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This is a case of a 68-year-old female presented to the clinic for a 2-month history of recurrent left ankle pain, associated with swelling and edema. The patient had a history of thyroid follicular adenocarcinoma which was treated surgically with total thyroidectomy and postoperative iodine treatment 25 years prior to... |
A 57-year old male carpenter sustained an injury in an occupational accident in the carpenter’s warehouse. He was struck very hard in the face, in the region of his left cheek by an irregular-shaped wood fragment which looked like a big splinter (measuring about 26 cm in length, and with the greatest cross-sectional di... |
The patient is a 72-year-old Japanese male who was suffering from rupture of an abdominal aortic aneurysm. He underwent immediate repair of the endovascular aneurysm. An intra-abdominal hemorrhage was seen on his abdominal CT the next day. Laparotomy was performed again to remove the hemorrhage and arrest the bleeding.... |
A 47-year-old female, P4, who resided at Ado in Karu, FCT, presented to a private clinic in Abuja on the 7th of January, 2018 with vomiting, fever, sub-acute and progressive dizziness of about 8 hours duration which later progressed to generalized body weakness, dysphagia and odynophagia, dysarthria, left partial ptosi... |
A 1 year 3 month old Chinese male child was referred to our pediatric department for pain and swelling on his left side of face for past 2 weeks. In the past two weeks, the baby was suffering from a gradually severe soft tissues swelling on his left face. Two days before admission to our hospital, the pain and tenderne... |
In January 2014, a 55-year-old Caucasian woman was admitted to our Emergency Unit with paroxysmal malignant hypertension accompanied by headache, vertigo, tachycardia, lacrimation, nausea and altered mental status. Her medical history included a caesarean section (1984), an abdominal surgery due to mechanical ileus, a ... |
A 19 year old male patient weighing 61 kg who had been admitted with 50 cc of paraquat ingestion in an attempt to suicide, was brought to the poisoning emergency department of the Khorshid Hospital in Isfahan on September 16, 2018, about 2 hours after repeated nausea and vomiting. Glasgow Coma scale, and vital signs we... |
A 12 year-old girl presented to KIST Medical College Teaching Hospital in 2011 with complaints of painless lymph node swelling in bilateral neck and axillae for three years, along with a history of weight loss, generalized weakness, and fever. However, there was no history of joint pain, skin rash, edema, hematuria, or... |
A 7-year-old Syrian boy with war-related burn injury was referred to our hospital for reconstructive surgery for burn scars and contractures on his face, neck, and body. A consultation with anesthesia department was held by plastic and reconstructive surgery clinic for the preanesthesia evaluation. Patient was consciou... |
A 13-year-old boy was referred to the pediatric oncology clinic with a rapidly enlarging mass in left elbow for the past three months. Physical examination was unremarkable except for the mass in left elbow with extension to the arm and upper forearm causing complete limitation of the joint motion. The overlying skin h... |
A 13-year-old boy was referred to our department for orthodontic consultation with respect to the failure eruption of some upper teeth. His facial profile was straight and no facial asymmetry was observed. The medical history was normal and traumatic history was not reported. There were no associated syndromes. No othe... |
A 37-year-old Japanese man was admitted to our hospital due to multiple brain metastases. He was aware of coughing 6 months previously and had a headache 3 weeks ago, so he visited our hospital. Brain magnetic resonance imaging (MRI) revealed multiple brain tumors in the bilateral cerebellum and cerebrum (Fig. ). Chest... |
A 70-year-old Sri Lankan Tamil male with a history of well-controlled type 2 diabetes mellitus and a goitre of 30 years presented with a painful enlargement of goitre on the left side for one month. He had progressively worsening difficulty in breathing with intermittent dysphagia for solids. He did not have any sympto... |
A 64-year-old male patient was brought to the surgical OPD of JSS Medical College, Mysore, Karnataka, on the 29th of February, 2013, with the complaints of fever and a painful blackish lesion on the right lower abdomen. Patient was a diabetic, on dietary modification, under glycemic control. He was also a known case of... |
