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

[User] PACNS symptoms and diagnosis

The patient was admitted 2 days after an acute onset of right-sided weakness and expressive dysphasia. A neurological examination revealed motor aphasia, facial asymmetry, 2/5 strength in the right upper and lower extremities, and a positive right-sided Babinski reflex. A brain MRI showed a tumor-like lesion with surrounding edema in subcortical of the left parietal lobe highly suggestive of glioma.


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[User] PACNS treatment and prognosis

The patient was commenced on intravenous methylprednisolone 1 g daily, halved every 3 days, and tapered over 12 days to prednisone 60 mg daily via oral administration with a 2.5 mg/week reduction, and the treatment was maintained for approximately 6 months. A repeat brain MRI after 6 months of treatment showed that the lesion had nearly disappeared with the resolution of edema and mass effect. At a 1 year follow-up, the patient could walk independently.


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[User] PAH and vWD treatment options during pregnancy

The patient was transitioned from SC treprostinil to intravenous epoprostenol. The patient did well on this regimen until 25 weeks of gestation when she presented to the emergency department with complaints of recurrent hemoptysis and acute respiratory distress.


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[User] PAH symptoms worsening treatment

IV treprostinil was initiated with an initial dose of 4 ng/kg/min which was increased by 4 ng/kg/min every 8 hours.


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[User] PAP diagnosis criteria

The patient presented with progressive shortness of breath on exertion and was diagnosed with PAP based on HRCT and BAL results.


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[User] PAVM symptoms in Segment 6 of the right lung

The patient presented to our institution with an abnormal shadow detected in the right middle lung field on chest radiography. Enhanced computed tomography (CT) revealed a single pulmonary arteriovenous malformation (PAVM) in Segment 6 of the right lung, which had a single feeding artery.


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[User] PAVM vs HHT

The patient has no family history of hemorrhagic telangiectasia (HHT) and did not meet the diagnostic criteria for HHT, namely the absence of a PAVM, no recurrent epistaxis, no telangiectasias, and no family history of the disease.


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[User] PBSC harvest procedure risks

The donor underwent PBSC harvest procedure using G-CSF injections and leukapheresis through peripheral vascular accesses.


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[User] PCI procedure complications

Ad Hoc PCI of SVG on RCA was attempted but was suboptimal due to the hard and calcified plaque. However, no embolization was observed during the elective PCI procedure.


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[User] PCI procedure outcomes

Aspiration thrombectomy was performed, which resulted in immediate relief of the occlusion with no significant stenosis or dissection noted.


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[User] PCI treatment after myocardial infarction

The patient underwent percutaneous coronary intervention (PCI) with one stent.


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[User] PCL tibial attachment avulsion fracture symptoms

The patient complained of pain and swelling in her right knee. On examination, her right knee showed patellar ballottement and a positive posterior drawer test, with a posterior sagging of >1 cm compared to the left knee.


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[User] PCL tibial attachment avulsion fracture treatment options

The avulsed fragment was carefully ascertained and released from the posterior capsule, and blood clots, free bony fragments, and soft tissue interposing between the fracture site and posterior capsule were debrided using a motorized shaver. A K-wire and suture wire were inserted through the bone tunnel, and the fragment was fixed onto the tibia using an Endobutton fixation device.


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[User] PCMZL symptoms

Physical examination showed skin lesions on the forehead and nose tip.


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[User] PCNSL symptoms and diagnosis

The patient was diagnosed with PCNSL (non-GCB DLBCL), which presented with binocular diplopia and other symptoms. A resection was performed, but symptoms did not improve postoperatively. Laboratory tests and imaging studies were used for diagnosis.


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[User] PCOS diagnosis criteria used

Based on modified Rotterdam 2003 criteria, the diagnosis of polycystic ovary syndrome (PCOS) was established.


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[User] PCOS treatment options

She was diagnosed with PCOS, metabolic syndrome, and class I obesity at the age of 28. She had persistent hypokalemia, for which spironolactone was introduced, and her dose of hydrocortisone was reduced.


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[User] PChE deficiency diagnosis

There was suspicion of a PChE deficiency. Peripheral nerve stimulator (PNS) produced zero twitches. Blood samples were drawn and sent to confirm a PChE deficiency.


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[User] PDE-ALDH7A1 treatment

Treatment: Pyridoxine, arginine supplementation, protein-restricted diet


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[User] PDE-ALDH7A1 treatment options

The patient has been taking pyridoxine (200 mg/day) for PDE-ALDH7A1 since her diagnosis at the age of 7 months. She was initially compliant with her arginine supplementation (12 g/day) and protein-restricted diet but later became non-compliant.


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[User] PDT with verteporfin treatment outcomes

The patient underwent PDT with verteporfin and showed an improvement in visual acuity, from 0.2 to 0.4, three months after PDT. Fundus examination showed fibrotic changes to the subretinal neovascularization with shallow serous elevation, and the abnormal vascular branches were not seen in the early phase of ICGA, while mild hyper-fluorescent lesions typical of stained fibrotic tissue were observed.


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[User] PED deployment complications

A follow-up angiogram at 6 months showed that the PED had sunk into the aneurysmal sac due to the loss of an anchoring effect associated with shortening of the distal side, and the original pathway was left with a remnant neck.


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[User] PEG IFN α-2a treatment side effects

After two months of therapy, the patient complained of bilateral tinnitus and hearing loss. ... bilateral sensorineural ototoxicity was detected upon audiologic examination.


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[User] PEID procedure steps

Post-laminoplasty, a percutaneous endoscopic interlaminar discectomy (PEID) was successfully performed, providing immediate pain relief to the patient.


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[User] PET scan results for abdominal issues

The PET scan revealed benign FDG uptake of 4.2 maximal SUV in the left lower abdomen.


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[User] PET-CT results for pulmonary nodule

PET-CT showed increased uptake in the nodule.


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[User] PET-CT scan results for PMHE

The patient was recommended for radiological examination, including PET-CT, which did not show any neoplastic disease elsewhere.


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[User] PET/CT scan results

Skull-to-thigh positron emission tomography/computed tomography (PET/CT) scan showed focal radiolabeled [18F]-2-fluoro-2-deoxy-D-glucose (18F-FDG) uptake in the right lower kidney tumor and no evidence of metastatic disease elsewhere in the body.


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[User] PET/CT scan results after disease progression

The scans revealed metabolically active lesions of the lower third part of the esophagus (measuring approximately 4.5 cm) and multiple hypodense liver lesions (largest measuring 7.2 cm × 7 cm), multiple abdominal enlarged lymph nodes (largest perigastric lymph node now measuring 4.1 cm × 2.9 cm) suggesting disease progression.


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[User] PETD procedure outcome

PETD was conducted under local anesthesia, leading to significant improvement of pain.


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[User] PETD procedure risks

The patient's interscapular pain and chest discomfort were managed through PETD under local anesthesia with no concerns or complications noted.


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[User] PFO occlusion post-operative care

The patient's dizziness was relieved, and there was no recurrence during the six-month postoperative follow-up period.


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[User] PFO occlusion procedure

On February 28, 2018, occlusion of the patient's PFO was performed. The patient's dizziness was relieved, and there was no recurrence during the six-month postoperative follow-up period.


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[User] PGCG diagnosis criteria

An incisional biopsy confirmed the diagnosis of PGCG, showing a highly cellular stroma of connective tissue, multiple multinucleated giant cells, extravasated red blood cells, and trabeculae of reactive bone.


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[User] PHACE syndrome impact on vision

The patient had a history of hemangiomas, including one over the left supraorbital region, and right-side microphthalmia, which affected his vision in the right eye.


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[User] PHACE syndrome symptoms in children

The patient had a history of hemangiomas, including one over the left supraorbital region, and right-side microphthalmia, which affected his vision in the right eye. Physical examination revealed macrocephaly, cerebral hypoplasia, and retinal vascular degeneration.


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[User] PICA aneurysm clipping procedure

The patient underwent a right suboccipital craniotomy for PICA aneurysm clipping.


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[User] PID symptoms

The patient presented with pain in the right upper quadrant associated with fever. Examination revealed positive Murphy's and Blumberg's signs. Blood tests showed WBC count elevation, neutrophilia, and elevated CRP levels.


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[User] PIMS-TS symptoms

Headache, fever up to 39.9°C, vomiting, decreased appetite, sore throat, and pain during swallowing


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[User] PIP joint camptodactyly surgery

The aberrant flexor tendon was excised, and a capsulotomy was performed in the PIP joint to improve flexion contracture.


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[User] PKAN follow-up care

The patient has been advised to follow up with their primary care provider for ongoing care and management of PKAN.


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[User] PKDL treatment options

She was treated with oral miltefosine with clinical improvement and no major side effects.


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[User] PLIF procedure

The patient underwent PLIF with decompression at the L4–5 and L5–S1 segments, internal fixation with a pedicle screw system, and fusion with a bone graft.


