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The patient was a 53-year-old woman with a past medical history of hypothyroidism and hyperlipidemia who presented to the emergency department (ED) with worsening bilateral upper and lower extremity weakness for three days. Two weeks prior to her presentation, she reported fever, diarrhea, nausea, vomiting, and pain on... |
A 19 year old male presented to outpatient department with slow and progressive enlargement of tendinous nodule on the posterior aspect of ankle for last 2 years. The disease had progressively worsened in last 3 months with difficulty in walking. The patient was mentally retarded (intelligence quotient 55). Clinical ex... |
The proband is a 19-year-old male of Northern European extraction, the first child of non-consanguineous parents. Born full term at 3550 g, he was noted to have a two-vessel cord at birth and a murmur due to a bicuspid aortic valve. CT scan showed an absent inferior vena cava and a continuous dominant hemiazygos vein t... |
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... |
A 26-year-old female patient was transferred to the Samsung Medical Center from an outside institution due to severe refractory cardiogenic shock. The patient was diagnosed with non-Hodgkin’s lymphoma 2 years prior and underwent 6 cycles of chemotherapy, which included doxorubicin. After chemotherapy treatments were co... |
A 54-year-old man was referred to the Department of Prosthodontics at Kyung Hee University to restore the mandibular left missing area. The patient had been in a motor vehicle accident about 20 years ago and had received a number of reconstruction surgeries due to the mandibular traumatic defect of the left side.\nComp... |
A 62-year-old female presented for evaluation of recurrent left lower extremity swelling. Her medical history was notable for prior deep vein thrombus in the right distal lower extremity while on hormone replacement therapy (HRT). She denied the active use of HRT and tobacco use during this admission. Venous Doppler ul... |
The proband was a 34 year-old right-handed man. From the age of 26 years, involuntary movements of the bilateral lower limbs, associated with dysarthria, grinding teeth and drooling, appeared and gradually worsened. At 31, he suffered from epileptic seizures, which were considered to be generalized tonic-clonic seizure... |
We present a case of a 32-year-old immunocompetent Iranian male who presented to the emergency room with a generalized tonic-clonic seizure lasting for 3 minutes. He denied any history of trauma, fever, or previous seizures. Furthermore, he did not have any genitourinary symptoms, including dysuria, hematuria, or penil... |
A 23-year-old male was referred to our hospital in May 2008 due to severe traumatic brain injury caused by a traffic accident and was diagnosed as brain dead shortly after admission. Dextrocardia was found during physical examination and situs inversus totalis was verified by further X-ray and ultrasonic inspection. Du... |
A 19-year-old male patient was operated by the Orthopedic Surgery and Traumatology Department for a giant cell bone tumour of the spine. Five months following sacrectomy, the tumour recurred and the patient received 34 doses of a total 7000 Gy RT for 6 weeks. One month after the last RT session, the patient was operate... |
The patient was a 27 year old young Indian lady living in the Baruipur with no previous psychiatric or medical history. The patient was referred from surgery OPD and was brought in by her parents. Patient complained of an unusual sensation in her abdomen for the last 3 months while her parents gave a history of habitua... |
L. is a 22 year old Italian male, diagnosed with DBA at the age of two. Since being diagnosed with DBA, L has been treated with monthly blood transfusions and subcutaneous injections of deferoxamine mesylate. Years later, he developed iatrogenic hepatitis due to multiple blood transfusions. Despite attending a special ... |
An 82-year-old man presented to the emergency department with complaints of acute lower back pain and dyspnea. He had a history of hypertension and peripheral arterial disease but no family history of aortic disease. His renal function was in the normal range, and he did not have diabetes mellitus. He had undergone per... |
A 30-year-old male presented to an outside facility with the complaint of increasing low back pain over the past month that radiated bilaterally to the level of his ankles. The pain was accompanied by progressive lower extremity weakness to the point where ambulation became impossible 3 days prior. He also complained o... |
A 63-year-old woman complained of a slightly swollen left leg and low lumbosacral pain (visual analog scale score: 4), and was admitted to our department. She had a history of diabetes mellitus and hyperlipidemia for more than 20 years, and these were treated by medications prescribed by her endocrinologist and cardiol... |
A 9-year-old male presented to our clinics with his parents complaining of swelling and asymmetry in the left side of his mandible.\nThe questionnaires revealed that the expansion of the swelling was slow, gradually increasing during the past year with no pain reported.\nExtraoral examination showed a mild facial asymm... |
