text_id
stringclasses 37
values | sentence_id
int64 1
43
| text
stringlengths 20
513
| relations
listlengths 0
13
|
|---|---|---|---|
100067
| 34
|
Histological study concluded in multinodular colloid goiter.
|
[] |
100067
| 35
|
The patient was discharged from the hospital after 20 days in good health.
|
[] |
100075
| 1
|
A 13-year-old boy diagnosed with WHO diagnostic criteria of probable NS was referred from Atanga HC III in Pader district where he was enrolled and undergoing care at the nodding syndrome treatment center; he came with a history of progressive swelling and pain in the right lumbar region.
|
[] |
100075
| 2
|
The swelling was associated with a high grade fever which was constant and only partially relieved by analgesics.
|
[] |
100075
| 3
|
These symptoms were not associated with vomiting, constipation, yellow eyes, loss of appetite or weight loss.
|
[] |
100075
| 4
|
The patient reported a history of falling from a tree during one of the nodding episodes in October 2012 and hit his abdomen onto a tree branch.
|
[] |
100075
| 5
|
On further probe on his childhood history, his mother reported that he was born normally at home by a Traditional Birth Attendant (TBA) in one of the Internally Displaced peoples (IDP) camps in 2000.
|
[] |
100075
| 6
|
She reported that there was an uneventful pregnancy which was carried to term and delivery by Spontaneous vaginal delivery (SVD).
|
[] |
100075
| 7
|
She reported that during her pregnancy, she had exclusive feeding on the relief food provided by WFP (beans, yellow posho and cooking oil) during the IDP camps and denies history of ingestion of herbs or medications which caused adverse events during and after the pregnancy.
|
[] |
100075
| 8
|
She reported that her child had a normal physical, cognitive and social childhood development before the onset of nodding which began in May 27th 2011 immediately after returning home from IDP camps.
|
[] |
100075
| 9
|
The child was enrolled in Atanga treatment centre and was being managed with Carbamazepine, multivitamins and Ivermectin.
|
[] |
100075
| 10
|
She reported that in spite of these medications the child continued to have seizures and nodding at least twice a day and had since dropped out of school.
|
[] |
100075
| 11
|
On general examination, he was dehydrated, febrile and moderately wasted.
|
[] |
100075
| 12
|
There was a right lumbar region mass, tender, indurated and non-fluctuant.
|
[] |
100075
| 13
|
The spleen and liver were not palpable.
|
[] |
100075
| 14
|
There was no renal or supra-pubic tenderness.
|
[] |
100075
| 15
|
The rectum was full of faecal material which was of normal colour and consistency.
|
[] |
100075
| 16
|
The anal tone was normal and there was no blood on examining fingure.
|
[
[
"normal",
"tone"
]
] |
100075
| 17
|
Haematological investigations were conducted and showed neutrophilia, lympocytosis, monocytosis, and eosinophilia.
|
[] |
100075
| 18
|
There were immature granulocytes and atypical lymphocytes seen on the peripheral film report.
|
[] |
100075
| 19
|
Other laboratory results including liver function tests (ALT, AST) were elevated while serum protein levels were low; renal functions tests (serum creatinine, blood urea and nitrogen level), and serum electrolytes (K+, Na+, Cl-, HC03-) which were within normal ranges.
|
[
[
"elevated",
"AST"
],
[
"elevated",
"ALT"
],
[
"elevated",
"tests"
],
[
"low",
"levels"
],
[
"within normal ranges",
"tests"
],
[
"within normal ranges",
"level"
]
] |
100075
| 20
|
Abdominal Ultrasound showed inflamed internal and external oblique muscles of the anterior abdominal wall.
|
[] |
100075
| 21
|
The patient underwent incision and drainage at Gulu Hospital and wound left open for 14 days and thereafter secondary wound closure was conducted.
|
[] |
100075
| 22
|
He received supplementary food rehabilitation and his seizure medication was changed to Sodium Valproate 200mg once a day under direct observation therapy (DOTS) and close monitoring of the vital signs.
