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A 16-year-old boy with a severe deformity underwent a modified Ravitch procedure in an institution. Two metal struts were inserted to stabilize the deformity and were sewn to the ribs with heavy No. 2 multifilament nonabsorbable braided sutures. The position of the bars was such that the tension had been larger on the ... |
A 78-year-old woman underwent excision of an ulcerated bleeding skin lesion in the left thigh area in 2015. She had noted a black lesion on her thigh since 2010. She had been treated for hypertension and hypothyroidism. She had no family history of cancer and did not smoke.\nThe excisional biopsy showed ulcerated nodul... |
A 24-year-old man with a past medical history of bicuspid aortic valve and intravenous (IV) drug use was admitted from an outside facility for management of native aortic valve infective endocarditis secondary to\nS. marcescens\nlikely secondary to the patient's IV drug use. A transesophageal echocardiogram (TEE) demon... |
A 59-year-old healthy male presented for an assessment of nonhealing painful necrotic lesions of the left leg. His past medical history included anemia with intermittent pancytopenia diagnosed 10 years ago. Previous specialist hematologic assessment did not reveal an etiology. Two weeks prior, he believed that he susta... |
A 75-year-old female patient visited the Emergency Department due to hypotension. She was on warfarin after aortic valve replacement surgery with a mechanical prosthesis for 26 years and in the state of right hemiplegia due to subacute subdural hematoma for 2 years. One year ago, multiple bullous lesions occurred on wh... |
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 67-year-old female underwent a radical laparoscopic hysterectomy, with adnexectomy and bilateral pelvic lymphadenectomy for a FIGO stage IB1 squamous cell cervical cancer in January 2010. Final pathology report showed a 9-mm squamous cell carcinoma with deep stromal invasion, positive resection margins, and one metas... |
A 33-year-old woman visited the Department of Advanced General Dentistry at the Dankook University College of Dentistry for third molar removal in 2020. She had no medical history, and was not on any medication. Radiographic evaluation showed that the left lower third molar was impacted and very close to the inferior a... |
A 71-year-old Caucasian gentleman with a past medical history of chronic obstructive pulmonary disease (COPD) was admitted with shortness of air and productive cough. A CT angiogram of the chest was obtained due to concerns for pulmonary embolism and showed spiculated nodules in bilateral lower lobes; right nodule meas... |
A 82-year-old man with the diagnosis of unstable angina was transferred for possible PCI. His past medical history included hypertension, hyperlipidemia, chronic renal insufficiency (baseline creatinine 2 mg/dl), and previous myocardial infarction with five vessel CABG for coronary artery disease 10 years ago. He did h... |
In July 2006, a 50-year-old female presented to the dermatology clinic with a complaint of painful skin changes in her bilateral lower extremities. She was employed as a dog groomer, and her past medical history was significant for type 2 diabetes mellitus with insulin requirements, gastritis, and severe valvular heart... |
An 84-year-old Caucasian female with a past medical history of hypertension, hypothyroidism, and chronic low back pain presented for an exacerbation of her low back pain. Before her hospitalization, she had been managing her low back pain with opioid analgesics and physical therapy at a skilled nursing facility for the... |
The patient, a 71-year-old Caucasian female with prolonged smoking history and inconsistent medical care, presented to our institution via EMS following a mechanical fall she attributed to her chronic right hip pain. She had last been seen in our health system 1.5 years before and had intermittently received care in mu... |
M.C., a 35-year-old male, presented to our Community Mental Health Service for a chief complaint of irritable mood and insomnia following a severe car accident.\nThree months before, M.C. was involved in a car accident on a highway. The patient remained unharmed, while the driver of the other vehicle died soon after th... |
A 48-year-old female with a history of hypertension, migraines, anxiety, and depression presented to the Emergency Department with a left-sided occipital headache for one hour (thought to be consistent with her usual migraine presentation) with accompanied numbness of the left face and lips, vertigo, and lightheadednes... |
An 80-year-old Caucasian female with history of hypertension and chronic back pain presented for emergent repair of a 7.2 cm aneurysm of the ascending aorta with Stanford classification type A dissection. Because the ascending aorta was unsuitable for arterial cannulation, the surgeon elected to perform axillary cannul... |
A 53-year-old Japanese man who complained of epigastric pain and hematemesis visited our emergency room. The patient had no particular family history, but a history of SLE, pancreatic pseudocyst, and chronic pancreatitis. He took 5 mg of prednisolone, camostat mesilate, and berizym. He had epigastric pain since midnigh... |
