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A 19-year-old female, with a history of two pregnancies, neither of which reached a gestational age of 24 weeks, a current viable intrauterine pregnancy at 32 weeks and past medical history of recently diagnosed unspecified psychosis, methamphetamine use disorder and history of multiple incarcerations, was brought in b...
A 30-year-old housewife of Asian origin diagnosed to have pulmonary tuberculosis, was referred to spinal team as cauda equina lesion by her general practitioner. She was on antitubercular treatment (ATT) for last three months and, had history of progressive weakness in lower limbs for a week with urinary incontinence f...
A 31-year-old right-handed female was admitted to the emergency department because of headache associated with visual disturbance. She had no previous history of headache and no known vascular risk factors but she used an oral contraceptive pill. On admission, she reported a 9-hour progressive pulsatile headache, with ...
A 67-year-old woman presented with half a year history of dizziness. The dizziness worsened over the last 6 months, and the dizziness could be initiated by moving backward the neck. At the beginning of the disease onset, She had no other presentations, including vomiting, cognitive impairment, unconsciousness, and dysp...
A 31-year-old female patient was referred to the senior author after failed conservative treatment of painful right knee for 7 months. She had no known history of knee injury. At age 30 years, about 7 months before presentation to the senior author, the patient began to experience intermittent right knee pain, popping,...
A 61-year-old man arrived at the emergency department reporting abdominal pain, persistent nausea, and vomiting for three weeks. It was localized to the upper-mid abdomen and was constant, dull, and 5-7 out of 10 in intensity and non-radiating. The pain was predominantly diurnal and aggravated with food intake but did ...
We describe the case of a 12-year-old male Caucasian patient in the permanent dentition period. An extraoral examination did not reveal any serious facial asymmetry. An intraoral examination revealed the presence of his deciduous upper right canine in the arch, the absence of the corresponding canine, and microdontia o...
A 30-year-old male born of nonconsanguineous parents presented with asymmetric tremor and dystonia, bradykinesia and sensory symptoms that began at 23 years of age. He first noted a tremor in his right leg, which was initially present on exertion only. In the following year, he noted some impairment in balance and coor...
A 59-year-old female initially presented to the neurosurgery clinic with complaints of insidious onset of right leg radicular pain. She has no history of numbness, tingling, weakness, or bowel or bladder incontinency. She has never experienced any similar pain episodes. Physical examination had significant right side s...
A 43-years-old male of Japanese Brazilian with hypesthesia from the right lower lip to the mental region consulted a hospital for the first visit. Computed tomography (CT) revealed a round radiolucent area in the right mandibular body, and biopsy was carried out, leading to a diagnosis of schwannoma. He was referred to...
A 34-year-old male patient reported with a history of road traffic accident under the influence of alcohol. The chief complaint was restricted mouth opening, tenderness over temporomandibular joint, fractured upper central incisors, and intraoral swelling in submental region with extraoral laceration. The patient had n...
A 58-year-old (gravida 2, para 2) woman presented the nearby hospital complaining of persistent defecation disorder and vomiting. Although her family history was notable for pancreatic cancer in her father, there was no other familial history of cancer, including breast and ovarian cancer. Her past medical history is u...
An 8-year-old boy was referred to the Department of Pediatric Dentistry, Faculty of Dentistry, Kerman University of Medical Science, Kerman, Iran. The parents complained of the patient’s facial asymmetry, especially during speaking, smiling, and the boy’s psychological problems, including social isolation and lack of s...
The patient was a 52-year-old right-handed man in VS, according to the standardized VS diagnostic criteria developed by the American Medical Association. He had developed a trauma-induced brain injury (TBI) leading to a disturbance of consciousness, quadriplegia lasting 45 days, a GCS score of 6 (2 blinks, 1 verbal res...
