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A 67-year-old woman with known hypertension, otherwise healthy, was admitted to our hospital for acute chest pain. A suspicion of myocardial infarction was not confirmed, and computed tomography (CT) showed a type A aortic dissection with a large intramural haematoma in the ascending aorta. Surgical repair was performe... |
A 76 year old woman presented with a 12 month history of hypoglycaemia symptoms. The patient underwent a series of tests including measurement of overnight fasting plasma glucose, measurement of plasma levels of glucose; insulin; and c-peptide during a hypoglycaemic episode, measurement of urinary sulphonylurea, and ra... |
Herein, we present two patients, brother and sister, 10 and 12 years old, respectively, with a HMSN type I, that underwent talectomy due to untreated severe rigid PEV.\nBoth patients were born from normal pregnancies. In the female patient birth was performed by vacuum extraction and pneumonia was diagnosed on the tent... |
In 2013, a 36 year-old Japanese man was diagnosed with chronic hepatitis B based on the elevated levels of liver enzyme and the positive hepatitis B surface antigen (HBsAg) at a local clinic during follow-up for flu-like symptoms. He was referred to the hepatology division, in a general hospital for further assessment ... |
A 30-year-old Caucasian woman was followed by a pneumologist due to an insidious dyspnea on exertion and even when resting. She had been a smoker for 18 years (30 pack-years) and had her first child at the age of 20 as a vaginal delivery. There was no history of any chronic medication intake or any prior drug or food a... |
A 52-year-old farmer was referred to us 7 hours after he had met with a high-velocity road traffic accident. He was resuscitated as per the ATLS protocol at the hospital where he was initially treated and when he arrived at the casualty department of our hospital, he was conscious and all his vital parameters were with... |
A 33-year-old male forestry worker sustained an injury to his right knee. While he was climbing a steep hill, a rolling log hit the anterior aspect of the extended knee at the level of the tibial tubercle with a posteroinferiorly directed force. At this time, his right lower leg was pulled down and extended forcibly by... |
A 56-year-old male patient was referred to our hospital after being diagnosed with thoracic esophageal cancer. Upper gastrointestinal endoscopy revealed a 9-cm, type 2 tumor in the middle thoracic esophagus. Histological examination of biopsy specimens confirmed squamous cell carcinoma. Computed tomography (CT) of the ... |
A 40-year-old Caucasian man was referred to our unit in November 2004 with a nodule measuring 15 mm in the inferior lobe of the right lung and multiple enlarged right mediastinal lymph nodes measuring up to 45 mm, identified by performing a periodic surveillance contrast-enhanced computerized tomography (CECT) scan 6 y... |
A 25-year-old gravida 1 para 0 woman at 35.6 weeks of pregnancy who weighed 57 kilograms was admitted to our hospital because of irregular uterine contractions. The patient had been buried for 48 hours in the ruins after an earthquake. She had undergone more than 30 surgical procedures within the previous 6 years. Her ... |
A 13-day-old male Holstein calf presented with a horn-like mass in the left and rostral maxillary gingiva (Fig. ). The calf had good weight gain, and showed normal eating and drinking behavior, although a small amount of hemorrhage was found near the top of the mass during eating. Respiratory signs including cough, and... |
A 28-year-old female was presented with a 7-month history of tickling sensation, felt deep inside the muscles of right upper limb. The symptoms started slowly over a period of 1 month and progressed gradually. The arm and the forearm were affected in equal magnitude. The sensations appeared during night and were associ... |
The patient was a 12-year-old male who had his first seizure attack at the age of 10, and had four types of epileptic seizures. The first type of seizure was tonic axial seizures characterized by flexion of the neck and body and the extension of four extremities for several seconds. The tonic seizures could last severa... |
The patient is a 28-year-old female with history of drug abuse previously on suboxone 5 months prior and migraine headaches who overdosed on intravenous recreational drugs. She has a family history of bipolar disorder in a paternal aunt but had no psychiatric disorders herself.\nWhile out of state, the patient was init... |