In December 2007 a 68-year-old man presented to our institution as an emergency case with abdominal pain, intractable vomiting and weight loss. There was no family history of breast cancer or of other tumors; neither was there any sign of exposure to epidemiologic risk factors.\nHis relevant past history included an in... |
A 62-year-old Caucasian man with end-stage renal disease presented to our hospital because of a four-day history of fever, diarrhea and the need for emergency dialysis due to hyperkalemia. Our patient had been treated with hemodialysis for one year. Over the last month, a temporary non-tunneled catheter had been used f... |
A 1-year 3-month-old girl was admitted to our hospital on August 29, 2019, 3 h after sustaining an OPI where a plastic rod pierced her orbital cavity via the lower left eyelid and penetrated the brain. The patient had no previous medical, family, or neurological disease history. Physical examination revealed that the p... |
A 44-year-old lady suffered from end-stage renal failure secondary to IgA nephropathy and was started on continuous ambulatory peritoneal dialysis in January 2002. She developed an episode of peritonitis due to Mycobacterium chelonei in October 2007. It necessitated peritoneal catheter removal and switching to haemodia... |
A 20 year old Sri Lankan male who was employed as a helper in a grocery, admitted to our unit with weakness of both hands of 1 month’s duration. He was treated for serologically confirmed (Dengue NS1 antigen positive) dengue fever approximately 5 weeks ago at the local hospital and had made an uneventful recovery. He h... |
A 27-year-old male reported to the authors' department with a complaint of hypersensitivity and burning sensation in the lower left front region since one month. History of two years of gutka chewing with placement of the gutka quid in the lower labial vestibule was reported. On examination, a portion of the root of ma... |
A 32-year-old multiparous woman (G3P2) presented with abdominal swelling 10 weeks after her second vaginal birth. She had a normal pregnancy follow-up and birth process, until now, and her medical and family history did not show any feature. In the gynecological examination, external and internal genital organs were no... |
A 12-year-old girl presented at our institution with three episodes of near syncope. The patient's family history was negative for syncopes as well as for other inheritable disorders and she was not on any medication. She could perform moderate aerobic sports (cycling, hiking, swimming) without any problems. All three ... |
A 27-year-old male patient presented at our hospital in September 2008. He was suffering from a sudden onset of headache that had awoken him from sleep and increased with eye movements. He also had vision loss in his left eye. A neurological examination identified only bilateral papilledema, and a visual field examinat... |
P, a seven-year-old male child, was brought by his parents with chief complaints of repetitive meaningless body movements, hand flapping, poor language/communication development, not managing his activities of daily living, not having peer group/family interactions. Based on the history, clinical interview and assessme... |
A 37-year-old G10 P3063 African American female presented to the emergency department with complaints of abdominal pain and vaginal bleeding. Her obstetric history was significant for a full-term vaginal delivery followed by two full-term cesarean deliveries fifteen and five years earlier, in addition to a cesarean sca... |
A 28-year-old male was referred to our clinic for the management of periodic paralysis (PP). His symptoms first started at age 16. He first noticed significant weakness when he was in the 10th grade. He had gone hunting and had maintained a squatting position for a prolonged period of time (around 45 minutes). When he ... |
A 61-year-old man underwent resection of a part of his tongue due to tongue cancer and was admitted to our hospital for hepatocellular carcinoma with about 5 cm diameter of tumor at the liver segment IV. Computed tomography (CT) showed that the tumor was enhanced during the arterial phase and washed out during the port... |
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 38-year-old woman was admitted due to claudication of the legs that had been sustained for 2 years. Eight months ago, she was diagnosed as having Takayasu arteritis during the work ups for chronic headache in primary clinic. Immunosuppressive medication with methotrexate was followed due to glucocorticoid resistance.... |
A 66-year-old man with a past medical history of uncontrolled hypertension (requiring three agents with persistent systolic blood pressure readings above 180 mmHg), coronary artery disease with three prior cardiac stents placed, and acid reflux (worsening in the presence of the mass) presented to his outside physician ... |
A 29 years old pregnant patient with singleton pregnancy at 38th gestational week (GW) was admitted to our obstetric emergency room for membrane rupture. She referred to be affected by a giant, congenital AVM of the left chest wall, extending from the third to the seventh thoracic interspace, involving the overlying th... |
