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A 53 kg, 157 cm, 35-year-old primigravida at the 38th week of pregnancy was admitted for a cesarean section due to breech presentation. She had been diagnosed with TA 7 years prior to this presentation. However she refused medications and further evaluation until delivery. Computed tomographic angiography performed 3 y... |
A previously healthy and active 53-year-old Swede male who worked full-time in the metal industry had arthrosis of the right knee and had experienced episodes of pain in his right ear since 2011. The patient was injured when a 400-kg metal device fell on his right leg during the course of his work (13th March). The pat... |
This is a case of a term male born at 39 1/7 weeks of gestational age by spontaneous vaginal delivery to an 18-years-old mother G2P1A0. The mother had no history of systemic illness. There was no consanguinity in the family. Prenatal screening tests (Human Immunodeficiency Virus, Hepatitis B, and Syphilis) were negativ... |
Our patient is a 40-year-old male who underwent amputation of all four extremities in January 2012 (right below knee, left above knee, right below elbow and left above elbow) secondary to septic shock and subsequent disseminated intravascular coagulation (DIC). The patient was referred to the Brigham and Women’s Hospit... |
We present the interesting case of a 49 years old male, an ex-professional football player, referred to our clinic with the suspicion of acute coronary syndrome, after a syncope followed by constrictive thoracic pain and palpitations.\nHe was known to our clinic since 2011 (8 years ago), when he suffered a cardiac arre... |
A 59-year-old European man crashed his car into a concrete dam (Fig. ). Bystanders attending to the accident found him in cardiac arrest and started cardiopulmonary resuscitation (CPR) immediately. Sufficient CPR efforts were continued until the emergency services had arrived. The first recorded heart rhythm was ventri... |
A 60-year-old male who had a history of liver cirrhosis was referred for evaluation of a pain, swelling, and erythematous changes of the anterolateral aspect of his left leg. His symptoms started a month ago without any specific trauma. He had a history of open reduction and internal fixation performed for a tibial pla... |
A 65-year-old woman presented with abdominal pain and hypophagia for 2 weeks. She had a medical history of alcoholic pancreatitis. A computed tomography (CT) scan of her abdomen and pelvis revealed thickening of the transverse colon wall. Colonoscopy showed an ulcerated tumor in the transverse colon, and histological a... |
A 3-year-old boy was noticed to have a swelling in place of the right eye at birth that was about the size of the pulp of the thumb and progressively increased to about the size of a lemon as the child was growing. At the same time of birth, a brownish fleshy mass was also seen in the left eye which remained stable wit... |
A 55-year-old female presented to the ophthalmology department of the hospital with complaints of a painful swelling in the left eye. The swelling had been gradually increasing in size over the last 8 months with dull continuous pain in the eye and periorbital area. There was progressive diminution of vision for the la... |
A 53-year-old postmenopausal Iranian woman presented to the hospital for a progressively growing painful cesarean scar mass. Her personal history included three previous Pfannenstiel cesarean sections without any medical diseases. The last cesarean section was performed 23 years earlier. Pfannenstiel scars were adjacen... |
A 25 year-old male patient presented with a chief complaint of generalized hair loss in the scalp parietaloccipital region for a duration of 1 year, saying that hair loss started gradually and had worsened over time. In addition, this patient indicated that the alopecia area was occasionally accompanied by mild itching... |
A 74-year-old female patient presented with a locally advanced tumor of the proximal pancreatic body. The patient showed no signs of obstructive jaundice and did not require biliary stenting. Initially, her tumor was noted to involve the major visceral vessels, including the celiac artery, portal vein, and splenic arte... |
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... |
The patient, a 55-year-old female, was admitted in the hospital on July 5, 2019, because of the discovery of an abdominal mass that had been present for more than 4 months. Approximately 4 months prior, the patient inadvertently found a hard upper abdomen mass but reported no associated pain. The patient self-reported ... |
A 19-year-old woman was admitted to our department with a chief complaint of left shoulder pain for 11 months. She had suffered a fall when skating 20 days earlier, leading to exacerbation of pain following activity. She was transferred from a local hospital, and the X-ray revealed a lytic destruction in her left proxi... |
This present case involved a 22-year-old female who became aware of leukocoria in both eyes. Upon examination at another eye clinic, a vitreous strand was detected in her left eye, with a suspected diagnosis of PFV, and she was referred to the Department of Ophthalmology at Osaka Medical College Hospital, Takatsuki-Cit... |
