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

[User] severe complicated malaria treatment

The patient received acute peritoneal dialysis, mechanical ventilation and six units of packed RBCs and five unit of platelet concentrates. Her respiratory parameters improved and she was weaned-off from the mechanical ventilation. She was kept on hemodialysis before her urine output started increasing and she became dialysis independent.


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

[User] severe depressive episode symptoms

The patient was admitted for the reason of low mood and insomnia.


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

[User] severe depressive symptoms in adolescents

The patient had a history of severe depressive symptoms and separation anxiety from childhood.


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

[User] severe falciparum malaria treatment

The patient was treated with intravenous artesunate. The patient was treated with artesunate, ceftriaxone, and doxycycline for seven days.


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

[User] severe headache after L/P shunt insertion symptoms

Post-operatively, the patient was discharged but was later admitted again to the emergency clinic of our hospital due to severe headache, nausea and vomiting.


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

[User] severe headache and abdominal pain symptoms

The patient was admitted to the hospital after presenting to the emergency department with severe headache, abdominal pain, nausea, and vomiting.


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

[User] severe headache and double vision treatment

The patient was promptly started on conservative treatment covering gram-positive, negative, and anaerobic bacteria, assuming an infective etiology. Vancomycin, metronidazole, and ceftriaxone were given along with supportive treatment. After 48 hours of treatment and no significant improvement in the orbital and intracranial symptoms, Endoscopic orbital decompression was carried out, and subperiosteal abscess was drained by breaking the lamina papyracea.


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

[User] severe headache and nuchal pain treatment

She received a course of intravenous acyclovir and transitioned to an oral antiviral regimen. She was initially started on scheduled acetaminophen-codeine 600–60 mg every 6 hrs, naproxen 500 mg twice daily, and tramadol 100 mg every 6 hrs, which provided minimal relief.


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

[User] severe hemidiaphragm movement reduction diagnosis

The patient's lung function significantly impacted when recumbent and diagnosed with severe hemidiaphragm movement reduction in radioscopy.


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

[User] severe hemoptysis treatment options

The patient received conservative therapy for hemoptysis without further intervention.


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

[User] severe lower back pain causes

Progressive severe pain in the lower back


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

[User] severe metabolic acidosis treatment

The patient was treated with dialysis and supportive care.


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

[User] severe mitral regurgitation treatment

Given the severity of the right lateral protrusion and left atrial dimensions, the patient's care team opted for cardiac autotransplantation to perform mitral valve replacement, tricuspid valvuloplasty, and reductive atrioplasty.


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

[User] severe mitral regurgitation treatment goals

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


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

[User] severe oligospermia symptoms

The patient was admitted to the hospital for infertility consultation due to regular unprotected coitus with no pregnancy.


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

[User] severe omphalitis treatment in newborns

Severe omphalitis developed on day 14, which was treated with an antibiotic (ceftriaxone) for 7 days based on umbilical swab finding.


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

[User] severe preeclampsia treatment options

The patient was treated with continuous renal replacement therapy (CRRT), plasma exchange, red cell transfusion, platelet concentrates transfusions, and antihypertensive. Intravenous dexamethasone 10 mg/d for 3 days was initiated. Antibiotics were administered, and her pleural effusion and ascites were drained.


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

[User] severe primary graft dysfunction treatment

ANG2 was initiated, and the patient's hemodynamics greatly improved over the course of 24 hours. The patient was able to be weaned off inotropes and pressors with eventual discontinuation of ECMO support.


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

[User] severe refractory shock symptoms

Upon arrival, he was found to have a large food particle lodged in the main airway and was subsequently diagnosed with severe refractory shock with multiorgan failure and a persistent lacerated liver with a large subcapsular hematoma.


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

[User] severe right flank pain causes

The patient was admitted to the department of emergency medicine with complaints of severe right flank pain. The CT scan showed a huge mass in the right suprarenal area with fat components and retroperitoneal hemorrhage.


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

[User] severe sensory polyneuropathy symptoms

The patient suffered from a severe loss of all somatosensory modalities (kinaesthesia, tendon reflexes, touch, vibration, pressure) below the nose due to extensive sensory polyneuropathy.


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

[User] severe smoking habit symptoms

The patient presented to our respiratory department with organized pleural effusion and a history of severe smoking habit and partial gastrectomy.


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

[User] severe steroid-dependent allergic asthma treatment options

The patient had a history of severe pulmonary exacerbations despite regular treatment with high-dose oral and inhaled corticosteroids. Asthma control was successfully achieved with half of the prior dose of inhaled corticosteroids and LABA for up to 12 months after BMMC transplantation.


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

[User] severe swallowing disorder causes

Severe swallowing disorder with two aspiration pneumonias. Esophageal eosinophilia detected at the age of 2.


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

[User] severe symptomatic AS treatment options

Patient underwent TAVR for severe symptomatic AS with a preference for TAVR rather than SAVR.


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

[User] severe symptomatic TR symptoms

The patient presented with significant lower limb edema and right sided abdominal pain. The patient had a history of severe symptomatic TR and renal impairment. Despite aggressive medical therapy with diuretics her symptoms persisted.


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

[User] severe uncontrolled asthma symptoms

Patient previously experienced frequent exacerbations and visited the emergency room almost once a week despite treatment with high-dose inhaled corticosteroid/long-acting beta-2 agonist (ICS/LABA), long-acting muscarinic antagonist (LAMA), and leukotriene receptor antagonist


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

[User] severe unilateral SNHL symptoms

The patient was an 8-year-old female with hearing loss in her right ear.


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

[User] sevoflurane side effects in pediatric patients

GA was administered using inhalational induction with sevoflurane in titrated doses. Anesthesia was maintained with oxygen and air along with titrated doses of sevoflurane and intermittent doses of atracurium.


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

[User] short QT interval symptoms

The patient was asymptomatic except for two episodes of febrile convulsion at the age of 3 years.


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

[User] short stature diagnosis and treatment

The patient was diagnosed with GHD due to a low GH peak in the arginine-clonidine GH provocative test, IGF-1 SDS below -1.65, a delayed bone age, and progressive growth restriction. During the hospital stay, the patient was treated with appropriate medications according to his diagnoses.


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

[User] short stature diagnosis in children

After a comprehensive medical evaluation, it was determined that the patient's short stature was likely due to a genetic predisposition.


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

[User] short stature diagnosis procedure

The patient underwent various tests, including liver and renal function tests, electrolytes, calcium, phosphorus, celiac disease markers, urine examination, thyroid function tests, arginine, and growth hormone releasing hormone (GHRH)+arginine testing.


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

[User] short stature growth hormone testing results

The results of the tests showed normal GH responses, whereas IGF-I concentrations were in the low normal range.


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

[User] short stature treatment options

After a comprehensive medical evaluation, it was determined that the patient's short stature was likely due to a genetic predisposition. The patient was closely monitored by our medical team throughout her hospital stay and was provided with appropriate counseling and care.


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

[User] shortness of breath causes

The patient had several conditions that could have caused shortness of breath, including hepatic encephalopathy and marked hyperammonemia.


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

[User] shotgun trauma diagnosis

A multidetector computed tomography (CT) scan of the chest and abdomen revealed pellets lodged in various locations, including the upper left quadrant of the abdominal wall, the area of the transverse colon, and the area of the descending colon.


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

[User] shotgun wound to foot treatment

The patient was immediately treated with antibiotics and tetanus and underwent an irrigation and debridement (I&D) surgery.


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

[User] shoulder instability symptoms in baseball pitchers

Patient presented to the hospital with severe deep anterior shoulder pain, loss of ball control, insufficient elevation of his elbow and feeling of shoulder instability.


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

[User] sickle cell anemia and osteomyelitis relationship

Hemoglobin electrophoresis finally confirmed sickle cell anemia. The patient was discharged from the hospital in a stable condition with a diagnosis of sickle cell anemia with osteomyelitis.


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

[User] sickle cell anemia symptoms in children

The patient, a 20-month-old male with no relevant medical history, presented at the outpatient clinic with a seven-day history of limping and fever up to 38.5 degrees Celsius without a prior trauma.


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

[User] sickle cell anemia treatment

She was placed on oral Augmentin 625 mg bid and had wound debridement. She was transfused with freshly donated packed cells, the donated or transfused blood were screened for sickle cell trait using standard methods[] to ensure only blood without the S-hemoglobin were transfused. She had red cell transfusion twice weekly till her PCV rose to 30% (hemoglobin concentration of 10.0 g/dL) as a part of hypertransfusion regimen.


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

[User] side effects of docetaxel in prostate cancer treatment

The patient was treated with docetaxel and received 3 cycles.


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

[User] side effects of iloperidone

The patient complained of reaching climax on masturbation but not ejaculating. ... Iloperidone was discontinued, and the patient's symptoms resolved after 2 weeks.


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

[User] side effects of imiquimod cream

However, the patient stopped using imiquimod due to the subsequent development of moderate to severe inflammatory reactions and vitiligo-like patches in the areas treated.


