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A 19-year-old Japanese woman underwent root canal treatment on tooth #47 by a general practitioner in 2005, but dull pain persisted after. Tooth #48, which was horizontally embedded, was extracted in August 2010, but the pain continued. In August 2015, she presented at the Department of Oral Surgery of another hospital... |
A 38-year-old woman, who had undergone correction of congenital supravalvular aortic stenosis at 8 years of age, developed progressive exertional dyspnea and chest pain for more than a year prior to the current presentation. Electrocardiogram-gated contrast-enhanced computed tomography (CT) showed stenosis in the ascen... |
The patient was a Colombian 2-year-old female infant who was a product of non-consanguineous pregnancy and the first and only child of the family. She was born when her father was 34 years old and her mother was 30 years old. She had a family history of seizure syndrome and febrile crisis from the maternal lineage with... |
A 38-year-old previously healthy African-American female presented with an enlarging inner left cheek mass with overlying ulcer of 2 months duration. A computed tomography scan with contrast demonstrated a large irregularly outlined peripherally enhancing mass located between the anterior margin of the ramus of the lef... |
A 58-year-old white female presented to our cancer center for worsening metastatic disease due to a well-differentiated neuroendocrine tumor (NET) in the liver, despite four cycles of chemotherapy. Prior to her referral, she had initially presented to an outside hospital with abdominal pain, nausea, and vomiting. She d... |
A twenty-one-year-old male patient (40 kg and 190 cm) was diagnosed with MNGIE in 2009 after being evaluated in the neurology clinic with energy loss, foot-drop, difficulty swallowing, and weight loss. In 2011, TPN was initiated through central venous catheterization (CVC) because he had undergone duodenojejunostomy op... |
A 46-year-old healthy female patient was evaluated at our institution for a perirectal mass of unknown etiology. Her past medical history was unremarkable. The patient reported a perineal mass in the standing position. Her only other symptom consisted of mild occasional dysuria. Rectal and vaginal examinations were nor... |
A 51-year-old man was referred to our hospital to treat both his lower limbs for rest pain due to CLTI. The patient had a significantly reduced heart function (ejection fraction of 13%, ), severe mitral regurgitation after myocardial infarction, and ESRD on regular dialysis due to diabetic nephropathy. His walking abil... |
We report the case of a female patient, 1.55 m, 49 kg, 25 years old, with suggestive medical history for congenital nystagmus, severe scoliosis, and visual disability. Further information about the patient, such as past medical history, allergies, medication, and social and family history, is shown in .\nTreatment star... |
A 66-year-old male patient presented with an enlarging mass in the left maxilla (Fig. ). The mass had been present for a few weeks. An incisional biopsy revealed squamous cell carcinoma. Staging scans were undertaken (Fig. ) which demonstrated a T4N0M0 maxillary alveolus tumour in close proximity to the left orbital fl... |
We report a case of a white phosphorus burn that has a unique mechanism of injury involving a 40-year-old woman with her 7-year-old daughter who were collecting rocks on a beach in Tel Aviv. Upon returning home, the daughter washed the rocks of sand with tap water and immediately wrapped them in a paper towel. Accordin... |
In May 2008, 72 year old female was diagnosed of small cell lung cancer incidentally after she was hospitalized for anxiety and dizziness. She was hyponatremic and series of tests which included a CT scan of the chest which showed right hilar lymphadenopathy and mediastinal lymphadenopathy (Figure ). She then had a med... |
We present a 20-year-old female with athletic constitution in good health condition. She suffered trauma caused by an accident during skiing, where she jumped over a small hill border and landed in a small pit on the slope. The traumatic mechanism of the accident was a ventral-lateral (right side) collision with the so... |
A 3-year-old boy was brought to the emergency room around 3 h after sustaining an injury while playing in the fields. His right upper limb accidentally got caught in the belt of a thresher machine and was avulsed from the chest wall. The child was taken to a nearby hospital with the amputated part [Figures and ] from w... |
A 10-year-old Caucasian female, requested treatment at the Postgraduate Orthodontic Clinic of the Aristotle University of Thessaloniki. The main concern of parents and the patient was the presence of malocclusion, which created esthetic and psychological problems.\nMedical history and records revealed the presence of a... |
A 39-year-old gentleman was being treated for paranoid schizophrenia since the onset of positive psychotic symptomatology in 1996 and had been on clozapine for 7 years prior to his presentation in our cancer hospital, in the dose of 300 mg (in daily divided doses). He was also on a combination of trifluoperazine 2.5 mg... |
