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A forty nine-year-old female presented to the emergency department due to episodes of sudden cramping, epigastric pain and nausea 2 months following endoscopic retrograde cholangiopancreatography (ERCP) where three gallstones were removed from the common bile ducts (). Before she underwent ERCP and endoscopic sphincter... |
Our patient is a 76-year-old female with a past medical history of hypertension, type 2 diabetes mellitus, hypothyroidism, and gastroesophageal reflux disease, initially presenting to the emergency department (ED) with a three-month history of nausea, vomiting, and occasional diarrhea. She was evaluated by gastroentero... |
A 35-year-old male with a past medical history only significant for hypertension and a family history significant for inflammatory bowel disease (IBD) and colon cancer in a maternal grandmother presented to the emergency department with complaints of chest pain, shortness of breath, and unintentional 30 pound weight lo... |
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 66-year-old woman with WPW syndrome was admitted to the hospital because of frequent paroxysmal tachycardia attacks occasionally accompanied by dizziness, which started when she was 58 years old. She suffered repeated chest distress and palpitations for eight years without treatment. An electrocardiogram from the eme... |
A 78-year old Caucasian male patient, without relevant medical history and in good health, presented to the emergency department with severe pain in the right hip after a high energy trauma due to a fall. On clinical examination, the right leg was shortened and externally rotated. There was no neurovascular deficit in ... |
A 63 year-old man with a history of Crohn's disease for the past thirty years and hyperlipidemia presented with one week of abdominal pain, diarrhea and hematochezia. Abdominal pain was generalized, 6 by 10 in intensity on the pain scale, and dull in character. It was worsened by food intake and relieved by bowel movem... |
This patient is a 54-year-old homeless man with a history of schizophrenia who presented to the emergency department in November 2020 after being found down with a penetrating injury to the left anterior chest. On arrival, his GCS was 3, and he was being ventilated via bag valve mask by EMS. He was promptly intubated f... |
A 24 year old gravida 5 woman with no history of alcohol or drug abuse, and no previous history of cardiovascular disease, presented to the emergency department (ED) 5 months after an uneventful full term spontaneous vaginal delivery followed by tubal ligation. She complained of a severe epigastric and right upper quad... |
The second case is a 7-year-old boy with right-sided submandibular lymphadenopathy who was transferred from a regional hospital to the Children's University Hospital where he remained for approximately two weeks. His body temperature during this period was normal; however, his parents reported that he had occasional fa... |
A 29-year-old male was referred to our emergency care unit at the third hour of his injury. He had experienced an avulsion amputation of his dominant right hand and forearm resulting from a textile slicing machine (Figure , ).\nAlong with the crush and volar skin avulsion amputation injuries and open fractures as obser... |
An 18-year-old Xhosa-speaking South African male was referred to the Livingstone Hospital renal unit for evaluation. He first presented at the age of 17 years to a nearby hospital emergency unit with a headache. He was not on any chronic or over-thecounter medications, did not consume liquorice, ethanol or traditional ... |
A healthy 27-year-old male patient was admitted to the first author’s institution with left hip pain for 10 months of duration without a history of a distinct trauma. He had severe pain in the left groin on weight bearing, with variable degree of pain at rest. He also expressed some mechanical symptoms of the affected ... |
A 74-year-old male patient was admitted to our hospital in March 2017 to undergo liver resection to treat a malignant hepatic lesion diagnosed with CT and PET and a fine-needle biopsy positive for squamous carcinoma. The hepatic tumour discovered during follow-up for a previous bladder cancer submitted to endoscopic su... |
A 61-year-old woman with no past history of cardiopulmonary disease was diagnosed with chronic myeloid leukemia (CML) and initially started on Imatinib therapy. Four years later, a bone marrow biopsy showed progression of CML to precursor B-cell acute lymphoblastic leukemia (ALL) and the patient was switched to therapy... |
