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A 74-year-old female patient presented with a locally advanced tumor of the proximal pancreatic body. The patient showed no signs of obstructive jaundice and did not require biliary stenting. Initially, her tumor was noted to involve the major visceral vessels, including the celiac artery, portal vein, and splenic arte...
The patient is a 7-month-old twin boy who presented to our institution's emergency department with increased work of breathing and desaturations (70 s). He was born at 33 weeks gestational age with Down syndrome, developed chronic lung disease (CLD) of prematurity, and was also found to have a moderate size secundum at...
A 49-year old female patient presented at the emergency department with complaints of pain, sensitivity, and deformity in the left hip following a simple fall at home. From the history, it was learned that the patient had osteopetrosis tarda and had not previously had any fractures. Physical examination revealed that t...
A 63-year-old male presented with a history of progressive abdominal distension and abdominal pain. Computed tomography (CT) scan showed a 28×20 cm fatty mass expanding the right retroperitoneum, extending from the subhepatic space into the right pelvis, and displacing the kidney superiorly. Inferiorly there was a 12×1...
The patient was a 20-month-old male who was referred to Myelin Disorders Clinic due to motor milestones delay and neurologic regression which was first noted at 6 months of age by his parents. He was born at term at 39 weeks of gestation through normal vaginal delivery from consanguineous parents. His mother had taken ...
A 67-year-old woman was diagnosed with a high-grade undifferentiated pleomorphic sarcoma following the resection of a rapidly growing soft-tissue mass. Her symptoms began 11 months prior to diagnosis when she initially fell on her hip and felt a bump with associated pain. In the emergency room, the initial history and ...
A 31-year-old female with pain in her right ankle and paresthesia along the medial plantar aspect of the foot reported to our outpatient clinic. No history of trauma was reported. Last 8 years, she was regularly monitored by a rheumatologist due to Raynaud's syndrome. Since the ankle symptoms started about a year ago, ...
A 32-year-old female patient presented to Department of Periodontics, HKES's S. Nijalingappa Institute of Dental Sciences and Research with the chief complaint of swelling of gums in the upper front tooth region which bleeds profusely. Patient gave the history of the presence of the lesion since 1 month. Medical histor...
A 39-year-old male patient with uveitis caused by the infection of two eyes was initially presented to the local hospital in September 2020 after having paralysis of both the lower limbs and blurred vision for 30 days. He was administered medicine for invigorating blood circulation and eliminating stasis, glucocorticoi...
A 9-year-old Chinese girl was referred to our hospital. The patient's chief complaint was the pain of the posterior part of left mandibular and found a nodule with pus discharge 1 month before her visit. The patient was in a normal growth status without short height and developmental malformation. The parents of the pa...
The patient was a 27-year-old Caucasian woman with a history of previous orthodontic treatment. A severe car accident led to the loss of five anterior teeth and alveolar bone. The patient had been unsuccessfully treated orthodontically; an alveolar bone graft had been previously placed.\nClinical examination revealed n...
A 72-year-old Asian female presented with high grade fever, 38 °C, and chills which had been present for 8 days prior to admission. She had been followed for rheumatoid arthritis (RA) by the orthopedics department of our hospital for 3 years. At the first visit for febrile episodes, upper respiratory tract infection wa...
A 5-month old female Swiss Mountain dog presented to the local veterinary practice for clinical evaluation of gait abnormalities of the hind limbs. The orthopedic examination revealed lameness in the lower right hind limb and a bony thickening at the level of the metatarsophalangeal joint between the II and III digit p...
A 66-year-old Hispanic female presented with vague abdominal pain and exertional chest pain. She had a ten-year history of worsening epigastric pain attributed to gastritis that was treated with Dexilant. A general physical exam was done and did not reveal any significant abnormalities; she also denied any fevers, chil...
A 49-year old Caucasian male with no significant medical history and no prior complaints of chest pain (smoking was his only known cardiovascular risk factor) was referred to our cardiac emergency department with acute chest pain during exertion. The ambulance ECG showed extreme ST-segment elevation anterolateral (‘tom...
In August 2017, a 65-years-old man was brought to the Emergency Department of our Hospital after a motorbike accident: a left lateral impact with another vehicle caused him to bounce out his motorbike with a consequent left sided impact on the ground. Vital signs on acceptance were GCS 15, arterial pressure 150/90 mmHg...
