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A healthy 11-year-old girl was presented to the National University of Malaysia (UKM) Paediatric Dental Clinic with a referral for further management of pulp necrosis of an immature lower right second premolar (tooth 45), secondary to the fractured tubercle of dens evaginatus. Two weeks earlier, she had treatment at a ... |
A 17-year-old female presented with a history of osteosarcoma that was confirmed after undergoing a surgery to remove an enlarging bone tumor in the left temporal region 2 years ago. She later got pregnant and delivered her child but never got back for a checkup until she was admitted to our hospital with a severe and ... |
A-66-year-old male, who was exsmoker, presented to the ER for a change in mental status. As per the family, the patient who had a normal mental status in the past was noticed to be progressively worsening for the last couple of months, with disorientation mainly found over phone discussions. At the time of presentation... |
A 11-year-old girl presented to her local hospital with an acute onset of severe abdominal pain, showing signs of hypovolemic shock and requiring emergency resuscitation prior to transfer to a tertiary pediatric center. She had fainted at school earlier in the day and been sent home. That afternoon, she had vomited onc... |
A 63-year-old African American man was transferred to the neurological intensive care unit from a nearby hospital after presenting with an acute history of multiple falls. Earlier that day, he had fallen once while walking to the bathroom from his bed and had fallen again shortly thereafter while walking through his li... |
The patient is a 15-year-old Caucasian female who was diagnosed with CRMO in 2007 at 5 years in the context of right thigh pain. provides a timeline of the patient's symptoms and course of disease. Magnetic resonance imaging (MRI) showed multifocal abnormal bone marrow signal in the right femur, the left femoral neck, ... |
A 60-year-old female patient reported the onset of her present illness roughly 6 months ago. Her illness was characterised by abdominal pain in the epigastrium without irradiation but with a moderate intensity that was partially relieved by ingesting NSAIDs. During the same time she lost about 20 kg. Presenting with th... |
A 45-year-old male from the Netherlands presented with a painless right parotid swelling that was progressively increasing in size for the past 8 months. Though occasionally he suffered from jaw lock, other symptoms associated with neurologic deficit such as drooling, facial weakness, paresthesia, or auditory defects w... |
A 30-year-old nulliparous married woman presented with severe abdominal pain and a year old magnetic resonance imaging (MRI) report of noncommunicating cavitated uterine mass with deviated uterine cavity, with differential diagnosis of unicornuate uterus with noncommunicating horn/a cystic adenomyoma. There were also h... |
A 56-year-old female was referred to our department from another facility in the patient’s area for a rapidly progressing tumor in the gallbladder and liver area. The patient reported several-month right upper quadrant pain and 4-kg weight loss over the past year. There was no laboratory sign of obstructive jaundice at... |
A 71-year-old man was admitted to the ear, nose, and throat (ENT) department with a 4-day history of chest pain after eating fish. During these 4 days, he had a normal diet. One day before he came to our department, he went to the local hospital where they performed a computed tomography (CT) scan that showed a high-de... |
A 49-year-old man with a history of acromegaly was admitted to our hospital with the concern of recurrent shortness of breath and dyspnea on exertion during the previous 2 years, and he had experienced an episode of presyncope 2 weeks prior without any further evaluation. He was a chef in a local restaurant for almost ... |
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 ... |
Mr. K is 35-year-old married bangle seller. He was brought to the psychiatry outpatient department with a history of sudden onset of amnesia for the recent past with an alleged new identity for himself. Apparently well till a day before the presentation, in the morning hours he complained headache and slept for some ti... |
A 28-week-old premature boy, with a birthweight of 1280 grams, was intubated with a 2.5 mm endotracheal tube via the nose and ventilated for severe hyaline membrane disease (HMD). After receiving two doses of surfactant, the premature neonate was successfully weaned off ventilation and extubated to nasal continuous pos... |
