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A 65-year-old woman presented with a self-palpated small lump in the left breast. She already underwent three breast lumpectomies in another hospital for benign lesions; two of the left breast and one of the right breast. She did not take any medications and had no family history.\nClinical examination confirmed the pr...
A 26-year-old girl reported with the complaint of dripping of fluids from the nose, difficulty in chewing food, and unesthetic appearance due to multiple missing teeth []. The past medical history revealed an operated case of bilateral cleft lip and palate. Multiple surgical interventions were carried out in the past f...
A previously healthy 60-year-old male was referred to the outpatient clinic due to atrial fibrillation. The patient reported pain in the lower left leg for 3 weeks followed by right-sided chest pain and dyspnea for 2 weeks. Transthoracic echocardiography (TTE) revealed a dilated right atrium (RA) with a large longitudi...
Case #1 is a 3 years old term-born girl referred for persistent cough and dyspnea and intermittently required oxygen supplementation started one month before presentation, and chest CT performed 3 months after onset showed diffuse ground glass opacities and subpleural parenchymal micronodules. She is the second daughte...
A 47-year-old male with a history of ischemic cardiomyopathy received an ICD for spontaneous, hemodynamically unstable sustained Ventricular Flutter (VF). The ICD was a Medtronic Protecta VR with a quadripolar DF-4 single coil lead (model 6935M). The maximum shock energy output for this generator is 35 Joules (J). Intr...
A 64-year-old woman presented to our hospital with the chief complaint of a progressively enlarged mass in the left abdomen accompanied with flank pain, fatigue and weight loss for the last few months. Physical examination revealed a well-defined mass on the left abdomen. Routine blood tests showed that hemoglobin was ...
The patient, a 31 year old healthy male Caucasian, who was an anesthesiologist, from São Paulo in Brazil, identified symptoms like gingival recession, dentine hypersensitivity and mobility in teeth 31 and 41, greater than its original physiology, went to a general dental practitioner for dental health care. The profess...
A fourty-year-old man with DEB diagnosed at the age of eight was admitted to the department of gastroenterology because of the dysphagia for two previous months. The diagnosis of DEB was established due to the presence of single blisters on the whole body since the sixth month of life. His sister was also diagnosed wit...
A 19-year-old girl was presented with complaints of non-radiating localised pain in the epigastrium for four months, not associated with vomiting, fever or bowel habit irregularities. Her past medical history was insignificant except for a minor trauma to her upper abdomen three years back when she was evaluated for an...
Male patient, 29 year old, was accepted to the University Dental Clinic Center, St. Pantelejmon” in Skopje, at the Department for oral medicine and periodontology, with basically complaints of discomfort, a sense of burning pain that intensifies during eating. Patient complains on serious problems in maintaining everyd...
A 65-year-old male positive for hepatitis C virus antibody had been treated for HCCs in the liver segments 5, 6, 7, 8 in our hospital since October 2014. The patient was initially treated for the ruptured HCC in the segment 5 with TACE, while subsequent examinations detected other HCCs in segments 6, 7 and 8 which were...
Mr. SL is a 63-year-old entrepreneur who has been running his own business for about 30 years, achieving success and admiration from his peers. However, due to the economic crisis, he started facing financial difficulties and had problems in carrying out his business, paying salaries to his long-lasting employees, and ...
This case involves a 60-year-old male with a history significant for benign prostatic hyperplasia, hypertension, and insulin-dependent diabetes who presented in July 2017 with diabetic ketoacidosis and Fournier’s gangrene. The patient’s treatment course for Fournier’s gangrene subsequently consisted of multiple operati...
A 22-year-old male patient visited the King Khalid University Dental Clinic for the replacement of anterior missing teeth. He attributed the loss of teeth to road traffic accident 6 months back. He also complained of moderate pain and clicking in the left temporomandibular joint. Patient provided the history of admissi...
