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A South Indian girl aged 14 years reported with her mother to the Department of Pedodontics and Preventive Dentistry with the chief complaint of loss of upper-left front teeth two days back due to a fall from the staircase and the girl was taken to a private hospital where she had been given medication for pain relief....
The patient was a 12-year-old male who had his first seizure attack at the age of 10, and had four types of epileptic seizures. The first type of seizure was tonic axial seizures characterized by flexion of the neck and body and the extension of four extremities for several seconds. The tonic seizures could last severa...
A 36-year-old Caucasian woman was evaluated with chief complaint of gluteal pain radiating to her leg. Her medical history was remarkable with gunshot injury to the affected leg with multiple pellets dispersed into her pelvis and proximal part of the thigh, as shown in Figs. and . She had gunshot injury 20 years ago. S...
A 50-year-old woman was diagnosed with chronic kidney disease. An attempt was made to place a central venous catheter via the internal jugular vein with ultrasound guidance. A left-sided temporary double-channel hemodialysis catheter (Quintiles, Durham, NC, USA) was inserted by using the subclavian vein, but it did not...
We report the case of a 31-year-old Caucasian woman, gravida 3, para 1, who was referred after a second trimester fetal anatomy screening at 20 weeks gestational for a suspicion of a complex fetal cardiac malformation, for which several specialized opinions tried to reach consensus.\nThe obstetrical history of the pati...
A 58-year-old African American male presented to the Emergency Department by ambulance complaining of a constant, sharp, and worsening midepigastric pain that radiated posterior for approximately 30 minutes. The pain was perceived to be 10 out of 10 and was described as an inflated balloon that was squeezing from the i...
The patient is a 72-year-old Caucasian female with history of T4 N0 M0 squamous cell carcinoma (SCC) of the right floor of mouth and mandible.\nThe patient had a right segmental mandibulectomy and fibula-free flap reconstruction 4 years prior to the events of this case report (Fig. ). Three years following reconstructi...
An 18-year-old female patient with no past medical, surgical, or obstetric history, on no medications, presented to the emergency department (ED) with a chief complaint of left lower extremity pain. The patient described a dull, throbbing sensation that occurred intermittently, lasting from 30 minutes to 60 minutes, fi...
The patient is a 28-year old male final year medical student from the South-Eastern region of Nigeria in sub-Saharan Africa. He was declared missing for 10 days prior to presentation because his whereabouts was unknown. He was later seen in a city in South-Western Nigeria, a distance of about 634km from South-Eastern N...
A 35-year-old gravida 6, para 5 mother who is 38-week pregnant from last normal menstrual period has presented to Tercha General Hospital (a rural hospital in Southern Ethiopia). The patient is referred from a health center 60 kms far from this hospital for suspected “big baby” in labor. The patient was an illiterate h...
A 68-year-old asthmatic male patient presented to our center with 12 days history of melena. He denied any previous episode of melena or hematochezia or bleeding from another site. The patient did not have any other associated symptom, and had no other co-morbidities, or medication use. Upon referral, he was uncomforta...
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 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 10-year-old girl presented with a 2-day history of constant right-sided flank pain with intermittent episodes of increased intensity. Movement and laying supine exacerbated the pain, whereas some relief was found with paracetamol. There was no trauma to the area, but the patient reported playing netball shortly befor...
A 17-year-old female was admitted to the hospital due to severe suicidality. At the time of admission she complained about an irritating feeling in her nose, which made her constantly grimace in the area around the nose. She was excessively worried about having a serious illness of her nose (secondary hypochondriacal d...
A 56-year-old female presented initially with complaints of intermittent dysphagia and a 15 lb. weight loss. The patient’s family history was significant for lung cancer in her mother while past medical history comprised primarily of hypertension, hyperlipidemia, and hypothyroidism. In addition, she also reported a 15-...
A 79-year-old male was transferred to our hospital for management of his community-acquired pneumonia, pneumothorax, and increasing respiratory distress. The patient had a past medical history of hypertension, hyperlipidemia, and atrial fibrillation for which he was taking Coumadin blood thinner and had a pacemaker. He...
The patient was a 46-year-old man with a history of recurrent cough, expectoration, and a 3-year history of progressive dyspnea. Before admission to our hospital, he was diagnosed with chronic bronchitis and bronchiectasis at other hospitals and had received antibiotic treatment numerous times. Despite antibiotic treat...