A 37-year-old married male auto driver sixth standard drop out attended psychiatric causality service with involuntary jerky side to side movement of the head, face, protruding of tongue, and production of abusive words. The onset of illness was during class six when the patient developed repeated eyelids elevation wit...
A healthy 26-year-old male with no pertinent medical, surgical, or family history was ejected from a vehicle traveling at highway speeds. At the hospital, he arrived with a Glasgow Coma Score of 3, was intubated, and diagnosed with bilateral knee dislocation, left popliteal artery disruption, left peroneal nerve palsy,...
A 65-year-old male presented with a three month history of progressive left hip pain. His past medical history was noteworthy for a non-ischemic cardiomyopathy for which he underwent a heart transplant ten years prior to presentation. He had a history of osteoarthritis for which he had undergone bilateral hip replaceme...
My patient was a 19-year-old man diagnosed in early childhood with ADHD and ASD. He was referred by his local doctor for ongoing treatment as an adult. He had experienced long-term difficulties in establishing and maintaining lasting relationships and reading social cues. His conversations were awkward and restricted t...
A 23-year-old healthy Caucasian male consulted for a dull discomfort/pain felt on the buccal gingival margin of the upper left central incisor (2.1). The patient explained that he was having food impaction under the gingival margin and that he noticed that the gingiva was inflamed locally on the buccal side. Oral hygie...
The parents of a 3-year-old Syrian boy noticed that he had gradual progressive painless swelling of his left lower eyelid and ptosis over the course of 2 months that significantly increased over the last 2 weeks. There was no significant loss of vision. Medically, the parents recalled loss of appetite of 1-week duratio...
We report a case of a 57 year old male with metastatic melanoma who developed multiple severe immune related adverse effects attributed to pembrolizumab including arthritis, ocular hypotony and pulmonary fibrosis. Four years ago, he was diagnosed with cutaneous melanoma of the upper back measuring 4 mm in thickness ass...
In July 2013, a 24-year-old Korean woman referred to the Department of Plastic Surgery of Dong San Medical Center, Daegu, Korea because of a palpable mass in her lower abdomen. Due to the abdominal wall mass and a history of vaginal bleeding since October 2012, the patient was referred to the Department of Obstetrics a...
A 55-year-old female with no significant past medical history initially presented in 2006 with vague abdominal pain. Her past social history was negative for alcoholism or smoking. Work up of the patient including physical examination and laboratory indices were all normal. A multi-detector CT of the abdomen and pelvis...
The patient in this study was a 37-year-old right-handed male. He had a university education and had worked as a public officer before the onset of his cerebrovascular accident.\nHis medical history showed a record of arrhythmia in the past but it did not require any special cure in the department of cardiology. He had...
The patient was a 27-year-old woman with four previous pregnancies resulting in two births and two abortions. She had no history of appreciable disease. She was diagnosed with class IIIa high-grade squamous intraepithelial lesion by a cervical smear conducted at 14 weeks of pregnancy and diagnosed with squamous cell ca...
Our patient was a 61-year-old male. He was admitted into the cardiac care unit (CCU) of our hospital because of more than 16-h precordial pain. Sixteen hours ago, the precordial pain with no obvious cause occurred. The pain was persistent and accompanied by a radiation pain in left shoulder. There were no other concomi...
A 40-year-old female, with 3-month history of nasal obstruction and tinnitus was admitted in August 2012. Nasopharyngeal endoscopy and biopsy already had been performed in another hospital, showing nonkeratinizing undifferentiated NPC. This histopathologic diagnosis was confirmed in our center. Magnetic resonance imagi...
A five-year-old boy weighing 11 kg, was brought to a public tertiary care hospital in Karachi, Pakistan by his parents. His chief complaints were described as a diffuse rash over the body, swelling of the head and bulging of both eyes as well as swelling of the gums. These symptoms were progressive and relapsing, with ...
The patient was an 82-year-old female who is a nursing home resident presented to an outside hospital with a two-week history of jaundice that had progressively worsened. She was brought to the emergency department and found to have hyperbilirubinemia with a total bilirubin of 10.7 and a direct bilirubin of 8.7. She wa...
A 17-year-old male with Marfan syndrome was admitted for the repair of a LVOT PsA which was detected on a routine postoperative follow-up imaging study. He underwent total 9 cardiac surgeries including Bentall operation, total arch and descending thoracic aorta replacement with tricuspid and mitral annuloplasty. Among ...
