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A 45-year-old woman presented with worsening constipation and right iliac fossa pain in late October 2019. She had a similar episode in May 2019 that required admission. Her past surgical history consists of laparoscopic supracervical hysterectomy which was indicated due to uterine fibroids. The surgery was done in Nov... |
A 55-year-old Caucasian woman with subtle pain and tenderness in the area surrounding the right third mandibular molar was referred to our clinic by her oncologist with the provisional diagnosis of bisphosphonate-induced jaw osteonecrosis. Her medical history revealed a modified radical mastectomy with axillary lymph n... |
A 40-year-old G5P3103 at 12 weeks and 3 days with a history of two prior cesarean sections and known heterotopic pregnancy consisting of cesarean scar pregnancy and intrauterine pregnancy () presented ten days after successful selective reduction of cesarean scar pregnancy with potassium chloride (KCl) injection in the... |
A 22-year-old woman presented with intense pain in the shoulders that began 2 weeks after injury during a CrossFit competition, especially on the right side, without edema or reduced range of motion. She started the CrossFit practice routine 2 months before the injury. The patient trained CrossFit three times a week wi... |
A 16-year old girl, known to have homozygous sickle cell disease (HBSS) presented to the SCU after having vomited twice that day. This was non-bilious and there was no history of haematemisis. However she reported 5 episodes of watery stool, which was said to be normal in color but there was no associated abdominal pai... |
A healthy 18-year-old right-hand dominant male presented to clinic 5 days after injuring his left shoulder during a high school football game. The patient reported landing directly on his left shoulder after being tackled. He noted immediate pain and inability to move his left shoulder. On-site athletic training staff ... |
The patient is a 72-year-old Caucasian male who first visited his dermatologist two years ago because he had noticed a small superficial red lesion on the right side of his scrotum. His dermatologist treated him with local ointments with no improvement. The lesion grew larger and became indurated and ulcerated. He was ... |
A 17-yr-old boy revisited the hospital for rehabilitation and was referred to our genetic clinic for an evaluation of unexplained intellectual disability and language disability on July 11th, 2011. He had been delivered at week 36 of gestation by vaginal delivery after an induced preterm birth due to preeclampsia and i... |
A previously healthy 60-year-old male was referred to the outpatient clinic due to atrial fibrillation. The patient reported pain in the lower left leg for 3 weeks followed by right-sided chest pain and dyspnea for 2 weeks. Transthoracic echocardiography (TTE) revealed a dilated right atrium (RA) with a large longitudi... |
The patient was a 59-year old man, Caucasian type, without any specific medical personal or familial history. In October 2006, he underwent a pelvic ultrasonography (US) because he presented a "pressure sensation" in the rectum and rectal imperiosity for four weeks. Physical examination revealed no additional symptom, ... |
A 21-year-old female presented to the Case Western Reserve University School of Dental Medicine Clinic in Cleveland, Ohio. Her chief complaint was a slowly growing painless swelling involving the right side of the mandible that had started one year previously. Her past medical history revealed no previous surgeries or ... |
A 10-year-old African American girl was admitted to our hospital with chief complaints of fever and abnormal movements.\nThe patient is a previously healthy, a 10-year-old girl who two weeks prior to admission started having episodes of headache on and off controlled with Tylenol. Headache was generalized, not associat... |
A male patient aged 49 years reported to the Department of Periodontics, Sri Siddhartha Dental College and Hospital, Tumkur, with the chief complaint of deposits present on his teeth and he desired to get his teeth cleaned. Patient's medical history was not contributory. Patient had undergone extraction of upper right ... |
The patient was a 25-year-old female patient who was admitted to hospital on May 28, 2018 for “9 years of frequent urination before and after menstruation and 1 year of dyspareunia.” When the patient was four years old, she had uncontrollable and persistent urine leakage, for which she had been diagnosed with “congenit... |
A 21-year-old female diagnosed with DM in 2008, on treatment with prednisone and cyclosporine with moderate disease activity until December 2012, presented to our Emergency Department (ED) with a three day history of diffuse, acute abdominal pain, no bowel movement and biliary vomit. She underwent laparoscopic cholecys... |
A 44 years old male with structurally normal heart was referred to our institution because of long standing episodes of palpitation. Despite a history of sustained episodes of palpitation no evidence of arrhythmia was previously documented. The standard 12 leads EKG showed no baseline abnormality. The presence of struc... |
