.


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

[User] SLC20A2 mutation symptoms in females

The patient carried the same SLC20A2 mutation as her son, who presented with more severe symptoms at the age of 43.


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[User] SLE and central retinal artery occlusion symptoms

The patient had a history of SLE and central retinal artery occlusion in her right eye, which occurred when she was 33 years old. On initial examination, the patient had optic disc atrophy in her right eye and a peripapillary small hemorrhage in her left eye.


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[User] SLE and tricuspid valve disease relationship

Histopathological examination of the excised vegetation showed inflammation with neutrophil infiltration combined with fibrin-platelet thrombi formation.


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[User] SLE complications kidney

47-year-old male with ESRD due to SLE, now 14 months after the diagnosis of a vascular tumor in the left kidney. End-stage renal disease due to systemic lupus erythematous.


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[User] SLE diagnosis age

She was diagnosed with SLE at the age of 22.


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[User] SLE disease management plan

The patient is advised to follow up with her primary care physician for further management of SLE. She should continue to take hydroxychloroquine and low-dose glucocorticoids as prescribed.


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[User] SLE nephritis treatment

The patient was initially commenced on pulse methylprednisone at a dose of 1 gm/day and had a total of three doses, followed by oral moderate- to low-dose prednisolone. He was also given oral mycophenolate mofetil (MMF) at a dose of 1 gm twice daily for six months, then 500 mg twice daily, and Lisinopril at a dose of 10 mg daily.


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[User] SLE symptoms

The patient presented with altered mental status, visual disturbances, and seizures associated with a rash and polyarthralgia.


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[User] SLE treatment options for renal involvement

Renal biopsy identified Class IV lupus nephritis with APS nephropathy. Based on the biopsy report, mycophenolate mofetil and warfarin were added to the treatment plan.


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[User] SLE treatment plan

The patient was treated with prednisolone and tacrolimus for SLE. However, her neuropsychiatric symptoms such as disturbed consciousness, gait abnormality, cerebellar ataxia, and muscle weakness improved only gradually despite no changes in her head MRI findings.


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[User] SLE vs microscopic polyangiitis symptoms

The patient was initially diagnosed with SLE due to typical clinical features: polyarthritis, lymphocytopenia, presence of antinuclear and anti-dsDNA antibodies, and proteinuria. However, MPO-ANCA levels were significantly high, and the skin manifestation was not typical of SLE.


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[User] SLE with PRES symptoms

The patient, a 31-year-old female with a history of hypertension, was admitted with sudden onset convulsive episode associated with altered mentation and tongue bite. Examination revealed generalized weakness, fatigue, blurry vision, and a rash on the forehead.


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[User] SLIT treatment dosage and administration

Specific SLIT with Staloral 10 and Staloral 300 was initiated, according to a plan that consisted of a build-up phase and maintenance phase. The patient was allowed to adjust the doses from 2 to 4 drops according to his condition during the maintenance phase.


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[User] SLIT treatment outcomes for atopic dermatitis

At 6 months after the start of treatment, significant clinical improvement of his dermatitis was observed (SCORAD 15), with a further mild improvement after 12 months (SCORAD 12).His skin lesions, which proved refractory to conventional therapy, had considerably improved.


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[User] SMV thrombosis treatment options

The patient was started on low molecular weight heparin and warfarin.


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[User] SOX chemotherapy regimen side effects

The patient discontinued his therapy 3 months after treatment initiation due to disease progression.


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[User] SPENCD diagnosis criteria

Genetic testing was performed, and the patient was found to have compound heterozygous mutations of the ACP5 gene encoding tartrate-resistant acid phosphatase. The patient's parents also presented with decreased TRAP levels, confirming the diagnosis of SPENCD.


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[User] SPENCD symptoms

The patient's symptoms began with an increased muscle tone in the lower limbs at 6 months of age, which progressed into delays in motor development accompanied by abnormal liver function.


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[User] SPG10 peripheral neuropathy symptoms

The patient presented with a 10-year history of walking difficulties, stiffness in the limbs, and paresthesias. Neurologic exam identified a length-dependent loss of pin prick and vibration bilaterally. Additionally, asymmetric weakness in the right iliopsoas, hamstring, anterior tibialis, and increased tone in both lower extremities with sustained clonus at the ankles and bilateral extensor plantar responses were observed.