A 28-year-old woman, gravida 3 para 1, had a medical termination of a miscarriage at seven weeks, with no dilation and curettage, in 2008. In 2015, a baby was delivered by caesarean section in the breech position, weighing 3900 g. She had no significant past medical history, and her antenatal care had been uneventful. ... |
A 37-year-old female presented to the Center for Temporomandibular Disorders and Orofacial Pain, with a chief complaint of limitation of mouth opening and pain on the left side of the face of 1-month duration. The onset was sudden. The patient described the pain in the area of the left cheek and in front of the ear, so... |
An 87-year-old woman was referred to our hospital in poor general condition (Eastern Cooperative Oncology Group performance status 3) with dyschezia and loss of appetite for the past week. A colonoscopy confirmed an obstructive descending colon cancer that could not be penetrated by the colonoscope (Fig. a), and comput... |
Patient B is a 34-year-old woman, a full sister of Patient A. After Patient A received the diagnosis of 16p11DS, a genetic assessment was suggested for Patient B too, as she shares some peculiar constitutional traits with her brother, such as obesity. The array CGH analysis confirmed the presence of the same microdelet... |
A 68 year old caucasian female with a pancreatic cystic neoplasm diagnosed on ultrasonography (US) presented at our Institute in December 2013. Her past medical history was silent. No abuse of ethanol or smoking was reported. The patient reported upper abdominal discomfort for 2 months; nausea, vomiting or weight loss ... |
A 53-year-old male presented to the hospital with shortness of breath. His past medical history was significant for poor baseline functional status, obesity hypoventilation syndrome, and obstructive sleep apnea on bilevel positive airway pressure ventilation nightly and with naps, chronic obstructive pulmonary disease ... |
We present the case of a 45-year-old Caucasian man suffering from psoriasis for more than 20 years at the time of the first visit. No relevant comorbidities were found at history collection, apart from benign prostatic hyperplasia, for which he is treated with tamsulosine. He was initially diagnosed and followed-up by ... |
An asymptomatic 58 year-old woman was referred to this institution for a liver mass detected by abdominal ultrasonography (US) during a routine examination. The US showed a hypoechoic mass with calcifications and multiple non-homogeneous areas in the right hepatic lobe. Her past medical history was unremarkable. The me... |
A 67-year-old man was admitted to the hospital with a slowly enlarging right cheek mass for 12 years. At first, the mass was about the size of a peanut without any discomfort; the mass grew slowly and began to change in size over 2 mo before he was admitted to our hospital. Over time, the patient felt mild local pain a... |
The patient was a 35-year-old male presented to the ER with right craniofacial trauma due to an occupational injury caused by falling of a plastic pipe on his head. He was awake and aware at the time of arrival. The initial assessment revealed a GCS level of 14. Signs of traumatic injuries in the right side of his face... |
A 67-year-old female presented with three months of hoarseness and dysphagia following an upper respiratory infection. Her past medical history included invasive ductal carcinoma of the breast (ER positive, PR negative, and HER2 negative) treated by mastectomy two years prior to presentation. On clinical examination, s... |
Our patient is an 88-year-old Asian woman who had difficulty in urinating for more than 6 months and the syndrome was aggravated for 1 month. At the same time, urination was accompanied by lower abdominal pain. Urine could be discharged when she forced it to. She had no symptoms concerning urinary frequency and urgency... |
A 35-year-old male patient was admitted with a chief complaint of hypoesthesia in the right leg lasting for 1 month. At first, the progress of the hypoesthesia was only monitored, as the symptoms were mild and there was no discomfort reported. One week later, the hypoesthesia progressed to a degree that the patient was... |
A 16-month-old boy presented with growth retardation and hypotonia. He was the second child who was born to non-consanguineous Chinese couple. His elder sister developed normally. He had an uncle and a cousin on his mother's side. His parents claimed that their relatives had no similar medical history.\nThis child was ... |
