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A previously healthy 7-year-old boy presented to the emergency department (ED) with a complaint of right lower extremity pain and fever. The preceding day his parents had noticed that he was limping upon returning home from school. The pain progressed that evening until he could no longer bear weight on his right leg. ... |
In 2009, a 25 year old man was referred to the Department of Conservative Dentistry at Gangnam Severance Dental Hospital for evaluation and further treatment because of an apical pathosis on a lower left first molar. Nonsurgical endodontic treatment was performed on the tooth by the referring dentist because of apical ... |
A 25-year-old female Irish patient presented with recurrent episodes of rhabdomyolysis since childhood. The first episode occurred at the age of 22 months following a respiratory tract infection. At that time, her creatine kinase (CK) serum concentration was noted to be 250 000 U/L.\nThe family history indicated that b... |
A 45-year-old lady presented to the emergency department with a chief complaint of severe left leg pain. Her past medical history was significant for modestly controlled diabetes mellitus type 2, morbid obesity with a BMI of 56, and chronic Hepatitis C infection. She had awoken earlier that morning experiencing subject... |
A 55-year-old woman was admitted to our hospital on 27 July 2021 due to severe chest and back pain and weakness of lower extremities for 11 days. She also complained of urinary and fecal incontinence. Fever was not reported since the onset. She has had a history of hypertension, diabetes and depression. In addition, sh... |
Miss S is a 16-year-old Chinese girl. She presented to a tertiary hospital with an initial complaint of progressively increasing pain and swelling of her right leg of 3 months duration. It was interfering with her right knee movement and walking. It was not associated with any significant trauma and started insidiously... |
Dr. Reza Taslimi (Internist): A 26 year-old man presented with right lower limb swelling and fullness in the right lower abdominal quadrant. He was in his usual healthy state until two months before admission when he gradually developed fatigue, malaise, fever, sweating, decreased appetite and a five kg weight loss. On... |
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 ... |
A 50-year-old male presented with hematuria, increased frequency, and burning sensation during micturition along with left flank pain for 2 months. There was a history of generalized weakness, weight loss, and loss of appetite during this period. On examination, the patient was poorly nourished with the presence of a p... |
A 41-year-old male patient, weighing 72.2 kg and measuring 168 cm tall, visited the hospital with his main complaint being a fracture of the right calcaneus and an L4 radius compression fracture that he had received after falling from a 7 m bridge. On the initial visit, the patient underwent catagmatic surgery for the ... |
A 7-yr-old girl visited our outpatient clinic complaining primarily of shortening of her left upper extremity and limitation of the right shoulder motion, which were detected 2 yr ago. She had been taken care of by her college-educated mother since birth, who stated that the patient had been very healthy without any se... |
A 59-year-old female patient presented to a plastic surgery clinic with a lump on her right medial thigh. She noticed the lump eight months ago and it was gradually increasing in size. It was painless initially; however, the lump gradually became tender. The patient was otherwise fit and well with no co-existing morbid... |
A 19-year-old male patient presented to our cardiology clinic after a single unexplained episode of syncope. Seven months earlier, he was diagnosed with idiopathic dilated cardiomyopathy and he was started on evidence based therapy for his heart failure due to reduced left ventricular function. Diagnostic imaging studi... |
A 35-year-old man presented to his physician with severe pain in his left ear. Examination showed a possible pustule within the external auditory canal along with TMJ discomfort. He was treated for ear infection but the lesion in the external auditory canal failed to resolve. A subsequent computed tomographic scan reve... |
A 24-year-old female presented with a massive fungating mass over the left upper back and shoulder. The patient gave a history of swelling over the left upper back, which was insidious in onset and gradually progressed over the past 2 years. Incisional biopsy over the most prominent aspect of the swelling was performed... |
A 36-year-old man, originally from Latin America, presented at our outpatient department with complaints of abdominal pain that had persisted for 2 months. The patient had first noticed right lateral abdominal pain 2 months prior to the visit, and the pain was gradually worsening. The abdominal pain was localized in an... |
A 63-year-old male with no history of trauma or prior neurological disease presented with 3 days of intermittent dizziness and vomiting. On the second day, the patient was examined by a head computed tomography (CT) scan, and no abnormal changes were found. Five days later, the patient had a sudden onset of weakness in... |