A 50-year-old woman visited a nearby physician for a medical checkup due to complaints of high blood pressure. An ankle brachial index (ABI) showed a pressure difference between the upper and lower extremities. A computed tomography scan (CT) showed CoA and a saccular aortic aneurysm protruding from the aortic coarctat... |
A 33-year-old Caucasian man with ulcerative colitis for three years in endoscopic and near histologic remission three months before, on adalimumab 40 mg every two weeks (Abbvie, North Chicago, IL), with therapeutic trough levels and no antidrug antibodies, was admitted to our hospital for workup of a recurrent erythema... |
A 25-years-old female patient reported to our unit with pain in the right lower back tooth region for 1 month. Pain was sudden in onset, throbbing in nature, and continuous in character. There was no history of fever, swelling, or paraesthesia associated with the pain.\nOn intraoral examination, pain seemed to be becau... |
A 7-year-old orphan boy presented to a small rural hospital in the Eastern Cape province of South Africa following a penetrating injury to the chest by a Withaak (Vachellia tortilis) thorn. The injury occurred after falling from a Withaak tree, and he sustained no other injuries. On presentation, two small lacerations ... |
A 60 year old male patient presented to us in the outpatient department with complaints of limp and shortening of the right lower limb for the past one year. The patient had sustained fracture neck of femur following a fall while working one and half years back []. He underwent cemented bipolar hemiarthroplasty for the... |
A 39-year-old Caucasian woman presented with a new and persistent cough. Radiographic imaging of her chest demonstrated a mass in the upper lobe of the right lung. Fine-needle aspirate biopsy demonstrated adenocarcinoma. Genomic testing showed the patient’s tumor to be EGFR-mutation positive with exon 19 deletion. She ... |
A 13-year-old female in her permanent dentition is presented with the chief complaint of crowded anterior teeth and retruded lower jaw. As mentioned before, there were signs that growth spurt was completed. The patient had a chin deficiency with decreased anterior facial height. There was no facial asymmetry and the li... |
A 45-year-old woman with a history of open Fobi-Capella RYGBP was diagnosed with primary biliary cirrhosis and listed for LT. Bariatric surgery was carried out seven years before, followed by an emergency reintervention for obstruction of the jejunojejunostomy. Hepatopathy was diagnosed at 41 years of age. The patient ... |
The proband, a 52-year-old Caucasian male with mild hypertension, presented to the hospital after his wife found him unconscious in his garage. He recalled doing some gardening work when he felt lightheaded before losing consciousness. The patient reported that he did not experience chest pain; however, he had a sense ... |
A 14-year-old female attended the Orthopedic Oncology Clinic at The First Affiliated Hospital of Nanchang University (Nanchang, China) for a follow-up. She underwent two operations successively due to pathological fractures in the left femur and tibia in a local hospital about 1 year ago. Then, she was diagnosed with F... |
A 70-year-old man with antecedent of follicular lymphoma in complete remission presented at the Timone University Hospital (Marseille, France) in 2016 for a squamous cell carcinoma of the hypopharyngeal region. The patient categorically refused any treatment, including preservative surgery, radiotherapy, chemotherapy o... |
A. is a 7-year-old boy who suffers from MPS IIIA. He was diagnosed when he was 1 year old, although his symptoms were not recognized until he was 4 years old. There are seven people in the household and he is the youngest of three siblings who all suffer from MPS IIIA. He currently remains in his school year and follow... |
A 59 year-old female patient, who has been employed as rehabilitation worker, has observed gradually enlarging formations under both her right and left scapula for approximately eight months. In anteflexion, elevation of the upper extremities and when stretching the arms forward, swellings reaching up to the rear axill... |
A 42-year-old male patient underwent right parietal lobe tumorectomy for a meningioma at Beijing Tiantan Hospital in 2005 (Figure ). He was discharged 8 days after the surgery with a normal temperature and normal muscle strength but an abnormal hemogram. Three months later, he presented to a local hospital with pus at ... |
The patient was an 81-year-old Caucasian woman with a history of persistent right-sided flank pain with no associated symptoms including dysuria, hematuria, frequency, or urinary retention. She had no history of prior abdominal surgery, trauma, or congenital defects. Given the unclear etiology, we obtained cross-sectio... |
A 59-year-old Vietnamese male presented to the Atlanta Medical Center complaining of severe posterior neck pain, right-sided hemiparesis, and right sided paresthesia. This began 4 months ago when he noticed difficulty writing and using the right hand. He had rapidly deteriorated to the point of being unable to walk or ... |