A 21-year-old woman was consulted in February 2015 for bleeding gingival enlargement evolving for 12 months. She complained of esthetics, discomfort, and difficulties of plaque control. According to medical history, the patient had received a kidney transplantation 2 years earlier (2013). She has been administrating a ... |
A 53-year-old, right-hand-dominant housewife presented to our institution with insidious onset of painless stiffness of the upper extremity joints for a period of 3 years on a background of paraesthesia and weakness in the left upper limb for a period of 6 years. There was an increase in joint stiffness, weakness and p... |
The patient is a 13-years-old female from the Rif rural region of Morocco with a history of a non-consanguineous marriage and without any drug or disease history; she was hypotrophic and was exclusively breastfed for 6 months. Food diversification started after that with boiled vegetables, the rest was introduced start... |
Our patient was a 40-year-old right-handed woman with a previous history of recurrent deep vein thrombosis (DVT), reportedly related to oral contraceptive use and not managed medically. Otherwise, her past medical history was unremarkable for stroke risk factors. She awoke one morning complaining of dizziness and short... |
A 42-year-old Caucasian male with ALS was admitted to the hospital with complaints of progressive swallowing and speech difficulties. Three years ago, this patient was diagnosed with limb-onset ALS and presented with other symptoms typical of ALS, including dysphagia, dysarthria, difficulty with coordination, and muscl... |
A male patient aged 5-year-and-1-month was referred for genetic evaluation of development and speech delay, intellectual disabilities at the genetic counselling clinic in Shenzhen Maternal and Child Healthcare Hospital. The parents described that an affected brother also presented the same clinical phenotype but was no... |
We present the case of a 71-year-old woman referred to our outpatients department with an actively draining fistula on her right shoulder.\nHer present history goes back to nearly 18 months prior to presentation when she underwent an arthroscopic rotator cuff repair with anchor suture of the supraspinatus muscle, at an... |
A 39-year-old male patient with poorly controlled diabetes mellitus presented with acute onset of severe vertigo, ataxia of all limbs, dysarthria, and dysphagia with step-wise deterioration over 9 days. On presentation 12 days after symptom onset, he was noted to have slurring dysarthria, right hemianopia, right Horner... |
A 47-year-old white man who was a farmer and hailing from Liang Yuan Park, Shang Qiu City, Henan, China, sought the services of the First affiliated hospital of Zhengzhou University in the Department of Orthopedics, with a complaint of 5-month-old history of pain and swelling in his right knee.\nThe patient reported th... |
The patient is a 20 year old female tennis player who presented with a complaint of worsening of her chronic foot pain. She stated that she had a condition with a “funny name” affecting her right foot that began around age thirteen. The condition caused pain in the top of her foot that worsened when she participated in... |
A 64-year-old man who had no symptoms was diagnosed with thoracic superficial esophageal cancer that was detected by screening upper endoscopy. He had a history of hypertension. He had also been found to have a vascular abnormality (DAA) as an adult and was observed in an asymptomatic state.\nPhysical examinations show... |
A 5-year-old girl developed a sudden reduction in her vision and had deep ocular pain in her right eye. She visited a private eye clinic on the following day. She had no noteworthy medical and family histories. Her decimal visual acuity (VA) was 0.7 OD and 1.2 OS with a relative afferent pupillary defect in the right e... |
A 55-year-old Indian woman reported to the hospital with complaints of dysphagia for solid foods for more than one year which had progressively increased in severity. At presentation, she had also developed difficulty in swallowing liquids and had a history of regurgitation of food after meals. There was no history of ... |
A 58-year-old male presented with decreased vision in his left eye, without redness or floaters, which had persisted for three days. His medical history detailed a diagnosis of nephrotic syndrome (membranous nephropathy), which had been treated with prednisone for a period of four months. Drug-induced diabetes was subs... |