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... |
We present a case of a 40-year-old Hispanic male with no prior psychiatric history and a medical history of hypertension and end-stage renal disease (ESRD). He was recommended to visit the emergency department (ED) after he was dizzy with a systolic blood pressure in the 80s following an outpatient dialysis session. By... |
An 84-year-old female with a polyp in the right nose was referred to our institution from another hospital. Pertinent past medical history included hypertension and tuberculosis. She was a nonsmoker and nonalcoholic beverage drinker. There was a rapid increase of the mass within 1 month, and biopsy was done. The biopsy... |
We present the case of a 62-year-old male with advanced melanoma who followed an unconventional treatment path (see ). The patient was diagnosed with stage III BRAFV600E LDH normal melanoma of the right chest in June of 2011. Upon diagnosis, 4 axillary lymph nodes were positive on axillary lymph node dissection. The pa... |
A 73-year-old woman was admitted to the hospital due to a coma. Upon arrival in the emergency room (ER), the patient was found unconscious and then she was intubated due to her Glasgow Coma Scale (GCS) was 6 as well as her low blood oxygen saturation. Her other vital signs were stable. Electrocardiogram (ECG) showed si... |
The patient was a 48-year-old Caucasian man, with a history of smoking, alcoholism, tracheostomy, diagnosed with laryngeal moderately differentiated squamous cell carcinoma, and had not previously received tumor treatment. In November 2016, the patient received high-dose cisplatin monochemotherapy (100 mg/m2 every 21 d... |
This 69-year-old woman was found to have a large mass destroying her sphenoid sinus when she lost vision in her right eye eight years prior to current presentation (). During the surgical removal of tumor, there appeared to be a chance of injuring the internal carotid artery (ICA). We therefore performed preoperative c... |
The patient was a 39-year-old G4P2 +1 at GA29 +3 who was referred to our center from a private hospital. She presented on account of poorly controlled hypertension, generalized edema, and deranged thyroid function test (TFT). She was admitted to the Obstetrics Department with a blood pressure (BP) of 210/130 mmHg from ... |
A 77-year-old man attended our services with exertional dyspnoea secondary to aortic valve stenosis. He received an orthotopic heart transplantation (HTx) in 1994 for idiopathic dilated cardiomyopathy (DCM). Unfortunately, we have no records of the patient's transplant operative data given the fact that his procedure w... |
We report the case of a 28-year-old Indian man who has worked as a computer engineer in Dubai for the past 5 years. He presented to the Accident and Emergency Department of our hospital with complaints of lethargy, anorexia, nausea, vomiting and weight loss over a 1-month period. His symptoms had worsened over the prec... |
A 26-year-old Korean male was diagnosed with stage IV poorly differentiated gastric adenocarcinoma of the lower body with multiple liver metastases in August 2009. The initial diagnosis was made at an outside hospital using abdominopelvic computed-tomography (CT) and endoscopic biopsy of stomach. The pathologic specime... |
A 41-year-old Asian man was transferred to the Center of Trauma Surgery in our hospital 6 hours after injury for the closure of an open infected wound with a large skin defect in his right lower limb caused by an accidental explosion of 100 pieces of a blasting cap. Hemostasis of the wound was achieved by applying pres... |
A 55-year-old, Caucasian woman was referred to our tertiary women’s heart center for persistent chest pain, palpitations, and dyspnea. Her medical history included hypertension, dyslipidemia, chronic anxiety, and bilateral non-obstructive carotid atherosclerosis. She had no prior history of diabetes mellitus, tobacco s... |
We report the case of a 72-year-old man who was visiting family from another state and whose medical history was therefore not readily available. He presented with collapse and a three-day history of an acutely swollen and tender right knee on a background of right knee osteoarthritis, diabetes, hypertension, ischaemic... |
A 26-year-old man with general weakness, peroneal atrophy, and deformities in the extremities presented at our hospital. The patient's parents and 2 elder sisters were healthy and free of any neurological diseases. The patient reported that he was born at term in his home by normal spontaneous vaginal delivery, and the... |
