text stringlengths 3.04k 31k |
|---|
A 64-year-old woman was referred to our hospital for the treatment of chest wall necrosis. She had undergone Halsted surgery and postoperative radiation therapy with cobalt-60 (30 Gray) and megavoltage X-rays (30 Gray) 25 years earlier. Following the treatment, her left upper limb became completely paralyzed.\nSix year... |
An 84-year-old male patient with past medical history consisting of hypertension, hypercholesterolemia, type 2 diabetes mellitus, and open angle glaucoma was admitted to ICU via A & E with an unwitnessed collapse and decreased level of consciousness. In emergency department (ED) his GCS was recorded as 5/15, blood suga... |
PCM, 18 years old, female, from the Gorj County, was admitted on 21 September 2019 to the Infectious Diseases Department with high fever (39–40 °C), chills, intense sore throat and headache. The onset of the disease was two weeks earlier with fever and sore throat. She had consulted the general practitioner who establi... |
The patient, an 82-year-old man, underwent a surgical procedure at age 61 for treatment of urinary retention due to benign prostatic hypertrophy. Twelve years later, he developed similar symptoms, and a prostate biopsy was performed, showing conventional adenocarcinoma of the prostate, Gleason score 4 + 3 = 7. He under... |
A 36-year-old primigravida (body weight, 65 kg; height, 167 cm) with no history of drug allergy or surgery underwent an elective cesarean section because of placenta previa. General anesthesia was scheduled to secure the patient’s condition in case of massive bleeding. General anesthesia was induced with 350 mg thiopen... |
A 28 year-old male was found to have a slightly increased serum creatinine (1.7 mg/dl) during the admission to ER because of abdominal pain. Since both his past medical history and an abdominal ultrasound performed on admission were unremarkable he was discharged with the indication to see a Nephrologist. At the Nephro... |
A 48-year-old female sustained a fall while riding her horse. The patient was evaluated at a community level 2 trauma center. The patient was transferred to our institution once the initial trauma evaluation revealed perihepatic hematoma, left internal carotid artery dissection, and bilateral pulmonary contusions. En r... |
A 49-year old Caucasian male with no significant medical history and no prior complaints of chest pain (smoking was his only known cardiovascular risk factor) was referred to our cardiac emergency department with acute chest pain during exertion. The ambulance ECG showed extreme ST-segment elevation anterolateral (‘tom... |
A 40-year-old man (Caucasian, M.Sc., working as a fund manager, not married, not religious) reported that he had been suffering from sleep-related painful erections (SRPE) for 6 years. He awoke several times a night with a painful erection. The erection and the pain could be relieved by physical exercise or cooling the... |
A 39-year-old female presented with a history of abdominal hysterectomy 10 years back followed by exploratory laparotomy and adhesiolysis for adhesive intestinal obstruction 5 years back, development of incisional hernia, and repair by open onlay mesh hernioplasty 2 years back. Physical examination showed a supra- and ... |
A previous healthy 53-year-old man was hospitalized with progressive dyspnea and cough for 2 weeks. Initial physical examination revealed a blood pressure of 126/81 mm Hg, respiratory rate of 20 per minute, and pulse rate of 103 per minute. On auscultation, heart sounds were tachycardiac and no murmur was heard. Examin... |
A 17-year-old male involved in high school athletics middle-distance running presented with a 3-week history of pain with more training. He was running up to 300 km/week on streets and cross-country in an even distribution. Although he had taken analgesics, the pain during exercise did not improve, and he presented to ... |
An 11-month-old male child was brought to the plastic surgery OPD of our institute by his parents with the chief complaints of increase in size of a swelling over upper lip with difficulty in oral intake for the last 1 week. On eliciting the history, it was revealed that the lesion was present since birth and had been ... |
A 16-year-old girl visited, accompanied by guardian, to the department of pediatric and preventive dentistry with the complain of multiple dental decay. On taking a medical history guardian revealed the patient was a known case of sickle cell disease and has been under medication. She had been hospitalized thrice and h... |
34 years old patient, Gravida 6 Parity 3, previous 2 miscarriages (18 weeks & 12 weeks), was seen first at 23 weeks 4 days of pregnancy. She had undergone previous 3 cesarean sections and an evacuation of retained products of conception by curettage in 2013 for partial hydatidiform mole. At 27 weeks 5 days, she was adm... |
The patient was a 37-year-old married Japanese woman. She was referred to the Department of Psychiatry at the Toho University Omori Medical Center, Tokyo, to receive care for a severe postpartum depressed mood and intense suicidal ideations. The participants provided written informed consent prior to enrollment in this... |