A 5.5-year old girl had undergone surgical patch closure of a large secundum atrial septal defect with valvotomy of a moderate pulmonary stenosis at the age of 2 months; a mild aortic stenosis with a thickened tricuspid aortic valve was not corrected. She was born as the first child to non-consanguineous parents. The f... |
A 20-year-old male, single, Caucasian patient admitted to an emergency room (ER) with shortness of breath, chest pain, and anger. We could not get the information about physical examination and laboratory workup done in that emergency service. He was diagnosed with pneumonia and prescribed moxifloxacin.\nAfter 2 days w... |
A 19-year-old man was admitted to our hospital because of recurrence of left pneumothorax. His previous history included left and right pneumothorax at the ages of 15 and 16 years, respectively, which were treated by VATS. In the previous operation, simple resection of apical bullous lesion was carried out without surg... |
A 44-year-old woman presented to the accident and emergency department with acute right knee pain. While dancing the quick-step (an energetic and form-intensive style) she externally rotated about a planted right foot and felt an acute pain in her right knee with her patella shifting laterally. On arrival at hospital h... |
A 23-year-old female acquired Lyme disease 9 years ago (serology positive) and developed chronic pain due to PTLDS. Her functionality was severely affected; she was bedbound for approximately 5 years and required a wheelchair. Other past medical history includes fibromyalgia, hypothyroidism, anxiety/depression, and ins... |
A 41-year-old woman was admitted to our hospital with a complaint of severe headache. She had headache for 3 years and expressed it as throbbing pain in both temporal regions accompanied by nausea. This pain was exacerbated by physical activity and under sunlight. Symptoms tended to occur once in 1~2 months, lasted for... |
A 56-year-old Saudi male with a 15 year history of insulin-dependent, poorly controlled diabetes mellitus Type 2 and a 10 year history of uncontrolled hypertension, presented to the emergency department complaining of intermittent right lower quadrant abdominal pain. The pain radiated to the back, moderate to severe in... |
A 70-year-old man presented in 2017 after discovery of a hypervascular, expansile, 7 cm pancreatic body mass involving the splenic vein on routine surveillance CT scan (). He endorsed 1 year of diarrhea and steatorrhea that he had not sought medical care for but denied weight loss, appetite changes, fatigue, pain, or j... |
We report a case of an 11-year-old Saudi boy, whose family were consented for reporting of his medical condition. He is not known to have any medical condition and presented to the clinic with a 5-year history of right-sided non-painful facial mass. The non-painful solitary progressively enlarging mass, tend to recur a... |
A 40-year-old Japanese female with gravidity 2 and parity 2 presented with prolonged menorrhagia and severe anemia. The patient had a history of cervical carcinoma in situ and underwent cervical conization 10 years ago. During postoperative follow-up, carcinoma did not recur, but menorrhagia and anemia persisted. Six y... |
A 30-year-old female with a BMI of 37.9 was diagnosed with IIH seven months prior to this presentation. Her MRI at diagnosis demonstrated 4 mm of cerebellar tonsillar descent () with flattening of the posterior globes, mild distension of the optic nerve sheaths, and a partially empty sella turcica. At the time of diagn... |
A 12 year old female presents to the emergency department with a complaint of abdominal pain. She has a past medical history of Hirschsprung's disease with a staged repair. At day four of life she underwent colostomy with resection of the affected colon from the mid transverse colon to the junction of the sigmoid and d... |
A 63-year-old female presented with acute left lower quadrant pain and a one-month history of inguinal numbness. A CT of the abdomen and pelvis with contrast indicated bilateral perirenal thickening greater on the left kidney and stranding nodularity. Thickening and nodular infiltrate were also present in the peritoneu... |
The patient was a 67-year-old African-American male veteran with a history of diabetes mellitus type 2 (hemoglobin A1c 6.6%) who presented with a fever of 39.5 and tachycardia to 115 following a routine outpatient CT scan for a liver mass that was discovered about a month earlier on ultrasound.\nThe patient had recentl... |
A 67-year-old Caucasian male presented to the Oral Medicine Clinic of the School of Dental Medicine, University of Pennsylvania, with a history of pain in the left preauricular and facial regions and headaches for 1 year. He also reported progressive trismus that had lasted for 4 months. He denied any form of trauma as... |
A 71-year-old female, who had previously undergone a craniotomy for clipping of a ruptured left posterior communicating artery (PCOM) aneurysm 18 years prior, presented with a Hunt and Hess Grade II, Fisher Grade III SAH. Computed tomography angiography (CTA) and catheter cerebral angiography showed a large (12.5 mm × ... |
A 48-year-old male patient presented with chronic neck pain with cervical post laminectomy syndrome following two cervical spine surgeries with no significant medical problems. The pain was not responsive to conservative medical management including oral opioid therapy. The patient underwent a successful intrathecal op... |