The patient is a 33-year-old healthy right-hand-dominant male who worked as an electrician and presented to our clinic after sustaining a closed left clavicle fracture in a motocross (motorcycle) race accident. The acute fracture was at the lateral third of the clavicle shaft and there was an established fracture nonun...
A 7-year-old, female neutered cross-breed dog, was referred to our centre with a 2 week history of hindlimb weakness, which then progressed to paraplegia. No concurrent systemic signs were reported. Prior to referral to this centre, an MRI scan of the thoracic and lumbar spine was performed. The spinal cord and meninge...
A 45-year-old Caucasian man was referred to the Head and Neck Department at San Raffaele Hospital in 2018 with pigmented lesions of the maxillary gum that expanded up to the hard palate. He reported that a small pigmented macule had appeared on the maxillary gum, near the right central incisor, five years before. At th...
A 41 years old South Asian female of Indian descent, a homemaker by occupation, presented to the Otorhinolaryngology outpatient department with bilateral hearing loss for one month. The hearing loss was sudden and occurred within two days. The hearing loss was preceded by an episode of upper respiratory tract infection...
We present the case of a 78-year-old male patient with no relevant medical history who presented in February 2015 because of onset of pain associated with tumefaction of the right leg (Fig. ). In March 2015, a contrast-enhanced MRI showed an ulcerated tumor lesion on the posteromedial surface of his right leg, measurin...
A 14-year-old Caucasian female presented with a 3-month history of progressively worsening lower back pain. Her back pain quality was sharp, with 9/10 pain at its worst. The pain would sometimes radiate to her hips and down her legs and worsen with prolonged walking or activity. She was an otherwise healthy, competitiv...
A 40-year-old male presented with a 2-day history of epigastric pain. He once had a 2-year history of epigastric pain after fatty meals, and a family history of positive chronic hepatitis B virus for 20 years (the patient's father and brothers were both died of liver disease). On examination, all observations were with...
A 14-year-old previously healthy girl presented 2 weeks after an uncomplicated laparoscopic appendectomy for non-perforated acute appendicitis in a regional hospital. The girl complained of gradually reducing urinary frequency to twice per day and prolonged hesitancy. The micturition stream was initially weak and slow ...
A 27-year-old, non-smoking, 197 cm tall, 118 kg weight male patient presented himself at an external medical practice with symptoms including cough and right-sided, thoracic pain. His past medical history was uneventful. Next to signs of gigantism, the physical examination determined weak breath sounds of the right lun...
A 57-year-old female presented to her GP with a 3-month history of left-sided catarrh and epistaxis from her left nostril. Clinical examination was unremarkable and the patient was initially diagnosed with sinusitis. However, the symptoms did not resolve following treatment for sinusitis. On further examination, her de...
We report here the case of a 83-year-old white man with a two months history of a painful lesion in the gingiva followed by hematoma in the right then left palatine tonsil with spontaneous bleeding (). He complains of progressive odynophagia, dyspnea and weight loss. He has no antecedent beyond a benign prostatic hyper...
A 43-year-old male patient presented with metastatic PTC. He had been diagnosed with PTC in February 2004 and underwent total thyroidectomy at another hospital. High-dose (150 mCi) RAI therapy was performed twice in May 2004 and July 2006. In April 2007, right neck lymph node dissection was performed due to the discove...
A 13-year-old adolescent girl was admitted to the Department of Child and Adolescent Psychiatry with complaints of lack of enjoyment of pleasurable activities, sleep disturbances, suicidal thoughts, binge eating episodes, self-induced vomiting episodes and excessive exercising, leading to significant weight loss last 1...
A 46-year-old male patient was referred to our institution in November 2015 with three months history of headache. At the time of admission, a plain head CT scan showed an enlarged pineal gland with smooth margins and several peripheral calcifications. The pineal parenchyma appeared hyperdense to cerebral cortex becaus...
A five-year-old Hispanic (non-indigenous) boy was admitted to our hospital with a history of intermittent fever, and was found to have elevated muscle enzymes.\nHis mother reported that he had been taken to a doctor five days earlier and the apparent diagnosis was an intestinal infection, for which he was started on tr...