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

[User] side effects of imiquimod treatment for tumors

After 4 weeks of treatment, the tumor decreased in size, but mild erythema, crust, and oozing were observed. Therefore, the application of imiquimod was stopped and the patient received oral administration of analgesics and topical antibiotics.


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

[User] side effects of long-term tocilizumab use

No side effects of tocilizumab have been identified so far.


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

[User] side effects of pentavalent antimonials treatment

Treatment with pentavalent antimonials was initiated which led to complete recovery of symptoms and examinations after 60 days of therapy.


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

[User] side effects of sphincterectomy

Mucus containing neoplastic cells was aspirated, and sphincterectomy was performed, which resulted in normalization of the blood tests.


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

[User] sigmoid colectomy complications

The patient tolerated the procedure well and was discharged on Day 2 postoperatively.


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

[User] sigmoid colectomy with primary anastomosis complications

A barium enema of the entire colon 3 months after the resection did not identify any additional lesions. Her postoperative course was uneventful, and she has been doing well for the past 6 months after the surgery.


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

[User] sigmoid colon adenocarcinoma prognosis

The cancer was classified as stage IIIb [pT4a, pN1b, M0].


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

[User] sigmoid colon adenocarcinoma symptoms

The patient was admitted to the hospital with a complaint of fecal occult blood.


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

[User] sigmoid colon and descending colon necrosis symptoms

She had abdominal pain, nausea and constipation for two days, and a mildly distended and tender abdomen.


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

[User] sigmoid colon cancer post-operative care

Minor leakage at the ureteral anastomosis and small bowel obstruction were resolved by conservative treatment. The patient was discharged on the 28th day after surgery without any ostomies and urinary functional disorders.


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

[User] sigmoid colon cancer prognosis

The patient's prognosis is uncertain and will depend on the success of the surgery and follow-up care.


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

[User] sigmoid colon cancer surgery complications

The patient was discharged without any complications.


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

[User] sigmoid colon cancer symptoms

The patient was admitted for regular follow-up of sigmoid colon cancer.


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

[User] sigmoid colon cancer treatment options

The patient underwent radical surgery for the removal of cancerous tissue.


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

[User] sigmoid colon injury complications

Carefully, the mass was dissected from surrounding organs but there was inadvertent serosal sigmoid colon injury. End-to-end anastomosis was done for the sigmoid colon injury.


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

[User] sigmoid colon obstruction and perforation symptoms

The patient was admitted with abdominal pain, nausea, vomiting, and intolerance to oral intake. Physical exam demonstrated tenderness in the left lower, right lower, and left upper quadrants.


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

[User] sigmoid colon perforation symptoms

The patient was admitted to the hospital with lower abdominal pain and diagnosed with acute perforation of the sigmoid colon.


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

[User] sigmoid colon polypoid lesion diagnosis

A full colonoscopy revealed a large polypoid lesion with a smooth surface and high vascularity at the sigmoid colon, which was occupying two third of the circumference of the colonic lumen. CT abdomen showed a circumferential well-defined arterial contrast enhancing bowel mass originating from the distal part of the descending colon.


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

[User] sigmoid colon polypoid lesion post-operative care

Condition at Discharge: Stable condition at discharge. Follow-up Plan: Follow-up appointments are recommended for further examination and management.


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

[User] sigmoid colon polypoid lesion prognosis

No renal masses were observed during the operation. Serum carcinoembryonic antigen level was normal. Other laboratory tests, including blood sugar, renal profiles, and liver profiles, were within normal limits.


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

[User] sigmoid colon polypoid lesion symptoms

The patient presented with a protruding mass from the anus during defecation which was manually reduced by herself. Stool examination was positive for occult blood and the hemoglobin level was mildly reduced with hypochromic microcytic anemia.


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

[User] sigmoid colon polypoid mass diagnosis

A biopsy showed the possibility of a gastrointestinal stromal tumor (GIST) and abdominal computed tomography showed an irregular wall thickening with enhancement and perirectal lymph node enlargement (T3 or T4aN1M0, stage IIIB). Histopathologic findings confirmed the tumor to be an umbilicated polypoid mass that had infiltrated the mesocolic fat.


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

[User] sigmoid colon stricture symptoms

The patient was admitted with changes in bowel habits. A sigmoid colon stricture was discovered and a biopsy showed poorly differentiated adenocarcinoma.


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

[User] sigmoid intussusception symptoms

The patient presented with persistent lower-back pain of three months' duration and a mass protruding per anus for the previous four days.


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

[User] sigmoid neovagina complications

She suffered from a vaginal bulge, ulcerations and bleeding from the protruding area. Furthermore, she reported malodorous vaginal discharge over the last few months.


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

[User] sigmoid perforation repair treatment options

The patient's condition was successfully treated with laparoscopic tension-free hernioplasty.


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

[User] sigmoid volvulus treatment options

As a result of these findings, an exploratory laparotomy was performed to examine the patient's abdomen.


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

[User] sigmoidoscopy after colectomy

A flexible sigmoidoscopy was performed to ensure no wire was retained in the colon, and the bowel was re-anastomosed.


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

[User] signet ring cell carcinoma diagnosis

Two gastric cancers of pure signet ring cell carcinoma were found in the pyloric region.


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

[User] signet ring cell carcinoma diagnostic criteria

Laboratory findings revealed anemia with schistocytes and polychromasia, decreased haptoglobin levels, elevated serum levels of total bilirubin, lactate dehydrogenase, and alkaline phosphatase, and thrombocytopenia.


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

[User] signet ring cell carcinoma symptoms

The patient presented to our hospital with poor oral intake, back pain, dyspnea, and a 1-month history of jaundice.


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

[User] signet-ring cell adenocarcinoma treatment

The patient received chemotherapy for three months but complained of abdominal pain. The patient underwent hemicolectomy and peritonectomy due to seedings on the peritoneum.


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

[User] significant distended pyriform sinus and hypopharynx symptoms

The CECT acquired during the Valsalva maneuver showed significant distended pyriform sinus and hypopharynx with air-filled outpouching, extending across the thyrohyoid membrane on both sides. The patient had no difficulty in breathing or dysphonia. Flexible laryngoscopy did not show any obvious abnormality.


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

[User] signs and symptoms of pulmonary hypertension caused by cancer-related lesions

The patient was admitted with a history of dry cough and progressive dyspnea for several weeks. The patient had no fever, sputum, or weight loss. Upon physical examination, enhanced cardiac sounds were noted without cardiac murmur or crackles on chest auscultation.


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

[User] signs of heterotopic ossification

The x-ray and 3D-CT of the right hip joint revealed evident ossification and HO surrounding the right hip joint. Atrophied muscles and partial fusion of the proximal femur and dorsal acetabulum/ischium were observed in the 3D-CT, causing fixed external rotation of the right femur.


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

[User] signs of pulmonary thrombotic microangiopathy

Pulmonary hypertension without apparent etiology and diffuse lymphadenopathy, and thickened epithelial cells of small pulmonary arteries were consistent with PTTM, and carcinomatous lymphangiomatosis was also observed.


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

[User] silicone granuloma symptoms

The patient was admitted with a 1-week history of right lower leg pain, swelling, and erythema, which was unsuccessfully treated with oral antibiotics. At presentation, the right leg was noted to be indurated, erythematous, and warm, but with no focal fluctuance.


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

[User] silicone oil removal after retinal detachment surgery

At 5 months, the silicone oil was surgically removed with continued attachment of the retina and a VA of 20/200 OD.


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

[User] silicosis symptoms

The patient was admitted in a critical condition with exertional dyspnea and hypoxemic respiratory failure.


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

[User] silver-coated arthrodesis device implantation procedure

Knee arthrodesis surgery was carried out three months after removal of the prosthesis, and a silver-coated arthrodesis device was implanted.


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

[User] single Stage 3 column osteotomy with posterior fixation complications

The patient was diagnosed with NF-1 and underwent a single Stage 3 column osteotomy with posterior fixation by an all posterior approach. Postoperative period was uneventful, and the patient fully recovered.


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

[User] single incision laparoscopic surgery benefits

The procedure was performed through a single-incision laparoscopic surgery (SILS) approach without complications. The patient was discharged within 12 hours of the procedure and had an uneventful recovery.


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

[User] single piece implant complications

peri-implant abscess formation and implant mobility after a single piece implant was placed in relation to tooth #21. Radiograph revealed peri-implant bone loss at the apical third as well as in the adjacent tooth #22


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

[User] single ventricle in intracalvarium prognosis

The patient's prognosis is unknown at this time, and follow-up tests will be important to monitor her and her baby's health.


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

[User] single-incision laparoscopic percutaneous extraperitoneal closure complications

There were no intraoperative complications. The patient was discharged on postoperative Day 2 without any complications.


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

[User] single-stage closure of the median cleft complications

The patient is on regular follow-up and there has been no recurrence of the growth or development of precocious puberty.


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

[User] single-stage implant placement procedure

Ms. [REDACTED] was admitted to the hospital on [REDACTED] for implant restoration in relation to tooth number 22, following orthodontic treatment. Upon clinical and radiological evaluation, it was decided to perform a single-stage implant placement (2.4 × 10 mm). The patient received temporary acrylic crowns on the same day.


