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A male patient aged 47 years presented with a chief complaint of worn-out lower front teeth. A complete oral examination followed by a detailed medical and dental history was done and recorded. The oral hygiene status of the individual was fair [Oral hygiene index (OHI) score=1.5]. Medical history revealed that the pat... |
A 33-year-old pregnant woman had been transferred to our outpatient clinic with the concern for preterm labor at 23 weeks gestation but was ultimately sent home. After a triplet pregnancy achieved through an in vitro fertilization embryo transfer in a private clinic, the patient underwent a McDonald operation at 16 wee... |
A 32-year-old gravida 3, para 0, was referred at 13 weeks 5 days' gestation to the High-Risk Clinic in June 2015 due to her maternal skeletal dysplasia, cartilage-hair hypoplasia. This diagnosis was established based on clinical findings and confirmed by genetic studies. She is 4 ft 0 in (122 cm) tall and has had eleve... |
A 42-year-old man with a cardiac tamponade was referred to the Department of Cardiovascular Surgery of our hospital to be submitted to an urgent pericardiotomy following a median sternotomy. His medical history dated back to July 2006 when he was admitted to the Cardiological Department of General Hospital in a suburb ... |
This is a 68-year-old gentleman with past medical history of hypertension, hypothyroidism, depression, and panic attacks, presented with epigastric pain. No nausea, vomiting, hematemesis, or weight loss reported. He underwent endoscopic biopsy that showed a poorly differentiated adenocarcinoma. He was referred to a ter... |
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 ... |
A 6-day-old male neonate presented to our hospital with a 8 cm × 8 cm swelling in the back of the head (diagnosed to be occipital meningocole from neurosonogram) and was posted for MRI brain to confirm the diagnosis and to know the contents and extent of the swelling.\nBaby was delivered at term gestation by normal vag... |
A 65 year-old white female patient had been previously evaluated an outside facility for recent development of edema and CKD. She had a history of hypertension diagnosed at age 58 on treatment with angiotensin II receptor blocker. At time of her initial evaluation (at an outside facility) her serum creatinine was 1.1–1... |
A 19-year-old male has presented to a tertiary hospital with per rectal bleeding for the last five years. He complained of frequent bright red per rectal bleeding after defecation. The patient has been given a history of shortness of breath, fatigue, and occasional chest pain for the last two months. In addition, there... |
A 28-year-old African American female with a 3-year history of rheumatoid arthritis presented to the emergency department (ED) in September 2019 with fever of 101.5 °F, chills, and right ear pain. This ED visit was preceded by multiple hospital admissions for similar symptoms of fever, chills, and productive cough. In ... |
A 66-year-old retired married, male patient was seen in the pain clinic in mid-2014 complaining of classic episodic cluster headaches for the previous 10 years. During this time, he had pain-free periods lasting for about 6 months. Headaches occurred up to 8 times a day, starting as a short stabbing pain in the medial ... |
A 64 year old male presented with sudden onset quadriparesis. He had acute onset pain in both lower limbs which was followed by lower limb weakness. Meantime he had also noticed weakness of both upper limbs. There was no history of preceding back or neck pain. He was also unable to pass urine and faeces. There had not ... |
A 28-year-old Nigerian woman of Igbo ethnicity presented with a 6-week history of neck pain associated with paroxysmal tonic spasms of the left upper and lower limbs. She had no sphincter dysfunction or constipation. There was a positive Lhermitte's sign with neck flexion and severe burning sensation of the right lower... |
A 70-year-old male with a past medical history of aortic stenosis, hypertension, type 2 diabetes mellitus, dyslipidemia, and benign prostatic hypertrophy presented to the emergency room following a near syncopal episode and fall at home. He described the event as an episode of dizziness and denied any loss of conscious... |
A 72-year-old female presented to the emergency room with the complaint of left thigh pain and the inability to walk after tumbling. She had been suffering from osteoarthritis of the left hip but was able to walk with a cane and sit on a couch. She had also received the diagnosis of osteoporosis and had been taking ale... |
A 67-year-old Chinese man was referred to our hospital with diarrhea for more than 5 mo and for management of early colon cancer discovered by colonoscopy in another hospital.\nThe patient visited a hospital for the first time due to diarrhea of yellow watery stool 8-9 times per day on December 20, 2018. Colonoscopy su... |
A 53-year-old woman with a more than 23-year history of chronic indigestion, reflux, abdominal pain and excessive diarrhea, and a more than 21-year history of CD presented to the clinic on December 11, 2017. The patient had no specific medical conditions within her family history. She had no prior history of alcohol co... |