A 71-year-old man complained of a two week history of right-sided abdominal pain that started after he began his first round of chemotherapy with R-CHOP with pegfilgrastim for mantle cell lymphoma. He presented to the emergency department (ED) after he developed severe (9 out of 10) right lower quadrant abdominal pain,...
A 58-year-old male with KS, diagnosed at age 17, presented to our centre. Throughout adolescence and early adulthood, he identified as female; however, he later identified as male and used TRT periodically in adulthood for two to three decades. The patient tells us the dosing and frequency of TRT during this time perio...
A 36-year-old woman presented with a 5- year history of incidental and infrequent pain of the left buttock accompanied by radiating pain in the back of the thigh. She had previously been a saleswoman and now had mild obesity. Five years before presentation, she had begun to feel pain in the left buttock. The pain was t...
A 68-year-old male patient was transferred to our referral center for an abdominal ECF at the site of a mesh from a previous hernia repair. His past medical history includes coronary artery disease with coronary bypass surgery 12 years before the present events, a ventral hernia repair with mesh 22 years before the cur...
This patient was a generally healthy 62-year-old male with a left lobe complex nodule within a nontoxic multinodular goiter that had been enlarging for approximately 3 years. In 2015, the patient had a FNAB reported as benign, BC II. Because of continued growth, he had a second FNA biopsy approximately six months later...
A 35-year-old African American man with a past medical history of sickle cell disease presented to our hospital by transfer from an outside hospital. Clinicians at the outside hospital originally saw him when he had a 2-day history of fever with a maximum temperature of 103 °F. The patient also complained of worsening ...
A 46-year-old male with a history of chronic hepatitis C and injection drug use presented to the Emergency Department of our Hospital following a generalized tonic-clonic seizure without recovery of mental status. He also had a history of heavy alcohol intake with recurrent episodes of pancreatitis and occasional epile...
The patient in this case was a 39-year-old Japanese man with a history of RRP, who had presented with progressive hoarseness when he was 1 year old and was diagnosed with laryngeal papilloma by biopsy under general anesthesia 3 years later. Surgical excision and laser ablation were performed, but the papillomas immedia...
A 69-year-old male patient visited the hospital complaining of left sacral pain and radiating pain in the right lower extremities, which had occurred starting 5 years ago. There were no abnormalities in the past medical history of the patient, and the sacral pain had worsened during the last two years and it became mor...
A female in her early 70s was referred to our hospital for endoscopic treatment of a 15-mm laterally spreading tumor adjacent to the appendiceal orifice, which was detected incidentally during a screening colonoscopy. An ER of the lesion had been attempted at another hospital without success and only biopsy had been pe...
A 79-year-old woman, known case of hypertension, present to the emergency department of our hospital with acute onset of severe posterior neck pain, occipital headache and fever. The patient also had neck stiffness, vertigo, and vomiting. She was admitted to the medical ward and neurological consultation made suspected...
A 40-year-old woman (gravida 0, para 0, 153.8 cm, 66.9 kg) with placenta previa totalis and multiple myomas was admitted to our hospital at 36+6 weeks gestation for a cesarean delivery. She had no history of medical illness or trauma. Due to the possibility of massive bleeding during removal of the placenta, multidisci...
A 46-year-old man was referred to our clinic due to chief complaints of chin deviation to the right side. There were right posterior cross bite and dental midline deviation to the right side by 5 mm (Fig. ). In panorama radiograph, bony exophytic proliferation of the condyle was observed (Fig. ). With additional imagin...
A 69-year-old male patient presented at our clinic complaining of dysphagia from eating and multiple cutaneous nodules.\nOne year earlier, the patient underwent remnant gastrectomy for gastric stump cancer. Postoperatively, due to the patient’s resistance to chemotherapy, he did not return to the hospital for postopera...
A 19-year-old female was referred to our clinic for evaluation of primary amenorrhea and suspicion of MRKH syndrome. Pelvic examination revealed the absence of a vagina, and abdominal ultrasound showed a small midline pelvic structure consistent with a rudimentary uterus with no endometrial stripe and ovaries that appe...