A 44-year-old Nigerian female was admitted with a large, symptomatic abdominal mass. She was para 0, gravida 0 and in 2011 underwent open myomectomy through a lower midline abdominal incision for large, symptomatic fibroids. She also had a background of pulmonary tuberculosis (TB) which was treated in 1995, iron-defici... |
A 34-year-old woman with a history of urachal carcinoma was referred to our department (Department of Liver and General Surgery) in January 2015 in order to surgically treat a disease relapse presenting with a liver metastasis. The patient was an otherwise healthy woman. The first symptoms of the disease occurred in De... |
A 27 year-old man visited our outpatient clinic in the Department of Psychiatry, Hanyang University Guri Hospital in Gyeonggi Province, Korea, complaining of fear of using public restrooms and worrying about others watching him urinate. This fear had begun 10 years earlier when he was a sophomore in high school; since ... |
The patient is a 32-year-old G4P2012 admitted at 23 6/7 weeks of gestation for fetal tachycardia. The fetal heart rate was noted to be persistently between 180 and 190 beats per minute, which is shown in . Fetal ECHO revealed a structurally normal heart, with an isolated pericardial effusion which is demonstrated in . ... |
A 10-week-old 9.6 kg sexually intact, female, golden retriever puppy was purposefully bred and born via cesarean section with ten other littermates (seven females and three males). The female dog in question had two smaller than anatomically normal slit-like anal openings with haired skin coursing between the two disti... |
A twenty nine year old white British female, who was a keen runner and currently in training for a half-marathon, presented to a General Practice (GP)/family physician clinic in primary care reporting a two to three year history of left medial thigh and knee pain. There was no obvious precipitating injury or trauma. Th... |
A 50-year-old male patient presented with complaints of gradually progressive loss of vision in his right eye over 3 months. There was no history of fever, headache, vomiting, seizure, loss of consciousness, photophobia, and weakness of body. On examination, the patient was alert, orientated, and afebrile. There was no... |
A 38-year-old Japanese woman with a previous history of urticaria caused by an unknown allergen presented to a hospital in 2015 with nasal obstruction that had persisted for 1 month after symptoms of the common cold (e.g., low-grade fever, sore throat, and fatigue). An inspection of the nasal cavity with a soft fibersc... |
A 49-year-old woman presented with a 3-month history of repeated ptosis of both eyelids and oral ulcers and erosions. Physical examinations revealed scattered ulcers and erosions in the mouth (Fig. ). Laboratory examinations showed that CA 125 was elevated (51.6 U/ml), while other tumor markers, including CA199, 153, C... |
A 27-year-old Pakistani, Asian man, a medical student, with no previous comorbidities and no past history of tobacco smoking and alcohol intake, presented with 3 months’ history of frequent bouts of lower respiratory tract infections associated with exertional dyspnea, arthralgias, gradual weight loss, low grade fever,... |
A 48-year-old, para 5, postmenopausal black African woman who was human immunodeficiency virus (HIV)-negative presented to our casualty department with a 5-year history of progressive abdominal swelling. Five years prior to presenting, which was 1 year before she reached menopause, she had noticed that her abdomen was ... |
A 55-year-old female patient presented in the Department of Oral and Maxillofacial Surgery, Punjab Government Dental College and Hospital, Amritsar complaining of swelling in the back region of right cheek. The history dates back to 4 months when patient felt a small, asymptomatic swelling in back region of right cheek... |
A 21-year-old Middle Eastern woman, primigravida, was referred due to a suspected abnormality found in the fetal chest on the antenatal ultrasound. She was otherwise a healthy woman without any significant pregnancy-related medical issues. She and her husband are not consanguineous. No significant family history on the... |
A 7-year-old female was diagnosed as pneumonia in a local hospital for having wet cough for twenty days without improvement in her condition. Her chest X-ray revealed dextrocardia and she was then transferred to our hospital. The patient had a history of a runny nose for 6 years and intermittent attacks of wet cough fo... |