A 35-year-old lady was admitted through emergency intake to medical ICU for altered sensorium for the 3 days progressing to complete unresponsiveness on the day of admission. Her symptoms were preceded by fever, vomiting and headache for 1 week.\nAt the time of admission, she was stuporous and febrile (temperature 37.7... |
A 56-year-old male patient with a history of cigarette smoking, hypertension, and a familial history of juvenile sudden death presented to the cardiology outpatient clinic with a 2-week history of anterior chest pain on exertion. He had been taking a calcium channel blocker (5 mg of amlodipine) and beta-blocker (10 mg ... |
A 59-year-old jobless man presented at our hospital with a 2-month history of transient right popliteal pain when standing after squatting and while descending stairs. He was 170 cm tall and 55 kg in body weight and had not suffered from any antecedent trauma. Clinical examination of the right knee revealed a full rang... |
A 47-year-old woman in good general health, with no other co-morbidities presented with a long history of chronic right fifth toe pain for 30 years. She reported a history of injuring her right foot when playing sport for 30 years. She when landing recalled that she had twisted her right foot; moreover, the foot was no... |
A 66-year-old male presented with the left cervical and submaxillary lymph node enlargement with size of 30 mm × 30 mm. The following lymph node biopsy was completed and the pathological evaluation showed reactive lymphoid hyperplasia characterized by vascular, atrophic germinal lesions with surrounding concentric “oni... |
A 71 year-old male presented for an urgent biopsy of a lesion of Corpus Callosum on a background of clinically diagnosed intra-operative anaphylaxis for the same procedure 4 days prior, which was abandoned. Symptoms of the initial presentation, which brought the patient under the care of the Neurosurgical team, include... |
A 12-year-old female patient with Down syndrome (weight 35 kg, height 135 cm) was referred to the department of dental anesthesia for behavioral management. Behavioral management was difficult because of her congenital heart condition, and uncooperativeness due to intellectual disability and dental phobia. Her chief co... |
A 19-year-old male presented in the emergency department with one episode of melena per day, for one week. It was associated with vomiting, shortness of breath and palpitations. His hemoglobin level on initial complete blood count was 5.80 g/dL, signifying severe anemia according to WHO guidelines []. His lab parameter... |
A 38-year-old man was admitted to the emergency room with sudden-onset severe resting pain in his right arm. A year before, the patient had complained of right shoulder pain, radiculopathy of the right arm, and coldness of the right hand, and was diagnosed with arterial thoracic outlet syndrome (TOS) at that time. He r... |
We report on a 4 years and 6 months old Ethiopian boy who presented to Tikur Anbessa Specialized Hospital, Addis Ababa, with a recurrence of cough and fast breathing of five days. His respiratory complaints had been waxing and waning over the past few months and was at presentation on his 5th month of anti-tuberculous ... |
A 23-year-old female patient was referred to us with recurrent ovarian cysts after two previous operations on her ovaries. The patient underwent left oophorectomy due to acute abdominal pain caused by a left ovarian cyst rupture at the age of 19. However, 6 months later, cysts were detected in her right ovary, with the... |
A 70-year-old man had a 5-year history of bilateral knee pain, which had gradually worsened over the last one year, along with reduced walking distance secondary to bilateral osteoarthritis of the knee. He had no difficulty in daily life activities during childhood or adulthood. He had worked as a barber and had no his... |
A fifteen year old boy presented with a three day history of left sided abdominal pain, constipation and vomiting to the pediatricians. Over the preceding year he had several episodes of intermittent abdominal pain. There was no other significant past medical history. Examination revealed mild tenderness in the epigast... |
This is the case of 61-year-old African-American woman with a history of depression and anxiety who presented to the emergency room in May 2008 with an acute episode of left-sided chest pain/pressure with associated shortness of breath, diaphoresis, and an impending sense of doom lasting 2-3 minutes. There was no ident... |
The present case is about a 27-year-old woman who referred to the private dental clinic in June 2009. Her complaints were slight pain, gum swelling and bleeding on tooth brushing from the upper incisor teeth. She was also dissatisfied with the color of the anterior gingiva. Medical history of the patient was not remark... |
We report the case of a 74-year-old white woman who was hit as a pedestrian by a car moving at approximately 40 to 50 km/hour. The initial emergency physician started treatment according to standard protocols. Her cervical spine was immobilized with a stiff collar and a pelvic compression belt was applied anticipating ... |
