text
stringlengths
3.04k
31k
A 30-years old woman visited at our hospital, complaining of pain in her lower back, left inguinal area, and left leg. Two months before this visit, she was found to have a mass growing in her left thigh, which was causing her pain (). The tumor in her thigh was removed surgically. Her excisional biopsy revealed fibrom...
A 32-year-old African American woman presented to the neurology clinic for followup, after having 4 episodes of cerebrovascular accidents (CVA) in the last 4 years. The cause for the CVA episodes had not been established despite extensive studies, including magnetic resonance imaging (MRI), echocardiogram with bubble s...
The patient was a 34-year-old gravid 1 para 0 female at approximately 10 weeks gestational age by last menstrual period who presented to a community emergency department (ED) with complaints of right lower quadrant abdominal pain. The patient reported that the pain woke her up from sleep at 3 a.m. The patient arrived t...
A 24-year-old male with HA was admitted to our department with pain in multiple joints on May 23, 2011. The patient had a medical history of hemophilia A since the age of 3 and was intermittently treated with factor VIII. During these years, he sequentially developed left knee, left elbow, left hip, and right knee join...
A 20-year-old Japanese man presented with his father to our periodontic clinic at Osaka University Dental Hospital, Japan, because of his poor oral condition. His chief complaint was severely painful gums, which led to crying. He was unable to provide detailed information about when and how this problem had started. Hi...
A 5-year-old healthy Brazilian girl was referred to the Pediatric Dentistry Clinic at the Dental School of Araçatuba, São Paulo State University (UNESP), for detailed evaluation of her oral condition. According to the report of her mother, the primary maxillary left teeth had erupted differently from the other child's ...
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 ...
A 61-year-old male who had initially presented to the emergency room in October 2018 with complaints of exertional dyspnea and left-sided anginal chest pain for four to five weeks was eventually admitted for the management of acute-on-chronic systolic congestive heart failure and hypertensive urgency. His medical histo...
A 20-year-old female was evaluated at an ambulatory care center for headaches that had become progressively worse over the prior 2 weeks. She had been treated for mycoplasma infection by a primary care physician. At presentation, the headaches were reportedly severe. The patient had no history of fevers but reported a ...
A 19-year-old male patient presented to the Universiti Teknologi MARA (UiTM) Primary Care Clinic with worsening early morning frontal and parietal headache and blurring of vision over the past month. The headache was described as throbbing in nature, non-radiating, and resolving spontaneously as the day progressed. Thi...
A 78-year-old male with multiple comorbidities, including hypertension, hyperlipidemia, and type II diabetes mellitus, presented to our emergency setting with complaints of recurrent bouts of abdominal pain and fluctuating fevers for the previous two weeks. The patient reported that the pain is a new manifestation of a...
A 6-month-old Chinese male child was admitted to our department with recurring episodes of hypoglycemia for 6 months. His parents were healthy and not consanguineous, and his family history was not notable. The child was first admitted to the hospital because of repeated cyanosis and poor reaction at the age of 2 days....
A 21-year-old, unmarried Arab woman with no known comorbidities presented with a massive swelling on the right side of her face that had been slowly increasing in size for the past 3 years, as well as with difficulty in bending her left knee. The swelling was large enough to cause trismus, and the patient was unable to...
A 41-year-old Caucasian man presented to the emergency department with left eye pain and loss of vision after complicated cataract surgery 2 days prior. His past ocular history was significant for blunt trauma to the left eye with a stick while riding an all-terrain vehicle 8 months ago; over the following 3 months, th...
Our patient was a 31-year-old African American female with a 2-3-week history of acute behavioral changes, personality breakdown, sexual inappropriateness, and religious grandiosity. Her past medical history was significant for asthma, genital HSV, and polycystic ovarian syndrome. She was admitted to the psychiatry ser...