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... |
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 38-year-old gravida 3 para 2 presented with scanty vaginal bleeding and mild lower abdominal pain in early pregnancy. Her last menstrual period was two months prior to presentation. She conceived naturally and the pregnancy had been uneventful until her presentation. She had had two previous CS: the first was planned... |
In June of 2017, a 23-year-old man with progressive back pain was presented to our hospital. In his history of present illness, the patient stated he has been experiencing a paroxysmal and severe back pain for approximately 2 months. The pain in his back could reach 7 points using visual analog scale (VAS) and could no... |
A 76-year-old Japanese woman was referred to our hospital due to malaise, itching, anorexia, and liver dysfunction for 6 months. At her first visit to our clinic, her alkaline phosphatase (ALP) and gamma-glutamyl transpeptidase (γ-GTP) were 678 IU/L and 330 IU/L, respectively. Alanine aminotransferase, aspartate aminot... |
A 79-year-old woman reported to the emergency center with a history of recurrent epigastric pain and nausea for 2 weeks. She had no underlying diseases other than hypertension. However, she had visited the emergency room previously with recurrent epigastric pain and nausea. There was no history of trauma. When reviewed... |
A 58-year-old woman presented with edema of the face that had developed approximately one year prior. It was not painful nor pruritic, but she felt it was more prominent on the left side. Courses of antibiotic therapy for a presumed diagnosis of cellulitis had not been effective, but glucocorticoids greatly improved th... |
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... |
The 19-month-old female case was born at term, 49 cm in height and 2765 gr weight, by normal delivery. That was the first gestation and first delivery of the mother. The gestational age was 28. The mother in question had no serious disease throughout her pregnancy. There is no kinship between the mother and the father.... |
NO is a 70-year-old retired man. His health history is remarkable for a cholecystectomy in 2001 that was followed by confusion. An epileptic seizure was suspected and the patient was treated with carbamazepine for a short period. He did not have any new seizures after carbamazepine was withdrawn. The patient has a posi... |
A 16-year-old, Sinhala ethnic Sri Lankan woman in her first pregnancy, was admitted with severe preeclampsia at 29 weeks of gestation. She has made her booking visit at ninth week of gestation and all the booking investigations were normal except for the platelet count which was 112,000 per liter. During her pregnancy,... |
A 3 year-old male, neutered, domestic shorthair cat was presented with a 2 week history of severe regurgitation of all ingested food. The cat had a history of a voracious appetite and regurgitation of solid food since being acquired as a kitten, but was able to consume liquid meals without regurgitating until 2 weeks p... |
A 62-year-old male patient was admitted to the hospital with complaints of aggravated dyspnea during exercise and dizziness. Three years before his admission, he received an artificial pacemaker because he was suffering from sick sinus syndrome. A physical exam noted pitting edema on both of his legs. He weighed 80.45 ... |
A 73-year-old male presented after a fall with complaints of headaches and memory loss over the past year. The patient had a history of hypertension, hypothyroidism, and prostate cancer treated 22 years priorly. On presentation the patient was mildly confused but otherwise had no focal neurologic signs or symptoms.\nCo... |
A 10-week-old 9.6 kg sexually intact, female, golden retriever puppy was purposefully bred and born via cesarean section with ten other littermates (seven females and three males). The female dog in question had two smaller than anatomically normal slit-like anal openings with haired skin coursing between the two disti... |
A 63-year-old man, who had had ankylosing spondylitis, was involved in a motor vehicle accident that caused a C6 burst fracture and incomplete spinal cord injury. He presented with marked left paraparesis, particularly weak in his left shoulder and arm. Also, he had had Type 2 diabetes and was wearing a neck collar for... |
A 74-year-old female patient presented with a locally advanced tumor of the proximal pancreatic body. The patient showed no signs of obstructive jaundice and did not require biliary stenting. Initially, her tumor was noted to involve the major visceral vessels, including the celiac artery, portal vein, and splenic arte... |
An 80-year-old Japanese man was admitted to our hospital with a 6 hours history of lower anterior chest pain that had not been alleviated by sublingual nitroglycerin, dyspnea, and generalized perspiration. A few days previously, he had begun to experience a tight feeling in his lower anterior chest, which lessened with... |