A 69-year-old man was referred for treatment of a massive infected tumor situated in the left lumbar region, 12 months after left nephrectomy for squamous cell carcinoma of the kidney. On clinical examination the mass was located on the lobotomy scar and measured 15 cm ().\nThe abdomino-pelvic CT scan showed a mass in ... |
A 54-year-old male presented with recurrent pain and swelling of the right knee with a protracted disease course (≥10 years). He had no other medical history and denied a family history of inherited diseases. He relieved the pain mainly through oral painkillers (specific unknown) and hot compress but did not received s... |
Our patient was 30 weeks and 3 days male infant born to a 23-year-old gravida 2 para 1 mother. He was delivered by Cesarean section, due to placental abruption following pPROM. Four days prior to delivery, the mother presented to the labor and delivery unit with premature rupture of membranes. She was initially given b... |
A 54-year-old previous fit and well male patient was brought to the emergency department with a 2-h history of central chest pain. He was immediately transferred to the coronary care unit and had a series of investigations including routine blood tests with cardiac enzymes and serial cardiac enzymes. Blood tests on adm... |
A 30-year-old primigravid nulliparous woman underwent infertility screening at 8 months prior to consultation at a previous hospital. The patient tested positive for chlamydia IgA, antibody and consequently received clarithromycin therapy; hysterosalpingography subsequently indicated a diagnosis of impaired left fallop... |
A 13-year-old Caucasian female was referred by a general dental practitioner (GDP) for the management of noncarious tooth surface loss of permanent maxillary anterior teeth. The patient did not complain of any pain or hypersensitivity and was asymptomatic.\nHis medical history revealed that the patient was diagnosed wi... |
A 16-year-old, Sinhala ethnic Sri Lankan woman in her first pregnancy, was admitted with severe preeclampsia at 29 weeks of gestation. She has made her booking visit at ninth week of gestation and all the booking investigations were normal except for the platelet count which was 112,000 per liter. During her pregnancy,... |
A 62-year-old woman presented with a chief complaint of lower abdominal pain and urinary retention. Her relevant past medical history included three pregnancies and deliveries, and a hysterectomy and removal of ovaries, bilaterally, due to endometriosis at the age of 32 years, with subsequent menopause. Lower abdominal... |
An 11-year-old previously healthy girl with no medications or allergies had complicated eruption of the left maxillary canine tooth 23 and first premolar 24. A panoramic tomography showed a large resorption of the mesial side of the root of 24 (). There was no previous history of trauma to the area. Clinically, margina... |
A three and a half year old boy was referred to Pediatric Infectious Disease clinic with a history of asthma, environmental allergies, multiple lung infections, long bone fractures, and hand-foot-mouth disease, for evaluation of recurrent skin abscesses and bullae. By the time of evaluation in Pediatric Infectious Dise... |
A 65-year-old Asian woman was admitted with exertional dyspnea. She had a medical history of hypertension, hyperlipidemia, and coronary artery disease that had required transcatheter intervention. Her family history also included coronary artery disease. Her social history was unremarkable with respect to environmental... |
An 18-year-old female patient presented with pain in the right parotid region for the past 30 days prior to admission and swelling over the same side for the past 15 days. Pain was dull in nature and was gradually increasing along with the swelling, compelling the patient unable to open her mouth. Swelling persisted, i... |
A 32-year-old Caucasian woman was diagnosed with breast cancer and treated with radiation and mastectomy with immediate flap reconstruction and implant 1 year before the presentation of this case report. One month following the mastectomy, a pericardial effusion was identified during an out-patient thoracentesis for ra... |
A 27-year-old female visited our emergency room (ER) with intermittent abdominal pain and nausea. Her last bowel movement was 2 days before visiting. She had no notable past medical history, including no abdominal operation or growth abnormalities. On her physical examination, she was tachycardic, with a pulse of 136 b... |
