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The patient was a 49-year-old Caucasian male with body mass index of 27 kg/m2. He complained about pain on his right knee in the last 8 months. The pain was gradually increased and still could be relieved by rest. He had the history of fixed lateral patellar dislocation since 25 years before. The dislocation happened a... |
A 69-year-old Saudi man with diabetes mellitus was admitted to the Neurology Department with an unremitting headache lasting 5 days, episodic confusion, and visual disturbances. According to his family, the headache started gradually over the left side of his head and then became holocephalic and moderate to severe in ... |
A 47-year old male presented to the specialist outpatient clinic at a tertiary university hospital after being referred from a general practitioner, with an initial diagnosis of a Baker’s cyst of his right knee. The patient presented with a one-year history of localized pain over theposterior aspect of his right knee. ... |
A 45-year-old male motorcyclist with a history of hypertension, hyperlipidemia, and coronary artery disease was brought to the emergency department after being struck by another car on the highway at speeds of at least 40 miles per hour. Upon presentation, the patient was evaluated using Advanced Trauma Life Support (A... |
A 14-year-old previously healthy girl presented 2 weeks after an uncomplicated laparoscopic appendectomy for non-perforated acute appendicitis in a regional hospital. The girl complained of gradually reducing urinary frequency to twice per day and prolonged hesitancy. The micturition stream was initially weak and slow ... |
A 40-year-old female, non smoker was referred by her family physician with migraine-type headache complaints and mild nasal congestion. The pain was located over the forehead and behind the left eye. Headaches occurred once every 3 weeks, triggered by weather and barometric changes with mild improvement during the mens... |
The patient was a 59-year-old woman who had been treated 18 months previously for serous adenocarcinoma of the ovary. Treatment at that time consisted of total hysterectomy, bilateral salpingo-oophorectomy, omentectomy, pelvic lymphadenectomy, para-aortic lymphadenectomy, and low anterior resection for direct invasion ... |
A 28-year-old woman, gravida 3 para 1, had a medical termination of a miscarriage at seven weeks, with no dilation and curettage, in 2008. In 2015, a baby was delivered by caesarean section in the breech position, weighing 3900 g. She had no significant past medical history, and her antenatal care had been uneventful. ... |
Early on October 2014, a 45-year-old woman was presented at our outpatient gynecology clinic with sudden lower pelvic discomfort and vaginal bleeding symptoms. The patient had a history of hysterectomy 13 months ago due to symptomatic multiple leiomyomas and adenomyosis.\nThe previous surgery was conducted as a single-... |
We describe the case of a 54 year old, non-smoker, Caucasian woman, a computer programmer, who was admitted to the General Hospital in June 2003, following an episode of overdose with Citalopram and alcohol. At the time of her admission, she gave a history of depression and suicidal ideation for six months. She was not... |
A 75-year-old female with a history of stage IIIB squamous cell cancer of the cervix, which had been treated and in remission for about 2 years, presented in February 2016 with several weeks of decreased coordination and decreased balance with weakness and clumsiness noted especially on her left side in addition to a l... |
A 56-year-old male presented initially to the plastic surgery clinic with a right thumb lesion that had been present for approximately 2 years, and underwent a wide excision with flap closure. Final pathology revealed invasive porocarcinoma, measuring 1.3 cm, with positive margins and dermal lymphatic involvement, and ... |
In 2010, a 52-year-old female patient complained of nausea present for more than 6 months, vomitus, intermittent vertigo, loss of appetite with B-symptoms, and weight loss of 10 kg. The initial diagnostic workup consisted of gastrointestinal imaging and a thorax X-ray, which were normal. However, a cranial magnetic res... |
In April 2005, a 40-year-old Caucasian male was admitted to the Department of Urology of the University of Regensburg, Germany, with massive scrotal elephantiasis. He had been undergoing antibiotic treatment in another hospital for the previous three weeks.\nThe patient had a history of spina bifida with paralysis of t... |