A recently treated 55-year-old oncology patient was admitted to our hospital for severe malnutrition and 44 kg weight loss (36% of body weight) over six weeks.\nForty days prior, he had completed a course of concurrent radiotherapy (70 Gy in 35 fractions) and 5-fluorouracil and carboplatin for squamous cell carcinoma o... |
A 64-year-old man developed a painless nodule or mass in the nasopharynx. He had a history of dizziness and headache for more than 10 years without obvious cause. The patient also had a history of hypertension. After taking antihypertensive drugs regularly, the headache was relieved. However, the dizziness and headache... |
A fifteen-year-old female adolescent was admitted to the child and adolescent acute psychiatric unit of our hospital for the first time after remaining isolated in her home for four months. She had initiated treatment in the outpatient clinic of her district in June 2013, attending only one visit and refusing all psych... |
We describe a case of a 36-year-old black African woman with two previous live births by cesarean section and two previous miscarriages who was referred in her fifth pregnancy after 6 weeks of amenorrhea. Her serum quantitative β-human chorionic gonadotropin (bHCG) was 16,124 mIU/ml. However, an intrauterine or extraut... |
A 77-year-old woman with a 1-year history of lower abdominal pain and nausea was admitted to our hospital. Blood examination showed evidence of an inflammatory response (Table ), and abdominal computed tomography revealed a sigmoid tumor with perforation (Fig. ). We suspected sigmoid cancer with perforation, and the pa... |
A 55-year-old Caucasian woman presented to our hospital with a new onset dyspnea on exertion, lower extremity swelling, and orthopnea. Her electrocardiogram (ECG) showed sinus rhythm and a complete LBBB. She underwent a transthoracic echocardiogram (TTE) that revealed left ventricular (LV) enlargement and severe LV sys... |
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... |
A 17-year-old male patient reported to the Outpatient Department of Maulana Azad Institute of Dental Sciences in July 2012 with the chief complaint of swelling on the right side of the face since 1 year that had rapidly increased in size since last 4–5 months. It was associated with occasional intermittent, spontaneous... |
A 54-year-old male patient was admitted to our center on December 2, 2019. The patient presented with chills, numbness, and intermittent claudication in both lower limbs. Fontaine stage was IIa. The specialist physical examination revealed that the patient's pulsation of the left dorsalis pedis artery was weak, and the... |
A 66-year-old woman presented to the local hospital with abdominal pain, and a mass lesion in the right adrenal gland was detected on CT scan. She was referred to our department for further evaluation. She had no medical history other than a thyroid cyst, and no family history of endocrine diseases. Her height and weig... |
A 42-year-old man visited our outpatient clinic presenting with both leg weakness. Eight months before the visit, he had been diagnosed with elevated intraocular pressure accompanied by continuous headache and eyeball pain. Despite treatment for the glaucoma, the symptoms persisted and became aggravated. A week before ... |
A 25-year-old female presented with massive, painless swelling of gingiva, gradually growing over the past 4 months. She had a history of bleeding gums for the past 6 months that increased over time. She reported being in the 4th month of pregnancy. There were mild fever and cough with no expectoration for 15 days. The... |
A 38-year-old Asian woman was referred to the clinic with the chief complaint of sinus tract on maxillary left permanent central incisor and unpleasant aesthetics of her maxillary anterior crowns. Patient had crowns performed on both maxillary permanent central incisors about five years ago. The patient reported no his... |
A 54-year-old woman reported to the dental office with pain and swelling in the right mandibular posterior region. The medical history was non-contributory. She had no history of traumatic injury or orthodontic treatment. Clinical examination showed small intraoral swelling with relation to 45. The tooth was slightly t... |
An 87-year-old woman with an intractable pain radiating over the left chest, suggestive of intercostal neuralgia, was referred to our spine center for further evaluation and management. Five weeks earlier, she experienced a ground-level fall, causing severe back pain. According to the initial evaluation conducted elsew... |
An 83-year-old female with bilateral primary TKA performed 17 years prior presented to the clinic. The patient was referred with worsening left knee pain, reported gait instability, and swelling for three months duration. Until this point, she had been completely asymptomatic. She was initially seen and treated by an o... |
We report a case of 20-year-old male, belonging to lower socioeconomic class, educated up to 2nd standard, presented with severe unilateral dystonic left sided neck movements []. Careful history exploration revealed he was taking risperidone 2 mg irregularly for 2 months and then olanzapine 5 mg for another 4 months.\n... |
