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The patient was a 34-year-old right-handed dominant male, who has worked as a technician for the national telecommunication company. He was brought to the emergency department of our complex hospital because of falling from almost a nine-meter height when he was fixing the main wires of a phone post. His past medical h...
A 59-year-old previously healthy man presented with fever and pain and swelling in his right lower leg. About two months before this admission, he had developed pain in his right lower leg. The pain had progressively worsened despite analgesics, and his right lower leg had begun to swell. About two weeks before this ad...
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 13-yr-old boy was admitted due to increasing difficulty in walking and clumsiness of the movement, noticed at about 5 yr of age by his mother. Birth history and early neurodevelopment until the age of 1 yr were unremarkable. He held his head at 3 months, turned over at 5 months, and sat alone at 10 months of age. His...
The 36-year-old female patient presented to our clinic with the complaints of a pain of the right anterior chest wall (CW) that begun two months ago and a palpable mass under the right breast. In her physical examination, pulmonary auscultation showed a decrease of respiratory sounds on right bottom area and a hard mas...
A 25-year-old female patient sought medical attention complaining of a three-month history of weight loss, intermittent fever, nonproductive cough, thoracic pain, abdominal pain and increased abdominal girth, nausea and vomiting. She presented syncope on the day she was admitted in the hospital. Symptoms had begun two ...
A 70-year-old woman presented at our outpatient department with primary glenohumeral osteoarthritis at the right side \n[]. She had osteoarthritis in multiple joints and underwent previously a bilateral total knee replacement. General medical history revealed diverticulitis, mild chronic obstructive pulmonary disease (...
The patient is a 33-year-old male with a known case of chronic relapsing ITP diagnosed in 2012. Additionally, he is diagnosed with temporal lobe epilepsy on anti-epileptic medications, Graves’ disease status post radiation of thyroid and on levothyroxine replacement, and valvular heart disease.\nThe patient presented a...
A 54-year-old postmenopausal lady presented with pain in the right arm and right upper thigh of three months duration. There was no history of trauma. General physical examination revealed bilateral axillary and inguinal lymphadenopathy. There was mild tenderness on palpation over the right arm and thigh; however, no d...
A 64-years-old woman was referred to our institution for a second opinion about a very advanced neoplastic disease involving both the thyroid and the lung. The initial diagnosis was a poorly differentiated/anaplastic thyroid cancer (PDTC/ATC) with lung and bone metastases. The tumor mass was considered not surgically r...
A 6-year-old boy had a history of gingival overgrowth, which had been present since the boy’s first tooth erupted at 6 months of age. The painless overgrowth of the gingiva progressed slowly causing no discomfort up to the age of 6 years, when the esthetic appearance also became intolerable. No other complaints were no...
A 55-year-old Japanese woman who was employed as a part-time childcare assistant initially experienced a slight sore throat (day 0). She reported being under stress caused by the daily problems of looking after her elderly parents. On day 8, she became emotionally unstable and required supervision by her daughter all d...
A 53-year-old female was referred to our spine clinic with complaints of chronic neck pain and stiffness; the left arm pain which radiated down the radial aspect of her arm, forearm, and hand; fixed kyphotic posture of the neck; and difficulty swallowing. She reported sustaining a traumatic neck injury 6 years prior wh...
A 81-year old woman was referred to our department to evaluate a wound dehiscence on her left knee with hardware exposure. The patient did not have any relevant comorbidities and her general status was good. The patient underwent a total left hip arthroplasty at the age of seventy four due to severe osteoarthritis pain...
Our patient is a 4-year-old African-American boy born full-term via vaginal delivery, following an uneventful pregnancy, with a birth weight of 2722 grams (9th percentile). He required two weeks in the Neonatal Intensive Care Unit for neonatal abstinence syndrome and poor feeding. He was only breastfed a handful of tim...
A 44-year-old woman with no remarkable family history was admitted to our hospital with the following medical history: after undergoing modified radical mastectomy for cancer of the right breast (papillotubular carcinoma, T3N1M0) in March 2009 at another hospital, the patient received postoperative chemotherapy (4 cour...
A fifty-four-year-old woman who had been in menopause for four years was admitted to our center with the complaint of postcoital bleeding for one year. Gynecologic examination revealed a 5 cm exophytic fragile lesion arising from the cervix. A biopsy confirmed the diagnosis of at least microinvasive adenocarcinoma. Com...