A 34-year-old gentleman was first referred to orthopaedic services with a history of persistent knee pain, located over the right femoral condyle near the origin of the lateral collateral ligament. Eleven years prior to presentation, the patient was involved in a road traffic accident where he sustained a fracture of t... |
A 5-year-old white boy presented with a 1-year history of right shoulder pain and asymmetrical right scapula. His shoulder range of motion was preserved as well as function. Amyotrophy was initially suspected but excluded based on normal neurologic investigation. There was no significant past medical or family history.... |
A 78 year old male presented to us with complaints of multiple, small, dark colored raised lesions over the left leg which were gradually increasing in size and number over a period of two months. A few of them occasionally ulcerated, bled, discharged pus and were associated with pain. The patient also complained of mu... |
A 55-year-old lady who had vegetarian habits presented with dizziness of three months duration with intermittent vomiting. She had no history of fever or headache. Two weeks prior to admission, her relatives noticed behavioral changes in the form of irritability and occasional agitation. She was confused with irrelevan... |
Herein, we present the case of a 61-year-old Caucasian male patient, with no medical comorbidities or prior surgical history, who was referred as suspected acute appendicitis by his general practitioner to our surgical admissions team. His clinical symptoms comprised of an approximately 10-day history of pain in the ri... |
A 7-year-old male child, born out of consanguineous marriage, presented with poor vision in both eyes since birth. The vision was only light perception in the right eye and finger counting 3 m in the left eye. Anterior segment examination revealed megalocornea with horizontal diameter of 14.5 mm. The anterior chamber w... |
A 54-year-old African-American man presented to our resident clinic at Johns Hopkins Hospital for discharge follow-up after admission for wrist pain and a suspected viral gastroenteritis. He did not have a primary care physician due to lack of health insurance and had been seen in our emergency department several times... |
The patient is a thirty-year-old woman, born in Slovakia, living in Switzerland since 2011. She is married but separated and involved in a divorce procedure. She grew up with both her parents and her two little brothers. She reported no history of psychiatric illness in her family. She was well treated, loved and cared... |
The patient is a 70-year-old man with a medical history of hypertension, gout, and rectal cancer with liver metastases who presented with 4 days of nausea, vomiting, and gait instability. On physical examination, he was found to have right ptosis, left arm tremor, and right arm dysmetria. CT head showed cerebellar infa... |
This case is of a 55-year-old female who initially presented with a palpable left neck mass. The mass had been noted by the patient 8 years ago and had progressively grown in size. A computed tomography (CT) of the neck was obtained, which demonstrated a 3.5 × 2.3 × 4.6 cm lesion deep to the left sternocleidomastoid (S... |
A 47-year-old male patient was referred to the rheumatology clinic because of recurrent attacks of pain in both knees over 1 year.\nIn September 2016, the patient presented with severe pain over the medial aspect of the left knee for a two-week duration which prevented him from ambulation. The pain increased with weigh... |
A 34-year-old woman was referred to our outpatient clinic during her 31st week of pregnancy suffering from shoulder pain of the right side after lifting her 11-month-old first born. During the first pregnancy, one and a half year ago she started noticing dyspnea which was still present at the time of her presentation i... |
A 51-year-old Caucasian woman was admitted to our department in April 2011 for a third kidney transplantation. Focal segmental glomerulosclerosis (FSGS) has been diagnosed in 1973, and the patient reached end-stage renal failure in 1982. He received two kidney allografts, in 1983 and 1993, which both failed as a conseq... |
A 66-year-old Japanese man who had no past medical or medication history complained of gross hematuria and visited a nearby hospital in October 2013. He had no habit of drinking alcohol or smoking tobacco. He was diagnosed as having a right renal tumor and underwent right nephrectomy laparoscopically. The pathological ... |