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

[User] single-stage surgery for Condylar Hyperplasia Type 1

Single-stage surgery was performed, which included bilateral TMJ high condylectomies with disc repositioning using Mitek anchors, mandibular ramus osteotomies to correct the asymmetry, set mandible posteriorly, and decrease the occlusal plane angle, maxillary osteotomies to advance and expand, and removal of four third molars.


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

[User] sinonasal cancer symptoms

The patient presented to the hospital with left-sided nasal obstruction and discharge, with intermittent episodes of nosebleeds.


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

[User] sinus bradycardia causes

During the procedure, the patient developed sinus bradycardia with a heart rate of 39 beats per minute and blood pressure of 117/42 mmHg upon engagement of the ascending aorta with an FL 3.5 catheter prior to insertion into the left coronary artery.


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

[User] sinus floor elevation osteotomy risks

Sinus floor elevation osteotomy was performed on both sides of the maxilla without vertical or periosteal releasing incision.


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

[User] sinus tachycardia symptoms

The patient's ECG revealed sinus tachycardia with a heart rate of 102 bpm but was otherwise normal.


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

[User] sirenomelia diagnosis and treatment

The neonate was born with severe growth restriction, sirenoma, microcephaly, low-set ears, right hand with polysyndactyly, and complete fusion of the entire lower extremities.


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

[User] sirolimus treatment outcomes

The patient's condition was managed with sirolimus 1 mg PO daily since 2012, which resulted in improvement in her lab readings: hemoglobin (115 g/L), RBC (4.87 × 1012/L), platelets (176 ×109/L) and WBC (4.21 ×109/L). The dosage of sirolimus was increased to 2 mg (1.4 mg/m2/day) in May 2017 and the patient showed improvement in her condition with maintained hemoglobin and no development of new active lesions, except for low WBC (3.16 × 109/L).


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

[User] sitosterolemia diagnosis criteria

After a series of diagnostic tests, the patient was diagnosed with sitosterolemia, an autosomal recessive disorder associated with increased absorption of cholesterol and plant sterols from the gut and decreased bile clearance of the sterols and their metabolites.


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

[User] sitosterolemia symptoms and treatment

The patient was diagnosed with sitosterolemia, an autosomal recessive disorder associated with increased absorption of cholesterol and plant sterols from the gut and decreased bile clearance of the sterols and their metabolites. Her LFTs and lipid profile returned to baseline six months after stopping β-sitosterol supplements and starting ezetimibe.


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

[User] situs inversus totalis symptoms

The patient is a 26-year-old male with a history of situs inversus totalis, double-outlet right ventricle with a ventricular septal defect, and pulmonary atresia, a type of tetralogy of Fallot (TOF).


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

[User] skeletal abnormalities symptoms

The patient had syndactyly of his second and third toes, as well as a narrow chest with short ribs, an abnormal pelvic configuration, and short distal phalanges.


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

[User] skeletal metastases symptoms prostate cancer

The patient had a history of high-risk prostate cancer. Palliative care was initiated to alleviate any pain and discomfort associated with the skeletal metastases.


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

[User] skin biopsy findings

A skin biopsy specimen revealed hyperkeratosis and parakeratosis in the stratum corneum and focal infiltration of lymphocytes in the epidermis. Melanin incontinence and perivascular lymphocytic infiltration in the upper dermis were observed.


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

[User] skin biopsy results for fixed drug eruption

A skin biopsy was performed, and the histopathological examination revealed a dense band-like lymphocytic infiltrate, perivascular inflammatory infiltrate, eosinophils, and increased pigment incontinence suggestive of fixed drug eruption.


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

[User] skin care management for palmoplantar keratoderma

The patient was treated with... dermal hydration and skin care, including emollients, for PPK.


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

[User] skin grafting procedure for extensive wounds

Her left arm and leg wounds were complexly and extensively closed with staples and meshed STSG was created and stapled into place.


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

[User] skin thickening symptoms

The patient presented with skin thickening of her breasts, tender bony prominences in her scalp and hands, and a nonmetabolically active lesion in the liver.


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

[User] skull base fracture treatment options

The patient received conservative management because the site of the fracture was stable, including wearing a cervical collar for the stability of the skull base and cervical spine for approximately 8 weeks.


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

[User] skull base tumor symptoms

The patient presented with headache, right exophthalmia, and right 6th nerve palsy.


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

[User] sleep disorder treatment

He was also diagnosed with a moderate sleep disorder and treated with clonazepam and melatonin.


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

[User] slipped upper femoral epiphysis diagnosis

The patient presented in 2010 with left thigh pain, which was later diagnosed as a significant slippage of the left upper femoral epiphysis and an early possible slip on the right.


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

[User] small bowel dilation symptoms

Admission: 75-year-old male with vomiting, abdominal distension and pain, and history of arrhythmia (disopyramide and diltiazem use), no history of abdominal surgery, and mild tenderness on left side of abdomen. Physical examination revealed abdominal distension, hyperactive bowel sounds with metallic sounds, and mild tenderness on examination.


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

[User] small bowel obstruction diagnosis

The patient was admitted with small bowel obstruction, which was confirmed by a gastrograffin small bowel follow-through.


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

[User] small bowel obstruction treatment

A laparotomy was performed to resect a stenosing, edematous small bowel segment near a former anastomosis.


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

[User] small bowel obstruction treatment plan

During the course of her admission, the patient's intestinal obstruction resolved with non-operative management.


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

[User] small cell carcinoma symptoms

A 73-year-old man with multiple comorbidities, including hypertension, diabetes mellitus type II, chronic obstructive pulmonary disease, chronic respiratory failure, and a significant smoking history, presented with a one-week history of severe abdominal pain, nausea, anorexia, and fatigue.


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

[User] small cell lung cancer nivolumab treatment outcomes

The patient started treatment with nivolumab (3 mg/kg every 2 weeks) based on initial results from a phase I/II study and had a partial response. Despite treatment with nivolumab, recurrent pleural and pericardial effusions developed and required interventions.


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

[User] small cell lung cancer treatment options

Chemotherapy using etoposide and cisplatin followed by irinotecan and cisplatin was administered. The patient showed progressive disease after one cycle of the second chemotherapy. Subsequently, salvage surgery combined with oral apatinib was performed, and pneumonectomy with mediastinal lymph node dissection was performed. One month after the surgery, adjuvant chemoradiotherapy and targeted therapy were administered simultaneously.


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

[User] small cell neuroendocrine carcinoma symptoms

A 60 years-old man was referred to our department due to painless gross hematuria.


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

[User] small intestine obstruction symptoms

The patient had stable vital signs and presented with abdominal fullness on palpation but no myopathic defense. Abdominal computed tomography (CT) showed slight intestinal dilation and an obstruction of the upper right quadrant of the small intestine.


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

[User] small intestine tumor diagnosis

Pathological examination revealed a tumor with a maximum diameter of 4 cm in the small intestine that had invaded from the mucosa into the serosa with perforation. This tumor was characterized by invasive growth of atypical spindle-shaped cells.


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

[User] small vessel disease symptoms

The brain MRI showed an acute small infarct in the posterior limb of the left internal capsule with other findings of old silent lacunar infarcts, WMLs, and cerebral microbleeds in the left thalamus with suggestive of SVD.


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

[User] smoking cessation plan

He was advised to quit smoking due to the increased risk of developing complications from his medical history, such as hypertension, dyslipidemia, atrial fibrillation, and tumor growth.


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

[User] smoking effects on cervical spondylosis

The patient was a 67-year-old man who... was a heavy smoker.


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

[User] snake bite symptoms

On admission, the patient complained of mild local pain which progressed to bilateral palpebral ptosis, diplopia, dysphagia, and tongue paresthesia. These were neurotoxic manifestations of the snake bite.


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

[User] snakebite treatment protocol

The patient was administered an initial bolus dose of 100 mL of polyvalent antivenom serum preceded by a subcutaneous injection of adrenaline. Subsequently, atropine and neostigmine were given, with the same infusion as an attempt of anticholinesterase treatment.


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

[User] snowboarding accident knee injury symptoms

Physical examination revealed significant tenderness along the course of the medical collateral ligament (MCL), subcutaneous hematoma around the knee and effusion. The patient showed positive tibia lag sign, grade 3 Lachman and anterior drawer test results with a soft endpoint, and grade 3 valgus stress test results, indicating the tearing of the anterior and posterior cruciate ligament (ACL and PCL) in addition to the femoral attachment avulsion fracture of the MCL.


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

[User] soccer injury spine trauma symptoms

The patient was admitted to the hospital after a spine trauma while playing soccer. She experienced intense pain in the back and was unable to continue playing. Physical examination revealed a dorsal midline painful gap and edema on the topography of thoracolumbar transition, with no neurological impairment.