A 76-year-old man with a mandibular pathologic fracture visited our department after referral for mandibular reconstruction from the dental department. Upon presentation, the alveolar bone of the right mandibular body was partially exposed through a mucosal defect, but the lesion was nonsuppurative due to the administr... |
A 30-year-old woman visited our clinic with a 4-year history of tremor in both hands and a 6-month history of gait disturbance. The patient reported that the tremor in both hands and gait disturbance were progressively aggravated. On neurological examination, postural tremor was noted in both hands, but rest tremor was... |
A 65-year-old male patient reported with the chief complaint of difficulty in chewing due to missing teeth in upper and lower arches and impaired speech due to partial resection of the tongue along the left lateral border following the surgery. The patient had been diagnosed with squamous cell carcinoma involving the l... |
A 22-year-old man was referred to our hospital with complaints of left eye redness and swelling for more than a month. He had no history of nausea or vomiting, but he also complained of mild blurred vision, double vision and occasional headache for more than a week.\nOn further questioning, the patient revealed a histo... |
A 45 years old male patient, attended the neurology emergency department on 3rd January 2016 due to right limb numbness for 6 days and convulsive seizure for 3 days. Six days before the hospital visit, the patient experienced numbness in the right upper limb and instability while holding without obvious incentive but d... |
A 39-year-old female patient was referred to the psychiatric department for psychotic symptoms occurred after treatment of seizure for 25 years. Persecutory delusion, delusion of infidelity, grandiose delusion, and violent behavior occurred after seizure. After psychiatric evaluation, she was diagnosed with ‘psychotic ... |
A 61-year-old man visited our hospital with the chief complaints of chest pain on exertion and an intermittent chest pain that was aggravated when he rested in a left decubitus position. He had risk factors for coronary artery disease: dyslipidemia, hypertension, and diabetes. He also had a history of chest trauma, a l... |
A 54-year-old male patient presented with febrile sensation and anterior chest wall pain with an erythematous ulcerative plaque in the right parasternal area that had become aggravated over a month despite antibiotic treatment prescribed at a local clinic. A swab culture was done, which led to the identification of Cit... |
We describe a case of a 60-year-old white, right-handed married female, mother of three grown up children, who completed 13 years of formal education. The patient first presented to psychiatry at age 50 with both visual and auditory hallucinations, including command hallucinations to kill her family, which were very di... |
A 4-year-old boy visited a local hospital due to repeated episodes of pneumonia since the age of three months. A chest radiograph and CT revealed an abnormal mass-like lesion in the right lower pulmonary lobe. An attempted total excision was unsuccessful, and only a biopsy was performed in the local hospital. The preci... |
We present the medical history of a boy, currently 13 years old, who has been hospitalised multiple times in different medical centres due to repeated episodes of fever and respiratory infections since he was three years old. The first hospitalisation was associated with a severe bacterial infection: meningitis, pneumo... |
A 74-year-old male of South Asian descent, with a history of nausea, vomiting, and unintentional weight loss, was referred by his general practitioner (GP) to the Gastroenterology outpatient department as an urgent case. The patient had a past medical history of diabetes mellitus type 2, chronic kidney disease (CKD), a... |
A was a 13-year-old boy referred to the inpatient unit for severe social withdrawal with school dropout since a year and a half. He had no prior psychiatric or medical history. He lived with his identical twin sister and his mother. The father had died 2 years ago from lung cancer. The twins were born prematurely at 34... |
A 21-year-old African-American male was referred to our tertiary care cancer center with the diagnosis of unresectable, imatinib-resistant GIST. Institutional review board approval was obtained to review his clinical course. He was initially evaluated at another institution approximately one year earlier for a several-... |
