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An 84-year-old-woman underwent a non-elective surgery because of an ankle fracture. Her weight and height were 62 kg and 150 cm, respectively, with body mass index of 27.6 kg/m2. She had left upper arm surgery eight days earlier in the same hospital. She fell in the bathroom while on the ward during the early morning t... |
The patient was a 30-year-old female with jaundice. Blood analysis at a local hospital revealed severe liver failure, and she was transferred to our hospital. She was diagnosed as having acute liver failure of unknown etiology and underwent medical treatment, including plasma exchange and transfusion; however, her live... |
A female caucasian baby was born by cesarean section at 39 weeks of gestation to a 37-year-old mother. Family medical history was unremarkable. The pregnancy had a normal course until 32 weeks of gestation when an obstetric ultrasound (US) showed the presence of a cystic abdominal mass of about 3 cm in diameter, locali... |
The patient is a 26-year-old woman with a 13-year history of chronic abdominal pain that started after an episode of presumed "food poisoning." The pain typically lasted 5-6 hours per day, was triggered by eating or bowel movements, and was often severe enough to induce vomiting. It was causing significant interference... |
A 37-year-old Caucasian female with history of obesity and iron-deficiency anemia presented with painful left lower extremity swelling. A physical examination revealed an edematous, tender, and mildly erythematous left lower extremity. Mild tachycardia was noted. A lower extremity venous duplex ultrasound showed an ext... |
A 41-year-old Asian man presented to our hospital after an automobile accident in which he sustained a severe crush injury to his right foot that resulted in formation of a soft-tissue lesion in the weight-bearing heel and instep area. After the debridement, the size of a full-thickness defect at the medial and anterio... |
A 24-year-old unmarried woman was admitted to the Department of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China because of severe unresponsiveness and twitching in October 2019. Subsequent computed tomography of the skull showed low-density shadows of the left temporal lo... |
A 43-year-old male underwent tooth extraction for jaw pain and experienced heavy bleeding; prompting imaging that revealed a large mass of the left maxilla, invading the hard palate and orbital floor. He underwent prophylactic endovascular coil embolization of his left IMA prior to biopsy of the mass to prevent further... |
The patient is a 35 year-old woman who was diagnosed with GSD Ib at the age of 10 months. Dietary treatment was started with good metabolic control. Since the age of 9 years the patient has received G-CSF treatment for neutropenia and recurrent infections. Since the age of 10 she has suffered from inflammatory bowel di... |
A 29-year-old female patient had first reported to the ENT Department of the Cantonal Hospital in St. Gallen, Switzerland, in 2001, with severe and progressive nasal blockage. Symptoms had begun 5 years earlier but had been left untreated. She was however known to have an aspirin and histamine intolerance. In addition,... |
A 65-year-old woman presented with left breast lumpiness to the symptomatic unit and appointment regarding triple breast assessment clinic was arranged.\nPhysical examination of the symptomatic left breast revealed no suspicious findings.\nBreast radiology showed a mammographic asymmetry within the upper outer quadrant... |
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 35-year-old male patient presented in our out-patient department (OPD) in June 2014 with diplopia, ptosis, and excessive fatigability and was diagnosed with AchR antibody-positive generalized MG. Contrast enhanced computerized tomography (CECT) of the chest revealed an ill-defined heterogeneously enhancing lesion in ... |
A 45-year-old male presented with painless and progressive swelling on the right frontal region over 2 years prior to examination. According to patient history, the “swelling” started over his eyebrow and progressively increased in size. He underwent a biopsy at an outside facility and the pathology report diagnosed ne... |
A 70-year-old man presented in 2017 after discovery of a hypervascular, expansile, 7 cm pancreatic body mass involving the splenic vein on routine surveillance CT scan (). He endorsed 1 year of diarrhea and steatorrhea that he had not sought medical care for but denied weight loss, appetite changes, fatigue, pain, or j... |