A 32-year-old Sistani-Persian White man presented to a hematologist for the recent appearance of petechial lesions and epistaxis. He mentioned a history of ITP 13 years prior to his visit which had not responded well to standard corticosteroid therapy, was managed with splenectomy after 3 months of resistance to steroi... |
A 79-year-old female with a past medical history of coronary artery disease (CAD) and coronary artery bypass grafts (CABG), bioprosthetic mitral valve replacement (MVR), hypertension, hyperlipidemia, obstructive sleep apnea, and atrial fibrillation presented to the clinic for the evaluation of worsening dyspnea. She un... |
Our patient was a 49-year-old Caucasian man who's educational history showed he had completed primary school only. He had been employed in a professional capacity as a metalworker and welder for many years. His somatic history mentioned only slight hypertension, for which he was treated with 25 mg hydrochlorothiazide d... |
A 51-year-old Madheshi woman came to our neurology clinic with the chief complaint of sudden decrease in the tone and texture of her voice for the past 15 days. Her voice was very feeble but understandable and she noticed it was better by the time she got up from her bed only to worsen through the day to become nearly ... |
A 39-year-old white American man with a past medical history of hypertension, hyperlipidemia, and major depressive disorder presented to our facility after being transferred from another facility following an attempted suicide. He presented to our intensive care unit; he was intubated due to respiratory distress and hy... |
A 28-year-old male was admitted to the respiratory department of Jian'ou Hospital (Fujian, China) with repeated coughing and yellow phlegm in 2018. Family members complained that the patient had a history of ketamine abuse of about five to seven times monthly for 8 years. The last ketamine inhalation was the day before... |
A 3-year-old female child with no significant past medical problems and unknown immunization history presented with a history of dry cough and gradual onset of dyspnea for 2 weeks without fever or evidence of upper respiratory tract infection. She began to develop significant weight loss and progressive fatigue. Chest ... |
An 18-year-old male presented with the chief complaint of pain on mastication and recurrent swelling in the labio-gingival aspect of maxillary left central incisor. He gave a history of traumatic injury seven years earlier. For the first three years after trauma the patient did not take any treatment as the tooth remai... |
A 39-year-old man was involved in a high-velocity motor vehicle accident. He sustained an open fracture of the right elbow, with significant loss of the external humeral condyle and partial loss of the olecranon. This fracture was classified as a Gustillo type IIIA injury. There was no neurovascular compromise. The pat... |
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... |
A 79-year-old male presented to the emergency department with a 3-day history of worsening left-sided and lower abdominal pain that peaked over the last 24 h preceding admission. The pain was made worse with movement and straining; he also experienced some nausea. He did not report any rectal bleeding, change in bowel ... |
15-month-old male baby, a product of an uneventful dizygotic pregnancy with his twin brother being totally normal, was delivered by cesarean section due to obstetric reasons. At the age of 7 days, he was admitted in another hospital for the excision of a tongue dermoid cyst prior to referral to our center. The patient ... |
A 51-year-old male with a history of nonischemic cardiomyopathy with a left ventricular assist device was admitted for expedited heart transplant evaluation. The evaluation included an elective colonoscopy in light of a family history of colorectal cancer in his mother who died at age 61 from the disease. The patient h... |
This was a case report of a 32-year-old Indian woman who was reported to the Department of Conservative Dentistry and Endodontics with a chief complaint of decayed upper front teeth. The clinical and radiographic examinations revealed that both upper central incisors had suffered a significant loss of tooth structure d... |
This report focuses on a 41-year-old Caucasian male with a background of severe inflammatory bowel disease (IBD). The patient received a small bowel, proximal colon, and abdominal wall transplantation at our unit in March 2014 after developing intestinal failure associated liver disease after a prolonged period of tota... |
A 66-year-old right-handed man was referred to the cognitive neurology clinic following 4 episodes of transient amnesia over a 6-month period. Each episode occurred within hours of strenuous physical exercise. In the first episode, he returned home from a bicycle ride confused about the route he had taken. The second e... |
This is a case of a 25 years old Malay girl with learning disability and no significant past medical history, who started noticing a sacral mass since August 2015. The mass was painless and gradually increasing in size. The family members of this patient brought her to a traditional healer. They did not seek any medica... |