A 54-year-old man came to the private dental clinic with complaint of difficulty in mastication and esthetical concern for his upper anterior teeth. He was a nonsmoker and was diagnosed with IgG-kappa type MM in November 2011. In the physical examination, he was diagnosed with MM. Bony metastasis was present at the tim... |
A 79-year-old female presented to the department of acute geriatric medicine due to unintended weight loss of 6 kg in the last 6 months, loss of appetite and fatigue. The medical history was remarkable: exactly 2 years before admission she was admitted to the department of internal medicine in the same hospital because... |
Our patient was a 13-yr-old girl who was referred to our hospital because of acute abdominal pain. She had a fever for two weeks before being referred to us. Her menarche had begun one year before her referral. She had suffered from severe dysmenorrhea until then, and her last menstrual cycle had been two days before c... |
A 70 year old male presented to The Oral Surgery Department at The Glasgow Dental Hospital and School in November 2014, three weeks following an urgent referral from his general dental practitioner.\nThe gentleman reported having an asymptomatic purple/blue lesion present on the roof his mouth. This was an incidental f... |
A 61 year-old man was admitted with a 103 ° F fever, confusion, weakness and slurred speech after hemodialysis. He had a history of viridans streptococcal mitral valve endocarditis, end stage renal disease on hemodialysis, atrial fibrillation not on anticoagulation due to GI bleeding, and monoclonal gammopathy of undet... |
A 49-year-old female was brought to the ED for severe abdominal pain that she has experienced over the past 2 days. She described the pain in the epigastric region, which was constant and was radiating to the left the shoulder and was associated with multiple episodes of vomiting without blood. She also revealed that s... |
A 53-year-old female presented to our emergency department with 3 weeks of progressively worsening headaches and drowsiness. No focal neurological deficits were present on examination. Relevant history included stage IIA invasive breast ductal carcinoma treated with left mastectomy and chemotherapy two decades prior. M... |
A 47-year-old female patient was referred to our hospital for the management of postoperative bleeding following vaginal hysterectomy done elsewhere for third-degree uterovaginal prolapse. She was conscious but drowsy on examination and tachypneic. Heart rate was 120 beats per minute and blood pressure (BP) of 90/60 mm... |
A 23-year-old male was referred to the emergency unit because of rapidly progressive gait difficulties with subacute onset.\nThe patient had a history of depression and substance use disorders (alcohol and amphetamine). He was treated as an outpatient at the department of psychiatry. Current medications included citalo... |
A 69-year-old female Japanese patient suffered from narrow stool and was determined to have a 15-mm superficial lesion with central depression in the rectosigmoid colon (Fig. ). Invasive carcinoma was suspected and biopsy of the lesion confirmed well-differentiated adenocarcinoma. Positron-emission tomography—computed ... |
A 33-year-old Tibetan woman, gravida 2, para 1, was admitted because of the abnormal location of one of the two gestational sacs of a twin pregnancy; she had previously undergone transverse lower segment cesarean section 7 years earlier. The patient underwent IVF-ET and 3 embryos were transferred to the uterus; a posit... |
A 33-year-old male with a previous history of chronic conjunctival hyperemia and past surgical history of right-sided congenital ptosis repair at age 5 years and bilateral cosmetic eye-whitening procedure was referred to our institution for evaluation and management of bilateral scleral thinning. During the patient’s p... |
The first patient was a 50-year-old woman (75 kg) with acute kidney injury. Renal biopsy and antibody testing revealed anti-glomerular basement membrane disease. She was immunosuppressed with cyclophosphamide and corticosteroids and received therapeutic plasma exchange.\nPlasma exchange treatments (Table ) were started... |
A 34-year-old woman with a history of polycystic ovarian syndrome self-presented to the emergency department, complaining of malaise, nausea and feeling cold. Her only previous hospital admission was for the birth of her first child one month earlier.\nAn obstetric history revealed that during the antenatal period, she... |
Patient 2, a 13-year 3-month-old boy, was born as the second child of his mother. He had a healthy 17-year-old sister. Patient 2 was diagnosed with an autoimmune liver disease 3.5 years before presentation to the authors and was treated with prednisone at a dose of 1.5 mg/kg per day, which was gradually decreased to 2 ... |
A 38-year-old African American woman came to emergency room with generalized body aches. She also reported three episodes of vomiting containing clear liquid and subjective fever. She denied respiratory, cardiovascular or neurological symptoms at the time of initial evaluation. Her past medical history was negative for... |
