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A 37-year-old Hispanic woman without a significant past medical history presented to our hospital with a one week history of shortness of breath, which had acutely worsened over the past few days. She stated that she required two pillows to breathe while lying down. She also stated that she could no longer work at her ... |
The patient was a 45-year-old woman with a history of non-insulin-dependent diabetes mellitus and lower extremity varicose veins. She presented with bilateral great saphenous vein (GSV) and anterolateral saphenous vein reflux with GSV varicosities and symptoms of venous insufficiency. She was initially started on a tri... |
A male patient aged 49 years with no previous medical history presented with neck pain from a foreign object. The patient was accidentally struck by a projectile from a nail gun on a construction site. The patient complained of pain along the left side of the neck and inability to swallow. On initial evaluation, patien... |
A 19-year-old Japanese woman underwent root canal treatment on tooth #47 by a general practitioner in 2005, but dull pain persisted after. Tooth #48, which was horizontally embedded, was extracted in August 2010, but the pain continued. In August 2015, she presented at the Department of Oral Surgery of another hospital... |
A 19-year-old female, with a history of two pregnancies, neither of which reached a gestational age of 24 weeks, a current viable intrauterine pregnancy at 32 weeks and past medical history of recently diagnosed unspecified psychosis, methamphetamine use disorder and history of multiple incarcerations, was brought in b... |
The patient was a 63-year-old right-handed Japanese man with normal psychomotor development. At age 56, unruptured cerebral aneurysms in the left anterior communicating artery, internal carotid-posterior communicating artery, and internal carotid-anterior choroidal artery were discovered. Neurosurgical clipping was don... |
Patient A is a 64 year old white female who presented with a large right breast mass. The mass had been present for at least 2 years, and the breast was swollen, streaked with grey and blue, and mildly tender. There was no personal or family history of breast cancer. Her past medical history was significant for a hyste... |
A 51-year-old Caucasian Greek woman had a routine liver ultrasound examination following a history of large-bowel polypectomies. Multiple hypoechoic liver lesions were found, the largest of which, on segment VI, measured 2.2 cm. The patient was asymptomatic, and her physical examination was unremarkable. Routine labora... |
A 59-year-old woman presented for evaluation of scalp alopecia. Her past medical history was significant for PT1cN1mi estrogen receptor (ER)+, progesterone receptor (PR)+, human epidermal growth factor receptor (HER)2+ g3 invasive ductal carcinoma of the right breast diagnosed 15 months earlier. She had been treated wi... |
A 64-year-old woman who had undergone surgical closure of a congenital ventricular septal defect at the age of 11 years was examined in our cardio center for long-term worsening exertional dyspnea. Echocardiography revealed a residual hemodynamically insignificant left-to-right shunt after the ventricular septal defect... |
A healthy 11-year-old girl was presented to the National University of Malaysia (UKM) Paediatric Dental Clinic with a referral for further management of pulp necrosis of an immature lower right second premolar (tooth 45), secondary to the fractured tubercle of dens evaginatus. Two weeks earlier, she had treatment at a ... |
A 43-year-old male sustained an extensive penetrating injury to his left frontotemporal and preauricular region—from a broken grass-cutting blade—with an incompressible pulsating lesion (). He was immediately transferred to a trauma center. His vital signs showed systolic blood pressure of 60–70 millimeters of mercury ... |
The patient is a 65-year-old female who was previously diagnosed with moderately differentiated, invasive adenocarcinoma after a right upper lobectomy in 2013. The tumor was positive for EGFR mutation, KRAS wild type, ALK negative, CK7 positive, CK20 negative, and TTF negative. At that time, no chemotherapy or radiatio... |
Our case is of a 25-year-old male patient who came into the clinic for a dental check-up of tooth number 21 (maxillary left central incisor), which presented a gradual colour change of the clinical crown with regard to the neighbor teeth over the past three years. Although this tooth was completely asymptomatic, the pa... |