The patient is a 68-year-old female who sought medical care at an outside facility after passing bright red blood per rectum. Laboratory evaluation demonstrated anemia. The patient was otherwise without other complaints at the time of presentation, denying nausea, vomiting, change in bowel habits, jaundice, decreased a... |
A healthy 28 year-old nulligravida with polycystic ovary syndrome and no family history of breast or ovarian cancer was referred with her husband for reproductive endocrinology consultation. He was 31 and had a prior semen analysis suggesting asthenozoospermia (motility <40%). Hysteroscopy and laparoscopic ovarian dril... |
A 54 year old male with a history of Wolff-Parkinson-White syndrome resulting in cardiac arrest in his 20s, subsequently developed non-ischemic cardiomyopathy (New York Heart Association class IV with an ejection fraction of 15%.) He was admitted for heart failure and had a complicated cardiac care unit course with rem... |
We describe the case of a 66-year-old female, diagnosed with in situ bladder carcinoma in December 2014. The patient's medical history included 1 episode of moderate depression and an autoimmune hepatitis, treated with cortisone.\nAfter transurethral resection, she was treated with 40 mg Mitomycin C per intravesical in... |
A 61 year old Hispanic male with a past medical history of gastroesophageal reflux disease, hepatitis C treated with ribavirin and interferon, and ethanol and tobacco abuse presented to our clinic with a complaint of 2 months of progressing dysphagia starting from solids then liquids, unintentional 15 lb weight loss an... |
A 15-year-old female with no significant past medical history presented after being struck in the face by a ball while playing water polo. The patient felt pain in her jaw, which was the chief complaint when she presented to the emergency department. Upon neurological assessment, the patient complained of midline tende... |
Our patient is a 68-year-old white female with a two-year history of progressive dyspnea and a persistent non-productive cough. Past medical history included hypertension, lower extremity neuropathy of unknown etiology, and interstitial cystitis. She had a remote history of tobacco use but no exposures to other toxins.... |
A 65-year-old male was admitted to the trauma service after a mechanical fall down from five cement stairs. The result was multiple left sided rib fractures and a small lung contusion without loss of consciousness. He was admitted for oxygen therapy and pain control with a patient-controlled-anesthesia unit, along with... |
Our case was a 70-days old male child that has presented with respiratory distress and cyanosis following breastfeeding. Physical examination was normal except the tachypnea, subcostal retraction.\nThe infant's arterial oxygen saturation was 92% at room air. The patient has admitted with initial diagnosis of pneumonia ... |
A 45-year-old male from the Netherlands presented with a painless right parotid swelling that was progressively increasing in size for the past 8 months. Though occasionally he suffered from jaw lock, other symptoms associated with neurologic deficit such as drooling, facial weakness, paresthesia, or auditory defects w... |
An 83-year-old female presented to the emergency department secondary to an accident involving her wheelchair. Earlier that day she had been seen by her family physician regarding a subcutaneous abscess located on her abdomen and was on her way to see a general surgeon when she had an accident, whereby she was flung fr... |
The patient is a 6-year-old African male who presented at our tertiary surgical referral center in Central Africa after motor vehicle accident. His past medical, social, and family history were not obtained given that the patient spoke a Northern African dialect, whereas the staff at the local hospital spoke English an... |
An 11-year-old girl was admitted to our hospital due to abdominal pain and diarrhea of 1 week’s duration. She had no medical history of abdominal trauma or surgery. In addition, she had no travel history and there were no pets at her home. Initial assessment of vital signs showed a blood pressure of 116/70 mmHg, a hear... |
A 48-year-old man with end stage renal disease (ESRD), on regular thrice-a-week hemodialysis for 4 years, noticed that his AVF for dialysis vascular access had stopped working and reported to the hospital.\nHe was on regular treatment for hypertension for 17 years before he was detected as having deranged renal functio... |
A 34-year-old male patient presented with a gradually enlarging swelling at the side of his face in front of the left ear of 15 days duration along with a long-standing difficulty in mouth opening [].\nThe patient's medical history was predominantly noncontributory except a history of trauma to the facial region follow... |
A 65-year-old Iranian man slipped backward to the ground. He immediately felt left flank and groin pain but was able to continue walking. Approximately 4 h after falling, the pain severely increased, and the patient complaint of gross hematuria and difficulty in walking. He presented to the emergency department of Shah... |
The patient was a 29-year-old G1P0 Chinese female with the AB, Rh positive blood type. She had no significant medical history and symptoms. At 22 weeks’ gestational age (GA), the fetal ultrasound showed that the echo of the intestinal canal in the right lower abdomen of the fetal was slightly enhanced, and no obvious a... |