An 8-month-old female patient was brought to the dentist by her mother with a complaint of an ulcerative growth in the hard palate. Her mother had noticed an erupting tooth in the anterior part of the upper gums when the patient was 3 months old. She also noted a small ulcerated swelling in the same region about 3 mont... |
A Caucasian male in his early 60s presented to the McLaren Macomb Emergency Department (ED) with a complaint of bilateral hip pain and inability to ambulate. The pain had been present for the past four-to-five days and was progressive in nature. The patient admitted to being fairly active and normally able to ambulate ... |
A 49-year-old woman with a past medical history of pulmonary embolism presented for IVC filter removal, which was initially placed approximately three months prior to this hospitalization. She was not a smoker and had no history of chronic lung disease or occupational hazards. At that time, the patient had right leg de... |
A 2-month-old baby girl weighing 3.5 kg presented with a huge swelling on the left side of her neck. The swelling was small in size when noticed at birth, which progressed gradually to the present size [Figures and ]. The child presented with a huge swelling with restricted mouth opening and difficulty in feeding. Exam... |
Our case is an 11-year-old Sudanese girl, residing in Qatar, who presented to the pediatric outpatient department with an 18-month history of progressive abdominal distention. The parents had been attributing the abdominal distention to weight gain, especially as the child remained otherwise asymptomatic. They had in f... |
We present the unique case of a 28-year-old male patient displaying a complex clinical picture with mental retardation and various behavioural problems since birth. Symptoms of the autism spectrum comprising difficulties in social interaction and communication are reported since childhood. Additionally, he suffers from... |
Mrs. E was a 57-year-old lady with a 12-year history of COPD, with an FEV1 of 30 %. Furthermore, she had a past medical history of carcinoma of the breast, type 2 diabetes mellitus and left ventricular failure (LVF), which was diagnosed on an echocardiogram (ECHO) in July 2014. Despite a diagnosis of COPD she continued... |
A 69-year-old man presented at our hospital with a 5-month history of a rapidly enlarging mass in the right thigh. His past history was pulmonary tuberculosis treated with thoracoplasty and hepatitis C. Physical examination revealed the presence of a large irregular mass with multiple ulcers and necrotic tissues, measu... |
A 36-year-old Caucasian woman was evaluated with chief complaint of gluteal pain radiating to her leg. Her medical history was remarkable with gunshot injury to the affected leg with multiple pellets dispersed into her pelvis and proximal part of the thigh, as shown in Figs. and . She had gunshot injury 20 years ago. S... |
A 62-yr-old female ADPKD patient was admitted to our hospital for further evaluation of intermittent fever, nausea and left flank discomfort on April 26, 2012. The patient had a 15-yr-history of ADPKD that was detected when the patient was diagnosed with hypertension. Her two brothers also were diagnosed as ADPKD. Howe... |
A thirty five-year-old gentleman presented to us with gradually progressive difficulty in walking for one and a half years, due to dragging of the right foot on the ground. This difficulty was associated with slippage of footwear from the right foot, with his being aware of it. Despite the weakness, the patient was abl... |
A 42 year-old man with a past medical history of schizoaffective disorder, hyperlipidemia, and gastrointestinal reflux disease was admitted to an adult psychiatric unit secondary to intrusive thoughts that were sexual, homicidal, and suicidal in nature. Similar thoughts with tics were first reported 2 decades prior to ... |
A 30-year-old woman (gravida 2, para 0, early abortion 1) at 21 weeks of pregnancy was referred to our hospital for placenta previa with a small amount of vaginal bleeding in April 2019. Three days before hospitalization, the patient experienced dark red vaginal bleeding due to unknown etiology. Ultrasound examination ... |
A 40-year-old male patient came to our hospital in 2014 with multiple intracranial artery dolichoectasia. It was diagnosed as an incidental finding on radiological examination of the patient. The patient had a history of coiling of the left cavernous internal carotid artery (ICA) aneurysm, which was done outside of our... |