A 27-year-old Emirati male presented to Cleveland Clinic Abu Dhabi (CCAD) emergency department (ED) for the first time in Sept 2015 complaining of severe abdominal pain. The pain has been episodic for the last 4 years and had significantly affected his work and family life. He was seen and admitted to multiple hospital... |
The current disease story of our 68-year-old Caucasian male started two years ago, when this patient observed a hard lesion in the anal canal, which, in the first months since he observed it, was neither officially diagnosed nor treated. Ten months after that, he underwent cholecystectomy due to cholelithiasis, and the... |
A 50-year-old Caucasian female, with no previous smoking history or pancreatic cancer family history, presented to our clinic for surgical evaluation of a biopsy-proven PDA noted at the junction of the body and tail of the pancreas. The patient had previously undergone a classic pancreaticoduodenectomy (Whipple) proced... |
A 55-year-old Japanese woman was referred to our hospital because of hepatic tumors detected by abdominal ultrasonography during a screening examination. Her medical and family history was unremarkable; her occupational and residential history showed no apparent exposure to asbestos. She received no medical drugs, and ... |
A 65-year-old man with Marfan syndrome presented with an enlarged LV PSA after a series of three thoracic surgeries in the preceding 11 years. In 2009, a then 54-year-old man with hypertension and Marfan syndrome presented with a complex type A aortic dissection which was emergently repaired with a Bentall procedure us... |
A 29-year-old African-American male was admitted to our hospital because of headache associated with nausea, vomiting, and blurred vision. Intermittent headaches over the preceding 4 years were ascribed to CM1. In the month prior to admission, the patient's headaches had increased in frequency and in severity. He descr... |
The second case refers to a 48-year-old woman, a busy manager with a history of depression and sleep disturbance. She has had three terminations of pregnancy and one delivery by cesarean section. She smokes approximately ten cigarettes per day and has high cholesterol serum levels. She takes several medications: a sele... |
The patient was a 34-year-old woman, G4 L2 Ab1 who had married her cousin 7 years ago. She had a history of two normal vaginal deliveries and one abortion in the 1st trimester. The first pregnancy in the age of 28 had terminated with a normal vaginal delivery (NVD) resulting in a term baby girl who weighed 3150 gr. The... |
A 22-year-old man was admitted to our hospital on March 28, 2011 complaining of seven days of retrosternal discomfort and a single episode of vomiting of approximately 50 mL of fresh red blood. The patient had swallowed a chicken bone prior to the onset of the discomfort. His vital signs were stable during physical exa... |
A 67-year-old female presented with a low back pain and left sciatica. Although the patient had experienced occasional mild low back pain for several years, her low back pain markedly worsened 2 months before her first visit to our service. She also complained of newly developed left sciatica during this period, result... |
A 59-year-old Caucasian man with stage IV squamous cell carcinoma of the tonsil presented for evaluation ulcerated nodules on his neck and multiple erythematous papules and plaques on his proximal chest. The patient had no history of alcohol or tobacco use and was diagnosed with invasive squamous cell carcinoma of the ... |
A 74-year-old male presented in February 2016 with increasing dysphagia. There was no history of prior abdominal infection or surgery. On esophagogastroscopy, a necrotic and circumferential friable tumor was seen at 33 to 40 cm from the incisors, with an endoscopic appearance of involvement of gastroesophageal (GE) jun... |
An 84-year-old Japanese male patient was referred to our hospital for detailed examination for gastric cancer diagnosed at a routine medical check-up. Upper endoscopy was performed and an approximately 5-cm wide type 1 tumor was detected in the cardiac region of the stomach (Fig. ).\nBiopsy showed moderately differenti... |
A 6-year-old right-handed girl who suffered a fall injury with an outstretched right hand arrived at our emergency room showing a fracture of the ulna shaft and a dislocated radial head. There was an open pinhole wound at the fracture site. Capillary refilling time was less than 2 seconds, and no circulatory disorders ... |
A 25-year-old male was brought to our emergency department following a road traffic accident in July 2018. The patient was intubated in view of poor score on Glasgow Coma Scale (GCS). He was hemodynamically stable. On clinical examination, the patient had bilateral decreased air entry and positive chest compression. Th... |
A 59-year-old male presented to the general practitioner because of painful ribs. Imaging, performed to rule out pulmonary embolism at the Emergency Department, showed no cause for his symptoms, but accidentally revealed enlarged lymph nodes in the neck. Histopathology obtained from a lymph node biopsy indicated a meta... |