A 40-year-old female, height 145 cm, weight 45 kg, gravida 1 para 0, was planned for an elective caesarean section at 38 weeks of gestational age. She has a significant past medical history of thalassaemia minor, migraine and a type I ACM. She presented 5 years ago with persistent left-sided headaches, numbness of the ... |
A 57 year old male had previously undergone a left total knee arthroplasty in 1999 for osteoarthritis. He acquired a late deep peri-prosthetic infection with a multi-resistant Staphylococcus epidermidis. The organism was sensitive to vancomycin and rifampicin. A two stage revision was undertaken after clinical signs of... |
A sixty-seven-year-old man was admitted to our hospital while suffering from electrical instability of the heart, resistant to the antiarrhythmic drugs that are often used to treat a patient with infarct heart disease (metoprolol, amiodarone, magnesium sulfate, potassium chloride, and xylocaine). The patient had diabet... |
A 26-year-old man was brought to the emergency department of our hospital following a stab injury on the left posterolateral aspect of the neck. The patient developed a progressively enlarging swelling in the left posterolateral aspect of the neck within two days following the penetrating injury. The patient also compl... |
A 54-year-old male with history of obesity, type II diabetes, and medically treated hypertension, presented in year 2000 with facial pain. One month prior to presentation, he was involved in a car accident with no obvious trauma to the neck. He suffered from neck pain shortly after, but was never seen by a physician. A... |
A 42-year-old postmenopausal woman presented initially to endocrinology division with a 1-month history of swelling in front of the neck and throat pain. She did not give any history of dysphagia, voice change, or dyspnea. There was no history suggestive of either hypo- or hyper-thyroidism. On examination, the patient ... |
A 57-year-old Chinese female was referred to National University Hospital, Singapore in February 2016 for management of a hard swelling over her right TMJ. This patient suffered from chronic right TMJ pain for more than 5 years. She had consulted several physicians over the past few years, but could not obtain a defini... |
A 29-year-old male patient who complained of pain and swelling around the popliteal area and symptoms of common peroneal nerve palsy in the right lower leg was referred to our service. The patient had a medical history of re-revision of ACL reconstruction using a transtibial technique for femoral tunnel in the right kn... |
We present the case of a 64-year-old Caucasian female who was treated at our department because of the deformity of her left foot. Because of this deformity, she was completely disabled wearing ready-made shoes. She felt pain in the forefoot on dayly basis. Medial side of the thumb and dorsal side of the second toe wer... |
A five-year-old typically developing female was referred by her primary care provider for evaluation of a rash reported to be sensitive to sunlight and had been reoccurring for the last 4 years. Cutaneous exam revealed fine scale on her trunk and extremities as well as small pink flat papules on lower left leg. She was... |
A 66-year-old female presented to our head and neck clinic with a 2.5 cm left floor of mouth, biopsy-proven squamous cell carcinoma. The treatment recommendation was for primary surgery consisting of floor of mouth excision, bilateral selective neck dissections and radial forearm free flap (RFFF) reconstruction.\nHer p... |
A 50-year-old female patient came to the outpatient department with a chief complaint of pain and swelling on her right side of the face for 4 months. The patient was apparently asymptomatic 4 months back and subsequently developed pain in the upper right posterior tooth region. The patient gave a history of dental ext... |
A 37-year-old man who complained of paroxysmal abdominal pain for 4 months, diarrhea for 15 days and weight loss of 4 kg was admitted to our hospital in April 2019.\nIn December 2018, he was admitted to another hospital with abdominal pain and hematemesis. Gastroscopy revealed a duodenal mass with bleeding, and patholo... |
A 9-month-old female infant with a bodyweight of 8.3 kg was admitted to our cardiac intensive care unit (CICU) due to failure to wean from invasive mechanical ventilation for respiratory failure. The patient was the second child of a young couple, without a history of consanguinity or a family history of vascular abnor... |
