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A 58-year-old Caucasian male presented to the emergency department with complaints of constipation and abdominal distension. He had experienced nausea and decreased bowel movements for a week, which were not alleviated by stool softeners or enemas. There was no history of diarrhea, fever, chills, weight changes, night ... |
We report on an 81-year-old male patient diagnosed with an MMR-deficient HER-2 negative gastric adenocarcinoma staged cT4cN3M0 at disease presentation. He was offered upfront chemotherapy with four cycles of FOLFOX chemotherapy complicated by grade IV fatigue. The tumor was found to be unresectable on laparoscopic expl... |
An 83-year-old female presented to the Emergency Room due to intermittent palpitations for the past one year but these got worse on the day of presentation. Palpitations were severe enough to wake her up from sleep. During the preceding three months, the patient had progressive fatigue and declining exercise intoleranc... |
A 45-year-old Japanese man was referred to our hospital by his local dentist; he had constant pain in the head and neck region, particularly on the right side. The dentist had initially suspected temporomandibular disease, but owing to atypical symptoms, he was eventually referred to our hospital for further examinatio... |
A 58-year-old male presented with decreased vision in his left eye, without redness or floaters, which had persisted for three days. His medical history detailed a diagnosis of nephrotic syndrome (membranous nephropathy), which had been treated with prednisone for a period of four months. Drug-induced diabetes was subs... |
A 77-year-old woman visited our hospital with no history of trauma and complained of right thigh pain. Although her pain initially occurred late during activity and was resolved with rest, it finally became more constant until it was present at rest (Table ). She received right cementless bipolar hip hemiarthroplasty (... |
A 29-year-old female patient presented in 2014 with complaints of heaviness and pain in the lower abdomen for the past 3 months. Ultrasound was done outside of our hospital which revealed a large heterogeneously isoechoic mass lesion in the myometrium of fundus displacing and splaying of the endometrial cavity. She und... |
A 38-year-old woman (gravida 5, para 3+1) had been delivered of 2 healthy sons and 1 healthy daughter via lower segment CSs in other hospitals 15, 11, and 8 years, respectively, prior to the current presentation. At 32+1 weeks of gestation, she presented at the emergency department of our hospital because of spotting. ... |
A 76-year-old male patient complaining of appetite loss and upper abdominal pain was referred to our hospital for examination of a mass detected in the pancreas. Laboratory tests showed elevated levels of total and direct bilirubin, amylase and lipase, and CA19-9. Abdominal CT showed a low-density mass, measuring 40 × ... |
A 61-year-old male was presented to our clinic reporting episodes of headache and hypophyseal mass for nine months and right eyelid ptosis for four months. In January 2019, he started with an intermittent headache, blurred vision, weakness, and anorexia. He was then admitted to a local hospital for further examination.... |
A 59-year-old Caucasian female presented in April 2008 for a consultation. She had a history of osteopenia and had been treated with alendronate (Fosamax) for 3 years. Until recently, her history of dental treatment had been uncomplicated. Her third molars had been extracted and four of her permanent teeth had been res... |
A 26-year-old primigravida presented to the Maternal Fetal Medicine (MFM) clinic for consultation regarding a 1 cm cystic structure located at the floor of the fetal mouth. The structure had been visualized on an ultrasound in the radiology department at 21-week gestation. The patient was healthy without any significan... |
A 51-year-old woman (gravida 3) was admitted to our hospital due to abdominal distension and defecation that had increased for 6 months and had been aggravated for 3 days. Six months prior, the patient had abdominal distention, decreased diet, and increased abdominal circumference without obvious inducement. These symp... |
Our patient was a 12-year-old female who presented to us with “poor cosmesis” of her face, decreased vision, and an inability to close her left eye since birth. Initially, the parents noticed that the child had multiple episodes of recurrent watering in her left eye during the first five months of her life. But later o... |
A 44-year-old woman with no remarkable family history was admitted to our hospital with the following medical history: after undergoing modified radical mastectomy for cancer of the right breast (papillotubular carcinoma, T3N1M0) in March 2009 at another hospital, the patient received postoperative chemotherapy (4 cour... |
A 49-year-old Hispanic female presented to the clinic one month following a widening of a previous laminectomy for the resection of a lumbar (L) level four to five arachnoid cyst, with worsening right lower extremity radicular pain and urinary retention. The patient reported bilateral lower extremity pain but predomina... |