A 41-year-old gentleman presented with sudden onset of pain and swelling over his right groin and upper thigh for a period of 10 days. He was a known patient with Type II diabetes mellitus and acute myeloid leukemia M2 diagnosed on the basis of bone marrow morphology and immunophenotyping 2 years ago. He received induc... |
An 8-year-old African boy, a primary school pupil, from rural Kenya presented to our unit with a 1-year history of cough, difficulty in breathing and dyspnea on exertion that were relieved by rest. His difficulty in breathing was worse at night and there were no reported known relieving factors. His dyspnea was progres... |
The patient was a 26-year-old woman (gravida 1, para 0) with no remarkable previous medical history. Right upper rib pain emerged on the 14th week of pregnancy, and ultrasonography suggested a diagnosis of cholecystitis. Her pain symptoms initially improved with conservative treatment, but the pain reemerged after the ... |
On March 2012 we visited a 45-year-old Caucasian woman with a very extensive, untreated G1 cutaneous SCC infiltrating widely the lumbar region until bone. A physical examination showed a locally advanced lesions with necrotic and ulcerated areas involving the entire lumbar area until sacrum and buttocks. There was also... |
A 23-year-old Caucasian female patient was admitted to the Department of Neurology at the end of September due to hands tremor and paresthesia extending to forearms, without the complaint of upper limb weakness. Another major symptom was severe pain in the mid-cervical region. Moreover, the patient suffered from episod... |
This case presents a 38-year-old Asian G2P1001 female who delivered by cesarean section (CS) at 32 weeks gestation for pre-eclampsia with severe features with uncontrollable blood pressures. Her pregnancy was further complicated by a known right ovarian mass, history of endometriosis which was managed conservatively, a... |
An 81-year-old Japanese woman with a history of cervical canal stenosis and bilateral knee osteoarthritis visited our outpatient orthopedics department with the chief complaint of claudication and pain in the back of the thigh. These symptoms had been present for 1 year and had worsened 3 months before her visit. She h... |
An 87-year-old woman was referred to our hospital in poor general condition (Eastern Cooperative Oncology Group performance status 3) with dyschezia and loss of appetite for the past week. A colonoscopy confirmed an obstructive descending colon cancer that could not be penetrated by the colonoscope (Fig. a), and comput... |
A 45 years old male patient, attended the neurology emergency department on 3rd January 2016 due to right limb numbness for 6 days and convulsive seizure for 3 days. Six days before the hospital visit, the patient experienced numbness in the right upper limb and instability while holding without obvious incentive but d... |
We report a case of a 35 year old female who had mitral valve (MV) commissurotomy and ring annuloplasty (32 mm Carperntier) on July 28, 1987 for rheumatic valvular disease. Fifteen months after this surgery, she presented with an embolic event to posterior cerebellar artery. Her blood cultures were positive for Candida... |
A 60-year-old man with a history of asthma, benign prosthetic hypertrophy, and hyperlipidemia presented 1.5 years after an uncomplicated primary right TKA done by an outside surgeon. He had been complaining of 4 months of increased pain in his right knee. An aspiration had been attempted, yielding 1 mL of sanguinous fl... |
A 12-year-old boy presented to the outpatient department of our hospital presenting with complaint of swelling in the right shoulder region which was insidious in onset with gradual increase in size and deep aching pain since past 6 months. Patient had no history of trauma, any constitutional or systemic complaints. On... |
A 70-year-old man was referred to the plastic surgery team for consultation because of a bowel fistula in the open abdomen 2 months after total gastrectomy for stomach cancer. He had undergone several abdominal operations, including abscess drainage and closure of the abdominal wall with absorbable mesh, and had just b... |
Case 1. A 49-year-old female patient suffered from neuropathic pain such as allodynia and hyperalgesia with skin color changes after a right fibular fracture caused by a pedestrian traffic accident that occurred four years earlier. After two years, the pain had spread to her upper limb. One year earlier, after being di... |
A 20-year-old pregnant woman (gravida 1, para 0 at approximately 13 weeks and three days) presented to her obstetrician’s office with watery vaginal discharge mixed with vaginal bleeding. She had no pertinent past medical or surgical history. An abdominal ultrasound revealed a live twin DCDA spontaneous intrauterine ge... |
A 79-year-old man was admitted to our emergency room complaining fatigue, generalized weakness, nausea, and worsening of usual diplopia, following an episode of bronchitis treated with cephalosporins. Moreover, he received flu vaccination a few weeks before the onset.\nMG was diagnosed 8 years earlier after the onset o... |