A 46-year-old man presented to us with uremic symptoms in November 2014. He was evaluated and found to have end-stage kidney disease (native kidney disease of uncertain etiology) and was started on hemodialysis, with a temporary right internal jugular catheter and later with a left radiocephalic fistula upon maturation... |
A man in his 60s with prostate cancer metastatic to bone and end-stage renal disease was brought to the hospital by his wife due to several days of reduced appetite and inability to ambulate independently. He had a history of strokes suffered 2 years ago and 10 months ago, with residual aphasia. Five months ago, he was... |
A 39-year-old male was injured after being trapped by his own van parked on a sidewalk and falling after being pushed by a taxi bumping against the side of the van twice. He was extricated from under the car by a 119 rescuer. Upon arrival at the emergency room, he showed no loss of consciousness. An examination demonst... |
A 22-year-old male underwent penetrating keratoplasty for keratoconus in his left eye at another facility. He underwent intracameral air injection in his left eye at 1-week and 6-weeks postoperatively for an assumed diagnosis of DM detachment. Ten months later, the patient presented to our clinic with blurry vision in ... |
The patient was a 34-year-old woman, G4 L2 Ab1 who had married her cousin 7 years ago. She had a history of two normal vaginal deliveries and one abortion in the 1st trimester. The first pregnancy in the age of 28 had terminated with a normal vaginal delivery (NVD) resulting in a term baby girl who weighed 3150 gr. The... |
Susan is a 51-year-old woman. As an adolescent, she developed scoliosis. Working as a hairstylist when she was 18 or 19, she began to have severe pain in her hands, making her work very difficult. She had carpal tunnel surgery on her right hand which provided temporary relief. Her symptoms slowly returned and she conti... |
A 69-year-old male patient was admitted for right hip pain. The patient had been healthy until he developed a cardiogenic cerebral infarction in 5 years prior to this presentation. Although the details were unclear, the patient had suffered a gunshot wound to the right thigh and the superficial femoral artery had been ... |
A 76-year-old man with severe chronic obstructive pulmonary disease (COPD) presented with a feeling of fatigue, weight loss, and reduced physical activities. He was diagnosed with COPD at the age of 69 years and had retired from work the following year. His smoking history included 40 cigarettes per day between the age... |
A 68-year-old Caucasian woman was referred into secondary care by her GP with abdominal bloating and postmenopausal bleeding of several weeks' duration. She was otherwise fit and well. As per NICE guidelines she had an urgent abdominopelvic ultrasound [], which revealed a 32 × 39 mm lobulated heterogeneous mass from th... |
A 37-year-old pregnant (20th week), otherwise healthy female, reported a history of chronic low back pain for many years. During pregnancy, she noted some worsening of this back pain, albeit she was still able to easily control her symptoms with occasional use of paracetamol (acetaminophen). On the day of her initial p... |
A 53-year-old white Italian man initially presented to gastroenterologists with a 5-week history of dyspepsia, epigastric pain and a palpable mass in the left hypochrondrium. There was no history of anorexia, dysphagia, weight loss, change in bowel habit or gastrointestinal blood loss. His past medical history included... |
A 42 year old male presented to his primary care physician with a 20 pound unintentional weight loss over a 3 month period and new left axillary lymphadenopathy. A core biopsy of his axillary mass revealed metastatic malignant melanoma. He had no prior history of a primary melanoma. A staging PET/CT revealed abnormal F... |
A 45-year-old Caucasian lady having a past medical history of obesity, type II diabetes and hypertension presented with bleeding per vagina, hematuria, low urine output, intermittent headache, ataxia, diplopia and blurring of vision. She also experienced a weight loss of 60 pounds over 1 year, shortness of breath on ex... |
A 47-year-old postmenopausal woman presented with slowly increasing abdominal girth with a palpable abdominal mass and vaginal bleeding. At the age of 15, she underwent abdominal surgery due to intussusception of the small bowel of unknown cause. During the preoperative evaluation, colonoscopy identified eight hamartom... |