A 55-year-old woman visited our clinic in September 2018 with stage IV breast cancer. She was a mother of two sons with a history of contraceptive injection use for 5 years and suffered from type II diabetes for 4 years with routine insulin treatment. She presented with a left breast mass that had appeared several mont...
A 41-year-old man had been diagnosed as having a middle esophageal diverticulum based on an upper gastrointestinal contrast examination performed when he was 30 years old. He had not received treatment because he was asymptomatic. Eight months earlier, he experienced chest discomfort after eating and visited our hospit...
A 54-yr-old woman was referred to a tertiary referral hospital because of ataxia and myoclonus in June 2010. She was diagnosed with meningioma in the left frontal area, and the meningioma was excised in 1987. One month before visiting the tertiary referral hospital, she first began experiencing general weakness and dys...
A 63-year-old female with history of end stage renal disease secondary to IgA nephropathy, who underwent a living related kidney transplantation in 1995, presented to our hospital with generalized malaise, dyspnea on exertion, and cough which started 6 months prior. Her other past medical history included type 2 diabet...
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...
An 20-year-old male presented to the hospital with chief complaints of fever, chills, and shortness of breath. The chest radiograph at admission showed right middle lobe pneumonia with heavy growth of Streptococcus pneumoniae from his sputum without any bacteremia in his blood. On further evaluation, CT scan of the che...
Currently 5-month-old girl was born by caesarean section at 32 weeks’ gestation due to preterm premature rupture of membranes to a 31-year old, gravida 3 para 2 mother. The pregnancy was uneventful with the exception of an episode of minor bleeding in the first trimester. The parents are healthy non-consanguineous. Two...
In May 2001 a 54-year-old man presented to observation with diagnosis of 6.1 mm thick, Clark's level IV, ulcerated cutaneous melanoma of the trunk. Preoperative staging with chest X-ray and abdominal ultrasound (US) did not reveal signs of systemic disease. He underwent wide local excision (WEX) and sentinel lymph node...
A 20-year-old Chinese woman, with anemia and thrombocytopenia, was admitted to the Hematology Department of our hospital due to progressive fatigue.\nThe patient presented with progressive fatigue three months ago, which had significantly worsened in the previous few days. Additionally, she had experienced intermittent...
An 81-year-old man presented for evaluation of vague abdominal pain, dyspepsia, and weight loss over the previous three years. His past medical history was significant for prostate cancer, treated more than two decades previously by prostatectomy and adjuvant radiation therapy. Prior to our evaluation, he had been diag...
A 62-year-old woman was referred to our neurosurgical outpatient service with abnormal sensation in her trunk, arms and legs. The patient had a past medical history of a gastric ulcer, a right ankle plating after fracture 20 years ago and a headlice infection 6 months before first presentation. She was a smoker, social...
On January 26, 2018, a 70-year-old Chinese man with a posterior mass in his left lower extremity presented to the outpatient clinic of our hospital. The patient could feel the borders of the mass 3 years prior when the mass was fist sized; however, the patient ignored it and did not undergo treatment. In the ensuing 3 ...
A 54-year-old right hand dominant Caucasian male cabinet maker was referred for evaluation and treatment of a left distal biceps tendon rupture that occurred 22 months before initial orthopedic evaluation. The patient reported that a heavy door to be installed at his job site fell toward him. He reached out with his le...
A 20-year-old female presented to our center with a telangiectatic osteosarcoma of the humerus. There was no history of malignancies within the family.\nMRI examination and open biopsy were performed by the previous physician. At the time the results were thought to be malignant lymphoma. After several diagnostic trial...
A 42-year-old woman with progressive exertional dyspnoea and World Health Organization functional class (WHO FC) III–IV and a recent episode of haemoptysis was referred to our Pulmonary Hypertension Centre. She had no cardiovascular risk factors and family medical history was not available because the patient was adopt...