An intubated 60-year-old man was urgently transferred by air from a rural hospital to our emergency department as a possible case of CNS infection necessitating intensive care treatment in a higher-level tertiary hospital. The patient’s history showed acute onset of fever up to 38.5°C accompanied by rigor, neck stiffne...
A 41-year old male presented to the emergency department (ED) with chief complaints of high-grade intermittent fevers and severe abdominal pain.\nThe patient described the fever as episodic, high grade (maximum temperature of 103F), without chills or rigors, and associated with a non-productive cough for one week. He a...
A 10-year-old boy was referred to a local hospital with hoarseness for 1 year in July 2009. Clinicians saw a tumor of the vocal cord, which subsequently was resected by using direct microlaryngoscopy with a carbon dioxide (CO2) laser. Respiratory papilloma was diagnosed after pathologic analysis. After the procedure, t...
A 46-year-old healthy female patient was evaluated at our institution for a perirectal mass of unknown etiology. Her past medical history was unremarkable. The patient reported a perineal mass in the standing position. Her only other symptom consisted of mild occasional dysuria. Rectal and vaginal examinations were nor...
The patient was an 11 year old boy who had been involved in a MVA versus pedestrian accident in which a large vehicle rolled over his pelvis, resulting in an open book pelvic fracture, splitting the osseous structure of his pelvis. He sustained life-threatening injuries for which he underwent 19 surgeries over the cour...
A 78-year-old man was admitted to our ward for the incidental finding at the ultrasound of a solid mass in the liver, without symptoms. His past surgical history consisted of only a laparotomic cholecystectomy for acute cholecystitis, with a liver biopsy diagnostic for aggressive chronic hepatitis (the patient was HBV ...
A 64-year-old male patient who had been on diabetes medication with no other particular medical history visited the clinic for symptoms of chillness, and his temperature was measured to be 38.8℃. An abdomical CT revealed a 6-cm abscess surrounding a pseudoaneurysm of about 4 cm near the right internal iliac artery, and...
A 67-year-old male patient sought implant rehabilitation for the purposes of restoration of occlusal support and assistance with chewing difficulties. Clinical and radiological examinations revealed that teeth were absent 26–27. The clearance from the alveolar ridge to the opposing teeth was 20 mm (Fig. ). A CT scan sh...
A 15-year-old woman with no medical history was admitted to our intensive care unit (ICU) a few hours after a longboard fall without initial loss of consciousness or head trauma. The patient was not able to walk and she had to be transported to find help. When the medical team arrived, she was conscious, Glasgow coma s...
A 27-year-old male with no significant past medical history was admitted with right lower extremity pain and swelling that started a week ago. Patient first noted swelling in the right ankle that was associated with pain in the calf and thigh. Pain was described as progressively worsening with tightness and heaviness i...
Mr. S, a 47-year-old married farmer, belonging to Hindu religion, from a rural background, who was pre-morbidly well adjusted, with no family history of mental illness presented with an episodic mental illness since the age of 18 years, suggestive of RDD. The first episode of moderate severity (suggestive of moderate d...
This is a case report of a 46-year-old female with a past medical history notable for depression, asthma, and uterine leiomyomas who presented to an urgent care with 5 days of progressive abdominal pain, bloating, nausea, and subjective fevers. The patient endorsed a several month history of gaining weight, though she ...
Miss S, a 21-year-old unmarried female from a lower socio-economic background, was brought to the Department of Psychiatry with the complaints of 2 weeks duration characterized by abusive and assaultive behavior, irrelevant talk, decreased personal care, decreased sleep, and decreased food intake. The above symptoms st...
A 69-year-old woman with a history of hypertension was identified to have an incidental renal tumor on computed tomography (CT). She denied hematuria, lower urinary tract symptoms, pain, fever, fatigue, or weight loss. Her medical history was significant for hypertension and obstructive sleep apnea. Family history and ...
A 19-year-old male was referred to our hospital by a primary care physician for a history of intermittent cramping pain in the right flank persisting for several days. His abdomen was flat and soft; however, he complained of abdominal pain upon pressure in the right lower quadrant. Most laboratory test results revealed...
A 3-year-old male presented to the Emergency Department after hitting his head during a fall from a crib. CT scan revealed a suprasellar mass with extensive cysts extending throughout the right middle and bilateral posterior cranial fossae, as well as to the atrium of the right lateral ventricle. MRI () confirmed the f...
A 69-year-old Chinese woman was presented with left waist pain for 1 month. She had no fever or other pain. There were no abnormal results in the blood routine examination, renal function, and urine routine examination. And the result of urine culture was negative. A preoperative computerized tomography (CT) scan and i...