A 62-year-old male was referred to our hospital with a protruding opaque cornea in the right eye. The patient told us that the central part of the cornea in his right eye had been opaque from his infancy but gradually began to bulge at 6 months before. At the first consultation we found that he could not blink because ... |
A 15-year-old boy was referred to our department after the failure of a conservative treatment to an OCD lesion in his left knee. He presented at his orthopedic practitioner three months before referral to our department, complaining of pain in his left knee during sports activity such as baseball. At the initial visit... |
An 80-year-old man with early Parkinson's disease suffered a basal ganglia stroke in November 2017. He was admitted under the geriatric team who commenced him on poststroke treatment and rehabilitation. Over a period of three weeks, he began to develop increasing abdominal distension with associated decreased oral inta... |
A 12-year-old Caucasian boy presented to the hospital with a four-week history of jaw pain, resulting in difficulty in eating. Upon presentation, he had developed gingivitis and bleeding gums. One week prior to admission, he developed pain in the tailbone area and noted difficulty in urinating with retention symptoms a... |
A 48-year-old lady presented with increasing confusion following a three-day history of fever, shortness of breath, and productive cough. Her background included heavy smoking, heavy ethanol use, and two prior hospital admissions for pneumonia and exacerbation of chronic obstructive airways disease.\nAt presentation sh... |
A 69-year-old male presented to dermatology clinic with stage T2b mycosis fungoides, diagnosed two years prior, which manifested as a persistent, chronic rash involving both feet, and, to a lesser extent, other sites of his body. The lesions on his feet were painful and pruritic, limiting his ability to wear shoes and ... |
A forty two year old woman with a history of bilateral breast augmentation for cosmetic reasons, presented for poor healing of the surgical site. Tissue and periprosthetic fluid removed from the wound site revealed an atypical lymphoid infiltrate (). Thereafter, the patient presented with enlargement of an axillary lym... |
A previously healthy 10-month-old boy was admitted with one week of fever, rash, and malaise. He appeared lethargic with a fever of 102 degrees F and a heart rate of 180 beats per minute. He had a purpuric petechial rash over his trunk and extremities and an erythematous bulging tympanic membrane on the right. His live... |
An 8-year-old spayed female Labrador retriever weighing 32.3 kg (71 lbs) was presented to the Iowa State University Lloyd Small Animal Hospital's Internal Medicine Service for evaluation of chronic snoring and wheezing. The dog had noticeable difficulty in breathing for three-month duration with progressing severity 30... |
The patient is a 74-year-old male with comorbidities of coronary artery disease, congestive heart failure, hypertension, and renal insufficiency who presented to an outside hospital with back pain and left upper extremity weakness associated with high fevers and urinary incontinence. Outside spinal imaging showed a lar... |
C is a 14-year-old girl who came to the emergency room in a bizarre state, with altered consciousness. It was just after spring break. Her parents came with her.\nC was living with her parents and her 16-year-old sister. C comes from an upper middle class Catholic family. Both parents are teachers in an elementary scho... |
This is a case of a 37-year-old, right-hand dominant, Malay man who presented to our Emergency Department 6 hours after he had fallen approximately 6 meters from a rambutan tree where his left arm hit the tree trunk on his way down to the ground. Post trauma, he complained of pain and swelling over his left antecubital... |
A 36-year-old man with history of asthma, hypertension, uncontrolled diabetes, and obesity presented with sudden onset of redness and swelling in the right eye that started 6 days prior to hospitalization and was gradually getting worse. He initially went to an urgent care where he was prescribed cephalexin 500 mg twic... |
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... |
Esophageal bypass surgery with gastric tube was planned for a 77-year-old man with esophagobronchial fistulae. He had undergone chemotherapy and radiotherapy for esophageal cancer with possible invasions to the descending aorta and left main bronchus at another hospital, resulting in the formation of fistulae. Since cl... |
A 32-year-old right-handed female with T-cell ALL admitted to the hematology service for chemotherapy and anticipating cord blood transplant. She had a complicated medical course after chemotherapy including admissions into the Medical ICU for septic shock, febrile neutropenia, acute hypoxic respiratory failure, clostr... |
A 24 year old man sustained a complete right-dominant hand amputation in an accident by motorcycle, in February 11, 2017 at 9:00 PM.\nCold ischemia time was 5 h at arrival. Other organ examinations were normal. He was emergently transferred to operating room where fluoroscopic study was done.\nAbout 7 cm of the distal ... |
A 65-year-old woman presented with metastatic mucosal melanoma with a history of dyslipidemia and using proton pump inhibitor for gastroesophageal reflux. She had a remote tonsillectomy in the 1970s and was otherwise healthy. At the beginning of 2015, she noticed a discoloration on the right buccal mucosa and eventuall... |