Mrs. A. A, a 40-year-old Para 2-+-0 with no living child, (last child birth was 3 years and last menstrual period was 2 weeks prior to presentation) was seen at gynecological clinic with a history of abdominal distension of 3 years duration. The distension started gradually in the suprapubic region: - it later progress...
The case involved a 33-year-old woman who underwent TEVAR after IAA repair. As her medical history, in her infancy (at the age of 3 days), she was diagnosed with IAA type A, atrial septal defect, ventricular septal defect, and patent ductus arteriosus (PDA). At the age of 18 days, she underwent the Blalock–Park procedu...
A 15-year-old female with no significant past medical history presented with nausea for 1 year. She was in her usual state of good health until she experienced a bout of viral gastroenteritis that involved nausea and vomiting. The illness lasted less than 1 week; however, the nausea she experienced with the illness per...
A 70-year-old, African male cadaver (height 175 cm, weight 69 kg) showed another type of unilateral variation of the length (elongation) and course (looping) of the middle portion of the cervical part of his right ICA. The cause of death for this patient was an advanced prostate cancer with numerous retroperitoneal met...
This is a case report of a 41 year old male patient who suffered a knife inflicted injury to the face. He was referred to our department 20 months after the incidence complaining of persistent discomfort with downward gaze of the left eye. He reported being agitated and feared a possible sight-threatening condition aft...
A 69-year-old Saudi man with diabetes mellitus was admitted to the Neurology Department with an unremitting headache lasting 5 days, episodic confusion, and visual disturbances. According to his family, the headache started gradually over the left side of his head and then became holocephalic and moderate to severe in ...
An 83-year-old man presented with a complaint of chest pain. He had undergone a right pulmonary lower lobectomy for lung cancer 3 years previously, and he was taking several drugs daily to treat hypertension and diabetes. Upon arrival at the emergency room in Ise Red Cross Hospital, the patient had a high fever reachin...
A 75-year-old Japanese man who had no history of thrombosis or thromboembolism underwent resection of his right upper lung lobe for adenocarcinoma of localized adenocarcinoma without distant metastasis, 2 years previously. Chemotherapy and radiation therapy were not performed. After the operation, periodic follow-up CT...
The patient was an 89-year-old man who had undergone curative radical resection via left nephroureterectomy for carcinoma of the left renal pelvis at 69 years of age and who was subsequently attending regular follow-up examinations. Plain and single-phase CECT scans were examined once per year. CECT, performed during a...
A 50-year-old female with no significant past medical history initially presented to an urgent care center for 1-day history of acute abdominal pain associated with nausea and emesis. Medical evaluation included an upright chest X-ray and abdominal X-ray which demonstrated free air under the diaphragm (Fig. ). The pati...
An 18-year-old man was admitted to the psychiatry department with aggressive and violent behavior one day prior to admission. However, he could remember nothing about his behavior or the violent incident. Forty-five days before hospitalization, he had experienced his first dissociative episode. After using a computer f...
An 86-year-old female patient presented at our institution for the management of advanced colon cancer that was identified during routine medical examination. Six years ago, she had received colonoscopic polypectomy for a sigmoid colon polyp, which was confirmed as a well differentiated adenocarcinoma. At the time, she...
A 56-year-old man sustained a traumatic amputation at the mid-calf combined with dislocation of the proximal tibiofibular joint and rupture of the posterior cruciate ligament. His tibiofibular joint was stabilized which provided enough knee stability for rehabilitation and eventual full activity as a motorcycle mechani...
A 53-year-old African-American woman with ESRD was transferred from dialysis clinic to the emergency room (ER) for evaluation of non-radiating and dull epigastric pain for two weeks associated with fever and chills during hemodialysis (HD). Three months ago, she was hospitalized and treated for Streptococcus pneumoniae...
A 57-year-old female presented with an abdominal swelling over the last 6 months, and pain during the last 2 months. She also had a prolapsed uterus, which was diagnosed 3 months ago. She had no co-morbidities. A history of radiation exposure or any previous surgery was absent. On examination, a large abdominopelvic lu...