A 75-kg, 61-year-old man, a well-controlled hypertensive was scheduled for laparoscopic nephrectomy for right renal cell carcinoma. General anesthesia was induced with intravenous (IV) fentanyl 150 mcg and propofol 200 mg, and thereafter maintained with isoflurane 2% in oxygen and air. His trachea was intubated after e... |
The patient was a 13-year-old Caucasian girl who suffered from epilepsy in the form of salaam seizures that had begun at the age of 6 months. Aside from the seizures, clinical examination revealed hypopigmented skin lesions on the face and abdomen which were classified as peau chagrin. In addition, radiologic studies d... |
The patient, a 36-year-old Caucasian man, initially presented with altered mental status and a 5-day history of progressively slurred speech. The patient progressively became non-verbal and then developed fecal and urinary incontinence with watery diarrhea. This patient had no history of prior cerebral nervous system e... |
In January 2008, a 75-year-old male presented with a left infra-auricular painless mass, which he had had for 1 year. The mass was suspected to be a myoepithelial tumor after fine needle aspiration (FNA) biopsy at another hospital. He was then sent to our hospital for further assessment. Written informed consent was ob... |
A 49-year-old Caucasian woman presented with an acute deterioration in her allograft function seven years after she underwent a deceased-donor kidney transplant for end-stage kidney disease, secondary to autosomal dominant polycystic kidney disease. Her transplant was a three human leukocyte antigen (HLA) mismatch to a... |
A 25-year-old female presented to the emergency department (ED) for evaluation of persistent productive cough of yellowish sputum over the last four week and mild exertional dyspnea over the last two years. Her past medical history was unremarkable and she took no regular medications. There was no personal or family hi... |
63-year-old woman who had suffered from the right medial knee pain for 5 years and was not responsive to conservative treatment was admitted to our clinics. 30° varus-valgus stress X-ray indicated that the patient had an intact MCL and LCL. After the detailed physical examination and reviewing of X-ray images, it was d... |
An 87-year-old male presented 9 months post TAVR at another institution with PVR complaining of NYHA class III symptoms of increasing fatigue, dyspnea on exertion, orthopnea and paroxysmal nocturnal dyspnea. A 26 mm Edwards Sapien 3 bioprosthetic TAVR valve had been implanted, but the intraoperative sizing at that time... |
The patient is a 7-year-old girl, with no significant medical history and recent history of presence in populated areas and social gathering, who developed small lesions with pruritis on her lower extremities, which extended during the next two days and further on, developed fever (38.5°C). She visited a family physici... |
A 46-year-old white female with a 15 pack-year smoking history initially presented 3 years ago with intense pain in the left side of the mouth that radiated to her left ear for 2 months. She was found to have a 2 cm exophytic lesion on the left lateral border of her tongue that was diffusely keratotic and extremely ten... |
A 49-year-old partially edentulous male was referred to the prosthodontic clinic for the management of his complex dental status. His chief complaint was dissatisfaction of his existing dental condition that affected quality of his life. He requested a predictable treatment to improve his dental function and restore th... |
A 36-year-old Caucasian, Greek man presented to the out-patient clinic of KAT hospital complaining of weakness and limited range of motion of his right shoulder. He had noticed, over the past two months, that abduction and elevation of the joint had gradually become limited while he was carrying his newborn child in a ... |
A 42-year old woman underwent LSG for class 1 obesity (BMI 31 kg/m2) in a private hospital in October 2018. Her past medical history was unremarkable, except for psoriasis and a previous laparoscopy for extrauterine pregnancy. The operation lasted 37 min and there were no obvious intraoperative complications. Immediate... |
A 65-year-old man was diagnosed with pulmonary adenocarcinoma, then treated with chemotherapy. The cancer metastasized, and the patient was diagnosed with end-stage lung cancer. Cancer pain was treated with oral opioid therapy. Metastasis of the cancer caused obstructive jaundice and cholangitis, and the patient experi... |
The patient 56 years old man who found a painless lump in his neck in December 2014. During clinical examination of the neck, we have noticed a tumor with size of fist, on the right side of the neck. Tumor was consistently strong with infiltration of the surrounding tissues with a grainy structure. On the left lobe of ... |
A 63-year-old white female was diagnosed with stage 1 infiltrating ductal carcinoma at an outside hospital in August 2005. Her tumor was 1 cm in size and was ER/PR/Her2Neu positive with an oncotype score of 29. Axillary lymph node sampling revealed 0/6 positive lymph nodes. She underwent adjuvant treatment with epirubi... |
