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A previously healthy 70-year-old right-hand-dominant female was seen in our clinic three months after sustaining a closed and minimally comminuted mid-shaft fracture of the right clavicle, which resulted from a ground-level fall (). She tripped on a raised edge of a concrete driveway while walking and fell directly ont... |
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 22-year-old woman with a known history of giant cell tumor of the left first metatarsal was evaluated for worsening left medial midfoot pain. She had previously undergone curettage and polymethylmethacrylate (PMMA) cementation of a biopsy-proven giant cell tumor of the first metatarsal two and a half years prior at a... |
An otherwise healthy 33-year-old woman, gravida 3, para 2, from a Sephardic Jewish origin, was initially referred to our institution at 30.6 weeks of gestation due to a large neck mass found on prenatal ultrasonography (US). Her previous two pregnancies were uncomplicated. The fetal sonogram showed a 10 by 8 cm mass on... |
A 7-year-old Malay girl was admitted to our institution presenting with fever for 4 days that was persistently above 38°C, with a maximum temperature of 39.9°C. This was associated with a papular and pruritic rash over her chest and limbs for 4 days, as well as a tender right neck swelling for 3 days, diarrhea, and bit... |
A 50-year-old male presented with hematuria, increased frequency, and burning sensation during micturition along with left flank pain for 2 months. There was a history of generalized weakness, weight loss, and loss of appetite during this period. On examination, the patient was poorly nourished with the presence of a p... |
A 58-year-old man with history of CML presented in December 2015 for re-establishment of care after being lost to follow-up. He was first diagnosed in December 2007 with CML and was treated with imatinib (400mg daily). He achieved complete molecular remission but was unfortunately lost to follow-up after 2012. The pati... |
A 40-year-old African American male patient, with a past medical history of chronic achalasia presented with intermittent abdominal pain. He was status-post esophagogastrectomy with colonic interposition and J-tube insertion performed at an outside facility, approximately six months ago. Pain was intermittently present... |
A 25-year-old male was brought to psychiatry outpatient Department of Tertiary Care Hospital in August 2013 by his mother. He was unmarried, illiterate and manual laborer in farm belonged to lower socioeconomic class. Mother reported that patient left home 9 days back early in the morning without telling anyone and the... |
A 68-year-old male with past medical history of coronary artery disease status post coronary artery bypass graft (CABG), aortic valve replacement along with replacement of the root of the ascending aorta 10 months prior to presentation and recent hemorrhagic cerebrovascular accident (CVA), came to the hospital with com... |
A 49-year-old woman with a history of transsphenoidal pituitary adenoma surgery visited the outpatient clinic owing to microcalcification detected on a screening mammogram in 2016. Physical examination showed nonspecific findings with no palpable lesions. Breast ultrasonography showed a probably benign hypoechoic lesio... |
Case 1 is a female, 68-year-old. She complained chronic cough, expectoration, and wheezing for more than 10 years, with recurrence associated with intermittent fever for 1 month. She was hospitalized. The patient denied particular exposure history and tuberculosis infection history. Symptoms were cough, expectoration, ... |
A 16-year-old male with neurofibromatosis type 1 was referred to our hospital for management of left superior mediastinal tumor. The surgery in this case reports is for the patient at the time of the fourth surgery for malignant peripheral nerve sheath tumor (MPNST). For the first surgery, owing to the rapid growth of ... |
Our patient is a 42-year-old male who initially presented to our clinic with a 5-year history of intermittent right knee pain.His medical history was significant for gout, managed with allopurinol, and he had previously undergone a nephrectomy to treat chronic renal disease. He denied any prior trauma to his knee but h... |
The patient is a 51-year-old woman who underwent right hip arthroscopy with labral repair and femoroplasty with cam lesion debridement. After failing years of conservative management for unremitting right hip and groin pain, she elected to undergo right hip arthroscopy. Following surgery, she was made partially weight-... |