A 49-year-old man was admitted to our emergency department at the beginning of January 2014 with left upper quadrant abdominal pain, recurrent macroscopic haematuria, and a first syncopal episode that occurred two days before. The pain was severe and dull and had started two hours prior to admission with no evident tri... |
Our patient is a 61-year-old 90 kg 177.8 cm male with a history of coronary artery disease and amyotrophic lateral sclerosis who was admitted to the intensive care unit for ventilator support. On arrival to the emergency department he was profoundly hypoxic and was emergently intubated. He was subsequently transferred ... |
A 32 year-old woman with a history of hypothyroidism and pre-eclampsia initially presented to an outside hospital with acute onset dense left hemiplegia, right gaze preference, and left-sided neglect. Her initial National Institute of Health Stroke Scale (NIHSS) was 14 and she had an admission Glasgow Coma Scale (GCS) ... |
A 4-year-old boy, born in Zhejiang Province of China, was admitted to Yuying Children's Hospital affiliated to Wenzhou Medical University in June 2014 with complaints of productive cough accompanied with high fever for 5 days. He was the first-born child to unrelated healthy parents, born at 38 weeks of gestation after... |
A 73-year-old woman presented with the complaint of left ankle pain that had exacerbated with walking for the previous month. She had a limping gait and complained of a limited walking ability of 5–10 minutes with a cane because of pain. She originally had limited walking ability due to a cerebral infarction 10 years p... |
A 3-year-old male with a history of medical treatment for cough, sputum, and rhinorrhea complained of bilateral leg weakness and severe lower back and leg pain for 1 day. He was born at 40 weeks’ gestational age by normal spontaneous vaginal delivery without any perinatal problems. He showed good growth and development... |
The present case is about Mr. A, a 30-year-old unmarried male from middle socio-economic status working as an anesthesiologist at a tertiary care hospital presented with the complaints of nicotine use for 12 year, occasional alcohol use for 12 years, Alprazolam use for 11 years and use of injection pentazocine followed... |
A previously healthy 63 year-old Japanese female presented with gait disturbance and was diagnosed as having transverse myelopathy with a sensory level of T5 and bilateral Babinski signs. She was given intravenous methyl prednisolone, resulting in a complete clinical recovery. At age 67, she started to complain of numb... |
An 18-month-old boy presented to the hospital with a five-day history of fever and cough. The patient was in his usual state of health when he started to develop a fever. It was gradual in onset and continuous in character. It was documented by the mother using a clinical thermometer and was mostly low-grade in severit... |
A 53 year-old, edentulous, African-American woman with longstanding FCOD presented to her dentist with a 1 month history of swelling, pain, and purulent discharge involving the region of the left lower mandible. The drainage was described as white, thick, and malodorous. Radiographs revealed multifocal diffuse bony cha... |
A 45-year-old woman who had been treated for hypertension for several years, with visual impairment due to retinopathy and left hemiparesis after ischemic stroke, was admitted to the cardiology department on an emergency basis because of a hypertensive crisis (RR 230/130 mmHg).\nIn the interview, the patient reported h... |
The subject was a 14-year-old female patient with EDS hypermobile type. She had perceived her recurrent shoulder dislocation from childhood. She complained of shoulder pain and restriction of activity in daily life (ADL) during shoulder movement due to shoulder instability. There was no abnormal finding from radiologic... |
The patient is a 28-year-old male with prior history of a grade 3 astrocytoma, who presented to our emergency department (ED) after having a general tonic-clonic seizure (GTC). Initially, his disease was appreciated four years prior when he presented with a GTC and was found to have a grade 3 astrocytoma of the left oc... |
A 64-year-old woman with a past medical history of hypertension and right hemicolectomy due to colonic adenomas presented to an outside hospital with a 3-month history of dry heaves and malaise. Prior to this illness, the patient had been in her usual state of health. At the outside hospital, she was found to have acut... |