A 43-years-old woman, born in Ukraine, living and working in Italy since 1999 (nine years), came to observation of the First Aid Unit of Ferrara Hospital in March 2008, due to an epileptic seizure with generalized convulsions which occurred while she was working as assistant for a patient of the Pneumology Unit, in the... |
The patient was a 60-year-old, married, Caucasian male. He was a highly educated college professor in a health related field. The patient had been diagnosed with type II diabetes, ESRD, and congestive heart failure (CHF). The patient had been dependent on three weekly hemodialysis sessions for four years. He was a cand... |
A 59-year-old Caucasian woman underwent laparoscopic cholecystectomy at the age of 45 years. During the procedure, the choledochal duct was injured, requiring direct suturing. Postoperatively, a slight leakage persisted and a stenosis of the choledochal duct at the site of the injury and a choledochocutaneous fistula d... |
A 2-day-old infant girl was referred to emergency room for dyspnea due to a congenital oral mass obstructing her airway. Physical examination showed the mass-occupying oral cavity, protruding from left buccal mucosa, passing the midline of palates. The mass was similar in color as its surrounding tissue with smooth sur... |
The patient is a 9-year-old male child born at full term following an uncomplicated pregnancy and planned caesarian section. The patient was the second child born of a second pregnancy to a 31-year-old mother. Birthweight was 6lbs 12oz and both physical examination and Minnesota newborn screening () were normal. The pa... |
A 45-year-old male patient presented to our hospital after a mountain bike accident. He was going downhill and fell on the left shoulder. On clinical examination, the patient had severe pain while testing the active range of motion (ROM) of the shoulder and tingling paresthesia in the left hand with an intact sensitivi... |
A 70-year-old man presented with 3 days of loose watery stool, worsening generalized weakness, 1 day of confusion, and inability to walk. He had a history of chronic medical problems including asthma/chronic obstructive pulmonary disease (COPD) requiring 4 L of home oxygen therapy, rheumatoid arthritis, sarcoidosis, an... |
The patient was a 65-year-old man (177 cm, 78 kg). He had a history of right upper lobectomy for adenocarcinoma in the right upper lobe 3 years prior. He was admitted to our hospital for VATS (Video Assisted Thoracic Surgery) S6 segmentectomy for the recurrence cancer. He had no other past history of note, and had no m... |
An 82-year-old Caucasian male with CLL, gastroesophageal reflux disease, anxiety disorder, gout, hypertension, hyperlipidemia, and obstructive sleep apnea presented to our hospital in May 2019 with complaints of retrosternal chest pain, shortness of breath, and syncope. The patient was seen at another hospital 5 days e... |
A 64-year-old woman presented to our hospital with the chief complaint of a progressively enlarged mass in the left abdomen accompanied with flank pain, fatigue and weight loss for the last few months. Physical examination revealed a well-defined mass on the left abdomen. Routine blood tests showed that hemoglobin was ... |
A 39-year-old West African man who was a teacher was referred for weight loss and recent abdominal pain. He presented the following symptoms: generalized episodic abdominal pain of progressive onset that was relieved by diarrheal stools occasionally associated with rectal bleeding over the past 2 months. The patient ha... |
A 48-year-old Sinhalese man with myasthenia gravis was presented to the department of radiology of a tertiary care hospital for upper gastrointestinal (GI) contrast study, for further evaluation of progressive dysphagia. Myasthenia gravis was diagnosed in May 2016 and he underwent thymectomy in November 2016 for thymic... |
An adult captive male bateleur eagle (Terathopius ecaudatus) estimated to be 32 years old and weighing 2.4 kg was presented for evaluation of left hindlimb lameness. The animal had been transferred from another institution 4 weeks prior to presentation with a history of osteoarthritis at the left intertarsal joint and ... |
A 51-year-old man was diagnosed with BD in 2001. Despite treatment with 5 mg/kg cyclosporine, 3 mg/kg azathioprine and corticosteroids, the patient experienced frequent and severe panuveitis attacks in both eyes. The patient was resistant to all treatments including interferon alpha and mycophenolate mofetil. The patie... |
This is a case of a 59-year-old morbidly obese female with situs inversus totalis who presented for a laparoscopic sleeve gastrectomy. Her BMI was 38 (height 4 ft 11.5 inches, weight 188.2 pounds), and she had a lifelong history of morbid obesity and obesity-related comorbidities, including obstructive sleep apnea requ... |
This is the case of a 65-year-old male, who originally presented on August 18, 2008 with obstructive jaundice. His past medical history includes diabetes and hypertension. He underwent ERCP with stenting of the bile duct. The patient also had a spiral CT and an endoscopic ultrasound of the pancreas. These tests helped ... |