A 36-year-old pregnant woman (gravida 3, para 1) presented at our gynecological oncology department with vaginal bleeding after thinprep cytologic test (TCT) at 13 gestational weeks. She reported no abdominal/pelvic pain and no medical and surgical histories. Gynecologic pelvic examination revealed a cervical lesion 5 ... |
A 70-year-old woman with hypertension, dyslipidemia and morbid obesity (43 kg/m2) status-post gastric bypass surgery over ten years prior to presentation was admitted for evaluation of an upper gastrointestinal bleed. Postoperatively following gastric bypass surgery, the patient became hemodynamically unstable and deve... |
A 40-year-old female patient reported to our institute with a complaint of swelling in the left side of lower jaw since 2 months []. Post its onset, the swelling gradually increased in size over a period of 2 months. The swelling was associated with dull pain. The patient is a known diabetic since 5 years and is under ... |
A 35-year-old African American woman with a past medical history of an episode of pericarditis presented to the Emergency Department complaining of chest pain and fatigue of a weeks' duration. She reported a sudden onset of pleuritic chest pain associated with cold-like symptoms but no complaints of any fever or chills... |
On July 23rd 2015, a 27-year-old gravida 3, para 2 woman with a 2-week history of intermittent abdominal pain, especially aggravated during sexual intercourse, was referred to Amana Regional Referral Hospital in Dar es Salaam. The patient was amenorrheic for 4 months and had last normal vaginal delivery 7 years ago. Vi... |
A 9-year-old Saudi girl was presented to our hospital with a fever of 38.5 °C, cough, and shortness of breath. Her oxygen saturation was 88% on room air; her blood pressure was normal for her age (110/75 mmHg); and she had no tachycardia (80 beats/minute). She had had abdominal pain for 2 days that was not responding t... |
A 77-year-old man attended our services with exertional dyspnoea secondary to aortic valve stenosis. He received an orthotopic heart transplantation (HTx) in 1994 for idiopathic dilated cardiomyopathy (DCM). Unfortunately, we have no records of the patient's transplant operative data given the fact that his procedure w... |
A 40 year old man told his wife that he was pricked with a syringe in his gluteal region without reason or warning by an unknown person while strolling through the city of Hannover. The syringe was fixed to the tip of an umbrella and contained a clear fluid. As he did not have any health complaints, he refrained from c... |
The patient was a Chinese Han housewife of 52 years old, without contact with animals, with normal body mass index, and a place of residence without particularity. She was admitted on August 6, 2018 due to the main complaint of “slow movements and involuntary limb shaking for 3 months.” The patient had been suffering f... |
A 10 year old male patient presented with a severe head trauma after falling from a roof that required an immediate decompressive craniotomy (Fig. ). The patient was hospitalized in the ICU for 8 days, after which the cerebral oedema resolved, and he was then discharged. Three months later, he was referred to the Plast... |
An 11-year-old African-American male presented to our care in January 2011 because of excessive daytime sleepiness and episodes of losing muscle tone upon experiencing strong emotional stimuli. Before seen by us, the patient was evaluated by a psychiatrist in March 2010 at a request of his mother. Clinician records sug... |
In November 2015, a 52-year-old male patient with a sternal manubrium tumor, burdened by an extended oncological history, was admitted to the Thoracic Surgery Clinic, General and Oncological Clinic, Medical University of Lodz. The patient came to the Thoracosurgical Outpatient Clinic for the first time in July 2015 com... |
A 51-year-old healthy female arrived at the emergency center presenting with acute dizziness, a severe headache, diaphoresis, diffuse photophobia, nausea, and emesis. The patient reported that she had been doing pushups during a televised total body workout and was suddenly unable to lift herself up. A head computerize... |
A three-year-old girl who was previously fit and well was brought to Chris Hani Baragwanath Academic Hospital with a history of difficulty in swallowing. There was a history of ingesting a button battery the day before. The child was not in respiratory distress, and there was no drooling of saliva. An X-ray revealed a ... |
