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A 67-year-old Caucasian female with glipizide- and metformin-treated diabetes mellitus and enalapril-treated arterial hypertension presented for open reposition and Zuggurtung fixation of a fracture of the olecranon. The elbow was fractured in a bicycle accident and had been conservatively treated for 14 days prior to ... |
A 67-year-old active male with a medical history of myelofibrosis, aortic valve stenosis, mitral valve insufficiency, deep venous thrombosis and terminal kidney failure was diagnosed with a sigmoid carcinoma. A laparoscopic sigmoid resection was performed without complications and with full recovery. The pathological r... |
An 11-year-old, male, neutered pug, weighing 8.7 kg, was presented for profound pain when opening the mouth. The dog has had, over a year, history of chronic bilateral middle ear disease treated with two ventral bulla osteotomy surgeries. Despite surgery and medical management, the dog continued to experience profound ... |
A 19-year-old male presented in the emergency department with one episode of melena per day, for one week. It was associated with vomiting, shortness of breath and palpitations. His hemoglobin level on initial complete blood count was 5.80 g/dL, signifying severe anemia according to WHO guidelines []. His lab parameter... |
A 59-year-old male patient reported with a complaint of gradually enlarging swelling on the right lower half of the face for the past 6 months. The swelling gradually grew and attained the present size. The patient also gave a history of a solitary slow growing soft tissue ovoid swelling, on the lingual side of right b... |
A 68-year-old man was referred to our hospital with a deteriorated general condition due to chronic hepatitis C genotype 1b. In this advanced stage of disease, treatment with pegylated interferon, ribavirin and a direct acting antiviral (DAA) was not indicated. Progressive cirrhosis necessitated a liver transplant 2 ye... |
A 73-year-old man with a history of controlled hypertension and progressive dyspnea of 3 months’ duration (New York Heart Association functional class II) and recent nonproductive coughs referred with the water-bottle heart sign in his chest X-ray, suggesting pericardial effusion (). Physical examinations revealed norm... |
A 19-year-old male was referred to our hospital by a primary care physician for a history of intermittent cramping pain in the right flank persisting for several days. His abdomen was flat and soft; however, he complained of abdominal pain upon pressure in the right lower quadrant. Most laboratory test results revealed... |
A 51-year-old man was referred with a 4-month history of dysuria, haematuria and increasing pelvic pain. He had a background history of ESRD secondary to polycystic kidney disease requiring dialysis. At the time of initial review he had performance status 2 due to pain but had previously been fit and well.\nRectal exam... |
The patient was an 89-year-old woman with a recent history of urothelial carcinoma who presented with worsening headaches and left-eye vision loss over the previous four weeks. While her headaches had been present for several months, the vision loss began a couple of weeks following an intravitreal injection for macula... |
A 66-year-old Hispanic female presented with vague abdominal pain and exertional chest pain. She had a ten-year history of worsening epigastric pain attributed to gastritis that was treated with Dexilant. A general physical exam was done and did not reveal any significant abnormalities; she also denied any fevers, chil... |
A 24-year-old Caucasian man, a full-time student, 1.8 m tall, 77 kg in weight, with no significant medical history, a non-smoker, taking no medications and with no substance misuse, was riding a motorcycle while wearing a helmet; he collided with a moving automobile and was ejected over 30 m into the air. He sustained ... |
The patient (Fig. ) was a 15-year-old Chinese girl. She was born as the younger one of twins at 38 weeks gestational age by planned caesarean section delivery, with a birth weight of 2.3 kg and length of 46 cm, and the 1,5 min Apgar scores were 10. There was no consanguinity between parents. Her elder identical twin si... |
A male patient, 46 years old, 192 cm height and 85 kg weight, in January 2016 comes to our observation in relation to the appearance of an acute pain in the anterior superior region of the left shoulder which radiated to the lateral cervical and deltoideal region with an increase of the painful symptomatology at night.... |