A 63-year old woman presented with fever, night sweating, weight loss and generalized lymphadenopathy since 9 months. She had a history of hypertension and hypothyroidism on treatment. The patient had no history of a hematologic illness and no family history of any hematologic disease. The patient had been investigated... |
A 54-year-old woman visited our clinic for recurrent upper respiratory infection. Three years ago, she had a dry cough for weeks, and a chest radiograph showed tiny lung nodules. Although a follow-up chest radiograph was recommended, she did not return. Her new chest radiograph showed multiple lung nodules occurring at... |
A 37-year-old Japanese man was admitted to our hospital due to multiple brain metastases. He was aware of coughing 6 months previously and had a headache 3 weeks ago, so he visited our hospital. Brain magnetic resonance imaging (MRI) revealed multiple brain tumors in the bilateral cerebellum and cerebrum (Fig. ). Chest... |
A 65-year-old Japanese woman was referred by her local dentist to our hospital for retrieval of a fragment of Peeso reamer that had broken during a root canal enlargement and that was embedded in the canal of her right mandibular first premolar, extending beyond the apex (tooth number 44). As it was not possible to rem... |
A 46-year-old man also reported exercise/activity-related pain and fatigue from early childhood. As patient 1, he was always considered to be “a lazy child”. He was not able to run and physical activities such as walking or swimming were challenging. As a child he reported trying to build a good relationship with his p... |
An 11-year-old male was referred to us for increasing frequency of seizures, occurring multiple times daily, despite several antiepileptic medications. His clinical picture was further complicated by constant, debilitating headaches, generalized fatigue, and significant cognitive delay. Surveillance magnetic resonance ... |
A 62-year-old female with a history of hypertension, hyperlipidemia, and cerebrovascular accident was followed at another institution for several years with a gradually enlarging falcotentorial lesion. The patient presented to our emergency room with intensifying occipital headaches that were throbbing and pressurized ... |
A 42-year-old smoker female patient came to the Dental School complaining of facial pain and a poor appearance of her teeth. Based in a visual analogue scale (VAS), the patient classified herself as having level 7 of orofacial pain. In addition, patient reported to suck lemon and eat spicy food daily. During clinical e... |
A 29-year-old male was involved in a motorcycle collision. He was immediately brought to a level-one trauma center for advanced trauma workup. Examination showed no gross deformity to the extremities or pelvis and no significant ecchymosis or edema of the pelvic region. Immediate assessment revealed no obvious concern ... |
A 33-year-old woman presented with a 2-month history of mild pain in the lower left posterior jaw. She had no history of surgery or trauma to the mandible. Panoramic radiography at another hospital showed a large hypointense lesion with an irregular edge in the lower left posterior jaw, and examination of a biopsy spec... |
The patient was an 8-year-old girl of two healthy parents. She has short stature of 105 cm height and weight of 40 kg. She has normal intellectual abilities. Her physical examination showed that her height was under average, with bent lower limbs (genu varum), limited mobility and dislocation of the joints at both knee... |
A 53-year-old female presented to University Hospital Aintree Accident and Emergency Department with pain and swelling around the right eye having suffered a traumatic injury 2 days previously. The patient tripped and fell while holding a drinking glass, resulting in said glass shattering upon contact with the face.\nH... |
A 35-year-old man was injured 11 hours before being admitted to our ward when his car crashed into a roadside ditch. The patient was transported to the hospital by ambulance and was in a deep coma with endotracheal intubation. The Glasgow Coma Scale score was 5/15 points. Just below the left eyebrow, a hard strip of fo... |
A 37-year-old male with a past medical history significant for a seizure disorder and antiepileptic medication noncompliance presented to the emergency department (ED) complaining of an inability to void urine for three days. Per patient history, there was one episode of a breakthrough seizure two weeks prior to the pr... |
We present here the case of a 58-year-old postmenopausal Caucasian woman with metastatic malignant melanoma of unknown origin of the right breast. The patient came to our emergency department in December 2014 after noticing a lump in her right breast. Upon physical examination, a well-circumscribed mass of 2 cm was con... |