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[User] SPONK knee

X-ray of both knees revealed SPONK in Koshino’s Stage IV and Carpintero’s Stage IV.


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[User] SS and acute psychosis symptoms

The patient was admitted to the psychiatric ward due to acute psychotic symptoms, which included evident auditory hallucinations and delusions of being possessed.


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[User] SS diagnosis criteria

Primary SS was diagnosed based on subjective symptoms of dry mouth and dry eyes for more than 3 months plus objective signs of salivary scintigraphy and autoantibodies to Ro (SS-A) and L (SS-B), showing severely impaired uptake of bilateral submandibular glands and markedly impaired uptake of bilateral parotid glands.


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[User] SSGIV protocol side effects

The Scandinavian Sarcoma Group protocol IV (SSGIV) consisting of cisplatin, doxorubicin, etoposide and vincristine was administered with no clinical response.


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[User] ST elevation in electrocardiogram symptoms

An electrocardiogram showed ST elevation in leads II, III, and aVF, reciprocal changes in leads I and aVL, and complete heart block.


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[User] ST-elevation myocardial infarction treatment

The patient underwent primary percutaneous coronary intervention (PCI) on left anterior descending (LAD) due to stent thrombosis. He received Integrilin after the procedure with a dose of 2 µg/kg/min for 48 hours.


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[User] STEC-HUS symptoms in children

The patient presented to the hospital with symptoms of fever, crampy abdominal pain, emesis, and non-bloody diarrhea.


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[User] STEC-HUS treatment options

The patient received intravenous fluid and morphine for pain control and nasogastric tube feeds due to anorexia/nausea throughout the hospitalization. Peritoneal dialysis was initiated on day 5 of hospitalization, which continued for seven days, and the patient received multiple blood transfusions to maintain hemoglobin levels.


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[User] STEMI symptoms

The patient, a 38-year-old male, presented to the ED with severe chest pain and sweating. He had been having intermittent chest pain for one month that was worsened by exercise and heavy lifting and was not relieved by medication.


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[User] STEMI treatment

The patient was initiated on dual anti-platelet therapy with aspirin, ticagrelor, diltiazem, and atorvastatin and discharged after 48 hours of monitoring.


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[User] STEMI treatment options

Acute occlusion of the mid-right coronary artery was identified as causing the STEMI and the patient underwent percutaneous coronary intervention (PCI).


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[User] STOP-Bang test results for sleep apnea

The patient scored 6 out of 8 on the STOP-Bang questionnaire.


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[User] SVC obstruction treatment options

Warfarin was restarted to manage the SVC obstruction.


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[User] SVCS symptoms

The patient experienced dyspnoea and intermittent nocturnal coughing. There were no palpable mass or lymphadenopathy in the neck. A CT angiography and physical inspection revealed marked oedema of the face and neck.


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[User] SVCS treatment plan

Following this transition to peritoneal dialysis in May 2007, SVCS symptoms disappeared within three months, and the patient received PD treatment for 30 months with no relevant complications associated with SVCS.


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[User] Saccular aneurysm symptoms

The patient was admitted to the neuroemergency department with a sudden, severe thunderstorm headache associated with left eyelid ptosis and diplopia.


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[User] Sacral fracture symptoms

Patient was admitted due to a fall from the fourth floor of an apartment building which resulted in a displaced sacral fracture, bilateral calcaneal fractures, and an L1 burst fracture with 30% spinal canal compromise.


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[User] Sacroiliac joint treatment

The patient was treated with diclofenac and underwent a control TAP scan which showed stable spine lesions and ankylosis of the sacroiliac joint.


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[User] Salter-Harris 4 fracture follow-up care

Postoperatively, the patient was discharged home in a knee immobilizer with instructions to avoid weight-bearing activities for 6 weeks. Six weeks postoperatively, the fracture was healing in the anatomic position, and the patient was allowed to transition to full weight-bearing with continued restrictions on sports and other rigorous activities. A follow-up in 6 to 12 months was scheduled to rule out growth disturbance and to discuss the pros and cons of screw removal.