We present the case of a 36 year old G4P4 Hispanic female who presented to the ED for nausea, vomiting, diarrhea, 30 pound weight loss over 2–3 months, generalized body aches most pronounced in the lower back for 5 days, and a positive pregnancy test. Past medical history was significant for hypertension, dysphagia, 4 ...
An 89-year-old female patient requiring surgery for colorectal cancer also suffered from severe calcified aortic valve stenosis (aortic mean gradient = 59 mmHg, aortic area = 0.4 cm2) and significant stenosis of the left main trunk, which contraindicated her cancer surgery. Discussions among the local heart team led to...
A 24-year-old pregnant woman (G2P1) was referred to us due to suspected bilateral ovarian cysts at 8 weeks of gestation. She had undergone ovarian cystectomy twice under open surgery: left and right ovarian cystectomy for mature cystic teratoma and mucinous cystadenoma, respectively. She had no additional medical histo...
A 37-year-old woman was admitted to the emergency department with a severe chest pain of 30 minutes’ duration. Her chest pain was retrosternal with no radiation and persisted continuously throughout the admission time. She described the pain as heaviness in her chest. The pain had no relation to exertion and was not re...
A 35-year-old man was a victim of a high-energy accident by his mowing machine. His injuries consisted of a Gustilo IIIc left tibial and fibula fracture and circumferential degloving of the right thigh associated with deep soft tissue loss at the popliteal fossa. X-ray showed pelvis, left distal and right proximal femo...
A 65-year-old woman (P3A0) presented with recurrent episodes of vaginal bleeding. At the age of 57, the patient underwent resection of the pheochromocytoma from the right adrenal gland. She suffered from arterial hypertension for several years.\nThe first abnormal vaginal bleeding appeared when she was 60, 7 years afte...
A 78-year-old Japanese male presented to the emergency department of our hospital with low back pain on exertion for 1 week. The pain was described as dull and gradually worsens. Although the location was near the thoracolumbar spine, he denied radiation of the pain to any parts of the body. Severity of pain using a nu...
A 60-year-old woman with a history of hypertension, type II diabetes, and hyperlipidemia underwent her first cycle of intravenous chemotherapy with paclitaxel for endometrial clear-cell adenocarcinoma at a standard rate of 135 mg/m2 over 3 hours (body surface area 2.10 m2).\nThirty minutes into her infusion, she compla...
The second case is a 16-year-old girl with no significant medical history. She was an avid horseback rider and track runner and participated in a daily exercise program, and had a strong desire to maintain her active lifestyle. She presented in July 2015 after she noticed a large bruise on her left hip that was not cau...
A 74-year-old male patient was admitted to our hospital in March 2017 to undergo liver resection to treat a malignant hepatic lesion diagnosed with CT and PET and a fine-needle biopsy positive for squamous carcinoma. The hepatic tumour discovered during follow-up for a previous bladder cancer submitted to endoscopic su...
The patient, a 60-year-old woman, had a childhood onset of anxiety and anorexia nervosa, with symptoms of anxiety connected to food intake, restricted eating, and, later on, purging. The course of the eating disorder was remitting and relapsing with episodes at age 14, 28, and, most recently, age 44. The last episode h...
A 20 year-old female patient was referred for further treatment of complete AVSD with a PA aneurysm associated with severe pulmonary hypertension. She was diagnosed as having a left isomerism with inferior vena cava (IVC) interruption, dextrocardia, complete AVSD with single atrium, ventricular septal defect, and bilat...
A 50-year-old Caucasian woman came to our attention complaining about severe disabling bilateral not pulsatile tinnitus, ear fullness, headache and mild imbalance. The patient reported previous thyroidectomy for autoimmune thyroid disease (ATD) at 29 years and 3 breast surgeries for a triple negative invasive breast du...