A 56-year old female, a homemaker, of body mass index of 23.2 presented to us as a diagnosed case of primary osteoarthritis of the left knee. It was grade 3 osteoarthritis as per the Kellgren-Lawrence Scale. She had received an intra-articular injection of a high molecular weight hyaluronic acid 2 years back which tran... |
A healthy 37 year old IV gravida II para came to our hospital in 22 + 6 weeks of pregnancy for a second opinion with suspected placenta percreta. She has had two prior caesarean sections (the first one due to breech presentation, the second one planned repeated) and one early abortion followed by curettage. In ultrasou... |
A 15-year-old girl presented to our hospital on September 13, 2018 with a 2-month history of pain in the left lower extremity that worsened for 1 month. Major clinical manifestations included lumbago and radiating pain along the femoral nerve distribution with decreased sensation and paresthesia of the left lower extre... |
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... |
A 62-year-old man presented with a medical history of alcohol use disorder and chronic hepatitis C infection, with resultant cirrhosis that was further complicated by the development of HCC approximately 2 years before liver transplantation. His malignancy was detected through routine screening ultrasounds, and his ser... |
A 74-year-old Japanese woman was referred to our hospital with a history of several days of jaundice. She had no past medical history and no family history. On examination, her skin was jaundiced, and her abdomen was flat and soft. Her laboratory data revealed obstructive jaundice and cholangitis, and tumor marker leve... |
We present the case of a 30-month-old male who was brought to the family medicine clinic with a complaint of abdominal bloating and persistent diarrhea after every feeding for four months. His stools were foul-smelling and occurred more than four times a day. The diarrhea was associated with a failure to gain weight. T... |
A 44-year-old man from Southeast Asia presented to our hospital complaining of a severe episode of central chest pain on a background of on and off chest pain with moderate exertion that started 3 days before admission. He was known to have suffered a non-ST elevation myocardial infarction 2 months prior with subsequen... |
In July 2014, a 59-year-old Japanese female with no significant past history presented to our hospital with a lump and pain in her right breast that had gradually worsened for 3 years and 3 months. She had never undertaken any mammography breast cancer screenings, although it was offered through the local government of... |
A 75-year-old man presented with recurrent pruritic eczema of the penis and scrotum that was refractory to medication of the local dermatologic clinic for one and a half years. The lesion consisted of an erythematous and indurated plaque with ulceration and exudation (). Review of the patient's history revealed that he... |
A 57-year-old female visited a respiratory internal physician due to suspected lung cancer (based on a mass screening chest X-ray examination). She did not have any symptoms. The chest X-ray showed a tumor shadow in the upper-middle field of the right lung with pleural effusion and a tumor shadow in the upper field of ... |
A 63-year-old man was admitted to the emergency department with fevers, dry cough, and transient non-exertional central chest ache. He had a history of mechanical aortic valve replacement (AVR) 15 years earlier due to rheumatic heart disease for which he took warfarin. On examination, he appeared diaphoretic and was fe... |
A 16-year-old male patient presented to the central out-patient department (OPD), Department of Dental surgery, Armed Forces Medical College, Pune with a chief complaint of a swelling in the gum on the left side of the upper jaw from the past five to six months in Nov 2009. The patient was apparently normal before this... |
A 64-year-old Caucasian woman presented for routine mammography screening within the National Mammography Screening Program. She had no known family history of breast cancer and denied recent signs or symptoms of breast disease on her intake questionnaire.\nThe digital mammogram showed three radiopaque lesions in the l... |
A 45-year-old male presented to our centre in October 2008 for medical management of mRCC; his personal and family history was insignificant, and he had no major co-morbidities. In May 2008, he had been diagnosed with advanced RCC (left kidney) that had metastasised to the lungs along with tumour thrombi in the left re... |