A 64-year-old woman presented to our hospital with the chief complaint of a progressively enlarged mass in the left abdomen accompanied with flank pain, fatigue and weight loss for the last few months. Physical examination revealed a well-defined mass on the left abdomen. Routine blood tests showed that hemoglobin was ... |
A 49-year-old man with left sole paresthesia and calf pain for 2 weeks was admitted to the department of rheumatology. This pain had a sudden-onset and caused the excruciating calf pain at nights. His medical history was significant for rheumatoid arthritis diagnosed 6 months prior to this and significant also for inte... |
36-year-old woman who was hospitalized by the psychiatry department due to abnormal behavior and frequent mood changes for 2 days was referred to the department of infectious diseases on day 6 for continued fever, which lasted for 2 more days. She had been healthy with no particular medical history, but complained of c... |
A 45-year-old gentleman with a known case of diabetes mellitus, hypertension and dyslipidemia was admitted with complaints of fever, headache, cough and dyspnea. Nasal and oropharyngeal swab for the real-time polymerase chain reaction (RT-PCR) test for SARS-CoV-2 came out positive. Chest X-ray showed accentuated bronch... |
A 56-year-old man with metastatic GC and was admitted to our hospital due to “dizziness and bilateral lower limb weakness.”\nThe patient had a history of type 2 diabetes for 6 years and had no history of other chronic diseases such as hypertension. He was initially diagnosed with stage IV GC in April 2012. He underwent... |
A 57-year-old female was diagnosed at an outside institution 3 years previously with PTC with invasion into the recurrent laryngeal nerve, strap muscle, esophagus, and trachea, as well as multiple lymphadenopathy (T4aN1bM0). The patient was obese (body mass index: 35.0) and had diabetes. Her performance status was 0 ac... |
A three-year-old girl was referred from Niger to the Cheikh Khalifa International University Hospital for hepatic encephalopathy and deep pancytopenia progressing for three days before her admission. She had a pathological history of chronic constipation since the age of 18 months, treated regularly with large amounts ... |
A 70-year-old white female former 9-1-1 emergency telephone operator had a history of hypertension, depression, gallstones, hysterectomy (at age 48) and a 3 cm tubulovillous adenoma of the sigmoid colon removed endoscopically 8 years ago. She had severe chronic obstructive pulmonary disease and a 50 pack-year history o... |
A 28-year-old female patient came to the Department of Periodontics, Bengaluru, India, with a chief complaint of swelling on the right mandibular front tooth region for 3 weeks. The lesion at the initial stage was of poppy seed in size which gradually increased within 3-week time as a size of dumbbell. The lesion was p... |
We present the case of a 57-year-old woman. The patient visited our emergency room because of sudden palpitations and dyspnea. Physical examination revealed stable and sustained ventricular tachycardia. However, ventricular tachycardia returned spontaneously to a normal sinus rhythm. After admission to the cardiology w... |
A 31-year-old man was referred to our tertiary hospital with an initial impression of pulmonary embolism after initially presenting with shortness of breath and chest pain to another trauma center hospital. He had a previous history of fall and trauma that was investigated before and found to have features of a small f... |
A 39-year-old woman, gravida 1, para 0, was diagnosed with invasive squamous cell carcinoma of the cervix following conization. Pathological findings showed carcinoma consistent with FIGO stage IA1 with lymphovascular invasion. She was referred to Keio University Hospital. The patient and her husband were informed of t... |
A 73-year-old female was admitted to our clinic with chest distress and palpitations. The physical examination revealed no positive findings. Electrocardiograph (EEG) and dynamic EEG (DCG) showed arrhythmias, including paroxysmal atrial fibrillation, paroxysmal supraventricular tachycardia, atrial premature beats, and ... |
A 52-year-old woman came in our emergency room for consult due to sudden painful loss of vision of the right eye. The History of the present illness started 1 week prior to consult, the patient noted a sudden blurring of vision of the right eye described as curtain loss of vision. No history of trauma, pain, flashes, a... |