A 75-year-old man was admitted to our hospital because of left chest pain and dyspnea. A chest X-ray showed a left pneumothorax (Fig. ), and a previous chest computed tomography (CT) scan revealed a subpleural pulmonary nodule with cavitation in the left upper lobe (Fig. ). The patient had been on prednisolone and meth... |
A 54-year-old man came to the private dental clinic with complaint of difficulty in mastication and esthetical concern for his upper anterior teeth. He was a nonsmoker and was diagnosed with IgG-kappa type MM in November 2011. In the physical examination, he was diagnosed with MM. Bony metastasis was present at the tim... |
A 74-year-old male presented in February 2016 with increasing dysphagia. There was no history of prior abdominal infection or surgery. On esophagogastroscopy, a necrotic and circumferential friable tumor was seen at 33 to 40 cm from the incisors, with an endoscopic appearance of involvement of gastroesophageal (GE) jun... |
A 14-year-old female patient presented to the emergency department with a sudden onset of left leg pain and oedema. She had a fever of 38 °C once a few days before. Physical evaluation revealed a swollen and painful left leg with reduced range of motion of the left hip and bumps palpated on the right tibia proximal met... |
A 63-year old female presented with weakness of her left leg. She had been treated in 2001 for a superficially spreading melanoma, Breslow depth 1.4 mm. Magnetic Resonance Imaging (MRI) of the brain revealed a metastasis in the right frontal lobe with signs of hemorrhage and several additional small cerebral metastases... |
A 70-year-old man with a history of smoking, hypertension, previous thyroidectomy, and kidney cancer with a single lung metastasis was referred to our institution for a voluminous saccular aneurysm of the aortic arch of 4.8 cm in diameter which was incidentally found during a computed tomography (CT) of the chest perfo... |
A 69-year-old Latino man was seen for urgent consultation in the outpatient Hepatology Clinic for evaluation of new onset jaundice and substantially elevated liver enzymes associated with nausea and extreme malaise that developed three weeks prior to presentation. The patient’s past medical history was notable for type... |
A 38-year-old mother with two previous normal pregnancies delivered vaginally a male neonate weighing 4500 g, at gestation age of 42w+5d with an Apgar score of 8 and 9 at 1st and 5th minute, respectively. The process of delivery was complicated by shoulder dystocia. Shortly after birth, the newborn developed progressiv... |
We present a case of a 70-year old Caucasian gentleman who underwent a living donor renal transplant 10 years ago following a diagnosis of glomerulonephritis aged 34. More recently, he had developed acute heart failure manifested by bilateral leg oedema, facial oedema and difficulty in breathing together with severe an... |
The patient is a 58-year old male who was being evaluated for inguinal hernia repair. His past medical history included CAD with prior stenting of the left circumflex artery, diabetes with a HbA1c of 5.7 and an 80-pack year smoking history. He reported a 37 kg unintentional weight loss over 6 months with postprandial a... |
A 68-year-old man was admitted to the Department of Neurology, Linyi People’s Hospital in 15 May of 2018 with mental and behavioral abnormalities, unstable walking, headaches, and erratic hand movements. Family members complained that over the past 2 months, the patient had been showing impulsiveness and irritability, ... |
A 21-year-old Japanese male presented at the outpatient department with sporadic nausea, abdominal discomfort, and worsening headache. Cysto-peritoneal (CP) and VP shunts were implanted 11 months after birth by another doctor for the treatment of hydrocephalus due to a suprasellar arachnoid cyst. His VP shunt had been ... |
A 60-year-old man with a history of asthma, benign prosthetic hypertrophy, and hyperlipidemia presented 1.5 years after an uncomplicated primary right TKA done by an outside surgeon. He had been complaining of 4 months of increased pain in his right knee. An aspiration had been attempted, yielding 1 mL of sanguinous fl... |
A 57-year-old male presented to the oral and maxillofacial surgery clinic at our institution with more than a 20-year history of a painless mass in the hard palate region. He elected to have the lesion evaluated due to its increase in size, although indolent. He reported no other symptoms.\nHis past medical history was... |