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[User] Salter-Harris 4 fracture treatment

The patient underwent surgery under general anesthetic with the placement of two partially threaded 60-mm cannulated screws to reduce the fracture under arthroscopic visualization. Orthogonal fluoroscopy was used to ensure appropriate transepiphyseal screw position.


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[User] Sanjad-Sakati syndrome symptoms

The patient presented with typical facial features of short stature, deep sunk eyes, micrognathia, depressed nasal bridge, relatively large ears, and mental retardation. Additionally, the patient had a high vaulted palate and microdontia. The patient also experienced delayed walking and speech.


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[User] Sarcoidosis diagnosis criteria

The biopsy confirmed the presence of a non-caseating granuloma in the bronchial mucosa. The patient's bronchoalveolar lavage was predominantly lymphocytic cell with the elevated Cd4/CD8 ratio.


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[User] Sarcoidosis stage 2 symptoms

The patient presented with chronic nasal obstruction and bilateral epiphora worse on the left. Histologic evaluation of ethmoidal tissues revealed granulomatous inflammation. Pulmonary CT demonstrated bilateral hilar adenopathy and parenchymatous infiltration consistent with stage 2 sarcoidosis.


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[User] Sarcoidosis treatment options

The patient was diagnosed with sarcoidosis and received prednisolone 60 mg/day. After 1 month of treatment, all of her complaints were resolved. Later, the patient received prednisolone 40 mg/day with Methotrexate 10 mg/week and amlodipine 5 mg/day.


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[User] Scalp lesion treatment options

The patient underwent excision of the lesion and subcutaneous tissue under local anaesthesia in Dammam Medical Centre. The patient subsequently underwent wide local excision under general anaesthesia which was performed by a breast and endocrine surgery consultant.


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[User] Scapular body fracture treatment options

The nonunion site was marked, and an oblique 10 cm incision was made just inferior to the scapular spine running from medial to lateral. An Arthroflex jacket, which is an acellular dermal extracellular matrix, was sewn into the undersurface of the scapula using #2 FiberWires. Approximately 7 cc of Graft-on bone product was placed on top of the jacket into the defect.


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[User] Scedosporium apiospermum treatment

The patient was started on voriconazole, which led to a significant improvement of the infection. The patient ultimately completed a total of 3 months of oral voriconazole and remained free of any signs of recurrence eight months after the completion of therapy.


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[User] Schirmer test results before and after treatment

Her Schirmer test scores increased slightly, and there was less erythema related to MGD.


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[User] Schistosoma eggs in gallbladder

Histopathological examination of the resected gallbladder showed numerous Schistosoma eggs, some of which were calcified within the mucosa, lamina propria, and the muscularis propria of the wall of the gallbladder.


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[User] Schistosoma haematobium treatment

Two oral doses of praziquantel were administered


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[User] Schistosomiasis diagnosis criteria

Laboratory analysis showed 12% eosinophilia, and stool examination detected the presence of S. mansoni eggs. The anatomopathological examination confirmed the diagnosis of schistosomiasis.


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[User] Schistosomiasis skin lesions symptoms

Multiple papular, erythematous, and pruritic lesions on the abdomen. Physical examination revealed round papules measuring about 3mm in diameter, erythematous, confluent, some of them forming plaques, giving a zosteriform aspect to the lesions, affecting the abdominal region (epigastrium, mesogastrium and left upper quadrant).


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[User] Schistosomiasis treatment plan

The patient was treated with 50 mg praziquantel per kg of weight in a single dose. The stool parasitological examination resulted negative after treatment, and there was partial cutaneous improvement, with complete response achieved after the association of topical clobetasol dipropionate 0.05%.


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[User] Schizoaffective disorder complications

A 35-year-old man with a history of schizoaffective disorder presented with a bilateral rash on his legs, leg stiffness, and leg pain.


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[User] Schizophrenia symptoms

He believed that his father had changed to a boar and frequently attacked him, his brother had changed to a horse and sometimes kicked him, and his mother changed to a donkey and continuously brayed. He said that his soul sometimes left his body and went to various places with these animals and found what others do in their houses. He also stated that there was an angel protecting him and he could hear some people talking to him about his daily activities.


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[User] Schizophrenia treatment options

Based on his history and diagnostic criteria of DSM-IV-TR, the patient received 15 mg olanzapine daily.