The patient is a 45-year-old Caucasian woman known to suffer from rizoarthrosis, who has already undergone antidolorific and anti-inflammatory therapy (oral and systemic), as well as physiotherapy and other treatment such as ionophoresis, ultrasound and electrotherapy. She comes to our surgery and complains that the pa... |
A 57-year-old female with a prior history of hypertension, was diagnosed with Stage IIIC high-grade serous ovarian carcinoma (HGSOC) nearly 5 years ago. The patient received neo-adjuvant chemotherapy with paclitaxel and carboplatin every 3 weeks for 3 cycles. A repeat scan done post 3 cycles showed partial response to ... |
A 36-year-old Hispanic man presented to the emergency department complaining of right groin pain for one week. He described the pain as aching (6–8/10) in severity, localized to the right groin, precipitated by walking, and relieved by resting for approximately 10 minutes. The pain had progressively worsened over the p... |
A 19-year-old, single, female was referred to the Dental College and Hospital, University of Kerala, India, by a general dental practitioner after treating her in vain with antibiotics for dental abscess for a period of ten days. The patient presented with a complaint of a diffuse swelling on the left side of the mandi... |
A 34-year-old woman with CD (gravida 1, para 1) who had been diagnosed with pregnancy-induced hypertension (PIH) and marginal placenta previa at 20 weeks of pregnancy was referred to our center because of fetal growth restriction (FGR). She exhibited intermittent genital bleeding after admission, and her pregnancy was ... |
A 16-year-old Asian American female; was admitted to the inpatient unit with depression and suicidal thoughts. The patient reports subsyndromal depressive symptoms for the two years, which have worsened in the last two months. Over the past several months, she started self-mutilating by cutting her arms and legs with a... |
A 56-year-old Japanese woman was referred to a clinician in April 2013 because of a 5-month history of occasional epigastric pain, 2-month history of intermittent abdominal pain/watery diarrhea, and a recent loss of appetite and worsening of watery diarrhea. Enhanced computed tomography (CT) revealed a thickening of th... |
The patient was a 38-year-old nulliparous woman who suffered from infertility of unknown origin. She had been treated with assisted reproductive technologies including artificial insemination and in vitro fertilization for over four years. During her treatment for infertility, cytological review followed by colposcopic... |
A 37-year-old male patient was admitted to the department of rehabilitation medicine at our hospital with a major complaint for severe abdominal pains. He was affected by flaccid paraplegia in July 2011 due to a SCI at the T10 level in a traffic accident which led to compression fracture of vertebral body T10 with disl... |
A 46-year-old male patient with compression and dislocation of the inferior vena cava (IVC) by a giant hepatic haemangioma was referred to our surgical department after two episodes of pulmonary thromboembolism. The second episode occurred while the patient was on oral anticoagulant therapy. Based on abdominal and thor... |
The patient was a 62-year-old male with an 11-year history of dialysis due to chronic renal failure. He had complained of pain around the second and third metatarsal heads and numbness in the second and third lesser toes five to six years ago, which was accentuated by ambulation and shoes with a tight toe box. He had r... |
A 45-year-old woman presented with a painful swelling on the left side of her jaw of 5 months duration. The swelling had recently started to grow rapidly. There were no associated sensory symptoms. In addition, a few teeth adjacent to the swelling had become loose, carious and had fallen off. Local physical examination... |
A 43-year-old male with spina bifida occulta presented to the emergency department after a traumatic brain injury followed by a fall, without loss of consciousness. The traumatic brain injury was caused by an accident at work, involving storage boxes falling over the patient. He presented severe cervicalgia, anterior c... |
This case involves a 60-year-old male with a history significant for benign prostatic hyperplasia, hypertension, and insulin-dependent diabetes who presented in July 2017 with diabetic ketoacidosis and Fournier’s gangrene. The patient’s treatment course for Fournier’s gangrene subsequently consisted of multiple operati... |