A 24-year-old Caucasian man presented with a several month history of muscle pain, fatigue and insidious onset of pitting edema to his lower extremities. His symptoms progressed to include bilateral arm swelling, muscle pain to the thenar eminence of both hands, and paresthesias to his hands. He did not have a rash, jo... |
A 35-year-old male presented to a regional urban hospital two days following an assault-related blunt traumatic injury. The evening before arrival at the emergency department, he noticed swelling around his chest and neck. It was worse the next morning, precipitating his presentation to hospital. On initial assessment,... |
A 14-year-old girl, accompanied by his father, presented to a university primary care clinic with a complaint of intolerable low back pain after two recent falls. On further history taking, she had been experiencing a chronic back pain for the last 2 years. She described her initial pain to be acute in onset, occurring... |
A previously healthy 6-year-old boy presented to a pediatric hospital with a 3-week history of torticollis. He had symptoms of an upper respiratory tract infection four weeks prior and had 2 days of documented fever at home during that time. He had been treated with a 7-day course of amoxicillin by the primary care phy... |
A 30-years-old woman was admitted to the emergency department with upper abdominal pain. The patient had been well until the day before, when she began to have pain in the epigastrium. A few hours before admission the pain, which was now localized to the upper right abdominal quadrant, became constant and severe. Anore... |
A 13-year-old boy reported to the Department of Pedodontics and Preventive dentistry with a chief complaint of sensitivity in the lower front teeth. Patient gave a history of trauma 3 years ago, following which he fractured his upper front tooth. There was no significant medical and/or drug history.\nExtraorally there ... |
A 62-year-old woman (Figure , II-3) was admitted to the hospital for recurrent partial headache with weakness of one side and aphasia for about 45 years. In her first attack, the patient suddenly experienced an aura with visual disturbances which she described as increasing scotomata in the bilateral visual field. Afte... |
A 54-year-old Japanese woman was diagnosed with right renal cell carcinoma, and she underwent right nephrectomy in the Department of Urologic Surgery at our hospital. The size of her tumor was 80mm. A diagnosis of T2N0M0 Stage II was made based on histopathological findings. The histological subtype of the renal cell c... |
A 13-year-old female of the Marshallese origin presented to the emergency department with complaints of nausea; nonbloody, nonbilious vomiting; and abdominal pain []. The patient denied any recent fevers, and no rash was reported. Review of systems was notable for the left ear drainage. Immunization status was unknown,... |
The proband is a 30-year-old woman. She was born after an uneventful pregnancy at full term. Her parents were nonconsanguineous. SD was diagnosed at 3 years of age on the basis of clinical symptoms and increased level of free sialic acid in the urine.\nThe patient's development during the first year of life was relativ... |
This was a case of a 70-year-old male patient who reported to our department with the complaint of rapidly growing painless swelling of the left side of lower jaw with difficulty in chewing, multiple mobile teeth over left side of both jaws and progressive loss of teeth for last 6 months []. He had the past history of ... |
A 23-year old Caucasian nonsmoking man with no past medical history presented to the ED of Kanta-Häme Central Hospital, Southern Finland, in October 2011 with bilateral numbness of the lower limbs. His walking had deteriorated over a period of 2 months. There was no history of recent trauma or infection, although the p... |
A 45-year-old female visited the hospital with a palpable mass on the medial aspect of her thigh. The mass was observed by the patient 3 months previously and the size was perceived to be rapidly increasing. Computed tomography of the site showed an 11 cm-sized well-circumscribed mass with heterogeneous intensity, calc... |
A 46-year-old, right-hand-dominant male presented with left ring and little fingers numbness and hand weakness that had been aggravated over the previous 4 months. He had chronic pain and progressive deformity of lateral elbow, and lost extension after one episode of elbow dislocation about 20 years ago. He was transfe... |
A 35-year-old African American female without significant past medical history presented to the orthopedic clinic for evaluation of a right knee mass measuring about 5 cm × 9 cm × 6 cm at distal thigh that had been growing in size over the past six months.\nA magnetic resonance imaging (MRI) of the knee showed a 5.6 cm... |