A 7-year-old boy with a history of hereditary retinoblastoma (Rb) and autism was referred to our hospital complaining of left knee pain and gait disturbance. On physical examination, his left thigh was painful and hot on palpation and swollen to 32.6 cm in girth compared with a right thigh girth measurement of 30.9 cm.... |
A 58-year-old man was referred to our hospital because of progressive gait disturbance and incontinence. The patient had undergone surgical clipping of a ruptured aneurysm at the right middle cerebral artery bifurcation in another institution 8 months earlier, and the case was complicated by a left-sided hemiparesis (g... |
A 27-year-old healthy male patient presented to the ED with a history of a 3-meter fall during work in which he landed on his feet. Initial clinical examination of the lower extremities at 13:00 showed intact skin and significant right proximal leg deformity associated with swelling and tenderness with a VAS of 3-4/10.... |
A sixty-four year old male presented to the emergency room after being struck by a motor vehicle. He was noted to have significant dyspnea with decreased breath sounds, midline vertebral tenderness, and a shortened, pulseless left lower extremity. The patient immediately received a chest tube for a pneumothorax, and wa... |
Our patient was an 18-year-old male who presented to the emergency department with a complaint of approximately 24 h of pelvic pain. The symptoms were worsening and associated with urinary retention, nausea, and anorexia. The pain was exacerbated by movement. He reported similar symptoms approximately 1 month prior, wi... |
A 62-year-old Chinese male patient was admitted to Peking Union Medical College Hospital (PUMCH) complaining of a 6-month history of frontal chronic headache, which used to be alleviated by nonsteroidal anti-inflammatory drugs or rest, from September 2014. The pain was intermittent, pulsatile, and moderate, and occurre... |
A 38-year-old woman (gravida 5, para 3+1) had been delivered of 2 healthy sons and 1 healthy daughter via lower segment CSs in other hospitals 15, 11, and 8 years, respectively, prior to the current presentation. At 32+1 weeks of gestation, she presented at the emergency department of our hospital because of spotting. ... |
A 39-year-old Caucasian male with a prior history of hemorrhoidectomies, dyslipidemia, and depression presented with severe nausea, vomiting, and purplish discoloration of bilateral feet to our rural community hospital. He stated that nausea and vomiting had started about 48 hours previously. There have been no accompa... |
A 64-year-old woman was admitted to our hospital with a pulsatile mass swelling over the left cervical region and right hemiparesis after cough for 1 day. She had a history of fibromatosis, but no previous history of trauma, operation or inflammation in this region. On physical examination, a 5-cm large pulsatile swell... |
This 80-year-old male had a past medical history of colon resection with chemotherapy in 2000 and a stroke in 2005. In 2006, he had L3, L4 and L5 lumbar decompression and instrumentation for lumbar stenosis. He did well until 2009 when he developed low back and bilateral leg pain, more on the right. He had a magnetic r... |
A 10-year-old boy presented to the pediatric emergency with bouts of massive hematemesis, passage of fresh blood per rectum, and melena for 2 h. There was a previous history of massive hematemesis 2 weeks back, which resolved spontaneously after 2 units of blood transfusion. He had a history of anorexia and weight loss... |
A 19-year-old Japanese woman underwent root canal treatment on tooth #47 by a general practitioner in 2005, but dull pain persisted after. Tooth #48, which was horizontally embedded, was extracted in August 2010, but the pain continued. In August 2015, she presented at the Department of Oral Surgery of another hospital... |
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 29-year-old female presented with a 1-year history of progressively worsening right foot pain described as “crushing and burning” radiating into the posterior calf but sparing the heel. She had a significant history of actin-related protein complex subunit 1B gene mutations, critical for actin cytoskeleton remodeling... |
A 45-year-old woman presented to our hospital with multiple lung nodules. She had a history of poorly differentiated thyroid carcinoma, diagnosed 7 months prior to admission, at an outside hospital. The patient was healthy otherwise and reported no radiation exposure or any family history of thyroid cancer. The initial... |
A 57-year-old woman with a past medical history of hypertension, scoliosis and depression presented with 1 week of flu-like symptoms (diffuse body aches, fatigue, and chills) and generalized weakness that rapidly progressed over several days in June 2018. Her social history is significant for living in a trailer in a w... |
A 7-year-old boy was admitted to our hospital in April 2019 due to whitening of the pupil area in the right eye after a fall, which was accompanied by eye pain, headache, and vomiting for 3 days. Best corrected visual acuity (BCVA) was 1.0 in the left eye. However, only the perception of light was possible in the right... |