A 36-year-old male football player with no significant past medical history recently diagnosed with unprovoked deep venous thrombosis of the lower limb, presented with acute right-sided hemiplegia, hemi-sensory loss, facial upper motor neuron lesion and expressive aphasia. Prior to the presentation, the patient had a h... |
This study was approved by the Ethics Committee and institutional Review Board of the Affiliated Hospital of Chengde Medical University.\nA 46-year-old Chinese woman visited our hospital 2 h after a motor vehicle accident. She had severe lower back pain, grade 0 muscle strength of lower limbs, no sensory function below... |
A 56-year-old man of Asian origin was in his usual state of health until 4 days prior to presentation in our emergency room (ER); he had complaints of a rapidly progressing weakness of bilateral upper and lower limbs immediately prior to which he had a gastrointestinal upset. The weakness started from his lower limbs a... |
A 70-year-old man underwent partial resection of the mid pancreas without reconstruction for a pancreatic cystic tumor. Postoperative pathological examination showed a lymphoepithelial cyst. About 1 month after the operation, a PPC developed as a consequence of grade B postoperative pancreatic fistula (POPF) and acute ... |
We analyzed a 70-year-old woman who presented with progressive thrombocytopenia that has been present for 8 years, and monocytosis in June 2014. The bone marrow biopsy performed at that time showed a MDS with multilineage dysplasia according to WHO classification [], with a bone marrow blast count percentage totaled <5... |
A 34-year-old female at 30 weeks of gestation of her second pregnancy was admitted to the Department of Emergency Medicine at the Medical University of Pecs with worsening hypoxia, dyspnea, hemoptysis and oliguria. The patient had a history of hypothyroidism and thromboembolic events: she suffered a pulmonary embolism ... |
A 31 years old male with a past medical history of Hepatitis C, depression, and prior suicide attempts was brought to the emergency department (ED) by his family. Three days prior to admission he had ingested about 10 - 20 cc of antifreeze (ethylene glycol), 100 mg of Vistaril and 200 mg of Doxepinel in a suicide attem... |
The second patient was a 55-year-old type 1 diabetic woman. Her diabetes was discovered in 1973 in relation to a ketoacid coma. Insulin therapy was immediately started. As her diabetes began early in childhood and was poorly controlled, she also developed a severe retinopathy that is treated, as well as an end-stage ki... |
A 55-year-old woman presented to our Dermatologic Service informing a previous diagnosis of PXE and looking for treatment for her condition. During the anamnesis, she reported that her condition appeared when she was 16-year old. According to her, at that time, progressive, coalescent yellow papules appeared first on t... |
A 71-year-old male with a history of diabetes and multiple myeloma visited the orthopedic outpatient clinic of a level 2 trauma hospital in 2004, with clinical and radiological signs of end-stage osteoarthritis of the right hip. The decision to proceed with total hip arthroplasty (THA) was made. A cementless ABG type I... |
A 63-year-old male, weighing 82 kg (BMI 28), was scheduled for abdominoperineal resection (APR) and right partial hepatectomy for metastatic colon cancer. His past medical history was significant for hypertension, recently diagnosed non-insulin dependent diabetes, a cerebral vascular accident 9 years prior to surgery, ... |
An 11-year-old girl was referred to our hospital in August 2010 with a lesion in the right cheek area which was progressively enlarging. The patient complained that her nose and mouth corner were crooked and that her face was swelling. In clinical examination, the patient had a slight asymmetry in the right midface as ... |
A 40-year-old man, who was a known case of systemic hypertension for 13 years, was referred to our liver clinic for evaluation of progressive darkening of skin over the face for four years and altered sleep pattern for six months associated with recent onset intermittent memory loss. He did not smoke or abuse alcohol a... |
The patient is a 38-year-old male veteran who presented to the emergency department (ED) complaining of chest tightness and shortness of breath over the last 3 to 4 days. The patient had a past medical history of vitamin D deficiency and osteoarthritis. He did not have any history of cardiovascular disease, and his ele... |