We present a clinical report of a 55-year-old male patient with a past medical history of four open-heart surgeries for aortic and mitral valve replacement. His first cardiac surgery was performed in 2009 and consisted in mitral valve replacement using a bioprosthesis due to symptomatic severe mitral regurgitation rela...
In 1998, a 47-year-old man developed vague symptoms of shortness of breath and fever while on military service in Kuwait. He was diagnosed with and treated for bronchitis at the time. When he returned to the United States, he was evaluated with a transthoracic echocardiogram, which revealed mild aortic regurgitation. H...
A 75-year-old, 155 cm, 53 kg female patient presented for off-pump coronary artery bypass graft surgery. As a preoperative test, a coronary angiography was performed. The results revealed 86% stenosis of the left anterior descending artery, 83% stenosis of the left circumflex artery and 91% stenosis of the right corona...
A 70-year-old female, known case of gout, presented to our center through emergency department with 2 weeks history of right upper quadrate (RUQ) pain. The pain was sudden with no radiation, relieved by analgesia, not related to food. There was no fever, no vomiting, no change in bowel habit or stool color, and no jaun...
A 14-year-old African-American male was admitted to our institution in October 2008 with a single episode of subjective left leg numbness and weakness. His past medical history was unremarkable and this was the first time he had experienced such an episode. General physical examination was normal and neurologic exam on...
In 2016, an 80-year old man was admitted to our emergency department due to acute onset of right hip and groin pain for four days. His past medical history included chronic obstructive pulmonary disease (COPD), emphysema grade 3 according to the GOLD classification, as well as hypertension, and hypercholesterolemia. Ei...
The subject is a 47-year-old woman. When her younger sister developed chronic myeloid leukemia, she was 27 years old and living in the United States with her husband and their two children, apart from her parents and her younger sister since her marriage. The subject shared information on the treatment of leukemia with...
The patient was a 55-year-old African American male with a significant past medical history of known breast cancer, who presented to an academic teaching hospital in February of 2018 after a surveillance computed tomography (CT) scan of his chest, abdomen, and pelvis showed incidental acute appendicitis. The patient wa...
We report a case of a robotically assisted enhanced-view totally extraperitoneal hernia repair (eTEP) of a recurrent umbilical hernia, performed on a 43-year-old male patient with polycystic renal disease and PD. The patient presented with a 2.5 x 2 cm recurrent umbilical hernia, associated with a 3.5 cm diastasis rect...
The patient is a 26-year-old woman with a body mass index of 17.23 and a history of nemaline muscular dystrophy who was bed-bound at baseline. She presented as a transfer to our emergency department with a report of an audible crack and left leg pain after transferring off of a bed pan on the day of presentation. In th...
A 36-year-old African American female presented with abdominal distension, diarrhea, nausea, and vomiting that had been ongoing for a week. Her past medical history was only significant for anemia. However, when questioned further, she also described a history of ankle pain and a dark rash behind her ears that had been...
The patient is a 58-year-old non-smoking female with a history of recurrent papillary thyroid cancer first detected in the 1970s, who throughout her course underwent several surgical resections, repeated therapy with radioactive-iodine, and external beam radiation therapy (EBRT) (original history, cumulative radioiodin...
A 36-year-old female recently diagnosed with infective endocarditis was referred to the Cardiac Surgery Unit at King Fahd Hospital of the University, Al Khobar, Saudi Arabia, for further evaluation. The patient presented with severe abdominal pain that had recently exacerbated, making her homebound. She also experience...
A 13-month-old female presented to the emergency department for urinary retention. She was born at 35 weeks gestation in Mexico with an unknown postnatal hospital course. She was known to have mild gross motor developmental delay diagnosed several months before; caregivers stated that she pulled to stand but did not cr...
A 59-year-old male was transferred from a general hospital to the tertiary psychiatric hospital in August 2011 after treatment of heart failure. He had been "healthy" and functioning well premorbidly and had multiple medical conditions such as hypertension, diabetes mellitus and hyperlipidaemia. He was first admitted t...
Our patient is a 54-year-old female with a past medical history of hypothyroidism and very severe obesity (BMI 48 kg/m2). She underwent laparoscopic gastric sleeve surgery in the year 2012. Results were non-satisfactory in terms of weight loss with a difference of 6 kg/m2 in BMI post-procedure. So after six years, she ...
We present a 57 year old gentleman with CKD 5 who had an autogenous brachiocephalic fistula 4 months prior to presentation to us. During their last surgical clinical visit, the fistula was noted to be poorly maturing and then referred to interventional radiology for fistulogram and possible endovascular intervention to...