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

[User] PLP1 gene mutation treatment

The patient was discharged with a diagnosis of familial epilepsy associated with a mutation in the PLP1 gene, and the family was advised to undergo genetic counseling.


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

[User] PMCD procedure complications

A decision for PMCD was made shortly after the patient arrived in the emergency room. ... A hysterectomy was performed due to uncontrollable bleeding from the uterus. Damage control surgery (DCS) was decided on for hemostasis, and a temporary abdominal closure was carried out using vacuum-assisted closure.


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[User] PML treatment options

The patient was treated with HAART and antiepileptic medications and was discharged on Pneumocystis jirovecii prophylaxis.


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[User] PMR diagnosis criteria

The patient was diagnosed with LVV and PMR, and GCA (giant cell arteritis) was suspected.


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[User] PMT with Trellis-8 device complications

There is no information in the clinical note about complications. However, The patient's symptoms were well-resolved at the time of discharge and remained stable until the 6-month follow-up.


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[User] PMTCM variant treatment options

Tumour removal under general anesthesia


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[User] PNET of the cervix symptoms

Patient is in stable condition with no visible symptoms of the PNET of the cervix.


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[User] PNET of the cervix treatment options

A neoadjuvant chemotherapy regimen was initiated followed by a surgical treatment. A radical hysterectomy was performed involving the uterus and bilateral ovaries along with the proximal third of the vagina, and the bilateral parametrium, which were all removed.


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[User] PNET treatment options

Everolimus therapy (10mg/day) was initiated, and the patient was monitored on an outpatient basis.


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[User] PNH symptoms and diagnosis

The patient was admitted for further evaluation of PNH. The patient has a FLNA disease-causing mutation. The patient's family history is significant for PNH.


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[User] PNH treatment options

The patient did not receive any specific treatment during this admission. The patient was evaluated for further management and follow-up.


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[User] POCUS two-point compression examination results

A POCUS two-point compression examination of the right leg showed normal compression of the right femoral and popliteal venous systems, but an abnormal intraluminal echogenic signal was seen in the right femoral artery.


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[User] POCUS vs CT scan for foreign body detection

A point-of-care ultrasound (POCUS) was carried out to detect the foreign body. A computed tomography (CT) scan was considered to examine the foreign body, but it was expelled before the imaging could be carried out.


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[User] POEMS syndrome diagnosis criteria

The diagnosis of polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome was made based on these findings, as well as the optic disc swelling.


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

[User] POEMS syndrome follow-up care

After three years, the patient's ophthalmological condition remained unchanged.


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[User] POEMS syndrome symptoms

The patient presented with bilateral blurred vision, dryness, and irritation of her eyes. She also reported mild fatigue and a slight headache. On examination, the patient had optic disc swelling and small preretinal peripapillary splinter haemorrhages in the right eye, with an enlarged blind spot and inferonasal deficit in both eyes.


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[User] POEMS syndrome treatment options

The patient was not a candidate for localized radiation due to the diffuse bone lesions, and was counseled for autologous stem cell transplant, as well as for fertility consultation.


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[User] POHC intervention results

Persistent POHC intervention gradually became effective in achieving a healthy oral condition and improvement of his oral health. Following recovery of his oral health, the patient's fever subsided, CRP levels returned to within the normal range, and his consciousness improved.


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[User] POST-operative care plan

The interdisciplinary team recommends close monitoring of his condition and diligent application of treatment plans implemented during his inpatient stay.


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[User] POST-operative care plan for patient

The patient was discharged in good condition after recovery from partial liver resection surgery. Follow-up outpatient visits were scheduled with the specialist for further treatment, as needed.


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[User] PPCM treatment options

The patient was diagnosed with peripartum cardiomyopathy (PPCM) and treated with standard therapy for acute heart failure, including inotrope, vasodilators, ACE-inhibitors, beta-blockers, and diuretics.


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[User] PPCM treatment plan

The patient was started on a regimen of ramipril, bisoprolol, and furosemide with the addition of bromocriptine 2.5mg bid.


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[User] PPI therapy outcomes for patients with chronic cough

The patient's cough significantly improved after initiation of PPI therapy. Follow-up 24-h esophageal pH monitoring revealed some cough and acid reflux but little cough-related acid reflux. The cough disappeared completely following re-initiation of PPI.


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[User] PPPD procedure complications

The patient's postoperative course was uneventful, with normal vital signs, tolerable pain, and regular bowel/no bowel movement. He was closely monitored for any signs of infection or complications and was managed with appropriate interventions as needed.


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[User] PPROM diagnosis

The patient presented with spontaneous PPROM, which was confirmed by the presence of a pool of clear liquor in the vagina and a positive nitrazine test.


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[User] PQ poisoning prognosis

The patient demonstrated significant improvement in pulmonary function tests, with moderate restrictive ventilation dysfunction and mild diffuse lung function decline observed.


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[User] PQ poisoning treatment plan

The patient underwent complete gastrointestinal decontamination and multi-target comprehensive therapy, which included intravenous glucocorticoids, anticoagulants, anti-free radical, liver and kidney-protecting agents, Chinese herbs, as well as water and electrolyte balance-maintaining agents.


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[User] PRCA symptoms

The patient reported a diagnosis of mild anemia 20 years ago but had not received treatment. Her condition worsened, and two years ago, the patient was diagnosed with PRCA.


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[User] PRCA treatment options

The patient was treated with oral cyclosporine A for two years. Additionally, the patient required regular red blood cell infusions every two weeks.


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[User] PRES brain CT findings

Head computer tomography (CT) showed no significant abnormalities.


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[User] PRES symptoms

A 29-year-old man with a history of hypertension, end stage renal disease, and HIV presented to the Emergency Department with a 2-day history of headache and blurry vision.


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[User] PRES symptoms and diagnosis

The patient experienced difficulty in walking, inability to do daily activities with upper limbs, dysarthria, dysphagia, and multiple generalized tonic-clonic seizures. The MRI showed bilateral cortical and subcortical altered signal intensities involving the parieto-occipital areas, which was suggestive of PRES.


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[User] PRES treatment plan and follow-up care

The patient was placed initially on antihypertensives and antiepileptics to control blood pressure and seizures. The patient will be followed up with neurology and primary care physicians to monitor and manage any ongoing hypertension and neurological symptoms.


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[User] PREVENA RESTOR BELLA•FORM System complications

The cINPT was removed on post-operative day 14 with well-healed incisions and minimal soft tissue edema.


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[User] PRF1 point mutations treatment options

Receiving chemotherapy in the hematology department of the local hospital. Follow-up in hematology department for chemotherapy


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[User] PRP intradiscal injection for chronic neck pain

PRP was then injected to each level following the provocative discography, which eliminated the left shoulder pain. Three weeks after the procedure, the patient's neck pain had significantly improved, and the ROM of the neck had increased.


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[User] PRS diagnosis criteria

Given the patient’s history of pharyngitis, clinical presentation, laboratory analyses, and response to immunosuppressive regimen, he was diagnosed with PRS secondary to streptococcal pharyngitis.


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[User] PRS secondary to streptococcal pharyngitis symptoms

The patient was admitted with hyperacute hemoptysis and rapidly worsening respiratory distress. He was intubated with an oxygen saturation of 88% and a pulse of 109 beats per minute. Physical exam revealed decreased breath sounds bilaterally and mild generalized edema in his lower extremities.


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[User] PSP rating scale improvement with DBS

The clinical improvement was associated with a 22% decrease on the PSP rating scale.


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[User] PTCD symptoms

The patient suffered from marked developmental delay, ataxia, bilateral hypoacusia, and bilateral corneal severe hypoaesthesia.


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[User] PTF1A gene mutation symptoms

The patient was a 1-year and 9-month-old boy with a history of intrauterine growth retardation and hyperglycemia. Abdominal distension and fatty stools were noted, and pancreatic enzyme replacement therapy was initiated.


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[User] PTTM symptoms

The patient was admitted for evaluation of dyspnea on exertion and fatigue. She was found to have severely reduced right ventricular function with volume and pressure overload consistent with pulmonary hypertension, but no evidence of myocarditis.


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[User] PTU-associated AAV diagnosis

The patient was diagnosed with PTU-associated AAV and PTU was discontinued.


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[User] PVNS treatment options

The patient received a total of 7 infliximab injections with a 0–1–3–6–12–15–month regimen, with each injection administered to the right knee joint using an aseptic technique under direct ultrasonographic guidance.


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[User] PVR and retinal detachment symptoms

The patient was admitted to King Khaled Eye Specialist Hospital (KKESH) with diagnosis of proliferative vitreoretinopathy (PVR), light perception, and retinal detachment in the left eye. Upon admission, the patient's ocular history was positive for epiphora and buphthalmos.