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[User] Schizophrenia treatment with multiple medications

A second psychiatric hospitalization occurred in December 2015, during which he was treated with multiple different psychotropic medications including antipsychotics, mood stabilizers, antidepressants, and benzodiazepines, often in combination with other pharmacologic agents.


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[User] Schnitzler's Syndrome symptoms

The patient was admitted due to the recurrence of fever and urticaria. He experienced disappearance of urticaria and the fever stopped rising during treatment with anakinra.


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[User] Schnitzler's Syndrome treatment options

The patient was treated with anakinra 100 mg subcutaneously once a day. This treatment led to the disappearance of urticaria and the fever stopped rising. SAA levels were normalized within four weeks.


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[User] Schwannoma characteristics pathology

Pathologic examination confirmed a benign schwannoma, with characteristic whorls and interlacing fascicles of schwannoma spindle cells, along with alternating Antoni-A and -B patterns with areas of hyalinization and fibrinoid degeneration.


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[User] Schwannoma diagnosis techniques

Fine-needle aspiration cytology showed several fragments of closely packed, oval to spindle cells with focal, minimal atypia and few fragments of fibrous tissue, suggestive of a benign cellular spindle lesion. Ultrasound of left axilla showed well-defined hypoechoic lesion measuring 2.5 cm × 2.5 cm with internal vascularity, giving the differential diagnosis of lymph node, or soft tissue tumor (nerve sheath tumor). Magnetic resonance imaging (MRI) showed a well-defined solid, homogeneously enhancing, T1 hypo and T2/proton density fat saturation hyperintense lesion continuous with the axillary nerve sheath in left axillary fat with no locoregional lymphadenopathy.


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[User] Schwannoma diagnostic procedures

Magnetic resonance imaging was performed, which revealed a mass projecting into the infrapatellar space/fat pad. A fine-needle biopsy was performed to evaluate the mass, and the results indicated fusiform cell proliferation with low proliferative index but no necrotic areas.


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[User] Schwannoma gastrointestinal treatment

A colonoscopy revealed a nonobstructing superficially ulcerated mass in the cecum. Subsequently, a right hemicolectomy was performed, and a pathological diagnosis of cecal schwannoma was made.


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[User] Schwannoma of the oral tongue diagnosis

A computed tomography confirmed the presence of a well-defined nodular image at the lingual area. A 6 cm × 4 cm encapsulated tumor was excised, which was identified as schwannoma on histopathologic examination.


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[User] Schwannoma recurrence rate

The patient came for follow-up after 1 month without any neurological deficit.


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[User] Schwannoma recurrence rate after surgery

Follow-up MRI scans showed no tumor recurrence over a period of 9 months.


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[User] Schwannoma spinal cord compression treatment

The tumor was surgically removed using a posterior approach with Th1-Th2 laminectomy. Pathological examination confirmed the tumor as a low-grade Schwannoma, Type 1.


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[User] Schwannoma symptoms

The patient was admitted to Victoria Hospital due to a complaint of pain in the left axilla, which had been present for 2 years. The pain was described as insidious in onset, radiating to the left upper limb, and associated with tingling sensation up to the tip of all fingers.


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[User] Schwannoma symptoms and diagnosis

The patient was admitted to the Neurosurgery Department with numbness in both legs, back pain radiating to the right arm, and micturition disorders. MRI revealed an oval focal intradural extramedullary lesion compressing the spinal cord at the Th1-Th2 level.


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[User] Schwannoma symptoms left leg

The patient was admitted with complaints of a painful lump on his left leg and reduced range of extension.


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[User] Schwind Amaris 750S Excimer laser complications

One week postoperatively, the patient experienced mild pain in his left eye. The pain worsened in 24 hours, and the patient sought medical advice on day 8 after surgery.


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[User] Scleroderma and pulmonary fibrosis symptoms

right-sided neck pain and stiffness, numbness, and tingling of her hands


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[User] Scleromyxedema diagnosis criteria

A skin biopsy revealed a moderately hyperkeratotic and acanthotic epidermis. The upper and mid dermis showed a moderately dense chronic inflammatory cell infiltrate of lymphocytes, plasma cells and histiocytes. In the mid dermis, collagen bundles showed fragmentation and splitting surrounded by loose myxoid stroma and plump fibroblastic cells, consistent with the diagnosis of scleromyxedema. Mucin stain was positive, confirming the diagnosis.