A 51-year-old woman underwent hysterectomy and pelvic lymph node dissection for uterine cancer when she was 48 years old, and lymphedema developed in the left leg soon after the operation. She had one episode of cellulitis. Despite wearing elastic stockings, lymphedema worsened, and she visited our institution at the a...
The patient was a woman in her seventies and had a history of appendectomy, hypothyroidism, and cataracts. She had undergone endoscopic papillary balloon dilatation for choledocholithiasis about 2 years ago. Thereafter, the choledocholithiasis recurred and endoscopic sphincterotomy was performed. Subsequently, the pati...
A 60-year-old female, South-Asian never-smoker presented in December 2011 with dizziness and nausea. A magnetic resonance imaging (MRI) scan of the head detected 25 brain metastases. The two largest metastases were in the right cerebellum measuring 38 mm and 22 mm in size; the remaining were < 10 mm with a diffuse bila...
A 15-year-old woman with no medical history was admitted to our intensive care unit (ICU) a few hours after a longboard fall without initial loss of consciousness or head trauma. The patient was not able to walk and she had to be transported to find help. When the medical team arrived, she was conscious, Glasgow coma s...
A 6-year-old 24-kilogram female presented for general anesthesia for a cystourethroscopy and a pressure induced cystogram with possible Deflux injection to evaluate and treat recurrent febrile urinary tract infections. She had a history of mast cell mediator release and immediate hypersensitivity due to the urticaria p...
A 74-year-old man presented to the Eye Emergency Department of Galway University Hospital complaining of a gradual decrease in visual acuity and foreign body sensation in his right eye 8 days post uncomplicated phacoemulsification cataract surgery and intraocular lens insertion. His preoperative assessment was routine ...
A 29-year-old male was brought to the emergency department following a car accident. It was reported that the wheel of a 5-ton water tanker rolled over his lower body as he was stepping into a car. Workup revealed a Glasgow Coma Scale (GCS) score of 15 with a pulse rate of 80 beats per minute and blood pressure of 90/6...
A 42-year-old male reported to a dental clinic immediately following a trauma due to domestic violence. Careful examination revealed no other injury except the fracture of the upper front teeth. The crown portion of the maxillary left central incisor had been fractured and had not been retained by the patient. Clinical...
A 5-year-old female Nigerian child who was referred to our surgical facility on account of recurring abdominal pain. The pain was localized to the central abdomen, being colicky, aggravated by feeding and relieved occasionally by taking antacids. The episodes were frequent but erratic with the colics occurring mostly w...
A 63-year-old Saudi female, who was known to have hypertension and hyperlipidaemia, complained of fatigue, bone and muscle pain of several years of duration. She also had a history of recurrent nephrolithiasis. Her symptoms aggravated recently with several attacks of abdominal pain, nausea and vomiting. Neck examinatio...
A 56-year-old male with a history of hypothyroidism and hyperlipidemia was admitted to the hospital after a motor vehicle accident where he sustained a closed right subtrochanteric femur fracture with 4 cm of foreshortening []. On admission his hemoglobin was 14 g/dL, white blood cell count 7.7 x 103/μL, platelet count...
A 64-year-old female with a medical history of psoriatic arthritis (not currently on immunosuppressive agents) and type 2 diabetes mellitus presented to an outside community hospital with worsening lower back pain. Three weeks prior to admission, it was noted that the patient had a severe sinus infection and also had a...
The patient was a 29-year-old woman who had undergone debridement and drainage for cervical lymph node tuberculosis 9 years prior to the current presentation. She had been examined 7 years prior to the current presentation via abdominal computed tomography (CT) at another hospital due to abdominal pain. That CT examina...
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...
The patient was a 45-year-old woman who first presented to our center due to abdominal pain 7 years prior to transplantation. At initial presentation, she had cryptogenic cirrhosis requiring large-volume paracentesis. She had undergone no procedures except paracentesis on presentation to our center. Initial magnetic re...
A 49 year old woman came to the eye clinic for rapid and painless visual loss in her right eye (RE) over 3 weeks. Prior to right eye visual loss, she had noted deteriorating vision in her left eye (LE) but could not be more specific about the time of onset. Review of prior records showed that 1 month prior to presentat...