An 88-year-old Causasian woman presented with a large mass at the left prescapular region that had progressed in size over several months. Two years prior, she had undergone surgical excision of a SCC at the same site but resection margins were inadequate. She refused further treatment, was lost to follow-up and has be... |
The patient was an 87-year-old man who had regularly visited another hospital for management of benign prostatic hyperplasia. His medical history included hypertension. In November 2013, a rectal mass was incidentally identified. Colonoscopy showed a large submucosal tumor at the lower rectum (Fig. ). Pathological find... |
A 13-year-old girl presented to the surgical casualty ward with a large wound on the anterior aspect of her right leg, which was associated with pain and swelling of one week duration. The leg was swollen, tender and erythematous at the upper margin of the knee. A large wound was noted over the anterior tibial border, ... |
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... |
A 32-year-old, 79 kg woman (gravida: 2, parity: 2) was admitted to our hospital for anterior groin, lower-back, and hip pain associated with leg movements and difficulty in walking. She had delivered an infant weighing about 3500 g 4 days previously in a different hospital. The delivery occurred at 38 gestational weeks... |
A 70-year-old African American male was seen in the emergency department for acute anxiety and paranoia. He reported that his son gave him melatonin to help him sleep, but he felt the medication was poisonous. He also reported that he was struggling with the death of his partner of 40 years and was feeling anxious. The... |
A 25-year-old white male smoker patient was admitted to our hospital due to fever and right lower quadrant abdominal pain. Six years previously he suffered from perianal fistulas and underwent perianal surgery including drainage and fistulectomy. Two years later CD of the terminal ileum was diagnosed with an upper gast... |
A 28-year-old Caucasian male (80 kg, 178 cm) was admitted to the emergency room with acute urinary retention and lower abdominal pain. The patient had consumed 1 l of wine and several beers within the last few hours. Otherwise, he was in a good general condition and had not complained about any urinary symptoms beforeh... |
A 72-year-old man had undergone subtotal esophagectomy with GT reconstruction via the posterior mediastinal route for thoracic esophageal cancer. Pathological diagnosis of the resected esophageal cancer revealed a poorly differentiated squamous cell carcinoma with invasion of the adventitia that was diagnosed as pT3N1M... |
A 47-year-old patient with an enormous uterine leiomyoma reaching beyond the navel and up to the costal arch was admitted. During the 14 years since its detection, because of the patient's extreme fear of an abdominal incision, the myoma was merely monitored and all suggested laparotomies thus far had been refused. At ... |
A 50-year-old male underwent emergency treatment for acute psychosis (delusions and hallucinations) in a psychiatric hospital and received haloperidol. The patient experienced the following side effects in the post hospital phase: acute dystonia, parkinsonism, dysarthria, and akathisia. The medication therapy was chang... |
A 59-year-old male was admitted to the medical intensive care unit (ICU) for acute respiratory failure. He complained of 4 weeks of progressive dyspnea, skin changes on his hands consistent with Gottron’s papules, and 30-lb weight loss. His medical history was significant only for hypertension, which was managed with a... |
A 33-year-old Asian Indian female was brought by her mother to the psychiatric outpatient services. Her medical complaint includes diffuse headache, abnormal behavior, reduced sleep, jerky movements in the left lower limb, decreased appetite, paranoid behavior, and auditory hallucinations. Her paranoid behavior started... |
A 41-year-old female patient was admitted to the emergency department with shortness of breath, blunt chest pain, and fatigue. In examination of the respiratory system, there were no breath sounds in the right middle and lower zones. Abdominal distension, umbilical hernia, and edema of the lower limbs were present. She... |
In September 2011, a 38-year-old man was admitted in urgency regimen to our department because of a moderate left flank pain starting 6 h before hospital admission. The patient also presented vomiting and diffuse abdominal tenderness. Minor discomfort had been present in the left flank for a few days. The patient had a... |
The patient was an 18-year-old Chinese American female being evaluated in the Adoption Medicine Clinic (AMC) at the University of Minnesota. She had been adopted at age 3 years from China. Prior to adoption, she had lived in an orphanage after being relinquished by her biological parents at the age of 5 months. Her pre... |