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[User] PXF glaucoma diagnosis

Four years following the initial treatment, the patient was diagnosed with PXF in the left eye, which was observed for 4 years without any manifestation in the right eye.


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[User] Pacemaker implantation procedure

The patient underwent right ventricular myocardial biopsy and implantation of a dual-chamber epicardial pacemaker via a sternal thoracotomy.


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[User] Paget's disease of vertebra symptoms

The patient was admitted with chronic low backache, left-sided radiculopathy, and tenderness at L3 vertebrae.


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[User] Pai syndrome symptoms in infants

The patient, a 3-week-old girl with Pai syndrome, presented with a midline cleft that extended into the columella and partially into the alveolus. She had hamartomas of the lip, left sill/footplate, and left septum; and a midline lipoma of corpus callosum.


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[User] Painful perineal ulcers treatment

The initial biopsy showed inflammatory infiltrate but no cell atypia, and tissue cultures for bacteria, acid fast bacilli, and fungi were negative. The working diagnosis at the time was pyoderma gangrenosum, but the patient noticed some improvement in his perineal pain without intervention and elected to continue with expectant management.


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[User] Palliative care plan for multiple myeloma patients

He was admitted to a follow-up and rehabilitative care unit for palliative care in November 2018 due to an alteration of the general state and development of peripheral neuropathy secondary to chemotherapy.


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[User] Palliative surgery for adenocarcinoma

The patient underwent two cycles of neoadjuvant chemotherapy and concurrent radiochemotherapy which was followed by surgery as a palliative treatment.


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[User] Palpitations and dyspnea treatment

The patient was recently started on coenzyme Q10 400 mg daily and L-carnitine 300 mg daily by the referring physician to aid with his fatigue prior to the MTM consult.


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[User] Pancreatic LEC and malignancy risk

The patient has a history of colon adenocarcinoma and underwent right hemicolectomy and segment VIII liver metastasectomy 2 years ago.


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[User] Pancreatic LEC symptoms and treatment

Due to the benign and asymptomatic nature of the lesion, and its incidental finding, the patient was managed conservatively despite patient's history of malignancy.


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[User] Pancreatic NET symptoms

A 30-year-old male was admitted with symptoms of weight gain, hypertension, diabetes, proximal muscle weakness, and nephrolithiasis. Initial examination showed the presence of moon facies, abdominal striae, and disproportionate supraclavicular and dorsocervical fat pads.


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[User] Pancreatic NET treatment options

Resection of the tumor was performed, however, the postoperative ACTH was not suppressed. The patient was started on ketoconazole and chemotherapy but it failed to resolve hypercortisolemia.


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[User] Pancreatic adenocarcinoma treatment options

The patient underwent neoadjuvant chemoradiotherapy with modified FOLFIRINOX regimen, which resulted in a positive radiologic response, but the patient's CA 19-9 continued to rise. She successfully underwent a pancreaticoduodenectomy, and pathology revealed a 3.2 cm tumor with involvement of three of five regional lymph nodes, staged as IIB.


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[User] Pancreatic cancer prognosis after immunotherapy

The progression-free survival time (PFS) of the patient is >19 months and the patient has not succumbed. However, during the course of immunotherapy, a low-density nodule emerged in the same place as previously, and the CA-199 level had elevated to 1,000 U/ml once more.


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[User] Pancreatic cancer surgery recovery time

The patient’s condition improved, and he was taken out of ventilator support and extubated on day 7 of treatment.


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[User] Pancreatic cancer symptoms

The patient was admitted to Henan Cancer Hospital, China with intermittent abdominal pain for one month. Pancreatic cancer was suspected by the surgeons following an investigation.


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[User] Pancreatic cancer treatment options

The patient was deemed unable to tolerate the side-effects of chemotherapy and/or radiotherapy due to poor health and low Karnofsky performance status (KPS) scores (50 scores). CIK cell immunotherapy was thus administered.


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

[User] Pancreatic exocrine insufficiency treatment

Finally, 1.8 g pancreatin enteric-coated capsules were given per day continuously to relieve the symptoms of pancreatic exocrine function.


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[User] Pancreatic mass causes and symptoms

The colangio-MRI showed a mass in the head of the pancreas that caused obstruction of the main pancreatic and biliary duct leading to dilatation of the biliary tree. The patient had new-onset ascites, peripheral oedema and acute kidney injury.


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[User] Pancreaticoduodenectomy post-operative care plan

The patient was discharged from the hospital and advised to follow up with the oncologist regularly.


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[User] Pancreatitis and H1N1 follow-up schedule

The patient is advised to follow up with their primary care physician in 4 weeks for a routine evaluation and any necessary laboratory testing.


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[User] Pancreatitis diagnosis criteria

Elevated lipase was suggestive of pancreatitis and ultrasound of the abdomen demonstrated a cystic structure in the head of the pancreas, measuring 1.7 x 1.4 x 1.4 cm, consistent with pancreatitis.


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[User] Pancreatitis treatment options

During the hospital course, the patient was started on intravenous fluid therapy with normal saline and acetaminophen for pain control.


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[User] Panic disorder with agoraphobia symptoms

She presented with heartburn, chest tightness, and panic attacks.


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[User] Panoramic radiography findings

Panoramic radiography was conducted to evaluate bone overgrowth and tooth germ development which revealed a hyperostosis and sclerosis of the alveolar bone in both the maxilla and mandible, particularly around the developing tooth germs.


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[User] Papillary thyroid carcinoma treatment

The patient underwent right lobectomy. The patient was scheduled for further follow-up and monitoring.


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[User] Papillon-Lefevre syndrome symptoms

The patient was admitted with complaints of mobile teeth, bad breath, and yellowish discharge from the gums for the past 3 months. Clinical examination revealed severe periodontitis with grade IV furcation involvement and generalized bleeding on probing. The patient also showed symptoms of palmar plantar hyperkeratosis.


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[User] Papillon-Lefevre syndrome treatment options

Extraction of teeth 11, 12, 21, 22, 31, 32, 42, 36, and 46 was performed. The patient underwent Phase I therapy, which included scaling and root planing of the remaining teeth. Phase III included the replacement of missing teeth initially with flexible removable partial dentures.


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[User] Papules diagnostic tests

A skin biopsy showed mononuclear infiltrate arranged at the infundibulum of the hair follicle in the longitudinal section and a perifollicular infiltrate in the crosssection, diagnostic of DRIF.


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[User] Para-aortic lymph nodes metastasis treatment

After six courses of the combined chemotherapy, the enlarged para-aortic lymph nodes began to shrink.


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[User] Paradoxical thromboembolism due to PFO symptoms

The 67-year-old woman presented to our hospital with a 2-day history of pain and coldness in her right hand. Physical examination revealed a pulseless right radial artery and thromboembolism in the right brachial artery, left pulmonary artery, and right kidney.


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[User] Paraesophageal hernia symptoms

The 63-year-old female presented with progressive dyspnea and was diagnosed with a mixed sliding and paraesophageal hernia with cholilithiasis.


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[User] Paraganglioma diagnostic criteria

Based on the histological appearance and immunohistochemical staining, a diagnosis of paraganglioma was made. Immunohistochemical staining demonstrated positivity for neuron-specific enolase (NSE), chromogranin A, synaptophysin, and CD56 cell markers within the epithelioid cells.


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[User] Paraganglioma treatment options

A surgical resection was performed, and the tumor was completely resected.


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[User] Paralytic ileus prognosis

No recurrence of symptoms has been reported two months after discharge.


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[User] Paraprotein interference in laboratory tests

Pseudohyperphosphatemia was confirmed to be caused by biochemical interference from paraproteins. Serum phosphate concentrations returned to reference ranges after pre-analytical sample dilution or precipitation of serum paraproteins with 20% sulfosalicylic acid.


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[User] Parapsoriasis en plaque diagnosis process

Physical examination and histopathologic examination showed the presence of parapsoriasis en plaque. Laboratory results indicated elevated ALT levels, autoimmune disease and virus infection negative results.


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[User] Parathyroid adenoma diagnosis

A nuclear parathyroid sestamibi scan one year prior to presentation revealed no parathyroid adenoma. However, an MRI of the neck with and without contrast revealed a 9 mm enhancing nodule in the right superior mediastinum between the superior vena cava and the brachiocephalic artery, for which the patient was scheduled for partial sternotomy and resection of the mediastinal parathyroid adenoma.


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[User] Parathyroid adenoma treatment and follow-up

At 1-year postoperative, she is asymptomatic, and her serum calcium and PTH are within normal range. A follow-up ultrasound showed unremarkable residual thyroid.


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[User] Parathyroidectomy and partial parathyroid intramuscular transplantation outcomes

He had been experiencing postoperative hypocalcemia, which improved after calcium supplement therapy.


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[User] Parkinson's disease cognitive behavioral therapy benefits

Cognitive-behavioral therapy to address negative thinking patterns and anxiety associated with the patient's Parkinson's disease diagnosis.