A 72-year-old woman was referred to our hospital with pancreatic head and neck carcinoma for more evaluations and surgical operation. She had been suffering from abdominal pain for about 1 year, and the pain has become more intense in the last 6 months. The pain was postprandial and localized to the right upper abdomen... |
Patient M.C. is a 32 year old male smoker involved in a motor vehicle accident who sustained a closed, displaced talar neck fracture. This was treated with initial external fixation and staged open reduction internal fixation (ORIF) in 2018.\nHe developed a nonunion with post-traumatic ankle arthrosis and failed approp... |
A 23-year-old woman was diagnosed with AA by the end of 2010. In recent years, she has not had any immune system-related serious illnesses and conditions, such as asthma, allergies, and atopic dermatitis. Because of her condition, she experienced psychological changes in the workplace. She was initially treated with mo... |
A 5-year-old girl was admitted to our Emergency Department after an episode of acute interscapular back pain occurring without trauma and followed by bilateral upper and lower limb weakness.\nHer family history included 8 Italian members harboring the same homoplasmic m.3460G > A mtDNA (Table , Fig. ). All the family m... |
A 69-year-old African American female presented in February 2015 in our department with the chief complaint of gross hematuria and dysuria that started in December 2014. Prior to urology evaluation, she had received two courses of antibiotics without resolution for her presenting symptoms. The patient denied history of... |
A 12-year-old female patient reported to the Department of Periodontics, People's College of Dental Science and Research Centre, Bhopal, with a history of swelling in the upper lip and gums since last six years. Patient gave history of trauma during playing six years back, which resulted in laceration of upper lip, for... |
Case 1 was a 65-year-old woman who reported continuous left hip pain and limited range of motion. She was referred to our hospital in June 2013. During the first consultation, physical examination revealed limited range of motion of her left hip due to pain. Her Merle d'Aubigné-Postel score was 9 points, with the follo... |
Mr. S, a 23-year-old African American male with the diagnosis of paranoid schizophrenia, was hospitalized in our inpatient psychiatric hospital approximately 15 months ago. The patient had failed trials of several typical and atypical antipsychotics. Leading up to the admission, he was having religious delusions, ideas... |
Patient is a 79-year-old woman with a complicated urologic history. Three years prior to her presentation in the infectious disease clinic, she had issues with urinary retention and frequent urinary tract infections, for which she would receive antibiotics. She required an indwelling urinary catheter for several months... |
An 80-year-old Caucasian man who initially presented with back pain was found to have a 9.8 cm infrarenal abdominal aortic aneurysm on computed tomography (CT). This was suitable for endovascular aneurysm repair (EVAR) but the left common iliac artery (CIA) was short, necessitating the extension of the left iliac limb ... |
A 54-year-old Caucasian female with a history of lupus presented for elective left total knee arthroplasty following the development of osteoarthritis that had failed conservative measures. The patient had a history of previous left knee ACL reconstruction approximately 25 years ago using the Arthrotek bone mulch screw... |
A 35-year-old African American man was initially sent to our emergency room to evaluate a possible head trauma after a witnessed fall. He complained of frequent falls and leg weakness for 3–4 months. The weakness appeared to be progressive and persistent without episodic worsening. He had to use a cane to compensate bu... |
An 80-year-old Taiwanese woman was admitted to the emergency room of our hospital with intermittent fever and colic abdominal pain lasting for 3 days. She also expressed concerns about severe back pain lasting for over 1 year, and she had no prior trauma or history of surgery. She had type 2 diabetes mellitus and hyper... |
A 30-year-old Sri-Lankan woman presented with left flank pain. The pain was intermittent, sharp, and of moderate severity and radiated to the groin. The patient reported no history of lower urinary tract symptoms or gross hematuria. The pain was associated with weight loss of 8 kg over a period of 3 months. Her medical... |
The patient was a 53-year-old woman who was initially diagnosed at a local hospital and she underwent thyroidectomy in 2002. The postoperative pathological report indicated a benign tumor. In 2015, an ultrasound revealed that she had thyroid nodules and chest nodules with no tenderness or redness. Therefore, the patien... |
In April 2004, a 79-year-old man presented with a 4 month history of subcutaneous abdominal nodules and bilateral inguinal lymphadenopathy; no other signs or symptoms were present.\nThe patient was retired after various occupations; he had also worked for 7 years at the local port and for 3 years in a motor factory, bu... |