In February 2019, a 10-year-old Caucasian boy presented one day after trauma during ice skating and sustained a complicated crown fracture of tooth 11 and complicated crown-root fracture of tooth 21. The fragment of tooth 11 was found immediately after the traumatic dental injury and was stored in mineral water. The pa... |
A 63-year-old man, who had had ankylosing spondylitis, was involved in a motor vehicle accident that caused a C6 burst fracture and incomplete spinal cord injury. He presented with marked left paraparesis, particularly weak in his left shoulder and arm. Also, he had had Type 2 diabetes and was wearing a neck collar for... |
In August of 2015, a 26-year-old G1P0 Chinese woman at 34-weeks gestation with no notable past medical history presented to a hospital in Edinburgh, Scotland with a 3-hour history of sudden onset numbness and decreased muscle strength of bilateral lower limbs, as well as urinary incontinence. Abdominal CT and MRI revea... |
In June 1986, a 28-year old man sustained hemopneumothorax due to 3rd-6th costal fractures and brachial plexus injury in the left side during a motor cycle accident. He was referred to our clinic 2 months after initial trauma due to there has been no spontaneous recovery of the upper limb function. Upon physical examin... |
A 77-year-old female accidentally noticed a progressively enlarging lump in her right abdominal wall one year earlier and she didn't receive any treatment. Loose stools appeared for the past half year without any obvious weight loss. A month previously, the patient suffered from shortness of breath after physical activ... |
A 70-year-old man presented to his primary physician with dysphagia that progressed to upper chest and back-pressure. The patient underwent imaging, and a large anterior mediastinal mass was detected on computed tomography (CT). The mass was biopsied, and the patient was subsequently referred for further work-up. Patho... |
A 50-year-old Caucasian female visited the regional dental office due to uncertain pain in the right mandibular region. No significant diseases were mentioned in the anamnesis. The patient was diagnosed with gingivitis, and treated with a non-steroid anti-inflammatory drug and oral rinsing with chlorhexidine. The condi... |
An 80-year-old male patient was admitted to the emergency medical center of our hospital based on a complaint of myalgia and abdominal pain. According to the patient and his daughter, the patient had no known comorbidities, including psychiatric disorders, immune deficiency or trauma-related problems. The patient was h... |
A 25-year-old female white collar came to our observation at the outpatient facility of the Psychiatric Service of Diagnosis and Treatment, after a consultation at the local emergency room due to a vulvar pruritus and dermatitis as a consequence of compulsive washing. She was not engaged and lived alone, not reporting ... |
A 19-year-old male was referred to our hospital by a primary care physician for a history of intermittent cramping pain in the right flank persisting for several days. His abdomen was flat and soft; however, he complained of abdominal pain upon pressure in the right lower quadrant. Most laboratory test results revealed... |
A 42-year old male farmer from Wayanad, admitted to the Institute of chest disease, with complaints of high grade fever, cough and chest pain of three months duration. Cough was associated with expectoration of scanty white sputum. Chest pain was initially pleuritic but later became dull, aching and diffuse in nature. ... |
A 33-year-old Gravida (G) one patient at 41 weeks gestation presented for a scheduled induction of labor using misoprostol to avoid post-term pregnancy complications. Her history was positive for asthma, which was stable throughout the pregnancy. The patient did not report any prior history of neurological issues or al... |
The proband is a 14-year-old previously healthy female born to nonconsanguineous healthy parents who was admitted for having fever, fatigue, lower quadrant abdominal pain, and vomiting. Abdominal computerized tomography (CT) revealed significant hydronephrosis consistent with a right ureteropelvic junction (UPJ) obstru... |
This 88-year-old man had several serious medical conditions: angina pectoris, chronic obstructive pulmonary disorder, type II diabetes, infected venous leg ulcers and a previous history of transurethral resection of the prostate, percutaneous coronary artery intervention and bilateral hip replacements. After a hip repl... |