The patient was a 30-year-old Japanese woman with a history of FA. The initial diagnosis of FA was made at 4 years old because of presence of anemia and malformation. She received HSCT from a full-matched unrelated donor at the age of 13 years. The conditioning regimen included cyclophosphamide (10 mg/kg × 4 days), ant... |
A 28 year-old-man presented with progressive pain and swelling on the left thigh for 2 weeks prior to admission associated with intermittent fever. This pain started off as a deep boring pain associated with rest pain and night pain. It progressively got worst till he was unable to bear weight on the affected limb and ... |
A 38-year-old Japanese man was referred to the Department of Oral and Maxillofacial Surgery at Kobe City Medical Center General Hospital with chief complaints of dull pain and swelling in the right masseteric region and paresthesia of his lower lip and mental region in March 2018. He had no medical history and was not ... |
A 56-year-old woman developed double vision and Hashimoto thyroiditis 3 months before admission to our department. Within 2 months she developed severe dysphagia, dysarthria and proximal arm muscle weakness and was diagnosed with MuSK-antibody positive MG. She was treated with pyridostigmine (510 mg per day) and oral s... |
Our patient is a 56-years-old female referred to our hospital after 12 years of symptoms and conservative treatment in the northeast of the country. She complained of progressive drop of the head with incapability to extend neck or to look forward, and denied any serious trauma history or previous diseases. Previous me... |
An 84-year-old man accidentally fell at home and was admitted to our hospital. The patient was hospitalized with several problems such as multiple metastases of prostate cancer, chronic heart failure, emphysema, impaired renal function, and biliary stent placement due to idiopathic biliary stenosis. While no fracture w... |
A 33-year-old man was referred to the eye clinic with a chief complaint of progressively decreasing vision in his right eye. The patient reported that he first noted the change in vision 3 months previously, without any other remarkable features. He also reported that when he moved his right eye, he felt a sense of dis... |
A 22-year-old male patient, a labour worker by occupation, had presented to our outpatient department with a diagnosis of concomitant nonunion of the shaft and neck of the left femur of eight months duration. On the basis of history and previous records, it was known that the patient had sustained an open grade IIIA fr... |
A 46-year-old healthy female patient was evaluated at our institution for a perirectal mass of unknown etiology. Her past medical history was unremarkable. The patient reported a perineal mass in the standing position. Her only other symptom consisted of mild occasional dysuria. Rectal and vaginal examinations were nor... |
A 60-year-old African-American male with a past medical history of a stab wound to the abdomen, post laparotomy years ago, presented to the emergency department with abdominal pain and distention for seven weeks. The pain was characterized as continuous, involving all quadrants, nagging, nonradiating, 7/10 in intensity... |
A 23-year-old female arranged for a telephone consultation with a primary care facility in the northeast of England with the primary complaint of vertigo. Her dizziness was intermittent, and she described it as a feeling of “the world spinning around her.” This developed gradually over the course of four days prior to ... |
A 60-year old man was admitted to the hospital after falling off an electric scooter. He fell on outstretched hands and knees and did not sustain a head injury. He immediately noticed loss of sensation in all four limbs and the abdomen.\nOn admission to the emergency department, he did not have motor or sensory (light ... |
A 27-year-old man with more than 1-year history of a subcutaneous tumor in his left cheek consulted the Department of Plastic Reconstructive Surgery at our hospital. His past medical history and family history were unremarkable. Physical examination revealed an elastic hard tumor in the subcutis of his left cheek. The ... |
A 70-year-old man was emergently referred to the Cardiac Surgery Department due to a confirmed diagnosis of acute IE. The patient had a previous clinical history of arterial hypertension and atrial fibrillation. He had two previous cardiac surgery procedures. He underwent, 10 years ago, a full aortic root replacement w... |