A 72-year-old Korean woman presented to our emergency department with right upper limb hemiparesis without speech impairment. Her medical history was significant for hypertension, hyperlipidemia, and diabetes. She reported no previous history of cigarette smoking and alcohol drinking. On admission to the hospital, her ...
A 28-year-old man, with history of chronic alcohol abuse was found unconscious, with approximately 24 h after a traumatic brain injury (TBI) of unknown mechanism. He was admitted to our hospital for neurologic assessment and management. As recommended by the American College of Surgeons,[] his treatment followed the Ad...
A 7-year-old female patient was referred to our department for the evaluation and treatment of a maxillary anterior swelling associated with her permanent maxillary right incisor. The cervical area of the tooth had a slightly greyish discoloration due to presence of mineral trioxide aggregate (MTA), and an access cavit...
A 25-year-old male patient was admitted to our department, presenting progressive pain and numbness with a rapidly growing mass located in the upper part of the right arm for 2 months in 2005. At the time of the hospital admission, he had completely lost his occupational capacity of the arm (100% unable to work). Physi...
A 68-year-old woman was referred to our hospital for the investigation of elevated serum levels of amylase and lipase. Enhanced computed tomography (CT) detected a hypovascular mass (18 mm diameter) in the pancreatic head (Figures and ). The main pancreatic duct of the distal pancreatic parenchyma was substantially dil...
The patient is a 67-year-old male with severe psoriatic arthritis involving his entire body but sparing his face, who has undergone 800+ UVB treatments over his 40-year-history of the condition and who has likewise been treated at various times with methotrexate and rapamycin for this autoimmune disease. He also has a ...
A 55-year-old female with a history of renal cell carcinoma of the left kidney metastatic to the bony pelvis, lungs, mediastinum, and spleen presented to the emergency department with shortness of breath, pleuritic chest pain, and left scapular pain. She presented to the same emergency department one week prior with pl...
A 33-year-old female gravida 2 para 0110 presented to the obstetric and gynecologic clinic to establish prenatal care. Her estimated gestational age determined by last menstrual period was 10 weeks 6 days. A diagnosis of missed abortion was made after ultrasound revealed a crown rump length of 9.2 mm, consistent with a...
Mr. RJ was a 70 year old gentleman who presented with right knee pain. The pain in his leg had been present for many months and was progressively becoming more swollen to the point that he had difficulty ambulating. This was on the background of a past history of bilateral popliteal artery aneurysms that were ligated 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 24-year-old, previously healthy mother in her second pregnancy, with negative human immunodeficiency virus testing and who worked in health-care, presented to the emergency department with fever, constitutional symptoms and preterm labor. Her initial laboratory examinations revealed leukocytosis with elevated C-react...
A 60-year-old male was referred to our department, complaining about gradually worsening hoarseness, during the last 8 month period. Occasional dysphagia and foreign-body sensation were also reported upon referral. The patient was a heavy smoker for more than 20 years, reporting an average of 20 cigarettes per day. Alc...
A female patient, who was 38 years old, 158 cm tall and weighed 62 kg, underwent ureterorenoscopic lithotripsy for the left upper ureter stone. There was no specific familial medical history, past medical history, or administered drugs. All the results of the preoperative laboratory tests done after the hospitalization...
57-year-old female with history of rheumatoid arthritis on oral corticosteroid and methotrexate therapy was admitted to the hospital for the evaluation of painful swelling of the left hand (). She was bitten by her cat two days prior to admission. Following the bite her symptoms include fever, nausea, vomiting, and pro...
An 80-year-old man complaining of drowsiness was brought to the emergency room by his family. He was in his usual state of health in the previous week and started having influenza-like (flu) symptoms with on-and-off fever, body ache, lethargy, and generalized weakness. His family noticed that, for the past two days, he...
At condition onset, the patient was a 26-year-old man with a history of recurrent tinea versicolor affecting the trunk and neck and no other significant medical history, including no history of topical corticosteroid use. He experienced the abrupt onset of erythema of the bilateral scrotum accompanied by intense itchin...
The present case is about ES a 4-year-old male, an only child of his parents. He first presented to our children's out-patient department at the University of Nigeria Teaching Hospital Enugu in January 2008, on self-referral but had been previously seen at the University of Port Harcourt Teaching Hospital Port Harcourt...