An 11-year-old girl was admitted to our hospital due to abdominal pain and diarrhea of 1 week’s duration. She had no medical history of abdominal trauma or surgery. In addition, she had no travel history and there were no pets at her home. Initial assessment of vital signs showed a blood pressure of 116/70 mmHg, a hear... |
A 57-year-old woman with high myopia and a remote history of a prior retinal tear in the left eye treated with focal laser photocoagulation underwent pneumatic retinopexy and cryotherapy for a retinal tear in the right eye. She was referred for sudden onset of decreased vision 32 days after the recent procedure in the ... |
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... |
A 65-year-old white male presented to our clinic for a second opinion. Seven years earlier, he noticed a skin rash over the anterior part of his neck. He was initially evaluated by a dermatologist, who prescribed topical steroids leading to temporary improvement of the lesion. Unfortunately, the rash returned and was a... |
A 24 year old previously healthy lady was admitted to a local hospital on third day of fever with arthralgia and myalgia without any bleeding manifestations. On examination she was hemodynamically stable with a pulse rate of 80 beats per minute and blood pressure of 110/70 mmHg. There was no postural drop in blood pres... |
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 56 years old female, chain-smoker, admitted to the Department on February 15, 2012 for a giant tumor in the perianal area, covering the whole perianal and gluteal regions, complicated with persistent bleeding and discharging. Blood loss caused severe anemia, which required multiple transfusions of haematogenous/blood... |
A 40-year-old gravida five, para four woman presented for workup and management of abnormal uterine bleeding. Her past medical history was significant only for hypertension and anemia. On review of her social history, she admitted to drinking six packs of beer on the weekends but denied further substance use. She denie... |
A 47-year-old male patient presented for his first coronary allograft vasculopathy surveillance angiogram after undergoing an orthotopic heart transplant with bicaval anastomosis 14 months prior. He had undergone routine EMB as part of his cellular rejection surveillance, with his last biopsy being 5.5 months prior to ... |
A 15-year-old female patient with medically refractory epilepsy was treated surgically in N. N. Burdenko Neurosurgery Institute, Moscow, in October 2008. The patient had no family history of epilepsy. Pregnancy and delivery were reported as normal. First seizures occurred at the age of 9. The patient suffered from phar... |
A 26-year-old Asian woman presented with a four day history of unilateral left-sided altitudinal visual loss associated with painful eye movements, headaches, nasal obstructive and catarrhal symptoms. She was asthmatic and had undergone endoscopic sinus surgery and nasal polypectomy for chronic sinusitis five months pr... |
A 66-year-old male patient was referred to the pain clinic with a history of intense pain in the ear, angle of the mandible, and right side of the neck for four months. On further questioning, he also complained of foreign body sensation and pain in the throat on swallowing. The pain was insidious in onset and was not ... |
A 46-year-old male was brought to the emergency department at Northwestern Memorial Hospital with multiple stab wounds to the neck and chest. He was hypotensive upon arrival and a right needle thoracostomy returned blood and air, resulting in improvement in blood pressure. Secondary survey demonstrated a stab wound to ... |
A 65-year-old male patient was referred to our hospital because of chronic low back pain for 10 years, acute worsening with radiating pain to left lower extremity over a month. The patient had a chronic low back pain for 10 years. He was diagnosed with LDH and lumbar fasciitis and received conservative treatment in loc... |
The patient is a 46-year-old right-handed female with a past medical history of hypertension (HTN), hyperlipidemia (HLD), diabetes mellitus type two (DM2), obesity, and hemorrhagic stroke who was transferred from an outside facility to be evaluated for CNS vasculitis. She was admitted to this outside facility for a fou... |
A 75-year-old male patient without a history of diabetes or hormonal medication use underwent tension-free repair of bilateral indirect inguinal hernia at a county hospital 10 years ago with a Mard Mesh & Perfix plug (BARD Company, NJ, USA), which is made of polypropylene material. His postoperative recovery was uneven... |
The patient is an 11-year old sub-Saharan African girl who presented with chief complains of pain and swelling in the neck. The swelling was first noticed 9 months earlier as a small, painless and mobile nodule over the left infra auricular region which has gradually increased in size over a period of 6 months to attai... |
A 19-year-old female patient visited our emergency room with the chief complaint of abdominal fullness and pain for 4 hours. The pain was described as continuous and significant in intensity. She had persistent nausea, but was unable to vomit. Four hours before visiting our hospital, she ate large amounts of food. Duri... |