A 35-year-old woman (gravida 5, para 2) was referred to our hospital due to placenta previa at 34 weeks of gestation. Her previous pregnancies involved two cesarean deliveries, one spontaneous abortion and one induced abortion. She had no medical history, and during her current pregnancy, the placenta covered the entir... |
We present a 57 year old gentleman with CKD 5 who had an autogenous brachiocephalic fistula 4 months prior to presentation to us. During their last surgical clinical visit, the fistula was noted to be poorly maturing and then referred to interventional radiology for fistulogram and possible endovascular intervention to... |
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 32 years old primigravid woman was referred to our hospital in 2013 with a probable diagnosis of ectopic pregnancy. She was at 12w of gestation according to her last menstrual period date. She had a 13 years history of primary infertility due to tubal factor. Her menstrual cycles were regular with normal hormonal pro... |
In October 2012, a 28-year-old female was referred to the local hospital due to two missed menstrual periods one month previously. Abdominal ultrasonography revealed a single normal fetus in the uterus and a right adnexal hypoechoic solid mass of 4.1×3.2 cm in size. The mass had been identified three years previously w... |
A 72-year-old male, who has been in generally good health for 50 years, presented to an outside hospital with symptoms of hoarseness, dysphagia, headaches, dizziness and chronic diarrhea for a few weeks. His head computed tomography (CT) scan revealed multiple intraventricular lesions (), and he was transferred to our ... |
A 77-year-old man was presented with cardiovascular pathologies that included severe mitral regurgitation (MR) and moderate tricuspid regurgitation (TR). He had no history of congenital venous disease. He had recent shortness of breath with exertion. His New York Heart Association status was class II. Echocardiogram re... |
The patient is a 6-year-old Chinese boy (ethnic Han), who was admitted to the hospital due to dysuria and intermittent abdominal pain for the last ten days. A stone was passed spontaneously by the patient seven days before sent to the urological clinic. The boy was born in Henan Province of China (Central China, Han) a... |
We present a case of a 70-year old Caucasian gentleman who underwent a living donor renal transplant 10 years ago following a diagnosis of glomerulonephritis aged 34. More recently, he had developed acute heart failure manifested by bilateral leg oedema, facial oedema and difficulty in breathing together with severe an... |
A 65 year old male patient presented to our pain clinic with complaint of right sided facial pain for the last 2 years. The pain was excruciating and confined to right lower jaw. He was diagnosed as a case of right sided trigeminal neuralgia involving the mandibular division (V3). He was on regular medication with oral... |
A 46-year-old Caucasian man, a physician from a town in central Serbia, had nausea, fever, and had suffered watery diarrhea that lasted for one day. The diarrhea was self-limiting and he was treated only with antipyretic drugs. Ten days later, he felt muscle weakness in both upper and lower extremities. Proximal weakne... |
A 66-year-old female presented to the emergency department with 1 week duration of general weakness and poor oral intake. She had an underlying disease of diabetes and hypertension for 10 years and had been treated with medications at the local clinic, which included metformin, glimepiride, hydrochlorothiazide, losarta... |
He was 16-year old school going boy who lived at home with his family was diagnosed with locally advanced head and neck cancer with no known distant metastasis []. The extent of the cancer involved entire left side of the face, left ear, and scalp. He had visual loss in his left eye and facial disfigurement. He was car... |
A 20-year-old woman presented with a 2-week history of the presence of a painless mass on the left side of the thyroid bed, on which a lobectomy was performed 4 years before. In 2014, this patient arrived at a local hospital with a painless mass on the left side of the neck. Ultrasound disclosed that there was a nodule... |
The patient presented as a 61 year old morbidly obese male with a history of chronic kidney disease describing three months of gross, painless hematuria and irritative lower urinary tract symptoms. The remainder of the review of systems was unremarkable. He initially went to an outside hospital after his symptoms were ... |
A 76 year-old woman presented after falling in the bathroom. She had become dizzy and her face struck the edge of the sink as she fell. She landed on bilateral outstretched arms. She complained of severe pain in her shoulders and was taken to the emergency department. She received intravenous fentanyl. She became nause... |
The patient is a 69-year-old man with history of carcinoma rectum with abdominoperineal resection done 30 years ago. No adjuvant therapy was given postoperation. He had no follow-up afterwards. He presented to us for metachronous tumor over descending colon complicated with large peristomal abscess (Fig. ). Contrast CT... |