A 49-year-old African American female patient first noted pain in her distal right thigh in April 2008, which was managed with narcotic medication until December 2009. The patient underwent bone debridement at an outside institution. Pathology from this initial surgery was inconclusive. The patient underwent bone debri...
A 48-year-old man with a history of a traumatic fall and subdural hematoma requiring evacuation 3 months prior presented to an outside hospital after an unwitnessed fall. At the time of presentation, he reportedly suffered three short (2 minute) cardiac arrests with return of spontaneous circulation, after which he rec...
A 58-year-old woman was admitted to the hospital on 15 August, 2003 with severe left loin pain, and hematuria. Abdominal ultrasonography revealed left loin mass. Subsequent computed tomography (CT) scan confirmed a left renal mass of 6×7 cm confined to the left kidney with no evidence of spread or vascular invasion. Th...
A 72-year-old male presented to his family doctor with a 3 week history of headache and dizziness. His medical history was unremarkable except for left-sided nephrectomy for clear cell renal cell cancer stage T2 N0 M0 8 years earlier. Diagnostic imaging with brain computed tomography (CT) scan followed by magnetic reso...
A 26 year old otherwise healthy, G1P0 female at 13 weeks gestation was admitted to medical intensive care unit after she experienced cardiac arrest at home. She had reported shortness of breath earlier that day and then collapsed. During initial paramedic evaluation, she was pulseless and found to be in pulse less elec...
A 61-year-old female with past medical history significant for type 2 diabetes mellitus, hypertension, and dyslipidemia and family history of breast cancer in her brother and maternal aunt presented to the emergency room for recurrent chest pain. She also reported fatigue for the past few months and was being evaluated...
Diana (a pseudonym) is a young woman of 25 years old that reached the Eating Disorders Centre, Division of Endocrine and Metabolic Diseases, San Luca Hospital in Milan, following a dramatic weight loss. Diana reached the Centre with a BMI of 16.06 kg/m2 reporting several disruptions in her eating patterns and several d...
A 31-year-old young woman, hailing from a village in Odisha, came to Delhi for better treatment. During her pregnancy, she developed bleeding per rectum. She got herself evaluated 2 months after child delivery and was diagnosed to have rectal carcinoma (locally extensive disease) with pelvic and para-aortic lymphadenop...
A 19-month-old female child presented to the hospital with complaints of constipation since 6 months of age and difficulty in passing urine for last 6 months. Parents had noticed lower abdominal fullness for last 1 year. The child was born out of non-consanguineous marriage between young parents at full term by an unco...
Our patient was a 27-year-old African American female, G4P3003, with an intrauterine pregnancy at 38 weeks 2 days, who presented for an elective fourth repeat CS. She was morbidly obese, weighed 316 kilograms, and was 170 cm tall (BMI: 109 kg/m2). Her additional medical history included obstructive sleep apnea (OSA) no...
A 55-year-old woman with no notable medical and family history was referred to our department by her general practitioner following the appearance of multiple lesions of the oral mucosa. The intraoral clinical examination revealed poor oral hygiene, hypersialorrhea, and extensive mucosal damage affecting the entire ora...
An 11 year old boy was admitted to our department in January 2012 because of polyarthritis, hepatopathy and Raynaud syndrome. The symptoms first appeared one year before admission when parents noted white fingers on both hands. In September 2011, eight months after the first symptom, the main complaint was fatigue and ...
A 66-year-old male with a history of hypertension, diabetes mellitus, and hepatitis B (carrier) was admitted to the intensive care unit (ICU) with an acute ST-segment elevation myocardial infarction (STEMI). Immediate echocardiography revealed severe aortic valve stenosis, including a valve area of 1.2 cm2, moderate ao...