The patient was a 56-year-old female with a history of type two diabetes mellitus, atrial fibrillation, mild aortic stenosis, breast cancer treated by resection and radiotherapy, and end-stage renal disease. She had undergone two failed renal transplants. For the last six years, she had received hemodialysis as renal r...
A 32 year old man presented to an outside hospital with a one month history of left foot pain. He recalled that the pain started after he had twisted his ankle during a round of golf. Since that time, the pain had persisted and was most severe along the lateral aspect of his left foot. On physical examination, there wa...
A 34-year-old premenopausal female with a locally advanced tumour presented as a dirty ulcer, perforating the skin, in her right breast is described. Biopsies of the damaged tissue showed an invasive, grade III ductal carcinoma, with areas of papillary shaping, areas of necrosis, and invasion of the skin. The breast tu...
A 30-year-old pregnant Caucasian female complaining of severe anal pain and an anal bump was referred to the Colorectal Surgery Office by her primary care physician. She was 8-week pregnant. Her pain started a few days earlier and she noticed a small amount of bright red blood on the toilet paper and coating the stools...
A 76-year-old female admitted to hospital with a two-year medical history of type 2 diabetes mellitus, hypertension, and a diabetic foot ulcer on her left mid-foot that had not healed in over 4 months. The patient sustained a snake bite on the left midfoot at 6 years of age, resulting in a severe foot infection. She re...
A 58-year-old obese middle-aged housewife had a history of insidious pain in her right hip with difficulty in walking for the past three years. She went to a surgical centre for management in her native town and was diagnosed with a right femoral neck fracture. Further workup revealed osteomalacia and vitamin D deficie...
A 51-year-old woman presented with a massive painless lump on both of her thighs that had been enlarging for the past 6 months. The patient denied any history of trauma, manipulation, or injection around the lump before. She was otherwise healthy despite her lumps. However, she had a history of lymph node tuberculosis ...
A 59-year-old woman presented to our outpatient department with complaints of fever and loin pain of one-week duration. She had no previous history of hematuria or loin pain and denied any history of recent instrumentation or catheterization. She had no comorbid diseases. General and systemic examinations of the patien...
A 53-year-old Hispanic man with past medical history significant for coronary artery disease, habitual intravenous heroin abuse, chronic untreated hepatitis C without cirrhosis, bipolar disorder, tobacco abuse of 80 pack-year, and degenerative disc disease presented from home to our hospital with chief complaint of lef...
A 22-year-old female presented to the ear, nose and throat (ENT) department with an 18-month history of persistent clicking tinnitus and left facial pain. The patient's tinnitus and sensation of involuntary palatal movement developed about one or two months after starting the use of a wire type orthodontic appliance. T...
A 39-year-old man from Ghana, who had been resident in Italy for five years, was admitted to hospital in April 2013 because of slowly progressive gait disturbances and right hemiparesis which had developed within the last two months. His past medical history was unremarkable. No cerebral vascular lesions were seen neit...
A 55-year-old male patient reported with mild swelling and pain in the left zygomatic region. The history of present illness revealed that the patient had noticed the swelling in the last few weeks and it also had an associated intraoral ulcer. The patient was a known diabetic who was under medication. He had a habit o...
A 57-year-old woman presented to the rheumatology clinic with recurrent fever and painful ulcers on her legs since two months. Eight months prior to current presentation, she developed vertigo and decreased hearing in her left ear which she felt was “full of air” all the time. She was found to have sensorineural deafne...
A 65-year-old man came to the psychiatric clinic with complaints of a lack of interest in pleasurable and daily activities, depressed mood, and multiple somatic complaints. He reported that he was doing fine two and half years back and that he first noticed these symptoms right after the death of a 23-year-old son in 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 56 year old male lawyer presented to his local hospital complaining of a recent change in his urine colour (to bright orange) and general malaise. The patient suffered from moderate bronchiectasis and asthma for which he took inhalers (fluticasone propionate, salmeterol and ipratropium bromide). He was also known to ...
A 51-year-old woman (gravida 3) was admitted to our hospital due to abdominal distension and defecation that had increased for 6 months and had been aggravated for 3 days. Six months prior, the patient had abdominal distention, decreased diet, and increased abdominal circumference without obvious inducement. These symp...
Two years ago, an 80-year-old man with intermittent abdominal discomfort in the right lower quadrant of the abdomen was admitted to our department via a local clinic. Although he complained of intermittent abdominal pain and diarrhea, the physical examination and blood test findings were normal. The patient had undergo...