A 65-year-old, both maxillary and mandibular partially edentulous, male was referred to the Department of Prosthetic Dentistry, Istanbul University, Faculty of Dentistry. The patient's chief complaints were reduced function and unaesthetic appearance because of missing teeth and the lack of retention and stability with... |
A 37-year-old man presented with right groin pain which was thought to be a hernia due to excess working out. He was given analgesics and subsequently the pain resolved. Months after the initial presentation, the pain returned and he again sought medical attention. He reported severe groin pain that originated in the r... |
We report the unique case of a six-year-old female treated for an extensive venolymphatic malformation noted at birth. The lesion was centered around the left axilla as well as chest wall and also involved significant areas of the neck and posterior trunk (Figure , ). The patient also had lesions on bilateral posterior... |
An 81-year-old gentleman presented acutely to the surgical assessment unit with a painful, diffuse swelling in the left popliteal fossa. The swelling, which was first noticed 6 weeks prior to admission, came on suddenly and was associated with pain and tenderness. Over the following weeks, it had progressed in size and... |
A 40-year-old G5P3103 at 12 weeks and 3 days with a history of two prior cesarean sections and known heterotopic pregnancy consisting of cesarean scar pregnancy and intrauterine pregnancy () presented ten days after successful selective reduction of cesarean scar pregnancy with potassium chloride (KCl) injection in the... |
An 80-year-old Japanese female presented with a four-week history of right nasal discharge, nasal obstruction and left neck swelling. The patient was a non-smoker with a history including left traumatic blindness, chronic renal disorder (estimated glomerular filtration rate on admission, 30.3 ml/min), hypertension and ... |
A 50-year-old Sri Lankan woman complained of pain and increase in the size of a swelling on her anterior mandible, which had been present for over 1 year (Fig. ). This significant change in size was noted 1 month prior to presentation with accompanying numbness of the left half of her lip. She was otherwise healthy (no... |
A 30-year-old Chinese woman visited our hospital with a complaint of lower abdominal pain one year after a full-term unicornate uterus pregnancy and a rudimentary horn pregnancy successively. When the patient was 25 years old, she was suspected of having a uterine malformation according to prenatal examination but did ... |
A 60-year old male patient was admitted to the hospital because of FUO. Additionally, he presented with a generalized malaise, and subtle neurologic symptoms. Blood sample tests were positive for staphylococcus aureus and revealed increased CRP, leucocytes and blood sedimentation. One month before the admission to the ... |
A 6-month-old female entire domestic shorthair cat was presented to the referring veterinary surgery for neutering. Following an attempt to give parenteral premedication with medetomidine and butorphanol in the neck region of a non-compliant cat using a syringe with a 23 G × 16 mm needle, the cat collapsed, became inst... |
A 39-year-old woman was admitted to the ER with a right-sided drop-foot, fever, and pancytopenia. The patient reported night sweats during the last month and a 25 kg weight loss over the last year. On physical examination, enlarged, painless right cervical and axillary lymph nodes were found; the largest of which was 1... |
A 64-year-old Caucasian gentleman presented with flank pain and gross hematuria in February 2010. Initial work-up demonstrated a left renal mass, and a left radical nephrectomy confirmed clear cell RCC, Fuhrman grade 4, pathologically staged as T3 N0. Additionally, at diagnosis, small pulmonary nodules were found that ... |
An adult captive male bateleur eagle (Terathopius ecaudatus) estimated to be 32 years old and weighing 2.4 kg was presented for evaluation of left hindlimb lameness. The animal had been transferred from another institution 4 weeks prior to presentation with a history of osteoarthritis at the left intertarsal joint and ... |
A 70-year-old man was emergently referred to the Cardiac Surgery Department due to a confirmed diagnosis of acute IE. The patient had a previous clinical history of arterial hypertension and atrial fibrillation. He had two previous cardiac surgery procedures. He underwent, 10 years ago, a full aortic root replacement w... |