The patient, a 38-year-old female, visited the Oral Implantology Unit in conjunction with the Oral Rehabilitation Unit of the Universidad de La Frontera for problems she had detected in the installation of a singular fixed prosthesis in implants that had previously been installed by other professionals.\nThe clinical e...
A 47-year-old man with no history of any autoimmune diseases and in good health became sick together with his family on the 12th of November with mild symptoms of a flu-like disease: tiredness, fever, cough, and sore throat. Oropharyngeal swab for SARS-CoV-2 tested positive on the 17th of November. The patient was isol...
A 6-year-old boy was referred to the Department of Prosthodontics from the Department of Pediatric Surgery for the prosthetic rehabilitation of an enucleated right eye []. The detailed anamnesis and careful study of the records revealed that the patient had reported to the Department of Ophthalmology with the loss of v...
A 31-year-old gravida 2 with twins, para 1, was referred to the University Medical Centre Ljubljana because of spontaneous membrane rupture at 32 weeks gestation after an uncomplicated pregnancy. After admission US revealed polyhydramnion and severe NIHF in geminus A. Due to life threatening condition also for healthy ...
A 17-year-old male presented with a one-week history of abdominal pain and dysuria. He described the abdominal pain as sharp and localized to the infraumbilical and right inguinal regions. He reported a decrease in appetite. He lost approximately 15 kg over the preceding five months. He had no fever. He had normal bowe...
A 14-year-old female patient reported with chief complaint of discoloration and pain in right upper front tooth since 10 days. Pain was dull and intermittent in nature. Past medical history was non-contributory. Past dental history revealed trauma to primary central incisors and right lateral incisor 10 years back, aft...
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 40-year-old woman with a mass in her breast and without any specific medical history underwent right muscle-preserving radical mastectomy and level III lymphadenectomy. A pathological study indicated that the mass was an infiltrating duct carcinoma and that there was extranodal invasion. Therefore, she was treated wi...
A 55-year-old man with no significant past medical history presented to us with 1 month history of aimless wandering movements of his left hand. He said that he felt that his left hand was not under his control. It would act on its own will, in form of levitation of the arm, purposeless groping of objects in the surrou...
A 2 years 6 months old girl presented with a week’s history of paraplegia and defecation difficulties. The history started two months prior to referral to our hospital with a trivial fall at home on the stairs, in which she managed to break her fall with her hands. There was no trauma to her head, chest, back or pelvis...
A 32 year old man presented to us with a 12 month history of infection around his lower right tibia and ankle. There was no history of fracture; rather, the infection was attributed to a soft tissue injury sustained after impact with a concrete bollard whilst running. Before presentation to us he had undergone incision...
A 71-year-old African American woman with a past medical history of uterine cancer and no medical history of diabetes mellitus presented after a ground-level fall and a syncopal episode. She was initially admitted to the trauma service but transferred to the internal medicine service after being cleared by trauma. Her ...
A 41-year-old man was hospitalized with severe scar contracture due to flame burn injury to neck and chest three years ago. After undergoing several surgeries, his contracture got worse. He developed severe scar contractures involving neck, face, anterior chest, and both shoulders including upper arms leading to severe...
An 18-year-old female was born with congenital pseudoarthrosis (CPT) of the right tibia with neurofibromatosis. She underwent three unsuccessful surgeries before presenting to us as Type 1 infected non-union [] of tibia with shortening at the age of 18 years. She had neurofibromatic nodules all over the body including ...
A 59-year-old woman presented to our outpatient department with complaints of fever and loin pain of one-week duration. She had no previous history of hematuria or loin pain and denied any history of recent instrumentation or catheterization. She had no comorbid diseases. General and systemic examinations of the patien...
An 8-years-old boy was admitted in our tertiary care hospital with painful swollen and stiff left knee joint for last 15 days. He sustained trivial injury and did not inform about the incident to his parents and carried his daily activities for 7 days after which he developed fever with painful swelling of the left kne...
A 54-year-old male presented with masses on his left arm and axilla. The axillar mass was 12 × 7 cm and the mass in the proximal lateral humerus was 6 × 5 cm. His symptoms had started a number of years prior. Before the initiation of these symptoms, he denied having any significant medical problems. He had a history of...
A 40-year-old male patient was hospitalized for intermittent abdominal pain spanning several months. He was diagnosed with von Recklinghausen's disease (VRN) at age 10, with neurofibromas involving the skin over the abdomen. His aunt had the same multiple, pigmented skin lesions, but without abdominal symptoms (no biop...