A 29-year-old woman with a history of hypertension and previous subarachnoid hemorrhage 1 month ago was referred to our neurosurgical department because of symptoms including headache, vomiting, fecal and urinary incontinence, and paraplegia for 9 h on December 2, 2011. She had a history of hypertension for 13 years, a...
The patient, aged 37 years, a female, was admitted to the Department of Maxillofacial Surgery with complaints on the mandible mobility in the frontal and right distal regions when opening and closing the mouth and impaired mastication due to partial mandibular edentulism on the right side.\nIn 2011, in a clinic at plac...
A 14-year-old boy was admitted to our emergency department (ED) in status epilepticus. Four weeks previously, he was seen at a neurology department because of generalized convulsive status epilepticus (GCSE), myoclonus, and hallucinations. The seizure frequency was about once 10 days, and the onset duration varied from...
In May 2013, the patient, a 63-year-old male retired truck driver presented with hoarseness of voice. He is an ex-smoker with a 30-pack year history and history of heavy alcohol use. Other medical history included depression, gastro-oesophageal reflux disease (GORD), hypothyroidism and chronic obstructive pulmonary dis...
A 33-year-old married, housewife, belonging to middle socioeconomic status from a rural background, who was premorbidly well-adjusted presented with an insidious onset illness characterized by multiple aches and pains since last 8 years. Detailed evaluation of history revealed that about 8 years back she developed whit...
A 59-year-old female patient was admitted with history of abdominal pain for a year and rectal bleeding for a month. At colonoscopy, a tumor mass in scirrhous feature, narrowing the lumen and complicating the passage of the endoscope, was detected on sigmoid colon. Mucosa was normal through the last 10 cm of terminal i...
A 90-year-old woman was admitted to the emergency department of our hospital because of a syncope episode. A routine blood test showed severe anaemia (Hb 6.6 gr/dl) and physical examination showed no abnormalities but traces of melaena. She had a previous history of nicotinism and ischaemic heart disease with hyperkine...
A 78-year-old Caucasian female was admitted to our Emergency Department after an accidental domestic fall on her left hip. The patient cannot bear any weight on her left leg that was painful, shorter, and in external rotation. Her general status appeared good, and she had no neurological symptoms. She had no significan...
We report a 3-year-old Saudi boy attending King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia in March 2014. An informed consent was obtained from the family of the patient. The proband is a product of a non-consanguineous marriage, was born at term by spontaneous vaginal delivery following an uneventful p...
The patient presented as a 53 years old white male with anemia and fatigue. Previous history included no medications, distal left lower extremity venous thrombophlebitis 2 months prior, status post laparoscopic gastric Roux-en-Y bypass (for obesity and diabetes mellitus which had been untreated and resolved postoperati...
A 68-year-old right-handed man with an educational background of a high school diploma had visited the hospital due to weakness in the bilateral upper limbs and lower limbs, decreased sensation of lower extremities and dysuria occurred 5 days ago as main complaints. Due to decreased vision of the left eye, which had oc...
The patient was an 84-year-old female; 145.1 cm in height and 54.0 kg in weight at the time of her initial examination; a housewife; and described as sincere and calm in personality. Her chief complaints were loss of appetite and weight loss, and she had a medical history of angina with onset at the age of 75. With reg...
A 55-year-old male who presented with new onset of abdominal pain to a peripheral hospital. He had a past history of ulcerative colitis, alcoholic pancreatitis, non-alcoholic steatohepatitis, COPD and GERD. His blood work demonstrated pancreatitis (lipase 1440), and jaundice (total bilirubin 98, direct bilirubin 73.9)....
A 16-year-old girl was admitted to the hospital because of headache and vomiting for 20 days, which aggravated with decreased vision for 3 days. Twenty days ago, she had headache, nausea and vomiting, no fever, no obvious cause, and no improvement after infusion therapy (cephalosporins) at the local clinic. The patient...
A 62-year-old female patient was admitted to the hospital in July 2019 because of left earache, tinnitus, hearing loss for 30 years and worsening earache for more than 1 month. She had not received any treatment before. The patient's personal history, past history and family history were unremarkable.\nRenal ultrasound...
In March 2017, a 65-year-old Japanese man, a ship designer, had mild epigastric discomfort and general malaise. An attending doctor thought that he had a digestive tract disease; in upper gastrointestinal endoscopy, however, there was no abnormality. He continued to complain of epigastric comfort and general malaise; h...
The patient is a 16-year-old adolescent Caucasian male with a past history of diabetes mellitus type 1 (diagnosed at age 10) with history of diabetic ketoacidosis (DKA) with episodic hallucinations, gastroesophageal reflux disease (diagnosed at age 10, s/p fundoplication), cerebral contusion (at age 14) without any his...