An 18-year-old male with a past history of gastroesophageal reflux disease (GERD) presented to the emergency department (ED) with one day of burning substernal chest pain and vital signs which were within normal limits. Physical examination was without focal findings. The basic metabolic panel (BMP) and complete blood ... |
A 33-year-old Bangladeshi woman with hypertension and diabetes had initially presented to a different hospital with intermittent episodes of palpitations for 2 years, with documented electrocardiographic (ECG) evidence of AF during the episodes. She had previously been on oral propafenone, amiodarone, and metoprolol, a... |
An 18-year-old male patient presented to the neurosurgical clinic with the weakness of both lower limbs and inability to walk for the past 3 months. He had been operated in December of 2011, 4 months prior to presentation at another hospital to relieve paraplegia due to spinal cord compression. He regained full neurolo... |
A 35-year-old female patient who had lived in the United Kingdom all her life was referred with pain in the right side of pelvis in 1997. She was investigated for back and hip problems. All her blood results including inflammatory markers were normal.\nRadiographs and bone scan were normal. She was thought to have hip ... |
Case 2 was a 59-year-old male physician who had spent nearly 30 years as a member of a group medical practice. He had suffered a head injury while skiing (wearing a helmet) approximately 10 months before the evaluation. Specifically, he fell off a ski lift with head impact on concrete. He later had a fall on the slopes... |
A healthy 27 year-old immunocompetent male was referred for orthopaedic oncology evaluation of a possible neoplasm involving the inferior pole of his left patella. The man described a four month history of progressive anterior knee pain and swelling. Suspecting a knee infection, his orthopaedic surgeon performed two se... |
A 62-year-old white female has a long history of schizoaffective disorder, bipolar type, since age 50, when she was first hospitalized on an involuntary civil commitment. Since then, the patient has had 10 psychiatric hospitalizations, including hospitalization at the state hospital for two years. She has had episodes ... |
A 71-year-old Chinese woman was transferred to our Neurocritical Care Unit due to a progressive deterioration of consciousness for three consecutive days. Her medical history indicated a prosthetic aortic and mitral MHV replacement (tilting-disc valves) 24 years ago to restore her cardiac function impaired by rheumatic... |
The patient is a 57-year-old man who presented in July 2009 with decreased vision bilaterally, left sided facial weakness, ataxia, and short-term memory loss. The patient had also presented previously with a history of seizures, most recently a few months prior to the current presentation. A craniopharyngioma or anothe... |
A 40-year-old Hungarian woman suddenly noticed upgaze diplopia and right cheek compression when she woke up in the morning. Shortly thereafter, she consulted an ophthalmologist and then an otolaryngologist in another hospital. The investigations suggested that she had a carcinoma in the pterygopalatine fossa on the rig... |
We identified a 60-year-old male patient with an exceptional response to everolimus. He presented initially with gross hematuria and flank pain. CT and MRI demonstrated a large 12-cm mass replacing the left kidney with invasion of the left psoas muscle. There was no evidence of metastatic disease. He underwent radical ... |
The patient, a Caucasian, 39-year-old male, entered the emergency department at the State University of Ponta Grossa complaining of an increase in the size of the paranasal sinuses on the right side and of diffuse pain in the teeth in the same region; the patient also complained of poor aesthetics due to swelling for s... |
A 3-year-old boy presented with a whitish-clouded cornea and loss of vision on the left eye for one week and a physiologically appearing right eye. There was no trauma remembered or pain, family history showed no conspicuous eye disorders, no infections, or abnormalities in pregnancy or birth, and no genetic disorders ... |
A 39-year-old non-hypertensive non-diabetic male patient, a bank manager by profession, was admitted in our hospital with ESRD having high-grade fever. He was on regular haemodialysis for the last 1 year. He had a history of cerebrovascular accident and full recovery 8 weeks prior to this admission. His symptoms deteri... |
