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A one-year-old Thai boy was referred to Phramongkutklao Hospital due to subacute fever, abdominal distension, mucous diarrhea, and failure to thrive. He was born at term with uneventful pregnancy, and he is the first child of nonconsanguineous parents. There was no history of autoimmune or primary immunodeficiency diso... |
A 74-year-old woman was admitted to our hospital for elective left knee replacement for osteoarthritis. Patient had chronic left knee pain for the prior 10 years. She had been diagnosed with osteoarthritis based on the X-ray of the knee. Initially, the pain was managed with non-steroidal anti-inflammatory medications. ... |
Our patient was a 32-year-old previously healthy female at the 39th week of gestation who accessed the first aim department of a primary healthcare centre of a peripheral hospital for severe dyspnoea and chest pain. Her past medical history did not present other hospitalizations for the same symptoms. Due to the clinic... |
A 41-month-old boy (weight = 21 kg) with brain stem glioma was scheduled to undergo 23 sessions of teleradiotherapy using electrons under sedation. He presented with right leg and hand weakness and difficulty swallowing. Twelve days earlier, he underwent an endoscopic biopsy under general anesthesia with volatile anest... |
The patient is an 18-year-old woman. When she was 13 years old, she visited a doctor because of primary amenorrhea. Chromosome analysis revealed 46, XY karyotype (), and she had an artificial menstrual cycle for 2 years. On June 1, 2016, the then 16-year-old woman visited the emergency room following a complaint of acu... |
The patient was a 44-year-old male with a background of presumed autosomal dominant NDI and end-stage renal failure, who presented with sudden onset and prolonged polyuria following a cadaveric renal transplant.\nAs an infant, he had presented to another hospital with vomiting, polyuria and failure to thrive. He was di... |
A 17-year-old uneducated girl from poor socio-economic background residing in an overcrowded locality came to our OPD with a complaint of a lump on the right side of the neck in the supraclavicular region. She first noticed the swelling 4 months ago, which gradually increased in size without any pain. The detailed fami... |
A 43-year old male weighing 53kg, without any comorbidity presented to the hospital with gradually increasing breathlessness of 3 months duration, one episode of haemoptysis, and oedema of legs. Examination revealed a baseline heart rate of 106/min and blood pressure was 114/70 mmHg, grossly reduced breath sounds on le... |
A 19-year-old male presented with gross total painless hematuria of a 5 days duration. There was no past family history of cancer. General physical examination and systemic examination were normal. Blood workup showed anemia. Renal function and liver functions were within normal limits. An ultrasound showed a polypoida... |
A 30 year old man living in rural Cameroon presented to the Buruli ulcer treatment center in Akonolinga, Cameroon, in January 2013 with a 7-month history of plaque-like lesions over the lateral aspect of this left ankle and posterior aspect of his left leg both of which later ulcerated. The ulcer on the lateral aspect ... |
A 30-year-old male was involved in a car accident. He was standing beside the door on the passenger side to guide parking, when unexpectedly, the car reversed quickly, and his left leg was trapped under the front passenger side wheel, which exerted a severe varus force on his left knee joint. He was immediately transpo... |
A 34 year-old woman with no history of diabetes presented to her local ER in March 2015 with chest pain. Family history was negative for diabetes. A chest X-ray revealed a left lung mass confirmed on subsequent chest CT to be a left upper lobe mass measuring 5.2 × 3.7 × 3.8 cm with left hilar and AP window lymphadenopa... |
A 68-year-old male patient was referred to our department from neurosurgery due to the occurrence of diplopia 10 days after a head surgery that was performed following a pedestrian traffic accident. On the day of the initial trauma, the patient was admitted to the intensive care unit after neurosurgical evaluation, bec... |
The patient was a 46-year-old woman with a history of breast cancer 3 years earlier. She presented with a pathologic compression fracture in body and both pedicles of the third lumbar vertebra (L3), verified by bone scan and lumbar magnetic resonance imaging (MRI). The patient underwent PV with PMMA on July 27, 2009.\n... |