A 29-year-old male was admitted on November 4th, 2016, due to recurring left knee pain, swelling and limited activity over 7 months. The patient had a history of being scratched by plants in March 2016 and received a penetrating wound from a thorn on the posterolateral side of his left knee and experienced symptoms of ...
A previously healthy 17-year-old Sri Lankan man first presented to the dermatology clinic of our hospital five years ago with a three-month history of a painful induration over his left buttock and hip area. Gradually, it extended onto his upper thigh with hyperpigmentation of the overlying skin, which became dry and s...
A 38-year-old man sustained injuries in both lower extremities in a motor vehicle accident. Bilateral closed femoral shaft fractures were present, along with bilateral tibio-fibular fractures and severe soft tissue injury. The right leg was amputated at the above-knee level on an emergent basis, due to extensive commin...
The patient is a 69-year-old woman who presented to her primary care physician with worsening cough and pain wrapping around her chest to her back. The chest pain was initially thought to be pleuritic in nature and related to an exacerbation of her chronic obstructive pulmonary disease (COPD). When there was no improve...
A 4-year-old boy presented to the ED experiencing a third episode of severe epistaxis in that day; this episode had been continuing for approximately one hour. He had also experienced another spontaneous episode approximately three weeks earlier, which like the first two on this presentation resolved at home with appli...
A 6 year old, 33 kg female spayed Wheaten Terrier mix presented to a local veterinary clinic due to severe lethargy and weakness after vomiting a large amount of clear fluid. No prior health issues were reported; however, the dog had been less energetic for a week prior to presentation, according to the owner. The phys...
A 65-year-old man presented with severe pain, decreased sensory, and motor weakness of the left lower leg for one day. His medical history included surgery for an ipsilateral knee due to trauma several years previous, but he did not have any recent history of trauma before pain. He had been diagnosed with hypertension ...
A 33-year-old man with MPS IS presented neck and radicular pain with an onset of symptoms of 3 months, along with a recent onset of insecure gait, of about 2 weeks. The patient was of below-average stature, and regarding his metabolic disease he claimed that he had never received any treatment. In addition, he maintain...
A 28-year-old woman complained of pain and tumefaction in the upper portion of her right arm. She did not have fever, or trauma. Physical examination, showed a raised mass in the proximal portion of the right arm; with no clinical signs of neurovascular damage. There was no local erythema or skin lesions, and no palpab...
A 53-year-old man with major complaints of a sudden onset of headache and mental deterioration came to the emergency center of the hospital. On admission, he was drowsy and his Glasgow Coma Scale (GCS) score was 14, and no focal neurologic signs were detected. He had no medical history of diabetes mellitus, hypertensio...
A 67-year-old female nursing home resident (Tokyo, Japan) developed gait disturbance and Parkinsonism symptoms at the age of 54 years. After 3 years, her Parkinsonism symptoms worsened; moreover, she presented with declined cognitive function. Genetic testing yielded a diagnosis of P105L GSS. Furthermore, she had four ...
A 66-year-old man with a history of infiltrative vesical carcinoma treated with intravesical immunotherapy 13 years previously was referred for recent-onset pain in the pelvic girdle. Pain was assessed by a visual analog scale (VAS) at 8/10 and was much increased with walking, which was limited to a short distance and ...
This case involves a 79-year-old female G5P3023 who presented with Clostridium perfringens sepsis. She was in her usual state of health until two days prior to admission to an outside hospital with mental status changes and low back pain. She had fevers and her family reported that she seemed confused and was slow in r...
A 28-year-old male was referred from a primary-level hospital to the University Teaching Hospital (a tertiary-level hospital located in the city of Lusaka, Zambia) for adult onset of malnutrition. The patient had a history of generalized body swelling for 6 months. He also had loss of appetite and watery diarrhea (five...
A 60-year-old female presented to the Emergency Department (ED) with a complaint of left abdominal pain for the preceding two months. She stated that the pain was moderate in intensity and radiated to the midline with no aggravating or alleviating factors. She also complained of vaginal bleeding, intermittent dysuria, ...