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 ... |
When Sara arrived for the first session of therapy, she was 62 years old, she was divorced, a mother of four adult children, and lived with her mother. She had been taking medication for depression and anxiety for the previous 10 years, with pauses defined by her when she felt she did not need it or that the medication... |
A 56-year-old male presented with a chief complaint of “my lower teeth are crocked.” His dental history included multiple restorations, fixed prosthetic, and root canal treatments.\nClinical examination revealed complete lip competency with small chin and no mentalis muscle strain. His profile was convex and on smiling... |
A 67-year old female with acute respiratory failure due to severe AS was referred for consideration of TAVI. She underwent ventricular septal defect repair at the age of 10. At the age of 57 she presented with progressive breathlessness secondary to severe mitral regurgitation and underwent a mitral valve replacement w... |
A 6-year-old boy, with no history of previous illness or trauma, referred to our center complaining of a sudden-onset headache without any accompanying symptoms including seizure, loss of consciousness, weakness, or visual disturbance. Upon physical examination, his vital signs were stable, and the patient was fully co... |
A 29-year-old woman with systemic lupus erythematosus (SLE) diagnosed at age 12 years with severe idiopathic thrombocytopaenic purpura (ITP), presented acutely while visiting her baby in the Neonatal Intensive Care Unit with sudden onset chest pain and shortness of breath. Her SLE was complicated by spontaneous deep ve... |
A 33-year-old Caucasian male of Greek origin sustained a work accident. He fell from a height of 2 meters and landed on his right side. On admission he was conscious and well orientated with normal vital signs. His right shoulder and arm were painful, swollen and deformed. Clinical examination revealed a closed and neu... |
A 69-year-old man with upper abdominal pain was referred to our hospital in August 2006 by a local physician. Upper gastrointestinal endoscopy revealed a Borrmann type II-like tumor in the posterior wall of the lower part of the stomach (). The biopsy specimen revealed well-differentiated adenocarcinoma, and immunohist... |
A 40-year-old previously healthy woman underwent a curative resection of the medical compartment of the right thigh for a malignant spindle cell tumour. Due to clear resection margins and absence of any metastatic deposits in imaging, she was not given any adjuvant therapy. She was followed up for 5 years, and she was ... |
A 45-year-old female presented to hospital with abdominal pain of 1-week duration (Day 7) following perforation and peritonitis secondary to a perforated prepyloric gastric ulcer on Day 1 on the antrum of the stomach whilst on holiday in the European Union.\nThis initial operation had been performed with a laparoscopic... |
A 43-year-old woman attended our hospital because of a mass in her left breast. She had undergone breast augmentation by implants 4 years before at a cosmetic surgery clinic. There were operative scars in her bilateral axilla.\nPhysical examination demonstrated a 15 mm hard mass located at the 10 o’clock position in th... |
A 10 year old white girl with severe (class 3: BMI ≥140% of the 95th percentile for age and sex) obesity and otherwise normal development presented to the Pediatric Weight Management Clinic with her mother. The mother reported that the patient had been at the 75th percentile for height and weight for most of the patien... |
A 20-year-old female patient reported to our institute with a swelling on the zygomatic area on the right side of the face. The swelling was noticed 10 years ago, which remained asymptomatic and had gradually increased to the present size of 6 cm in diameter causing asymmetry of the face []. Another bony hard swelling ... |
A 34-year-old Ethiopian male liver transplant donor, weighing 103 kg, presented to our pain clinic, 1 week following surgery (liver transplant donation) with severe pain and swelling in right arm, associated with weakness in right upper limb. The intensity of pain was 10 on a 10 point visual analogue scale with the lea... |
A 28-year-old female patient (K.) was admitted to N. N. Blokhin National Medical Research Center of Oncology in June 2016 after being referred from another hospital for further diagnosis and being treated for multiple renal cell tumors. Patient K. gave informed consent to undergo diagnostic procedures and treatment, as... |