The patient was a previously healthy 28-year-old man who presented to the emergency room in the spring of 2008 with a one-day history of a headache after shoveling snow. It resolved but recurred the next day. His headache became very severe with subsequent nausea and vomiting. Computerized tomography (CT) scan at 15:10... |
A 66-year old man, who had been a heavy smoker for longer than 30 years, had a remote history of hypertension, hypothyroidism, and repeated surgical procedures (laparotomic surgery for appendicitis at 29, L5-S1 laminectomy at 44 and right hip surgery at 60). At the age of 65 he was diagnosed with a cancer in the sigmoi... |
An 85-year-old female patient with prior history of hypertension, was urgently admitted to an outside institution with symptoms of progressive dyspnoea and malaise of ∼1 week duration. The patient later revealed all symptoms being preceded by an episode of persistent substernal chest discomfort that she managed at home... |
A 66-year-old woman was referred to our hospital because of recurrence of pericardial metastatic liposarcoma with progressive dyspnea. The patient had undergone surgical resection of a primary liposarcoma in the left thigh 19 years previously and resection of a locally recurrent tumor 13 years previously. She developed... |
A 37-year-old male was first seen at the tertiary Headache Centre at the National Hospital for Neurology and Neurosurgery, UK, in September 2013 due to complex hemiplegic migraine. He was born to healthy non-consanguineous parents following an unremarkable pregnancy and perinatal course. His brother suffered from migra... |
The patient was a 39 year-old woman admitted to our ward because of severe abdominal pain, diarrhea and emesis for 3 days. No evidence of infectious gastroenteritis was found. She suffered from end-stage renal disease since 2007 because of aHUS due to a heterozygous disease-causing mutation resulting in a two base dele... |
Ms. K is a 35-year-old Japanese woman with a medical history of hypothyroidism brought to the emergency department (ED) after she attempted to stab herself with a knife. Her husband was able to interfere before the act was completed. In the ED, she presented with a depressed mood and expressed suicidal thoughts. One we... |
A 65-year-old male presented to our hospital due to intermittent claudication of both legs and swelling in his left leg. The claudication had started 4 weeks earlier and was ongoing at the time of presentation, and the pain had worsened. His left lower limb had become swollen 2 weeks before admission. On admission, the... |
A 72-year-old woman was referred to our hospital with pancreatic head and neck carcinoma for more evaluations and surgical operation. She had been suffering from abdominal pain for about 1 year, and the pain has become more intense in the last 6 months. The pain was postprandial and localized to the right upper abdomen... |
An asymptomatic 9-year-old male had a past medical history of interventricular communication due to interventricular septal defect in infancy, which spontaneously closed without residual regurgitation. The child was referred for preoperative cardiac evaluation due to auscultated systolic murmur in view of orthopedic su... |
A 33-year-old male patient presented to a tertiary care hospital with intermittent abdominal pain, nausea, vomiting, constipation and numbness of bilateral lower limb extremities, of 3 days duration. He was conservatively managed in a surgical unit as partial intestinal obstruction and was awaiting diagnostic laparosco... |
A 90-year-old female was admitted to our hospital as a case of pneumonia associated with decreased level of consciousness; Glasgow Coma Scale (GCS) was 9/15 which deteriorated days later to 5/15. Along the course of her admission, the patient was admitted in the ICU and later shifted to high dependency unit (HDU) where... |
The second case was a 10-year-old girl who presented with abdominal pain and a weight loss of 2 kg over three months. Laboratory tests performed demonstrated persistently elevated CRP (22 and 24 mg/L), a fecal calprotectin of >300 µg/g. An abdominal ultrasound noted thickening of the terminal ileum with enlarged lymph ... |
A 26-year-old female was referred to our hospital in June 2014 with a complaint of dull pain in the right knee for six months. Physical examination showed tenderness in the proximal right tibia. Radiography and computed tomography (CT) revealed eccentric, well-defined osteolytic destruction in the proximal metaphysis o... |
A 74-year-old male patient with a history of a previously diagnosed myxoinflammatory fibroblastic sarcoma of the left lower extremity treated with definitive surgery presented <2 years later for the development a new tender area of nodularity distal to his previous surgical incision site. The patient's past medical his... |
This case involves a 60-year-old male with a history significant for benign prostatic hyperplasia, hypertension, and insulin-dependent diabetes who presented in July 2017 with diabetic ketoacidosis and Fournier’s gangrene. The patient’s treatment course for Fournier’s gangrene subsequently consisted of multiple operati... |