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[User] Parkinson's disease diagnostic criteria

Parkinson's disease was diagnosed following RLS due to the presence of Parkinsonism combined with the DAT SPECT and cardiac MIBG findings.


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[User] Parkinson's disease management during surgery

Antiparkinsonian medications were resumed 4 h after surgery.


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[User] Parkinson's disease motor fluctuations treatment

The patient underwent bilateral implantation of STN electrodes targeted in accordance with preoperative MRI and intraoperative microrecordings typical for the STN region. The medication regimen consisted of 300 mg of levodopa in combination with 800 mg entacapone.


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[User] Parkinsonism diagnosis

Parkinsonism was also studied using 123I-ioflupane SPECT, which revealed asymmetrical tracer uptake in the caudate nuclei and a near-complete lack of activity in the putamina, particularly on the left side.


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[User] Parosteal osteoma clavicle symptoms

The patient, a 39-year-old male, presented with a right medial clavicular mass.


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[User] Parotid tumor treatment options

A superficial parotidectomy was planned, and the mass was successfully removed with careful dissection.


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[User] Paroxysmal kinesigenic dyskinesia (PKD) symptoms

The patient was admitted with a history of episodic involuntary abnormal dystonic posturing of either trunk or limbs (upper/lower). These postures lasted for a few seconds to minutes and were precipitated by brisk walking or sudden movements.


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[User] Paroxysmal nocturnal hemoglobinuria treatment plan

Paroxysmal nocturnal hemoglobinuria diagnosed in 2016 was treated with eculizumab. During the postoperative period, eculizumab was administered to optimize hematological parameters.


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[User] Parry–Romberg syndrome diagnosis criteria

The patient was diagnosed with mixed morphea with Parry–Romberg syndrome. A head and neck examination revealed gross asymmetry of the left side of his face. A visually evident loss of fat, muscles, and subcutaneous tissue resulted in a shrunken appearance to the left side of his face.


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[User] Pars plana vitrectomy recovery time

Rerouting of both glaucoma tubes into the pars plana cavity was performed the next day, resulting in a stable IOP.


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[User] Pasteurella multocida infection symptoms

The patient presented to the Emergency Department with tongue swelling, dysphagia, drooling, and shortness of breath. He reported throat pain and was prescribed Clindamycin for lymphadenitis by an ENT specialist five days prior to admission.


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[User] Patella fracture treatment options

Surgical management was indicated. A lower midline incision was made, and the hemarthrosis evacuated. The distal fragment of his patella was excised, and a retinacular reconstruction undertaken with a non-absorbable, braided, polyethylene suture (2 Ethibond), followed by a layered closure.


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[User] Patella tendon rupture treatment options

A partial attrition rupture of the mid-substance of the patella tendon was found, and a hinged Noiles prosthesis was implanted.


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[User] Patellar tendon avulsion treatment

Surgical treatment occurred 24 hours following presentation with an anterior midline approach. The patellar tendon was completely avulsed from the tubercle fragment. Provisional fixation was achieved with two Kirschner wires and two transossseous #5 polyester sutures were placed and secured through the patellar tendon using the Krackow technique.


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[User] Patellofemoral joint maltracking treatment

The patient underwent definitive treatment with MPFL reconstruction and returned to practice in 3 months and professional sports in 4 months. At 24-month follow-up, Modified Crosby and Insall scale was excellent and Kujala score was 98.


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[User] Patient 10 IVIg substitution schedule

She was advised to continue her IVIg substitution as directed by her primary care physician.


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[User] Patient 11's condition diagnosis

Patient 11 is an eight-year-old female diagnosed with Autosomal Recessive Bilateral SN HL due to a pathogenic mutation (c.3061 + 1G > A, p.?) in LOXHD1.


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[User] Patient 2 diagnostic test results

Following the examination, detailed laboratory tests and imaging studies, the infections were identified as mentioned above.


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[User] Patient 2 follow-up care plan after discharge

The patient was discharged after 11 days of hospitalization.


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[User] Patient 2 post-operative care plan

No medications were prescribed upon discharge and no post-hospitalization follow-up was necessary.


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[User] Patient 2 treatment plan

During the hospital stay, patient 2 was treated with antibiotics and provided with supportive care. Detailed medication and treatment plan are not available at this time.


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[User] Patient 7's post-operative care plan

The patient will have a follow-up visit with his primary care manager in the next few weeks. The patient should follow up with his primary care manager for further evaluation. The patient should also be advised to seek immediate medical attention if he experiences any similar symptoms.


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[User] Patient A's condition at discharge

At the time of discharge, the patient was stable, alert, and able to perform activities of daily living.


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[User] Patient A's main complaint upon admission

Patient A, a 79-year-old woman, was admitted with pneumonia and developed her first-ever epileptic seizure two days after starting intravenous penicillin and ciprofloxacin.


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[User] Patient B's discharge instructions

Patient B was discharged with instructions to self-quarantine at home for 14 days and to continue monitoring his symptoms. He was advised to seek medical attention immediately if he experienced any worsening symptoms such as shortness of breath or chest pain.


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[User] Patient B's follow-up care plan

He was advised to seek medical attention immediately if he experienced any worsening symptoms such as shortness of breath or chest pain.


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[User] Patient K-ES1 post-operative care plan

Unfortunately, the patient developed systemic disease and died a few months after diagnosis.


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[User] Patient K-ES2 follow-up treatment

A follow-up appointment was scheduled to monitor the patient's progress.


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[User] Patient diagnosis after biopsy

The patient underwent biopsy, and positron emission tomography showed moderate lymphadenopathy throughout the mediastinum. The patient was found to have mediastinal lymphadenopathy and two pancreatic lesions consistent with metastatic small cell carcinoma.


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[User] Patient diagnostic findings

Diagnostic tests revealed a subdural hematoma, fracture of the left zygomatic arch and left lateral orbit, multiple pelvic fractures, comminuted acetabular fractures, bilateral transverse process fractures of L5, left transverse process fractures of L3-4, and dislocation of the left sacroiliac joint, anteriorly and posteriorly.


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[User] Patient discharge instructions

The patient was discharged in stable condition with dual antiplatelets, statin, and beta-blocker therapy.


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[User] Patient education on skeletal abnormalities

The patient was educated on his condition, the causes, and possible long-term outcomes, if any, as well as the importance of close follow-up with a physician for proper monitoring.


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[User] Patient follow-up after tumor excision

The patient will be followed up in the clinic.


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[User] Patient follow-up after warfarin treatment

Control MR venography revealed near-complete recanalization of dural sinuses and the right internal jugular vein after five months of treatment with warfarin with an international normalized ratio (INR) of 2.5–3. The patient is still being followed up under warfarin without any symptoms.


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[User] Patient follow-up care plan

At her follow-up visit, Z appeared to be well-adjusted to SV at 500mg/night and risperidone 1mg/day. The patient's enuresis is being monitored, and adjustments to treatment will be made in consultation with her healthcare provider.


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[User] Patient follow-up plan

The patient was discharged in stable condition and advised to follow-up with their healthcare provider.


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[User] Patient main complaint

The patient presented with a painful, swelling in her left sole that had gradually increased in size over a period of three months. The condition appeared after a previous trauma.


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[User] Patient medication plan

The patient proceeded to involve field radiation and standard chemotherapy with Temozolomide, as per Stupp et al.


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[User] Patient outcome after switching to peritoneal dialysis

Following this transition, SVCS symptoms disappeared within three months, and the patient received PD treatment for 30 months with no relevant complications associated with SVCS. In November 2009, she was admitted to the hospital due to pneumonia, and despite treatment, the patient eventually passed away.


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[User] Patient outcome after treatment

Unfortunately, upon readmission 2 weeks later, the patient succumbed to respiratory failure.


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[User] Patient outcome with CJD diagnosis

Unfortunately, the patient died 3 months after the first onset of neurological signs of CJD.


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[User] Patient outcomes after one month

After 1 month, the patient's functionality improved. The muscle power in both of her lower limbs increased to grade 4 (good). She began to ambulate with a cane and perform all activities of daily living independently.


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[User] Patient outcomes after treatment

The patient has been under follow-up, and there is significant improvement clinically with afibrile status, weight gain, resolution of pus, and healing of sinuses.


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[User] Patient post-operative care plan

The patient received postoperative IMRT 60 Gy in 30 fractions to her sinuses and was prescribed to a dose of 60 Gy. At 6-month post-completion of radiotherapy, a repeat PET scan showed no evidence of FDG-avid disease in her left maxillary sinus or nasal region.


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[User] Patient recovery and post-operative care plan

After ten days of treatment with meropenem, the infectious event clinically resolved, but the patient's conditions slowly worsened. The patient died after 27 days of hospitalization due to the progression of brain damage


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[User] Patient seizure history

The medical history revealed a history of generalized tonic clonic seizures which were well-controlled on divalproex.