A 46-year-old female with a history of asthma comes with a chief complaint of worsening shortness of breath presented with associated dry cough for two days. She reports minimal exertion made her dyspnea worse. She denies recent travel, sick contact, fever, chills, night sweat, chest pain and sputum production, as well... |
A 64 year-old man of weight 70 kg and height 1.65 m underwent a total hip arthroplasty (THA) in January 2003, due to severe osteoarthritis of his left hip following avascular osteonecrosis (figure ). The patient was active and performed strenuous manual labour that required him to ascend and descend stairs frequently. ... |
A 20-year-old African American man was admitted to a psychiatric facility for psychosis. On initial presentation, the patient had an antalgic gait, which he attributed to his history of dopa-responsive dystonia. His mood was depressed and his affect was restricted. He had disorganized thought process and was slow to re... |
In June 2018, a 62-year-old healthy Caucasian woman underwent a standard follow-up magnetic resonance imaging (MRI) of subpectorally placed textured anatomical breast implants [Allergan (Dublin, Ireland)] in situ for 26 years after cosmetic augmentation. She had never experienced any complaints related to the breast im... |
A 68 years old female, with a history of smoking habit, was diagnosed with high-grade muscle invasive urothelial bladder carcinoma after undergoing transurethral bladder resection for gross hematuria. The tumor involved the left lateral wall and the bladder neck. A positron emission tomography showed enlarged iliac lym... |
In July 2019, a 51-year-old female was injured in a traffic accident and subsequently sent to a local emergency department. She complained of intense pain in her severely injured ankle, which has the obvious deformity and severe soft-tissue swelling with a minor wound bleeding on the anteromedial region. Luckily, vascu... |
A 48-year-old man was referred to our clinic due to intractable epistaxis on the left side. Although the patient had no remarkable medical history, he had been smoking 20 cigarettes per day for 30 years and had received no medical checkups or dental care for many years. On arrival, the source of bleeding was not visibl... |
A 55-year-old male cadaver who had suffered from HME was donated to the University of Liverpool for anatomical investigation. Consent was given by the donor ante-mortem and ethical approval for the study was obtained via the Health and Life Sciences Committee on Research Ethics. The cadaver was embalmed four days post-... |
A 48-year-old Caucasian man with past medical history of asthma, diverticulitis, benign prostatic hyperplasia, presbyopia, and obesity presented with a tender palpable left forearm mass. The pain started five years after the patient sustained a deep knife wound in this area that required stitches. Initially, without si... |
This case study reports a 47-year-old Middle Eastern woman, married for 17 years with primary subfertility conceived with in vitro fertilisation in India. She was pregnant with dichorionic triamniotic triplets. Her body mass index at initial visit at 10 weeks was 28 kg/m2. She refused fetal reduction in her first trime... |
A 38-year-old male patient presented in 2008 with a centrally located tumour of up to 3 cm in diameter of his right parotid gland, which was treated by resection. Macroscopically an ill-defined grey tumour mass was seen, and histologic examination showed microcystic to reticular and focally tubular growth of moderately... |
We report a case of a 75 year old woman addressed to Allergology Department of our hospital in January 2014 for recurrent episodes of angioedema since the age of 66, with progressively increased severity and frequency. It was first considered to be induced by treatment with angiotensin-converting-enzyme inhibitors (ACE... |
The physical examination of a 17-year-old female patient who presented to our orthopedics polyclinic complaining of a protrusion on her back revealed kyphosis and a stooped right shoulder, a right thoracic curvature with a left-facing opening, a 6 cm high right thoracic hump on the front leaning test, and shoulder asym... |
The patient is an 18-year-old African American male with a documented history of Prader-Willi syndrome with mild intellectual disability and type I diabetes mellitus (DM) who presented to the emergency department (ED) multiple times over the course of two months after attempting suicide via multiple methods.\nThe patie... |
A 75-year-old Caucasian male presented in September 2019 with a long-term asymptomatic mass (for approximately the last 3 years) that had increased in recent years ().\nThe patient had a medical history of laparoscopic cholecystectomy for cholelithiasis in 2008. The pathological study indicated a chronic cholecystitis ... |
A 60-year-old male with a history of C6 American Spinal Injury Association (ASIA) A quadriplegia 41 years prior, presented with the new complaint of episodes of spiking hypertension, diaphoresis, and dizziness. This had occurred on a daily basis for six months and was brought on by any change in trunk position. His sys... |