A 64-year-old man was admitted to our hospital with general fatigue and diarrhea. On physical examination, he appeared to be cachexic and a firm mass was palpable on the upper abdomen. Laboratory investigation revealed a slight decline in hemoglobin concentration to 8.2 g/dL and elevated serum carcinoembryonic antigen ... |
A 67-year-old male initially underwent contrast-enhanced multidetector CT of the abdomen in Sept 2014 at another hospital, which showed an incidental 4.2 × 3.9 cm mass in the upper abdomen. This was interpreted as a head of pancreas mass causing portal vein compression. The patient was asymptomatic; physical and labora... |
A 66 year old female presented with a large abdominal mass on a background of metastatic clear cell RCC, which had progressed despite a first line TKI and subsequent immunotherapy. The large mass was recurrent tumor, arising from the surgical bed as well as confluent retroperitoneal and peritoneal nodules. It had drama... |
A 45-year-old male reported to the department of periodontics and community dentistry, with the chief complaints of swollen gums since 3 months and pain on mastication since 1 month. According to the patient, the swelling began in the upper back jaw region and gradually swelling became diffuse involving all the gums [F... |
At the time of diagnosis, this patient was an 8 year-old male with an approximate 12–24 month history of mild pain and swelling in the left popliteal region. There was no complaint of fever or decreased range of motion. He presented to a local orthopedist (April 1995) and was found to have a palpable abnormality on the... |
In October of 2012 an 84-year-old man with a history of coronary artery disease, COPD, hypertension, and venous insufficiency presented with multiple cutaneous nodules on his right leg. The lesions had been growing in size over the preceding 3 years (Fig. ). An excisional biopsy was performed and revealed a malignant m... |
The patient is a 57-year-old female who underwent cardiac catheterization via the right common femoral artery two weeks prior to developing a large, symptomatic right common femoral artery pseudoaneurysm ().\nThe patient began complaining of groin pain two weeks after cardiac catheterization. She has a past medical his... |
This is a 47-year-old-man that was referred to the addiction unit of Hospital de Virgen de La Arrixaca in Murcia, Spain for the treatment of anticholinergic drug abuse. Patient reported self-medicating with biperiden and developing tolerance to this drug. He described this effect as feeling relaxed and sociable. Given ... |
A 73-year-old female was hospitalized for aortic valve replacement to fix severe aortic regurgitation and stenosis. She had been subject to follow-up after being diagnosed with hypertension, aortic regurgitation, and stenosis five years earlier. During the follow-up, surgery was decided due to worsening symptoms and ec... |
A 71-year-old male with a history of alcoholism and radiation treatment (total dose of 57.6 Gy) for early-stage vocal cord cancer 16 months earlier was referred to us with radiographic detection of a pulmonary nodule in the right lower lobe. Endobronchial biopsy of the pulmonary nodule revealed the diagnosis of squamou... |
In April 2015, a 23-year-old male was referred to our Faculty (Oral and Maxillofacial disease department of Mashhad university of Medical sciences). His chief complaint was an ulcer of the uvulae from three months ago, oropharyngeal dysphagia, pharyngitis, and mild fever with unintentional 20-pound weight loss over the... |
A 35-year-old French male unrelated donor 10/10 was selected to perform a PBSC donation for allogeneic HSCT to a European patient. The donor gave his consent for the stem cell collection and for the analysis of the clinical features and biological parameters involved in this cell collection. Less than 30 days before th... |
A 33-year-old female patient reported to the Outpatient clinic, in March 2007, with the chief complaint of mobility of the lower front teeth since three months. The patient was systemically healthy. Clinical examination revealed generalized gingival inflammation, bleeding on probing, and generalized probing pocket dept... |
A 58-year-old male patient, with a history of a vascular bypass because of occlusion of the infrarenal aorta in September 2010 and rheumatoid arthritis for which he used etanercept weekly, underwent abdominal ultrasound during routine follow-up in September 2012. He mentioned lower abdominal pain since a few weeks, but... |
A 35-year-old man sustained a blunt traumatic injury to the pancreas with pancreatic duct rupture in the head of the pancreas (). He was initially treated by operative drainage of the leaking pancreatic fluid and insertion of a drain into the dilated distal pancreatic duct (). Two years later, the duct drain prolapsed ... |
A healthy 36-year-old man sustained a close-range, low-velocity gunshot wound during an assault. The bullet length was 1.5 cm []. The patient was initially examined by the trauma team in the emergency room for a gunshot wound to the lower abdomen. The patient was hemodynamically unstable. The entrance wound was located... |
Mr. SL is a 63-year-old entrepreneur who has been running his own business for about 30 years, achieving success and admiration from his peers. However, due to the economic crisis, he started facing financial difficulties and had problems in carrying out his business, paying salaries to his long-lasting employees, and ... |