A 38-year-old female reported to an outside private dental practice office with chief complaint of pain and discomfort on her left anterior mandible region 1 year prior to presentation to our office. Initial orthopantomography (OPG) was obtained and a radiolucent lesion measuring 15 × 10 mm surrounding the roots of man... |
A 10-year-old boy was admitted to The Children's Hospital of Alabama for medically intractable epilepsy as part of a presurgical evaluation for epilepsy surgery. His medical history was significant for herpes meningitis at age 4 months. At that time, he presented with fever for 3 days, with acyclovir treatment beginnin... |
A 50-year-old Thai male presented with three episodes of generalized seizures and right-sided hemiparesis for 6 h before arrival. He had no previous seizures. He had a history of well-controlled diabetes mellitus and hypertension for 20 years and took metformin 1000 mg/day and diltiazem 60 mg/day. His past medical hist... |
In June 2010, a previously healthy, 13-year-old girl initially presented to a local hospital with a three-month history of dorsal spine pain. At the time of presentation, physical examination revealed nothing remarkable, except arthritis of the left knee. No cutaneous involvement was noted. Laboratory test results, inc... |
A 35-year-old male presented to a regional urban hospital two days following an assault-related blunt traumatic injury. The evening before arrival at the emergency department, he noticed swelling around his chest and neck. It was worse the next morning, precipitating his presentation to hospital. On initial assessment,... |
In June 2002, a 36-year-old woman presented to her primary health care doctor with a history of flushing, diarrhoea, night sweats, and a clinically detectable mass in her left medial supraclavicular fossa. Her past medical history consisted only of essential hypertension for which she did not require prescribed therapy... |
A 55-year-old man was admitted to our hospital complaining of progressive weakness of the upper extremities, dysarthria, and dysphagia for 6 months. He had a history of hypertension, for which he had intermittently taken antihypertensive medicine. He showed limb muscle atrophy, fasciculation of the tongue, and weakness... |
A 7-year-old girl was transferred to the orthopaedic service from an outside hospital with a left elbow SCHFX after jumping off a one-storey building onto a trampoline, landing on her outstretched arms. On physical exam, there was moderate diffuse edema about the elbow with no pucker sign. She was neurovascularly intac... |
A 57-year-old man presented with right lower extremity pain and light headedness when standing up. He had no related family history or medical history. His right leg pain gradually worsened and movement became difficult over a period of 4 months, so he was transferred by ambulance. On admission, he was aware and consci... |
A 35-year-old Greek female patient, gravida four and para two, presented to our breast unit department due to a non-palpable breast lesion which was revealed via ultrasonic examination, with malignant ultrasonographical features. Her personal medical history and her psychosocial history were uneventful and Pap Smear te... |
A 62-year-old right-handed man with a past medical history remarkable for coronary artery disease was transferred to our institution after worsening weakness and sensory changes involving his left hand. Family and social history were unremarkable. He initially presented to an outside hospital after developing flu-like ... |
A 59-year-old woman was referred to the Center for Post Graduation Studies on Pain and Temporomandibular Disorders (TMD) of the Brazilian Dental Association – State of Rio Grande do Sul (ABO-RS) with acute pain around the lower lip, jaw, and right temporomandibular joint (TMJ), which impaired mouth opening. The main co... |
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... |
An 80-year-old Caucasian female with history of hypertension and chronic back pain presented for emergent repair of a 7.2 cm aneurysm of the ascending aorta with Stanford classification type A dissection. Because the ascending aorta was unsuitable for arterial cannulation, the surgeon elected to perform axillary cannul... |
The patient is a 79-year-old white man who had a laparoscopic converted to open cholecystectomy performed approximately 3 weeks before transfer to our facility. Details of the original operation noted a gangrenous perforated gallbladder requiring an open conversion. The cholecystectomy was performed using a retrograde ... |
A 25-year-old young woman was admitted to our hospital with intermittent periumbilical abdominal discomfort and pain. She had a history of depression and was otherwise a healthy individual. She complained that the discomfort was ongoing for six to eight months, and she usually rated it three to four out of 10 on the pa... |
A previously healthy 21 year old Sri Lankan female university student admitted with shortness of breath for 1 week duration. Shortness of breath was mainly on exertion, however at the time of admission it was present even at rest. She had low grade fever for the last 1 week associated with malaise and profuse sweating.... |