|
[] |
100075
| 23
|
The patient continued to have regular follow up in the surgical ward; seizures and nodding stopped completely from the time of intervention in the hospital.
|
[] |
100075
| 24
|
With these interventions for over one month the child had no seizures nor nodding and the child returned to normal life.
|
[] |
100075
| 25
|
A subsequent review of the haematological and clinical chemistry findings 2 weeks later showed that renal function tests, serum electrolytes were normal except the liver enzymes level were elevated and were still high.
|
[
[
"normal",
"tests"
],
[
"normal",
"electrolytes"
],
[
"elevated",
"level"
],
[
"high",
"level"
]
] |
100114
| 1
|
A 77-year-old Tunisian woman was hospitalized because of massive painful ascites.
|
[] |
100114
| 2
|
Her family history did not include any autoimmune disease.
|
[] |
100114
| 3
|
She denied a history of hepatitis, jaundice or alcohol use.
|
[] |
100114
| 4
|
She had a history of diabetes, hypertension treated by glinide and calcium blocker.
|
[] |
100114
| 5
|
She was explored 4 years prior to admission for exudative pleuritis of the right lung without any established diagnosis after multiple explorations including thoracoscopy with biopsies.
|
[] |
100114
| 6
|
On admission, blood pressure was 150/70 mmHg, her rate was 80 /mn and body temperature was 37°C.
|
[
[
"150/70 mmHg",
"pressure"
],
[
"80 /mn",
"rate"
],
[
"37°C",
"temperature"
]
] |
100114
| 7
|
The physical examination showed only abdominal distension related to the important ascites without collateral venous circulation.
|
[] |
100114
| 8
|
She had no skin lesions, lymphadenopathy, or hepatosplenomegaly and lower extremities showed no edema.
|
[] |
100114
| 9
|
Laboratory investigations showed: leucopenia with white blood cell count = 3100/mm3, lymphopenia = 840/mm3, hemoglobin = 10.5g/dL ; low serum albumin level = 29g/L, 47;-globulin = 19g/L. blood glucose levels = 180 mg/dl and hemoglobin A1c = 8.6 %.
|
[
[
"3100/mm3",
"count"
],
[
"840/mm3",
"lymphopenia"
],
[
"10.5g/dL",
"hemoglobin"
],
[
"29g/L",
"level"
],
[
"19g/L",
"globulin"
],
[
"180 mg/dl",
"levels"
],
[
"8.6 %",
"hemoglobin"
]
] |
100114
| 10
|
Urine analysis showed trace protein (0.03g/24h).
|
[
[
"0.03g/24h",
"protein"
]
] |
100114
| 11
|
Platelet count, activated partial thromboplastin time, liver function tests, blood urea nitrogen, serum creatinine, erythrocyte sediment rate and total cholesterol were within normal limits.
|
[
[
"normal limits",
"cholesterol"
],
[
"normal limits",
"rate"
],
[
"normal limits",
"nitrogen"
],
[
"normal limits",
"count"
],
[
"normal limits",
"tests"
],
[
"normal limits",
"creatinine"
],
[
"normal limits",
"time"
]
] |
100114
| 12
|
Tests for HBsAg and HCV were negative.
|
[
[
"negative",
"Tests"
]
] |
100114
| 13
|
Abdominal ultrasonography showed ascitic fluid without any sign of bowel loop thickening or enteritis.
|
[] |
100114
| 14
|
Neither lymphadenopathy nor liver abnormality was present.
|
[] |
100114
| 15
|
A chest X-ray film disclosed bilateral pleural effusion.
|
[] |
100114
| 16
|
Ascitic obtained by aspiration contained 170 cells mm3 (67% lymphocytes), 46g/L protein, but no malignant cells.
|
[
[
"170 cells mm3",
"contained"
],
[
"46g/L protein",
"contained"
]
] |
100114
| 17
|
Cultures for bacteria and mycobacteria gave no growth.
|
[] |
100114
| 18
|
Tuberculosis investigation including initial tuberculin skin test and the research of Koch bacilli in sputum and urine were negative.