A male child aged 1 year and 9 months was brought to our center by the caregivers with history suggestive of accidentally swallowing a computer battery cell at home 4 h before. The parents provided the history of living in a one-roomed dwelling of a slum, which also served both as a computer hardware assembling and rep... |
A 25-year-old female Irish patient presented with recurrent episodes of rhabdomyolysis since childhood. The first episode occurred at the age of 22 months following a respiratory tract infection. At that time, her creatine kinase (CK) serum concentration was noted to be 250 000 U/L.\nThe family history indicated that b... |
We report the case of a 30-year-old nulliparous black woman with a history of primary mesenteric cystic lymphangioma requiring multiple bowel resections in childhood. This history was responsible for chronic malabsorption resulting from short bowel syndrome, for which our patient received long-term monthly supplemental... |
A 35-year-old Caucasian female with a past medical history of three cesarean sections presented to the emergency department (ED) one week after undergoing an uncomplicated cesarean delivery with worsening shortness of breath. The cesarean delivery in question had been performed at 33 weeks of gestation due to preterm l... |
A 42-year-old Caucasian female was diagnosed with acetylcholine receptor antibody positive oculo-bulbar myasthenia gravis nine months ago. Her initial presenting symptoms were drooping eyelids, double vision and difficulty swallowing with diurnal variation and characteristic fluctuation of symptoms. She initially faile... |
A 34-year-old female, gravida 2, para 1, presented with a protruding vaginal mass 8 months following a preterm cesarean delivery at 27 weeks gestational age for preeclampsia and HELLP syndrome. A transvaginal ultrasound demonstrated an enlarged uterus, dilated varicose vessels throughout the myometrium with vascular st... |
Our patient was a 17-year-old adolescent girl with an extensive past medical history that included aortic atresia with a ventricular septal defect (VSD), atrial septal defect (ASD), an interrupted inferior vena cava with drainage to the left superior vena cava, heterotaxy with dextrocardia, ventricular ectopy, pulmonar... |
A 55-year-old man with no prior history of diseases, barring gout, developed erythematous skin lesions on his left axilla, a year before diagnosis. The mass became palpable and occasionally painful. The patient was diagnosed with intertrigo and was treated by his primary physician for a year before the current diagnosi... |
A 54-year-old female with a history of hypertension and abdominal laparoscopy presented to a small community hospital without any trauma designation after a motor vehicle accident. The restrained patient was driving at high speed on wet roads when she lost control of her car and hit the front end of her vehicle on an e... |
A 67-year-old man experienced repeated pneumonia during his childhood and often had hemoptysis and bloody phlegm since the age of 38. He always had a cough and sputum during food or liquid intake. During examinations that were conducted before surgery for atrial fibrillation and valvular disease in another hospital, co... |
A previously healthy 67-year-old man presented with a left arm and facial paresis, dysarthria, and left-sided neglect. He was admitted to the emergency department at Danderyd Hospital within one hour of symptom onset. Initial clinical examination was normal apart from hypertension (186/109 mm Hg on admission). A brain ... |
A 70-year-old woman initially presented in the Department of Blood Medicine at our hospital with a complaint of reactive axillary lymphadenopathy 6 years earlier. Subsequently, a multiple nodule in the left breast was observed during a recent computed tomography follow-up, at which time the patient was introduced to ou... |
A 65-year-old female was admitted to the rehabilitation unit with the complaint of a cognitive deficit and a gait disturbance. During the past year, she developed a progressively worsening deterioration of the usual mental and motor functions. The patient noted that the characteristic memory loss progressed slowly; thu... |
A 17-year-old male with a height of 174 cm and a weight of 100 kg (body mass index 33.0) was scheduled for a brain MRI and laboratory exams under deep sedation. The patient had been diagnosed with severe autism at the age of 4 and moderate mental retardation (intelligence quotient of 41) at the age of 7. He had not bee... |