A 45 year old single woman with a non regressing congenital vascular malformation of the right arm and upper chest, presented with a 3 day history of high fever, chills, dysuria, hematuria and right loin discomfort. Her urine output was normal and she had no spontaneous bleeding manifestations or features of uremia. A ... |
A 42-year-old male was operated for carcinoma parathyroid. He had brittle bones. Despite extreme care during shifting to and from surgery, he developed pathological fracture of femur which produced severe pain in the post operative period. He had a pain score of 10/10 (VAS) which did not subside adequately with intrave... |
A 64-year-old man with liver cirrhosis, advanced hepatocellular carcinoma (HCC) that invaded the main portal vein, and adrenal metastasis was admitted for the treatment of giant rectal varices due to portal hypertension. During the preceding 6 years he had undergone partial hepatectomy, six sessions of transcatheter ar... |
A 39-year-old male patient, a known case of non-ischemic dilated cardiomyopathy (Left Ventricular Ejection Fraction 30%) who was in NYHA functional class II on drug therapy (Frusemide 20 mg, Aldactone 50 mg, Ramipril 5 mg and Carvedilol 6.25 mg twice daily) presented with history of recurrent palpitation and pre-syncop... |
The patient was a 2-year-old boy from Russian republic of Ingushetia. Both parents and younger sibling (female) were asymptomatic. Family history is not burdened. Parents may be related, as the mother of the child and the grandmother (father's line) are from neighboring villages of Malgobek region of Ingushetia.\nThe p... |
A 56-year-old male presented to the emergency department (ED) with significant substernal chest pain starting 30 minutes prior to arrival. The patient was immediately brought back to an exam room after an electrocardiogram (ECG) was performed and was seen by a provider within 10 minutes of registration (Figure ).\nThe ... |
An 86-year-old female was referred to our hospital for treatment of a hilar biliary stricture lesion on abdominal CT initially performed to evaluate jaundice and vague abdominal pain. She complained of yellow skin and eyes that began 2 weeks prior. Around the same time, she also began experiencing abdominal pain that w... |
A 28-year-old male first presented with stuttering at the age of 7 years. No management was carried out at that time because his symptoms were mild. By the age of 20 years, he was being ridiculed and humiliated by his college classmates. He became more introverted and did not want to communicate with others. Since then... |
A 54-year-old male was admitted to the Accident and Emergency Department at King Saud Medical City, Riyadh, Kingdom of Saudi Arabia, with a huge ventral hernia on June 14, 2013 at 11 PM. The hernia had markedly increased in size within the previous month, and for the past week it had become stony, hard, painful, and ir... |
A 56-year-old woman presented to our oncology department in May 2018 with a painful erythematous rash with multiple blisters covering the upper part of her back toward the neck. In January 2018 she had been diagnosed with breast cancer and was in the middle of her adjuvant chemotherapy after partial mastectomy. She was... |
A 41-year-old man with known metastasis to the adrenal glands and the second part of the duodenum close to the ampulla of Vater from clear cell renal cell carcinoma (ccRCC) was admitted to our department due to massive gastrointestinal bleeding.\nThe patient had undergone left nephrectomy one year ago for ccRCC (Fuhrma... |
A 30-year-old woman was admitted to the emergency room because of persistent abdominal pain in the right side, appeared some day before, during a shift work as agricultural laborer. An accurate medical history ascertained that she had an increased steady weight (109 kg; BMI = 40 Kg/m2), but she was in apparently good h... |
A 56-year-old male visited his primary care physician to be evaluated for abdominal pain, and the subsequent workup revealed a large retroperitoneal mass measuring 21.8 × 17.5 × 11 cm. A diagnostic workup revealed a poorly differentiated germ cell neoplasm, most likely an embryonal carcinoma. Two months after his initi... |
A 70-year-old woman was referred to our institution in July 2012 for treatment of left ocular pain. She complained of ocular discomfort and decreased visual acuity (12/20) at the first visit. She underwent nasal pterygium excision with topical MMC in the left eye six years previously at another facility. A few years af... |