A 20-year-old woman applied to Yüzüncü Yıl University Faculty of Dentistry with a complaint of severe spontaneous pain and swelling of the left mandible. The swelling and pain were associated with a total loss of sensitivity in the left side of the skin and mucosa of her lower lip.\nThe patient's general health was goo... |
A 60-year-old previously healthy female patient presented to our clinic complaining of recurrent cough and hemoptysis for 3 months. Physical examination did not reveal any significant findings. She was then followed with contrast computed tomography (CT), which revealed a 2.5×1.5 cm broad-based enhancement at the lingu... |
A 4-year-old boy was presented to our unit on referral with a three-week history of high-grade fever and a five-day history of generalized abdominal pain and abdominal distension. There was an associated history of headaches and body weakness. He had no history of jaundice. He had several episodes of vomiting which was... |
A 48-year-old man presented with a chief complaint of hypersensitivity and unacceptable esthetic appearance of his anterior teeth. The patient went to see a dentist at a private clinic to receive dental treatment for his anterior teeth erosion. The dentist performed history taking and found no obvious intrinsic or extr... |
An 8-year-old male patient with a history of SCD maintained on long term erythrocytapheresis (LTE) for primary prevention of stroke due to a history of increased transcranial Doppler velocities presented with several days of fatigue, decreased oral intake, chest pain, and palpitations. Imaging studies showed a large ri... |
An asymptomatic 42-year old woman presented to our sexual health clinic 1 month following unprotected sexual intercourse with a high risk male partner whom was later presumed to be the source of infection. She denied any other high risk sexual contacts at the time. A HIV Antigen/Antibody (Ag/Ab) test was reported as ne... |
A 75-year-old male patient visited the hospital complaining of dysphagia and weight loss (as much as 5 kg) that had occurred 3 months prior to this visit. Twenty years earlier, he had a received craniotomy on the left frontal parietal region because of traumatic subdural hemorrhage from falling and had recovered withou... |
A 21-year-old female patient sought dental care due to bulging in the palate region, as well as dissatisfaction with the color of your maxillary right central incisor.\nThe patient reported having suffered a facial trauma in an anterior-superior direction arising caused by a stone impact. The trauma resulted in a fract... |
A 46-year-old man visited our emergency room because of a 7-cm continuous laceration from the left temple to the lower eyelid caused by a sharp metal plate during work. The laceration margin was irregular, and partial tearing of the orbicularis oculi muscle was observed. Primary closure was performed under a local anes... |
The patient is a 58-year-old non-smoking female with a history of recurrent papillary thyroid cancer first detected in the 1970s, who throughout her course underwent several surgical resections, repeated therapy with radioactive-iodine, and external beam radiation therapy (EBRT) (original history, cumulative radioiodin... |
The patient was a 39-year-old woman with a secondary education. She was an only child who had never worked and was living with her family. Since childhood, she had been painfully shy, withdrawn, and easily embarrassed. In school, she avoided contact with her peers due to emotional problems. Her mother played a dominant... |
A 42-year-old female presented with a history of painless swelling on the left side of the neck from 6 months ago with hoarseness. On clinical examination, a firm, non-tender swelling was noted in the upper part of the anterior triangle of the neck, posterior to the angle of the mandible on the left side () with oropha... |
A 26-year-old male, unemployed person, presented to the Ophthalmology Clinic on 14 August, 2012 with a three-week history of Blurring, Soreness, Lacrimation, Redness, and Pain in the left eye. He had three similar attacks in the last three months, for which he was hospitalized. His presenting visual acuity was 6/9 OD, ... |
AA is a 23-year old single Omani woman. She was brought by her parent to the psychiatric clinic with a 3-year history of the cyclical presentation of a short episode of clouded sensorium and abrupt onset of psychosis. Her thoughts and emotions had been impaired to the extent that her family had begun to believe that sh... |
A 21-year-old Philippine woman was referred to the University Medical Center Utrecht with right upper quadrant abdominal pain since one year. An initial abdominal ultrasound showed cholecystolithiasis. Incidentally, a cystic lesion was detected in the tail of the pancreas. Additional CT imaging exposed a 24 mm cystic l... |
A 57-year-old man presented with a history of worsening fever and hemoptysis refractory to antibiotic therapy. A bronchoscopy revealed a right upper lobe necrotizing pneumonia of unknown etiology. Gram, acid-fast bacilli, and fungal stains and cultures were obtained. No significant past medical or surgical history was ... |
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