A 10-year-old girl was referred to our institution, King Abdulaziz University Hospital, Riyadh, Saudi Arabia, for the management of stridor. According to the referral history, the patient was known to have bronchial asthma and used medication as needed and presented initially with difficulty in breathing at the age of ... |
The patient was a nonsmoking 53-year-old male with a history of obesity (body mass index 32 kg/m2), type 2 diabetes mellitus, and hypertension who developed fevers, diarrhea, and cough. After 6 days of worsening symptoms, he presented to an outside hospital for rapidly worsening dyspnea and confusion. Upon arrival, he ... |
The patient was a 61-year-old Caucasian male with a history of angina pectoris and four prior elective coronary angiographies (CAG) in 1996, 1998, 2002, and 2003; all of these showing atheromatosis but no significant stenosis. He had a long history of cigarette smoking and hypertension.\nIn December 2006, the patient e... |
Ms. V is a 33-year-old married right-handed Caucasian woman with history of questionable spells characterized by loss of consciousness and whole body jerking since the age of 13. She had several EEGs in the past which were normal. She has a history of significant anxiety issues including depression and behavioral probl... |
A 22-year-old woman was admitted to our hospital with a history of intermittent colicky right hypochondrial pain not relieved by any medications for the past 3 months. Initially, she was given proton pump inhibitors, but her pain was not relieved. She had no other symptoms. Her past medical and family histories were no... |
A 21-year-old man (height, 158 cm; weight, 40 kg) was scheduled for wedge resection with video-assisted thoracoscopic surgery for treatment of pneumothorax. The patient had visited our hospital because of sudden chest discomfort the day before admission. He had been diagnosed with CMTD 14 years previously. Surgical tre... |
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... |
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 73-year-old male gardener presented to Kurume University Hospital in Japan in April 2012 complaining of a foreign body sensation in his right eye after sweeping up leaves and twigs on a windy day. He had a medical history of hypertension, paroxysmal atrial fibrillation, and angina. He had previously received anticoag... |
A 60-year-old male was referred to our department, complaining about gradually worsening hoarseness, during the last 8 month period. Occasional dysphagia and foreign-body sensation were also reported upon referral. The patient was a heavy smoker for more than 20 years, reporting an average of 20 cigarettes per day. Alc... |
This case describes a 23-year-old male who was struck by a motor vehicle. Upon arrival at our hospital, the patient had a GCS of 8. FAST exam, chest radiograph, and computed topography (CT) of the head and cervical spine were obtained and were negative.\nExam of the lower extremities revealed abrasions over the left kn... |
Written informed consent has been provided and signed by the patient to have the case details and any accompanying images published.\nA 23-year-old man presented with a diagnosis of DEB and secondary pyoderma. His family history was unremarkable.\nReview of medical history revealed that vesicles first started to appear... |
In December 2018, a 62-year-old Chinese man visited the hospital with a complaint of a mass on his left cheek that had persisted for 20 years. The mass was initially the size of a pea and asymptomatic. In the most recent 7 years, the tumor gradually increased to about the size of an egg, without tenderness and occasion... |
A 19-years old girl from Afghanistan, who had been diagnosed with a cyanotic heart disease at an early age when a heart murmur and cyanosis were detected, presented with shortness of breath and acral cyanosis. Throughout her life, she had been experiencing increasing exercise intolerance, frequent episodes of cyanosis ... |
This is a case of a 3-year-old male patient, with no medical or dental history of interest, suffered a dental trauma after a domestic accident and went as an emergency to the Pediatric Dentistry Service of the Hospital.\nChief complaint: his mother went to the emergency room with the fragment of her child's tooth root ... |
A 66-year-old woman was diagnosed with a recurrent giant anterior chest wall keloid, which she had had for more than 10 years. Past history consisted of repeated failed excisions and intralesional steroid injections. The patient suffered from local itching and pain, as well as progressive enlargement of the keloid. Wha... |
A 36-year-old man presented with left-sided headaches associated with vertiginous giddiness for 3 months. A magnetic resonance imaging (MRI) scan of the brain revealed a 5.7 cm left temporal mass with significant left cerebral edema and midline shift []. The patient underwent preoperative angioembolization of the tumor... |
A 38-year-old man with no past medical history presented to the ED for four months of progressively worsening dyspnea on exertion and nonproductive cough which increased at night. During the past month, he also noticed the gradual development of a nontender erythematous right ear mass, which he had not been aware of pr... |