|
[
[
"negative",
"investigation"
],
[
"negative",
"test"
],
[
"negative",
"research"
]
] |
100114
| 19
|
Echocardiogram and electrocardiogram were normal.
|
[
[
"normal",
"electrocardiogram"
],
[
"normal",
"Echocardiogram"
]
] |
100114
| 20
|
Computed tomographic scan showed massive ascites, no dysmorphic liver, and a mild bilateral pleural effusion.
|
[] |
100114
| 21
|
Pelvic examination was normal.
|
[
[
"normal",
"examination"
]
] |
100114
| 22
|
Oesogastroduodenoscopy showed hiatal hernia without oesophageal varices.
|
[] |
100114
| 23
|
An exploratory laparoscopy was performed, revealing a large amount of ascite, a normal liver appearance, and no granulations suggesting tuberculosis or peritoneal carcinosis.
|
[] |
100114
| 24
|
Histological examination of the peritoneum showed non specific chronic inflammation.
|
[] |
100114
| 25
|
Systemic lupus erythematosus was suspected based on pleuritis, lymphopenia and leucopenia.
|
[] |
100114
| 26
|
An additional serologic survey revealed markedly elevated anti-nuclear antibody (ANA) titer of 1/1600 and a significantly elevated titer of antibody to double-stranded DNA (83 IU/mL ; normal < 30 IU/mL).
|
[
[
"1/1600",
"titer"
],
[
"83 IU/mL",
"titer"
],
[
"positive",
"serum"
]
] |
100114
| 27
|
She had also positive serum antibody against the Smith antigen and low serum level of C3 complement component: 67 mg/dL (serum normal range: 84 – 151).
|
[
[
"67 mg/dL",
"level"
],
[
"84",
"serum"
],
[
"151",
"serum"
]
] |
100114
| 28
|
Relying on these findings, the patient was diagnosed with SLE since 4 of the 11 diagnostic criteria of the American College of Rheumatology were met.
|
[] |
100114
| 29
|
The SLEDAI score according to Systemic Lupus Erythematosus Disease Activity Index was estimated to be 7 on admission.
|
[
[
"7",
"score"
]
] |
100114
| 30
|
Hydroxychloroquine 200 mg daily in combination with diuretics was initiated.
|
[] |
100114
| 31
|
One month later, there was no detectable ascitic fluid and no pleural effusions.
|
[] |
100114
| 32
|
Five months later she remained free from symptoms while continuing to take Hydroxychloroquine
|
[] |
100129
| 1
|
A 21 year old female patient with the diagnosis of SWS suffering from headaches admitted to our clinic.
|
[] |
100129
| 2
|
She had a 2 year history of frequent non-pulsating headaches.
|
[] |
100129
| 3
|
Her headache was relieving with non-steroidal anti-inflammatory drugs and was not worsening with physical activity.
|
[] |
100129
| 4
|
There was no nausea or aura like symptoms accompanying the headache.
|
[] |
100129
| 5
|
Headaches were lasting for hours.
|
[] |
100129
| 6
|
The pain was bilateral, generalized and pressing in quality.
|
[] |
100129
| 7
|
The family history for headache was negative.
|
[] |
100129
| 8
|
She had a history of seizures occurring in the fifteenth day of life described as attacks of tonic clonic contractions and that's when she was diagnosed with SWS.
|
[] |
100129
| 9
|
At the age of 6 she had a history of callosotomy to control her seizures.
|
[] |
100129
| 10
|
At the age of 18 during a laser treatment done in order to get rid of her port wine birthmark she had her first seizure since callosotomy.
|
[] |
100129
| 11
|
After that she was prescribed carbamazepine 400 mg at daily dose and never had a seizure since then.
|
[] |
100129
| 12
|
According to the story taken from her parents even though she had a normal development at infancy she barely graduated from elementary school and she's hardly literate.
|
[] |
100129
| 13
|
There was nothing significant on her family history except for her elder sister's port wine stain on her face.