A 53-year-old man with a history of untreated hyperthyroidism (toxic nodule), chronic smoking, and arterial hypertension arrived to the emergency room of our institution complaining of disorientation, restlessness, palpitations, vomiting, abdominal pain, and fever (not quantified) that had begun over 48 hours prior. Wo...
We herein present a case that was recently managed at our institution, the Department of Surgery of the San Camillo Forlanini Hospital of Rome, Italy.\nA 53-year-old man with previous history of alcohol-related liver cirrhosis presents to our department for routine follow-up. His comorbidities include hypertension mana...
In this case, a 25-year-old male patient lost his maxillary left central incisor long before. From 2001, he had been treated with pre- and post-operative orthodontic therapy and gnathosurgery to improve his facial appearance. In this process, the maxillary left lateral incisor was moved on the position of maxillary lef...
A 36-year-old G3P0111 with a past medical history significant for seizure disorder and morbid obesity (Body Mass Index 33 kg/m2) presented with a chief complaint of progressively worsening abdominopelvic pain, nausea, and vomiting for one day. Two weeks prior she presented to an outside facility for right-sided abdomin...
A 48-year-old female patient underwent her first work-up for possible liver disease 30 years ago. Based on findings of chronic active hepatitis in liver biopsy, autoimmune hepatitis was suspected, and treatment with prednisolone and azathioprine initiated. Seven years later, an endoscopic retrograde cholangiopancreatog...
The patient is a 21-year-old African American man with a past psychiatric history of schizophrenia who was transferred from the psychiatry unit to the medical floor to rule out sepsis after the development of fever and tachycardia. The patient was reported to have decompensated on account of nonadherence with his home ...
A 57-year-old male with a history of type 2 diabetes and hypertension presented to the emergency department (ED) with low back pain radiating into his legs worsening over the prior three days. The patient was not able to identify any clear precipitating factors or trauma. He described the pain as moderate in intensity ...
A 61-year-old man was admitted with complaints of repeated abdominal pain and fever for 3 months. A mild tenderness and pulsating mass in the mid abdomen, no rebound abdominal tenderness was detected. Vital signs showed temperature: 39.0°C, blood pressure, and heart rate were normal.\nThe aortic PSA was identified to m...
The patient is a 57-year-old nulligravid female who presented to clinic with symptoms of urinary urgency incontinence. She had a past medical history of endometriosis, autoimmune hepatitis, cirrhosis, and denied any pertinent mental/psychological history or trauma. Her initial symptoms included urgency, voiding up to 5...
Initially, a 40-year-old man was referred to our hospital in June 2015 for further evaluation of a large hepatic tumor (63 × 53 mm2) that was identified using abdominal ultrasonography. He reported general fatigue, leg edema, appetite loss, and weight loss that began 1 month before his first visit to our hospital. Doub...
A 70-year-old woman with a past medical history of hypothyroidism, coronary artery disease, cerebrovascular accident with right-sided weakness, and hypertension presented to the emergency department for altered mental status. Earlier that day, she had an appointment for a screening colonoscopy with her gastroenterologi...
The index patient was a 34-year old female referred to the bariatric clinic by the general practitioner on her own request to treat her morbid obesity. She was born with a normal birth weight but large head circumference for which she never had a diagnostic analysis. At the age of five, her body weight was already sign...
A 65-year-old woman has presented with epigastric pain radiating to the back since 5 months before her admission. There was a history of diabetes mellitus, hypertension and hyperlipidemia and patient had no history of past surgery, pancreatitis or trauma which made the diagnosis of pseudo cysts less likely. The patient...
A 32-year-old lady fell from height and sustained deep laceration wound on the chin compounded with extensively comminuted mandible fracture. The fracture extends to the mandibular angle bilaterally causing severely deranged occlusion. She also sustained a medially displaced left condylar head fracture and an undisplac...