This is a 73-year-old female with a known past medical history significant for protein C deficiency on chronic apixaban therapy, polycystic kidney disease status-post kidney transplantation, congestive heart failure, coronary artery disease, gastroesophageal reflux disease, hypertension, and pulmonary hypertension. She...
A 17-year-old female presented to our department with progressive blurring of vision in the left eye. She had been diagnosed with chronic inflammatory bowel disease 3 years earlier and was in remission on azathioprine and mesalazine. The patient underwent best-corrected visual acuity testing, full ophthalmic slit-lamp ...
An 8-year-old boy with chronic encephalopathy secondary to hypoxic ischemic syndrome, with cerebral palsy and symptomatic epilepsy, was admitted to the emergency department of the children's hospital. He had been seizure-free for the past year with an enteric-coated delayed release formulation of VPA (375 mg every 8 ho...
We report the case of a 42-year-old woman who underwent orthotopic renal transplantation for the first time, using a kidney from her sister. The patient had developed end-stage renal disease secondary to lupus nephritis. She had a medical history of bilateral thrombosis of both common and external iliac arteries due to...
A 10-year-old boy presented to our outpatient department with complaints of multiple swellings in the back along with swellings in both the arms since last eight years. He was born out of a normal vaginal delivery at term and the perinatal period was uneventful. His parents noticed deformity in both great toes at birth...
The first patient was a 46-year-old male with prior myocardial infarction and hypertension who was referred to the senior author's orthopedic spine clinic in February 2006. A motor vehicle accident in 1999 had resulted in an L3 vertebral burst fracture with lower extremity weakness. He underwent an anterior decompressi...
A 27-year-old woman presented at the Accident and Emergency Department after a motor vehicle accident. She was reluctant to move her neck in any direction due to pain but was neurologically intact. She also complained multiple facial lacerations, epistaxis, and cerebrospinal fluid rhinorrhea. Plain radiography showed a...
This is the case of a 26-year-old black woman, single, Gravida 3, Para (1) She was referred from a primary health care center located in a rural area to our tertiary hospital for the transvaginal evisceration of bowel through the vagina. Four days before, when she was 10 weeks pregnant she underwent a uterine dilatatio...
A 13-month-old female presented to the emergency department for urinary retention. She was born at 35 weeks gestation in Mexico with an unknown postnatal hospital course. She was known to have mild gross motor developmental delay diagnosed several months before; caregivers stated that she pulled to stand but did not cr...
The patient was a 30-year-old, 60 kg male who presented several days after sustaining blunt trauma to the left side of his jaw. The patient was playing football and was elbowed in this area. He immediately had swelling and pain in the left mandibular area adjacent to his ear. He had limited jaw mobility, which greatly ...
A 60-year-old man, with no medical history, was referred to the department of prosthodontics of the faculty of dental medicine of Monastir, Tunisia, requesting a new set of complete prosthesis.\nThe extraoral examination revealed the decrease of occlusal vertical dimension (OVD) (Figures and ).\nAn intraoral examinatio...
A 39-year-old man with hoarseness and dysphasia was referred to our department for evaluation of left vocal cord palsy and a tracheal tumor that was revealed on computed tomography (CT). He had a previously resected left upper eyelid tumor that was diagnosed as schwannoma. However, he did not have other problems in his...
A 50-year-old female patient reported to the Department of Physical Medicine and Rehabilitation of Ewha Womans University Mokdong Hospital as an outpatient with lymphedema in the right upper extremity. The patient had undergone breast-conserving surgery, axillary lymph node dissection, chemotherapy, and radiation thera...
A 60-year-old African American female with a past medical history of hypertension, chronic obstructive pulmonary disease (COPD), hyperlipidemia, sickle cell trait, class III obesity, presented to the hospital with shortness of breath two days ago, associated with a progressively worsening tongue and neck swelling that ...
A 17-year-old boy sustained a crush injury, in a contaminated environment, with extensive loss of dorsal and volar soft tissue involving 3/4 of his right forearm, complex displaced fractures of the radius and ulna, injury of the flexor tendons, median nerve, radial artery and laceration of the extensor tendons ().\nA c...
A 78-year-old man presented with macroscopic hematuria, urinary frequency, and accidental leakage of urine. His past medical history only included benign prostatic hyperplasia. Initial assessment by fibroscopy showed a unique tumor developed on the anterior wall of the bladder. The patient underwent transurethral resec...