A 37-year-old woman, gravida 6 para 3 abortion 2, was admitted to our maternity ward at a gestational age of 41 weeks for induction of labour. She had received antenatal care from an obstetrician in a University hospital clinic and from a midwife at home. She presented to the emergency department of the university hosp... |
A 24-year-old male patient reported to the Department of Oral Medicine and Radiology, with a chief complaint of a swelling on the left side of the face since 2 years. Initially swelling was smaller in size which gradually increased to the present size, associated with difficulty in mouth opening and swallowing. There w... |
A 28-year-old male with diabetes mellitus type 1, hypertension, and end-stage renal disease on hemodialysis with multiple past admissions for diabetic ketoacidosis and uncontrolled hypertension presented to the emergency department on April 17, 2020, for nausea and vomiting. His COVID-19 test was positive on the same d... |
A 51-year-old healthy female underwent uneventful cataract surgery in her right eye. During the procedure, viscoelastic and vancomycin (1.0 mg/0.2 mL) were injected into the anterior chamber. Visual acuity on the first postoperative day was 20/20 and no other postoperative complication was detected.\nOn the seventh pos... |
A 68-year-old female was admitted with fever and general weakness. The fever had developed 2 months prior, was persistent, over 38℃, and spiked 2-3 times per day with accompanying chills and headache. She thought she had caught a common cold and was observed for some time with prescription of antipyretics. The fever di... |
A 46-year-old white female with a 15 pack-year smoking history initially presented 3 years ago with intense pain in the left side of the mouth that radiated to her left ear for 2 months. She was found to have a 2 cm exophytic lesion on the left lateral border of her tongue that was diffusely keratotic and extremely ten... |
A male patient aged 49 years with no previous medical history presented with neck pain from a foreign object. The patient was accidentally struck by a projectile from a nail gun on a construction site. The patient complained of pain along the left side of the neck and inability to swallow. On initial evaluation, patien... |
A 60-year-old Caucasian male with a past medical history of hypertension and coronary artery disease initially presented with acute onset left arm weakness and left facial droop. He was first evaluated by a local health care facility where a CT scan of his head was done and revealed a right frontal intraparenchymal hem... |
A 73-year-old female was referred to our Trust by her general practitioner with a 5-month history of a painless vaginal mass, which extruded from the introitus on straining, but was otherwise asymptomatic. This was originally thought to be a vaginal prolapse; however, examination revealed a soft, well-defined pink mass... |
A 27-year-old Latino man with a past medical history of type I diabetes and chronic low back pain of 3 years’ duration presented to the local emergency department for evaluation of acute worsening of the low back pain rendering him unable to bear weight. Computed tomography (CT) and magnetic resonance imaging (MRI) of ... |
A 48 year-old Caucasian man attended outpatients’ clinic with a six-month history of localised swelling and pain at the site of his pacemaker implantation, particularly upon abduction of his right arm. He had twenty years previously undergone implantation of a VVI (ventricle; ventricle; inhibited) pacemaker due to sick... |
An 80-year-old Indian lady presented with loss of weight of 5 kg over 4 months with loss of appetite. There was no history of jaundice or abdominal pain. She has a past medical history of a benign thyroid lesion treated with right hemi-thyroidectomy as well as cholecystitis treated by open cholecystectomy more than 10 ... |
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 35-year-old male patient reported to the Department of Oral Medicine and Radiology with a complaint of swelling in the mandibular left posterior region since 6 months []. History revealed that it was initially peanut sized, 6 months back but had gradually increased to the present size. There was no history of pain, t... |
A 51-year-old female with a history of stage 1 hypertension was admitted to the hospital post cardiac arrest. She had a significant family history of premature coronary artery disease. Her father had a coronary artery disease diagnosed in his 40’s, her mother had a pacemaker inserted, and she had two first degree relat... |