The patient was a 54-year-old female with chronic severe right anterior and lateral leg pain with radiation above the knee and mild low back pain. Her pain score was 8/10 in the numeric rating scale (NRS). Prior to visiting our clinic, she had been diagnosed with multilevel lower lumbar degenerative changes, including ...
A 73-year-old female patient visited the hospital due to left-sided hemiparesis. She did not have a family history of stroke and had been taking antihypertensive medication for the past 10 years and angina medication for the past 6 years. She had a chronic headache for past few years. She had frequent headache with nau...
A 25-year-old Saudi female, who is medically free, presented to our emergency department complaining of a mass in the mons pubis. The mass was occasionally tender and had rapidly increased in size in two-week duration. No other complains or masses at other sites were reported. On clinical examination, an ill-defined so...
A 58-year-old woman with hypertension, coronary artery disease, and chronic obstructive pulmonary disease and surgical history of appendectomy, cholecystectomy, and hysterectomy had been transferred from another hospital's vascular surgery service because of short-distance claudication and pain at rest. A chest compute...
A 21-year-old male involved in a motorcycle crash presented to a Level 1 trauma center. He was helmeted and arrived in hemodynamic shock. Intubation was performed for airway protection and respiratory distress. The only visible injury was a fracture deformity to his left hand. An initial chest radiograph (CXR) demonstr...
A 46-year-old nulliparous woman visited our hospital due to progressive lower abdominal pain. Sonography revealed uterine myomas of size 4.4 cm × 3.5 cm and 5.5 cm × 5.3 cm at the anterior and posterior walls, respectively. She underwent laparoscopic supracervical hysterectomy in May 2013 []. Laparoscopic observation r...
A 64-year-old woman with a past medical history of Grave’s disease presented to the hospital complaining of sudden onset of facial and bilateral arm swelling, as well as "bruising" in her neck, abdomen, and arms, all of which she developed over a few days. Further, the patient reported fatigue, neck tightness, and dysp...
A 50 year old male from a VL endemic village of Bihar presented to the OPD of this institute in August 2007. He had fever with weakness and pallor of about 3 months duration. The fever was associated with chills. He also complained of frequent loose motions in the last 6 months and had lost about 7 kg of weight. He had...
An asymptomatic 56-year-old man attended our institution for a routine follow-up of his pacemaker, implanted 20 years earlier for syncope and paroxysmal second-degree AV block with a 2:1 conduction. At that time, an electrophysiological study was performed showing an AH interval of 114 ms and a HV interval of 42 ms for...
The proband was a 34 year-old right-handed man. From the age of 26 years, involuntary movements of the bilateral lower limbs, associated with dysarthria, grinding teeth and drooling, appeared and gradually worsened. At 31, he suffered from epileptic seizures, which were considered to be generalized tonic-clonic seizure...
An 80-year-old woman presented with a history of intermittent, severe epigastric pain. Over the preceding 5 months, she had less severe and self-resolving epigastric pain 15–30 min after every meal. The full blood count, serum biochemistry values, and C-reactive protein level were within normal ranges. Additionally, ar...
A 15 year old Caucasian girl of Dutch ancestry was admitted to the pediatric critical care unit for the management of her first episode of status epilepticus. She was the first child of non-consanguineous parents (). Pregnancy and delivery were uneventful and early development was reportedly normal.\nDespite control of...
An 18-year-old man was referred to our hospital in 2019 with a complaint of a painless mass in the left palate. The patient was aware of the swelling in his right palate for approximately 2 years. However, he noticed a recent and rapid increase in the swelling. Hence, the patient initially consulted a general dental pr...
The patient was a boy aged 2 years and 8 months when first admitted to the hospital due to palpable left-side abdominal mass. Needle biopsy and pathological examinations diagnosed the patient as neuroblastoma with poor differentiation. No migration to the bone marrow was detected. Computed tomography (CT) revealed mult...
A 67-year-old, Caucasian male with a history of a modified Bentall procedure and an implantable cardiac defibrillator (ICD) presented to our outpatient clinic due to recurrent shocks. Surgery had been performed 24 years prior due to an aortic root type A aneurysm and severe aortic regurgitation with a bicuspid aortic v...
A 65-year-old male positive for hepatitis C virus antibody had been treated for HCCs in the liver segments 5, 6, 7, 8 in our hospital since October 2014. The patient was initially treated for the ruptured HCC in the segment 5 with TACE, while subsequent examinations detected other HCCs in segments 6, 7 and 8 which were...