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[User] Scleromyxedema symptoms

The patient was admitted with a history of severe generalized pruritus and closely studded papules all over the body for 7 years, with an exacerbation for 15 days.


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[User] Sclerosing Stromal Tumor symptoms

The patient presented to the hospital with complaints of abdominal pain and was diagnosed with infectious colitis.


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[User] Sclerotherapy risks and complications

Due to the high risk of facial nerve injury and subsequent facial deformity, the team decided to perform sclerotherapy.


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[User] Sebaceous adenoma treatment

The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and partial omentectomy. There is no further treatment recommended at this time.


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[User] Second renal transplantation planning

The patient is currently listed for a second renal transplantation due to the extensive allograft failure caused by BKPyV infection. The clinical team will closely monitor the patient's condition and progress, and a plan will be made for further treatment as needed.


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[User] Second-line chemotherapy for ovarian cancer

She received second-line chemotherapy using gemcitabine and carboplatin, and she is currently in complete remission as of July 2012.


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[User] Second-line chemotherapy treatment options

Second-line therapy with FOLFIRINOX was considered, but the patient chose to enroll in hospice.


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[User] Second-line treatment for persistent tumor

The patient underwent second-line chemoradiotherapy with six cycles of 5-fluorouracil plus cisplatin in combination with intensity-modulated radiotherapy.


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[User] Sectoral corneal edema symptoms

Slit-lamp examination revealed sectoral corneal edema in the nasal quadrant of the right eye with associated peripheral anterior synechiae and corectopia.


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[User] Segmental Colitis Associated with Diverticulosis symptoms

The patient started pembrolizumab (PD-1 inhibitor) monotherapy but developed intermittent rectal bleeding without urgency, diarrhea, abdominal pain, cramping or bloating after receiving his second dose.


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[User] Segmental herpes zoster abdominal paralysis symptoms

A physical examination revealed a healed herpetic skin rash and a marked bulge on the right side of his abdomen. The bulge became more pronounced with increased abdominal pressure.


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[User] Seizure control after temporal lobectomy

The patient underwent a right anterior temporal lobectomy at the age of 28 and has been free of seizures to date.


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[User] Seizure control post-discharge

The patient was discharged with improved mood, well-maintained seizure control and without any reported cognitive dysfunction.


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[User] Seizure treatment plan for newborns

The patient was managed with appropriate laboratory monitoring and supportive measures during her stay in the hospital.


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[User] Seizure trigger factors to avoid

The patient will continue taking antiepileptic drugs on a regular basis and should avoid factors that can trigger seizures such as alcohol use and sleep deprivation.


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[User] Selective fetal termination procedure

The couple decided to proceed with selective fetal termination and, during the 19th gestational week, the procedure was performed under ultrasonographic guidance.


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[User] Seminal vesicle cyst treatment options

Transurethral unroofing of the seminal vesicle cysts was performed which stopped macrohematuria immediately.


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[User] Sensorimotor axonal peripheral neuropathy treatment

The patient was treated with 5 days of intravenous immunoglobulin (IVIG) for sensorimotor axonal peripheral neuropathy.


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[User] Separation Anxiety Disorder treatment options

Despite two years of treatment, Ivan had not yet improved markedly.


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[User] Sepsis diagnosis criteria

Patient was diagnosed with sepsis due to the intraabdominal focus.


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[User] Septic shock causes

The patient was diagnosed with septic shock secondary to spontaneous gas gangrene of the right shoulder musculature due to Clostridium septicum which likely disseminated hematogenously from the cecal mass.


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[User] Seropositive Rheumatoid Arthritis symptoms

The 60-year-old female patient was admitted to the Rheumatology Department of the hospital in November 2013 with polyarthralgia.


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[User] Serratia marcescens infection treatment

The patient was successfully treated with washout and a course of antibiotics. Saline solution containing preservative-free gentamicin at a concentration of 20 mcg/mL was continuously infused through the drains at a rate of 10 mL/hour/drain for a period of five days.