The presented patient (K.) is a 32-year-old male, who is employed as a truck driver. He was admitted to the hospital of the Tomsk Cancer Research Institute with a complaint of vision errors, for the management of his facial injuries. According to him, in 2006 he had been injured on the job when his right maxilla was pa... |
A 56-year-old woman with pain in the right lateral hip area was referred for a C-arm guided epidural steroid injection. She had previously sustained a L5 compression fracture after a traffic accident which was treated conservatively for 3 months (). After 3 months of conservative treatment, she had partial resolution o... |
In 2004, an 80-year-old Caucasian male underwent bilateral cordectomy for Tis carcinoma in the left cord and microinvasive T1 carcinoma at the right one. In the same year, he was diagnosed with prostatic carcinoma (Gleason score 3 + 3) which was treated with radiation therapy for a final total dose of 64 Gy. Since then... |
A 23-year-old Chinese female (social gender) presented to our hospital to receive treatment for primary amenorrhea. Physical examination showed normal breast development, an immature vulva, development of the vulva in infancy, no pubic hair, a blind end in the deep part of the vagina, no penile or testicular tissue, an... |
A 37-year-old woman presented to the emergency department after being ejected from an all-terrain vehicle while unhelmeted. At the time of presentation, she was hemodynamically unstable due to extra-corporeal blood loss from scalp degloving. Other injuries included a left temporal bone fracture, skull base fractures, a... |
A 12 year-old girl weighing 41kg was posted for Botox (botulinum) injections and casting for spasticity of the right upper limb. She gave history of having some heart disease since birth for which multiple operations had been done. On going through her past medical records, it was found that she was born with complex c... |
A 26-year-old housewife presented in June 2010 with gradual progressive weakness in both lower limbs and back pain (at the operative site) since last 3 months. The patient was able to perform her routine activities without support prior to the onset of these symptoms. Weakness has gradually progressed to the extent tha... |
A 47-year-old white male presented with recurrent severe dizziness, chest tightness, shortness of breath, left upper back pain, night sweats, and chills of three weeks duration. His past medical history consisted of a 20 pack/year history of smoking and squamous cell carcinoma of the tongue, status-post excision with s... |
A 79-year-old man was admitted to our hospital with symptoms of dysphagia and body weight loss of 10 kg for the past 3 months. His height was 158.0 cm and weight was 53.6 kg. His body mass index (BMI) was 21.5 upon admission. He was bent over due to osteoporosis and had undergone distal gastrectomy due to submucosal tu... |
We report a case of a 71-year-old woman with Class 3 obesity and Type 2 diabetes. The patient initially came to the emergency room for abdominal pain, fever (38.5°C) and swelling of the left lower limb. The blood tests showed a neutrophilic leukocytosis with white blood cells (WBC) 15 700 cells/mmc, neutrophils 13 800 ... |
A 67-year-old white female patient was referred for the evaluation of asymmetry in the left lower jaw. On examination, the patient had laterognathism to the left side, limited mouth opening and pain in the right TMJ during maximum mouth opening and palpation. She reported that she had sought medical help due to extensi... |
A 48-year-old female presented to the emergency department due to concern for fatigue, weakness, and delayed reactions. Her mother was her primary caregiver and described that the patient had been functioning at a level lower than her baseline status. She was unable to participate as usual in physical therapy the day p... |
A 51-year-old man who had been diagnosed with sigmoid colon cancer four years earlier had undergone treatment with a subtotal colectomy, chemotherapy, and radiotherapy. He had received a craniotomy to excise a brain tumor one month previously. His height was 177 cm and his weight was 73 kg. His current chief complaint ... |
A 15-year-old female patient was referred to us for evaluation of uveitis treated in other clinics before. Child reported first symptoms 5 years ago, which consisted of blurry vision in right eye first then left eye and redness of eyes. She had oral aphtae and oral ulcers as well, that improved over time with treatment... |