An 80-year-old African American male presented with an insidious onset of dyspnea on exertion for at least two months with progressive worsening over two to three weeks. It was also associated with orthopnea and lower extremity swelling. Prior to this presentation, he used to walk one block or one flight of stairs with... |
An 11-month-old Caucasian boy was referred to this department for investigation of a raised urea and creatinine. He was born at 37 weeks’ gestation to unrelated parents. He had difficulties with bottle-feeding in the first 2 weeks of life and at the time of weaning he was noted to choke on solids. He was also found to ... |
A 22-year-old healthy female patient presented to our hospital with a chief complaint of excessive display of gingiva when she smiles. She previously reported to a dentist with her complaint and was recommended orthodontic surgical intervention to correct her smile. However, she refused to undergo the procedure as she ... |
A 59 year-old Caucasian female with past medical history of migraines, presented to our emergency department as a transfer from another facility for further management of a non-ST elevation myocardial infarction. In the emergency room she presented with notable anterolateral T wave inversions on ECG as well as elevated... |
We present a case report of a 45-year-old female operated for parotid tumor presenting with features suspected of malignant hyperthermia. On preanesthetic evaluation, patient had no comorbid condition was not on any drugs had no previous anesthetic exposure. She was suspected to have difficult airway in view of swellin... |
The patient is a 29-year-old G2P1001 Hispanic woman with uncertain last menstrual period and no previous prenatal care who presented to Labor and Delivery for evaluation of preterm labor. She complained of nausea, vomiting, and acid reflux, which she had experienced throughout this pregnancy. Obstetric history included... |
A 48-year-old male was diagnosed with a Stanford A aortic dissection when he presented to an emergency department with hemodynamic instability and a history of sudden-onset severe chest pain. A computed tomography aortogram (CTA) revealed an acute type A aortic dissection involving the aortic root, arch, and the rest o... |
We describe a 29 year old woman (45.4 kg, 155 cm, BMI 18.9) born with double outlet right ventricle (DORV) with mitral valve atresia, admitted to the hospital for workup for a heart and liver transplant in the context of elevated end diastolic pressures, heart failure symptoms, and liver cirrhosis from congestive hepat... |
As home care doctors and general practitioners, we encountered a 37-year-old woman with ASD who lived with her parents in Japan. Her mother had end-stage breast cancer. We visited her house regularly to care for her mother. The woman with ASD was the main caregiver and a key person for her mother because her father was... |
Patient A is a six-year-old male. He presented initially at the age of three years and four months with a seizure after a fall in which he hit his head. The initial seizure consisted of right gaze deviation, nystagmus, and clonic movements in his right upper limb. The duration of the first seizure was unknown. He had t... |
A 35 year old African female was admitted to the emergency unit with difficulty in breathing, chest congestion and chest pain for 3 days. The para 6 + 1 woman had delivered vaginally a week prior to presentation. Her pregnancy and delivery were uneventful. She had been well prior to the development of the difficulty in... |
A 47-year-old man presenting with a painful mass on the left anterior scalp visited our hospital. The patient had a 40-year history of a yellow patch-like lesion on the same site with an irregular surface accompanied by itching and hair loss. The size of the lesion had not changed over time but had suddenly begun to gr... |
A 69 year-old woman with a history of myasthenia gravis on immunosuppressant therapy (mycophenolate 1000 mg BID and prednisone 5 mg QD) for the previous two years presented to our facility with acute left-sided weakness and numbness. She reported two recent ischemic stroke hospitalizations over the preceding 3 months a... |
We present a 16-year-old boy referred from urology for further evaluation of hypogonadotrophic hypogonadism. He was initially diagnosed with bilateral cryptorchidism aged 2, and his parents opted for conservative management. There was no spontaneous descent of testes in the next few years and he was eventually lost to ... |
A 38-year-old woman with a medical history of hypertension, chronic obstructive pulmonary disease, osteoarthritis of knees, chronic smoker, and cocaine abuser presented to the emergency department with complaints of painful body rash which appeared within some hours after smoking cocaine. The rash first appeared on her... |
A 48-year-old Caucasian woman presented to a neurology clinic for progressive right upper limb weakness that had started 3 months earlier. Her major complaints were frequently dropping things from her hands, worsening handwriting, difficulty holding a spoon, and inability to do her job as a desk clerk. She also noticed... |