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

[User] social phobia diagnosis criteria

The diagnosis of social phobia was made based on the patient's symptoms and behavioral analysis. The assessment was done for the antecedent frequency, duration, intensity, and motivation of the patient to target his behavior.


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

[User] social phobia symptoms

The patient complained about fearfulness in crowds, sweating, low confidence, negative thoughts, decreased interaction, and inferiority complex.


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

[User] sodium oxybate therapy side effects

The monotherapy with fenethylline and add-on therapy with sodium oxybate resulted in improved alertness but were later discontinued due to side effects and discontinuation of commercialization.


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

[User] sodium valproate side effects in JME patients

The patient was informed to report any side effects of medication, and to seek medical attention if her symptoms persisted.


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

[User] sodium valproate treatment for episodic headache

The patient accepted prophylactic treatment with sodium valproate, which dramatically alleviated her headache.


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

[User] soft palate mass diagnosis

Following a fine needle aspiration biopsy, the mass of the soft palate was diagnosed as a benign pleomorphic adenoma.


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

[User] soft tissue ethmoid mass symptoms

A cranial CT scan showed a large soft tissue ethmoid mass extending to the right and left choanal region, the right orbit, and the right frontal sinus.


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

[User] soft tissue leiomyoma diagnosis

Plain X-ray showed ring and arc type calcifications in the distal forearm at the interosseous area. An MRI confirmed the well-defined soft tissue lesion. Histology showed a circumscribed unencapsulated lesion composed of intersecting fascicles of spindle cells with elongated nuclei, and eosinophilic cytoplasm.


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

[User] soft tissue loss treatment

The patient underwent wound debridement. The First dorsal metacarpal artery flap was used to cover the soft tissue defect. The donor area was covered with skin graft.


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

[User] soft tissue mass in labial mucosa diagnosis

Case 1 was diagnosed with a solitary soft tissue mass in the labial mucosa. The nature, as well as the cause of the mass, is unclear.


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

[User] soft tissue mass in orbits diagnosis

CT scans revealed a soft tissue mass in both orbits and a mass lesion in the left renal sinus region with obstructive hydronephrosis. Excision biopsy of the cervical lymph node and left upper lid mass showed features suggestive of a multisystemic inflammatory/autoimmune disorder with a possibility of IgG4 related disease and multicentric Castleman's disease with a final diagnosis of multisystemic IgG4 related disease.


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

[User] soft tissue mass with cord compression at T9 treatment

She underwent urgent radiotherapy and the mass resolved.


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

[User] soft tissue sarcoma symptoms

He received neoadjuvant chemotherapy, which led to severe abdominal pain, diarrhea and vomiting after the initiation of the second cycle.


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

[User] solid pseudopapillary tumor of pancreas treatment options

The patient underwent a body-tail laparoscopic pancreatectomy with splenectomy.


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

[User] solitary bladder mass symptoms

The patient presented to the hospital with painless gross hematuria and was found to have a solitary 4.8 × 3.4 × 3.6 cm3 hypoechoic mass in the apex of the urinary bladder.


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

[User] solitary fibrous tumor (SFT) of the pancreas symptoms

Incidental detection of a 5.5-cm cystic tumor in the pancreas tail during CT scan for femoral bone fracture.


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

[User] solitary fibrous tumor diagnosis

A diagnosis of solitary fibrous tumor was determined based on morphological and immunohistochemical findings.


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

[User] solitary fibrous tumor recurrence symptoms

The patient was referred for recurrent intraconal mass and was found to have a left eye proptosis of 2 mm for the past 3 months.


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

[User] solitary fibrous tumor symptoms

The patient presented with 4mm exophthalmos, inferior and external displacement of RE, limitation to adduction and supraduction. BCVA was 0.7 in the RE and 0.9 in the LE.


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

[User] solitary fibrous tumor treatment options

The patient received 35 Gy at a fractionation of 5 weekly sessions of 5 Gy.


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

[User] solitary hamartoma of the small intestine diagnosis and treatment

Surgical intervention was deemed necessary, and a single incision laparoscopic surgery (SILS) was performed with a 25mm incision at the patient's umbilicus. The pathogenic segment of the small bowel was recognized and reduced, with exteriorization of the polyp-bearing small intestine. The solitary polyp was then resected, and the invalid part of the bowel was excised with a side-to-side enterostomy using Endo GIA Universal Single-Use Stapler 12mm AutoSuture.


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

[User] solitary kidney tumor treatment options

The patient elected to undergo percutaneous treatment with laser ablation of the UTUC in her solitary kidney. Prior to the procedure, a lower pole percutaneous nephrostomy tube was successfully placed under sedation by Interventional Radiology.


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

[User] solitary large cystic lesion on liver treatment

The working diagnosis was bowel duplication cyst or a lymphangioma. Hence, the decision was taken to explore the child. Enucleation of the cyst along with marsupialization of the portion within liver parenchyma was done.


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

[User] solitary mass in labial mucosa treatment

All laboratory results were within normal limits, and no abnormalities were found. The patient was discharged with no further testing or follow-up planned.


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

[User] solitary osteochondroma symptoms

The patient, a 27-year-old otherwise healthy female student, was admitted with a complaint of pain in the right upper scapular region. The pain was exacerbated by shoulder motion and supine position.


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

[User] somatoform disorder symptoms

Ms RB, a 34-year-old housewife and mother of two children, was admitted to our facility in April 1996 for her prolonged subjective unexplained multiple physical complaints including abdominal pain and constipation.


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

[User] sorafenib dosage adjustment

After a 2-week break, sorafenib was resumed at a lower dose and was well-tolerated.


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

[User] sorafenib induced hypoglycemia symptoms

The patient was hospitalized due to loss of consciousness caused by a hypoglycemic event... The hypoglycemia and symptoms were resolved by a 10% intravenous dextrose infusion.


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

[User] sorafenib medication management

Sorafenib was resumed with oral prednisolone (60 mg per day), dextrose infusion, and frequent meals.


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

[User] spastic ataxia symptoms

Neurological examination revealed spastic ataxia and postural instability. The patient had a history of spasticity of the legs with motor weakness and autonomic dysfunction on breath test (expiration/inspiration ratio=1.04, normal range>1.08).


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

[User] spastic tetraparesis diagnosis

The patient was admitted to the hospital, diagnosed with spastic tetraparesis of unknown origin.


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

[User] speech prosthesis and palatal guide flange prosthesis fabrication

A speech prosthesis and palatal guide flange prosthesis were planned and fabricated for the patient.


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

[User] spermatocele treatment options

The cyst was surgically removed, and the patient was discharged after one day.


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

[User] sphenoid sinus malignant melanoma treatment

Using an endoscope, biopsy of the right sphenoid sinus was conducted under general anesthesia, and pathology examination revealed a malignant melanoma. As the patient didn't wish to undergo chemotherapy or any active treatment, only palliative care was provided.


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

[User] sphenoid sinus mucocele symptoms

The patient presented with a six-week history of severe left orbitotemporal headache with ipsilateral conjunctival injection and lacrimation.


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

[User] sphenoidal ridge meningioma symptoms

The patient initially presented to the headache clinic with a 1-year history of right-sided headache, which failed to settle with analgesics. The headache then migrated to the rest of cranium.


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

[User] spinal cord compression symptoms

MU was admitted with a diagnosis of spinal cord compression with lower extremity paraplegia following a motor vehicle accident.


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

[User] spinal cord compression treatment

The patient underwent posterior spinal fixation with decompression at T10 to L3 level. The neurological deficit improved after the surgery.


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

[User] spinal cord compression treatment options

Hypertransfusion was initiated and the patient showed rapid improvement, starting a few days after transfusion.


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

[User] spinal cord injury treatment options

The bullet was identified lying on, but not in, the dorsal column of the spinal cord and was successfully removed. The patient opted for surgical intervention following the detailed information.


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

[User] spinal cord metastasis symptoms

The patient was admitted with gait disturbance, predominantly of deep sensation and sphincter dysfunction associated with constipation and urinary disturbance. Neurological examination showed mild spasticity in lower limbs, bilateral brisk patellar and Achilles tendon reflexes, and bilaterally diminished vibratory sensation below the anterior superior iliac spine.


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

[User] spinal cord tumor symptoms

The patient presented with spastic quadriparesis and was diagnosed with a cystic, enhancing, expansile intramedullary mass extending from the C1-C7 region of the spinal cord.


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

[User] spinal epidural abscess treatment outcomes

By the second postoperative day, body temperature and sensory function had returned to normal, and the back pain had resolved. However, motor function did not recover (muscle strength 0/5).


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

[User] spindle cell sarcoma treatment options

The patient underwent external radiotherapy to reduce the tumor bulk and give pain relief. Oral morphine medication was started to manage the patient's pain, but the patient reported constant pain. Oral methylprednisolone was also added to reduce tissue edema.


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

[User] splenectomy and erythrocyte transfusions procedure

At the age of 8 years, she underwent splenectomy and continues to require blood transfusion every 40 days. Erythrocyte transfusions were administered to the patient at the age of 2 years.