Our patient is a 19-year-old G4P0212 who presented at 33 weeks and 5 days of estimated gestational age with preterm contractions every 5–10 minutes, vaginal spotting, and pink vaginal discharge. Her pregnancy had been complicated by antiphospholipid syndrome and cervical incompetence. A McDonald cerclage was placed at ... |
A 69-year-old male presented with a history of dysphagia and weight loss. Upper gastrointestinal endoscopy revealed a large ulcerative mass involving the gastric cardia, and its biopsy revealed signet-ring cells, suggestive of adenocarcinoma. A staging computed tomography (CT) scan revealed diffuse thickening of the ga... |
A 5-year-old girl with acute myeloid leukemia (AML) with t(8;21) underwent relatively standard AML chemotherapy, which consisted of 2 cycles of induction chemotherapy with daunorubicin, cytarabine, and etoposide, followed by 2 cycles of consolidation chemotherapy with high-dose cytarabine 3 gr/m2 per dose ×6, in each c... |
A 25-year-old male, who sustained accidental industrial exposure to Iridium192 while repairing a gamma camera at his work place in Bahrain in March 2000, presented with a non-healing painful ulcer of size 5×5 cm over the right groin to our centre in October 2000 []. Further enquiry revealed that, immediately after expo... |
A 54-year-old woman presented with 8-month history of progressive atypical left facial pain and numbness. She had no previous illness, and her elder brother died few years ago from parietal glioblastoma multiforme. General physical examination was unremarkable; there were no cutaneous stigmata of neurofibromatosis. The... |
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 45-year-old man was admitted for a progressively worsening headache over 2 weeks. He denied history of recent head trauma or anticoagulation and antiplatelet medication. General and neurologic examinations were not remarkable on admission. Routine laboratory investigations including coagulation profiles and platelet ... |
An 89-year-old gentleman with no significant past medical history presented to the emergency department (ED) of a district general hospital with atraumatic right hip pain and inability to weight-bear. The patient had a long history of right hip osteoarthritis causing pain and functional limitation, for which he had bee... |
We describe the case of a 34-year-old gravida II para l woman, with a gestational age of 26 + 3 weeks at admission, who had a relatively healthy 4-year-old child with her 40-year-old husband of non-consanguineous marriage. She had been on injectable contraception for 2 years and had regular menses for 6 months before t... |
A 51-year-old man was referred to our hospital with a chief complaint of swelling in the anterior portion of the right maxillary region on March 2010. There was no notable medical history. Orthopantomograph and computed tomography (CT) scan findings revealed a periapical cystic lesion associated with the maxillary righ... |
A 9-year-old boy with PTCD has been managed in our institution. PTCD is a rare brainstem malformation characterized by the pontine tegmentum projecting into the fourth ventricle, ventral pontine, and cerebellar vermal hypoplasia.[ To the best of our knowledge, <50 cases of PTCD have been reported in the literature so f... |
A 43-year-old male came to emergency services after 2 days of pain in his left eye (OS). There was no medical history except for right-eye evisceration because of a penetrating trauma when he was younger.\nThe ophthalmological examination revealed a visual acuity (VA) of 20/20. He presented great conjunctival hyperemia... |
A 30-year-old female was referred to the urology clinic for severe lower urinary tract symptoms (LUTS) in addition to suspicion of a urethral mass. Her symptoms started two years earlier after the indwelling urethral catheter was removed following her Caesarian section. She noticed that a vestibular mass protruded at t... |
A 72-year-old man presented to his primary care physician (PCP) with neck pain of three-day duration, described as radiating to the upper back and shoulders. He had recalled lifting heavy wood and working a snow blower before the onset of symptoms. His past medical history is significant for hypertension, atherosclerot... |
A previously healthy 6-year-old boy presented to a pediatric hospital with a 3-week history of torticollis. He had symptoms of an upper respiratory tract infection four weeks prior and had 2 days of documented fever at home during that time. He had been treated with a 7-day course of amoxicillin by the primary care phy... |
We report a 29-year-old Ethiopian male patient who presented to the emergency room of Tikur Anbessa specialized hospital with 4 days history of persistent interscapular back pain, which is of stabbing nature and radiating to the anterior chest bilaterally. He also had persistent high-grade fever, vomiting for ingested ... |
The patient was a 20-year-old male who had been a low-birth-weight infant, and had a history of Klinefelter syndrome and pulmonary valve stenosis. He was introduced to our hospital for further examination of a liver tumor that was increasing in size. The tumor had been found incidentally after laboratory findings in a ... |