A 36-year-old healthy male patient reported to the oral and maxillofacial surgery outpatient clinic at the College of Dentistry and Dental University Hospital, King Saud University, in October 2012. The patient sought medical attention for a slow-growing, painless swelling in the right preauricular region. History reve...
A 45-year-old Italian-American male with a body mass index (BMI) of 35 and a past medical history of type 2 diabetes mellitus, hypertension, and hyperlipidemia presented to our medical center. In August 2015, he was treated with antibiotics and steroids after a nasal septal surgery. He had been abstaining from alcohol ...
A 35-year-old African American man was initially sent to our emergency room to evaluate a possible head trauma after a witnessed fall. He complained of frequent falls and leg weakness for 3–4 months. The weakness appeared to be progressive and persistent without episodic worsening. He had to use a cane to compensate bu...
A 70-year-old man with a history of long-standing reflux, symptomatic GERD, histologic evidence of BE without dysplasia and a large hiatal hernia, was referred to our department for further management. After a Collis-Nissen surgical treatment, the endoscopic followup, over a 3-year period, revealed unchanged histologic...
A 43-year-old male patient sustained an open comminuted fracture of the right tibial plateau from a traffic accident. The fracture treated at another institution required multiple surgeries including external fixation, irrigation and debridements, and posterior open reduction and internal fixation. Due to soft-tissue c...
Patient BC is a 61-year-old female with a past medical history of diabetes mellitus and hyperlipidemia who initially presented to the emergency room in June 2015 for periods of confusion and memory problems over the prior few weeks. Upon further questioning, the patient also reported having intermittent, diffuse headac...
A 32-year old female patient came to the emergency room with the chief complaints of right side LBP, buttock pain, and lower leg pain, which began two days before the visit and became worsened on the day of the visit. The patient was without any particular trauma history and mentioned that the symptom started after she...
A 27-year-old man came to our attention due to a traumatic cervical injury during work, caused by a falling hayrick. On arrival, the neurological examination revealed paraplegia and diparesis, with deltoid and biceps muscle strength maintained bilaterally, and anaesthesia of the C6 dermatome. He had no medical history ...
A 46-year-old man consulted his doctor in September 2003 due to depression. He had then experienced symptoms for a few years that had aggravated during the last six to eight months. Using the Montgomery-Åsberg Depression Rate Scale (MADRS) the patient scored 24 points and was diagnosed as having a clinical depression. ...
A systemically healthy 21-year-old male patient reported to the Department of Periodontology and Implantology with chief complaint of missing teeth in maxillary anterior region of jaw. Intraoral examination revealed missing 11 and 21. After clinical and radiographic evaluation replacement of missing teeth by one stage ...
A 2-month-old boy was admitted to our hospital due to persistent feeding difficulties, poor weight gain and weak crying for 2 mo.\nThe patient was the second child of his mother and was born via spontaneous vaginal delivery. The gestational age was 34 wk. Apgar score was 10 points. There were no abnormalities in the pl...
A 56-year-old male construction worker presented to the emergency department with a two-week history of low back pain followed by left shoulder decreased range of motion and left wrist and ankle pain, in addition to associated fever and chills for two days. One week prior to his presentation, the patient sought medical...
A 6-year-old male patient complaining about a growing, painful swelling over the right parotid and submandibular area, was referred to our department for proper evaluation and management. This longitudinal mass had been noticed approximately one year ago. It remained rather small and stable until two months prior to ev...
The patient was a 30-year-old female, with a past history of a traffic accident, which resulted in tetraplegia and autonomic dysreflexia as sequelae of trauma to the neck region. Since the accident, the patient had experienced repeated attacks of severe renal colic and urinary tract infections. These attacks were assoc...
A 52-year-old Japanese man with lower abdominal pain underwent lower endoscopy, revealing a type 2 lesion with the entire circumference raised in the rectosigmoid colon. He was diagnosed with rectosigmoid colon cancer and underwent endoscopic stent placement as a bridge to surgery for large bowel obstruction. He was fo...