A 74-year-old man was admitted to our hospital for the examination of IPMN in the pancreas head. A cystic lesion, 6 mm in diameter, in the pancreas head was initially revealed when he underwent ultrasonography for a routine checkup for fatty liver 10 years prior. Magnetic resonance imaging revealed the cystic lesion an... |
An 88-year-old male with severe diabetic peripheral neuropathy secondary to type 2 diabetes mellitus that had been diagnosed >20 years previous with complaints of exacerbation of dry mouth was admitted for further treatment. He was managed with blood glucose control by using insulin injections. However, a fever accompa... |
A 61-year-old woman was seen in a clinic complaining of fever and dyspnea lasting 2 weeks. She was diagnosed with left pneumonia by computed tomography (CT) and referred to our institution. At the time of presentation, she had dyspnea and a fever over 38 °C. Her Eastern Cooperative Oncology Group (ECOG) performance sta... |
On October 12, 2011, a 57-year-old Chinese female was admitted to our institution with complaint of upper abdominal distension for 2 weeks. She denied any abdominal trauma or surgeries in her life. No specific findings were noted in her family history and personal history. And, she was taking no medications. Before thi... |
An 18-year-old healthy female patient presented with the complaint of discolored left upper front tooth. She had a history of fall 10 years back, which resulted in slight fracture of crown of the tooth but the patient was otherwise asymptomatic.\nThe clinical examination revealed Ellis class II fracture and discolorati... |
A 72-year-old Asian woman had been admitted to our department 28 days previously for treatment of an intracerebral hemorrhage (ICH). During her stay, the patient complained of an unpleasant sensation in her whole body that had been present at night since admission. When the patient was at rest, discomfort and irritatio... |
A 31-year-old, ASA II, superobese male patient (190 kg, 180 cm, BMI: 58 kg/m2) was admitted to the emergency department with a segmental Gustilo-Anderson type IIIA open tibial fracture and ankle dislocation following an in-vehicle traffic accident. The initial proper management of open fracture and joint dislocation wa... |
A 69-year-old female, with a long history of poorly controlled diabetes and hypertension, presented to the emergency room with a one month history of toothaches that were treated conservatively by her dentist using broad spectrum antibiotics. In the emergency room, she was drowsy and lethargic but not disoriented, with... |
A 63-year-old man with a history of hypertension presented to our emergency department with a 3-day history of a high fever (39°C) and abdominal pain. Initial laboratory results and computed tomography (CT) images suggested the presence of acute cholecystitis with a perforated gallbladder, which was initially treated w... |
This case concerns a 43-year-old Colombian woman with a personal history of asthma and a family background of Still’s disease. At the age of 21 years, she went to an alternative therapist for relief from severe diarrhea. The therapist administered an unknown intramuscular alternative medication, shortly after which the... |
A 65-year-old retired Caucasian male presented to the Western University of Health Sciences Dental Center expressing an interest in implants after consulting with a private practice periodontist and a dentist from a large implant dentistry practice. He had no medical conditions or known allergies, but reported a 40-pac... |
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 53-year-old woman was referred to surgical oncology for a gastric mass. The reason for her initial visit was chest pain. She only complained of intermittent gastric discomfort and dysphagia in response to solids. Her medical history was significant for hypertension, hyperlipidemia, diabetes mellitus, hypothyroidism, ... |
A healthy 34-year-old woman presented progressively worsening hearing in the right ear for two years. Her hearing loss was accompanied by persistent non-pulsatile tinnitus. No history of ear pain or vertigo was reported. There was no bleeding from the right ear and no history of recurrent ear discharge. The left ear wa... |
A 53-year-old man manual worker with a 13-year history of gout in his right hallux presented to his general practitioner with right knee pain, stiffness, and giving way with no history of trauma. He had been taking allopurinol for 11 years. He drank 10 to 12 units of alcohol per week and his body mass index was 24.4. O... |
A seven day old male baby born at 39 weeks of gestation to a primi mother with a birth weight 2.45 Kg was brought for not passing urine since birth. After the umbilical cord stump had fallen, on the 5th day the mother noticed soakage of clothes and flow of urine from umbilical region for two days. On examination, an in... |
A female patient aged 28 years presented in 2007 with a lesion arising from the deep soft tissue of the left foot, covered by a healthy skin. Prior clinical history was negative for melanoma. TNM classification at presentation was: stage 3, e.g. primary lesion arising from soft tissue of the left foot with positivity o... |