A 56-year-old African American female with a past medical history of colon cancer of 3 years of status post-low-anterior-resection and chemotherapy presented to the emergency room with 3 months of progressive, debilitating left hip pain, 40-pound weight loss, and weakness. She denied flank pain, hematuria, or bright re... |
A 53 year old Caucasian female with a past medical history of right eye choroidal melanoma presented with a one year history of erythema and induration of the skin at the junction of the inferior aspect of the right nipple profile and surrounding areolar skin (Fig. ). The patient had subsequently been treated with the ... |
A 46-year-old man was referred to our hospital because of a 2-month history of anal pain and hematochezia. He also complained of constipation, malaise, and body weight loss of 10 kg in 1.5 years. Computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated a tumor measuring 80 mm in maximum diameter on th... |
In June 2011, a 56-year-old male was referred to our department by head and neck surgeon in order to improve his upper denture retention and stability. The patient was diagnosed with a squamous cell carcinoma of the maxillary gingiva (T4N0M0) in May 2005 and underwent an extended left maxillectomy, an anterior and midd... |
A 59-year-old gentleman with end-stage kidney disease due to hepatitis C with focal segmental glomerulosclerosis, on hemodialysis for seven years, underwent deceased donor renal transplantation. The donor kidney had a KDPI of 60%. There was a 4 antigen HLA mismatch with Class II panel reactive assay (PRA) of 62.31%. Cl... |
A 33-year-old Chinese female presented with concerns about the appearance of her anterior teeth and was referred by a private dental practitioner to the Prince Philip Dental Hospital (PPDH) for aesthetic management of her upper worn anterior teeth. History revealed that she had endodontic treatment on her two upper cen... |
A 75-year-old white man with a history of several admissions to our Emergency Room for recurrent episodes of intestinal subocclusion, nausea, and vomiting, presented to our hospital in April 2015 with melena and anemia. He had a history of left RCC with metastasis in both adrenal glands and his brain. He underwent left... |
A 24-year-old pregnant woman (G2P1) was referred to us due to suspected bilateral ovarian cysts at 8 weeks of gestation. She had undergone ovarian cystectomy twice under open surgery: left and right ovarian cystectomy for mature cystic teratoma and mucinous cystadenoma, respectively. She had no additional medical histo... |
A 69-year-old woman with a history of hypertension was identified to have an incidental renal tumor on computed tomography (CT). She denied hematuria, lower urinary tract symptoms, pain, fever, fatigue, or weight loss. Her medical history was significant for hypertension and obstructive sleep apnea. Family history and ... |
The patient is a 73-year-old male with a past medical history of metastatic follicular thyroid carcinoma that was initially diagnosed in 2013. The patient underwent total thyroidectomy with radioactive iodine ablation in 2014. He was then found to have metastasis to the liver and underwent liver ablations in 2016 and 2... |
An asymptomatic 60-year-old man was referred to our hospital because of a submucosal tumor (SMT) of his stomach found by an upper gastrointestinal endoscopy at a regular health check. The patient had been on medications for hypertension and old cerebral infarction. The upper gastrointestinal endoscopic examination reve... |
A 67-year-old woman came to our varicose vein center complaining of varicosities as well as edema and eczema in her left lower leg. Upon duplex ultrasound (DUS), she was diagnosed of having primary varicose vein due to the incompetent GSV, with Clinical Etiological Anatomical Pathophysiological (CEAP) classification C2... |
The patient is a 66-year-old female with over five years of progressively worsening sacroiliac and coccygeal pain that had become constant and made the patient unable to sit for extended periods of time, and she stated the pain was worse later in the day. She was not able to sit directly on the right buttock. The patie... |
The patient was a 10-year-old boy. A Kasai operation was performed for treating his biliary atresia at three months after he was born. Although he had received endoscopic ligation for grade III esophageal varices at the age of four because of intermittent hematemesis and melena, he had maintained good general health an... |