A 71-year old woman was admitted to the hospital in November 2018. The clinical examination showed no abnormalities. Biochemical parameters in blood showed normal values apart from slightly elevated gamma-glutamyl-transferase (GGT) (160 U/l, normal up to 40U/l). She never smoked and had no family history of lung or gas... |
A 41-year-old female presented with complaints of right arm claudication, weakness, and pain associated with serous drainage from a previous incision site to the right anterior chest. At age 16, this patient was involved in a motor vehicle accident, which resulted in a right innominate artery and brachiocephalic vein a... |
A 52-year-old female with end-stage renal disease on hemodialysis, hypertension, hyperlipidemia, coronary artery disease, heart failure with preserved ejection fraction, and insulin-dependent type 2 diabetes mellitus presented with 2 weeks of right upper extremity swelling. The swelling was attributed to right subclavi... |
An 88-year-old man (63 kg) had a past history of arrhythmia with severe cardiomyopathy and bilateral arthroplasties several years ago. A colonoscopy was performed and was followed a few days later by clinical signs of septic arthritis of the left knee. The patient did not have fever, but CRP was ~200 mg/L. Echocardiogr... |
A 33-year-old female presented at the outpatient clinic with painful diminution of vision in the left eye developing over a period of 10 days. The pain persisted beyond the onset of visual loss. The patient provided a background history of 5 similar attacks over the previous 5 years involv-ing a single eye but never bo... |
A 15 year old male patient presented with a chief complaint of swelling in the mandibular anterior region for 20 days. There was moderate swelling in the chin area, which was nontender and had firm consistency with ambiguous margins. There was no history of trauma and he also had no complaint of fluid, blood, or pus di... |
A 53-year-old man (height: 167 cm; weight: 48 kg) who presented difficulty in walking due to severe pain in his lower leg was brought to our hospital by an ambulance. The patient had a prior history of chronic kidney disease, arteriosclerosis obliterans, and insulin-dependent diabetes mellitus. Physical and laboratory ... |
A 16 years old female patient presented to us with inability to walk on both lower limbs since last 3 months. Earlier the patient was able to walk with a limp and would sway to either side while walking. Three months back patient experienced sudden onset pain in her right groin region while walking and the patient was ... |
A 34-year-old Malay, gravida 4, para 3, Rh-negative woman was referred from a private hospital at 13 weeks owing to accreta suspicion for further management. She had a history of three previous lower segment cesarean sections, and all operations were uneventful. At 5 weeks of pregnancy, she presented with per vaginal b... |
A 65-year-old female developed contralateral kidney metastasis 1 year after left radical nephrectomy for clear cell RCC. The patient was referred to our department in April 2018 and was in overall good health, with a Karnofsky Performance Status score of 100%. Her medical history included diabetes mellitus, arterial hy... |
A twenty-five-year-old female with unremarkable past medical history was brought to the emergency department due to progressive altered mental status. Per family report, the patient was in her usual state of health until one week before this admission when she started to experience abdominal pain and diarrhea. The pati... |
A male neonate was born at 25 + 6 weeks of gestation to 35 years old gravida 2, parity1 (G2P1) mother with antiphospholipid antibody syndrome. This was an in vitro fertilization (IVF) pregnancy. She was Rubella immune and negative for Hepatitis B surface antigen, Venereal disease research laboratory test (VDRL), Human ... |
A 49-year-old male without significant past medical history presented after noticing a small raised papule in the left groin in 2016 that he initially thought to be a spider bite. He stated that over the subsequent year, the lesion grew in size and became more red and foul smelling. He was seen in multiple walk-in clin... |
A 59-year-old European man crashed his car into a concrete dam (Fig. ). Bystanders attending to the accident found him in cardiac arrest and started cardiopulmonary resuscitation (CPR) immediately. Sufficient CPR efforts were continued until the emergency services had arrived. The first recorded heart rhythm was ventri... |