A 70-year-old postmenopausal woman was referred to our gynecologic emergency unit with an impression of endometrial cancer after she presented with profuse vaginal bleeding of 3 hours associated with lower abdominal pain and protruding mass per vagina of 20 hours. She noticed the mass after experiencing urinary retenti... |
A 46-year-old man was referred for left chronic leg pain. The patient was involved in a plane accident 30 years before sustaining a femoral shaft fracture treated with a reamed Kuntscher nail and a posterior wall acetabulum fracture treated with open reduction and internal fixation with lag screws (). The patient came ... |
A 1-year and 2-month-old Japanese female patient was referred to the Dental Clinic of Niigata University Medical and Dental Hospital by the pediatrician at our hospital for dental examination on admission.\nThe patient was delivered normally at 40 weeks of pregnancy. Her birth weight was 3,212 g, and her height was 49.... |
A 16-month-old boy presented with growth retardation and hypotonia. He was the second child who was born to non-consanguineous Chinese couple. His elder sister developed normally. He had an uncle and a cousin on his mother's side. His parents claimed that their relatives had no similar medical history.\nThis child was ... |
The patient was a 61-year-old man with multiple left rib fractures (1–6 ribs), left pneumothorax, left lung contusion, and left thoracic subcutaneous emphysema due to a fall injury. The examination showed a partial depression in the left front rib and abnormal breathing (see Fig. ).\nAdmission chest CT examination: 1–6... |
We present a patient that underwent radical liver resection for intrahepatic CCA and then re-underwent radical liver resection for a first intrahepatic recurrence; nonetheless, he developed a second unresectable intrahepatic recurrence with PM and was referred to our institution where CRS, ECT with BLM, and HIPEC were ... |
A 38-year-old woman with a 3-year history of cholecystolithiasis was examined at a local hospital and referred to our hospital for endoscopic gallstone removal without gallbladder excision. When she was hospitalized at our hospital, the acute right upper abdominal pain had persisted for two hours.\nOn physical examinat... |
A 55-year-old gentleman, ex-smoker, presented to our hospital complaining of mild epigastric pain, regurgitation, and heartburn. On top of that, he has a long-standing history of gastroesophageal reflux disease (GERD), which was managed by proton pump inhibitors. His past medical history was significant for hypertensio... |
A 25-year-old lady presented to the emergency department with a two-day history of left iliac fossa pain and vomiting. She was normally fit and well with a history of having had an appendectomy. She did not have any symptoms to suggest urinary tract infection, and she was on her menstrual period during presentation. Sh... |
A 72-year-old woman was referred to our hospital with pancreatic head and neck carcinoma for more evaluations and surgical operation. She had been suffering from abdominal pain for about 1 year, and the pain has become more intense in the last 6 months. The pain was postprandial and localized to the right upper abdomen... |
A 15-year-old boy presented to Fujian Medical University with giant scrotal elephantiasis and swelling of both lower extremities. The penoscrotal edema began fifteen years earlier, soon after his birth, and it resulted in bilateral lower extremity edema with the penis becoming buried by the scrotum. His scrotal size wa... |
A 56-year-old man of Asian origin was in his usual state of health until 4 days prior to presentation in our emergency room (ER); he had complaints of a rapidly progressing weakness of bilateral upper and lower limbs immediately prior to which he had a gastrointestinal upset. The weakness started from his lower limbs a... |
A 63-year-old male with no history of trauma or prior neurological disease presented with 3 days of intermittent dizziness and vomiting. On the second day, the patient was examined by a head computed tomography (CT) scan, and no abnormal changes were found. Five days later, the patient had a sudden onset of weakness in... |
A 55-year-old female with a past medical history of cocaine use and hypertension was admitted for a large right basal ganglia hemorrhage with extension into all four ventricles requiring right decompressive craniotomy. Following a fever on day 23 of hospitalization, a head CT scan was obtained which revealed developmen... |