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[User] Patient symptoms at hospital admission

The patient was admitted to the hospital in February with fever, fatigue, body aches, cough, and recurrent upper respiratory infections. The patient was also experiencing increasing joint pain which worsened over the course of the day.


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[User] Patient treatment for encapsulated hematoma in the lesser sac

Evacuation of the hematoma, ligation of the bleeding short gastric arteries, and repair of the gastric wall defect were performed, achieving successful hemostasis.


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[User] Patient treatment plan

The patient underwent reexplorative debulking surgery, which revealed areas of necrosis and microvascular hyperplasia, indicating malignantly transformed glioblastoma. Post-surgery, the patient received adjuvant radiation therapy consisting of 40Gy in 16 fractions.


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[User] Patient treatment plan after hospital discharge

It is recommended that the patient schedule follow-up appointments with a healthcare provider. Additional diagnostic tests and treatment plans may be administered based on the results of these appointments.


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[User] Patient's CBC results after surgery

Postoperatively... the patient was discharged on the second postoperative day with normal complete blood count (CBC) results.


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[User] Patient's COVID-19 status

The patient was admitted to the emergency room in a severe state of depression with mood-congruent delusions related to their economic situation due to the COVID-19 lockdown.


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[User] Patient's OCD symptom severity

The patient met SCID-I criteria for OCD, and had a low severity of symptoms according to Y-BOCs.


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[User] Patient's age at evaluation

Admitted for evaluation of hearing loss at 7 years old.


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[User] Patient's antibiotic regimen change reason

Due to an adverse drug reaction, the antibiotic regimen was changed, but due to several temperature spikes, the patient underwent a second surgical exploration and washout, using daptomycin and meropenem, and was administered the remaining six weeks of IV antibiotics.


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[User] Patient's chief complaint

Chief Complaint: Worsening pain and swelling of bilateral prosthetic knee joints.


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[User] Patient's condition after 2 months of discharge

The patient's mood had stabilized over the next 2 months, and there was no recurrence of delirium.


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[User] Patient's condition after 2-year follow-up period

For the 2-year follow-up time, the patient remains asymptomatic and there is no progression of the disease.


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[User] Patient's condition after chemotherapy

Chemotherapy was introduced but had limited success. The patient presented with worsening pain and performance status.


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[User] Patient's condition after discharge

After the patient was discharged from the hospital, Tab. Primaquine was given for 14 days. On the follow-up visit, the patient was asymptomatic with minimal residual findings seen on the chest X-ray.


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[User] Patient's condition after erlotinib treatment

Two days later, his laboratory test results began to dramatically improve. Four days later, the clinical features of DIC disappeared and all laboratory abnormalities were corrected. One month later, a nearly complete response to the erlotinib treatment was noted.


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[User] Patient's condition after first week of antimicrobial therapy

By the end of the first week of antimicrobial therapy, the patient was able to walk unassisted and had complete resolution of symptoms with normalization of inflammatory biomarkers in 3 months.


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[User] Patient's condition after removal of the appendix

The patient underwent an elective procedure, and the appendix measuring 55 mm in length and 11 mm in diameter was removed, which included an attached rubbery nodule measuring 30 × 25 × 23 mm within the mesoappendix.


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[User] Patient's condition at 1-year follow-up

The patient remained asymptomatic at 6-month and 1-year follow-up, with good prosthetic valve function, and decreased LV volumes.


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[User] Patient's condition at discharge

Condition at Discharge: The patient's condition has improved. She is currently undergoing treatment for her cancer.


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[User] Patient's condition at the time of discharge

The patient's condition improved, S Cr levels stabilized to 3.1 mg/dL, and her BP was managed successfully.


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[User] Patient's condition before admission

The patient, a 52-year-old female with triple negative high grade invasive ductal carcinoma of the breast who underwent mastectomy and chemotherapy last year, presented to the emergency room with a one-week history of right upper abdominal pain which radiates to the back.


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[User] Patient's condition during hospitalization

Despite intensive supportive therapy, his condition continued to deteriorate, and he died on the fourth day of antibiotic therapy.


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[User] Patient's condition on discharge

Upon discharge, the patient's weakness had resolved, and she was able to ambulate without assistance.


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[User] Patient's condition upon discharge

The patient was discharged with a stable condition.


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[User] Patient's current IQ score and mental health status

The patient's estimated IQ was 95. Minimal depression was also registered, and no other physical problems were observed.


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[User] Patient's current medication regimen

He was restarted on erlotinib at a decreased dose of 50 mg daily and was switched from minocycline to doxycycline.


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[User] Patient's current medications

The patient was treated with IV fluids, insulin infusion, vancomycin, renal adjusted dose of piperacillin/tazobactam, and methylene blue.


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[User] Patient's current status

At time of writing, the patient remains in the hospital under continued medical care and monitoring.


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[User] Patient's current status after treatment

The patient was then discharged from the hospital.


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[User] Patient's current treatment plan

The patient is no longer on blood transfusions due to iron overload complications. The patient continues on cardiac medication for dilated cardiomyopathy.


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[User] Patient's dental treatment plan

All of the dental procedures, including fillings and extractions, were performed per treatment plan.


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[User] Patient's diagnosis after buccal swab for WES analysis

A buccal swab for WES analysis showed STXBP2 homozygous missense mutations consistent with a genetic diagnosis of familial hemophagocytic lymphohistiocytosis type 5.


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[User] Patient's diagnosis and treatment

The patient underwent a right hemicolectomy twenty days prior to admission in which histopathologic examination and further immunohistochemical analyses confirmed the diagnosis of DLBCL. After treatment with chemotherapy, the patient failed to attend follow-up appointments over the next two years.


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[User] Patient's diagnosis and treatment plan

Admission Diagnosis: Alkaptonuria... Two months after his baseline visit, he underwent successful coronary bypass surgery and was put on a medication regimen of omeprazole, bisoprolol, aspirin, and rosuvastatin.


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[User] Patient's diagnosis before laparoscopic cholecystectomy

The patient was diagnosed with multiple gall stones within a thickened gall bladder wall, confirmed by abdominal ultrasound scan and magnetic resonance cholangiopancreatography (MRCP) study.


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[User] Patient's discharge condition

The patient was discharged on stable condition and advised follow-up in the outpatient clinic.


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[User] Patient's family beta thalassemia history

After thorough screening of the family members of the patient, it was determined that the patient's mother and brother were carriers of the CD17(A〉T) mutation.


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[User] Patient's family medical history

Her father had β-thalassemia trait, and her mother had normal hematological indices bordering on Hb A2. Both the parents had no splenomegaly and hepatomegaly and had never been transfused.


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[User] Patient's follow-up care plan

The patient was discharged with a recommendation for follow-up visits with her healthcare provider and further treatment as deemed necessary.


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[User] Patient's history of anaphylactic reactions

The patient had experienced a similar reaction to a headache medication, Saridon, approximately 20 years ago. The patient reported a similar reaction to a contrast medium used for a CT scan some years prior to the reaction to Saridon.


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[User] Patient's initial complaint

The patient was admitted to our facility with a diagnosis of a right testicular mass with multiple metastatic tumors in the brain, liver, lung, bone, and duodenum.


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[User] Patient's initial complaint upon hospital admission

The patient was admitted to the hospital for transurethral resection of a polypoid lesion in the urinary bladder.


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[User] Patient's initial complaints

The patient was admitted to the genitourinary medicine clinic with chronic recurrent herpetic genital ulcers.


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[User] Patient's initial condition

The patient was admitted to the emergency room after suffering a fresh water drowning. Upon arrival, he was hemodynamically stable but comatose with nonreactive pupils and a Glasgow Coma Scale (GCS) score of 3.


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[User] Patient's initial diagnosis and treatment

The patient was diagnosed with malaria infection and was given oral chloroquine (25 mg/kg in 3 days) on the day of admission.


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[User] Patient's initial symptoms

CC is a 24-year-old female with a history of chronic widespread body pain, fatigue, headaches, and brain fog, who was initially evaluated in November of 2018.


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[User] Patient's initial treatment for presumed cholecystitis

The patient was admitted under the infectious diseases team, and treatment was commenced for presumed cholecystitis.


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[User] Patient's kidney function treatment

The patient's kidney function was stabilized with intravenous (IV) normal saline. However, the patient's condition worsened with hypoxia, despite high-flow oxygen, and was transferred to the intensive care unit for intubation and ventilation. IV fluids were discontinued and replaced with diuretics, which were subsequently stopped due to renal deterioration.


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[User] Patient's laboratory results

The patient had leukocytosis with left shift, normocytic anemia, thrombocytosis, elevated inflammatory markers, elevated D-dimer, and bilateral predominantly basal and peripheral infiltrates with right pleural effusion on chest X-ray.