A 47-year-old female (body mass index, 30.5 kg/m2 (160 cm, 78 kg)) presented in a corresponding hospital with acute pain in the upper abdomen after gastric bypass and cholecystectomy 9 years earlier and loosing 40 kg weight afterward. At the first consultation in the emergency department, she complained of massive abdo... |
The patient was a 40-year-old woman with myoma of the uterus. She was 172 cm tall and weighed 60 kg. She was not taking medication and her family history was unremarkable. She did not smoke, but she had a habit of consuming a small amount of alcohol a day. Laparoscopic hysteromyomectomy was performed under general anes... |
A 23-year-old female was referred to our medicine dental department in UHC Sahloul, Sousse, for treatment of tooth #46. She suffered from major coronal destruction and needed to have her first molar restored. The medical history was noncontributory. Radiographic and clinical examinations were performed initially, and a... |
A 71-year-old Chinese man who was previously healthy presented to our clinic with a 3-month history of episodic cough with the production of thick yellow sputum. This was accompanied by generalized fatigue, subjective fevers, weight loss and night sweats. Symptoms improved somewhat with over-the-counter antipyretics an... |
A 23-year-old male patient from India, without any past medical history, presented with pain and swelling in small joints of right hand with morning stiffness lasting for more than one hour along with feeling of warmth of the hands. The symptoms were of six-week duration, and within the week prior to being seen he also... |
A 59-year-old woman had noted moderate pruritus in the upper area of her left breast and sensed annoying mass in the same area, 15 months before she was referred to Al Zahra hospital where we took her history notes. One month after the initiation of pruritus, bilateral diagnostic mammography (4 films) showed a 1 cm sph... |
A 59-year-old woman presenting with a tumour mass located in D11 with partial invasion of D10 causing middle back pain one year before.\nThere was no family history of bone lesions or bone tumours. There were no general symptoms, such as an increase in temperature or loss of weight or appetite.\nClinical examination re... |
A 56-year-old lady presented with an abnormal mass arising from her latissimus dorsi (LD) donor site scar (Figure ) and hardening of the left reconstructed breast. She had no co-morbidities apart from anxiety disorder and breast cancer treated 10 years ago. She had a left mastectomy and immediate implant-assisted LD re... |
A 36-year-old Caucasian male presented to the emergency room complaining of a one-day history of abdominal pain. His main symptoms were that of nausea and vomiting, but he also reported periods of diarrhea. In the emergency room, his initial evaluation was significant for lab studies demonstrating a mild metabolic acid... |
A 29-year-old gentleman complained of swelling and progressive pain in his left big toe after falling foot first into a drain. From his description of the fall, it seemed like the big toe suffered from an axial loading and hyperdorsiflexion injury. He visited the emergency department of another institution where he was... |
A 29-year-old woman who had been bit by an insect on the left calf was admitted to our hospital with a chief complaint of continuous painful swelling of the bit area for 3 days. After scratched, the bite area became red and inflamed. The injury was not considered severe by the patient initially and the swelling of the ... |
A 51-year-old woman underwent hysterectomy and pelvic lymph node dissection for uterine cancer when she was 48 years old, and lymphedema developed in the left leg soon after the operation. She had one episode of cellulitis. Despite wearing elastic stockings, lymphedema worsened, and she visited our institution at the a... |
On August 1, 2017, a 38-year-old American woman with a negative past medical history presented to our Emergency Department (ED) with chest pain. Our patient stated that pain started on the morning of July 31 around 11:00 am, while participating in outdoor physical activities (Zumba) at a fundraising event. After 2 h in... |
A 51-year-old male with a history of nonischemic cardiomyopathy with a left ventricular assist device was admitted for expedited heart transplant evaluation. The evaluation included an elective colonoscopy in light of a family history of colorectal cancer in his mother who died at age 61 from the disease. The patient h... |