A 70-year-old Sri Lankan Tamil male with a history of well-controlled type 2 diabetes mellitus and a goitre of 30 years presented with a painful enlargement of goitre on the left side for one month. He had progressively worsening difficulty in breathing with intermittent dysphagia for solids. He did not have any sympto... |
A 53-year-old man manual worker with a 13-year history of gout in his right hallux presented to his general practitioner with right knee pain, stiffness, and giving way with no history of trauma. He had been taking allopurinol for 11 years. He drank 10 to 12 units of alcohol per week and his body mass index was 24.4. O... |
A 48-year-old man with ESRD secondary to diabetic nephropathy was admitted for initiation of renal replacement therapy. He had undergone 36 cycles (36 hours of 1 L/h cycle) of acute PD, through a temporary PD catheter inserted through the infra-umbilical approach, at another center 10 days prior and presented to us for... |
A 50-year-old female Asian patient reported to the Department of Oral Medicine and Radiology with a two month history of multiple painful oral ulcers with difficulty in eating and swallowing solid food . Initially she noticed a bullae in her left buccal mucosa which was initially small and later involved the entire ora... |
A 26-year-old male presented to Accident and Emergency following assault with a baseball bat. His past medical history consisted of longstanding Hepatitis C infection only, he was on no regular medications nor had any known allergies.\nOn admission, the patient had complained of bilateral pleuritic pain on inspiration ... |
We report the case of a 20-year-old Caucasian, nonsmoking female student, height 185 cm, weight 66 kg, who developed pain of the left pinna which is why she attended the otolaryngological ambulatory unit two days later (). The left pinna was found to be sore and reddish but without vesicles, which is why chondritis was... |
A 24-year-old pregnant woman (G2P1) was referred to us due to suspected bilateral ovarian cysts at 8 weeks of gestation. She had undergone ovarian cystectomy twice under open surgery: left and right ovarian cystectomy for mature cystic teratoma and mucinous cystadenoma, respectively. She had no additional medical histo... |
A 6-year-old, previously healthy boy, presented to the Pediatric department because of a strongly positive tuberculin skin test (34 mm) and mild chronic swelling with a skin fistula in the left submandibular area, which developed 3 months prior to admission. He was initially treated with oral and then intravenous broad... |
A 78-year-old male with multiple comorbidities, including hypertension, hyperlipidemia, and type II diabetes mellitus, presented to our emergency setting with complaints of recurrent bouts of abdominal pain and fluctuating fevers for the previous two weeks. The patient reported that the pain is a new manifestation of a... |
A 22-year-old female with a pertinent medical history of DBA and chronic hepatic thrombosis (on anticoagulation with Eliquis) was admitted to the hospital for left upper back cellulitis. Unfortunately due to her anemia (baseline hemoglobin: 9 g/dl), she had required transfusions with packed red blood cells every three ... |
A 70-year-old man with antecedent of follicular lymphoma in complete remission presented at the Timone University Hospital (Marseille, France) in 2016 for a squamous cell carcinoma of the hypopharyngeal region. The patient categorically refused any treatment, including preservative surgery, radiotherapy, chemotherapy o... |
An 80 year old man from the Tarai region of Nepal was brought to emergency with the chief complaint of falling from a swing after being pushed by his grandson 2 days prior. He complained of pain at the nape of his neck. The patient was neurologically intact. He was placed in a cervical collar and an urgent X-ray of the... |
A 62 years old man had been referred to our outpatient clinic because of recently diagnosed Lynch syndrome due to an MSH2 mutation. His family history was negative for any kind of cancer. He had been treated with curative intent for pancreatic cancer four years ago. The cancer was located in the pancreatic tail and his... |
A 71-year-old man with progressive angina was found to have severe stenosis in the circumflex artery and complex CTO of the left anterior descending artery (, Supplementary ). Coronary artery bypass surgery was offered to the patient but declined. He underwent uncomplicated stenting of the circumflex artery, followed b... |
A 32-year-old male patient reported at the dental office with a chief complaint of receding gums and visibility of root portion of teeth with generalized sensitivity to hot and cold food stuff. The patient was healthy with no systemic disease and no adverse habit such as smoking. The patient had Class II recession with... |