A 55-year-old female reported for replacement of missing teeth. On intraoral examination, there were only two natural teeth present in the oral cavity #13, 23 in the maxilla. Mandibular arch was completely edentulous []. Clinical and radiographic examination revealed that maxillary canines were periodontally sound with... |
A 28-year-old female from another prefecture came to our department for psychiatric diagnosis and treatment. Because her obstetrician informed her that her husband's sperm and her egg were old given their age, she worried about the health of her fetus during pregnancy. After reading a newspaper article on Down syndrome... |
A 33-year-old male patient was admitted to Aracatuba Dental School-UNESP, complaining about tooth sensitivity to temperature variations caused by the ingestion of different foods and acidic substances.\nWear on the lingual surface of the maxillary anterior teeth and the shortening of the cusps of upper and lower poster... |
A 59-year-old female with a recent past medical history of mesentery thrombosis on stable anticoagulation and minimal other past medical history was referred to our clinic from ophthalmology clinic for unexplained decreased right eye visual acuity and visual field defect and right optic disc swelling. She presented wit... |
A 22-year-old woman was admitted to our hospital with a history of intermittent colicky right hypochondrial pain not relieved by any medications for the past 3 months. Initially, she was given proton pump inhibitors, but her pain was not relieved. She had no other symptoms. Her past medical and family histories were no... |
Our case is about a 39-year-old male, who suffered an electrical burn with high tension wires that caused an intraparenchimal bleeding. The patient was working on the ceiling of a house when he received an electrical discharge on his head. A high voltage wire touched his head, after which, he lost awareness without rec... |
An exceptionally active 45 year-old-male activated United States (US) Army Reservist with no past medical history presented for review after sustaining a laceration to his right knee.\nThe patient was conducting marijuana abatement when he accidentally lacerated his right leg just proximal and lateral to the knee joint... |
A 43-year-old man had no notable findings on a past history, and he worked in a moving company. Due to the pain in the neck and shoulder, the patient received a cervical massage from a massage therapist with a private certificate at a massage center in Kyounggi province, in March of 2008. The massage was performed in s... |
A 37-years-old female patient presented with complaints of pain in the left arm since three months followed by weakness a month later. The patient had dull boring pain around the left shoulder which radiated on lateral aspect of left arm. The pain progressed over 15 days to involve lateral forearm as well as the thumb ... |
An 84-year-old female patient was seen in the emergency department following a revision total hip dislocation. She had undergone a primary THA in 1999 for avascular necrosis of the femoral head. The primary procedure utilized a hybrid prosthesis, with a cemented femoral stem and uncemented acetabular cup. Her THA funct... |
A 67-year-old male presented to the outpatient clinic with a chief complaint of ambulatory difficulty and a history of an ankle fracture and deformity. The patient's daughter reported that her father sustained an ankle fracture 6 weeks ago and was hospitalized. The history revealed that the patient was placed in a shor... |
We present the case of an 83-years-old Caucasian male patient, known with high blood pressure, mitral valve regurgitation, coronary artery disease, diabetes mellitus type 2, that underwent a right cemented total hip replacement surgery for osteoarthritis in 2014 in the Academic Emergency Hospital Sibiu, Romania. Detail... |
A 39-year-old Thai male patient presented with progressive pain and swelling of seven-month duration over the antecubital fossa of the right elbow. Initially, there was only slight swelling. Three months later, he complained of dull pain. The patient went to a private clinic where the diagnosis was distal biceps tendin... |
A 76-year-old man was admitted to our hospital with the complaint of acute pain in the left lower limb and a pale foot. His medical history included hypertension, hyperlipidemia, and cerebral infarction. Arterial pulsation was palpable in the posterior tibial artery of the left leg, but it was unpalpable in the dorsali... |