A 41-year-old female patient with an 18-year history of schizophrenia was referred to the emergency department of the local general hospital. She was presented with mutism, staring gaze, rigidity, negativism, and stupor. The symptoms developed over a period of 3 days. The patient had no history of general medical illne... |
A 46-year-old Javanese woman presented with urinary incontinence following an abdominal hysterectomy with bilateral salpingectomy 3 months earlier. She is a housewife with no history of routine drug use and no prior history of hypertension, diabetes, allergies, or other chronic disease. She does not smoke tobacco and d... |
A 12-year old child with the height of 127 cm and a weight of 25 kg was experiencing severe pain in both her feet, as well as skin ulcers, redness, swelling and flashes of heat when she was admitted into our hospital's Department of Dermatology (). At around the age 3 she began experiencing symptoms of redness, heatnes... |
An 11-year-old girl (UPN1) was referred for evaluation for matched sibling bone marrow transplantation (BMT) for treatment of MDS. She was the youngest of three children born to unrelated parents. The first male born to her parents was small for gestational age, weighing 1.87 kg at term. He had severe chest deformity (... |
An 83-year-old woman suddenly became aware of impairment in her eyesight and visual field of the left eye. She was admitted to the ophthalmology department in our hospital because she did not experience any improvement with observation. During an eyesight examination, abnormal vision was confirmed in her left eye.\nThe... |
A 47 year-old African-American man presented to an ophthalmologist for progressive worsening in his vision. He had no prior history of reversible neurological deficits that would be concerning for demyelinating disease and no episodes of sudden visual loss. The temporal field of vision in his left eye was impaired due ... |
A 60-year-old male presented to the emergency department with urinary retention. After a catheter was placed in the patient's bladder gross hematuria was observed. The patient's medical history is significant for a dual pancreas and kidney transplant 16 years before this emergency department presentation. He received t... |
A 61-year-old Polish man presented to the emergency department with gradually worsening shortness of breath and unintentional 20-pound weight loss. He had been in his usual state of health until 1 year prior to presentation, when he started to experience progressive exercise intolerance. He was prompted to seek medical... |
A 69-year-old female with a past medical history of metastatic breast cancer status posttreatment with abemaciclib/fulvestrant and radiation therapy, iron deficiency anemia, diabetes mellitus type 2, hyperlipidemia and a recent left leg deep vein thrombosis status post thrombectomy and stent placement presented from an... |
The patient, a male 46 years old at the time of our visit, underwent surgical resection of nasal pyramid and premaxilla including the whole upper jaw teeth sparing nasal bones. When the patient came to our clinic, apart from the defect resulting from the resection, he presented with a retraction scar crossing the upper... |
A 61-year-old male was initially diagnosed with a melanoma involving his left neck in 1991 and treated with a parotidectomy and neck dissection followed by adjuvant radiation therapy. In July 2009, he was diagnosed with UC, initially treated with infliximab, a chimeric TNF-α monoclonal antibody for 6 weeks and then tra... |
A 44-year-old Japanese woman with a 6-year history of insulin-dependent diabetes mellitus and an 11-year history of central diabetes insipidus presented with a pain in the genital area worsening over 2 weeks, general fatigue, and loss of appetite. Two months earlier, patient underwent a urinary catheter insertion as a ... |
The patient was a 42-year-old woman. She had suffered from migraine and tension-type headaches since her twenties. The migraine headache was described as pulsatile, bilateral, and on the forehead, persisting from a few hours to half a day. It occurred seven to eight times a month irrespective of menstruation and was ac... |
An 80-year-old retired veterinary surgeon presented to his general practitioner (GP) in March 2016 following a 2-month history of ‘chest discomfort’ under the nipple on the right hand side of the chest, which he felt on the interior of the chest. He described this pain as 3–4/10, lasting for approximately 15 min each t... |
A 77-year-old man with a 2-month history of right shoulder and upper abdominal pain visited his physician at another hospital. A gallbladder tumor, about 3 cm in diameter, was detected by ultrasonography, and the patient was then referred to our hospital for further diagnosis and treatment. His laboratory findings at p... |
The manuscript was prepared and revised according to the CARE Checklist (2016), and the reporting of this study conforms to the CARE guidelines.\nA 60-year-old male patient visited our outpatient clinic for treatment of unilateral SSNHL accompanied by vertigo. He had first presented with SSNHL of the right ear 2 months... |
A 66-year-old male with chronic hypoxemic respiratory failure secondary to advanced interstitial pulmonary fibrosis, coronary artery disease, pulmonary hypertension, systemic lupus erythematosus, hypertension, and obesity presented for a single right lung transplantation which was performed with end-to-end anastomosis.... |