A 6-month-old boy was referred for a right lower cheek mass and a left thoracic subcutaneous mass both present for 3 months. He was asymptomatic and healthy with no significant medical, surgical or familial history. The thoracic lesion was small (1,0 × 1,6 cm) and mobile. The cheek lesion presented as a deep and firm s... |
A 38-year old man presented with dysarthria lasting for about one hour, two days after returning from holidays from the island of Corfu, where he had spent several days exposed to strong sunshine. The day after the presentation, the symptoms of dysarthria recurred and lasted about two hours before completely resolving.... |
A 50-year-old Caucasian female visited the regional dental office due to uncertain pain in the right mandibular region. No significant diseases were mentioned in the anamnesis. The patient was diagnosed with gingivitis, and treated with a non-steroid anti-inflammatory drug and oral rinsing with chlorhexidine. The condi... |
In October 2012, a 46-year-old woman was referred to our center for the presence of a large mass (50 × 70 mm) in the superior lobe of the left lung with homolateral pleural effusion. The patient was never smoker, without family history of cancer and without comorbidity. The cytological diagnosis was made using a CT-gui... |
A 12-year-old girl fell on her right shoulder after being tackled by another player during a basketball Little League match. She was admitted to our ER the same day of the injury, in the evening. She reported sharp pain in her right sternoclavicular region and slight dysphagia immediately after the trauma. Physical exa... |
A 59-year-old man with no history of major diseases was admitted to the hospital for the presence of fever during the previous 8 weeks, asthenia, myoarthralgia, and abdominal pain. Before being hospitalized, the patient was prescribed an offhand antibiotic therapy (amoxicillin 2 g/die for five days) without any improve... |
We describe a case of a 40-year-old female nurse who presented in May 2003 with an 18-month history of pain in the left thumb. Clinical examination showed soft-tissue swelling around the left thumb metacarpal. Radiographs showed an expansile lesion occupying most of the metacarpal with periosteal reaction and cortical ... |
A 30-year-old male patient presented a progressive weakness in dorsiflexion of the left foot and ankle for 2 months. In the beginning, vague discomfort was developed insidiously in the left anterolateral shin. He felt some difficulty in walking. This discomfort refrained him from walking or exercising for 2 weeks. Howe... |
A 17-year-old female was admitted to the hospital due to severe suicidality. At the time of admission she complained about an irritating feeling in her nose, which made her constantly grimace in the area around the nose. She was excessively worried about having a serious illness of her nose (secondary hypochondriacal d... |
The third case concerns a 70-year-old Korean woman with over five years' history of right knee pain due to osteoarthritis.\nDue to her occupation, she made active use of her bilateral knee joints. With a diagnosis of osteoarthritis of the right knee, she had received multiple injections of steroids and hyaluronic acid ... |
A 44-year-old Japanese woman with a 6-year history of insulin-dependent diabetes mellitus and an 11-year history of central diabetes insipidus presented with a pain in the genital area worsening over 2 weeks, general fatigue, and loss of appetite. Two months earlier, patient underwent a urinary catheter insertion as a ... |
An order was received for microarray based, comparative genomic hybridization (array CGH) on a 3 year-old female due to a delay in social and language development and question of features of autism spectrum disorder. The patient received regular speech therapy due to speech delay (reported to not speak) and occupationa... |
This white female was 38 years old when she died in 2019 after years of suffering from very severe ME/CFS. She first developed symptoms of ME/CFS as a teenager, although she was not diagnosed for nearly 12 years. In 1999, at age 18, she had a serious case of EBV (mononucleosis) that kept her home from school for three ... |
The current disease story of our 68-year-old Caucasian male started two years ago, when this patient observed a hard lesion in the anal canal, which, in the first months since he observed it, was neither officially diagnosed nor treated. Ten months after that, he underwent cholecystectomy due to cholelithiasis, and the... |
A 73-year-old man who had undergone total gastrectomy for pathological T4aN2M0 gastric cancer according to UICC-TNM classification 8th edition [] followed by adjuvant chemotherapy with S-1 and docetaxel for 10 months developed liver metastases 1 year after gastrectomy. The tumors were located in segment 6 (17 mm in dia... |
A 51-year-old man who had an excavator managing job at a construction field, as a head of the household of a multicultural family, had been steadily gaining weight since his 30s. The patient suffered from a herniated disc, gonarthritis, and sleep apnea as his weight reached 106 kg. He lost approximately 13 kg through e... |