A 41-year-old man was accidently detected with a mass without tenderness on the right lobe of the thyroid. B-ultrasound showed that the morphology and echo of thyroid were abnormal though without nodules. Magnetic resonance imaging (MRI) showed significantly enlarged right lobe of the thyroid with a clear boundary and ... |
A 56-year-old male presented to a medical emergency department with complaints of high-grade fever, altered behavior in the form of irrelevant talk, agitation, and irritability with fluctuating orientation for 2 days.\nThe patient was a known case of undifferentiated schizophrenia as per International Classification of... |
A 50-year-old Thai male presented with three episodes of generalized seizures and right-sided hemiparesis for 6 h before arrival. He had no previous seizures. He had a history of well-controlled diabetes mellitus and hypertension for 20 years and took metformin 1000 mg/day and diltiazem 60 mg/day. His past medical hist... |
The patient was a 25-year-old male mine worker, who suffered a multiorgan injury when he was buried by falling rocks. On admission to the Intensive Care Unit, he was in a severe condition and exhibited symptoms of cardiopulmonary failure. The patient was intubated – mechanical ventilation was introduced along with phar... |
A 33-year-old male with human immunodeficiency virus (HIV), not on highly active antiretroviral therapy (HAART) for the last two years, presented to an outside emergency department with a three-week history of subjective fever, arthralgias, myalgias, and a diffuse painful papular upper body rash. The rash had progresse... |
A 76-year-old man with a medical history of hypertension, atrial fibrillation, type 2 diabetes mellitus, and mild chronic renal impairment with a single functional kidney was referred to our hospital because of a Crawford type 3 thoracoabdominal aneurysm with a diameter of 6.4 cm. There was a preexisting occlusion of t... |
An 83-year-old female was directed to the emergency department by her primary care physician three weeks after falling on her left flank for a CT of her abdomen. This CT showed concern for bile duct dilatation, but as she was asymptomatic, she was discharged home with followup. Several days later an endoscopic retrogra... |
A 64-year-old woman presented to a local doctor in 2000 with blurred vision in her right eye. She was diagnosed with chronic iridocyclitis and treated with topical corticosteroids with limited improvements. More detailed examinations were not performed at that time. In 2003, she consulted a neurologist for depression, ... |
A 22-year-old male patient came to the orthopedic and rehabilitation clinics at our hospital with right equinovarus and gait disturbance. He had a history of hypoxic brain damage caused by the umbilical cord wrapping around fetal neck at birth, and was diagnosed with CP at the age of 1 year. He was experiencing severe ... |
We present an 18-year-old man with a history of transposition of the great arteries for which an arterial switch operation and a transpulmonary closure of an associated ventricular septal defect were performed shortly after birth. One year later, a pacemaker and epicardial leads were implanted because of a third-degree... |
A 10-year-old girl presented with osteosarcoma of her right distal femur, identified after a pathological fracture. Contrast-enhanced magnetic resonance imaging showed a large tumor arising from the distal femur and infiltrating the wall of the superficial femoral artery (Fig. ). She was otherwise healthy. She underwen... |
A 62-year-old man with a past medical history significant for iron deficiency anemia, coronary artery disease, benign essential hypertension, gastroesophageal reflux disease, treated hepatitis C, alcoholic liver cirrhosis with history of esophageal varices, and internal hemorrhoids was a well-known patient for our hepa... |
We discuss the case of a 25-year old woman suffering from progressive limb weakness and clinical presentation of a proximal tetraparesis with slightly reduced muscular tone and mild Trendelenburg’s sign. She has had difficulties in walking longer distances since the age of 14 when she underwent corrective osteotomy for... |
An eighteen-year-old male patient was brought to our emergency department five hours after an alleged history of suicidal attempt with gunshot under the chin. He was presented with a burst open face and no recognizable structures on the face, except for the eyes. He was uncooperative and drowsy. His arterial blood pres... |