A previously healthy 25-year-old man with no known risk factors (no smoking history) visited the emergency room with abdominal and loin pain of 3 h’ duration. The patient's vital signs were stable and physical examination showed no abnormality except tenderness in the right lumbar region of the abdomen and in the parav... |
A 22-year-old Caucasian man with a medical history of epilepsy, nephrolithiasis, and nutcracker syndrome presented with abdominal and perineal pain. The patient’s family history was negative for nutcracker syndrome and pelvic congestion syndrome. The pain was ongoing for approximately 3 years before the initial consult... |
A 43-year-old female patient referred to our hospital’s emergency department in August 2014 with complaints of fever and severe pain in right breast. She noticed a soft lump and mild pain in her breast a week back. The intensity of pain increased gradually and for the last 2 days and her temperature increased. The pati... |
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... |
This is a case report of a 46-year-old female with a past medical history notable for depression, asthma, and uterine leiomyomas who presented to an urgent care with 5 days of progressive abdominal pain, bloating, nausea, and subjective fevers. The patient endorsed a several month history of gaining weight, though she ... |
A 29-year-old primigravida presented at 33 weeks of gestation in January 2015 with a four-day history of suprapubic pain and worsening intermittent left flank pain. Additionally, she endorsed headache, nausea, and vomiting during the 24 hours prior to admission. She had no fever, vaginal bleeding, leakage of fluid, dia... |
A 78-year-old Hispanic man presented to the emergency department (ED) of our hospital with abdominal pain accompanied by nausea and bilious emesis. His history was significant for an open appendectomy, laparoscopic cholecystectomy, and umbilical hernia repair. He had no significant family history and did not smoke, dri... |
We report the case of a 7-year-old girl with metastatic medulloblastoma (T3b M1 according to the Chang staging system) diagnosed as a result of an epileptic seizure after 3 months of headache. Brain MRI in July 2000 revealed a mass in the posterior fossa, in the midline cerebellum next to the fourth ventricle and vermi... |
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 21-year-old gravida 5 para 3 (all alive) abortion 1 mother with a pregnancy of 4 months was presented with severe lower abdominal pain of 2 days duration following a falling accident on her abdomen 5 days ago. She had easy fatigability, vertigo, and light headedness since two days after the accident, but had no vagin... |
On January 4th, 2018, a 57-year-old woman was hospitalized in the department of Psychiatry, Sir Run Run Shaw Hospital because of pain and acid bilge in multiple sites of her upper body for more than 1 year. Over a year ago, the patient started feeling pain and discomfort in the upper left abdomen, and the pain got wors... |
In 2010, a 41-year-old Caucasian Australian man presented with a 2-week history of urinary incontinence and the inability to walk. Difficulty climbing stairs and occasional foot drop had been present for approximately 3 years prior to presentation. He was also found to have Pseudomonas pneumonia, chronic sinusitis, and... |
A 59-year-old female patient with a BMI of 26.9 kg/m2 and a significant past medical history of lung cancer and a motor vehicle accident over 10 years prior presented to the emergency department due to acute chronic back pain with worsening numbness and weakness in her lower extremities. She had multiple back operation... |
A 65-year-old woman with aortic regurgitation following infectious endocarditis had undergone twice aortic valve replacement procedures within 2 months. After the second operation, more than 3 weeks were required before she could be weaned from intensive treatment, including artificial ventilation and sedative drug adm... |
An 80-year-old male with diabetes mellitus, mild diabetic retinopathy, and mild dementia underwent reported uncomplicated, bilateral FESS for chronic sinusitis with polyposis at an outside hospital. He was provided an outpatient prescription for amoxicillin-clavulanic acid upon outpatient surgical discharge. Initial pa... |
A 26-year-old gravida 2 para 1001 at 24 weeks of gestation, dated by last menstrual period consistent with 8 week ultrasound, presented to labour and delivery with 2 hours of severe, constant, right lower-quadrant pain as well as urinary retention, vomiting and syncope. She denied vaginal bleeding or amniorrhexis. She ... |
A 54-year-old Caucasian male presented to our emergency department with severe epigastric pain with intractable nausea and vomiting over 48–72 hrs. The patient reported early satiety, a 30 lb. weight loss over 3 weeks and was unable to tolerate anything by mouth. Additionally, the patient had developed a left lateral n... |