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[User] Patient's laboratory results during hospitalization

The patient's serum analysis indicated elevated levels of AST and ALT on days 16-17. The patient's sodium levels remained greater than 151 mEQ/L from day 11 until his death.


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[User] Patient's long-term prognosis after PCI

During 1-year follow-up, she did not have recurrence of angina, but was admitted twice with acute decompensated heart failure and was on optimal anti-heart-failure medications.


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[User] Patient's main complaint

The patient presented with bilateral, painless, and progressive diminution of vision.


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[User] Patient's main complaint and cognitive testing results

The patient was admitted to the clinic due to concerns of forgetfulness. Cognitive testing revealed a MMSE of 27/30 and a MoCA of 21/30. A follow-up visit 5 months later while he was still on chemotherapy revealed cognitive testing scores of 30/30 on the MMSE and 23/30 on the MoCA test.


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[User] Patient's main complaint and diagnosis

The patient was admitted to the hospital with a complaint of pain and swelling on the lateral aspect of the left hip. The Discharge Diagnosis is Tuberculosis of the left trochanteric bursa.


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[User] Patient's main complaint and symptoms?

A 52-year-old woman with a medical history of hypertension, diabetes, and rheumatoid arthritis presented with a complaint of recurrent infections and maxillary bone exposure. She had undergone treatment for osteoporosis with zoledronic acid and subsequently oral alendronate sodium.


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[User] Patient's main complaint at admission

The patient presented to the emergency room with a purpuric, non-blanching rash on the trunk and extremities after receiving a diagnosis of pulmonary tuberculosis 2 months prior.


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[User] Patient's main complaint at admission?

Acute-onset excruciating headache in the morning of [date] with tonic-clonic convulsions at home witnessed by husband


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[User] Patient's main complaint at the time of admission

She had a complaint of severe constipation due to tumor-related hypercalcemia.


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[User] Patient's main complaint on admission

The patient was admitted to the hospital after sustaining a fall that resulted in a dislocated fifth finger and metacarpophalangeal joint.


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[User] Patient's main complaint upon admission

The patient was admitted to the emergency room with sudden dyspnea and orthopnea.


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[User] Patient's main complaint upon admission?

The patient was admitted with a 4-year history of cervicalgia, dysphagia/mild dysphonia, gait alteration, and progressive hypoesthesia of all four extremities.


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[User] Patient's main complaint upon hospital admission

The patient presented with bronchial infection by B. cepacia complex resistant to colistin and aminoglycosides.


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[User] Patient's main complaint upon hospitalization

The patient was admitted for further observation and management of her migraine with aura attacks.


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[User] Patient's main complaint upon hospitalization?

The patient was admitted to the hospital with a 3-month history of dyspnea on exertion, fatigue, and lower extremity edema.


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[User] Patient's main complaint upon presentation?

A 67-year-old male with a history of multiple medical comorbidities, including aortic valve replacement complicated by aortic rupture and heparin-induced thrombocytopenia, presented with an infected open wound with acute osteomyelitis of his right partial foot.


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[User] Patient's main complaint?

Patient presented with bad general health condition, intermittent fever up to 40°C, hypotension, normal pulse rate, and tachypnea.


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[User] Patient's main complaints

He was admitted with a complaint of right lateroabdominal pain and a history of hypertension, high cholesterol, and chronic rheumatoid arthritis.


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[User] Patient's main complaints and physical examination findings

The patient presented with complaints of pain, coldness, and numbness in the right lower limb. Physical examination revealed a pulsatile, firm subcutaneous mass with a diastolic and systolic murmur on the medial aspect of the right thigh.


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[User] Patient's main reason for hospital admission

Case 6 was admitted to the hospital due to epilepsy, limb spasm, and eyes turned up during seizures.


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[User] Patient's main symptom upon presentation

The patient presented with chest distress and dyspnea.


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[User] Patient's main symptoms at presentation

The patient presented with complaints of abdominal pain, nausea, vomiting, bloody diarrhea, weakness, impaired sensation in legs, and urge incontinency.


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[User] Patient's main symptoms upon admission

The patient was admitted to the emergency department with symptoms of fever, shortness of breath, dry cough, and diarrhea.


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[User] Patient's medical history

The patient's medical and surgical history was unremarkable.


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[User] Patient's mental health during hospital stay

However, Lawrence eventually reported being highly motivated to engage in HIV care and adhere to his ART regimen. Through the study’s motivational interviewing approach and non-judgmental ethos, Lawrence experienced marked physical improvement over his time in the study.


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[User] Patient's mental status improvement timeline

Within 8 hours, his mental status had improved significantly, and his blood pressure and heart rate had normalized. His temperature had risen to 34.2°C and then to 36.1°C by day 2 of hospitalization.


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[User] Patient's metastasis diagnosis

The patient was found to have extensive metastasis in three out of twenty lymph nodes.


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[User] Patient's neurological status after TAVR

The patient's neurological examination showed poor results, including nonreactive pupils and not triggering the ventilator. After evaluation by Neurology, testing was performed to evaluate for cerebral circulatory arrest which supported the clinical impression of an irreversible brain injury.


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[User] Patient's neurological symptoms

Twenty minutes after initial assessment, her GCS dramatically deteriorated to 9 (E4, M4, and V1) and her temperature increased from 36.9 to 40.4 degrees centigrade. She also became diaphoretic and tachycardic at 164 per minute, while neurological examination revealed increased tone (including clonus) and brisk reflexes throughout. Babinski's sign was positive bilaterally.


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[User] Patient's outcome after elbow surgery

The patient made an uneventful recovery and was discharged home. The patient was discharged home on right and left elbow brace along with prescriptions for painkillers and an instruction for follow up appointments. There were no complications during the patient's hospital course and he resumed his career as a police officer without any issues.


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[User] Patient's outcome after one year follow-up

The patient's postoperative radiographs at the one-year follow-up showed improvement of coronal imbalance, and there was no evidence of right lower extremity pain. However, the patient was experiencing residual low back pain due to pseudoarthrosis at the one-year follow-up.


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[User] Patient's outcome after readmission

Unfortunately, despite medical intervention, the patient passed away within 7 days of admission.


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[User] Patient's past surgical history

The patient, a 40-year-old male who was a victim of gun violence and had surgical history including laparotomy, left hepatectomy, cholecystectomy, and removal of foreign bodies, was admitted multiple times for management of a biliarycutaneous fistula.


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[User] Patient's physical exam findings

The patient's temperature was 101° F, and he had generalized abdominal tenderness.


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[User] Patient's post-discharge care plan

Despite proper treatment and rehabilitation, the patient remained tetraplegic and showed signs of “locked-in syndrome”. Therefore, he was transferred to another hospital for long-term care.


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[User] Patient's post-discharge follow-up plan

The patient was discharged after 26 days of hospitalization and is currently on follow-up for 6 months. The patient will follow-up with his pediatrician on a regular basis.


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[User] Patient's post-discharge plan

There are no follow-up recommendations as the patient has passed away.


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[User] Patient's presenting symptoms

She also reported bilateral upper extremity numbness and tingling accompanied by balance difficulties while ambulating.


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[User] Patient's primary complaint

Admitted to the hospital to evaluate pelvic pain that was worsened by walking and began approximately 2 months before admission.


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[User] Patient's primary diagnosis upon hospital admission

The patient presented with alcoholic cirrhosis and received a TIPS for RA and HRS, leading to resolution of ascites and return to baseline renal function.


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[User] Patient's prognosis after developing multi-organ failure

Overall, the hospital course was marked by infection with Streptococcus pneumoniae, resulting in multi-organ failure, multiple complications, and a poor prognosis.


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[User] Patient's prognosis after one year

One year post-discharge, TTE indicated no thrombus and clopidogrel was stopped, but aspirin and OAC were continued. The patient did not have any episodes of bleeding and no recurrence of thrombus was observed during regular follow-up examinations.


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[User] Patient's prognosis after treatment

At the time of discharge, the patient's condition had improved significantly with no residual symptoms. Prognosis: Good.


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[User] Patient's psychiatric history

The patient is a 36-year-old male with a history of multiple psychiatric conditions and opioid use disorder


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[User] Patient's reason for admission

The patient was admitted to the dental department of a private hospital in Jeddah, Saudi Arabia with severe dental caries and neglected oral hygiene.


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[User] Patient's reason for hospital admission

The patient was admitted for further evaluation of a possible paraneoplastic limbic encephalitis.


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[User] Patient's recovery timeline

Forty days after the initial visit and only two days of continuous tape attachment at home, the patient reported a complete disappearance of all symptoms, and her heart rate remained at 68 bpm. The patient has fully recovered to her baseline functioning.


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[User] Patient's response to HIV treatment

She started treatment with lamivudine, tenofovir, and efavirenz, and her CD4+ cell count increased to 189 cells/mm³, and viral load decreased to 13,504 copies/ml.