An 18-year-old male high school student with an established diagnosis of OCD presented in our department accompanied by his parents after cutting off a small piece of his nose with scissors. A year and a half earlier, he had decided that his nose was ugly and started picking and prodding his nose repeatedly until it wa... |
A 64-year-old male patient with hypertension, ischemic heart disease, history of myocardial infarction in 1999 and lung tumors monitored in consecutive CT scans attended a visit at Endocrine Outpatient Clinic because of a palpable tumor in lower part of the neck on its right side. Anomalies found in physical examinatio... |
A 73-year-old female, without a prior history of bleeding or hemophilia, presented with difficult to control bleeding, large ecchymoses over her body, petechiae, and hemarthrosis over the prior 2 months. She was in her typical state of health until she fell in her home and landed on her left hip in early November, 2012... |
An 8-year-old male neutered Domestic Long Hair cat was presented for a rapidly growing left ventral cervical mass. The mass was first noted 3 weeks prior to presentation, and fine needle aspiration and cytology performed by the primary care veterinarian was suggestive of lymphoma. At the time of presentation, the cat h... |
A 24-year-old woman (gravida 2, para 1) who was 34 weeks + 5 days pregnant was admitted to the emergency department of our hospital on 24 July 2018 because of acute upper abdominal pain. The pain had begun the previous day after she had eaten her dinner, and was associated with nausea and vomiting. She had no history o... |
A 22-year-old male, with a known case of temporal lobe epilepsy since childhood and mental retardation, was on sodium valproate and Levetiracetam for his epilepsy. He presented to the emergency room complaining of three episodes of generalized tonic clonic seizure within 15 minutes without returning to baseline conscio... |
A 76-year-old man was referred to our hospital for having lower back pain for 5 months, which was suspected to be L2/3 spondylitis on magnetic resonance imaging (MRI). He had previously undergone cervical laminoplasty for ossification of the posterior longitudinal ligament and diffuse idiopathic skeletal hyperostosis 1... |
A 32-year-old Caucasian gravida 1 para 0 (G1P0) woman without any significant past medical or surgical history was followed by our department throughout the duration of her pregnancy, which was facilitated by in vitro fertilization. Prior to pregnancy, the patient had regular menstrual periods and cycles lasting 30-32 ... |
An 84-year-old man presented with chest pain on left side. He was a smoker of 60 years' standing and had been previously diagnosed with hypercholesterolemia. However, he had no past history of hypertension or diabetes. A chest X-ray showed markedly dilated aortic notch. Computed tomography (CT) aortography revealed an ... |
A 71-year-old African-American male presented at an outside hospital with acute renal failure and bilateral hydronephrosis and was found to have bladder adenocarcinoma with invasion of the muscularis propria. His past medical history was significant for nephrolithiasis, prostate adenocarcinoma treated with external bea... |
The patient is a 67-year-old previously healthy female with a 55 pack-year smoking history presented with an indication of a mediastinal mass that was incidentally found on a chest radiograph when she developed pneumonia that resolved without complications several months prior. She denied any weight loss, fever, chills... |
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 ... |
An 87-year-old man presented with a history of intermittent bleeding per rectum for the last several months. He underwent a colonoscopy and was diagnosed with a moderately differentiated rectal adenocarcinoma with intact mismatch repair protein expression based on biopsy results. Magnetic resonance imaging revealed a T... |
A 77-year-old female patient with a past medical history of chronic obstructive pulmonary disease, hypertension, hyperlipidemia who presented to our emergency room (ER) due to worsening of respiratory distress. Four days prior to admission, the patient was hospitalized for management of community acquired pneumonia and... |
A 53 years-old male visited to our clinic because of cognitive impairment for two years ago. The patient graduated from university, had worked as an office worker and recently retired. His wife described that, the patient’s memory and ability of judgment had been impaired for 2 years, and his verbal output had been dec... |