A previously healthy 35-year-old woman who had no history of radiation exposure was brought to our institution after complaining of severe headache and left monocular blindness. Her consciousness level on arrival was E1V4M5 on Glasgow Coma Scale. Brain computed tomography (CT) revealed a diffuse SAH with a central low ...
Our patient is a 42-year-old male who initially presented to an outside hospital six years ago with hematemesis and subsequently diagnosed with upper gastrointestinal bleeding from esophageal varices and treated with endoscopic banding. At that time, he was diagnosed with portal hypertension secondary to acute portal v...
A 28-year-old male patient who lost his right ear in an electric burn reported to the Department of Prosthodontics, Saveetha Dental College and Hospital, for further treatment. Examination and history revealed that the patient had suffered from electric burns with scar formation, but some rudimentary ear was present in...
A 24 year-old female, teacher by profession, with normal birth and developmental history, presented with a history of generalized tonic clonic seizures since three years and frequent episodes of bizarre posturing of limbs followed by unresponsiveness since one and half years.\nShe was well until three years back when s...
This is a 53-year-old female patient with a 1 year and 5 months’ history of primary right bronchial lung cancer with bilateral pleural and bone metastases. Her tumor was a poorly differentiated adenocarcinoma, peripheral type, with localized sarcoma-like changes. Genetic testing suggested the presence of epidermal grow...
A 36-year-old female was referred to our emergency room by her homeland local hospital in Cape Verde (West Africa), with complaints of headaches and diminished vision over the last 4 months. On neurological examination, she had impaired visual acuity (right eye: 6/10; left eye: 7/10) and bilateral papilledema. No other...
A 58-year-old male was diagnosed with left maxillary sinus squamous cell carcinoma and underwent a surgical operation in September 2013. He complained of nasal obstruction, facial swelling and intermittent epistaxis three months later. Dark red neoplasm located in the patient left nasal cavity was observed. CT scan sho...
A 65-year-old male patient, known hypertensive on regular medication, weighing 96 kg, height 167 cm, body mass index (BMI) 34.5 kg/m2, with no other known comorbidities was admitted with complaints of swelling, approximately 10 × 8 cm size over the lower abdomen, which was diagnosed as umbilical hernia. The patient was...
A 31-year-old gravida 4 para 0 African American woman at 22-weeks gestation presented with vaginal bleeding to an outside hospital. Her obstetric history was significant for 2 therapeutic abortions and 1 spontaneous abortion. During prenatal care, the fetus was noted to have a unilateral dysplastic kidney. The patient’...
A 36-year old woman was referred to a tertiary unit at 29+5 weeks of gestation due to fetal cardiomegaly and mild ascites (Fig. a, b), which was detected on a scan undertaken for suspected small for gestational age. The woman was nulliparous with a low-risk first trimester combined screening test and unremarkable anoma...
A 56-year-old male presented to the emergency department (ED) with significant substernal chest pain starting 30 minutes prior to arrival. The patient was immediately brought back to an exam room after an electrocardiogram (ECG) was performed and was seen by a provider within 10 minutes of registration (Figure ).\nThe ...
A 41-year-old Asian man was transferred to the Center of Trauma Surgery in our hospital 6 hours after injury for the closure of an open infected wound with a large skin defect in his right lower limb caused by an accidental explosion of 100 pieces of a blasting cap. Hemostasis of the wound was achieved by applying pres...
A 65-year-old male presented with a three month history of progressive left hip pain. His past medical history was noteworthy for a non-ischemic cardiomyopathy for which he underwent a heart transplant ten years prior to presentation. He had a history of osteoarthritis for which he had undergone bilateral hip replaceme...
This is the case of a 37-year-old, primigravid woman who underwent spontaneous vaginal delivery. She was deemed to be well before labour with an uncomplicated pregnancy having walked to the delivery unit that morning. She had a normal blood pressure throughout pregnancy as well as in the postpartum period.\nDuring labo...
This is a case of a 40-year-old white male who presented to the Behavioral Health Services Pharmacy Clinic for initiation of a benzodiazepine taper. His anxiety had been well controlled for 14 years on venlafaxine XR 150 mg by mouth once daily and clonazepam 1 mg by mouth twice daily, and these were the only medication...
An 18 year old Saudi unmarried male student had been attending the ophthalmology clinic for posterior uveitis for the last few weeks. He was also followed in urology clinic for testicular pain with benign hypo-echoic lesions, presumed to be trauma related, for the last few months. He presented to the emergency room wit...