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[User] Patient's response to sorafenib treatment

However, after the administration of sorafenib, his serum AFP level increased to 951 ng/mL, and the first radiological estimation showed progression of the mediastinal lymph node and new lung metastasis.


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[User] Patient's symptoms

The patient was admitted due to a palpable mass in the soft palate that had been present for several years.


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[User] Patient's symptoms after avulsive injuries

Due to fibrosis after repair of avulsed soft tissue, the patient experienced bulky soft tissue in malar and buccal areas.


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[User] Patient's symptoms during hospitalization

The patient was hospitalized due to increasing uterine contractions, genital bleeding, and shortening of the uterine cervix (2.3 cm).


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[User] Patient's symptoms during initial presentation

She presented with a painless soft tissue swelling near her right sternoclavicular joint in June 2011 and was found to have an IgA lambda monoclonal plasma cell population consistent with an extramedullary plasmacytoma.


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[User] Patient's symptoms on admission

The patient presented to our emergency department with severe right lower quadrant abdominal pain and vomiting.


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[User] Patient's symptoms prior to hospital admission

The patient was admitted to the hospital for transurethral resection of a polypoid lesion in the urinary bladder.


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[User] Patient's symptoms upon admission

The patient presented with a chief complaint of cough and expectoration for 1 month.


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[User] Patient's symptoms upon presentation

A 56-year-old female presented with a 2-month history of dark reddish eruptions and pain in her left buttock.


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[User] Patient's treatment during hospital stay

The team provided respiratory care, supportive therapy, nutritional support, and chest physiotherapy during the hospital stay. A diagnostic bronchoscopy was performed, and the mass was biopsied to provide pathological evaluation and accurate diagnosis.


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[User] Patient's treatment for NBTE

He was administered anticoagulation therapy with heparin.


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[User] Patient's treatment outcome

The patient underwent chemotherapy with paclitaxel and carboplatin but died 6 months after childbirth.


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[User] Patient's vaccination history

The patient had an incomplete vaccination record and did not receive her 12-month-old vaccinations including Measles, Mumps, Rubella (MMR), Varicella, and Diphtheria, Tetanus, Pertussis (DTaP) #4.


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[User] Pediatric fever and rash symptoms

The patient was admitted to the Pediatric Department after presenting with a 2-day fever, fatigue, and loss of appetite. A non-itchy macular erythematous rash was found on the soles of the feet, ankles, and trunk.


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[User] Pediatric lupus prognosis factors

Additional renal function tests and imaging studies were recommended to track her kidney function prognosis.


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[User] Pediatric treatment for SARS-CoV-2 infection

The patient had a previous SARS-CoV-2 infection that was asymptomatic.


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[User] Pedunculated bladder lesions in children treatment options

On exploration, a pedunculated lesion was found in the bladder. It had a narrow base and could be completely excised without compromising the bladder wall and urothelium.


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[User] Pegylated interferon alpha 2a dosage

The patient was started on pegylated interferon alpha 2a (90-µg injections once weekly). She is now adequately controlled with a Pegasys 90-µg injection once every 3 weeks.


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[User] Peliosis hepatis treatment options

The patient was treated with supportive measures, including monitoring her liver function and volume status.


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[User] Pelvic MRI findings

Pelvic magnetic resonance imaging (MRI) showed the presence of deep pelvic endometriosis (DPE). The MRI indicated the presence of an irregularly delineated mass in the rectouterine pouch extending in the rectovaginal septum and the anterior rectal wall. Thickening of the mesorectal fascia and partial obliteration of the perirectal fat were noted.


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[User] Pelvic abscess treatment options

The patient was started on IV piperacillin/tazobactam and was transitioned to oral amoxicillin/clavulanate potassium after four days of intravenous antibiotics. She was discharged home on hospital day 5 with a two-week course of amoxicillin/clavulanate potassium, pending the results of vaginal wound cultures.


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[User] Pelvic organ prolapse treatment

Surgical treatment was completed with vaginal hysterectomy, anterior colporrhaphy and by placing a transobturator tape.


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[User] Pelvic pain causes

Initial laboratory tests revealed mild lymphopenia, and skeletal surveys detected a small osteolytic lesion in the left parietal bone and a large bone destructive osteolytic lesion in the right inferior pelvic bone.


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[User] Pelvic prolapse symptoms

The patient, a 44-year-old female with a history of two uncomplicated full-term vaginal deliveries, presented with complaints of pelvic pressure and discomfort.


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[User] Pelvic schwannoma surgery complications

The surgery lasted approximately 150 minutes, with minimal intra-operative blood loss.


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[User] Pelvic trauma treatment plan

She was transferred to angiogram for angiography of the vertebral artery and embolization due to pelvic bleeding. The patient had a hemorrhage in the right lower quadrant secondary to pelvic trauma that was successfully embolized.


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[User] Pembrolizumab dosage for liver metastasis

The patient received 200 mg pembrolizumab therapy before admission to our hospital.


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[User] Pembrolizumab side effects

The patient developed intermittent rectal bleeding without urgency, diarrhea, abdominal pain, cramping or bloating after receiving his second dose of pembrolizumab.


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[User] Pembrolizumab withdrawal protocol

At present, the patient has remained cancer-free for about 3 years after pembrolizumab withdrawal.


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[User] Pemphigoid Gestationis and pregnancy outcome

The patient gave birth to a healthy baby without complications in the 39th gestational week. No abnormality was detected at the newborn examination.


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[User] Pemphigoid Gestationis symptoms

The patient presented with severe itching and a widespread erythematous rash with tense fluid-filled blisters and subepidermal disintegration.


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[User] Pemphigus treatment plan

The patient was instructed to pay a recall visit whenever new oral mucous membrane or skill lesions appear, regardless of the visits scheduled for her.


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[User] Pemphigus vulgaris diagnosis criteria

The histopathologic features of the sections from both the sites were similar and showed ulcerated stratified squamous epithelium exhibiting suprabasal split. Many round acantholytic (Tzanck) cells with hyperchromatic nuclei were observed within the split. Basal cells were seen attached to the underlying connective tissue, below the split. A dense inflammatory cell infiltrate consisting mainly of plasma cells was seen in the connective tissue. These microscopic features were suggestive of Pemphigus vulgaris. The direct IF showed deposits of IgG and complement (C3) in a fish-net pattern along the spinous intercellular zone, which confirmed the diagnosis of Pemphigus vulgaris.


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[User] Pemphigus vulgaris symptoms

The patient reported burning sensations at both sites for the past six months and was aware of one blister that appeared and burst rapidly on the buccal mucosa, after which ulcerations appeared on both the sites. A 2 cm × 2 cm ovoid shallow ulcer with sloping margins was discovered along the line of occlusion of 35 to 37 on the left buccal mucosa and a 1 cm × 1 cm ovoid ulcer with a yellow crusted surface was found on the left posterolateral border of the tongue.


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[User] Penetrating keratoplasty recovery time

The patient had Penetrating keratoplasty (PKP) four years prior to this recent presentation. His BCVA improved to 20/60 after the procedure.


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[User] Penicillin allergy treatment guidelines

Lifelong penicillin avoidance was advised, and a penicillin allergy was noted in the patient's medical records.


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[User] Penile Doppler ultrasound results

A penile Doppler ultrasound was obtained, which demonstrated a broad, linear, sheet-like densification of the dorsal tunica albuginea extending from the base of the penis along most of the shaft, predominantly along the right side.


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[User] Penile cancer follow-up care

The cavity was excised with wide margins and he is currently undergoing systemic chemotherapy.


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[User] Penile skin flap urethroplasty post-operative care plan

The patient was prescribed antibiotics and advised to follow up with their primary care physician to ensure continued healing.


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[User] Peptostreptococcus sp. infections in children treatment

The patient received antibiotic therapy consisting of Meropenem, Vancomycin, and Metronidazole post-procedure, and continued outpatient antibiotherapy was maintained for two weeks post-discharge.


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[User] Percutaneous CT-guided drainage results

A percutaneous CT-guided drainage was performed, which revealed an infected biloma.


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[User] Percutaneous PFO closure procedure complications

There were no procedural complications, and no recurrent adverse events at 6 months follow-up after the PFO closure.


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[User] Percutaneous coronary intervention complications

However, the patient experienced recurrent chest pain with myocardial infarction and thrombus formation in the stents, necessitating repeated percutaneous coronary intervention.


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[User] Percutaneous cryoablation side effects

Postprocedural noncontrast-enhanced CT demonstrated hyperdense material consistent with blood products adjacent to the right kidney and within the renal pelvis. The patient experienced hematuria with clots, followed by anuria and rising creatinine.