A 56-year-old woman presented to us 16 years after left TEA with a Kudo prosthesis (Biomet UK Ltd., Bridgend, Wales) performed in another hospital for a complex fracture of the distal humerus [], followed by plaster immobilization for 40 days with an outcome of joint stiffness. 18 months after surgery, manipulations un... |
A Romanian 5-month-old girl was referred to our hospital after being diagnosed with CCO in her country of origin. She was sent to the University Clinic of Ophthalmology of Turin in order to undergo penetrating keratoplasty (PKP) surgery on her left eye. We performed a complete physical examination of the patient throug... |
The patient was a 67-year-old male who developed the condition with sudden posterior cervical pain and vomiting before going to bed. As headache and nausea were still present on the following day, he visited the general outpatient clinic by walking. During the physical examination, the patient was clearly conscious wit... |
A 47-year-old male patient with palliated pulmonary atresia with ventricular septal defect (VSD) presented with progressive fatigue and hypoxaemia to our outpatient clinic. He was no more able to perform his daily activities, such as washing himself and his walking distance was limited to 25 m. His peripheral oxygen sa... |
A 64-year-old man with a persistent pain in his lower front teeth, which made him dare not to chew for a few days, was diagnosed as pulpitis by his dentist. After a root canal treatment of teeth #42 to #32 [International Standards Organization Designation System (ISO System)], his toothache relieved a little. However, ... |
An 11-year-old African American boy presented to the emergency department at our institution for an injury to his left knee which he sustained during basketball. He sustained the injury when trying to take off to shoot the basketball. Physical examination and radiographic evaluation confirmed a displaced tibial tuberos... |
A 42 year old male presented in July 2004 with 8 months history of diarrhea, progressive weight loss and malaise. Diarrhea was intermittent, watery with a frequency of 3–4 times/day, without fresh or altered blood. It was associated with crampy lower abdominal pain. There was history of weight loss of 5 kg in last 8 mo... |
A 16-year-old boy presented with anterior open bite and infra-occlusion of the maxillary left incisor. His anterior teeth had been injured in a fall when he was 8 years old. He had no dental treatment before attending the orthodontic department. According to the patient, his open bite had developed gradually. His facia... |
A 65-year-old woman was admitted for elective total arthroplasty for osteoarthrosis of the right knee. She had taken 50 µg levothyroxine once daily for ten years, but the detailed indication for this was unknown. With the exception of levothyroxine supplementation and osteoarthrosis, the patient had an unremarkable med... |
This is a case of a 72-year-old Taiwanese man who was diagnosed as having metastatic adenocarcinoma of the lung complicated by malignant right pleural effusion 2 years ago. He initially presented with weight loss, worsening cough, and worsening exertional shortness of breath for 3 months prior to presentation. He had a... |
The patient is a 49-year-old male with a body mass index of 22.15 and no significant past medical history who underwent a THA on the right side. He has no history of diabetes; however, he does smoke multiple cigarettes a day. He was positioned in the lateral decubitus position with an axillary roll for a posterior appr... |
The case involves a male who was 67 years old at the time of his death. He was a retired businessman, married with several children, and socioeconomically advantaged. He lived with his wife and children, and his mother. He spoke both English and Hindi fluently, and had no sensory or cognitive impairment. His only co-mo... |
A 63-year-old male with progressive dysphagia for 15 days was found to have thickened walls in the mid-esophageal region and tumor thrombus formation in the arch of the azygos vein (Fig. a, S) according to contrast-enhanced CT; this was accompanied by mediastinal lymphadenectasis. Gastroscopy confirmed the presence of ... |
A 67-year-old female presented with three months of hoarseness and dysphagia following an upper respiratory infection. Her past medical history included invasive ductal carcinoma of the breast (ER positive, PR negative, and HER2 negative) treated by mastectomy two years prior to presentation. On clinical examination, s... |
An 18-year-old woman without any significant history of previous illnesses visited an outpatient clinic with a chief complaint of recurrent vulvar abscess for 5 months. On inspection, the vulva was diffusely swelling, tender, red and warm (Fig. ). The patient had no other complaints apart from perineal pain and difficu... |
A 70-year-old Asian woman with a 6-month history of back pain and sciatica of the right side was referred to our hospital. On outpatient magnetic resonance imaging (MRI) of the lumbar spine, L4-5 spinal canal stenosis was diagnosed (Fig. ). Her medical history included hypertension several years earlier. She was never ... |