A seventeen-year-old girl was referred for subacute foot pain. In her past medical history, she presented with rhabdomyosarcoma of the left thoracic wall at the age of 8 months treated by surgery and chemotherapy. In her family medical history, her mother developed breast cancer and a leiomyosarcoma diagnosed at the ag... |
An 84-year-old postmenopausal white female (gravida 3, para 2) was referred to our urogynecology clinic for evaluation and treatment of a persistent rectal bulge () (). She had noticed this bulge for over 10 years and initially thought that it was a hemorrhoid. She had been evaluated by a colorectal surgeon 10 years pr... |
Two brothers presented to us, both with similar symptoms. Our first patient was an eight-year-old male who presented with an inability to stand or walk since the past two months, along with bilateral foot deformities. According to his father, the patient had developed a difficulty in walking and in climbing stairs, acc... |
An 18-year-old man presented to our movement disorder clinic with attacks of tonic posturing of the trunk, neck and upper extremities. The attacks lasted a few seconds and were often provoked by rising from a chair. During an attack autonomic features were present, including pallor, nausea and sweating. The patient tol... |
A 12-year-old boy was hospitalized with complaints of a headache and high fever accompanied by psychosis, delirium, and indistinct consciousness. He was diagnosed with limbic encephalitis, which is an autoimmune disorder characterized by inflammation of the limbic area in the brain. His symptoms became exacerbated, and... |
A-20-year-old man was referred to our outpatient clinic for a heart murmur that was detected while he was hospitalized for treatment of a left scapular fracture 1 month before presentation. No cyanosis was observed and the level of skin oxygen saturation in the limbs ranged from 97% to 98% under resting conditions. Apa... |
A 47-year-old Korean man visited our hospital for periodic health examination in October 2014. He had a history of immunoglobulin G nephropathy, and had undergone bilateral kidney transplantation 15 years ago. He had an intraductal papillary mucinous neoplasm of the pancreas, and underwent a distal pancreatectomy and s... |
We report the case of a 71-year-old woman who initially underwent outpatient MRI of the lumbar spine for an abnormal gait and sciatica when she was found to have an incidental, large pelvic mass (). Her past medical history included an appendectomy and ovarian cystectomy, osteoarthritis, and peripheral neuropathy. Foll... |
A 25-year-old Caucasian female presented to our care with a chronic history of regurgitation of previously ingested food. For the past 4 years, she regurgitated immediately in the postprandial period, occurring within 5 - 25 min after per oral (PO) intake and lasting up to 2 h. These acts of regurgitation were frequent... |
A 55-year-old woman was admitted to the department of otorhinolaryngology with a painless polypoid lesion located in the tongue (). Clinical history revealed that she had an unhealing lesion in the right lateral border of the tongue diagnosed with SCC and had been operated twice in 2000 and 2002. She had no metastatic ... |
A 46-year-old Asian woman was referred to our department for a renal angiogram following 8 months of uncontrolled hypertension despite receiving medications. Initially, the patient presented with severe headache and fatigue. She had no history of smoking or drinking alcohol, was not diabetic, and had no history of diab... |
The authors report a case of a 29-year-old Saudi woman who was G4T2P0A1L2 at 21 weeks of gestation. She was free from medical illness and she had had no previous surgical procedures. She is a housewife; she never smoked tobacco or drank alcohol, and she had no history of recent travel to endemic or pandemic areas. She ... |
A female infant was born by Caesarean section at a gestational age of 30 weeks and 5 days to a healthy 29-year-old mother. There were no abnormalities demonstrated on routine antenatal ultrasound scans. The birth weight was 1,545 g, and the Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. At 3 days of age, h... |
A 30-year-old Caucasian woman consulted for surgical correction of excess brachial skin and fat and breast ptosis. According to the Regnault’s classification, she presented a grade II ptosis when she had her arms along her body. She wanted her breasts to be enlarged but without implants. She had undergone bypass bariat... |
The patient is a 28-year-old male with prior history of a grade 3 astrocytoma, who presented to our emergency department (ED) after having a general tonic-clonic seizure (GTC). Initially, his disease was appreciated four years prior when he presented with a GTC and was found to have a grade 3 astrocytoma of the left oc... |