A 63-year-old female with history of end stage renal disease secondary to IgA nephropathy, who underwent a living related kidney transplantation in 1995, presented to our hospital with generalized malaise, dyspnea on exertion, and cough which started 6 months prior. Her other past medical history included type 2 diabet... |
A 28-year-old south Indian native female presented with a complaint of localized pus discharge and large swelling on palatal aspect of right maxillary incisors of about 3 weeks’ duration. The symptoms started as occasional numbness in relation to the right upper lateral incisor since about 1 year and there was no histo... |
A 64-year-old, 87 kg female presented for clipping of a 4 mm wide neck unruptured saccular anterior communicating artery aneurysm which was discovered incidentally during the evaluation of headaches and memory difficulties. Her past medical history was significant for remote breast carcinoma, hypertension, obstructive ... |
A 35-year-old man presented at a local hospital with epigastric pain. Esophagogastroduodenoscopy (EGD) showed that an IVC filter strut had penetrated the third portion of the duodenum (arrow, Fig. ), and this was confirmed by computed tomography (CT) (arrow, Fig. ). In order to retrieve the IVC filter, the patient was ... |
A 67-year-old male patient had a history of smoking with a smoking index of 800. He had quit smoking for more than 1 year. He had a long-term history of hypertension and cerebral infarction. He regularly took his antihypertensive drugs, and his blood pressure was controlled. In January 2017, the patient accidentally fo... |
A 83-year-old woman underwent cataract surgery in the left eye. She was pseudophakic in the right eye. The operation was complicated by posterior capsule rupture and displacement of nuclear fragments into the vitreous chamber. After anterior vitrectomy was performed, surgery was terminated and she was left aphakic. On ... |
A 11-year-old boy was referred to our hospital for liver enlargement with significantly elevated transaminase levels.\nThe patient went to a local hospital after experiencing nausea for no obvious cause for a period of 6 months. Examinations revealed liver enlargement and elevated transaminase levels. The patient subse... |
The patient was a 3-year 7-month-old female referred by her speech-language pathologist, presenting with oromyofascial dysfunction characterized by speech sound production errors, difficulty swallowing, open mouth breathing, and noisy breathing during sleep. With respect to sleep, there were reports of difficulties goi... |
A 43-year-old right-handed man presented to the emergency room, brought in directly from a hospital in Mexico by air ambulance. The medical records accompanying the patient stated he had suffered an upper respiratory tract infection 3 weeks previously, subsequently developing ascending weakness that eventually required... |
The first report describes the case of a 15-year-old girl who developed glioblastoma multiforme (GBM) from the previously treated diffuse astrocytoma (Gr-2). The patient underwent the first surgery at the Neurosurgery Clinic in November 2005 due to the diagnosed diffuse astrocytoma. The second surgery was performed in ... |
A cardiologist calls as they are planning a coronary angiogram for a 68-year-old trans woman and are concerned because the estimated glomerular filtration rate (eGFR) is unknown. They are uncertain how to risk stratify her for potential contrast-induced nephropathy. She has a history of longstanding hypertension and hy... |
A 20-year-old male collegiate track athlete presented with 8 months of right posterolateral leg pain and paresthesia. The symptoms had begun shortly after starting to use a new pair of orthotics during his season. The symptoms were initially described as a sharp pain, present usually only with activity, rarely symptoma... |
A 6-year-old Ethiopian boy was admitted to the pediatric intensive care unit of the Black Lion Specialized Hospital with medulloblastoma and hydrocephalus. He was the first child in his family and came from low socioeconomic status. No history of birth defect, head injury, trauma, central nervous system infections, mal... |
We present a case of a 70-year old Caucasian gentleman who underwent a living donor renal transplant 10 years ago following a diagnosis of glomerulonephritis aged 34. More recently, he had developed acute heart failure manifested by bilateral leg oedema, facial oedema and difficulty in breathing together with severe an... |
A 61-year-old Caucasian male with a past medical history significant for a remote history of Hodgkin's lymphoma status post splenectomy, pernicious anemia, type 2 diabetes, hypertension, hyperlipidemia, hypothyroidism, gastric carcinoid tumors, and morbid obesity (BMI 47) presented with an anomalous pancreatic mass on ... |
A 54 year-old male with no significant past medical history was initially diagnosed with a cutaneous melanoma involving his left forearm in September 2012. He underwent local resection and sentinel lymph node biopsy at an outside institution with pathology showing an invasive melanoma characterized by an ulcerated Clar... |