A 29-year-old-Afro-Caribbean male presented with a three-month history of difficulty in walking with numbness and weakness of the hands and feet which had worsened over the previous 3 months. He had to be supported to walk on admission. The accompanying brother noted that he had difficulty with speech, reading, and wri...
A 76-year-old woman with medical history of cervical lymphoma presented to our hospital with diplopia and ptosis on the right caused by right oculomotor nerve palsy. Head T2-weighted magnetic resonance (MR) imaging disclosed a large intracavernous ICA aneurysm, and cerebral digital subtraction angiography revealed a la...
A 33-year-old African-American woman presented to her primary care physician for evaluation of a palpable right breast mass in the upper outer quadrant that she had identified several days prior to presentation. Bilateral mammography demonstrated a spiculated mass with pleomorphic calcifications in the axillary tail of...
A 60-year-old male was referred to our department, complaining about gradually worsening hoarseness, during the last 8 month period. Occasional dysphagia and foreign-body sensation were also reported upon referral. The patient was a heavy smoker for more than 20 years, reporting an average of 20 cigarettes per day. Alc...
A 28-year-old man (height 158 cm, 45 kg) presented to the preanesthetic assessment clinic before an elective right total hip replacement. He had ankylosing spondylitis that severely restricted the range of motion in his cervical, thoracic and lumbar spine. There was no cardiopulmonary involvement, and his hematological...
An 18-year-old female with a past medical history of migraine headaches presented to the hospital with chief complaints of persistent nausea, vomiting, inability to tolerate oral feeds, and significant weight loss for the past 2 months. The patient reported that she vomited after every meal, and vomitus mainly consiste...
This case report presents a sixty-four-year-old Caucasian male with a three-month history of intermittent right upper quadrant and epigastric abdominal pain. The patient previously underwent an extensive negative work-up for biliary pathology in addition to multiple emergency room visits without any diagnoses. The pati...
A 62-year-old man was admitted to the emergency department with a history of cough, shortness of breath and general fatigue for the last three weeks. He had no significant previous medical history and no hereditary diseases within his family. Physical examination revealed a respiratory rate at 20 per minute and oxygen ...
The patient was a 61-year-old male who was diagnosed with right temporoparietal GBM and treated with right temporoparietal resection and adjuvant chemo-radiation. Unfortunately, he developed recurrence of his tumor and was re-operated for recurrent tumor and ultimately started on avastin chemotherapy. During a routine ...
A 59-year-old female patient who had undergone surgical resection of Todani type IV CC with AUPBD 10 years ago at outside hospital () was transferred for surgical treatment for intrahepatic cholangiocarcinoma. The first operation was resection of the extrahepatic extrapancreatic CC, so the intrahepatic and intrapancrea...
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 68-year-old male patient was referred to our department from neurosurgery due to the occurrence of diplopia 10 days after a head surgery that was performed following a pedestrian traffic accident. On the day of the initial trauma, the patient was admitted to the intensive care unit after neurosurgical evaluation, bec...
A 67 year old male with a history of heavy smoking was witnessed by his wife to have suddenly collapsed at home. The patient had been complaining of chest pain for a few days but did not seek medical care due to fear of contracting COVID-19 from within the medical setting. When emergency medical services (EMS) arrived ...
Our patient was a 23-year-old unmarried, unemployed woman graduate from a middle socioeconomic status and urban Asian background. She had a six-year history of patchy hair loss from her scalp. She had earlier consulted a dermatologist who referred her to a psychiatrist.\nShe walked into our consultation room with her h...
A 54 year old woman with OI type 1 presented in October 2014 with acute back pain without any history of trauma or fall. Computed tomography (CT) scan of the thoracic spine demonstrated a burst compression fracture of the 11th thoracic vertebra (T11), as well as a 2.6x1.3x1.5 cm soft tissue density involving the left t...
A 57-year-old Caucasian woman presented with a large non-tender submandibular mass. The lesion had been present for about 25 years with a slow increase in size. Our patient's medical history was unremarkable. A physical examination revealed a giant painless, movable, semi-hard elastic mass in her right submandibular re...
The medical history of the 66-year-old male patient, who has been presented to the hospital with exophthalmus and skin lesions, revealed that he had firstly undergone local excision due to basal cell skin carcinoma located on his face 12 years ago, that new lesions had formed 2 cm below the left oculonasal junction and...