The patient is a 21-year-old male who presented to our institution after being involved in a high-speed motor vehicle collision. He was the restrained driver, and his car rolled over and collided with a tree at highway speeds. The patient presented with isolated bilateral knee dislocations in a windswept pattern. Traum... |
A 42-year-old male referred to the Faculty of Periodontics, Tatyasaheb Kore Dental College and Research Centre in June 2011. The patient presented with chronic history of gingival swelling in relation to maxillary right central incisor. The patient reported of this complaint since the past 3 years. The swelling subside... |
A female, 47-year-old patient underwent treatment for nasolabial folds. Polymethylmethacrylate (PMMA) 10% was injected with a 22 G microcannula. Local anesthesia of lidocaine 2% was administered, then the cannula was introduced through the right oral commissure. At that moment, the patient moved abruptly and reported f... |
A 78-year-old female went to her primary care physician (PCP) complaining of progressively worsening shortness of breath. Her PCP referred her to the nearest emergency room to evaluate for possible pulmonary embolism. There was also concern that the patient may have chronic obstructive pulmonary disease (COPD) or asthm... |
A 28-year-old man, educated up to class XII and working as a sales representative in a private company, was referred by a private psychiatrist for assessment and further intervention with regard to complaints of difficulty in sustaining attention in any work, difficulty in concentrating during conversation, difficulty ... |
An 80-year-old man with known cervical canal stenosis due to ossification of the cervical posterior longitudinal ligament was transferred to an emergency room soon after a falling accident. The patient was alert and had complete tetraplegia, sensory deficits below the C4 cervical sensory level, and progressive restrict... |
A 62-year-old woman suffered from severe low back pain after an accidental fall 10 days ago. Low back pain was obvious when turning over and getting out of bed. It was not relieved after bed rest and conservative treatment. Visual analog scale (VAS) of low back pain was 8 points and Oswestry Disability Index (ODI) scor... |
An 84-year-old man taking HOT for COPD was brought to our emergency department (ED) because of cardiopulmonary arrest after connecting an oxygen cylinder to a urinary catheter at home. The initial electrocardiogram (ECG) showed asystole. He had erroneously connected an oxygen cylinder to his urinary catheter at home. H... |
A 62 year old hypertensive non diabetic female presented with pain, swelling in the left knee and difficulty in walking in the left knee for the last 6 weeks. A TKA of the left knee was done 2 years ago. She had an uneventful period after the TKA.\nOn examination, a 15 cm vertical midline surgical scar healed by primar... |
A 28-year-old Caucasian male was brought to the emergency department (ED) by his wife and parents due to sudden onset, intense suicidal ideations. He had no significant past medical or psychiatric history except for a 6-month history of depressed mood and anxiety in the context of several stressors in his family and at... |
The patient is a 67-year-old man who presented with the complaint of a multiyear history of persistent severe neck pain with rotation. Incidentally, he had previously undergone an anterior cervical discectomy with fusion at C5-6 and C6-7.\nPlain radiographs demonstrated severe multilevel cervical degeneration. He had n... |
A 14-year-old boy came to us with incontinence after post pelvic fracture-related urethral injury repair. He had suffered urethral injury in a road traffic accident 10-years-ago followed by staged urethral reconstruction. At the end of few months of urinary diversion, he had undergone urethral repair using abdominoperi... |
A 69-year-old Japanese man with a history of anal fistula presented with diarrhea, intermittent fever and wasting. He did not have any specific family history. He had moved to a Southeast Asian country 12 years earlier, and he started having persistent diarrhea 2 years later. He came back to Japan to visit an outside h... |
A 46-year-old female patient was brought to our Accident and Emergency Department with a 5-day history of a painful perianal and perineal swelling, which was increasing in size each day and discharging pus. This was preceded by perineal scratching for itchiness. A day prior to presentation, the pain had increased in in... |