|
[] |
100129
| 14
|
The elder sister had no feature of SWS and no researches were done regarding her stain.
|
[] |
100129
| 15
|
She was inscribed daily doses of ketiapin 25 mg for anxiety disorder and venlafaxine 75 mg for both anxiety disorder and the chronic headaches.
|
[] |
100129
| 16
|
She was also inscribed NSAID drugs.
|
[] |
100129
| 17
|
After the first week of this treatment her headaches were slightly decreased by heaviness but the frequency was the same.
|
[] |
100129
| 18
|
At her physical examination a facial nevus -occurred due to choroid angioma-on the right forehead, right eyelid, nasal wing and the cheek was observed.
|
[] |
100129
| 19
|
Intra oral examination showed a right sided overgrowth of gingiva.
|
[] |
100129
| 20
|
Gingival overgrowth was bright red in color and showed blanching on applying pressure suggesting angiomatous enlargement.
|
[] |
100129
| 21
|
On her extremities a mild asymmetry was visible.
|
[] |
100129
| 22
|
Her left arm and leg was slightly smaller in portions and showed hemiparesis both in the upper and lower extremities of the same size.
|
[] |
100129
| 23
|
On her ophthalmological evaluation she was diagnosed with glaucoma of the right eye.
|
[] |
100129
| 24
|
On her psychiatric examination she showed signs of anxiety disorder.
|
[] |
100129
| 25
|
Her neurological examination was not remarkable except for her hemiparesis.
|
[
[
"not remarkable",
"examination"
]
] |
100129
| 26
|
Cranial CT scans showed diffuse atrophy in the right hemisphere and irregular double-contoured gyriform cortical calcifications in the right occipital area.
|
[] |
100129
| 27
|
Gadolinium enhanced brain MRI revealed multiple dilated pial venous vascular structures on right hemisphere also with the diffuse atrophy on the same side.
|
[] |
100129
| 28
|
Axial T1 weighted cranial MRI shows right calvarial thickness compared to the left and right hemisphere is asymmetrically smaller than the left.
|
[] |
100129
| 29
|
In addition to that, T2 weighted MRI shows extensive venous formations around corpus of right lateral ventricle and at Gallen vein localization and widespread vascular formations are seen at perivascular space, anterior to third ventricle at Willis polygon localization and at right temporooccipital area at quadrigeminal cistern localization.
|
[] |
100129
| 30
|
She was performed a proteus intelligence test in which she had 75 points and accepted as mildly mentally retarded.
|
[
[
"75 points",
"test"
]
] |
100129
| 31
|
Proteus intelligence test in which she had 75 points and accepted as mildly mentally retarded.
|
[
[
"75 points",
"test"
]
] |
100184
| 1
|
An eleven year old girl presented to the paediatric eye clinic of the University College Hospital, Ibadan, Nigeria with a history of squint and poor vision.
|
[] |
100184
| 2
|
Her mother had noticed a misalignment of the eyes three years previously and the patient had been complaining about poor distance vision for about a year.
|
[] |
100184
| 3
|
There was no history of antecedent trauma to the head or face.
|
[] |
100184
| 4
|
There was no history of double vision (diplopia) or pains on ocular movements.
|
[] |
100184
| 5
|
There was no associated headache, fever, vomiting, joint pains or skin rashes/lesions.
|
[] |
100184
| 6
|
The review of systems was essentially normal and she had enjoyed good health since early childhood.
|
[
[
"normal",
"review"
]
] |
100184
| 7
|
Her pregnancy and delivery were uneventful; and her development was normal.
|
[] |
100184
| 8
|
All other family members were well and there was no family history of squint.
|
[] |
100184
| 9
|
Unaided visual acuity was 6/24 in the right eye and counting fingers (CF) in the left eye.
|
[
[
"6/24",
"acuity"
]
] |
100184
| 10
|
During refraction, her visual acuity improved to 6/9 and 6/60 in the right and left eyes respectively.
|
[
[
"6/9",
"acuity"
],
[
"6/60",
"acuity"
]
] |
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