A 12-year-old girl visited our hospital with “a right abdominal mass and spinal deformity 1 month” on July 22, 2014. When she was 3, the girl was received a mass resection operation in the local hospital, but without postoperative pathologic examination. She recovered well after the surgery. At the age of 5, her parent... |
A 20-year-old woman with a history of root canal treatment of the upper maxillary (left) central incisor was referred to our department from a private clinic. The root canal treatment had been initiated 4 months prior but could not be finished. A clinical examination revealed a temporary filling on the palatal surface.... |
A 9-year-old boy presented with complaints of excessive duration of sleep, increased appetite, weight gain, excessive daytime sleepiness, loss of interest in sports activities, irritability and snoring since 1.5 years after he was shifted to a residential school.\nBefore attending residential school, he used to follow ... |
A 24-year-old man was admitted to our facility for IR. The patient had a history of percutaneous kidney biopsy under real-time ultrasound guidance using a cutting needle at 15 years of age. Macroscopic hematuria started shortly after biopsy, but ceased within a couple of days without development of significant anemia. ... |
Diana (a pseudonym) is a young woman of 25 years old that reached the Eating Disorders Centre, Division of Endocrine and Metabolic Diseases, San Luca Hospital in Milan, following a dramatic weight loss. Diana reached the Centre with a BMI of 16.06 kg/m2 reporting several disruptions in her eating patterns and several d... |
A 61-year-old man went through a pelvic fracture due to wall collapse and was diagnosed with posterior urethral rupture. Five months after the accident, he came to our department to seek for urethral reconstruction.\nWe retrieved his medical history after injury from the medical record system in the orthopedic departme... |
A 9-year-old girl was presented to our hospital on referral from a peripheral hospital with a one-week history of darkish discoloration of both feet and her left hand and a six-day history of a purulent feculent discharge from an exploratory laparotomy wound. She had presented to the referring hospital eight days earli... |
A 43-year-old man with a history of cocaine and amphetamine use and no medical contact since childhood presented to an outside hospital with severe, acute-onset, tearing back and flank pain. On initial evaluation his blood pressure was 240/130 mmHg with a heart rate of 100 beats per minute and he was noted to have an a... |
A 47-year-old male presented to the emergency department at a primary care hospital complaining of sudden onset, severe chest pain radiating to his back. Four years prior, the patient suffered a type A aortic dissection and underwent emergency surgery that included Dacron graft replacement of the ascending aorta and a ... |
A 74-year-old male with past medical history of atrial fibrillation, hypertension, dyslipidemia, and benign prostatic hypertrophy presented to the emergency department with testicular swelling and pain for four days. Physical exam was notable for an abscess on the inner gluteal fold of the perineal region that was spon... |
A 30-year-old man was admitted to the intensive care unit (ICU) of our hospital with an approximately 12-hour history of oliguria. He was 180 cm tall and weighed 70 kg. The patient and his sister provided the history.\nTwo days before admission, the patient had orally ingested about 160 mL of enriched diquat (20 g per ... |
An 80-year-old Caucasian man who initially presented with back pain was found to have a 9.8 cm infrarenal abdominal aortic aneurysm on computed tomography (CT). This was suitable for endovascular aneurysm repair (EVAR) but the left common iliac artery (CIA) was short, necessitating the extension of the left iliac limb ... |
This is a case of a 59-year-old morbidly obese female with situs inversus totalis who presented for a laparoscopic sleeve gastrectomy. Her BMI was 38 (height 4 ft 11.5 inches, weight 188.2 pounds), and she had a lifelong history of morbid obesity and obesity-related comorbidities, including obstructive sleep apnea requ... |
The patient was a 57-year old female, five years post-menopausal, without hormone replacement therapy. Past medical history was positive for hypertension. The patient was diagnosed with adenocarcinoma of the parotid gland, for which she underwent total parotidectomy and ipsilateral neck dissection. The pathology report... |