A 70-year-old African American male was seen in the emergency department for acute anxiety and paranoia. He reported that his son gave him melatonin to help him sleep, but he felt the medication was poisonous. He also reported that he was struggling with the death of his partner of 40 years and was feeling anxious. The... |
A 41-year-old man suffering from the bilateral knee and ankle arthralgia for several months was transported emergently to our hospital owing to acute respiratory distress and hemoptysis. Upon arrival, he was in a shock state. Chest roentgenography revealed severe pulmonary congestion; cardiac echogram revealed a large ... |
The patient was a healthy 25-year-old man with a one-year history of right ankle pain following trauma.\nHe had met a car accident while walking. One year earlier, he had undergone open reduction and internal fixation on his right ankle for fracture at another hospital. A tibia diaphysis spiral fracture was fixed by th... |
A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years prior presented with a right lower abdominal mass that had been palpable since 6 months prior. At the time of her visit to Seoul National University Children's Hospital, the patient had no abdominal or leg pain. On examination, she ... |
A 35 year old obese African American male, a mechanic by profession and no significant previous medical problems, came to the emergency room with left sided chest pain that started the night before and slowly got worse. By the time he reached the emergency room, the pain had reached 8 out of a maximum of10 in intensity... |
This is a 17-year-old female with a history of depression, anxiety, chronic abdominal pain, and heavy and painful menses for which she takes an oral contraceptive pill. She presented with a two-week history of worsening abdominal pain, described as a constant dull ache located in the pelvic region and accompanied by na... |
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 60-year-old male who had a history of liver cirrhosis was referred for evaluation of a pain, swelling, and erythematous changes of the anterolateral aspect of his left leg. His symptoms started a month ago without any specific trauma. He had a history of open reduction and internal fixation performed for a tibial pla... |
A 94-year-old female was admitted to our hospital after she fell and sustained an anterior pelvic ring fracture (Figure ). She was hospitalized for mobilization. Over the past 18 years she had been treated with anticoagulation therapy with marcumar due to atrial fibrillation, 13 years ago subsequently a cardiac pacemak... |
In December 2017, a 57 year-old male was referred to the Oral Medicine Department of Dental Faculty of Babol University of Medical Sciences. The chief complaint was a massive and rapidly growing swelling in his left maxillary alveolar ridge after tooth extraction a month before. The lesion was a sessile exophytic mass ... |
A 60-year-old Caucasian woman was referred to a private practice specializing in periodontics, dental implants and advanced restorative techniques to replace a 'failed' implant. The author informed the patient that the soft and hard tissues around her implant (tooth position 34 according to the World Dental Federation ... |
A 69-year-old woman was referred to the emergency department due to sudden severe lower back pain with radiation to her left buttock and thigh as well as an inability to move her left leg. Initially, radicular irritation was suspected as a physical examination revealed hypoesthesia at the left anterolateral thigh and r... |
Patient 10 (Tables and ), a 76-year-old female, was referred to the department of neurology in July 2012 because of progressing cognitive decline over the last 12 months, loss of weight, nausea, gait disturbance and tremor. She was seen on May 2011 for the first time by a neurologist with a 3-month history of dull holo... |
A 40 year old man presented with a painful mass at the medial side of his arm. On clinical examination there was a painless solid mass 6–7 cm in length, little sensitive to pressure, firmly attached to deeper tissues. Percussion over the mass produced a Tinel’s like sensation along the median nerve. The patient experie... |
A 67-year-old, 85 kg man with a prior history of left anterior descending artery (LAD) stent placement was brought by emergency medical services (EMS) to the emergency department (ED) of an academic, community-based hospital. He complained of numbness in his left arm that radiated into his chest. He took 325 mg of aspi... |
A 63-year-old female with a history of diabetes mellitus, hypertension, and dyslipidaemia underwent a curative low anterior resection combined with neoadjuvant chemoradiotherapy and adjuvant chemotherapy for a moderately differentiated adenocarcinoma of the rectum. She had an uncomplicated postoperative period and good... |
The patient in this study is a 23-year-old female with ESRD secondary to hypoplastic kidneys. She received an offer from a brain dead, 9-month-old female donor with a terminal creatinine of 0.2 mg% and donor weight of 10 kilograms. The recipient-to-donor weight ratio was roughly six-to-one. After performing the standar... |
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