A 38-year-old female with no significant past medical history, was admitted to Zhejiang Provincial People’s Hospital due to the sudden onset of behavioral disturbance, speech problems and psychiatric symptoms one week previously. The patient was unable to answer simple questions and responded to all questions with mean...
A 10-year-old girl was referred to our pediatric orthopedic department for treatment with RF ablation of an osteoid osteoma of the right knee. Her past medical history was a 6-month duration of severe pain, localized on the right knee, exacerbating during the night, making her unable to sleep. She was a normally develo...
A 72-year-old man with chronic alcohol abuse and hypertension, and who had been a smoker, had had past surgical interventions for atherosclerotic vascular disease (bilateral iliofemoral bypass and abdominal aortic aneurysm repair). In April 2001, the patient presented with severe chest pain due to a descending thoracic...
Our patient was a 32-year-old previously healthy female at the 39th week of gestation who accessed the first aim department of a primary healthcare centre of a peripheral hospital for severe dyspnoea and chest pain. Her past medical history did not present other hospitalizations for the same symptoms. Due to the clinic...
This is a case of a 74-year-old male presented to our hospital with a one-week history of pain underneath the right jaw before and during meals. A week earlier, he had developed a sudden onset of swelling and pain underneath the right jaw associated with eating and the anticipation of eating. He did not have any consti...
The patient is a 16-year-old girl with Edwards syndrome which was diagnosed clinically at birth. The diagnosis was confirmed again by karyotyping seven years later.\nThe child was born to a 30-year-old, P3+0 mother at 37 weeks of gestation after an uneventful pregnancy and good maternal antenatal care. On antenatal sca...
An 85-year-old woman presented to the emergency department with complaints of acute-onset abdominal pain. She reported a 1-day history of epigastric pain that radiated to the right upper quadrant and right flank. It was associated with anorexia, nausea, and emesis. She denied fever, chills, change in bowels, or any oth...
The patient is a 28-year-old man with a history of major depressive disorder, hepatitis C, biliary colic (status postcomplicated cholecystectomy), multiple concussions, and chronic back pain who presented to the emergency department with abdominal pain clinically concerning for acute appendicitis. He localized his pain...
A female patient, 34 years old at the time of the first visit, was referred to us to correct her gingival esthetic problem caused by the formation of gingival/mucosal overgrowths. Gingival outgrowths localized in the second, third, and fourth quadrants, corresponding to the position of premolars and canine roots, were ...
This study discusses the case of an 86-year-old man who was admitted to hospital for a three-week history of increased blurring of vision, vertigo on head movement and worsening cognition. On admission, his Montreal Cognitive Assessment score was 13/30 which was abnormal for him, as there was no previous history of sig...
A previously healthy, 4 week old, Caucasian boy was brought to the emergency department by his mother because he had accidentally been given the mothers’ dose of citalopram. Instead of the vitamin D drops she intended to give him, she accidentally switched bottles of the citalopram and vitamin D. These bottles are simi...
A 62-year-old male from Tennessee with a past medical history of janus kinase 2 (JAK2) positive essential thrombocytosis diagnosed in 2014, hypertension, hyperlipidemia, and major depressive disorder presented to the emergency department (ED) with acute encephalopathy. Due to initial encephalopathy, information regardi...
A 17-year-old adolescent nulligravid girl whose last menstrual period was four days back referred with the diagnosis of low lying myoma after being transfused with four units of blood. She presented to the Gynecology Outpatient Department on 22 July 2018, with history of irregular vaginal bleeding of 2-year duration.\n...
The patient was a 56-year-old woman with recurrent abdominal pain as the main complaint and who had been on maintenance hemodialysis of ESRF for 26 years. She had the operations of total arch replacement 8 years ago and a Bentall 7 years ago for acute Stanford type A aortic dissection. Although dissections still remain...