A 67-year-old female with a past medical history of morbid obesity [body mass index (BMI) of 58.4 with a height of 1.6 m and weight of 149.5 kg] presented with right-sided abdominal pain. The abdominal pain had been present and consistent for several weeks but had increased acutely over the last few hours. She denied f... |
A 19-year-old male patient presented to us with a chief complaint of a painless swelling in the lower right side of the mouth since 6 months. Examination revealed a small hard swelling in the right mandibular buccal and lingual sulcus and absence of the tooth 47. History revealed that the patient had not undergone any ... |
A 73-year-old married illiterate male of urban background, was referred from the Department of Medicine for psychiatric evaluation and management for repeatedly traveling away from home without any apparent reason. During the episode, he would interact normally with others, did not reveal his identity, and had self-car... |
The patient was a 9-yr-old Iranian girl presenting to the Pediatric Emergency Room of Moosavi Hospital, Zanjan, Iran in January 2017, with sudden onset of headache and recurrent vomiting, ataxia and history of 3 consecutive days of fever and malaise. There were left eye ptosis and decrement of left nasolabial fold in p... |
A 47-year-old African American male presented to the hospital for worsening bilateral lower extremity pain and blisters for 1 week. It started gradually, progressing to 7/10 intensity over the previous three months. It was episodic, triggered by heat, lasted from two to ten hours and relieved by external cooling. It ra... |
We describe the case of a 57-year-old white American man with a history of weakness who presented for genetic confirmation of a myotonic disorder. He had been evaluated and diagnosed as having a myotonic disorder at age 27 years when he presented for complaints of stiffness. This diagnosis was made after an electromyog... |
A 16-year-old, Sinhala ethnic Sri Lankan woman in her first pregnancy, was admitted with severe preeclampsia at 29 weeks of gestation. She has made her booking visit at ninth week of gestation and all the booking investigations were normal except for the platelet count which was 112,000 per liter. During her pregnancy,... |
A 51-year-old female with a history of stage 1 hypertension was admitted to the hospital post cardiac arrest. She had a significant family history of premature coronary artery disease. Her father had a coronary artery disease diagnosed in his 40’s, her mother had a pacemaker inserted, and she had two first degree relat... |
A 67-year-old man was admitted to out hospital because of a 5-month history of pain in his left ankle. Physical examination revealed partial limitation of motion of the left ankle joint. On palpation, a tender, subtle swelling on the anterolateral lower third of the patient’s left leg, just proximal to the ankle joint ... |
A 51-year-old Madheshi woman came to our neurology clinic with the chief complaint of sudden decrease in the tone and texture of her voice for the past 15 days. Her voice was very feeble but understandable and she noticed it was better by the time she got up from her bed only to worsen through the day to become nearly ... |
A 72-year-old lady was referred to the emergency department with chest pain occurring during her twelfth cycle of carfilzomib infusions (56 mg/m2 received on Days 1, 2, 8, 6, 15, and 16 of every 28-day cycle) as a treatment for her multiple myeloma. She had been receiving this therapy for the preceding 12 months but re... |
As home care doctors and general practitioners, we encountered a 37-year-old woman with ASD who lived with her parents in Japan. Her mother had end-stage breast cancer. We visited her house regularly to care for her mother. The woman with ASD was the main caregiver and a key person for her mother because her father was... |
A healthy 34-year-old woman operating a riding lawnmower lost control and collided with a tree. She was transferred directly to our level I trauma centre. She was hypotensive and tachycardic (sBP < 90 mmHg, HR > 120 bpm) on presentation, necessitating resuscitation with crystalloid and blood products. Her injuries incl... |
A 71-year-old woman with type 2 diabetes mellitus, atrial fibrillation, congestive heart failure, chronic renal failure (oxalate crystal nephropathy), pulmonary hypertension, rheumatic heart disease (with mitral valve replacement), and multiple basal and squamous cell carcinomas affecting the face, back, and arms was e... |