A 67-year old female with acute respiratory failure due to severe AS was referred for consideration of TAVI. She underwent ventricular septal defect repair at the age of 10. At the age of 57 she presented with progressive breathlessness secondary to severe mitral regurgitation and underwent a mitral valve replacement w... |
A 31-year-old male patient has a history of a multiple fracture involving the left femur shaft, the middle and distal segment of the left tibiofibula, as a result of a traffic accident in October 2008. Subsequently, the patient underwent an open reduction and internal fixation (ORIF), using titanium alloy plates and sc... |
A 73-year-old man with past medical history of stage IV bladder and prostate cancer, status post cystoprostatectomy with ileal conduit, left orchiectomy, and subsequent left radical nephrectomy (for recurrent left hydronephrosis and pyelonephritis), presented with worsening right leg edema and pain for 2–3 weeks which ... |
A 36-year-old female presented to the urology department with a two-month history of right-sided abdominal pain and backache. She denied haematuria or any other urinary or gastrointestinal symptoms. On retrospective review, she admitted to experiencing skin flushing once a week and palpitations and hot sweats but denie... |
A 17-year-old female presented with new onset right sided focal seizures that started on the day of presentation. She had three episodes prior to being seen at our casualty, each lasting about 5-10 minutes and was associated with confusion. At the casualty, she had a right sided tonic-clonic seizure that involved the f... |
Our patient was a 24-year-old Albanian man who was admitted to the Emergency Department of the University Hospital in Kosovo in severe hemorrhagic shock due to a massive hematuria. The patient is a farmer, does not smoke, and does not consume alcohol. He has no significant family and social history of medical relevance... |
A 74-year-old woman was referred by her gastroenterologist with painless jaundice. She presented with several months of decreased appetite and a three week history of light colored stool with dark urine. An endoscopic ultrasound was performed and revealed a hypoechoic, irregular, 3.4 cm mass in the head of the pancreas... |
A 40-year-old woman with an amenorrhea of 5.5 weeks was admitted to the Department of Obstetrics and Gynecology of Foggia Hospital with acute onset of poor vaginal bleeding and mild cramping lower abdominal pain. Regarding her obstetric history, she had a normal vaginal delivery and two cesarean sections. The physical ... |
A 66-year-old man presented with severe dysphagia, weight loss and recurrent pulmonary infections due to an esophago-tracheal fistula. Due to squamous cell carcinoma of the esophagus 17 month ago, he had undergone esophageal resection and interposition of a gastric tube with cervical anastomosis. This treatment was fol... |
Patient 5 was a 63-year-old man with stable angina pectoris and a positive myocardial perfusion scan. His cardiac risk factors included dyslipidemia and type 2 diabetes. Access was obtained via the right radial artery using a 5 Fr XB 3.5 guide catheter. Coronary angiogram showed no significant coronary lesion. The Comb... |
A 43-year-old woman reported to our clinic with secondary infertility, a poor ovarian reserve and a bad obstetric history (BOH). Prior to visiting us, she had undergone four cycles of intrauterine insemination and four cycles of IVF (2 with self-eggs in Nigeria and 2 cycles of IVF with donor eggs in India) that had fai... |
A 23-year-old Japanese woman sustained severe injury in head-on car collision to a utility pole when she was in a passenger seat. Her friend called 119, and the fire station simultaneously dispatched a doctor helicopter from our hospital. She was brought to our hospital by a doctor helicopter, where she underwent prima... |
A 43-year-old male with a history of radical nephrectomy in 2002 for (Tumor, Node, Metastasis staging) pT3a N0M0 poorly differentiated right kidney neoplasm that appeared to arise unusually from the collecting duct with sarcomatoid change. Post-surgery he was on regular follow up and remained asymptomatic and his imagi... |
The patient was a 19 year old male who was 204.2 cm in height and weighted 145.15 kg. He was afebrile and had a blood pressure of 128/80, left arm, seated. Otherwise healthy, he experienced gradual right wrist pain over the hamate and did not report a traumatic golf injury, although he does play golf. He had a previous... |
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