A 62-year-old female with no past medical history presented to the emergency department after a one-month history of progressive left-sided numbness, weakness, and unsteady gait. She had also experienced multiple falls and bladder incontinence over the past two weeks. She complained of frequent throbbing headaches in t... |
A 42-year-old gravida 2 para 2002 with a history of pelvic pain and bulk symptoms likely secondary to uterine leiomyomata presented for a scheduled total abdominal hysterectomy, bilateral salpingectomy, and cystoscopy. The patient had no known history of any abnormalities of the urinary system. Her past surgical histor... |
We present the case of a 48-year-old man, complaining of a bilateral knee injury and functional disability. The patient fell about two meters down an embankment one hour before the presentation and was unable to stand up due to pain, so he was brought to our hospital by ambulance.\nClinical examination revealed a marke... |
An 8-month-old Caucasian baby boy with heterotaxy syndrome was admitted to our general pediatric ward after presenting to a scheduled clinic visit with fever, hypoxemia and cyanosis. His history was significant for dextrocardia, polysplenia, interrupted inferior vena cava, biliary atresia status post-Kasai procedure, a... |
A 3.5-year-old girl was born preterm with stormy neonatal course requiring admission to neonatal intensive care unit (NICU) for 6 weeks. During this period, the child had a surgery for tracheo-esophageal fistula and she underwent transcatheter closure of patent ductus arteriosus (PDA) using Amplatzer duct occluder I th... |
A 38-year-old systemically healthy female patient reported to the department of periodontology with a chief complaint of blackish discoloration of the maxillary right central incisors for the past 1 year. The tooth was also associated with dull aching pain for the past 8 months which was intermittent in nature. There w... |
A 63-year-old man underwent PpPD and Child reconstruction with Braun anastomosis for lower bile duct carcinoma at another hospital. Two weeks after surgery, he vomited several times due to DGE, and a nasogastric tube was inserted into the stomach. On the 32nd POD, however, DGE improved and the nasogastric tube was remo... |
A 34-year-old man (height 172 cm, weight 87 kg, body mass index 29.4 kg/m2) had been followed for purpura nephritis since he was 18 years of age. Since 32 years of age, he had been treated for hyperlipidemia with 20 mg of atorvastatin (cholesterol-lower agent). He had no history of alcohol abuse or smoking. Because of ... |
A 3-month-old female infant was admitted to our outpatient clinic on April 8, 2014 with parents’ complaints of bilateral white cloudiness at the pupillary zone perceivedd 1 month after birth. Preoperative ophthalmic examinations revealed complete bilateral lens opacification with clear corneas and anterior chambers. Si... |
A male patient aged 11 years reported with the complaint of swelling of the gums since 6 months. A detailed history was taken and revealed no positive features.\nOn clinical examination, the patient had gingival enlargement in the upper arch. This enlargement involved attached gingiva and covered almost one-third to on... |
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... |
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 52-year-old farmer was referred to us 7 hours after he had met with a high-velocity road traffic accident. He was resuscitated as per the ATLS protocol at the hospital where he was initially treated and when he arrived at the casualty department of our hospital, he was conscious and all his vital parameters were with... |
A 73-year-old female patient visited the hospital due to left-sided hemiparesis. She did not have a family history of stroke and had been taking antihypertensive medication for the past 10 years and angina medication for the past 6 years. She had a chronic headache for past few years. She had frequent headache with nau... |
Patient n. 2 was a 60-year old female, diagnosed with suffering from POAG for ten years, under treatment with hypotensive drugs and regularly controlled IOP twice a year which appeared maintained within normal ranges. During a control visit in January 2016, the patient had reported irritating symptoms of eye discomfort... |
M is a 22-year-old woman with a history of EUPD. She has been known to child and adolescent mental health services (CAMHS) since the age of 14 with multiple characteristics of EUPD including impulsivity, lack of consideration of consequences of her actions, unpredictable and capricious mood, outbursts of emotion, incap... |
A 79-year-old female presented to the emergency department with 2 weeks of left jaw pain and swelling as well as left facial weakness and droop. As seen in , an MRI with IV contrast revealed a 1.5 × 1.5 × 1.8 cm heterogenous, low-intensity, peripherally enhancing lesion located in the deep lobe of the left parotid glan... |
A 41-year-old man was accidently detected with a mass without tenderness on the right lobe of the thyroid. B-ultrasound showed that the morphology and echo of thyroid were abnormal though without nodules. Magnetic resonance imaging (MRI) showed significantly enlarged right lobe of the thyroid with a clear boundary and ... |