A 26-year-old woman was admitted to our department with dysphagia resulting from an anastomotic stricture following esophageal replacement with the colon. The patient was subjected to operation due to the presence of an esophageal stromal tumor in 2008. Following the operation, she was treated with continued balloon di... |
An 82-year-old man without any symptoms was referred to Hino Municipal Hospital, because of a faint infiltrative shadow observed in the left lower lung field on routine chest radiography (). The patient did not complain of chest wall swelling; however, the physical examination revealed a subcutaneous soft tumor on the ... |
A 71-year-old man presented to our movement disorder clinic for concerning symptoms. Before presenting to the clinic, he was diagnosed with CD four years ago. He mentioned that he had progressive tremor and rigidity of the head. The rigidity was not new but has gotten worse. However, the tremor in the head was new and ... |
A 10-year-old male child presented with complaints of cyanosis since age of 1 year and currently with New York Heart Association (NYHA) class II dyspnea on exertion. He had no history of cyanotic spells. On examination he was averagely built with central cyanosis and grade 2 clubbing. His pulse rate was 90 per minute w... |
A 43-year-old man was admitted to the hospital following an acute cerebellar hemorrhage. He complained of recent fever, chills, and left wrist pain. Past medical history included alcoholic cardiomyopathy, porcine mitral valve replacement, chronic atrial fibrillation, and multiple intracranial hemorrhages associated wit... |
A 59-year-old male with a past medical history significant for obesity status post gastric bypass surgery, hypertension and hyperlipidemia was admitted to the hospital with multiple episodes of diarrhea for the last 6 days which had started in Australia prior to his arrival to New York City for his vacation. He describ... |
A 34-year-old woman presented to the emergency room (ER) complaining of a persistent severe headache. Her headache had started 4 days earlier after vomiting and she was unable to walk due to the headache. She was previously healthy and was never treated for any medical disorders or chronic headache disorders. She visit... |
A two-year-old Tanzanian girl presented with a 1-week history of fevers up to 38.5°C, flaccid lower limb paralysis, and loss of sphincter control. Prior to admission, neurological development had been normal with good sphincter control. Her mother had noticed a small reddish pimple on her back since birth, which had ne... |
A 20-year-old, right-handed man sustained acute unstable complex fractures of the head and neck of the right radius following a traffic accident, consisting of a radial head fracture and medial displacement, radial neck fracture, and a rupture of the lateral ligament complex. On admission, closed elbow trauma was obser... |
A 49-year-old Hispanic female presented to the clinic one month following a widening of a previous laminectomy for the resection of a lumbar (L) level four to five arachnoid cyst, with worsening right lower extremity radicular pain and urinary retention. The patient reported bilateral lower extremity pain but predomina... |
A 37-year-old, previously healthy, Caucasian female patient sought medical care, complaining of a 2-month history of abdominal discomfort, nausea, vomiting, lack of appetite, weight loss (6 kg in 2 months), and fever at the beginning of the symptoms. She denied alcohol consumption, tobacco smoking, use of medications o... |
This present case involved a 22-year-old female who became aware of leukocoria in both eyes. Upon examination at another eye clinic, a vitreous strand was detected in her left eye, with a suspected diagnosis of PFV, and she was referred to the Department of Ophthalmology at Osaka Medical College Hospital, Takatsuki-Cit... |
A 53-year-old male presented to our institution with a 70-pound weight loss for evaluation of an ampullary lesion. His clinical history included Type 2 diabetes, diabetic gastroparesis, and a family history of lung, colon, and prostate cancer. Magnetic resonance cholangiopancreatography at that time showed a dilated ex... |
On January 14, 1992, a 45-year-old woman with osteoarthritis in her left hip was operated on in the Hospital for Special Surgery, NY. An uncemented hip replacement was used. According to the original operative record, the prosthesis was a 58-mm Harris-Galante II acetabular cup (Zimmer, Warsaw, IN, USA) fixed with two s... |