A 51-year-old woman underwent hysterectomy and pelvic lymph node dissection for uterine cancer when she was 48 years old, and lymphedema developed in the left leg soon after the operation. She had one episode of cellulitis. Despite wearing elastic stockings, lymphedema worsened, and she visited our institution at the a... |
The patient was an 8-year-old Japanese boy with no history of eating disorders. As COVID-19 was highly publicized in the mass media 2 months after the first outbreak, he feared its infection so much that he refused to go anywhere, even to school. He washed his hands and rinsed his mouth excessively. He lost his temper ... |
A 34-year-old gravida 2 para 1 at 25 weeks gestation was transferred to our institution from an outside hospital. She complained of a two-week history of progressively worsening orthopnea and shortness of breath that left her unable to perform daily activities. An initial transthoracic echocardiogram obtained at the re... |
A 51-year-old woman was referred to the ENT department with a 2-week history of a lump on the right side of her neck. There was no history of change to her voice or dysphagia.\nShe is a para 4 with all normal vaginal deliveries and has had normal cervical smears in the past. Her periods were regular and she gave no his... |
A 31-year-old Asian Indian female presented to the outpatient department of Sir Ganga Ram Hospital, New Delhi, India with a history of increasing pain in the right hip and pelvis for the last 3 years. Pain was progressively increasing in intensity, radiating to the right lower limb and back, increased on movements and ... |
A 74-year-old man underwent a total thyroidectomy for goitre in 2009 and curative radiotherapy for prostate cancer in 2013. He was also treated for arterial hypertension and regularly followed-up for stage 3 chronic kidney disease. A low plasma calcium level was also detected in 2014 by a urologist, but no treatment wa... |
A 38-year-old Filipino patient, G3P2+0 presented to the emergency department on the 18th of October 2019 complaining of acute onset of lower abdominal pain associated with a history of amenorrhea for three months. She was unsure of the date of her last menstrual period and had no previous antenatal follow-up. She was m... |
A 20 year-old Caucasian male presented to our department with incomplete left abducens nerve palsy; neuroradiological examination documented three intracranial space occupying lesions, respectively in the left cavernous sinus, on the right frontal convexity and on the superior aspect of the right petrous pyramid (Figur... |
Two brothers presented to us, both with similar symptoms. Our first patient was an eight-year-old male who presented with an inability to stand or walk since the past two months, along with bilateral foot deformities. According to his father, the patient had developed a difficulty in walking and in climbing stairs, acc... |
A Japanese 26-year-old man without any relevant medical history had progressive refractory massive ascites of unknown origin. He shortly developed hematemesis. An endoscopy revealed spurting bleeding from esophageal varices, and he was referred to and then admitted into our hospital. He underwent emergency endoscopic i... |
The patient was a healthy 25-year-old man with a one-year history of right ankle pain following trauma.\nHe had met a car accident while walking. One year earlier, he had undergone open reduction and internal fixation on his right ankle for fracture at another hospital. A tibia diaphysis spiral fracture was fixed by th... |
A 23-year-old woman was admitted with chest distress and difficulty breathing. The patient said that 1 week prior, she had symptoms of fever, bloody stools and headache, and oral antibiotics did not relieve the symptoms. On admission, the vital signs observed during the physical examination were as follows: body temper... |
A one-year-old Thai boy was referred to Phramongkutklao Hospital due to subacute fever, abdominal distension, mucous diarrhea, and failure to thrive. He was born at term with uneventful pregnancy, and he is the first child of nonconsanguineous parents. There was no history of autoimmune or primary immunodeficiency diso... |
An 80-year-old man complained of severe pain and paresthesias following acetabular component revision surgery via the original posterolateral approach. The patient subsequently complained of right leg pain and paresthesias. The symptoms were exaggerated during initial hip flexion and internal rotation that limited ambu... |
We describe a case of a 36-year-old black African woman with two previous live births by cesarean section and two previous miscarriages who was referred in her fifth pregnancy after 6 weeks of amenorrhea. Her serum quantitative β-human chorionic gonadotropin (bHCG) was 16,124 mIU/ml. However, an intrauterine or extraut... |
A 57-year-old male patient with ischemic cardiomyopathy (LV ejection fraction 25%) and recurrent episodes of VT was evaluated by the heart rhythm team. He has a complex past medical history, including Hodgkin lymphoma during childhood treated with chest radiation, leading to early development of coronary artery disease... |