A 10-year-old spayed female Russian Blue cat weighing 3.6 kg was presented with a 3-month history of excessive otic discharge and scratching at the right ear. There were no other signs of generalized pruritus or cutaneous lesions. Eight years prior, the cat was treated for over-grooming of the abdomen due to Demodex ga...
The 8-year-old boy first presented in January 2012, having been referred by the family dentist, to the Department of Orthodontics at the Medical Center of the University of Göttingen for a routine orthodontic control and evaluation of treatment need (). The clinical examination of the asymptomatic patient showed no ext...
A 7-year-old Japanese boy presented to a nearby clinic owing to an increasing mass and pain in his left ankle for 6 months. He experienced a sprain of his left ankle several months before the onset of his symptoms. Gradually increasing pain hindered him from walking long distances and exercising. He was diagnosed as ha...
A 52 year old female was emergently transferred from an outside hospital for higher level of care for suspected thrombotic thrombocytopenic purpura (TTP). Her past medical history is significant for Stage 3 estrogen receptor positive/progesterone receptor positive/HER2-neu negative left breast infiltrating lobular carc...
A 33-year-old man was admitted to our hospital on December 21th, 2009 with recurrent dyskinesia episodes. He had not had any problems during the perinatal period, but after his first birthday, his limbs had twisted intermittently. Symptoms occurred on either the right or left side limbs, starting from the leg to the ar...
A 73-year-old Asian woman with an underlying anxiety disorder, functional headache, and hypertension was prescribed escitalopram and lorazepam when she presented with progressively worsening headaches to her primary care doctor. Her symptoms did not improve with the medications, and she was unable to eat well and requi...
In this case, 66 year old woman patient visited the clinic complaining of discomfort of the dentures.\nShe had undergone a heart valve surgery twice in 1968 and 1998 and was under warfarin medication. Following problem lists were detected. The mandibular anterior teeth showed extremely short clinical crown length. The ...
A 23-year-old Hindu female, married for 5 years, living with her husband, a 4-year-old son, and a 20-weeks-old daughter, and in-laws in a joint family, belonging to the middle socioeconomic strata, came to psychiatry OPD with complaints of having thoughts which were extremely distressing to her. The thoughts were of he...
A 39-year-old male was transferred to our university hospital from a rural general hospital with generalized tonic-clonic seizures. The patient presented high fever, severe headache, and purulent nasal secretions over the last three days but his vital parameters were normal. Apart from his statement that he was a tobac...
A 16-year-old high-school dropout, unmarried girl belonging to a joint family of lower socioeconomic status from rural background was referred from the Department of Surgery for the evaluation of her problem of recurrent spontaneous release of glass pieces from her body parts (upper and lower limbs) for the past 1 year...
Our case describes a 77-year-old, African American male with a past medical history of diabetes mellitus type II, combined systolic and diastolic congestive heart failure (CHF) with biventricular implanted cardioverter defibrillator, atrial fibrillation, hypertension, chronic kidney disease stage II, and hypothyroidism...
Our patient was a 68-year-old Australian Caucasian man who had a right above-the-knee amputation following a motorcycle accident in 1959, when he was 19 years of age. He initially perceived a painless phantom that dissipated soon after amputation. He did not have painful neuromata, but experienced paroxysmal shock-like...
A 66-year-old male patient arrived at the emergency room of Kangwon National University Hospital. He was rescued after being jammed between an excavator basket and a wall with some stacked material for 5 minutes. When the patient arrived, the vital signs were stable except the respiratory rate: blood pressure 121/71 mm...
A 67-year-old man with a body mass index of 45.3 kg/m2 presented with a large recurrent ventral hernia. He had undergone laparoscopic IPOM repair 2 years back at a peripheral centre and subsequently developed a mesh infection for which he underwent a laparotomy and mesh removal in the postoperative period. When he pres...
A 43-year-old man with history of prior myocardial infarction presented to our hospital with chest pain and shortness of breath; 8 months previously, the patient had been treated at the local hospital for ST segment elevation myocardial infarction with acute high lateral wall injury. He was treated with thrombolytic th...