A 20-year-old Danish woman was referred with constant pain in the right proximal thigh that had progressed for 8 years. She had no other known medical conditions. Menarche was at age 13. There was no family history of sclerosing bone diseases. The limb pain was aggravated at night and was moderately relieved during phy... |
The 80-year-old male patient was admitted to the emergency department due to dyspnea; his medical history included cancer of the mouth floor, surgical treatment with subsequent radiation therapy 2 years ago, and many years of smoking. Physical examination revealed resting dyspnea, peripheral cyanosis, numerous bilatera... |
A 30-year-old Brazilian male was brought to our ED from a local jail because of agitation. He had been arrested by Swiss authorities because of suspected internal concealment of drugs of abuse (body packing), which had been confirmed by abdominal CT scan in our hospital approximately 12 h before (Fig. ). During this fi... |
A 64-year-old caucasian male with an unknown past medical history presented to the Bayfront Hospital ED in St. Petersburg, Florida, in early November. The average outside temperature that night was in the mid to upper 60s. The patient was initially found by local police officers lying unconscious in a ditch next to his... |
The patient is a 61-year-old woman with a past medical history remarkable for rheumatoid arthritis, who presented to our institution with a rash 2 cm from the anal verge. Upon further questioning, the patient reported that she had leakage of a small amount of stool and also passing of a small amount of bright red blood... |
A 35-year-old woman with no previous history of disease was diagnosed with RCC and multiple metastases while undergoing examination for abdominal pain. Renal biopsy was performed, and histopathological analyses supported the diagnosis of FH-deficient RCC ().\nThe patient was diagnosed with stage-4 RCC as well as multip... |
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... |
GSA, male, 55 years old, white, forklift operator, natural and from the state of São Paulo, was referred to the office reporting dyspnea on efforts with progressive worsening in the last two months, asthenia, inappetence and weight loss. He reported periods of night sweats but denied a fever. He referred to hypothyroid... |
A 66-year-old gentleman, known to have essential hypertension and is status post living related liver transplantation (right graft) in 2014 as therapy for end-stage liver disease secondary to cryptogenic cirrhosis vs autoimmune, presented to the emergency department at a tertiary care center with a one-month history of... |
A 53-year-old female patient who had been suffering for ten years from atypical facial pain combined with a partial facial spasm was referred to our outpatient clinic.\nShe presented with continuous distorsions of the mimic musculature in the region of the lower left lip, which had appeared following severe osteomyelit... |
A 32 year old female Cameroonian gravida 4 para 3 at 34 weeks of gestation presented to the labour and delivery unit of Mbalmayo district hospital with 8 h history of severe generalized headache, expressive aphasia and right sided paralysis in an afebrile context. This was associated with blurred vision but no convulsi... |
A 49-year-old male was referred to the head and neck service with a 6-week history of hoarseness. His past medical history included anxiety and hypertension. He lived alone, smoked 15 roll-up cigarettes daily and consumed a moderate volume of alcohol per week. He had a World Health Organization performance status score... |
A 9-year-old neutered male domestic shorthair cat weighing 5.4 kg was evaluated for a major complaint of a 3-month history of urine spraying, excessive meowing and aggression toward other cats in the household. The cat had always lived in the same multi-cat group but had never shown any behavioral problems before. Conf... |
A 47-year-old white male presented with recurrent severe dizziness, chest tightness, shortness of breath, left upper back pain, night sweats, and chills of three weeks duration. His past medical history consisted of a 20 pack/year history of smoking and squamous cell carcinoma of the tongue, status-post excision with s... |
A 72-year-old man presented with left hip pain and intermittent low grade fever, as well as occasional yellowish drainage from a sinus tract at the surgical incision of a cementless THA performed 4 years before at another hospital. Patient's past medical history was also significant for a 2-vessel coronary artery bypas... |