A 46-year-old female presented in 2017 with symptomatic right leg pain and aesthetic complaints relating to the right calf. Medical history showed a previous head trauma (car accident) with brain hematoma drainage and a saphenous vein operation. Physical examination revealed edema in the perimalleolar area and painful ... |
The patient was a 72 year old female who suffered from frequent watery diarrhea and was diagnosed with CC six months after debut of symptoms in 2008. The diagnosis was based on clinical findings and histopathological evaluation which showed an increased number of lymphocytes in the lamina propria, in the epithelium and... |
A 20-year-old, otherwise healthy, male presented to the Emergency Department (ED) after falling on his back while playing basketball. The patient landed on his right buttock on the hardwood floor. On presentation to the ED, he denied back pain, numbness, and weakness but did notice progressive swelling in the area of t... |
. A 64 year-old man was referred to our hospital with a 3.8 cm sized polyp in the high body after a screening upper endoscopy at outside hospital. An elevated polyp was removed in one-piece by endoscopic submucosal dissection. The patient received a repeat endoscopy at one and two year and no remnant lesion was noted.\... |
A 77-year-old man admitted to our hospital with 1-month history of cough and dyspnea. He had personal history of pulmonary tuberculosis 1 year ago. On physical examination of the thorax, inspiratory dry crackles were heard on both lower lung fields. In observation of oral cavity, a large oval mass composed of soft tiss... |
A 76-year-old man was referred to our hospital for having lower back pain for 5 months, which was suspected to be L2/3 spondylitis on magnetic resonance imaging (MRI). He had previously undergone cervical laminoplasty for ossification of the posterior longitudinal ligament and diffuse idiopathic skeletal hyperostosis 1... |
A 75-year-old man who had been diagnosed with dysphagia associated with medullary infarction 4 months prior () suddenly developed ptosis and increased drooling. A VFSS revealed dysphagia with reduced tongue movement in the oral phase, maximal amount or residue in the valleculae and pyriform sinus with overflow aspirati... |
A 48-year-old woman, gravida 1, para 1, visited the internal medicine department at another hospital with a complaint of abdominal fullness and weight loss of 10kg during the last year. A huge abdominal mass was palpated, and she was referred to the gynecology department to search for a tumor of uterine origin. She was... |
A 33-year-old gentleman who was allegedly involved in a motor-vehicle accident was referred to our unit for further management of the suspected orbital fracture. Initial assessment in the Emergency Department (ED) showed that the patient was drowsy, not opening his eyes, or responding to questions, possibly due to alco... |
A 54-year-old man was born 7 weeks prematurely. An atrial septal defect was noted at birth and corrected at the age of 5 years. Walking was delayed until the age of 2 years. He was never able to run or to keep up with peers physically because of weakness of his arms and legs. In early childhood, he toe-walked, ultimate... |
The patient was a 70-year-old male with a history of glaucoma. There was no outstanding family medical history. He was diagnosed with esophageal cancer 3 years earlier, and had undergone surgical resection and chemotherapy. Best supportive care was initiated 1 year earlier. From 1 month before the last hospitalization,... |
A 24-year-old white male with past medical history of recurrent acute pancreatitis, gastroesophageal reflux disease, and obesity presented for evaluation following a referral from an outside hospital after a 3-week hospitalization due to refractory acute pancreatitis. The patient reported gastrointestinal symptoms incl... |
We report the case of a seventy four year old man who presented to the Emergency Department complaining of back pain of two months duration. This was a dull mid- thoracic back pain with radiation to the chest and upper abdomen. It was initially intermittent associated with exertion, but now was increasing in frequency ... |
A previously fit and well 86-year-old male presented to the emergency department after having slipped on black ice in his home garden. He reported to have fallen backwards twisting his left leg. He denied any head injury, loss of consciousness, or dizziness. He complained of a painful swollen left knee and was unable t... |
A 76-year-old man with severe chronic obstructive pulmonary disease (COPD) presented with a feeling of fatigue, weight loss, and reduced physical activities. He was diagnosed with COPD at the age of 69 years and had retired from work the following year. His smoking history included 40 cigarettes per day between the age... |
A 50-year-old African American male with a history of hyperthyroidism, hypertension, and congestive heart failure presented to an outside hospital with fever and an altered mental status. He was diagnosed with hyperthyroidism about three months prior to hospitalization. He was started on methimazole (MMI), but complian... |
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