A 52-year-old female from a remote village in southern India, who is a known case of uncontrolled type 2 diabetes and hypothyroidism for the past 5 years, presented with a 1-year history of pain over her left shoulder and 2 months of increasing swelling of the same shoulder after a trivial fall. She had undergone an ar... |
A 75-year-old female presented acutely with a history of sudden onset paraesthesia and ischemic rest pain involving the left foot and ankle. Motor function was retained, capillary and superficial venous return were reduced, the foot was cold, and there were no palpable pedal pulses. The calf remained soft to palpate. T... |
An eight-year-old male patient presented to the pediatric department at Egas Moniz Dental Clinic, Almada Portugal for an emergency appointment 30 days after orofacial trauma. The patient had no significant medical history to report. In clinical evaluation, extraoral examination showed no facial asymmetry or swelling. I... |
A 16-year-old male with a history of synovial sarcoma of the right posteromedial knee undergoing induction chemotherapy presented with a one-day history of left upper quadrant abdominal pain and fever. Pain was not associated with eating, stooling, nausea, or vomiting and was only minimally relieved with oxycodone 5 mg... |
A 77-year-old man with a past medical history of type 2 diabetes, hypertension, and ESRD underwent deceased donor renal transplantation. Two months following his renal transplant, the patient was admitted for an acute kidney injury discovered on routine follow-up laboratory testing. From a baseline creatinine of 1.3 mg... |
A 55-year-old man was admitted with progressing dysphagia and dyspnea. He had been diagnosed with aortic arch aneurysm 4 years earlier. At that time, a computed tomography (CT) scan had demonstrated a huge aortic arch aneurysm with a maximal diameter of about 6.8 cm (). However, he had refused further treatment at the ... |
A 36-year-old male sustained fracture of first lumbar vertebral body with displacement of bony fragment and dislocation at T12/L1 vertebral body, fracture of left ribs (second to twelfth) and left scapula, sub-capsular splenic tear, and paraplegia at Thoracic 12 level in a road traffic accident in October 2001. He unde... |
Our patient was a 60-year-old woman who had undergone bilateral MG II (Zimmer) total knee arthroplasty for rheumatoid arthritis of the knee (Larsen grade IV) in our department 16 years earlier (). She had no other relevant medical history. Body weight was 45.8 kg, height 158 cm, and body mass index 18.3 kg/m2. Weight a... |
A 36-year-old man, originally from Latin America, presented at our outpatient department with complaints of abdominal pain that had persisted for 2 months. The patient had first noticed right lateral abdominal pain 2 months prior to the visit, and the pain was gradually worsening. The abdominal pain was localized in an... |
The patient was a 77-year-old female patient admitted for surgery for the chief complaint of an intraductal carcinoma in the left breast that was diagnosed at another hospital. Her height and weight was 150 cm and 68 kg, respectively. She had been diagnosed with hypertension 5 years earlier and was under medication. Th... |
A 71-year-old Caucasian woman was referred to our department in September 2013 because of the development of anaesthesia of the lower right lip and chin. This symptom was preceded by a sudden diffuse pain in the right mandible which lasted a few hours one month before the development of the neurological impairment. A d... |
A 68-year-old male patient with the height of 172 cm and the weight of 74 kg had been hospitalized in our hospital's dermatology ward for a month due to herpes zoster on his right scalp. He did not improve, so he was transferred to the pain clinic. He received lumbar 4/5 laminectomy and discectomy three months ago, and... |
A previously healthy 27-year-old, Sinhala ethnic woman in her first pregnancy which was complicated with pregnancy-induced hypertension, on oral nifedipine was admitted to a provincial hospital at 38 weeks of gestation. She had complained of lower abdominal pain and a blood pressure of 140/90 mmHg. She underwent an eme... |
The patient was a healthy, 42-year-old male [] who had suffered a roadside accident 2 h before and after initial examination and soft tissue management, he was referred to the conservative Dentistry PG Clinics of Dr. R. Ahmed Dental College and Hospital by Oral Surgery Department of the same college Clinical examinatio... |