This is a case report of a 45-year old female with a history of work exposure to a dusty environment. She was living on a farm where the hens, rabbits and dogs were present and also had a history of smoking 20 cigarettes a day for 19 years. The patient reported progressive worsening of the shortness of breath on exerti... |
A 55 -year-old Syrian gentleman presented with complaints of low back pain of six months duration which gradually increased in severity over weeks. He denied trauma at any point in time. His past history included diabetes mellitus, hypertension, coronary artery disease, and benign prostatic hypertrophy, and he was on r... |
An otherwise healthy 30-year-old female patient from our hospital was hospitalized because of neck pain and weakness of left leg for 2 days 6 weeks after cesarean delivery of a second baby. Physical examination showed the muscle strength of the left lower limb of grade 4, with the tendon reflex ++. Blood routine, hemag... |
A 7-year-old boy along with his parents reported to our department for treatment. The chief complaint being as presented by the mother was pain in relation to the child's upper left teeth since 2 days. Since the child's appearance and head size was not normal, the family and medical history were taken in detail before ... |
A 58-year-old female presented with sudden onset of giddiness and multiple episodes of vomiting. On presentation, she was conscious, obeying commands, and had a Glasgow Coma Scale (GCS) of 15. Computed tomography (CT) of the brain revealed hemorrhages in the left posterior temporal lobe and left cerebellar hemisphere w... |
A 68-year-old Japanese man presented with weight loss of 6 kg over a 4-month period. His other medical problems included hypertension and hyperuricemia. The patient's family history was unremarkable. Physical examination revealed conjunctival pallor. Computed tomography (CT) revealed a 7-cm left renal mass, and renal b... |
A 58-year-old woman living in a remote region was referred to the local general gynaecological service for investigation of an episode of light postmenopausal bleeding. A pelvic ultrasound demonstrated a right sided complex adnexal mass measuring 101 × 70 × 89 mm and a borderline endometrial thickness of 5.1 mm. The ma... |
A 21-year-old girl reported to the hospital along with her father with a chief complaint of enlarged gums and early loss of lower 1st molar along with pus discharge from various sites in the oral cavity [].\nDetailed history of the patient revealed that enlargement and pus discharge started when the girl was 15 years a... |
A 61-year-old female presented to emergency with a rapidly worsening soft tissue infection of her left buttock extending to her posterior thigh. Her recent medical history was unusual. Previously healthy and taking no regular medications, she developed a chronic left perineum sinus which was excised 2 years prior to pr... |
A 19-year-old male was referred to the Endodontic Department of Babol Dental College with the chief complaint of dental pain and sensitivity to cold in the anterior maxillary region. The patient appeared physically healthy, but mild mental retardation was obvious. In the medical history, he had childhood asthma which a... |
A 33-year-old woman with a history of primary, anovulatory infertility underwent TVOR for planned IVF. The patient had a history of Class II obesity (body mass index [BMI] 35.6 kg/m2) and sleep apnea. She had a history of a dilation and curettage and was also previously diagnosed with endometrial intraepithelial neopla... |
A 25-year-old gravida 1 para 0 woman at 35.6 weeks of pregnancy who weighed 57 kilograms was admitted to our hospital because of irregular uterine contractions. The patient had been buried for 48 hours in the ruins after an earthquake. She had undergone more than 30 surgical procedures within the previous 6 years. Her ... |
A 32-year-old man reported to the general practitioner with general weakness, weight loss (12% in 6 months), and worsening stomach aches for about a month. The patient has not been treated for chronic diseases so far, he has not been taking any medications permanently. He lives in a city agglomeration. There are no ani... |
A 59-year-old woman presented in July 2017 with extensive bleeding from her ileostomy site. Her history included locally advanced bladder cancer for which she had undergone pelvic exenteration and ileal conduit formation in November 2015. At that time, she had a known primary lung adenocarcinoma as well, but had no kno... |
A 52-year-old male who was eventually diagnosed with a Wagner grade 4 diabetic foot ulcer combined with Budd-Chiari syndrome presented at the outpatient clinic of our hospital due to uncontrolled high body temperature, continued expansion of the right lower leg and a foot ulcer with increasing malodor. Random blood glu... |
A 40-year-old female with negative smoking and medical history was admitted with productive cough, progressively aggravating dyspnea on exertion, and recurrent pulmonary infections for the previous 2 months. The chest X-ray showed total atelectasis of the left lung (Figure ), and the thoracic CT-scan revealed a mass of... |
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