A forty-nine-year-old female who was not a known case of any medical illnesses, presented to the outpatient clinic with a two-week history of pain in the left forearm, and numbness over the 3rd, 4th and 5th digits and medial aspect of the hand, which limited her daily living activities. This was associated with pallor ... |
A 73-year-old man with diabetes mellitus, hypertension and hypercholesterolemia, and a previous history of coronary artery bypass surgery presented for evaluation of dizziness and episodes of syncope. Bilateral cervical bruits, a difference in blood pressure 45–50 mmHg between both arms, as well as barely discernable r... |
A 35-year-old female was referred to the emergency department (ED) by her psychiatrist. She had a history of depression and suicide attempts and was currently hospitalized in a psychiatric facility after a recent severe intentional intoxication with phenobarbital and morphine. At admission, she complained of vomiting a... |
A 52-year-old black female with past medical history of hypertension and atrial flutter presented to her primary care physician with a one-month history of shortness of breath, severe dyspnea on exertion, bilateral lower extremity edema, and fatigue. Her blood pressure was elevated at 187/119. Family history included p... |
An 80-year-old Swedish-born Caucasian man was referred to us from a private neurologist with a diagnosis of possible ALS six months ago. His mother died from ALS in her 80s, but no other relatives are known to have had this disease. Until recently our patient had been physically active, including participation in marat... |
The patient was a 64-year-old woman with seven children brought to the hospital with severe vomiting and a history of solid dysphagia; she had the symptoms for three months and was referred to different physicians, left without definite diagnosis before admission to our center.. Patient’s past medical history was unrem... |
This 70-year-old male first presented in 1991 at the age of 49 for persistent cough. Detailed smoking history revealed that he had been smoking one pack a day since 1971 but had quit a few weeks before his presentation because of persistent cough. Clinical examination and laboratory studies did not show evidence of air... |
A 49-year-old woman patient presented a significant dissatisfaction with the aesthetics due to the gingival recession of a tooth located in the anterior region of the mouth. Dental history revealed that the patient had received orthodontic treatment seven years before. During and after the treatment, she perceived her ... |
A 15-year-old male was brought to the emergency department after sustaining a gunshot wound to the head. Non-contrast computed tomography (CT) scan of the head demonstrated a trajectory entering the right inferior temporal bone, entering the anterior portion of the middle cranial fossa, traversing the anterior right te... |
A 60-year-old, left-hand dominant female with cirrhosis (Model for End-Stage Liver Disease [MELD] score 16) and type II diabetes mellitus on insulin presented to the emergency room with left forearm burning, pain, and swelling. She denied any history of trauma or new exposure to the hand. After receiving a diagnosis of... |
A 69-year-old man presented to our hospital in August 2004 for an evaluation due to one month history of right knee joint pain with fever, and two plaques showing on his abdomen and scalp for 10 and 2 years, respectively. The lesion on the abdomen began as an asymptomatic small light red macule following scratch. It en... |
A 33-year-old female presented to the oral medicine service with a chief complaint of severe gingival pain and lesions for 1 month. The patient was a nonsmoker and had no significant medical history or known allergies.\nThe clinical examination revealed erythematous and ulcerative gingiva localized at the buccal side f... |
The patient is a 50 year old male who received a LURT 8 years prior to presentation. He had previously undergone bilateral native nephrectomies 2 months prior to transplant for PKD. His early course was complicated by biopsy-proven acute cellular rejection, vascular type, 5 days after transplant, which was effectively ... |
We present the case of a 33-year-old Caucasian male patient. During periods of clinical stability, he used to work with high performance. He has no siblings, practically no social life and few leisure interests. He smokes 20 cigarettes a day and denies regular consumption of recreational drugs or alcohol, although he a... |