The patient was a 56-year-old male with a history of hypertension and dyslipidemia, in whom a CT scan performed 9 years earlier as part of a medical checkup had detected a 15-mm-diameter SMAA. He was referred to our institution, where it was found that the aneurysm had grown to 25 mm in diameter.\nThe SMAA was located ... |
A 50-year old male factory worker was admitted to the Shanghai Jiading Mental Health Center with a 25-year history of grandiose and persecutory delusions. The current admission was precipitated by a physical fight with his fellow workers who he believed were bullying him. The local police were called and they brought t... |
The patient was a 42-year-old woman. She had suffered from migraine and tension-type headaches since her twenties. The migraine headache was described as pulsatile, bilateral, and on the forehead, persisting from a few hours to half a day. It occurred seven to eight times a month irrespective of menstruation and was ac... |
A previously healthy 37-year-old Caucasian female presented to our institution with a two-month history of jaundice, pruritus and generalized fatigued; having already presented to a different institution for acute hepatitis months prior. Figure highlights a rough timeline of her clinical presentation.\nApproximately 1 ... |
We present an 11-year-old African American boy who initially presented with recurrent right thigh and cheek pain and numbness. A bone marrow (BM) aspiration and biopsy confirmed the diagnosis of Philadelphia chromosome-negative B-cell ALL. The clinical characteristics, including initial lab results, are summarized in .... |
The patient is a 76-year-old male with a history of chronic hepatitis B with well-compensated cirrhosis. Nine years prior to admission, he underwent nonanatomic left lateral liver resection for a 2 cm well-differentiated hepatocellular carcinoma using a “sandwich technique.” This involved anchoring two Teflon felt pled... |
A 38-year old female felt pain in the left ankle after sprain. Two months after the injury, she visited a local hospital because the pain had gotten worse. She was suspected of having a bone tumor at the distal end of the fibula by X-ray, and referred to our hospital. At the initial visit, the pain decreased while rest... |
A 66-year-old man underwent abdominoperineal resection of the rectum for advanced rectal cancer after preoperative chemoradiotherapy. During the operation, the root of the inferior mesenteric artery (IMA) was not ligated. The IMA was tagged and preserved, separating the nervous and lymphatic tissues from the root to a ... |
A 49-year-old Caucasian British man with a long history of type 2 diabetes mellitus (DM) and excessive alcohol intake presented with progressive weakness of both lower limbs of approximately seven months' duration. He was morbidly obese with a body mass index (BMI) of 45. Over the same period he had noticed thinning of... |
A fit and active 38-year-old female presented to the Accident and Emergency Department with a four-day history of worsening right shoulder pain radiating down the right arm, with swelling around the shoulder. This was accompanied by intermittent fevers for the preceding two days. The patient graded the pain to be 8/10 ... |
We present a 20-year-old female with athletic constitution in good health condition. She suffered trauma caused by an accident during skiing, where she jumped over a small hill border and landed in a small pit on the slope. The traumatic mechanism of the accident was a ventral-lateral (right side) collision with the so... |
A 75-year-old Sri Lankan female with a background of hypertension and ischemic heart disease presented with a history of pain, blurring of vision, photophobia, and redness of her left eye of about 6-h duration. She admitted that she received the first dose of zoledronic acid 4 mg in 100 mL normal saline intravenously o... |
The 21 year old woman was admitted to our psychiatric ward as an emergency for the first time in 2010, reporting hallucinatory voices as well as persistent visual hallucinations (command to jump out of the window, blood running down the walls) and tried to harm herself by repeatedly smashing her head against the wall. ... |
In June 2009, a 30-year-old man was presented to the surgery clinic of a general hospital with painless right abdominal mass without any other problems. He underwent laparotomy where the surgeon found an inoperable mass that involved retroperineal area around ascending and transverse colon; then, he only performed an i... |
In November 2018 at the University Hospital Cologne, a 33-year-old man from Mozambique presented with a massive, predominant, localized fibrous GE with signs of inflammation that had existed for around five years. The patient had insufficient oral hygiene (Figure ), but no other obvious relevant risk factors (ie, no kn... |