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

[User] splenectomy indications

Due to the high risk of rupture during the perioperative period of liver transplantation, it was considered necessary to take some preventive measures against the SAAs; however, it was difficult to perform preoperatively due to her medical condition. Therefore, splenectomy at the time of transplantation was needed.


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

[User] splenectomy post-operative care

The patient was advised to rest at home and avoid any strenuous physical activity for the next few days. The patient was prescribed pain medication to help manage any post-operative pain. She was also instructed to schedule a follow-up appointment with her primary care physician for a routine check-up and evaluation of post-operative recovery.


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

[User] splenectomy procedure complications

The patient underwent laparoscopic splenectomy and recovered well during the post-surgical period. The patient was discharged 14 days after the surgery without any complications.


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

[User] splenectomy procedure risks

A laparotomy was performed, and a splenectomy was done, which included a saline washout. The patient's postoperative recovery was good.


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

[User] splenectomy recovery time

His recovery was uneventful, and he was able to tolerate a regular diet.


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

[User] splenial lesion syndrome diagnosis

A diagnosis of reversible splenial lesion syndrome and epilepsy (generalized tonic-clonic seizure secondary to focal impaired awareness seizures) was made.


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

[User] splenic abscess treatment options

The splenic abscess was treated conservatively with antibiotics but continued to grow in size and developed gas within it. The decision was made to perform a laparoscopic splenectomy.


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

[User] splenic hemangioma symptoms

The patient, a 16-year old female, was admitted to our facility due to recurrent epigastric pain for the last six months.


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

[User] splenic hemangioma treatment options

Splenectomy was then performed with a suspicion of Littoral cell angioma as an alternate diagnosis.


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

[User] splenic peliosis diagnosis

The patient was diagnosed with splenic peliosis, as evidenced by the dilated vascular spaces and scattered Warthin-Finkeldey polykaryocytes found in the splenic parenchyma.


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

[User] splenic peliosis symptoms

The patient was admitted with a five-day history of influenza-like symptoms and was diagnosed with pyelonephritis. Her condition worsened and she was admitted to hospital the same day. During her hospital stay, the patient's abdominal pain increased, and she became hypotensive.


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

[User] splenic subcapsular hematoma symptoms

A 2-year-old male child was admitted to our hospital with complaints of recurrent episodes of epistaxis and persistent purpuric patches over various body parts. Imaging tests showed a large splenic subcapsular hematoma measuring 5 cm × 4.5 cm.


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

[User] splenomegaly causes in children

Isolated splenomegaly was found on clinical examination, and the laboratory results showed slightly lowered platelets and erythrocytes with no further clinical findings.


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

[User] splenomegaly symptoms in CML

The patient was admitted with the chief complaint of left upper-quadrant abdominal discomfort and unintentional weight loss. On initial examination, he was found to have splenomegaly and laboratory analysis revealed a high leukocyte count, low hemoglobin level, and high platelet count.


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

[User] spondylitis L4 L5 symptoms

The patient, a 78-year-old male, presented to the emergency department with increasing lower back pain and a rigid gait. MRI showed spondylitis of the L4 and L5 vertebral bodies with an abscess in the posterior epidural space.


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

[User] spondylitis and epidural abscess diagnosis

Diagnostic findings: Blood tests revealed high levels of white blood cells, platelets, C-reactive protein, fasting blood glucose, and glycosylated hemoglobin. Imaging studies including CT and MRI showed erosion and abscess formation at the SCJ and extension of the abscess into the mediastinum and sternocleidomastoid muscle. Spondylitis of the L3-L4 vertebrae with a focal epidural collection and L3-L4 discitis were also present.


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

[User] spondylitis treatment with antibiotics

The patient was started on intravenous sulbactam/ampicillin for the treatment of spondylitis and epidural abscess. The antibiotics were switched to cefotiam according to the results of antibiotic susceptibility testing.


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

[User] spondylodiscitis diagnosis

He was diagnosed with spondylodiscitis of T11-T12-L1 with psoas abscess and vertebral-canal stenosis.


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

[User] spondylodiscitis rehabilitation protocol

After the operation, our patient continued drug therapy with RMP and INH for 10 months. At 12 months, a CT scan showed sagittal axis maintenance, especially the apposition of new bone tissue.


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

[User] spondylolisthesis diagnosis imaging

Imaging studies revealed grade 2 spondylolisthesis of L5 on S1, fracture of the left transverse process of L4, and fracture of the right femur.


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

[User] spondylotic cervical myelopathy symptoms

The patient complained of numbness in the lower extremities and pain in the back and abdomen. An examination revealed no point tenderness to palpation on the spine, preserved strength in the upper and lower extremities except for bilateral finger flexion weakness, hyporeflexia, and no abnormalities in the rectal tone.


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

[User] spontaneous bilateral patellar tendon rupture symptoms

The patient presented to the Accident and Emergency department with pain, swelling, and lack of active extension at both knees.


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

[User] spontaneous rupture of membranes symptoms

A 37-year-old female, with thalassemia minor and history of infertility, presented to the hospital after spontaneous rupture of membranes and vaginal bleeding at 20 weeks of gestational age.


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

[User] sporotrichosis symptoms and causes

The patient was admitted with nodules of the left upper extremity accompanied by erosion and exudation for a month. She reported having injured her left index fingertip a month ago while farming, which led to the gradual appearance of papules and nodules in the subcutaneous area of the left forearm. The nodules gradually increased in size and caused skin surface ulceration and erosion.


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

[User] squamous cell carcinoma of the lung complications

A repeat chest X-ray revealed multiple excavated lesions of increasing size. A contrast-enhanced CT scan confirmed persistent lung infection with unfavorable extensive evolution. Moreover, a fistula from the upper third of the esophagus to the left upper pulmonary lobe was suspected on the basis of the presence of air in the mediastinum.


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

[User] squamous cell carcinoma symptoms

The patient had a history of appendicitis and clear cell renal cell carcinoma. A unilateral white patch with non-detachable at the left lingual edge was observed.


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

[User] squamous cell carcinoma treatment options

The patient underwent onychectomy under the supervision of an orthopedic specialist for the same. Six months later, he presented with recurrence of the lesion and underwent a biopsy showing well-differentiated large cell squamous cell carcinoma.


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

[User] stab wound to the left chest symptoms

The patient was brought to the emergency room with hypotension and two self-inflicted stab wounds to the left chest.


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

[User] stage 4 breast cancer symptoms

The patient was admitted with fever and shortness of breath of 1-week duration.


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

[User] stage I kappa light chain multiple myeloma treatment

The patient was treated with chemotherapy, allopurinol, and valacyclovir, which was well tolerated. However, it was temporarily interrupted due to a positive test for SARS-COV-2. Further treatment was initiated with lenalidomide and dexamethasone in January 2021 due to disease progression.


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

[User] stage I papillary thyroid cancer symptoms

The patient, a 50-year-old male with a history of stage I papillary thyroid cancer, tall-cell variant underwent total thyroidectomy, and subsequently developed lymph-node and multiple lung metastases.


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

[User] stage II rectal cancer treatment

The patient underwent laparoscopic low anterior resection with regional lymph node resection. Chemotherapy with XELOX (capecitabine [orally twice daily 2,000 mg/m2/day, on days 1–15] and oxaliplatin [130 mg/m2 i.v., on day 1]) and bevacizumab (5 mg/kg i.v., on day 1) was initiated.


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

[User] stage III multiple myeloma treatment

The patient was initially treated with bortezomib, melphalan, and prednisolone chemotherapy. Due to peripheral neuropathy, the treatment was changed to melphalan and prednisolone. Remission was achieved after one year of diagnosis and maintenance therapy of thalidomide was continued.


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

[User] stage IIIB cutaneous nodular melanoma treatment

He was treated with wide local excision and axillary lymph node dissection, followed by high-dose adjuvant ipilimumab monotherapy.


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

[User] stage IIIC breast cancer treatment options

The patient underwent a left mastectomy and a left axillary lymph node dissection. The patient was treated with 5-fluorouracil (5-FU), epirubicin and cyclophosphamide (FEC), and docetaxel as adjuvant chemotherapy. Radiation therapy was given to the left chest wall and left cervical lesion and the left internal thoracic lymph nodes.


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

[User] stage IIIC perihilar cholangiocarcinoma prognosis

Two of five resected lymph nodes showed metastasis, which was regarded as stage IIIC according to the 8th edition of the American Joint Committee on Cancer (AJCC).


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

[User] stage IIIa lung cancer symptoms

The patient presented to our hospital with a one-month history of coughing with bloody sputum and was diagnosed with stage IIIa lung cancer on the left lower lobe.


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

[User] stage IIIb rectal cancer treatment with self-expanding metallic stent placement

A self-expanding metallic stent (SEMS) was placed across the stenosis 6 cm in length by 18 mm in diameter.


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

[User] stage IIIc GTN treatment options

The patient received combination chemotherapy, specifically EMA-CO regimen, in 7 cycles. After normalization of serum bhcG levels, 2-3 additional chemotherapy cycles were administered to reduce the risk of relapse.