A 53-year-old man reported to the emergency room with a 2-day history of sudden-onset left chest pain radiating to his left back. The pain was intermittent over the 48 h and felt similar to the pain he experienced in a prior episode of pleurisy. It did not localize to any specific region of the chest and did not involv... |
A 78-year-old, right-handed Caucasian woman presented to our clinic with speech difficulties. About 4 months before admission, the patient noticed gradually increasing difficulty to find the right words and respond to questions, and her sentences became disjointed and less clear. Besides dysphasia and mild limb ataxia,... |
A 29-year-old woman presented at 13 weeks of gestational age to Robat Karim Hospital in a poor suburb of Tehran, Iran, with abdominal pain and severe vaginal bleeding. She complained of having spontaneously expelled some tissue at home. Upon examination, her cervical os was noted to be open with active, severe vaginal ... |
A 72-year-old African American male patient with a history of alcohol abuse presented with acute encephalopathy and failure to thrive (FTT) with unintentional weight loss. His electrocardiogram showed new-onset AF. As part of his initial work up for FTT, he underwent computed tomography (CT) scan of the chest and abdom... |
A 38-year-old man had a history of back and migratory joint pain for seven years, gradual bilateral hearing loss for four years, tinnitus for three years. In 2017, he admitted to another hospital because of sudden weakness in his right limbs and diplopia. Cranial magnetic resonance imaging (MRI) revealed one lesion loc... |
A 21-year-old female presented with complaints of progressive NYHA Class III breathlessness with episodes of paroxysmal dyspnoea and intermittent claudication Rutherford Class II for 2 months. The referring physician assumed the presence of the cardiovascular disease, as all of her four limbs had absent peripheral puls... |
An 11-year-old girl was referred to the pediatric assessment unit due to a report of a lesion on her distal tibia. The X-ray was performed a few days prior to presentation and was reported and flagged up by the radiologist, which subsequently led to calling the girl in for a review on the weekend. The X-ray showed a le... |
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... |
The patient was a 65-year-old gentleman with a past medical history of hypertension and diabetes mellitus type 2 who was admitted to the hospital with progressive weakness, headache, dizziness, and confusion. His general and neurologic exam was grossly normal. Blood laboratory data were within normal limits. A nonenhan... |
A 70-year-old woman presented to the clinic with the chief complaints of progressively worsening back pain and weakness in her legs. She had progressively worsening symptoms of thoracic myelopathy of 2 years' duration. She described the lower back pain as radiating to both of her legs. She had a walking tolerance of <1... |
A 40-year-old, Caucasian nulliparous female presented to our department with the complaint of menorrhagia, worsening dyspnea, constipation, and movement problems. She had a history of a progressive abdominal distension, primarily occurring in the previous 12 months, and a 6-month history of vague abdominal pain and abd... |
A 44 years old Chinese woman, para one with a history of poorly controlled type 2 diabetes mellitus since 2011. In 2013 she underwent induction of labour for poor glucose control at term, and finally gave birth by caesarean for failed induction of labour. The baby was born alive with a birthweight of 3.630 g. Afterward... |
Otherwise healthy, 12-year-old boy was admitted to the ward with a history of swelling of the right and left forearms, for 1 day duration.\nHe gave a history of a swelling in the right forearm first noticed six weeks prior to the current presentation, and it has resolved gradually without any acute intervention. During... |
A 53-year-old male diagnosed with OI type I was referred to our clinic for extraction of the remaining maxillary teeth and evaluation for full arch immediate load hybrid prosthesis. His clinical history included osteogenesis type 1, bipolar disorder, alopecia, and hypothyroidism. The patient presented with normal statu... |
A 64-year-old woman was referred to our hospital for the treatment of chest wall necrosis. She had undergone Halsted surgery and postoperative radiation therapy with cobalt-60 (30 Gray) and megavoltage X-rays (30 Gray) 25 years earlier. Following the treatment, her left upper limb became completely paralyzed.\nSix year... |
A 73-year-old woman with a history of breast cancer with liver metastasis presented with increasing pain in the left eye more than the right, associated with increasing blurring of vision in both eyes 3 months after beginning PTX. She was diagnosed with chronic posterior blepharitis associated with mild symblepharon fo... |
A 44-year-old woman without any specific medical history presented to the emergency room of our hospital after a snake bite, (Agkistrodon ussuriensis, Chinese viper) near the right lateral malleolus, in a parking lot three months before being referred to the pain clinic. At that time, the patient complained of severe e... |