A 57 year old White British woman with CKD stage five was referred to the regional joint renal genetics clinic after her sister was noted to have a family history of renal disease during work up as a potential live kidney donor. The patient had been under nephrological follow up since adolescence, when she was incident... |
We present a case of a 41-year-old male Caucasian opera singer. He presented at our psychiatric emergency ambulance after consulting the internal medicine department with various symptoms, such as dizziness, diffuse abdominal pains and incontinence. Psychiatric complaints, including a bad mood and lack of motivation, w... |
A 1-year-old boy was referred for evaluation by the neurosurgery team with an expansile nodular lesion in the right retroauricular region. The mother stated that a retroauricular bulging has been present in this region since his birth; however, the professionals who were consulted at the time believed there was no clin... |
A 25-year-old woman presented in 1994 to the ophthalmology department with sustained episodes of flashes affecting the vision in both eyes. She was morbidly obese weighing 140 kg and a smoker. On examination, her optic discs and fundi were normal, but she was noted to have a transient drop in her visual acuity that nor... |
A 61-year-old female with poorly controlled diabetes mellitus with severe bilateral PDR presented to the emergency department at Upstate University Medical Center. Initially, the patient presented to an outside emergency room with conjunctival injection, copious purulent discharge and associated painful vision loss to ... |
A 38 year-old Iranian woman with a triplet (three chorionic and three amniotic) pregnancy was hospitalized at 29 weeks and 2 days gestational age due to one-time high blood pressure at 140/90mmHg and elevated liver enzymes. A week before admission, she had been hospitalized in another hospital for about 5 days to evalu... |
A British Caucasian female patient aged 12 years and 9 months presented to our institution with a right thoracic scoliosis, which was first noted at the age of 12 years and 5 months. She was diagnosed with DWS on the basis of her craniofacial dysmorphism and confirmed on a magnetic resonance imaging (MRI) scan obtained... |
A five-year-old male patient who had a two- month-old history of inability to bear weight with the left lower extremity presented to our institution’s pediatric oncology department in August 2016. Prior to his visit, imaging with X-rays and magnetic resonance imaging (MRI) followed by a biopsy were performed at an exte... |
A 50 year old female patient previously healthy has undergone an abdominal ultrasound demanded by her primary care physician when her routine checkup blood test showed a slightly elevated level of liver enzymes with no other lab abnormalities. This ultrasound showed right adrenal lesion of 9 cm of diameter. An Abdomina... |
A 14-year-old South Asian boy from rural Bengal (India), born of a second degree consanguineous marriage, with normal birth and development history, presented with abnormal brief jerky movements involving his trunk and limbs, with recurrent falls for 10 months. The jerks were neither stimulus sensitive nor present duri... |
A 52-year-old male presented on 4 August 2019 with a chief complaint of bruises on all four limbs for the previous 3 weeks. The bruises were accompanied by swelling. According to the patient, the bruises first spontaneously appeared on his left foot before and later also spreading to other limbs.\nThe medical history w... |
The patient was a 55-year-old African American male with a significant past medical history of known breast cancer, who presented to an academic teaching hospital in February of 2018 after a surveillance computed tomography (CT) scan of his chest, abdomen, and pelvis showed incidental acute appendicitis. The patient wa... |
A 26-year-old female with history of Chiari type 1 malformation, status post intracranial shunt and scoliosis leading to cervical spinal fusion at age 10 presented with left upper arm swelling for seven hours. She stated there was mild, pressure-like sensation and endorsed associated radiating numbness to her fingertip... |
Our patient is a 40-year-old Asian man with complaints of bleeding and discomfort in his anus of 2 months’ duration. He was an employee with average income who did not smoke tobacco or drink alcohol. He had no weight loss or urinary symptoms, and no substantial family history. He denied any significant medical or surgi... |