A 41-year-old Japanese male presented impairment of consciousness by wide QRS tachycardia (Fig. a). Although his systolic blood pressure has been kept around 60–70 mmHg during the tachycardia, his conscious level was moderately impaired to E1V2M4 in the Glasgow Coma Scale. At his arrival at a hospital, he was 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... |
Our patient is a 60-year-old Caucasian woman with a medical history significant for SLE without organ involvement and a benign left breast mass status postexcision in 2006. She was in her usual state of health until screening diagnostic mammogram demonstrated an increased conspicuity of a bilobed nodule within the uppe... |
A 14-year-old female with chronic rhinosinusitis and lung disease with bronchiectasis was referred for immunologic investigation in São Paulo, Brazil. She had a history of chronic cough with recurrent wheezing since birth with prolonged use of antimicrobials for lower and upper respiratory tract infections, oral candid... |
A 17-year-old boy was admitted to our hospital with left ventricular hypertrophy. Our patient was born from non-consanguineous parents, delivered vaginally at 38 weeks’ gestational age weighing 2384 g with no neonatal asphyxia. He had no family history of cardiomyopathy or sudden cardiac death. Manifestations of neurol... |
A 44-year-old male was admitted to our hospital because of recurrent abdominal pain for more than two years that worsened over the past two weeks. He was a heavy drinker, with alcohol consumption of 250 g/day for 15 years. He had no history of trauma but previous 3 episodes of pancreatitis. He had the first episode of ... |
A 32 year old female Cameroonian gravida 4 para 3 at 34 weeks of gestation presented to the labour and delivery unit of Mbalmayo district hospital with 8 h history of severe generalized headache, expressive aphasia and right sided paralysis in an afebrile context. This was associated with blurred vision but no convulsi... |
A 3625 g infant was born to a 45-year-old female (Gravida 10, Para 9). The patient was diagnosed prenatally in another facility with CDH. The mother came to the hospital after the onset of labor and the rupture of membranes. Baby was born via cesarean section. The infant was observed to be in respiratory distress, flac... |
The 32-year-old female patient was directed to our hospital with complaints of intermittent pain in multiple symmetrical joints accompanied by morning stiffness for the past 5 years which involved small joints of hands, wrists and knees. However, there was no history of any joint swelling. The patient also complained o... |
A 75-year-old gentleman first presented to primary care with a three month history of left-sided headaches and diplopia. He also complained of altered taste sensation and paraesthesia in the left maxillary region. There was no history of epistaxis. The patient attended his general practitioner on multiple occasions and... |
A 25-year-old woman with a history of chronic hypokalemic metabolic alkalosis and hypomagnesemia following chemotherapy and radiation at the age of 2 for a yolk sac tumor was referred to our clinic. She had recently moved to our area and had a peripherally inserted central catheter line in place for the IV infusion the... |
Ms. X is a 24-year-old, single, white woman who was admitted following an overdose of zopiclone and lorazepam soon after she took her own discharge from the hospital. At the time of admission she was agitated, distressed, and challenging in her behavior. She displayed no remorse following her overdose and expressed pla... |
A healthy 30-year-old woman, gravida 3 para 1, presented in active labor at 38 weeks 5 days gestation. Her pregnancy was significant for gestational diabetes mellitus (GDM) controlled by glyburide. She had gestational thrombocytopenia with the lowest recorded platelet count of 111 × 109 per liter with no clinical seque... |
The patient is a 26-year-old single gravida 3 para 0+2 Nigerian trader. She was admitted into the gynaecology ward through the accident and emergency unit of our hospital. She was pregnant with an estimated gestational age of 20 weeks.\nHer presenting complaints were abdominal pain of 4 days duration and vomiting of a ... |
The patient was an 80-year-old Japanese woman who had previously given birth four times by vaginal deliveries. She had been experiencing voiding difficulty and perineal discomfort for 5 years and had urinary stress incontinence for 2 years. Furthermore, she had not been previously followed up for POP. She visited her p... |
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