In February 2020, a healthy 48-year-old woman employed in housework began to complain of low back pain that worsened in June and July. She was not taking any medications and had no history of conditions such as autoimmune diseases, diabetes, pulmonary disease, tumors, trauma, or acupuncture. Initially, her low back pai... |
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... |
The patient was a 9-yr-old Iranian girl presenting to the Pediatric Emergency Room of Moosavi Hospital, Zanjan, Iran in January 2017, with sudden onset of headache and recurrent vomiting, ataxia and history of 3 consecutive days of fever and malaise. There were left eye ptosis and decrement of left nasolabial fold in p... |
A 27-year-old woman, who was diagnosed with Wyburn-Mason syndrome at age 11 years, visited our clinic for a regular examination. At age 11 years, her best-corrected visual acuity (BCVA) was 20/500 in the left eye, and cerebral angiography demonstrated AVMs along the course of the left ophthalmic artery. There was no hi... |
An 11-year-old female patient in good general health sought treatment at the Public Dental Specialty Center, Brazil, with the chief complaint of mild discomfort in the buccal mucosa of the maxillary lateral incisor. The patient and the caregiver reported that endodontic treatment was carried out on this tooth 1 year pr... |
A 47-year-old Saudi male presented at the Oral and Maxillofacial Surgery Clinic of the University Dental Hospital at King Saud University Medical City (KSUMC) for assessment of swelling of the floor of the mouth reportedly of more than 3-year duration. The swelling was noted as a slow-growing, painless mass which cause... |
A 74-year-old Japanese woman noticed a tender lump in her right breast. She immediately went to a breast clinic to get a breast cancer screening. She had no family history of breast and ovarian cancer. After a month, she was referred to our institution with suspicion of metaplastic breast carcinoma with a core needle b... |
A 4-year-old girl with unexplained hypergastrinemia was referred to our department after abdominal ultrasonography detected a cystic lesion at her prepyloric antrum. When she first presented with a duodenal ulcer at 2 years of age, her serum gastrin levels had ranged between 700 and 1000 pg/ml. The imaging studies with... |
A 74-year-old male with past medical history of atrial fibrillation, hypertension, dyslipidemia, and benign prostatic hypertrophy presented to the emergency department with testicular swelling and pain for four days. Physical exam was notable for an abscess on the inner gluteal fold of the perineal region that was spon... |
The proband was a 34 year-old right-handed man. From the age of 26 years, involuntary movements of the bilateral lower limbs, associated with dysarthria, grinding teeth and drooling, appeared and gradually worsened. At 31, he suffered from epileptic seizures, which were considered to be generalized tonic-clonic seizure... |
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 65-year-old woman complained of increasing pelvic pain and coccygodynia over the past 12 months. The patient described the pain as sharp, stabbing and localized to the lower pelvis with radiating to the anorectal area, and also complained of tenesmus. She had a traumatic injury on coccyx 50 years ago and retocele rep... |
A 44-year-old woman presented with a submucosal rectal mass found incidentally during a physical examination. On digital rectal examination, the mass was soft with a smooth surface and was located on the left posterior wall of the rectum. The results of routine laboratory tests were all within the normal range. The pat... |
A 54-year-old man suffered injury during road construction when a nail fragment became imbedded in his left eye. He was referred to us by a local clinic for further evaluation and treatment. At the time of admission, his visual acuity was 0.8 in the right eye and hand motion only (HM) in the left eye. Slit lamp examina... |
A 56-year-old man was referred to our institution for a case of facial palsy. He was treated with systemic methylprednisolone for 10 days, without improvement. On examination, he had a visual acuity of 1.0 in the right eye and hand motion in the left. Motility examination revealed limitation of abduction of the right e... |
A 28 year-old man referred to the emergency department of our hospital with recurrent episodes of hemoptysis in the past few weeks. He was a known case of cervical malignant melanoma from 6 years ago, and had pulmonary metastases from one year ago. He had received 5 complete chemotherapy courses; the last one was 3 mon... |
A 12-years-old boy with known neurofibromas type 1 (NF1) came to the hospital, stating that a lifelong mass on the anterior chest wall had grown steadily to its present size. He also presented with an 8 years history of increasing depression of the anterior chest wall. Systematic questioning of the patient and his pare... |
A 46-year-old female patient with a BMI of 25 was referred to our tertiary center (Cerrahpasa Medical Faculty, Gynecological Oncology Unit) in August 2016 with the diagnosis of platinum-resistant ovarian cancer. She had undergone primary cytoreductive surgery 6 months ago. Her medical history was unremarkable except fo... |