Miss AB, a 20-year-old female, attended our outpatients’ department (OPD) on 16 August 2007 with complaints of lump lower abdomen for last two months []. She also complained of nausea and vomiting for the last few days. She had history of primary amenorrhea and poorly developed secondary sexual characteristics. There w... |
We present the case of a 48-year-old male, who was evaluated by the medical genetics service because he had noticed weakening of his voice with a high pitch since age 35, associated with premature graying since his 30s and skin lesions since about the age of 40. At the age of 32, bilateral cataracts were diagnosed and ... |
A 61-year-old woman, gravida 3 para 3, last menstruation at 54 years of age, reported to her gynecologist complaining about irregular post-menopausal hemorrhaging and a mass emerging from the external cervical opening she palpated. She presented no other symptoms or complaints, including no pain whatsoever. Her gynecol... |
A 19-year old boy presented with a desire to have his eyes aligned. He complained of outward deviation of the right eye noted for 3 years, which was gradually increasing. There was no history of diurnal variation, trauma, ocular surgery, or use of glasses in the past. There was a history suggestive of recurrent vernal ... |
A 75-year-old man was admitted to our outpatient clinic complaining of an abdominal palpable mass. He also presented with intermittent pain on his left flank and epigastrium. He had been free from multiple myeloma for the last 5 years. He had no past history of cardiac and respiratory problems. On physical examination,... |
A 49-year old Caucasian male with no significant medical history and no prior complaints of chest pain (smoking was his only known cardiovascular risk factor) was referred to our cardiac emergency department with acute chest pain during exertion. The ambulance ECG showed extreme ST-segment elevation anterolateral (‘tom... |
A forty-five-year-old female reported to the Department of Conservative Dentistry and Endodontics, with the chief complaint of pain in #14 and #15 and extra oral swelling on the right side infraorbital region (). History revealed that the swelling was present for more than a year. It was asymptomatic and slow growing i... |
A 65-year-old man was diagnosed with pulmonary adenocarcinoma, then treated with chemotherapy. The cancer metastasized, and the patient was diagnosed with end-stage lung cancer. Cancer pain was treated with oral opioid therapy. Metastasis of the cancer caused obstructive jaundice and cholangitis, and the patient experi... |
A 62 year old Caucasian female was hospitalized for six days for treatment of a chronic obstructive pulmonary disease (COPD) exacerbation. Management included steroids and antibiotics. Home medications included clopidogrel for coronary artery disease. Her weight was 46.58 kilograms with a BMI of 17.7 and an estimated g... |
A 74-year-old male patient underwent left total knee arthroplasty (TKA) at our institution for degenerative knee osteoarthrosis. He had an uneventful postoperative course with no history of delayed wound healing or persistent drainage. Four years later, he presented with a 2-month history of a gradually developing pain... |
A 36-year-old woman was admitted to the emergency department with 6 months history of left sided back pain. Subsequent computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed a complex 3 cm mass in left kidney, solitary para-aortic lymphadenopathy and osteolytic lesions within the thoracic and lumba... |
An 81-year-old man with medical history significant for atrial fibrillation (on rivaroxaban), chronic kidney disease, hypertension, hyperlipidemia, glaucoma, gout and melanoma status post excision presented with cholecystitis that was managed with a cholecystostomy drain at another institution and symptoms resolved. Fo... |
Our second patient was a 59-year-old Caucasian woman (86.8 kg, BMI 29.2, taking vitamin C, D, E, B6 and calcium). She experienced symptoms consistent with opiate overexposure that were reversed by naloxone after the second dose of methadone. Specific details of this adverse event, including the hospital course, patient... |
An 83-year-old female with bilateral primary TKA performed 17 years prior presented to the clinic. The patient was referred with worsening left knee pain, reported gait instability, and swelling for three months duration. Until this point, she had been completely asymptomatic. She was initially seen and treated by an o... |
A 51-year-old woman presented with chief complaints of bleeding gums and chewing disability. Her medical history revealed that she had received renal transplantation surgery in 1999 and had remained in a stable condition without graft-versus-host disease ever since. She suffered from hypertension and gout, both of whic... |