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

[User] stage IV ICC symptoms

The patient presented with progressive abdominal distension and was admitted to the hospital in December 2015. Physical examination revealed a distended abdomen with tenderness and muscle guarding, and his abdominal girth was measured at 105 cm.


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

[User] stage IV NSCLC diagnosis criteria

The patient was diagnosed with stage IV NSCLC (malignant pleural effusion) in December 2014. Adenocarcinoma cells from pleural effusion were found, and immunohistochemistry analysis demonstrated positivity in TTF-1 and negativity in CK 5/6 and P63.


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

[User] stage IV T 3 Nx M1a lung adenocarcinoma chemotherapy regimen

First Line Treatment: First line chemotherapy with carboplatin AUC 6 + paclitaxel 200 mg/m2 + bevacizumab 15 mg/kg every 21 days was administered, with the final cycle completing in September 2009.


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

[User] stage IV T 3 Nx M1a lung adenocarcinoma treatment

First Line Treatment: First line chemotherapy with carboplatin AUC 6 + paclitaxel 200 mg/m2 + bevacizumab 15 mg/kg every 21 days was administered, with the final cycle completing in September 2009. Tumor assessment showed partial response (RECIST). Maintenance Therapy: Maintenance therapy with bevacizumab 15 mg/kg + pemetrexed 500 mg/m2 every 21 days was administered. No significant toxicity was associated with these regimens.


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

[User] stage IV colon cancer symptoms

The patient was diagnosed with stage IV colon cancer and underwent right hemicolectomy on May 12, 2006.


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

[User] stage IV lung adenocarcinoma symptoms

A 69-year-old Chinese male ex-smoker with a history of type 2 diabetes for 10 years presented with dizziness and unsteady walking for two months.


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

[User] stage IV lung cancer treatment options

Oral alectinib was administered as ALK inhibitor, which showed improvement of the lung cancer lesions, and the symptoms of the patient gradually improved. ... The patient was administered nivolumab 3 mg/kg every 2 weeks for the treatment of both the lung cancer and the gastric cancer.


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

[User] stage IV ovarian cancer symptoms

A 57-year-old woman was admitted to the hospital with persistent shoulder pain, anorexia, and an enlarging, painful mass in right shoulder, with an indurated, extremely tender area in the right sternoclavicular joint and edema in right arm.


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

[User] stage IV synchronous adenocarcinoma symptoms

The patient had night sweats and a history of heart failure due to alcoholic cardiomyopathy and smoking habits. Physical examination was notable for skin and mucous membranes paleness. Laboratory results showed hypochromic microcytic anemia with ferropenia, and increased CRP levels. No obvious signs of infection or pain were reported.


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

[User] stage IV urothelial carcinoma treatment options

The patient started treatment with dexamethasone and planned RT to the mediastinum. However, her condition worsened with tracheal compression and acute kidney injury due to tumor lysis syndrome. RT was held after only 18 Gy and no chemotherapy was administered.


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

[User] stage Ic endometrioid adenocarcinoma of the ovary treatment

Final pathology revealed stage Ic, grade 1 endometrioid adenocarcinoma of the ovary with extensive squamous differentiation and a deeply invasive, grade I endometrioid adenocarcinoma of the uterus. An open procedure was performed, including abdominal hysterectomy, bilateral salpingo-oophorectomy, infracolic omentectomy, and tumor debulking.


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

[User] stage T4aN2cM0 squamous cell carcinoma treatment

Surgical intervention was performed to eliminate the primary tumor and affected lymph nodes. Following surgery, the patient underwent concurrent chemotherapy and radiation.


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

[User] stages of adenocarcinoma of the stomach

The patient was admitted with adenocarcinoma, intestinal type, grade II, with extension to subserosa, and 11 of 11 lymph nodes metastatic, proximal and distal margins without tumoral involvement.


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

[User] stages of gallbladder carcinoma

Final Diagnosis: pT2N0M0 stage II gallbladder carcinoma consisting of moderately differentiated adenocarcinoma and poorly differentiated large-cell neuroendocrine carcinoma.


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

[User] stages of intrahepatic cholangiocarcinoma

He was diagnosed as stage II (T2N0M0).


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

[User] staging and lymphadenectomy in fallopian tube carcinoma

The operation proceeded to complete surgical staging (including total hysterectomy, bilateral oophorectomy, pelvic and para-aortic lymphadenectomy, and omentectomy).


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

[User] staging of non-small cell lung carcinoma

A transbronchial lung biopsy (TBLB) was performed which revealed non-small cell lung carcinoma, identified as stage IA2 (cT1bN0M0).


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

[User] staging of thyroid cancer

Following the biopsy and in light of the imaging, the tumor was staged T4b, N1b, M1.


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

[User] standard supportive care for unspecified abdominal condition

She was given standard supportive care and was administered medication as appropriate. Her symptoms improved with treatment, and she was discharged to home.


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

[User] standard therapies for moderate proteinuria

Patient X and Patient Y were admitted to the hospital with moderate proteinuria, which was due to be continued under close observation with standard therapies for their condition.


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

[User] statin-associated myalgia diagnosis

Lab testing showed an elevated CK level of 14,000 IU/L, while additional tests were negative, including ANA, SSA, SSB, and anti Jo-1. An elevated anti-HMGCR antibody level was noted at 167 U/mL.


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

[User] stent placement in vertebral artery occlusive disease

A 4.0 mm × 12 mm RX Herculink Elite stent and a 4.0 mm × 18 mm Apollo balloon-mounted stent were placed in the left and right vertebral artery origin, respectively.


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

[User] stereotactic brain biopsy complications

A stereotactic brain biopsy revealed findings suggestive of a demyelinating disease.


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

[User] sternal fixation surgery complications

The patient was admitted after undergoing sternal fixation surgery. On postoperative day 6, there was an incision site hematoma that required aspiration. On the following day, the patient experienced sudden onset of severe substernal pain, radiating to the left arm and neck.


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

[User] sternoclavicular joint disc injury diagnosis

Subsequent arthroscopic surgery of the left sternoclavicular joint revealed synovitis and partial tear of the intra-articular disc, leading to synovectomy and partial disc excision.


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

[User] sternoclavicular joint injury symptoms

The patient complained of left upper thoracic pain upon shoulder elevation, which developed after he was involved in a head-on car collision one year prior. Physical examination of the left glenohumeral joint revealed tenderness around the sternoclavicular joint. A lower brachial plexus injury was suspected, given the sensory disturbance and weak grip measured in the left C8 cervical root area.


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

[User] sternum dislocation reduction therapy

The patient's chest was supported, and his shoulders were stretched to the back for the reduction of the dislocated segments. After the reduction, pain and sternum deformity disappeared.


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

[User] sternum dislocation symptoms

Physical examination showed a sternum deformity, with tenderness and a clicking sound upon palpation. No pain, shortness of breath or any other chest complaint developed, and a lateral chest radiograph showed no dislocation after 15 days.


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

[User] steroid therapy for idiopathic hypertrophic pachymeningitis

Steroid therapy was initiated and within a few weeks, the patient showed marked clinical improvement. Currently, she is on a tapering dose of steroid therapy and is in remission.


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

[User] stiff person syndrome symptoms

The patient described experiencing stiffening episodes during which she could not move her legs because they felt too heavy and was stuck midstride. Upon examination, the patient presented with tremors, stiffness, and jerking movements throughout her appointment.


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

[User] stoma leaks treatment with collagen injection

The patient underwent three procedures of intradermal injection of porcine collagen, Permacol™, in a span of 7 months. ... Additional topical therapy with betamethasone dipropionate 0.05% and calcipotriol (Dovobet®, Leo Pharmaceuticals, Buckinghamshire, United Kingdom) and localized narrowband UVB was applied with clearance of the dermatitis and resolution of the leaks.


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

[User] stomach volvulus symptoms

The patient was admitted due to upper abdominal discomfort and a feeling of fullness lasting for the past two months.


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

[User] stomach volvulus treatment options

The patient declined both surgical or endoscopic correction of the volvulus and was followed with periodic outpatient clinic visits for over six months.


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

[User] strangulated femoral hernia symptoms

The patient presented to the emergency department with a one-day history of a right inguinal mass that was soft and tender, with no impulse on coughing.


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

[User] streptomycin dosage for tularemia

The patient was administered a 14-day course of intramuscular streptomycin two grams daily divided into two doses.


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

[User] striae causes in adolescents

For the past two years, he indulged in heavy weight-lifting in a fitness center. He spent at least one hour per day in heavy weight-lifting, several days per week. Multiple violaceous, atrophic, vertical linear striae were noted affecting the axillae and proximal arms.


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

[User] string-of-pearls appearance symptoms

Examination at our clinic revealed several complications, including vitritis with a string-of-pearls appearance, aqueous and 4+ cells in the anterior chamber, iris fibrinous membrane, and hypopyon.


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

[User] stroke diagnostic studies

A computed tomography angiography and thrombectomy were performed.


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

[User] stroke symptoms in elderly women

The patient, an 87-year-old woman, was admitted to the hospital with right limb weakness. On admission, she had an NIHSS score of 6 and mRS score of 3 due to a stroke.