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[User] Sertoli cell tumor diagnosis

Further investigation showed an 8x12mm solid lesion with a cystic component in the left testis. Abdomen and thorax CT imaging were normal, and histopathological investigation confirmed a sertoli cell tumor (SCT) positive for inhibin, vimentin, and calretinin staining.


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[User] Sertoli cell tumor symptoms in 4-year-olds

The 4-year-old patient was referred to pediatric endocrinology due to bilateral breast enlargement. Physical examination revealed bilateral gynecomastia, with breast development appearing at Tanner Stage 2.


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[User] Sertraline treatment outcomes

The patient responded well to treatment with Divalproex and Sertraline and is maintaining well.


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[User] Severe CO poisoning symptoms

The patient experienced shock, requiring infusion of norepinephrine exceeding the rate of 0.5 μg/kg/minute despite adequate fluid resuscitation. Despite mechanical ventilation support with the maximal positive end-expiratory pressure, hypoxemia as well as hypercapnia progressed.


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[User] Severe Depression diagnostic criteria

The patient was admitted to the hospital with a HAM-D score of 20 (severe depression) and a BDI-II score of 14 (mild depression).


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[User] Severe Depression in teenagers symptoms

The patient was diagnosed with Severe Depression without psychotic symptoms. He was observed to have breathlessness and palpitation preceding the attacks, but never lost consciousness. Hamilton depression scale (HAMD) score was found to be 24, indicating very severe depression.


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[User] Severe acute inflammation gallbladder symptoms

The patient was admitted with severe pain in the right hypochondrium, acholic stools, hyperchromic urine, nausea, vomiting and fever. Physical examination revealed jaundice and tenderness in the right hypochondrium with localized rebound and guarding, positive Murphy's sign.


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[User] Severe aortic insufficiency complications

The diagnosis of non-bacterial thrombotic endocarditis was made, and the patient was treated with empiric vancomycin and ceftriaxone, along with steroids. An urgent aortic valve repair (AVR) was deemed necessary due to severe AR and an aortic root abscess.


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[User] Severe bleeding treatment options

After emergent intubation and extensive packing of the nasal and oral cavities, angiography revealed a left carotid blowout with a pseudoaneurysm and circumferential ulceration suggestive of carotid body syndrome at the bifurcation of the right internal carotid artery.


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[User] Severe coughing fit symptoms after upper respiratory infection

The patient was admitted to the hospital due to severe coughing fit following an upper respiratory infection.


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[User] Severe crushing injury treatment

Surgery was performed to treat the exposed fracture of the right lower limb, along with intramedullary nail placement and screws for osteosynthesis. The right upper limb fracture was treated with an external fixator, and a fasciotomy of the right arm was performed due to extensive muscle collapse and edema.


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[User] Severe demyelinating sensorimotor polyneuropathy diagnostic criteria

The diagnostic studies demonstrated a demyelinating sensorimotor polyneuropathy. The electrophysiological study showed a severe decrease of SNAP of the upper limb, while the nerve biopsy showed an epineurial and endoneurial infiltration by numerous foci of Kappa light chain-positive B-lymphocytes. The CSF examination demonstrated an increase of protein and 12 white cells per mm3.


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[User] Severe emphysema treatment with VAC therapy

Treatment with VAC (vacuum-assisted closure) therapy via infraclavicular skin incisions was initiated, showing significant improvement in symptoms. The inflammatory markers decreased, and pulmonary infiltrations significantly improved over time, indicating adequate treatment of the underlying Pneumocystis jirovecii pneumonia.


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[User] Severe epistaxis treatment options

The Ear Nose and Throat team were consulted, and multiple bleeding vessels were identified. They were cauterized locally, and almost all bleeding completely stopped six hours post-admission.


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[User] Severe esophagitis treatment

Despite the use of H2 receptor blocking agents and proton pump inhibitors, the patient was refractory to this treatment.


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[User] Severe focal and eccentric lesion symptoms in coronary artery

The patient, a 64-year-old man with high cholesterol, was admitted for a prolonged episode of chest pain at rest associated with nausea.


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[User] Severe headache causes

The patient presented with a severe headache, blurring of vision, and bleeding gums.


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[User] Severe left orbitotemporal headache treatment

He was taking ibuprofen for acute treatment, but it was not effective. Following the diagnosis, he was prescribed with verapamil 120 mg daily.