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[User] Percutaneous nephrolithotomy procedure steps for children

Percutaneous nephrostomy catheter was placed into the collecting system of the right kidney, and mini-percutaneous nephrolithotomy was planned for the right kidney stones after a sterile urine culture. A ureteroscopy was performed before starting percutaneous nephrolithotomy, and the stones were fragmented with laser and pneumatic lithotripter.


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[User] Percutaneous renal biopsy complications

A percutaneous renal biopsy was performed, and histologically, six of 16 glomeruli displayed global sclerosis, along with mild cellular infiltration, conspicuous interstitial fibrosis, renal tubular atrophy, and cystoid irregular dilation.


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[User] Percutaneous vertebroplasty and palliative osteoplasty procedure outcomes

The patient underwent percutaneous vertebroplasty (PVP) to treat the L5 tumor and then underwent palliative osteoplasty (POP) on the pubic metastases. The patient's blood pressure, electrocardiogram pattern and pulse oximetry waveforms were all stable during surgery.


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[User] Performance status after experimental therapy

The therapy resulted in relief from dyspnea, reduction in the size of lung metastases, and improved performance status.


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[User] Periapical lesion symptoms

Pre-operative x-rays showed a periapical lesion requiring retreatment.


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[User] Pericardial effusion diagnosis methods

Point of care ultrasound (POCUS) showed moderate pericardial effusion with signs of right atrial (RA) and right ventricular (RV) diastolic collapse along with increased inferior vena cava (IVC) diameter without respirophasic variation.


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[User] Pericoronitis symptoms

The patient, a 22-year-old female, was admitted due to pain around her partially erupted lower right wisdom tooth. Intra-oral examination showed inflammation of the pericoronal mucosa (pericoronitis) due to ineffective cleaning.


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[User] Periodontitis Stage III treatment options

The patient underwent oral corticosteroids and periodontal therapy guided by the Department of Rheumatology and Immunology and the Department of Periodontics. The patient was given an initial dose of prednisolone and was then tapered based on the recommendation of the rheumatologist. The periodontist carried out periodontal therapy, including oral hygiene instruction, supragingival cleaning, subgingival scaling, and root planning.


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[User] Periostitis associated with IgA vasculitis treatment options

The patient underwent conservative management and his calf pain improved significantly.


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[User] Peripheral AVF symptoms

The patient was admitted with complaints of exertional dyspnea, palpitation, abdominal tenderness, and right-sided inguinal pain.


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[User] Peripheral blood stem cell transplantation aftercare

The patient subsequently underwent peripheral blood stem cell transplantation.


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[User] Perrault syndrome diagnosis

Whole-exome sequencing was performed and two missense variants in the LARS2 gene (NM_015340.3.3): c.457A > C, p.(Asn153His) in exon 6, and c.1565C > A, p.(Thr522Asn) in exon 14, indicated a diagnosis of Perrault syndrome.


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[User] Perrault syndrome inheritance pattern

Segregation analysis showed these variants were inherited in an autosomal recessive manner.


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[User] Peutz-Jeghers syndrome diagnosis

Based on the typical facial pigmentation of the patient and coexistence of intussusception due to a hamartomatous polyp, the patient was diagnosed with PJS.


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[User] Pfannenstiel incision complications

The patient developed a purulent discharge from the suprapubic incision site four weeks postoperatively, which was managed with debridement and resuturing.


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[User] Pfizer COVID-19 vaccine side effects

A diagnosis of idiopathic thrombocytopenic purpura (ITP) induced by the booster dose of Pfizer COVID-19 vaccine was made.


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[User] Phenytoin-induced SJS symptoms

The patient presented with skin lesions that had been present for 7 days with abdominal, oral, chest, and conjunctival involvement that had flared up in the last 2 days. The patient had also been experiencing oral lesions for the last 30 days.


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[User] Pheochromocytoma and subclinical Cushing syndrome follow-up care

Long-term follow-up is recommended to monitor glucose tolerance.


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[User] Pheochromocytoma and subclinical Cushing syndrome symptoms

The patient presented with hyperhidrosis, dry mouth, weight loss, and fatigue.


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[User] Pheochromocytoma surgery

Laparoscopic left adrenalectomy was conducted, and the mass removed was consistent with a pheochromocytoma.


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[User] Pheochromocytoma treatment options

The combination of the thyroid nodule and adrenal mass was surgically removed, and the diagnosis of VIP-secreting pheochromocytoma was made.


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[User] Photophobia and headache symptoms

The patient presented to the emergency department with complaints of headache, fever, photophobia, neck stiffness, and nausea.


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[User] Physical examination findings in a patient with malaria

Pupils were equal and reactive to light, fundoscopic examination revealed no abnormalities, and no obvious jaundice, enlarged lymph nodes, spleen, or cranial nerve palsies were observed.


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[User] Physiotherapy plan for patients with axonal sensory polyneuropathy

An individualized physiotherapy program was set up for him. The patient will need regular follow-up with his physiotherapist and neurologist.


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[User] Pigment dispersion syndrome symptoms

The patient was found to have typical corneal Krukenberg spindle, pigment cells in the anterior chamber, and peripheral iris transillumination defects in her right eye.


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[User] Pigment dispersion syndrome vs pseudoexfoliation syndrome

A diagnosis of right pigment dispersion syndrome (PDS) was made... Seven years later, the patient was found to have the same signs of PDS in her right eye but had also developed evidence of pseudoexfoliation syndrome (PXS) in her left eye.


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[User] Pigmented Villonodular Synovitis diagnosis

The patient, a 29-year-old Caucasian female, was admitted to the hospital with a diagnosis of Pigmented Villonodular Synovitis (PVNS) of the right knee joint.


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[User] Pigmented skin lesion diagnosis methods

Physical examination revealed a reddish-brown dome-shaped hyperkeratotic nodule of 11 × 10 mm with a sharply demarcated, symmetrical border. Dermoscopic examination demonstrated prominent whitish scaly areas of ring-like appearance, pinkish-white structureless areas, a few milia-like cysts, dotted and glomerular vessels, light brown globules, and dotted hemorrhages.


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[User] Pilonidal abscess symptoms

The patient was admitted to the General Surgical Service with a painful swelling over her sacral region of one week's duration. She had fever, chills and rigors associated with the swelling.


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[User] Pilonidal abscess treatment options

Intravenous amoxicillin-clavulanate and an incision and drainage of the pilonidal abscess were performed under general anesthesia. Oral amoxicillin-clavulanate was continued for 1 week postoperatively.


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[User] Pineal gland tumor symptoms

The patient was admitted with complaints of headache and diminution of vision in both eyes for the past 15 days. There was continuous headache associated with vomiting.


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[User] Pipeline Flow Diversion complications

The patient's visual acuity deteriorated acutely on both sides after the procedure, leading to her hospital discharge with double antiplatelet medication consisting of 75 mg of clopidogrel and 100 mg of aspirin per day.


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[User] Pituitary abscess symptoms

The patient presented with secondary amenorrhea and bilateral temporal loss of vision.


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[User] Pituitary abscess treatment

The patient was treated with intravenous ceftriaxone for 14 days. Histopathology showed benign cyst contents and gram stain of the abscess showed PMN 0-1/OIF, gram-positive cocci 0-1/OIF. However, the abscess culture had no growth after five days of incubation.


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[User] Pituitary carcinoma treatment with TMZ

On the recommendation of recent guidelines, the patient underwent a trial of TMZ, but progression was expected and demonstrated following 3 months of therapy.


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[User] Pituitary enlargement treatment options

The patient was advised to seek endocrinology opinion for pituitary enlargement and its surgery. However, surgery was not performed, and the patient was treated with L-T4 instead.


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[User] Pituitary macroadenoma follow-up

The patient received appropriate medical management and regular follow-up.


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[User] Pituitary macroadenoma histopathology

Histopathology confirmed the presence of hemorrhage and necrosis. Histology was suggestive of tuberculosis of the pituitary.


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[User] Pituitary macroadenoma symptoms

The patient was admitted to the endocrinology clinic with a thyroid nodule and size and weight gain over the past 3 years.


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[User] Placement of covered enteral colonic stent complications

Follow-up visits showed no complications, and he was advised to have regular follow-ups with his gastroenterologist.


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[User] Placental abnormalities

The placenta showed subchorionic perivillous fibrin deposit approximating 10-15% of the placental area.


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[User] Placental abruption complications

The patient was delivered through an emergency caesarean section due to placental abruption and was born without life signs. Resuscitation was started immediately, and after 11 minutes, the heart rate was observed to be above 100 beats per minute.


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[User] Planned interventions for potential recurrence

The patient will follow-up with the orthopaedic surgeon and undergo regular imaging to monitor for any potential recurrence.


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[User] Plaquenil prescription details

The patient requested a prescription for plaquenil, but it was not started.


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[User] Plasma cell neoplasm symptoms

The patient was admitted to the hospital with complaints of chest wall and back pain, as well as right-sided leg weakness and pain.