The liver graft was from a young male patient, 20 years old, who weighed 57 kg, was 1.78 meters tall, and had a body mass index (BMI) of 18 kg/m2. He was admitted to a general hospital with a subarachnoid hemorrhage and intracranial hematoma on the left side, and he suffered brain death. He had a previous pathological ...
This is a 45-year-old male patient with the diagnosis of squamous carcinoma of the tongue originally manifested as oral leukoplakia in the right lingual area, treated with laser vaporization for several years. A head and neck MRI revealed tumor-related lymphadenopathies. Due to the extension of his disease, the patient...
A 53-year-old Asian female was referred to the contact lens service by her oculoplastics surgeon for evaluation of severe dry eye in the left eye. She had a prior ocular history of LASIK surgery in both eyes and recent diagnosis of adenoid cystic carcinoma (ACC) of the lacrimal gland. A few months prior to presentation...
A 50-year-old woman visited the emergency room of our hospital for altered mental status 1 week after PTBD. She had a history of gallbladder cancer, which required cholecystectomy, liver wedge resection, and hepaticojejunostomy. The final pathologic stage was T2N0M0. Despite 3 courses of postoperative chemotherapy, end...
Our patient was a 46-year-old Caucasian woman when she first noted a mass in her right breast in 2015. A screening mammogram at that time showed scattered fibroglandular densities as well as a skin lesion in the inner right lower quadrant of her right breast, categorized as a BI-RADS 2. No further work up was performed...
In August 2010, a 57-year-old Chinese male presented with epistaxis and decreased hearing for 1 month. No additional symptoms, such as a neck mass, nasal obstruction, headache, diplopia or other cranial nerve palsies, were noted. The patient had no history of previous or synchronous tumours or any family history of can...
An 82-year-old woman presented as a transfer from an outside facility with painless, obstructive jaundice. She observed yellowing of her skin, poor appetite, and fatigue for two days, as well as dark brown urine. She was otherwise healthy and independent at home. She did not smoke and had no family history of malignanc...
A three month old male infant with para-articular calcification was referred to the paediatric endocrinology department of our hospital. The patient’s history revealed referral to the neonatology clinic at age 17 days because of arthritis in the right hip which had been noted in the first week of life. The infant was t...
A 63-year-old Chinese male with end-stage renal failure secondary to reflux nephropathy had been undergoing continuous ambulatory PD for the past two years. He had an episode of PD catheter exit-site infection with Staphylococcus aureus and Corynebacterium species a year ago that was treated with antibiotics. He first ...
A 63-year-old woman, known case of chronic renal failure was admitted to the hospital for urgent dialysis. Her serum creatinine was 1444 μmol/L, and her blood urea nitrogen was 48.7 mmol/L. Her serum potassium was 6.2 mmol/L. She was mentally retarded with aggressive behavior. She had had dialysis catheter placed many ...
A 17 years old female, presented with complaints of headache and episodes of vomiting for 16 months duration. She also had amenorrhea, excessive weight gain, and memory lapses for one year. She was initially evaluated at another hospital and her MRI scan of the brain was done in December 2006, which showed an ill-defin...
A 66-year-old female with a past medical history of hypertension, hypothyroidism, and gastroesophageal reflux disease presented to an outside hospital with abdominal bloating and discomfort. An ultrasound performed at her initial presentation noted a large left upper abdominal mass. She was referred for a whole body po...
A 56-year-old African woman presented with symptoms of severe abdominal pain and brownish foul smelling vaginal discharge that had lasted for one month after UAE. She had associated symptoms of nausea and persistent vomiting but reported no fever or any other flu like symptoms. She had an associated nonproductive cough...
A 29-year-old male complaining of bilateral forearm tingling and bilateral upper extremity weakness visited the outpatient clinic of our department.\nHis primary symptoms were bilateral forearm tingling and pain. These symptoms began 6 mo prior to the visit. Within a few days, bilateral upper extremity weakness also be...
A 56-year-old male without any previous medical history presented to our emergency room (ER) with multiple traumas from a 10 meter fall in a construction field. Physical examination revealed a male patient with a body mass index in the normal range and an acutely ill looking appearance. His right lower leg and ankle we...
A 30-year-old male of asthenic build presented with the complaint that fecal matter was coming out through an opening in the right iliac fossa region of his abdomen for the past 6 months. Initially, he had developed a swelling in the skin of the right iliac fossa over the scar of an appendectomy done 14 years back. The...