A 64-year-old woman, without prior cardiac history, was admitted to the hospital with worsening dyspnea on exertion, orthopnea, and swelling of the lower limbs. She had hypercholesterolemia and prediabetes and was an active smoker. Clinical examination showed signs of congestion. A transthoracic echocardiogram revealed... |
A 69-year-old Belgian Caucasian man complained of cramps in the right calf and walking difficulties that had started 6 months previous but had progressed to the point of needing support from the banisters when walking up a staircase. He did not report sensory disturbances. His personal history included arterial hyperte... |
A 50-year-old man presented with difficulty in swallowing and nasal speech. First he had difficulty swallowing solids, which later progressed to ingestion of liquids.\nHe mentioned three episodes of nasal regurgitation of liquids. His consort noticed incomplete closing of his eyes during sleep.\nThe muscles of jaw clos... |
A perimenopausal 56 year old nulliparous woman underwent supracervical laparoscopic hysterectomy and bilateral salpingoophorectomy for pelvic pain, menorrhagia, and large uterine leiomyomas. She had no history of abnormal Pap smears and a preoperative Pap smear was normal. Her family history was negative for any known ... |
An 18-year-old biracial male (African and Caucasian) presents to the emergency department (ED) for severe abdominal pain, cramping, and bright red blood-tinged diarrhea for the past three weeks. The patient has had >10 bowel movements per day consisting of loose stool containing blood and mucus. He reports the pain as ... |
A 14-year-old male patient reported with a chief complaint of decayed teeth. The patient gave a history of occasional pain in the decayed teeth. His past investigation records revealed that the patient was diagnosed as a case of dysmorphism with long thoracic scoliosis and hypothyroidism. The patient was undergoing tre... |
A 14-year-old young female patient was referred for preparation of a vaginal stent. The girl was unmarried, accompanied by her parents, and reported with a chief complaint of pain in lower abdomen since 1 week. There was history of primary amenorrhea. The accompanying parents were in great stress. However, they were wi... |
We report the case of a 77-year-old female with left elbow pain for five months without any prior trauma who received initial treatment at a local hospital in Southern Thailand. She was diagnosed with septic elbow, and open arthrotomy of the elbow was performed and she was given IV antibiotics. The culture results did ... |
A 65-year-old woman was diagnosed with bladder cancer 6 years earlier, for which she had undergone transurethral resection six times. Oophorectomy for a right ovarian cyst and total hysterectomy for endometriosis had been performed under general anesthesia at the ages of 30 and 35 years, respectively. During the curren... |
The patient was a 72-year-old man with a history of coronary atherosclerosis and anterior myocardial infarction who underwent a coronary artery bypass graft in 2001. He had in total three grafts: left internal mammary artery (LIMA) to left anterior descending artery, saphenous vein to the right coronary artery, and sap... |
A 51-year-old male renal transplant recipient presented with a recent onset of abdominal distension, weight loss and malaise occurring 21 months after transplantation. He was first diagnosed with renal disease manifesting as chronic glomerulonephritis in 1990 and was initially managed with haemodialysis for 33 months. ... |
A 63-year-old man presented with low back pain and was found to have a vertebral soft tissue mass in the second lumbar vertebra (L2), a right kidney 7 cm contrast-enhancing tumor, multiple subcentimeter lung lesions, and bilateral adrenal nodules. Needle biopsy of the kidney tumor was consistent with RCC. He underwent ... |
The patient is a 47-year-old Caucasian female who presented to the Emergency Department of an academic tertiary-care hospital in the Midwestern United States with complaint of left-sided weakness of the upper and lower extremities and right gaze preference three weeks after a right pontomedullary infarct complicated by... |
A 68-year-old male patient reported with the chief complaint of chronic, dull, localized, intermittent pain in the left mandibular first molar for the past 1 month. The pain aggravated on chewing hard food. There was no history of any radiation of pain. However, the patient gave an account of occasional enlargement of ... |
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