A 4-year-old girl presented with intermittent abdominal pain, constipation and occasional chest pain for 6 weeks. Computed tomography (CT) scan of the abdomen and pelvis showed a right posterior mediastinal cystic structure that was incompletely visualised. The patient was referred to paediatric surgery and a contraste... |
The patient was a 48-year-old man with no significant medical history who presented with transient motor aphasia. On neurological examination, diplopia was noted on the right lateral gaze, which suggested partial left oculomotor nerve palsy, with no dysfunction of pupillary reflexes. Head magnetic resonance imaging (MR... |
Case 1- A 15-year-old female patient presented to our clinic in July 2016 with right ankle pain and walking disability. The patient had a history of ankle trauma in her childhood treated with a plaster cast. Her family stated that her ankle joint had a normal function and they did not see any deformities in her ankle b... |
A 55 year old gentleman underwent emergency ascending aortic replacement and aortic valve repair (valve resuspension) for a type A aortic dissection. He made an excellent recovery following this procedure and postoperative transthoracic echocardiogram (TTE) showed mild aortic valve regurgitation. A TTE repeated 4 weeks... |
A 61-year-old female with poorly controlled diabetes mellitus with severe bilateral PDR presented to the emergency department at Upstate University Medical Center. Initially, the patient presented to an outside emergency room with conjunctival injection, copious purulent discharge and associated painful vision loss to ... |
A 75-year-old male with a history of essential hypertension, hyperlipidemia, and newly diagnosed type 2 diabetes mellitus presented to the office with complaint of generalized fatigue and worsening neurological symptoms of 4 weeks’ duration, which he attributed to the new start of metformin for his diabetes mellitus. H... |
A 65-year-old Japanese woman, who was known to be infected with hepatitis C virus (HCV), underwent rectal resection for advanced rectal cancer, which represented serosal invasion and lymph node metastasis. In spite of HCV infection, the results of her liver function test were normal and she did not hope to receive anti... |
The patient is a 57-year-old male with a medical history of chronic obstructive pulmonary disease, congestive heart failure, hypertension, morbid obesity, and stage III breast cancer with the last chemotherapy completed three weeks before the index admission. He initially presented to our Emergency Department (ED) with... |
A 50-year-old female presented to an outside emergency department with pruritic urticarial rash on her face, which began 24 h prior to seeking medical attention. She had a past medical history for hypertension, hepatitis C and diabetes mellitus. At presentation, she was normotensive on daily doses of amlodipine 5 mg an... |
A 46-year-old asymptomatic man presented to our hospital for follow-up of an abnormal cardiac shadow found on chest X-ray during a medical check-up. He was found to have a benign tumor in the parapharyngeal space 6 years ago. The tumor had gradually grown in size and he felt pain around the back of his teeth and had di... |
In January 2020, a healthy 29-year-old man presented to the emergency department with severe pain of the left lower extremity after falling approximately 20 feet from a ladder. The patient had no significant medical, family, social, or surgical history. He was on no medications and had no known drug allergies. Radiogra... |
At the time of diagnosis this patient was a 9 year-old female with a one year history of pain and swelling about her left knee. She had experienced a fall and related all symptoms to the fall. She was seen in her local emergency room by her family physician; there was no diagnosis or treatment. Approximately one month ... |
A 54-year-old woman was admitted to the ENT outpatient clinic with tinnitus, humming, fullness, and hearing loss in her right ear. The patient did not have any problems with her right ear until an ache, followed by complaints like fullness, increasing hearing loss, tinnitus emerged abruptly. In the first clinical exami... |
One week prior to her first visit to our clinic, the 13-year-old Caucasian girl noticed muscle twitching in her right (dominate) hand or a fluttering sensation. The muscle twitching resolved itself spontaneously after one hour. On the following day immediately before taking an exam at school, she experienced a severe t... |
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