We describe a case of a 36-year-old black African woman with two previous live births by cesarean section and two previous miscarriages who was referred in her fifth pregnancy after 6 weeks of amenorrhea. Her serum quantitative β-human chorionic gonadotropin (bHCG) was 16,124 mIU/ml. However, an intrauterine or extraut... |
We present a case of a 31 year old female with her medical history. Her family histories were all unremarkable. At the age of 16 she was accidently (at a routine abdominal ultrasound) diagnosed with a right ovarian tumor. The tumor has been removed because of suspected malignant risk. Pathologic examination showed an i... |
The patient was a 64-year-old Japanese man who was admitted to our hospital for the gradual growth of a thyroid tumor. At 20 years of age, urinary protein had been detected in his urine specimen. He became conscious of lip enlargement and a limb volume increase at 30 years of age. He had been diagnosed with diabetes me... |
A 58-year-old Caucasian woman presented at our institution with immobilizing back pain, known for 4 years but exacerbating for 3 months. The past history included smoking (about 15 pack-years), appendectomy and tonsillectomy as a child, and extensive endometriosis which required surgical excision of sigmoid colon and h... |
In July 2016, a 37-year-old woman attended our hospital reporting 6 consecutive unsuccessful IVF attempts and a 5-year history of primary infertility. In each IVF procedure a different number of good quality embryos were transferred and failed to implant. The infertility assessment screening showed normal condition and... |
A 52-year-old male patient was admitted with complaints of hoarseness and bloody sputum. The patient has 30 pack/years of smoking history. In thoracic computerized tomography (CT), a mass lesion with irregular contours was observed surrounding aortic arc and the left main bronchus in the mediastinum and causing a loss ... |
A 48-year-old man, who was born with spina bifida and paraplegia waist downward, had been managing his bladder using a long-term indwelling urethral catheter. In January 2014, he developed a temperature of 39°C. Urine microbiology revealed Pseudomonas aeruginosa sensitive to ciprofloxacin; he was prescribed ciprofloxac... |
A 38-year-old married woman, with an obstetrical history of G2P1L1A1 (gestation twice and one birth, that is, one live delivery and one abortion after an unplanned pregnancy) was admitted to Weihai Maternity and Child Health Care Hospital on March 13, 2016. The patient had regular menstrual cycle after the menarche age... |
DMM, a white, 24-year old married primigravida, was referred to the Department of Obstetrics and Gynecology of the Santa Casa de Misericórdia Hospital in Vitória in the 22nd week of pregnancy, complaining of bilateral breast growth and intense mastalgia, and reporting fever, although her temperature had not been taken.... |
A 20-year-old right-hand-dominant and otherwise healthy female student presented with protrusion of the left upper back and left periscapular pain that occurred after sport activities. Ten months previously, the patient had been seated in the left rear passenger seat in a car that was hit in the left side by another ca... |
A 39-year-old woman was admitted to the ER with a right-sided drop-foot, fever, and pancytopenia. The patient reported night sweats during the last month and a 25 kg weight loss over the last year. On physical examination, enlarged, painless right cervical and axillary lymph nodes were found; the largest of which was 1... |
Our patient was a 74-year-old man of Middle Eastern ethnicity with a previous medical history including hypertension, benign prostatic hyperplasia, polycythemia vera, and duodenal ulcers. He received metoprolol (100 mg daily) as well as aspirin (75 mg daily), had a history of tobacco smoking, but ceased tobacco use 15 ... |
A 73-year-old man was initially referred to the memory clinic in December 2013 with a history of gradual deterioration of short-term memory and increased dependence on family over an approximate 18-month period. This was with a background of stable multiple sclerosis with no other medical history of note. He was functi... |
A 10-year-old girl with no known medical issues presented to her primary care physician in October 2016 with complaints of left thigh and knee pain. The pain had been present for 1 month and was slowly getting worse. A radiograph was taken and a lesion was noted in the distal femoral metaphysis. The radiographs of the ... |
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