A 30 year old male presented to the outpatient department in January 2010 with complaints of increasing pain and stiffness in the left wrist for the last 2 years following a fall on outstretched hand. He took treatment in form of massage for two and half months and no radiological investigations were done for his injur... |
A 47-year-old Caucasian woman was referred to our department with a sub-acute paresis of her left leg, combined with a dull sensation in her inner thigh, knee, and lower leg. The paresis had increased over the past one-and-a-half weeks, and she was unable to walk freely without using walking aids on both sides.\nOur pa... |
A 46-year-old female presented with severe bifrontal orthostatic headaches with vomiting. She could not continue working due to her symptoms. MRI scan of the brain showed pachymeningeal enhancement and a progressive acquired Chiari malformation in keeping with findings of intracranial hypotension [ and ]. The intracran... |
A 30-year-old female patient presented with complaints of sudden onset painful and rapidly progressive diminution of vision in the left eye of 2 days duration. She gave a history of being administered intravenous drugs multiple times for her episodes of headache over the past 6 months. There was no history of trauma or... |
A 47-year-old premenopausal Caucasian woman presented in December 2009 during a multidisciplinary tumour board for nonpalpable lesions. Mammography revealed microcalcifications and gentle densities suspicious for invasion in the area of 6 × 8.6 cm in her left breast (Figure ). An ultrasound showed indistinct hypoechoic... |
A 46-year-old man also reported exercise/activity-related pain and fatigue from early childhood. As patient 1, he was always considered to be “a lazy child”. He was not able to run and physical activities such as walking or swimming were challenging. As a child he reported trying to build a good relationship with his p... |
The patient is a 56-year-old white man who presented to his primary care physician one day after he noticed a mass in his right neck. Computed tomography (CT) scan confirmed a large mass in his right neck arising from the right thyroid lobe, measuring 5.4 × 5.2 × 9.1 cm (). The CT also revealed a few lymph nodes withou... |
A 71-year-old man with progressive angina was found to have severe stenosis in the circumflex artery and complex CTO of the left anterior descending artery (, Supplementary ). Coronary artery bypass surgery was offered to the patient but declined. He underwent uncomplicated stenting of the circumflex artery, followed b... |
A 56-year-old female was noted to have a solitary left thyroid nodule, discovered incidentally on CT scan following neck trauma. The patient's past medical history was significant for hypertension, hyperlipidemia, gastroesophageal reflux and depression. The patient reported no symptoms of dysphagia, history of neck irr... |
A 20-year-old female presented to the emergency department with chest pain, dyspnea, fever, and chills for 3 weeks. She was an active intravenous heroin abuser at the time and had been attempting to wean herself off heroin. During her evaluation, her blood cultures were notable for Streptococcus mitis. The diagnosis of... |
A 22-year-old female patient of Indian origin reported to the out-patient department with a chief complaint of a painful swelling in the right posterior mandible of 6 months duration. The swelling was insidious in onset and had progressed slowly to cause facial asymmetry along with mild parasthesia. On examination, the... |
The patient, a 65-year-old woman, was admitted to the geriatric psychiatry inpatient unit due to depression, severe anxiety, paranoia, delirium, and extreme mood swings. She reported poor sleep and poor appetite and had expressed problems with concentration. She also reported painful migraines and had been admitted to ... |
The patient was a 57-year-old man with a history of coming into contact with chemical gases during the war of 1981. He was referred to the emergency room (ER) with an acute abdomen and hemorrhage about 6 years ago. At that time, the diagnosis was acute renal failure and myeloma. The patient's blood abnormality was trea... |
In September 2009, a 35-year-old woman presented at the referring hospital with left cervical lymph node swelling. Malignant lymphoma (ML) was first suspected, but aspiration cytology and biopsy of the lymph node suggested metastatic adenocarcinoma resulting from breast cancer. However, no evidence of breast cancer was... |
A 64-year-old woman with a history of hypertension and arrhythmia presented to the emergency room with severe pain and immobility in her left elbow, which resulted from a previous traffic accident. The patient complained of severe, painful limitation of motion on straightening or bending of the elbows, and her left han... |
A 30-year-old gentleman with mild autism was admitted to hospital for a left supracondylar fracture following a fall. He was able to communicate and perform simple daily activities independently. He had a past medical history of epilepsy and allergic rhinitis. He was recently discharged from hospital about a week ago a... |
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