A 53-year-old right handed female was diagnosed with relapsing remitting MS in 2011 after clinical relapses in 2006, 2010, and 2011 and an MRI consistent with demyelination, none of which were treated with CR. She was started on interferon β-1a 30 μg IM weekly, a disease modifying therapy for MS, shortly after diagnosi...
A 62-year-old female patient had a history of admission to the emergency care center with decreased mental status. She was diagnosed as having acute infarction on the left brain stem following magnetic resonance imaging (MRI). After conservative management including intravenous tissue plasminogen activator, comprehensi...
A male patient aged 5-year-and-1-month was referred for genetic evaluation of development and speech delay, intellectual disabilities at the genetic counselling clinic in Shenzhen Maternal and Child Healthcare Hospital. The parents described that an affected brother also presented the same clinical phenotype but was no...
In June 2011, a 56-year-old male was referred to our department by head and neck surgeon in order to improve his upper denture retention and stability. The patient was diagnosed with a squamous cell carcinoma of the maxillary gingiva (T4N0M0) in May 2005 and underwent an extended left maxillectomy, an anterior and midd...
A 78-year-old woman was involved in a motor vehicle collision while traveling approximately six weeks before presenting to our institution. She initially had high cervical neck pain at the time of the event but no other neurologic symptoms. She was brought to a local trauma center at the time of the event, and a comput...
The 14-year-old male patient had normal birth and developmental milestones. He has no family history of dystonia or other movement disorders. At the age of 7, the first symptom of dystonia appeared as clumsiness of the hands; when he started to attend elementary school, he experienced difficulty with schoolwork because...
A 62-year-old man with a history of hypertension initially presented with progressive development of gait dysfunction, urinary incontinence, and encephalopathy over the course of two weeks following four days of a gastrointestinal illness. Upon presentation to an outside hospital, he was unable to speak and due to his ...
A 32-year-old Caucasian man, working as a professional welder, was admitted in our hospital in January 2004 after experiencing swelling and vague diffuse pain in his right shoulder for several weeks. The patient denied a history of trauma or previous fracture of the upper extremity in the humerus. His recent medical hi...
An 8-year-old boy was admitted in the burn unit of our hospital with the history of electrical burn injury to both of his knees when his lower limbs were entangled in a live electric wire. On examination, there was third-degree burn on both knees anteriorly with near full-thickness destruction of patellar ligament on b...
The patient is a 72-year-old immunocompetent Han Chinese man who had repeated dry cough for more than half a year. The patient had chronic hepatitis B for more than 10 years, and was now taking lamivudine tablets 100 mg/d and adefovir dipivoxil capsules 10 mg/d for antiviral treatment. The patient had no immune abnorma...
A 9-year-old neutered male Labrador retriever was referred to the medical oncology service for evaluation of a mass on the left rostral maxilla and dorsolateral muzzle. On presentation, the swelling had a diameter of 3.3 cm, round and firm. The mass could be appreciated intraoral at the apex if 204 and extraorally ~1.5...
The patient was a 17-year-old female who had been a long distance runner for five years. Her height was 160 cm, her weight was 47 kg, and her body mass index (BMI) was 18.4. She had run about 210 km a week during her junior high school years and 140 km a week during her high school years on a tartan track. Her running ...
Our patient is a 19-year-old girl, with a long surgical history of multiple complicated abdominal surgeries. She was diagnosed with Primary Hyperoxalosis for which she underwent same setting liver and kidney transplant. A few years afterward, she was diagnosed with intestinal type diffuse large B-cell lymphoma. After t...
Our patient was a 37-year-old woman, who worked as an English teacher at a local high school. She fell down the stairs of the height of three meters and sustained a head injury. She exhibited a partial loss of consciousness scored 12 at (E3V4 M5) on Glasgow Coma Scale after the injury and was therefore transported to t...