We report a case of a 6-month old girl referred to the Nairobi hospital with a massive, progressively growing congenital mass in the oral cavity. A thorough medical history revealed no co-morbidities with all vital signs within normal limits. Upon physical examination, the patient was found to have difficulty in breath... |
A 21-year-old Hispanic male was presented to our Occupational Medicine clinic following an injury to his right arm. The patient works as a food service worker and had injured himself while trying to pull a tray out of a tray container when the tray had gotten stuck in the container. The patient lost his control and fel... |
We report the case of a 28-year-old female snowboarder who suffered from a fall during a descent on a maintained skiing slope. The exact mechanism of injury was not reported, but a hyperflexion injury of the C-spine was assumed. No loss of consciousness was reported. Initially the patient started to hyperventilate and ... |
A 7-year-old female experienced abdominal pain without an obvious cause in May 2011, showing continuous dull pains, most of which could be self-relieved. Subsequently, the patient underwent imaging examination at our hospital, which indicated multiple intrahepatic and extrahepatic cystic dilatation of bile duct (Figure... |
Our first case describes a 30-year-old woman who was sentenced to forensic custody for the death of her young child. This patient had juvenile myoclonic epilepsy, for which she has received treatment with antiepileptic drugs (AEDs) since she was 5 years old. Electroencephalographs (EEGs) showed a great number of poly s... |
A 45-year-old Asian male with a history of nasopharyngeal carcinoma (NPC) was referred to our clinic in the spring of 2016 after he was found to have NPC recurrence. His past medical history was insignificant except for a four pack-year smoking history (2006–2010). He had no personal or family history of allergies, ast... |
A 53-year-old male was referred to the Oral Medicine Department by Dermatology in July 2008, with an 8-month history of blistering and soreness of the oral mucosa. On examination, there were small erosions and ulcers present on the soft palate and bilaterally on the buccal mucosae. The patient had been under the care o... |
A 48-year-old woman was admitted to our hospital in March 2018 with a lump in her left breast. On a physical examination in the outpatient service, we found a lesion that was approximately 8 × 7 cm in size in the upper outer quadrant of the left breast with occasional bloody nipple discharge. Some abnormally enlarged l... |
A 49-year-old nonsmoking male presented to the dental office complaining of missing maxillary right lateral incisor []. The tooth was extracted 2 months before presenting to the clinic due to root fracture. Previous dental history revealed that the tooth had received a root canal treatment and had a postretained crown.... |
A 38-year-old Caucasian woman, 35 weeks into her first pregnancy, presented to the emergency department for acute right-sided hip pain which precluded weight-bearing. Her right leg was shortened and externally rotated - there was no bruising or evidence of trauma.\nThe patient’s history was significant for hereditary t... |
Three years after a cubital procaine-HCL 0.05% injection had caused acute severe local pain radiating to his forearm and wrist, a 33-year old man complained about pain in his right hand. Two months later, he also suffered from numbness in the distribution of the right median nerve and wasting of thenar muscles. Further... |
A 58-year-old woman at the time of the first operation was referred after identification of a tumor embolus inside the hepatic vein on abdominal ultrasonography during a medical examination. The tumor was suspected to be leiomyosarcoma of the IVC localized to the middle segment on dynamic CT, and surgery was performed ... |
A 71-year-old woman was diagnosed with metastatic ovarian cancer in October 2010. She had been experiencing symptoms of vaginal dryness, dyspareunia, and abdominal and lower back pain. Magnetic resonance imaging (MRI) of the pelvis demonstrated a complex adnexal mass and computed tomography (CT) imaging studies demonst... |
A 19-year-old woman was referred to our hospital for intermittent abdominal pain and continuous fever which had persisted for a month. She had no obvious medical or familial history. Physical examination revealed no morbid lymph node swelling or skin abnormalities. Blood examination showed normal blood cell counts and ... |