We report the case of a 38-year-old white male with a history of DVT and PE nine years ago, who presented to the clinic with discoloration and pain of bilateral feet and lower extremity digits. The patient reported that his symptoms began with tingling in the toes and later numbness. A week after his initial symptoms h...
The patient was 24 years-old male, born in Maua, Sao Paulo, Brazil. He was the eighth child of a 32 year-old woman, who had two miscarriages, did not do prenatal care and smoked during pregnancy. His parents were not consanguineous and he was delivered through vaginal delivery without perinatal complications, and born ...
A 71-year-old woman with a history of hypertension, hyperlipemia, and angina was admitted to our Department of Neurology for tinnitus in the head. On physical examination, bilateral hearing impairment was found. The cerebral magnetic resonance imaging (MRI) detected signal changes consisted with multiple cerebral infar...
A 21-year-old male patient was referred to our outpatient department with a chief complaint of several missing teeth. Dental history revealed no evidence of extensive extractions; however, past dental records were not available for verification. The patient's medical history revealed that he was born of a full-term pre...
Patient II, female, 48 years old, presented with a tumor. On May 29, 2014, abdominal CT showed multiple space-occupying lesions in the pelvis, with the largest measuring 7.7×7.4×6.9 cm3 and elevated CA125 level of 1,191 U/mL. On June 3, 2014, the patient underwent cytoreductive surgery (total abdominal hysterectomy + b...
A 31-year-old fit and well female referred to the vascular clinic with a swelling in the genital area for 3 years. The swelling was asymptomatic; however, lately, it increased in size and she started to have discomfort with prolonged standing. She is a mother of two boys, 5 and 7 years old, born with spontaneous vagina...
A male, 52-year-old patient visited the Instituto Nacional de Cancerología (INC) in Bogotá, Colombia, because of the development of a mass in the back region. There had been progressive growth and multiple drainage attempts due to a suspected abscess at various referral sites without relief. He was given non-oncologica...
We present the case of a large concealed paravaginal haematoma as a cause of severe postpartum haemorrhage.\nA 30-year-old primiparous woman presented at 40 weeks and 1 day of gestation in early labour. Her pregnancy was complicated by the diagnosis of a small for gestational age baby (abdominal circumference 5th perce...
A 17-year-old boy presented with an insidious onset of illness since birth. The patient was born at 9 months by emergency cesarean section in view of meconium-stained liquor and fetal distress. He cried after 5–10min at birth after tactile stimulation. His birth weight was 3kg; after 24h of birth, he had recurrent epis...
A 76-year-old woman was admitted to our hospital for the treatment of a right common iliac artery aneurysm. The patient had been previously diagnosed with a right-sided aortic arch with ALSA originating from KD. On physical examination, we found that her blood pressure was 112/60 mmHg in both arms, and her heart rate w...
The 33-year-old Caucasian female was first admitted to our hospital in 2003. At that time, the patient had a history of two spontaneous abortions followed by amenorrhea and galactorrhea, and also a history of migratory arthralgia of the large joints. She suffered from nonspecific symptoms including lower back pain acco...
A 63-year-old right handed man was admitted because of memory impairment. His past medical history included hypertension and angina of ten years duration, for which he had been placed on regular antihypertensive medication. The patient denied a history of diabetes mellitus, episodes of stroke, or neuropsychological sym...
A 60-year-old woman with CP since 2012 was referred for TPIAT. The patient suffered from chronic abdominal pain that limited her daily functioning and quality of life (QOL). She was diagnosed with CP based on increased lipase levels more than three times the upper limits of normal correlating with episodes of abdominal...
An eleven-year-old male child presented with complaints of headache for the past 6 months. Patient also had recurrent vomiting of 1 month duration. He also complained of numbness over the right side of face. On examination, patient was conscious and oriented. Sensory loss was present over right V2, V3 distribution of t...