A 48-year-old female patient underwent her first work-up for possible liver disease 30 years ago. Based on findings of chronic active hepatitis in liver biopsy, autoimmune hepatitis was suspected, and treatment with prednisolone and azathioprine initiated. Seven years later, an endoscopic retrograde cholangiopancreatog...
A 27-year-old post-partum female presented to the clinic with severe lower back pain radiating to the left lower limb for one month. The visual analog scale (VAS) was used to measure pain intensity and pain affect and the Oswestry Disability Index (ODI) was used to measure the degree of disability due to lower back pai...
A 34-year-old male diagnosed with CF as a child was found to have CFRD at age 20 after joining our tertiary care clinic. He was diagnosed with CFRD based on fasting glucose and HbA1c levels along with symptoms of polyuria and polydipsia. He was started on insulin therapy the year following diagnosis () with 1 unit of r...
A 51-year-old woman with a one-month history of redness and swollen left knee joint was transferred to our general intensive care unit (ICU) due to persistent high fever (up to 39.5°C) and sudden hypotension. After being diagnosed with dermatomyositis 2 years ago, she continued medication treatment on prednisone tablet...
A 65-year-old man with known history of asthma presented to another tertiary hospital with a history of bleeding per rectum for a few days. He underwent a colonoscopy which revealed an irregular thickening with a slightly raised area at the proximal transverse colon. Biopsies taken were reported as neuroendocrine carci...
A 47-year-old white male presented with recurrent severe dizziness, chest tightness, shortness of breath, left upper back pain, night sweats, and chills of three weeks duration. His past medical history consisted of a 20 pack/year history of smoking and squamous cell carcinoma of the tongue, status-post excision with s...
A 56-year-old man underwent left lower lobe lobectomy for lung adenocarcinoma (T2N2M0) in 2007, and was found to have recurrent lung cancer in the lung, brain, and left adrenal gland in 2009. He was treated with 15 cycles of gemcitabine plus navelbine from November 2009 to December 2010, and then six cycles of pemetrex...
A 40-year-old woman (160 cm, 70 kg) at 30 weeks and 4 days of gestation was scheduled for cesarean section and pituitary tumor removal. Her past medical history revealed that she had undergone cesarean section under general anesthesia 10 years ago and her other past medical history was unremarkable. The patient was hos...
A 70-year-old male was admitted to the hospital on November 7, 2019 with transient ischaemic attacks presenting paroxysmal weakness of the limbs in the previous 2 years. He had a past medical history of diabetes and right inguinal surgery in 2018. On physical examination, his blood pressure was 147/74 mmHg, and a systo...
A 28-year-old woman was admitted for left breast cancer with nipple retraction, palpable axillary lymph nodes, and dull pain in the upper-mid chest. Mammography revealed ill-defined hyperdense mass involving left whole breast with nipple retraction and diffuse skin and trabecular thickening with enlarged lymph nodes in...
We report the case of a 73-year-old woman with a history of hypertension and type 2 diabetes mellitus. She had no past or current history of smoking or alcoholism, and no relevant family history.\nPresenting with asthenia, anorexia and weight loss, which had developed over 6 months, she was referred to an outpatient in...
An 87-year-old woman was referred to our hospital in poor general condition (Eastern Cooperative Oncology Group performance status 3) with dyschezia and loss of appetite for the past week. A colonoscopy confirmed an obstructive descending colon cancer that could not be penetrated by the colonoscope (Fig. a), and comput...
A 55-year-old Caucasian woman with a 5-month history of abdominal pain and vomiting was diagnosed as having a probable high-grade ovarian malignancy with a large volume of peritoneal disease. She had a prior ultrasound of her pelvis which demonstrated a 17 cm large irregular solid vascularized mass in her right ovary. ...
A 91-year-old Puerto Rican man presented for evaluation of progressively worsening shortness of breath over the past six months associated with two weeks of productive cough of yellowish sputum. The patient also had complaints of fatigue, palpitations and dyspnea with minimal exertion. His past medical history was sign...