A 51 year old man presented to our outpatient department with an increasing swelling in the right distal upper arm. He reported about local pain without radiation. The patient´s medical history was without previous infections, surgeries or other diseases. The mass in the arm presented solid and relocatable. The examina... |
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 ... |
A 36-year-old Japanese man was referred for medical consultation because of behavioral problems at work, suspected to be caused by his communication difficulties. His history was negative for injury or illness from birth through childhood, and he had no previous diagnoses of any psychiatric disorders, including develop... |
A 13-year old boy born in Albany was admitted to Santa Maria Hospital of Terni on 19 July 2017 for left renal colic. He had been an orphan at the age of three years and was entrusted and adopted to his uncles in Italy at the age of four years. His clinical history indicates no relevant medical problems until the age of... |
Our patient is a 43-year-old male with no significant past medical history who presented to our emergency room with a chief complaint of shortness of breath for the duration of 2 weeks. Two weeks before presentation, the patient was prescribed azithromycin by his primary care provider for a presumed diagnosis of pneumo... |
A 4-year-old boy was brought to the Emergency Department (ED) from a rural area with complaints of fever, headache, and weight loss. He was suffering from these symptoms for the past 4 months, which had worsened in the past week. His brother informed that the child had been unwell since infancy with several episodes of... |
We present a 78-year-old male with a previous medical history of prostate cancer, which was treated with radiation therapy, who secondarily developed urethral strictures for which he had recently undergone a urethral stricture dilatation. He presented the following day with altered mental status, nausea, and lethargy. ... |
We informed the patient that data from his case would be submitted for publication, and he provided consent.\nA 30-year-old man with no underlying disease sustained a crush injury to his foot and ankle and lower legs in a car crash. He was brought to our hospital in an ambulance. He sustained open fractures to the left... |
A 34-year-old male diagnosed with CF as a child was found to have CFRD at age 20 after joining our tertiary care clinic. He was diagnosed with CFRD based on fasting glucose and HbA1c levels along with symptoms of polyuria and polydipsia. He was started on insulin therapy the year following diagnosis () with 1 unit of r... |
A 48-year-old female patient underwent her first work-up for possible liver disease 30 years ago. Based on findings of chronic active hepatitis in liver biopsy, autoimmune hepatitis was suspected, and treatment with prednisolone and azathioprine initiated. Seven years later, an endoscopic retrograde cholangiopancreatog... |
A 13-year-old girl of African ancestry was referred to our breast clinic for evaluation of a left breast mass. She had been complaining of the left breast lump for 2 years. The lump was gradually increasing in size and it was tender. There was no history of skin changes, nipple discharge, fever, or trauma. Furthermore,... |
A 30-year-old female, married with no known prior co-morbidities, was admitted with complaints of black discoloration of fingers for two years, joint pain for six months, and lower limb weakness for three months. She was in her usual state of her health two years back when she suddenly developed a small, painful area o... |
A 42-year-old woman with a history of rheumatic valvular heart disease and permanent atrial fibrillation underwent open triple valvotomy 14 years ago and routinely took the warfarin to anti-coagulate since then. The international normalized ratio of prothrombin time (PT-INR) was monitored every 2 weeks to keep it range... |
A 77-year-old man on PD for five months transferred his care to our unit in January 2018. He had a history of type 2 diabetes mellitus for 40 years and had been followed for chronic kidney disease presumed to be secondary to diabetic nephropathy since 2009. In November 2015, histological examination of colonic polyps r... |
A 6-year-old boy accompanied by his father came to the Clinics of Pediatric Dentistry and Stomatology of the Bauru School of Dentistry, University of São Paulo (FOB-USP). The father previously signed the free consent form, authorizing the treatment and the publication of this case. During the anamnesis, the father repo... |
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... |
The currently 31-year-old female was first seen at our institution at the age of 16 years due to severe ID, epilepsy and autistic features. The previous history of the patient was reconstructed from medical records, photographs and parental interviews.\nThe patient (Fig. ) was born from an uneventful pregnancy of unrel... |
A 61-year-old Caucasian female with a prior diagnosis of PBC was diagnosed with T3N1M0 stage III, grade 2 left breast invasive ductal carcinoma in October 2011. The tumor was 7 × 4 cm, and a palpable left axillary lymph node was noted on examination. The tumor was positive for estrogen receptor, progesterone receptor, ... |