A 66-year-old man presented to the emergency department after being struck by a cyclist. He complained of left-sided chest, shoulder/hip pain, and post-traumatic amnesia. He had a past medical history of hypertension, hypercholesterolaemia, and chronic, residual, Stanford Type A AD, which was repaired in 2014. On exami...
A 20-year-old man farmer whose family lived in a rural area healthy, nonsmokers no history of any drug taken without any congenital anomalies were admitted to our hospital with sudden-onset pain, absent pulses, paresthesia, and the pallor of the right lower extremity that had begun two hours before admission while he w...
This is the case of a 57 year old female who presented to the surgical clinic with a one month history of attacks of right upper quadrant abdominal pain, nausea and vomiting. An abdominal ultrasound demonstrated the presence of cholelithiasis and biliary sludge. The patient was diagnosed with symptomatic cholelithiasis...
A 22-year-old female patient reported with chief complaint of esthetic and functional inadequacy of teeth. Patient complains of discolored, irregular front teeth and carious teeth [Figures and ]. The patient gave a history of gradual wearing away of teeth and increased sensitivity in his back teeth. During last couple ...
A previously healthy 25-year-old White man presented with a 1-year history of blurred vision in the right eye, headache, and weight loss of about 30 kg. On physical examination, he had a body mass index of 28 kg/m2 and visual field defects in the right eye. Initial MRI showed a lightly spotted heterogeneous 19 × 16 × 1...
A 48-year-old African American woman with a past medical history of autoimmune hepatitis and possible overlap syndrome with primary sclerosing cholangitis status post multiple stent placements and endoscopic retrograde cholangiopancreatography (ERCP) presented with tearing, redness, and irritation of the left eye. She ...
A 20-year-old male presented with painless right fronto-temporal forehead mass that was rapidly enlarging over a 4-week period. One month prior to presentation, our patient experienced intermittent headaches localized to the right fronto-temporal area unrelieved with analgesics. Our patient also noticed a rapid mass gr...
A 25-year-old primiparous woman was referred for tertiary specialist fetal assessment at 23 weeks’ gestation following a mid-trimester ultrasound indicating right outflow tract obstruction with pericardial effusion. Her pregnancy was previously uncomplicated. She had no significant past history. On review, a complex ep...
A 51-year-old man presented with recurrent cough following pyrethroids spraying in an enclosed area for eradication of flea. Twenty four hours after the beginning of symptoms he admitted in first medical center and partially treated for 2 days with impression of respiratory poisoning. He discharged seemingly healthy, s...
A 14-year-old 3.5 kg female spayed strictly indoor domestic shorthair cat was admitted to the Small animal clinic, Veterinary faculty Ljubljana, Slovenia, for evaluation of a facial skin lesion of approximately two weeks duration. The history and general physical examination were unremarkable, except for a small superf...
50-year-old African American woman initially presented to the emergency department with a two-week history of vague right hip and lower pelvic pain. Her past medical history was significant for rheumatoid arthritis, diabetes mellitus type 1, and hyperthyroidism status after radioactive iodine ablation. No history of tr...
A 53-year-old Caucasian female with Ehlers Danlos syndrome presented with abdominal pain and vomiting to the Emergency Medicine Department. The pain was described as aching in character, initially beginning in the left iliac fossa and radiating to the left upper quadrant. The patient was unable to keep food down and ha...
The patient, a 16.3 year-old girl, was in excellent health, both physically and emotionally, with no known adverse drug reactions or allergies and good oral hygiene. The major concern of both the patient and the referring general dentist was the persistence of several deciduous teeth. Possible systemic, endocrine, meta...
A 35-year-old lady with a known history of controlled hypertension, avascular necrosis of the right hip, lupus nephritis status post cadaveric renal transplant in 2014, with chronic graft rejection, and a history of abdominal pain that was attributed to an abdominal wall hematoma diagnosed previously by ultrasound (US)...
A 44-year-old, single, woman presented to the chiropractic office with ongoing headaches of 2-year duration. Her headaches were on a daily basis and varied in intensity. The pain was described as disabling, going across the forehead, to her nuchal area and right shoulder. She could not maintain daily activities without...
A 62-year-old male patient had a mass in his right lower abdominal wall for more than 50 years. He sought treatment due to its progressive growth for 2 years with ulceration and pus for more than 3 months. The patient found a subcutaneous mass on the abdominal wall with no obvious cause more than 50 years ago. The size...