A 26-year-old Indian woman was admitted to our gastroenterology unit with extrahepatic portal vein obstruction with features of massive malena at 29 weeks of gestation. She had a previous pregnancy that resulted in a single offspring. She was referred for an antenatal check-up to our obstetric unit, where after clinica...
In 1997, female patient, 24 years old, presented intense lower back pain. Lumbar spine CT revealed multiple osteolytic lesions in lumbar vertebrae. Further investigation by attending physicians ruled out neoplastic infiltration. Clinical and laboratory exams were normal, except for slightly decreased calcium levels of ...
We report the case of a 38-year-old white female accountant that was first diagnosed with node-positive TNBC at the age of 31 years after she had discovered a lump in her right breast. Her mother experienced breast cancer disease at the age of 50 years, but genetic testing of the patient discovered no BRCA1/BRCA2 mutat...
A 62-years-old man with a palpable mass in the popliteal fossa was found on magnetic resonance imaging (MRI) to have a thrombus-containing popliteal aneurysm. The patient had history of coronary artery disease for which percutaneous coronary intervention with single bare metal stent placement was done. Patient also suf...
We present the case of a 30-year-old Nigerian male who was brought to the Surgical Emergency Department of the Lagos State University Teaching Hospital Ikeja 22 hours after he had inserted a constricting ring over his penis. He had developed a painful penile shaft swelling distal to the ring with suprapubic pain and sw...
A 62-year-old otherwise healthy Caucasian male complained of some minor nonspecific respiratory symptoms for a few days. These complaints evolved into a more worrisome pulmonary disease characterized by cough and progressive respiratory distress 2 days prior to the hospitalization. Chest CT scan on admission to an outs...
A 16-year-old female patient, complains of the appearance of her anterior teeth (abnormal anterior deep crossbite resembling monkey’s bite), with both upper and lower incisors being severely retruded and supraerupted. She was diagnosed with pseudo Class III malocclusion; the incisors are in an edge-to-edge relationship...
A 47-year-old man with left shoulder pain lasting for more than 2 years was referred to our hospital because a radiolucent cystic lesion of the glenoid was observed on plane radiography of the left shoulder. He had no history of dislocation or trauma of the shoulder joint. On visiting our hospital, he complained of con...
A 51-year-old woman with a history of left ICA terminal stenosis came to our hospital complaining of transient right hemiplegia. On presentation, her level of consciousness was normal and she had no neurological deficits. She had a history of hypertension, but was negative for diabetes mellitus and hyperlipidemia. Her ...
A 46-year-old male came to the emergency room (ER) complaining of double vision and difficulty walking. The double vision started five days prior, followed by weakness in both the legs leading to a wobbly gait. The patient was evaluated by the neurology team in the ER. The patient had a mild upper respiratory infection...
A 32-year-old female patient reported to the conservative Dentistry and Endodontics Department with pain on the left mandibular back teeth region. The pain was severe throbbing type associated with food impaction. The extraoral examination revealed mild swelling in the submandibular region of the left mandible which wa...
A 66-year-old Caucasian man was admitted to our surgical department with the diagnosis of a rectal cancer 8 cm from the anal verge. He had a colonoscopy due to the presence of blood in his stools for a month prior to his admission. Endoscopy revealed a polypoid lesion of the rectum and the pathology diagnosed an adenoc...
A 57-year-old woman with a past medical history of hypertension, scoliosis and depression presented with 1 week of flu-like symptoms (diffuse body aches, fatigue, and chills) and generalized weakness that rapidly progressed over several days in June 2018. Her social history is significant for living in a trailer in a w...
A 70-year-old female patient visited our pain clinic. She had a previous medical history of hypertension and tension headache for 10 years. Seven years ago, the patient had undergone L3-S1 posterolateral spinal fusion surgery after being diagnosed with spinal stenosis and spondylolisthesis. The surgery, however, led to...
A 75-yr-old right-handed woman presented with a 8 month history of neuropsychiatric symptoms and progressive dementia. Her family described that her symptoms started with severe depression, including suicidal ideation. She became frequently irritable and would not go outside for fear of getting hit by a car. Further, s...
A 25-year-old right-handed woman was admitted to our hospital with a 3-week history of intermittent non-throbbing bilateral headache involving frontal and temporal lobes, accompanied by nausea, vomiting, left upper extremity numbness and weakness, left-sided tongue and perioral numbness, and involuntary movements of th...