A 65-year-old man was diagnosed with pulmonary adenocarcinoma, then treated with chemotherapy. The cancer metastasized, and the patient was diagnosed with end-stage lung cancer. Cancer pain was treated with oral opioid therapy. Metastasis of the cancer caused obstructive jaundice and cholangitis, and the patient experi... |
The patient was a 7-year-old boy born with tracheoesophageal fistula (TEF) with esophageal atresia. Fistula division and primary anastomosis of the esophagus was attempted on the third day after birth in another hospital. However, because of long gap atresia, he underwent cervical esophagostomy and feeding gastrostomy.... |
A 48-year-old Caucasian female was found unresponsive at the scene of a house fire with burns to the face [<1% total body surface area (BSA)] and inhalation injury. She was intubated via endotracheal tube at an outside facility and subsequently transferred to our burn center for definitive care. The initial bronchoscop... |
A 14-year-old male, previously diagnosed case of typhoid two months back, for which he was admitted in a hospital presented to the medical consult service with ongoing fever for one week and vomiting for three to four days despite the completion of treatment. The fever started one week back and was acute in onset, risi... |
The patient was a 36-year-old male, who was admitted to the hospital due to persistent abdominal pain. This patient had no remarkable medical history. Starting in July 2015, the patient experienced repeated episodes of unexplained upper abdominal pain and experienced no other accompanying symptoms. After review of the ... |
A 71-year-old woman presented with a 1-week history of afebrile dyspnea with cough and sputum, tinged with small amount of blood. Her symptoms were concurrent with general weakness and myalgia. She was taking regular medications for her hypertension. Chest breathing sounds were clear without any wheezing or rales. The ... |
The case presented is that of a 45-year-old woman (height, 155 cm; weight, 56 kg; body mass index, BMI 23.0). The patient was a clerical worker who complained of working in a sitting position for a long time (6 h) a day, four times a week. The patient was informed that data from the case would be submitted for publicat... |
A 53-year-old African American male with a past medical history notable for chronic pancreatitis, insulin-dependent diabetes, hypertension, peripheral arterial disease, and gout presented to the emergency room complaining of acute left upper quadrant abdominal pain. At baseline, he was fully functional, has held office... |
A 21-day-old boy with vomiting, abdominal distention and feeding intolerance presented to our institution. He was born at 36 weeks and 6 days of gestation, weighing 2220 g, with Apgar scores of 8 at 1 min and 8 at 5 min. For the first 4 days of life, he was both breast- and formula-fed. After hospital discharge, he was... |
A 34-year-old white female diagnosed with Graves hyperthyroidism was initially treated for about 18 weeks with methimazole without improvement in thyroid levels because of severe endometriosis history, bilateral oophorectomy, and hysterectomy five years before her Graves diagnosis. Her gynecologist did not start hormon... |
A 36-year-old premenopausal woman presented with a painful mass in the outer quadrants of the left breast that had grown rapidly for two months. The woman had no significant medical records and no family history of breast cancer. Her menstrual cycles were regular and she had three children. The initial physical examina... |
The patient was a 57-year-old man with 6 months history of dysphagia and regurgitation. upper gastrointestinal (UGI) endoscopy was done which showed large wide mouthed diverticulum in lower oesophagus around 36 cm from the incisors. The mucosa within the lumen of diverticulum was normal and there was no other lesion in... |
A 47-year-old obese woman, who had a history of smoking, presented with untreated hypertension and diabetes mellitus. She was found to have developed acute type-B aortic dissection (type IIIb) consisting of entry at the descending aorta and re-entry of the bilateral common carotid arteries, left renal artery, and left ... |
A 36-year-old Caucasian male presented to the emergency room complaining of a one-day history of abdominal pain. His main symptoms were that of nausea and vomiting, but he also reported periods of diarrhea. In the emergency room, his initial evaluation was significant for lab studies demonstrating a mild metabolic acid... |
A 52-year-old male patient had a crushed right forearm due to an accident involving a washing machine. He was admitted to the emergency department of Chungnam National University Hospital. A right transradial amputation was performed as an emergency surgery. After postoperative wound care, he was transferred to the Dep... |
In March 2012, a healthy 50-year-old Caucasian male sustained a traumatic bifocal pertrochanteric and distal third shaft fracture of the left femur that was treated by another surgeon with a cephalomedullary long nail distally fixed with 2 screws. After 2 months, in May 2012, during the rehabilitation period, he suffer... |
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