A 34 year old woman attended the perinatal medicine clinic of a tertiary maternity hospital in her second pregnancy at 8 weeks gestation owing to a history of recurrent VTE disease, where a dating ultrasound diagnosed a monochorionic twin pregnancy. She was a non-smoker, with no family history of VTE disease and a Body... |
A 50-year-old man was recruited for participation in a clinical trial examining the effect of dietary glutamate on fibromyalgia and IBS symptoms. All subjects were asked to report all symptoms that they were experiencing at baseline, then after 4 weeks on the dietary intervention, and at the end of each challenge week.... |
Our patient is 77 years old Caucasian female with coldness and pain in the right arm during minimal physical strain and some movement inability in the same arm. The symptoms began 1 year prior to hospitalization with worsening of the symptoms 2-3 weeks ago, with augmentation of the pain in the arm that limited her ever... |
A 52-year-old immunocompetent Chinese-American man with no significant past medical history, including an absence of chronic diseases, was injured while handling a catfish 10 days prior to admission while working as a fishmonger in a New York City supermarket. He had picked up a live channel catfish (I. punctatus) from... |
Systemically healthy 12 and 19 years old female siblings, complaining of insufficient chewing functions due to hypersensitivity of the teeth and esthetic problems because of both gingival enlargement and the color of the teeth were admitted to the Periodontology Clinics at the Faculty of Dentistry, Selcuk University. M... |
Elisabeth was nearly 60 years old and lived with her husband when she experienced a mild stroke. She worked as a manager at the time of stroke and the organization at the workplace was in the middle of a large change. Elisabeth was included in the ReWork-Stroke programme 8.5 months after her stroke. Due to her stroke, ... |
Our patient was a 31-year-old man who presented to a regional hospital with the chief complaint of substernal chest pain. His past medical history was significant for Crohn’s disease treated with infliximab every six weeks. He was in his normal state of health until he suddenly developed substernal chest pain associate... |
A 60-year-old male was diagnosed with histologically confirmed glomerulonephritis secondary to anti-neutrophil cytoplasmic antibody -positive microscopic polyangiitis, following investigations for elevated creatinine on routine blood test. He was treated in hospital with intravenous methylprednisolone (500 mg daily) an... |
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 57-year-old male presented to the oral and maxillofacial surgery clinic at our institution with more than a 20-year history of a painless mass in the hard palate region. He elected to have the lesion evaluated due to its increase in size, although indolent. He reported no other symptoms.\nHis past medical history was... |
A nine-year-old entire male greyhound presented with head trauma resulting from a collision with a park bench. The dog had no previous significant clinical history. On examination, cardiovascular parameters were stable overt distress in the animal not apparent. The dog was ambulatory with normal gait and posture devoid... |
In January 2021, a 2-year-old boy of white Caucasian origin presented to his local ophthalmologist for acute unilateral sixth nerve palsy and was subsequently transferred to our pediatric emergency department for further evaluation. The patient, generally being fit and well, had developed a sudden dysfunction in latera... |
A 21-year-old female patient presented to the Department of Conservative Dentistry and Endodontics with chief complaint of continuous pain in the right mandibular posterior region. There was no dental history of trauma or any hereditary conditions. Medical history was non-contributory.\nOn clinical oral examination, th... |
A 44-year-old man with several tumors in a left solitary kidney was referred to our team. He was healthy, with no weight loss. Laboratory tests showed serum creatinine 1.30mg/dl, elevated serum C-reactive protein, and erythrocyte sedimentation. Reported one sister and tree uncles operated with renal tumor, two of them ... |
Here, we report a case of an 83-year-old Hispanic male with end-stage renal disease (ESRD) on dialysis three times a week who presented to the emergency department with the chief complaint of bilateral lower extremity weakness. The patient noted the weakness in his leg after having his early dinner around 3PM. He first... |