A 62-year-old Caucasian male with a history of successfully treated hepatitis C and Child-Pugh A5 cirrhosis presented with diffuse abdominal pain. Workup with ultrasound and follow-up multiphase abdominal computed tomography (CT) scan revealed a heterogeneously enhancing and infiltrative liver mass measuring approximat...
A 66-year-old male underwent colostomy for large bowel obstruction due to advanced rectal cancer and continued chemotherapy. The patient was referred to our hospital for Fournier gangrene due to the penetration of the advanced rectal cancer during chemotherapy. The perineum and buttocks around the anus exhibited swelli...
A 68-year-old female was referred to our service for evaluation of erythema and swelling of the right elbow. She was admitted to the hospital 12 days before because of an infected left foot ulcer that required debridement and intravenous antibiotic therapy. Six weeks prior to admission she was seen by a pain management...
A 61-year-old White man, non-smoker, with a diagnosis of long-standing arterial hypertension of difficult control, severe heart failure with a left ventricular ejection fraction of 30% receiving pharmacological treatment with carvedilol, ivabradine and losartan, and history of stage IIIB chronic renal failure without d...
A 44-year-old male presented in the emergency department with a three-year history of progressively worsening ataxia, apathy, and aphasia. Computed tomography (CT) scan had revealed a large left frontal lesion a year prior, but the patient had declined surgical intervention at that time. A CT scan performed three years...
We present the case of a 30-year-old Nigerian male who was brought to the Surgical Emergency Department of the Lagos State University Teaching Hospital Ikeja 22 hours after he had inserted a constricting ring over his penis. He had developed a painful penile shaft swelling distal to the ring with suprapubic pain and sw...
A 24-year-old white man, a middle-distance runner (800 m) competing at national level (seasonal best/personal best of 1 minute 52 seconds), developed severe left heel pain in the pre-season in March 2013. His maximum perceived pain intensity was 10 cm on a visual analog scale (VAS) that ranged from 0 to 10 cm, with 10 ...
A 20-year-old Korean male was transferred from the military hospital and admitted to an intensive psychiatric ward due to complaints of episodic violent behaviors toward fellow soldiers and changes in character and personality, which began at the onset of his military service two months earlier. Four months prior to ad...
A 60-year-old man with a history of chronic obstructive pulmonary disease was admitted to a hospital because of the sudden onset of abdominal pain. No history of previously known cardiovascular risk factors or cardiovascular diseases was reported by the patient. Initially, he was treated as an outpatient with the impre...
A 14-year-old previously healthy girl presented 2 weeks after an uncomplicated laparoscopic appendectomy for non-perforated acute appendicitis in a regional hospital. The girl complained of gradually reducing urinary frequency to twice per day and prolonged hesitancy. The micturition stream was initially weak and slow ...
A 33-year-old Thai man presented at our center with a mass on the left side of his neck for 3 weeks. Our center, Siriraj Hospital (Bangkok, Thailand), is Thailand’s largest national tertiary referral center. Three years earlier, he sought treatment at a private hospital for a low-grade fever and a palpable mass at his ...
The second case is a 75-year-old Irish woman with a psychiatric history of bipolar affective disorder, stable for several years on olanzapine and valproate, enabling her to lead an independent lifestyle. There was no history of cognitive impairment. She suffered from multiple medical conditions including: atrial fibril...
Case 2 involved a 64-year-old woman with a fibroadenolipoma in the lower inner quadrant of her left breast. The mammography report notes the breast tissue is extremely dense (BI-RADS category D). Fibroadenolipomas (also known as hamartomas) are typically benign masses containing an admixture of ducts, lobules, fibrous ...
A 3-week-old male was referred to pediatric surgery for evaluation of a congenital lung lesion. He was born at 37 weeks via cesarean section for breech presentation with a birthweight of 2.78 kg. After birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where a chest X-ray demo...