This case describes a 23-year-old male who was struck by a motor vehicle. Upon arrival at our hospital, the patient had a GCS of 8. FAST exam, chest radiograph, and computed topography (CT) of the head and cervical spine were obtained and were negative.\nExam of the lower extremities revealed abrasions over the left kn... |
This is an 86-year-old Caucasian male with a 20 year history of right-sided breast cancer. He presented to the emergency department with complaints of an ulcerated, hemorrhaging right anterior chest mass. Patient was noted to be a poor historian with a history of dementia. He was alert and oriented only to person and t... |
A 76-year-old man with a past history of diabetics, hypertension, benign prostate hypertrophy, and no previous operation history visited the emergency department with complaints of abdominal pain for 3 days and hypotension. Abdominal computed tomography (CT) was performed initially at another hospital to identify cause... |
A 68-year-old male, formerly a smoker, presented with one-month history of rapidly progressing swelling in the left mandibular region (). There was no other local or systemic complaint. Physical examination revealed a 5 × 5 cm firm, fixed, immobile, mildly tender swelling in region of left mandibular ramus. A firm, 1 ×... |
A 58-year-old (gravida 2, para 2) woman presented the nearby hospital complaining of persistent defecation disorder and vomiting. Although her family history was notable for pancreatic cancer in her father, there was no other familial history of cancer, including breast and ovarian cancer. Her past medical history is u... |
A 32-year-old man was admitted to our hospital with appetite loss. He had a history of traumatic transverse cervical spinal cord injury at the C5 level due to suicide attempt at the age of 18. As a result of cervical spinal cord injury, he was paralyzed in the lower body. Contrast-enhanced computed tomography (CT) reve... |
A 38-year-old white South African female presented to the Emergency department complaining of an 8 hour history of sudden onset generalized, severe abdominal pain associated with very liquid green-brown stools.\nThe pain was colicky in nature and there were no alleviating or exacerbating factors. Frequency of passing s... |
A 70-year-old man presented to the emergency department at our institution, with angina-like chest pain, palpitations, and sweating.\nOne year prior to his current admission, he underwent endocrine evaluation following an incidental adrenal finding on imaging measuring 25 × 34 mm2. A 24-hour urine collection for catech... |
A 12-year-old male child patient visited the Department of Pediatric Dentistry with the presenting complaint of swelling and pain on the right side of the mandible for 6 months. The patient presented with a history of extraction of a carious tooth from the region 4 months back. On extraoral examination, it was found th... |
Our patient is a 76-year-old woman who presented to a peripheral hospital with sudden onset dyspnea, nausea, orthopnea, chest pain, and vague abdominal discomfort. She had a history of vague headaches and a family history of hypertension and ischemic heart disease but did not have a formal diagnosis of hypertension her... |
The patient (JRS), a 58-year-old man was subjected to an excisional biopsy of a dark skin lesion in the left foot. On light microscopy, an acral melanoma was diagnosed, with a Breslow thickness of 1.5 mm. Clinical staging was T2 N0 M0, with a normal LDH (355 mg/dL) and normal chest and abdomen CT findings.\nBased on th... |
A 24-year-old woman from a Middle Eastern country presented to the Jefferson Pancreas, Biliary and Related Cancer Center for evaluation of a recurrent pancreatic mass. She complained of right upper quadrant fullness, and physical examination revealed a remote right subcostal incision. At the age of 12 years, she had fi... |
Our patient is a 59-year-old right-handed male who presented to us after a new-onset seizure. He had a past medical history of well-controlled type II diabetes mellitus and mild chronic obstructive pulmonary disease. Neurological exam on admission was normal, however, initial imaging of the brain revealed bilateral mes... |
A 2-year-old previously healthy Sri Lankan girl presented with lower abdominal pain and low-grade fever. She is from an average Sri Lankan middle class family with no significant family history of ovarian disease and with an average socioeconomic background. She was vaccinated in concordance with the extended immunizat... |
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