The case of this report is a 36-year-old married, nonsmoking, non-alcoholic female with primary infertility since 9 years of married life undergoing continuous interventions and repeated ART. Previous specialized evaluations include hormonal assays such as follicle-stimulating hormone, luteinizing hormone, estradiol, t... |
We present the case of a 48-year-old male, who was evaluated by the medical genetics service because he had noticed weakening of his voice with a high pitch since age 35, associated with premature graying since his 30s and skin lesions since about the age of 40. At the age of 32, bilateral cataracts were diagnosed and ... |
The patient is a 20-year-old single woman who was referred to the ER by her group home for altered mental status. The staff declared her missing when she did not return from work. When she met with the treatment team on the psychiatric unit, she offered a scattered story related to the events prior to her admission. Th... |
A 74-year-old, smoker, male patient came urgently on the 30 December 2018 to the Accident and Emergency Department of our clinic, reporting heavy rectal bleeding and intense pain during defecation for 2 days; however, there were no clinical signs of anemia. Past medical history included coronary artery disease (CAD) an... |
A 38-year-old man with schizophrenia presented after his second suicide attempt through an overdose with 48 tablets of burotizolam, 42 tablets of haloxazolam and 14 tablets of levomepromazine. The patient's childhood and adolescent development was normal. He was a good student and an active soccer player in high school... |
A 43-year-old, premenopausal, lady, was evaluated at an outside hospital for complaints of a lump in her right breast of three months duration. She also had severe bone pains and numbness in her chin, since the last one month. She was diagnosed to have metastatic breast cancer. Biopsy was suggestive of high grade infil... |
A previously healthy 14-year-old female presented to the office with sharp, generalized abdominal pain and dark brown urine since the previous night. Additionally, the patient noticed that her whole body ached after running for two hours that same day. She was afebrile and had a cough and runny nose for the past three ... |
A 75-year-old male was admitted to the Thoracic Surgery Department in order to undergo an elective left lung upper lobe resection for a moderately differentiated lung adenocarcinoma. Patient medical history included diabetes mellitus, hypertension and dyslipidemia under medication. Moreover, the patient was a heavy smo... |
A 77-year-old man with a past medical history of type 2 diabetes, hypertension, and ESRD underwent deceased donor renal transplantation. Two months following his renal transplant, the patient was admitted for an acute kidney injury discovered on routine follow-up laboratory testing. From a baseline creatinine of 1.3 mg... |
A 67-year-old, right leg dominant male (1.63 m; 61.4 kg) underwent physical assessment pertaining to reports of unilateral left knee pain and muscle weakness. He first experienced moderate left knee pain five months previously when attempting to carry a heavy object up a flight of stairs. There were no reports of previ... |
34 years old patient, Gravida 6 Parity 3, previous 2 miscarriages (18 weeks & 12 weeks), was seen first at 23 weeks 4 days of pregnancy. She had undergone previous 3 cesarean sections and an evacuation of retained products of conception by curettage in 2013 for partial hydatidiform mole. At 27 weeks 5 days, she was adm... |
A 29-year-old woman who had been bit by an insect on the left calf was admitted to our hospital with a chief complaint of continuous painful swelling of the bit area for 3 days. After scratched, the bite area became red and inflamed. The injury was not considered severe by the patient initially and the swelling of the ... |
An 80-year-old female was referred to the Department of Oral and Maxillofacial Surgery, Narakasuga Hospital because of pus discharge from an oroantral fistula at the right posterior maxilla. The right upper second molar had been extracted 43 days before because of chronic periodontitis. She noticed swelling of the righ... |
A 66-year-old right-handed male presented to the emergency room with orbitocranial penetrating injury after falling down the stairs. During the fall, he impacted his face on the coat rack at the bottom of the stairs. One of the coat hooks on the coat rack penetrated into his left orbit and lodged into the posterior orb... |
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