A 46-year-old male patient was first admitted to the emergency department of our hospital 12 years ago with recurrent episodes of collapse and a documented ventricular fibrillation (VF) arrest requiring emergency cardioversion by the paramedic team. The patient gave a 5-day history of general malaise and fever and a 24... |
A 65-year-old gentleman presented to the emergency department (ED) at night with a history of acute-onset atraumatic bilateral knee pain and swelling. His past medical history includes bicuspid aortic valve replacement and subsequent revision of his aortic valve replacement 4 weeks prior to the onset of knee pains. He ... |
A 23-year-old girl reported to the department of oral medicine and radiology with progressive, nonpainful swelling of the gingiva on the labial aspect of the upper and lower anterior teeth with 6 months' duration. There was a history of evening rise in temperature and weakness over the last 3 months. The patient also h... |
The case presented is that of a 50 year-old Caucasian female with isolated recurrence of metastatic melanoma to the subcutaneous tissues of her left thigh. Ten years prior to her current presentation, she underwent a wide excision and skin grafting of her left distal thigh region and a superficial left groin lymph node... |
Case D (Insomnia): A 19-year-old female was asked to take EPI reading by her physician (who is associated with Life in Yoga Institute) because she was seriously overweight at 278 lbs with 5' 6' height (body mass index = 44.9) and in suboptimal health condition. Her chief complaint was inability to sleep at night – and ... |
A 30-year-old man presented to the Rheumatology clinic with a 3-year history of left wrist pain, swelling and reduced range of motion. It had started while lifting weights at the gym and due to persistence of the pain over a number of weeks; he sought medical attention and was referred to Orthopaedics at an outside ins... |
A 33-year-old, male, right handed, realtor, of Malaysian descent, presented to hospital following a nocturnal seizure. His wife reported being awoken by a cry and found her husband convulsing. The patient's arms were flexed and his eyes open and rolled back. This lasted for approximately 1 minute and was followed by re... |
A 16-year-old, right-hand-dominant school boy attended the accident and emergency department with a 2-week history of increasing left forearm pain and swelling. There was no significant trauma, and the patient denied any systemic symptoms. He had sustained a closed fracture of the left distal radius five and a half yea... |
A 62-year-old, white, Caucasian, British-origin, male lorry driver was admitted to the hospital late on a Friday night after an unwitnessed single vehicle road accident. His lorry was by the side of the road and he was found unconscious in the vehicle and immediately transferred to the local District General Hospital. ... |
We present the case of a 54-year-old patient with bacterial endocarditis who has been regularly visiting his cardiologist for follow-up on a mitral valve prolapse and mild to moderate mitral regurgitation (MR) for the last 11 years. Although the patient was not at high risk of developing IE and the 2009 ESC Guidelines ... |
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 previously healthy 8-year old boy presented with a five-day history of right sided headache and a four day history of a vesicular rash on the ipsilateral forehead, eye lid and nose. There was associated pain and swelling of the areas involved. The rash later progressed to involve the ipsilateral side of the scalp whi... |
A 70-year-old, right hand dominant, otherwise healthy and active, female presented to our clinic three (3) months after falling onto her left shoulder. She was initially treated elsewhere nonoperatively with sling immobilization and limited physical therapy. Upon presentation to us, she complained of persistent lateral... |
A 16-year-old male, prior to his presentation at our clinical setting, was diagnosed with an osteosarcoma in his left fibula. At the time of the diagnosis, he presented with a painful and progressively enlarging mass over the left ankle which restricted any weight bearing on the affected leg. A contrast-enhanced magnet... |
A 47 years old Moroccan woman with a familial history of a father dead from a colorectal cancer, and a maternal aunt dead from a breast cancer, presented to our institute with complaints of nasal obstruction, headache, and ear fullness for three months, and skin changes on the right breast for two months. She did not b... |
Susan is a 10.9 year old girl who lives at home with 2 professional parents and a younger sister. She was described as a very anxious child; past medical history was notable for a history of frequent stomach pains of no known medial cause, and school refusal, though no eating or growth problems. Susan developed repeat ... |
A 65-year-old gentleman, with a known case of chronic liver disease, presented with complaints of diffuse abdominal distension for two days associated with non-radiating, intermittent, colicky peri-umbilical pain. He had multiple episodes of bilious vomiting. He had not passed stool for one week and flatus for three da... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.