The patient was a 15-year-old Hispanic female who presented to clinic with a chief complaint of crooked teeth. The patient had an unremarkable medical history and no history of dental trauma. She reported good health with a recent dental checkup of having no caries and healthy periodontium.\nThe patient had a straight ... |
A 62-year-old woman was hospitalized for the further evaluation of her progressive chest discomfort for 10 days. The patient had undergone total thyroidectomy 20 years earlier, and she has been managed for hypothyroidism since then. Seven years prior to admission, she was diagnosed with and managed for angina pectoris,... |
A 4 year old male presented to the emergency department with the history of falling off a ladder 3 hours prior. He landed on his face on a wooden spike that embedded itself in the right orbit. His local hospital is not equipped to deal with ocular emergencies so he was transported by car for approximately 40 km to an e... |
A 47-year-old woman visited our hospital in January 2003 because of a painful right breast mass with skin dimpling. On initial evaluation, chest CT revealed the presence of a heterogeneous enhancing breast mass measuring 9 cm with skin invasion and multiple conglomerated lymph nodes in the right axillary area. In addit... |
A 35-year-old white male patient presented complaining of pain in the submandibular region and purulent secretion from a lingual caruncle with slightly increased volume in the region. Panoramic radiography showed a dense radiopaque mass in the region corresponding to the left submandibular gland (). However, plain radi... |
A 19-year-old Caucasian female presented to us with bilateral lower limb ulcers. She reported a scratch on her left ankle 3 months earlier that worsened over time into an ulcer, in spite of antibiotic treatment. A week later, new lesions appeared on the left leg and similar ones were seen on her right leg. The patient ... |
An 8-year-old boy with Down's syndrome was diagnosed to have a very large PDA in the early neonatal period. His birth weight was 2.5 kg. He had recurrent respiratory tract infections all throughout his infancy and early childhood that decreased considerably after 4 years of age. He was treated with decongestive medicat... |
A 15-year-old boy was referred to our unit with severe leg pain on a background of 1 week of claudication-type symptoms. On arrival, he had a dusky left lower leg with reduced sensation, reduced movements, and a capillary refill time of 7 s. Examination of the foot demonstrated an absence of the dorsalis pedis and post... |
A 19-year-old black female presented with painful lower lip swelling of 2 weeks duration. She was initially seen by a physician whom she claimed had given her anti-allergic medication and painkillers in the form of tablets for 1 week, but the situation worsened and the swelling and pain increased. She was then prescrib... |
A 34-year-old male of mixed African American and Southeast Asian (Cambodian) descent presented to a regional hospital with progressive dyspnea on exertion. He had a known history of beta thalassemia major (β0/β0) previously managed with splenectomy and jaw surgery due to extramedullary hematopoiesis. The patient had be... |
A 50-year-old male resident of Quintana Roo, Mexico, with a personal history of type 2 diabetes controlled by metformin presented with dermatitis located in the lateral and posterior region of the left heel characterized by two furuncular lesions ( and ), with a two-month history of pain, paresthesia and bloody serous ... |
The right-handed proband was a 56-year-old female with at least 8 years of education. At the age of 51, she had initially presented with progressive forgetfulness, mainly with a notable decline in recent memory. She usually forgot what she had just said and repeated the same sentences, did not remember where she put th... |
A 69-year-old woman was admitted to hospital in November 9, 2007 with acute exacerbation of chronic cough and dysphagia with solids and liquids for 2 weeks. She did not have hemoptysis, fever, chills, chest pain, or weight loss. When she was 9 years old, she had worked as a stone crusher for 3 years and was exposed to ... |
This is a 12-year-old girl who was referred from an outside hospital as a case of right mandibular and neck mass, which was rapidly progressive for the last 3 months (). The patient had a computerized tomography (CT) scan done outside, which revealed a destructive mandibular mass. The outside incisional biopsy was inad... |
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