A 23-year-old man with abdominal pain and diarrhea was admitted to the in-patient service at a Department of Gastroenterology in September 2014. The symptoms had reportedly been present for 2 months. The frequency of defecation was 3 or 4 times a day, and there was no mucus or blood in the stool. No family history of i... |
A 42-year-old female patient [] reported with the chief complaint of a painless, pigmented growth in the left anterior maxillary gingiva since 3 months, which started as a pin point lesion, progressed gradually, and extended to the palatal gingival margin. She gave no history of any systemic illness or trauma to the he... |
In February 2014, a 50-year-old Caucasian female patient was referred to our department due to suspected chorioretinitis in the left eye. The patient reported metamorphopsia in the left eye lasting about 6 months. Both personal and ocular histories were free of any noteworthy facts. VA was 4/4 (ETDRS) natural in both e... |
A 49-year-old man with a history of acromegaly was admitted to our hospital with the concern of recurrent shortness of breath and dyspnea on exertion during the previous 2 years, and he had experienced an episode of presyncope 2 weeks prior without any further evaluation. He was a chef in a local restaurant for almost ... |
We present a case of 40-year-old building and construction male worker who slipped and fell from a height of three (3) meters and sustained a deep penetrating wound on the right side of the anterior neck a week prior to presenting at our facility. He was apparently working from the above height when he slipped and fell... |
A 59-year-old male underwent uneventful DDLT for decompensated hepatitis B-related liver cirrhosis with a MELD score of 19. The transplant surgery and postoperative course were uneventful. He was discharged on the 11th posttransplantation day with stable liver function. Immunosuppressive protocol was as per standard in... |
A-30-year old man presented with a slow growing painless swelling involving both jaws, over a period of 2 years. He stated that the swelling was initially small, but gradually enlarged to cause spacing between teeth and noticeable facial asymmetry. This swelling was not associated with pain, paresthesia or pus discharg... |
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 50-year-old female patient, who broke her knee joint while skiing. When she arrived at the emergency room, she experienced severe pain in the right knee, which was swollen and had functional limitation. Lateral radiograph and CT better revealed comminuted fracture of the distal posterolateral femoral condyle and rota... |
A 50-year-old woman was referred to our hospital for treatment of a duodenal tumor. She had a 13-year history of left nephrectomy for RCC. The histologic diagnosis was clear cell carcinoma of grade 2, pT2N0M0, and pStage II (according to the current TNM staging of the Union for International Cancer Control, 7th edition... |
A 64-year-old Caucasian woman with a history of a resected gastric carcinoid 38 years ago presented to the Department of Gastroenterology at the University of Maryland with symptoms of early satiety and a progressive, 6-months weight loss of 20 pounds. The patient had no other complaints. Her past medical history was s... |
A 50-year-old female patient was referred to the Department of Oral and Maxillofacial Surgery of the VU University Medical Center in Amsterdam with complaints of a long ongoing unpleasant altered nasal airflow after the placement of eight dental implants in the maxilla. Four months prior to implant surgery, a bony augm... |
This patient is a 14-year-old male, who felt a popping sensation and significant right knee pain while jumping and colliding with another player during a basketball game the previous day. Following the injury, he was evaluated in an outside emergency department, where anterior, posterior, and lateral radiographs obtain... |
Otherwise healthy, 12-year-old boy was admitted to the ward with a history of swelling of the right and left forearms, for 1 day duration.\nHe gave a history of a swelling in the right forearm first noticed six weeks prior to the current presentation, and it has resolved gradually without any acute intervention. During... |
The patient, a 34-year-old woman (height 156 cm, weight 46 kg), showed symptoms of chronic cough, recurrent pulmonary infections, and pronounced stress dyspnea. Further evaluations revealed tuberculosis, treated several years with an unknown monotherapy. In the respiratory function test, forced vital capacity was 1.6 L... |
A 48-year-old woman presented to our intensive care unit (ICU) with a 10-day history of myalgias, fatigue, anorexia and progressive dyspnoea. Her initial evaluation in the emergency department was notable for confusion and jaundice. Initial vital signs were notable for hypotension, tachycardia and hypoxaemia with room ... |
A healthy 36-year-old Caucasian woman gravida 1 was referred to our hospital at 6.3 weeks of gestation due to the presence of a cervical heterotopic pregnancy after an IVF cycle for tubal infertility with transfer of two embryos. She brought an ultrasound exam, performed at 5.5 weeks, showing the presence of two gestat... |
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