A 26 year old male was admitted with impaired hearing and tinnitus on the right side and swelling of the right temporal region which was gradually progressive for the last two years. His general physical examination was normal. Neurological examination revealed a severe right conductive hearing loss with a Grade II Hou... |
A 48-year-old, para 5, postmenopausal black African woman who was human immunodeficiency virus (HIV)-negative presented to our casualty department with a 5-year history of progressive abdominal swelling. Five years prior to presenting, which was 1 year before she reached menopause, she had noticed that her abdomen was ... |
The recipient was a 63-year-old Japanese male who had been suffering from hepatitis C cirrhosis since the age of 37 years. He had undergone endoscopic variceal ligation for esophageal varices at the age of 58 years. His liver function had gradually become decompensated and he had developed hepatic encephalopathy 5 mont... |
A 41-year-old Indian female first presented to the outpatient clinic complaining of a tender lump over her right parieto-occipital region. A computed tomography (CT) scan of her head was done, revealing a small, well defined lytic lesion of the skull extending from the inner table to the outer table. The initial impres... |
A 28-year-old male patient reported to the Dental Clinic with a chief complaint of pain in the right lower posterior tooth of 5-month duration. Patient gave a history of 2–3 episodes of pain during this period. There was no fever or pus discharge. There was a history of slight weight loss during this period.\nOn examin... |
An 83-year-old female with bilateral primary TKA performed 17 years prior presented to the clinic. The patient was referred with worsening left knee pain, reported gait instability, and swelling for three months duration. Until this point, she had been completely asymptomatic. She was initially seen and treated by an o... |
A 79-year-old man was admitted to our hospital with symptoms of dysphagia and body weight loss of 10 kg for the past 3 months. His height was 158.0 cm and weight was 53.6 kg. His body mass index (BMI) was 21.5 upon admission. He was bent over due to osteoporosis and had undergone distal gastrectomy due to submucosal tu... |
A 15-year-old male with a history of Kawasaki disease diagnosed as a 4-month-old infant in Japan was referred to our institution when he was 13 years old. As per his medical records, he received a dose of IVIG after approximately 2 days of symptoms with no additional doses at any point. Subsequently, he developed giant... |
In April 2016, a 76-year-old man presented to the ear, nose & throat (ENT) clinic with a four-month history of nasal obstruction and loss of smell, on the left more than the right. There was no history of epistaxis, hearing loss, vertigo or otalgia. The ear canal, tympanic membrane and tuning fork testing was normal. O... |
A 60-year-old male judge with hypertension and diabetes describes a single episode of monocular transient visual loss OD. A dark curtain descended from superior to inferior OD, lasted 10 minutes and then spontaneously resolved. The patient was seen by an outside ophthalmologist and a diagnosis of “retinal migraine” was... |
A 53-year-old woman noted palmoplantar pustulosis after eating seafood with spontaneous remission in 2008. Thereafter, she developed gradual swelling and moderate pain in the bilateral sternoclavicular joints with a marked elevation of her erythrocyte sedimentation rate (ESR). Whole-body bone scintigraphy (WBBS) reveal... |
A 28-year-old female patient was presented with a newly onset of headache, nausea, and right-sided hemiparesis. No other symptoms nor neurological deficits were presented. The patient was 21 week pregnant. Patient had a history of grand mal epilepsy attacks and was on antiepileptic therapy since age of 12 till the age ... |
A 16-year-old high school girl visited the hospital in with the symptoms of depression, worry over her future, a difficulty with concentrating in class, and loss of will and appetite. Her father had died of the liver disease one year earlier; however, his death was expected, and she recalled that she was not shocked an... |
This 87 year old female pensioner presented for the treatment of recurrent nocturnal leg cramps to our family medicine practice. She reported a history of intense, painful sensations in the leg who were associated with sudden muscle hardness. The symptoms regularly appeared in both calves similarly during the night but... |
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