A 5-year-old boy was referred to Department of Pediatric Dentistry at the Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil (Figures -), with the complaint of teeth hypersensitivity during meals and presence of yellow teeth. His parents reported that no one in the family has this change. Clinical... |
A 23-year-old male with a history of alcohol abuse and splenomegaly of unknown etiology presented with the chief complaint of abdominal pain. The patient provided information of intranasal cocaine use on the day prior to his presentation to the hospital. His pain was associated with multiple episodes of vomiting. At th... |
The patient was a 21-year-old Japanese man. In his early childhood, he was diagnosed as having chromosome 22q11 deletion, and he had a history of congenital hypoparathyroidism and thymus hypoplasia. He also had a ventricular septum defect and an atrial septum defect, which had been surveyed without operation. His medic... |
A 30-year-old woman with a 5-year history of refractory occipital neuralgia, who had been under ONS therapy for 2 months, presented with a sudden onset of severe unilateral pain, originating in the right upper nuchal region and spreading to the occipital and parietal regions. The pain was described as stabbing, sharp, ... |
Mr. H is a 43-year-old Hispanic male with a history of insulin-dependent type 2 diabetes, complicated by bilateral leg amputations and previous hospitalization for depression, with suicidal ideations and command auditory hallucinations of killing himself. He presented to the psychiatric emergency department after telli... |
A full-term 30-day-old girl born via normal vaginal delivery with no significant perinatal history developed increasing dyspnea, hoarseness, cyanosis with feeding, and lethargy. She was treated for respiratory syncytial virus (RSV) pneumonia and required supplemental oxygen and parenteral feeding. The feeding with cyan... |
A 70-year-old man was diagnosed with right TN eight years ago. He took carbamazepine 300 mg three times a day and gabapentin 300 mg three times a day to relieve his facial pain. However, the treatment was not sufficient enough. He then underwent Gamma Knife radiosurgery (GKS) for TN five years ago. The problem was init... |
A 49-year-old African-American male with a past history of dyslipidemia and hypertension was admitted to the hospital on three separate occasions over a three-month period.\nHe was initially admitted with acute onset of cramping abdominal pain and diarrhea, and was treated for presumed viral gastroenteritis. His hospit... |
A 36-year-old Caucasian woman was evaluated with chief complaint of gluteal pain radiating to her leg. Her medical history was remarkable with gunshot injury to the affected leg with multiple pellets dispersed into her pelvis and proximal part of the thigh, as shown in Figs. and . She had gunshot injury 20 years ago. S... |
A 28-month-old boy was transferred to our emergency department from a local hospital in assisted ventilation for a respiratory insufficiency in June 2009. MRI performed during diagnostic work up revealed a bulky mass with cystic component extending from medulla into cervical spinal cord to C5 and dislocating the pons, ... |
MZ, a 72-year-old Caucasian female, was admitted to hospice services with ovarian carcinosarcoma diagnosed 3 years prior as stage IIIC, with disseminated malignant metastases to the retroperitoneum, peritoneum, and colon. She underwent radical debulking surgery and chemotherapy with carboplatin and five cycles of Taxol... |
A 3-year-old female patient presented to the emergency room with a progressive headache localized in the right parietal region, which frequently woke her up at night and which was associated with diurnal somnolence and apparent right palpebral ptosis. She did not have any relevant antecedents in her past medical histor... |
A 58-year-old man was found to have intrahepatic and extrahepatic bile duct dilatation on B ultrasound on 12 June 2009, and was hospitalized for further examination and treatment on 20 June 2009. Our patient was 171 cm tall and weighed 86 kg. There was no anemia or jaundice in the palpebral or bulbar conjunctivas. The ... |
A 14-year-old girl presented with complaints of fatigue, inability to walk, urinary incontinence, dysarthria, and ataxia that had worsened in the last three weeks. She also had fever, weight loss and decreased appetite. In her past medical history she had been treated for seizures with valproic acid (15 mg/kg/day) for ... |
A 76-year-old male presented with a 2-month history of nausea and vomiting associated with weight loss of more than 15 kg. A CT scan without contrast was performed on May 5, 2015, which revealed concentric parietal thickening of the gastric antrum associated with an increase in the size and number of locoregional lymph... |
An 82-year-old African American female with history of hypertension, chronic active smoker for 60 years along with prior surgical history significant for a laparotomy more than 20 years previously for unknown reason who was initially admitted to the medical service after a fall. She had a long history of nonspecific lo... |
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