An ill-appearing 19-year-old male with the one-year history of asthma presented to the emergency room with non-specific symptoms including fatigue, dyspnea, numbness in the right leg, nausea, vomiting, and dizziness. Two months prior to presentation, he had a sinus surgery and within few days after this surgery, he dev...
A 52-year-old female was referred to our hospital with the diagnosis of LAM. She had pneumonia 3 months prior to admission. The diagnosis of myxoma was made during the workup of shortness of breath that persisted despite the treatment of the pneumonia with antibiotics. The patient was a heavy smoker. On admission the p...
A 21-year-old male without any notable past medical history presented to our hospital with numbness in the left upper extremity. Symptoms emerged a few months before the patient presented at our hospital and had been gradually deteriorating. Upon admission, a neurological examination revealed bilateral abducent palsy w...
A 57-year-old Ukranian male with a 45-year history of smoking but no other medical history presented in August 2008 complaining of months of intermittent abdominal pain, diarrhea, and a 40 lb weight loss. His symptoms presented over the course of 1 year. His diarrhea was initially evaluated and attributed to gastroente...
A 67-year-old man from India, who was recently diagnosed with latent tuberculosis, presented to an outside hospital and was admitted for six days with generalized fatigue and hypotension. On presentation, he reported a 2-week history of generalized fatigue with systolic blood pressures in the 60s, as recorded at home. ...
A 62 year old gentleman came to the surgical out patient with complaints of abdominal discomfort, occasional left sided abdominal pain for the past 15 days. He had decreased appetite, projectile vomiting, no dyspepsia, no history of fever and bowel habits were normal. On examination, a large mass of 10 × 8 cm was palpa...
A 48-year-old man with ESRD secondary to diabetic nephropathy was admitted for initiation of renal replacement therapy. He had undergone 36 cycles (36 hours of 1 L/h cycle) of acute PD, through a temporary PD catheter inserted through the infra-umbilical approach, at another center 10 days prior and presented to us for...
A 45 y/o man with a history of asthma and migraines presented to the neurology clinic in 2000 complaining of a 10-year history of progressive muscle cramps that initially affected his jaws and forearms but subsequently involved his neck and all of four limbs. He also reported a 10-year history of tremors in his upper e...
A 53-year-old Caucasian male with past medical history of hypertension and hiatal hernia was brought to the hospital for evaluation of nausea and severe sharp chest pain. Chest pain was located retrosternally, radiating to both arm and back followed by episode of syncope.\nPatient's vitals revealed tachycardia with hea...
A 38-year-old man presented to the Department of Orthopedic Oncology of the First Affiliated Hospital of Nanchang University (Nanchang, China) with the chief complaint of a painless mass in the right lower limb that developed over a period of 16 years. The patient appeared projections without apparent inducement at the...
A 46 year old Caucasian man with a previous diagnosis of stage T4b melanoma of the scalp 8 months prior, presented with a 2 week history of left hemiparesis and headaches (Fig. a). Magnetic resonance imaging (MRI) demonstrated 5 hemorrhagic metastatic brain lesions. Given his subacute hemiparesis and the presence of a ...
We present the case of a 77-year-old ambulatory man with hypertension, sarcoidosis, complete atrioventricular block status post-pacemaker implantation, chronic kidney disease due to FSGS, and right facial nerve paralysis, who presented with sporadic gait and right face numbness. He was diagnosed with sarcoidosis by bio...
A 20-year-old right-hand-dominant and otherwise healthy female student presented with protrusion of the left upper back and left periscapular pain that occurred after sport activities. Ten months previously, the patient had been seated in the left rear passenger seat in a car that was hit in the left side by another ca...
A 49-year-old man, an amateur long-distance runner for 10 years, healthy and with no history of diseases, with positive results of periodic health examinations, had been suffering only from frequent headaches of unknown organic cause since early childhood. He had not suffered from any significant cardiac diseases apart...