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

[User] stroke thrombolysis procedure complications

The patient was admitted to the hospital after experiencing lethargy, aphasia, and right-sided hemiparesis following a thrombolysis procedure for a thrombosed right forearm loop graft.


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

[User] stromal cell neoplasm symptoms

The patient presented with a year-long history of abdominal discomfort.


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

[User] stump neuroma diagnosis

Radiological examination found the presence of neuroma consistent with ultrasonographic findings.


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

[User] stump neuroma treatment

Ultrasound-guided injection of dehydrate alcohol into the stump neuroma was performed. After the first neurolysis, the patient's pain was significantly reduced and the VAS pain rating decreased from 8-9 to 4 points. Over 100 days after the first neurolysis, a second alcohol neurolysis was conducted and the patient's VAS pain rating further reduced to 3 points.


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

[User] subacute hematoma diagnosis methods

CT angiogram and Magnetic resonance imaging (MRI) showed a large 15 × 10 cm2 subacute hematoma in the lesser sac posterior to the stomach.


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

[User] subacute ptosis symptoms

The patient was admitted to the hospital with complaints of blepharoptosis, voice hoarseness, fever, and inability to walk and talk. The patient was diagnosed with subacute ptosis, which persisted for about 2 months.


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

[User] subacute sclerosing panencephalitis diagnosis criteria

Subacute sclerosing panencephalitis was suspected as the patient exhibited symptoms typical of the disease, but tested negative for measles.


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

[User] subacute small bowel obstruction symptoms

The patient was admitted with generalized colicky abdominal pain, bilious vomiting and constipation. The physical examination revealed diffuse distention with hyperactive bowel sounds.


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

[User] subaortic stenosis diagnosis

Transthoracic and transesophageal echocardiograms showed severe subaortic stenosis due to a subvalvular membrane, with a mobile mass-like structure that was suspicious of a vegetation on the subvalvular membrane.


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

[User] subarachnoid hemorrhage prognosis

The patient experienced right hemiparesis. ... The patient underwent rehabilitation and recovered well (mRS = 1). ... The patient was symptom-free (mRS 0) at the latest follow-up.


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

[User] subarachnoid hemorrhage symptoms

The patient displayed mild confusion, moderate neck stiffness, and early papilledema. Radiological examination through Computed Tomography (CT) showed subarachnoid hemorrhage in the basal and sylvian cisterns.


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

[User] subarachnoid hemorrhage symptoms after fall

The patient was drowsy upon admission and had transient loss of consciousness.


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

[User] subarachnoid hemorrhage symptoms in pregnancy

The 37-year-old female patient, admitted at 34 weeks of gestation with sudden severe headache and vomiting, was diagnosed with subarachnoid hemorrhage (SAH).


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

[User] subarachnoid hemorrhage treatment

The treatment regimen included close monitoring of vital signs and neurological status, imaging studies, and surgical intervention to address the ruptured PICA aneurysm.


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

[User] subclavian artery rupture symptoms

The patient was admitted to the hospital with massive hemoptysis.


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

[User] subclavian artery stent-graft placement procedure

Interventional radiology was consulted, and a stent-graft was successfully implanted in the right subclavian artery to address the issue. Post-implantation angiography demonstrated a patent stent-graft without any complications.


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

[User] subclinical hypothyroidism symptoms

The patient presented with symptoms of fatigue, anorexia, and weight loss. However, his condition worsened, and he lost 8 kg in body weight within three months despite treatment.


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

[User] subconjunctival mass symptoms

A protruding yellow-orange subconjunctival mass just below the 6-o'clock limbus of her left eye, measuring 6.0 × 4.5 mm without extending into the cornea.


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

[User] subcortical lesion in fibula symptoms

The patient was admitted to the emergency department with acute onset right anterior knee pain following a fall. The patient still experiences recurrent falls and knocking knees.


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

[User] subcortical lesion in fibula treatment

There was no intervention performed during the patient's hospital stay.


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

[User] subcutaneous emphysema symptoms

The mechanism of the injury caused mild respiratory distress and a subcutaneous emphysema extending from eyelids to the anterior abdominal wall upon examination.


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

[User] subcutaneous nodular lesion symptoms

The patient presented with a six-month history of a subcutaneous nodular lesion on her left leg. During hospitalization, another similar lesion appeared on the right clavicular region. The physical examination revealed two mildly painful and fluctuant nodules, without regional lymphadenopathy, measuring 7 cm and 4 cm in width, respectively.


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

[User] subcutaneous nodule symptoms

The patient felt a nodule 1.5 years before, but ignored it as she thought it might be part of fibroadenomatous breast disease. The mass rapidly grew to 2.1 cm and became harder in the previous few months. She noted significant weight loss of 35 pounds during this time, which she attributed to voluntary diet and exercise.


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

[User] subcutaneous panniculitis-like T-cell lymphoma treatment options

Treatment with systemic chemotherapy and local radiotherapy was performed, and the skin nodules decreased in size over several weeks.


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

[User] subdural empyema treatment

The patient was treated with broad-spectrum antibiotics including cefepime, metronidazole, and vancomycin. A large right parasagittal frontoparietal craniotomy was performed. The parafalcine compartment was repeatedly washed out with antibiotic solution.


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

[User] subdural hematoma CT scan results

A CT scan revealed a sizeable right chronic-subacute subdural hematoma with mass effect and midline shift. A CT scan showed the presence of SAH in the right sylvian fissure and a small contralateral occipital intraparenchymal hemorrhage.


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

[User] subdural hematoma evacuation procedure

The patient underwent a single parietal burr-hole craniectomy and the right CSH was evacuated without complications. A subdural drainage apparatus was employed after surgery.


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

[User] subdural hematoma symptoms

The patient began to seize upon arrival to the emergency department, and a CT scan showed a subacute left subdural hematoma with midline shift.


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

[User] subdural hemorrhage complications

The patient's hospital course was complicated by a traumatic brain injury with sub-SAH and subdural hemorrhage.


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

[User] subdural hemorrhage surgery complications

During the hospital course, the patient developed a scalp defect and chronic infection that required reconstruction. Postoperatively, the patient did not exhibit any signs of further infections and had no notable complications.


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

[User] subdural hemorrhage treatment options

The patient was admitted due to a subdural hemorrhage and had a craniotomy. To repair the scalp defect, a latissimus dorsi muscle free flap and an anterolateral thigh flap vascular pedicle were used.


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

[User] subfascial well-circumscribed lesion characteristics

Further imaging revealed a subfascial well-circumscribed lesion with intramuscular extension in the medial gastrocnemius muscle of the left leg.


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

[User] subfoveal PFO bubble symptoms

Ophthalmic examination revealed subfoveal PFO bubble.


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

[User] subgaleal hematoma symptoms

Neurological examination showed mild disturbance of consciousness and mild swelling in the frontal region of the head. However, the subgaleal hematoma gradually grew in size, leading to an increase in the patient's head circumference and anemia, and worsening headache and lethargy.


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

[User] subgaleal hematoma treatment options

Conservative treatment including cessation of the warfarin and aspirin therapy was instituted. However, the subgaleal hematoma gradually grew in size... Surgical removal of the hematoma was planned.


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

[User] subglottic mass treatment options

Emergency tracheostomy and mass debulking was performed for emergency airway management. Direct laryngoscopy showed a 1.5 cm mass in the subglottic area.


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

[User] subhepatic mass symptoms

The patient had been experiencing general weakness, fatigue, and weight loss for several months.


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

[User] sublingual space infection treatment

The patient received an IV of methylprednisolone and clindamycin after admission. She underwent bedside needle aspiration, followed by incision and drainage of the ranula, which produced approximately 80 mL of viscous fluid consistent in appearance with saliva. The patient was started on a seven-day course of oral clindamycin.


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

[User] sublingual space tumor treatment

A wide surgical excision was performed to remove the tumor with safe margins. The patient has been free of any recurrences or metastasis for over a year.


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

[User] submacular cysticercosis diagnosis

The initial examination revealed a dome-shaped elevated lesion in the center of the macula in the left eye. B-scan ultrasonography revealed a cystic lesion with eccentric echogenic mural nodule in the subretinal space.


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

[User] submacular cysticercosis symptoms

The patient presented with complaints of blurred vision in her left eye with associated photopsias and metamorphopsias of 3 months duration.


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

[User] submandibular gland foreign body symptoms

The patient had no respiratory distress, difficulty breathing, or difficulty swallowing. A CT scan with contrast revealed a 7 mm radiopaque foreign body lodged within the right submandibular gland.


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

[User] submandibular gland mass symptoms

An 8-year-old female patient was admitted with a painless swelling in the left submandibular area that had been progressively enlarging over the previous four months. Physical examination revealed a soft, mobile, well-circumscribed superficial mass 3 cm in diameter in the left submandibular area.


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

[User] submandibular mass symptoms

The patient, an 11-year-old female, was admitted to the hospital with a painless large diffuse swelling on the lower right side of the face that had been present for the past 2 years.