A 67-year-old female presented to our clinic with subtle vague pain in the right premolar region of the mandible, severely mobile adjacent teeth and paresthesia of the right lower lip and chin. The symptoms were perceived about 3–4 weeks previously.\nThe patient smoked not less than 20 cigarettes/day and her medical hi... |
The patient is a 69-year-old woman. She was infected with pneumonia at the age of three and had a high fever for a long period. After the fever abated, she became aware of hearing loss. Because she lived in a mountain village, she rarely visited medical facilities. Since then, she had never worn a hearing aid, had gone... |
An 83-year-old male, who weighed 67 kg and was 170 cm tall, presented to our hospital in the spring of 2012 with a non-ST elevation myocardial infarction and congestive heart failure. He was referred for coronary artery bypass grafting (CABG) by the interventional cardiology after an angiogram demonstrated coronary dis... |
A 56-year-old African American woman presented to our emergency center reporting that for approximately one year she had noticed a 'tangerine'-sized mass that extruded from her vagina approximately one to two times per week. This occurred sporadically and initially the mass was easily reducible. Prior to the mass comin... |
A 36-year-old lady presented with redness and decreased vision in right eye for 6 months. She was earlier diagnosed of a cavitary lung lesion, presumed secondary to tuberculosis and treated with anti-tubercular treatment for 4 months. At presentation, vision was nil light perception in the affected right eye. The left ... |
A 21-year-old female patient presented in 2002 with vague symptoms of dentinal hypersensitivity and with a significant dissatisfaction with the aesthetics due to the gingival recession of the tooth 2.1 (left maxillary central incisor) and for the appearance of the surrounding gingival tissues. The patient reported that... |
A morbidly obese 66yr old white female with history of hypertension, diabetes, ischemic cardiomyopathy eventually leading to cardiac transplantation 11 years earlier and end stage dialysis-dependent renal disease, required admission to Intensive care unit for worsening respiratory failure and hypotension. She had forme... |
The patient is a 59-year-old male with a large partially cystic right medial frontal glioblastoma multiforme (GBM) who presented to an outside hospital with 1-month progressive altered mental status, syncope, and difficulty ambulating. By the time he presented to our care, he was noted to have limited functional mobili... |
The patient was a 57-year-old man with a 26 year history of complete T8 paraplegia. He suffered a T7, 8 burst fracture in a motor vehicle accident. At that time, he was treated at another institution. In 2010, 26 years after the injury, the patient presented to our institution because of a crunching noise inside his ba... |
A 78-year-old woman was involved in a motor vehicle collision while traveling approximately six weeks before presenting to our institution. She initially had high cervical neck pain at the time of the event but no other neurologic symptoms. She was brought to a local trauma center at the time of the event, and a comput... |
A 30-year-old female was referred to the urology clinic for severe lower urinary tract symptoms (LUTS) in addition to suspicion of a urethral mass. Her symptoms started two years earlier after the indwelling urethral catheter was removed following her Caesarian section. She noticed that a vestibular mass protruded at t... |
A 32-year-old male with a history of insulin-dependent diabetes mellitus (IDDM) since 19 years of age presented with uncontrolled blood sugars and pedal oedema. He was detected to have diabetic nephropathy for the previous 2 years when he presented with frothing of urine. His glycosylated haemoglobin A1c was 11.8%, and... |
A 33-year-old woman, gravida 2 para 0, was referred to our fetal medicine department for a suspected hydatidiform mole coexistent with a live fetus at 24 weeks’ gestation. Her first pregnancy was a miscarriage around 5 weeks’ gestation conceived by in vitro fertilization (IVF) a year ago. She had no family history of t... |
An 82-year-old man with no symptoms visited our hospital for routine postoperative follow-up examinations after esophagectomy for esophageal cancer. At the age of 70, he had undergone thoracic esophagectomy trans right thoracic approach with gastric tube reconstruction via the antethoracic route. The follow-up upper ga... |
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