A 26-year-old Vietnamese primigravida, with no relevant medical, psychosocial or family history of morbidity, toxic exposure or abnormalities, after 1 year of marriage was informed of pregnancy at 7–8 weeks of gestation. The expected time for labor was October 1st 2011. First ultrasound screening at 12–13 weeks of gest...
A 46-year-old female presented to the orthopaedic outpatient clinic of our level 1 trauma center one month after sustaining bilateral femur fractures in a motor vehicle accident. These injuries were treated at an outside hospital by locked plating of the right distal femur fracture, and by antegrade intramedullary inte...
This is a case report of a 41 year old male patient who suffered a knife inflicted injury to the face. He was referred to our department 20 months after the incidence complaining of persistent discomfort with downward gaze of the left eye. He reported being agitated and feared a possible sight-threatening condition aft...
A 22-year-old man, weighing 65 kg, was admitted to our hospital to evaluate a murmur in the routine examination. He had complained of mild shortness of breath on physical exertion for one month. Physical examination on admission revealed a systolic murmur in the left para-sternum, trans-thoracic echocardiography showed...
Patient 1. The proband is a 25-year-old Egyptian male who was referred to us because of progressive diminution of vision, hearing loss, and change in facial features during the last years. The patient is the offspring of first cousin parents. There was history of two older female siblings who died at the age of 4 month...
A 4-year-old boy, born in Zhejiang Province of China, was admitted to Yuying Children's Hospital affiliated to Wenzhou Medical University in June 2014 with complaints of productive cough accompanied with high fever for 5 days. He was the first-born child to unrelated healthy parents, born at 38 weeks of gestation after...
A 69-year-old male was admitted to our hospital with a history of pain in the back and progressive muscle weakness of lower limbs for the last 1 week and decreased urine output for the past 3 days and breathlessness for 1 day. He did not have any history of fever, rash, joint pain, altered sensorium, chest pain, or cou...
A 17-year-old female with a known history of type I diabetes mellitus (DM) and hypercholesterolemia presented with an acute alteration of mental status. She was in her usual state of good health until her mother reported that she started complaining of headaches for two weeks. These headaches were intermittent and asso...
A 6-month-old baby girl, a product of a monozygous twin pregnancy and vaginal delivery, was referred to the plastic surgery department with a large right-sided craniofacial mass. The mass was noted immediately at birth and had slowly grown. The mass did not cause respiratory obstruction and did not obscure the visual f...
A 12-year-old boy presented to the Cornea Clinic of our hospital with a conjunctival mass lesion on his left eye, which had developed over the course of a few weeks. During a slit lamp examination, the lesion was found to be lobulated with corkscrew vessels that infiltrated the temporal, nasal, inferior and superior bu...
A 48-year-old white male presented to the clozapine clinic for routine follow-up and monitoring. The past medical history was significant for schizoaffective disorder; tobacco use disorder; constipation; vitamin D deficiency; and metabolic syndrome characterized by obesity, dyslipidemia, and prediabetes. Current medica...
The patient's clinical history started when she was 13 years old and presented with a generalized tonic–clonic seizure, which lead to a magnetic resonance imaging (MRI) of the brain with the subsequent diagnosis of multiple intracerebral CVs: a left frontal intraparenchymal one (35 mm in diameter) and a left posterior ...
A 48-year-old woman was admitted to the Epilepsy Center in July 2005 because of refractory seizures. Seizures began when she was 22 years old, after a bus accident while she was going to work. The bus crashed into a motorcycle, with no loss of awareness. Once outside the bus, she remembered her face was covered with bl...
A healthy 11-year-old girl was presented to the National University of Malaysia (UKM) Paediatric Dental Clinic with a referral for further management of pulp necrosis of an immature lower right second premolar (tooth 45), secondary to the fractured tubercle of dens evaginatus. Two weeks earlier, she had treatment at a ...