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

[User] submasseteric space abscess symptoms

The patient was admitted to the hospital due to trismus and painful swelling at the right mandibular angle. The initial examination indicated a mild fever and limited mouth opening.


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

[User] submasseteric space abscess treatment

Incision and drainage of the abscess was performed through an extraoral incision to drain the pus. The broken 3rd molar responsible for causing the abscess was extracted. A corrugated rubber drain was left in place for 48 hours.


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

[User] submucosal mass symptoms

A computed tomography scan revealed a 2.1 cm submucosal mass in the right tongue base with focal cystic and necrotic areas.


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

[User] suboptimal glycaemic control treatment options

The patient was admitted to the hospital due to suboptimal glycaemic control despite combination treatment with metformin and gliclazide. Sitagliptin was added as the third line agent and led to significant fructosamine reduction from 354μmol/L to 258μmol/L (equivalent reduction in HbA1c of 1.9%) and weight loss of 6 kg over 6 months.


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

[User] subretinal neovascularization diagnosis

The patient was diagnosed with subretinal neovascularization of the left eye.


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

[User] subretinal neovascularization symptoms

The patient presented with decreased visual acuity in her left eye, and a grayish lesion with serous elevation in the macula was discovered.


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

[User] subsequent treatment post oligodendroglioma resection

Following surgery, the patient was monitored with frequent MRI scans...At her last follow-up visit, which occurred 3.5 years from the first surgery, the patient was doing well with stable disease on imaging studies.


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

[User] substance-induced mania symptoms

CP reported hearing voices and stated that something told him to shoot his grandparents. He also reported restlessness, unusual talking, risky behaviours, and aggressive incidents at school, which had started after he was prescribed sertraline by his primary-care physician.


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

[User] subtotal scrotectomy complications

Despite complications in healing, including wound debridement, vacuum assisted closure therapy, and the use of mesh skin graft, the patient achieved acceptable cosmetic results and only moderate distortion of the penis.


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

[User] subvalvular membrane symptoms

The patient remains asymptomatic 18 months after surgery.


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

[User] subxiphoid approach complications

No postoperative complications.


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

[User] sudden bilateral sensorineural hearing loss causes

The etiology of SSNHL in the patient was found to be metronidazole, which was administered for treatment of diarrhea, leading to hearing loss.


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

[User] sudden chest pain and radiating to epigastrium

The 82-year-old woman presenting with sudden onset chest pain and radiating to the epigastrium at rest, with less than 1 hour of duration was admitted to the Cardiology Department for further investigation.


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

[User] sudden collapse and urinary incontinence causes

The patient was admitted to the hospital due to recurrent sudden collapse and urinary incontinence.


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

[User] sudden dyspnea and orthopnea treatment

Diuretic therapy was administered, and the patient's condition improved dramatically, with partial oxygen saturation increasing up to 95%.


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

[User] sudden loss of vision in one eye causes

The patient was admitted to the emergency room with sudden loss of vision in the left eye, which he stated happened 2.5 hours before admission. He had a past medical history of arterial hypertension and type 2 diabetes mellitus.


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

[User] sudden nose bleeding causes

The patient, a 68-year-old male, was admitted with a complaint of sudden nose bleeding (epistaxis). A reddish tumor was observed on the nasal septum, and a computed tomography (CT) scan showed a small mass in the right nasal cavity that had arisen from the septal wall.


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

[User] sudden onset back pain symptoms after childbirth

The patient was admitted to the hospital with bilateral lower limb paralysis that occurred after childbirth. The patient experienced sudden onset of back pain and complete loss of sphincter control.


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

[User] sudden onset epigastric pain symptoms

The patient presented at 31 + 3 weeks gestation with sudden onset, unprovoked, epigastric and left sided pleuritic chest pain.


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

[User] sudden painless diminution of vision causes

The patient was admitted to our hospital with sudden painless diminution of vision in both eyes, with the vision being more affected in the left eye than the right.


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

[User] sudden testicular pain symptoms

A 20-year-old male presented to the ED with sudden onset, cramping-like, progressively worsening, testicular pain.


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

[User] suicide attempt symptoms

The patient was admitted to our psychiatric outpatient unit with severe cognitive and behavioral problems after attempting to hang himself. According to his medical records, he survived the suicide attempt but remained in a coma for nearly 72 hours.


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

[User] suicide attempt treatment

The patient was admitted to the hospital following a suicide attempt. The doctors worked on rewarming the patient through internal and external methods and conducted several tests to determine the extent of toxicity.


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

[User] sunitinib dose adjustment for Hand-foot skin reaction

The patient was advised on sunitinib dose reduction, avoiding friction, taking vitamin B-complex, and given topical antibiotics, paraffin, and betamethasone ointment. The lesions became less within 14 days with above management with improvement of physical discomfort also.


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

[User] sunitinib therapy side effects

The patient had been taking sunitinib therapy for metastatic renal cell carcinoma, with treatment starting one month earlier, starting at 37.5 mg daily for two weeks followed by 50 mg daily. Lesions developed ten days after dose escalation and gradually increased in number.


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

[User] super-thin ALT flap complications

Necrotic area of 17% on the distal part of the flap, requiring debridement and full-thickness skin graft.


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

[User] superficial femoral artery pseudoaneurysm treatment

The patient received pulse steroid therapy and immunosuppressive therapy after the pseudoaneurysm was detected. Surgical treatment was recommended and the patient consented to the procedure.


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

[User] superficial parotidectomy complications

The patient was discharged in stable condition and will be followed up in the outpatient setting.


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

[User] superficial spreading melanoma symptoms

The patient was admitted for an excisional biopsy due to an asymmetric pigmented area on the lobe of the right ear.


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

[User] superficial therapeutic keratectomy procedure outcome

Three days post injection, there was a significant decrease in eyelid edema, ocular pain, hypopyon and the epithelial defect. The patient was maintained on topical amphotericin B, voriconazole 1% Q 1 hour and sporanox 400 mg PO QD. Six weeks later, her vision improved to CF at 3 m and the epithelial defect continued to resolve with a significant decrease in the cellular infiltrates and complete resolution of the anterior chamber reaction.


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

[User] superior mesenteric artery occlusion treatment options

The SMA was occluded at its origin due to atherosclerotic disease and underwent thrombectomy followed by stent placement to maintain arterial patency.


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

[User] superior mesenteric artery thromboembolism symptoms

The patient was admitted with complaints of acute abdominal and epigastric pain with two episodes of vomiting.


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

[User] superior mesenteric artery thromboembolism treatment

The patient underwent exploratory laparotomy with superficial mesenteric artery thrombectomy and temporary abdominal negative pressure wound therapy (VAC) placement, complicated with hypotension. She underwent multiple surgeries including exploratory laparotomy with resections, wash out and received multiple pack red blood cell transfusions.


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

[User] superior mesenteric artery thrombosis diagnosis

The patient was diagnosed with COVID-19 one week before and was kept in home isolation. During his stay, the patient was found to have superior mesenteric artery thrombosis with resultant bowel ischemic signs.


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

[User] superior mesenteric vein thrombosis symptoms

The patient presented to the emergency department with an acute abdominal pain of unknown origin. Testing revealed an elevated serum alanine-amino transferase level and splenomegaly. Imaging identified a large superior mesenteric vein thrombosis with enlargement of the liver and spleen.


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

[User] superior portion of the right medial orbital wall fracture symptoms

High-resolution CT images showed a fracture of the superior portion of the right medial orbital wall. The patient had a right complete ptosis and swelling and contusion of the occipital region.


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

[User] superior sagittal sinus thrombosis symptoms

The patient presented with progressive headache, vomiting, and diplopia. An ophthalmic examination showed bilateral sixth nerve palsy and papilledema.


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

[User] superior sagittal sinus thrombosis treatment

An intravenous treatment of unfractionated heparin was initiated with early overlap to vitamin K antagonists (VKA).


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

[User] superior vena cava obstruction diagnostic tests

A venogram was performed to assess the extent of the obstruction, which revealed the extent of the damage.


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

[User] superior vena cava syndrome symptoms

The patient, a 79-year-old male, was admitted to our emergency department with exertion dyspnoea and swelling of the upper limbs, head, and neck.


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

[User] supernumerary primary maxillary lateral incisors symptoms

As her dental abnormalities had not resulted in any problems with her dental health, regular follow-up was recommended to monitor the proper time for intervention.


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

[User] supernumerary teeth symptoms

The patient presented with a chief complaint of an extra tooth.


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

[User] supraclavicular swelling diagnosis

The patient presented with gradual swelling in the left supraclavicular region, which was initially painless but progressed to become painful. Physical examination revealed a hard, painful, tender non-pulsative mass at the left supraclavicular region, on the course of the external jugular vein.


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

[User] supraglottic mass treatment options

A tracheostomy tube was placed for airway protection. The patient was started on etoposide and cisplatin, but developed neutropenic fever with negative cultures shortly afterward, later developing intractable nausea and vomiting requiring hospitalization.