The patient was a 25-year-old male who was admitted to our hospital (Henan Provincial Chest Hospital) in August 2019 with “a mass in the right lung, which had persisted for more than 10 years and had chest tightness as well as shortness of breath for more than 1 month.” In July 2009, the patient presented in a local ho...
A 10-year-old female patient presented with complaint of a painless facial swelling for about 5 years. According to her parent, the swelling started as a small roundish and hard mass around the area below the right eye. It gradually, but consistently increased in size resulting in severe facial deformity. There was no ...
A 27-year-old male was admitted to hospital emergency due to 4 h of chest pain in 13 January 2016. In fact, he had suffered from fatigue after activity for more than 10 days and felt chest tightness and chest pain for 4 days before admission. The patient, a taekwondo trainee, had a healthy body, and his family history ...
A 43-year-old previously healthy Sri Lankan Sinhala man was admitted with an acute febrile illness lasting for three days. He had high fever associated with severe myalgia, arthralgia and headache. He also had vomiting associated with a severe loss of appetite for two days. There was no photophobia. He did not complain...
A 32-year-old healthy female presented to a clinic (LS). The main complaint was severe pain in right temporomandibular joint (TMJ) region, right ear, mouth opening limitation, and asymmetrical of the face. The patient reported that she was born at full term by spontaneous vaginal delivery and no perinatal problems and ...
A 57-year-old Caucasian woman was originally diagnosed with invasive ductal carcinoma in her right breast in February 2011 (ER-positive, PR-positive and HER2-negative). She was also diagnosed as carrying a mutation of BRCA 2. The patient underwent bilateral mastectomy and right-sided sentinel lymph node biopsy with 1 o...
The patient is a 57-year-old male with an extensive smoking history who underwent right upper lobe lobectomy in May 2012 for a clinical stage I adenocarcinoma of the lung. He was found to have microscopic ipsilateral mediastinal adenopathy. He received adjuvant chemotherapy with pemetrexed and cisplatin followed by rad...
A 36-year-old woman with history of bipolar disorder was found unconscious surrounded by multiple mood-stabilizing medications. She was tachycardic, febrile up to 107 °F, with Glasgow Coma Scale score of 3. She was intubated and admitted to medical intensive care unit for further management and cooling protocol. Comput...
A 45 years old female was admitted for nausea, vomiting and anorexia, and this had all started 6 months previously. For her past history, she was diagnosed with hypertension 10 years ago, she was diagnosed as having IgA nephropathy 5 years ago and she was taking beta-blocker, Cozaar and angiotensin converting enzyme in...
A 62-year-old male, married, retired, with type 2 diabetes for more than 15 years, background to rheumatoid arthritis and myocardial revascularization, with no history of using alcohol or tobacco, without neuropathy, feeling pain in right foot which showed signs of dry necrosis in the plate and in the digital pulp of t...
Our patient is a 19-year-old girl, with a long surgical history of multiple complicated abdominal surgeries. She was diagnosed with Primary Hyperoxalosis for which she underwent same setting liver and kidney transplant. A few years afterward, she was diagnosed with intestinal type diffuse large B-cell lymphoma. After t...
A 12-year-old male patient visited our polyclinic with complaints of pain and swelling in the left knee. His medical record showed the pain had started after an impact to the lateral side of the left knee while playing football 2 months ago. Radiological and clinical examinations of the traumatic area were performed. W...
The patient is a 39-year-old woman without any comorbidities, G1 P1. She came to hospital with a chief complaint of “a watery vaginal discharge for 9 months”. She had regular menstrual periods, with a menstrual cycle of 5–7 days/30 days, moderate menstrual flow and no dysmenorrhea. She had one vaginal delivery in 2005,...
A 48-year-old Sinhalese man with myasthenia gravis was presented to the department of radiology of a tertiary care hospital for upper gastrointestinal (GI) contrast study, for further evaluation of progressive dysphagia. Myasthenia gravis was diagnosed in May 2016 and he underwent thymectomy in November 2016 for thymic...