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Our patient was a 75-year-old white woman who was a carrier of the BRCA2 gene mutation. She presented to her primary care doctor with a family history of three of her daughters having been diagnosed with breast cancer. All of them were BRCA2 positive. She had no other issue otherwise. Consequently, she underwent geneti... |
A 21-year old man with no co-morbidities was referred to the regional orthopedic unit from emergency department of another hospital in the vicinity, with the history of trivial injury to his right knee two days ago. He accidentally hit his right knee to the wall two days back and sustained an abrasion to his knee. He s... |
A 55-year old male presented to an academic medical center in February 2020 with a six-week history of increasing midline back pain. He had a history of chronic mid- and lower back pain as the result of degenerative disc disease, however his pain had abruptly worsened in the 6 weeks prior to presentation. Pain was wors... |
A 75-year-old Chinese man was admitted to our hospital with increasing chest pain and dyspnea upon exertion. The chest pain developed 4 weeks previously when he was climbing stairs, and this was relieved by several minutes rest. He also reported that 2 day preceding hospitalization, the pain was triggered by minimum ex... |
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 twenty eight year old female delivered a baby 5 months before presentation. She started experiencing repeated episodes of blackouts in front of her eyes, since two weeks. These consisted of brief spells of diminishing of vision and inability to comprehend the surroundings lasting for a few seconds and passed off comp... |
Here, we present a case of PCG in a 12-year-old boy who presented with unusual gingival enlargement and erythema. The treatment outcome with a regular follow-up is also discussed. A 12-year-old boy reported to the Department of Oral Medicine and Radiology, Government Dental College Calicut (Kozhikode), North Kerala, wi... |
The patient is a 16-year-old boy with a history of double-inlet left ventricle and interrupted aortic arch who underwent staged reconstruction heart surgery involving Norwood palliation with a central shunt as a neonate, a bidirectional Glenn procedure as an infant, and an extracardiac fenestrated Fontan procedure at a... |
A 19-year old man presented to the emergency department, following exposure to a bomb blast injury. He had a patent airway, but he was tachypneic, agitated, confused, and pale. His blood pressure was 70/30 mm Hg and pulse rate 120 per minute. The right radial pulse was impalpable due to a compound fracture of the arm. ... |
A 55-year-old Caucasian woman with a 5-month history of abdominal pain and vomiting was diagnosed as having a probable high-grade ovarian malignancy with a large volume of peritoneal disease. She had a prior ultrasound of her pelvis which demonstrated a 17 cm large irregular solid vascularized mass in her right ovary. ... |
An 18-year-old male visited the medicine outpatient department with the primary complaint of pain in the neck, weakness in the right upper and lower limb, increased sensations on bilateral upper and lower limbs and pain in both the upper and lower limbs along with tingling sensations for the last three months. There wa... |
We report on a 55-year-old man who was diagnosed with CPPS by urology specialists from the university hospital and referred to us for pain treatment with local anesthetics (neural therapy).\nAt his first consultation with us, the patient reported pain and other ailments that began 35 years prior, after a party in a dam... |
A 47-year-old white male presented with recurrent severe dizziness, chest tightness, shortness of breath, left upper back pain, night sweats, and chills of three weeks duration. His past medical history consisted of a 20 pack/year history of smoking and squamous cell carcinoma of the tongue, status-post excision with s... |
The patient was a 61-year-old man. He had sustained a burst fracture of the axis in a traffic accident and had thereafter suffered from continued pain. We performed posterior spinal fusion from C1 to C4. The devices used for C1 fixation were a lateral mass screw and an infralaminar hook. The MPR-CT at 7 months postoper... |
A 33-year-old woman was admitted to psychiatry inpatient with a complaint of suicidal ideation. The patient has a past history of multiple psychiatric disorders like BPD, MDD, and anxiety issues for about last eight to 10 years. She had multiple suicide attempts in the past most recent being two weeks back when she tri... |
The patient was a 63-year-old Caucasian male who presented to our hospital for evaluation and management of persistent, severe neutropenia and recurrent infections requiring intravenous antibiotics. He had previously been evaluated at multiple other hospitals, but neither the etiology of his neutropenia nor an effectiv... |
A 20-month-old boy was referred to the general clinic of the local children's hospital with a complaint of swelling of left face for 1 year and proptosis of the left eye for over two weeks as stated by his parents. Initially, he did have some vision because he was able walk by himself without falling. The patient did n... |
A 65-year-old male patient presented to the Department of Oral Surgery of Clinical Hospital Centre Zagreb after resection of the mandible due to OPC that was surgically treated in April 2015 (Figures and ). He was referred by a prosthodontist due to an inability to function with a full denture. He had no history of tob... |
A 28 year-old Caucasian male without otherwise notable past medical history presented with a 13 year history of pain secondary to multiple tumors of the left foot. He underwent his first surgical excision at the age of 17 after 2 years of progressively worsening discomfort. Pathologically determined to be a glomangioma... |
A 60-year-old man, who had hematochezia for 45 days, was referred to our department of colorectal surgery on May 15, 2019. He was diagnosed with sigmoid colon tumor after colonoscopy showed a protuberant mass occupying the lumen with stenosis, 30 cm proximal to the anus. The patient had a history of hepatitis B since 1... |
Patient 2 is a 31-year-old British woman with a diagnosis of TRS. She first presented to psychiatric services in 2002 (age 17) with flattened affect, inappropriate laughter, social withdrawal and functional decline. She was diagnosed with schizophrenia and over the next 10 years she was treated with various antipsychot... |
Our patient was a 39-year-old female with a history of hypertension and preeclampsia who presented to an outpatient visit with sudden onset, severe, substernal chest pain. Other associated symptoms at the time of presentation were diaphoresis, dizziness, and nausea. An electrocardiogram was performed and demonstrated n... |
A 35-year-old G7P2 female at 12 weeks gestational age presented to the emergency department with a six-day history of worsening rash and swelling of her right hand and ankle (Figure ). This started at the right fifth finger and progressed to involve the dorsum of the same hand, along with the second to fifth metacarpop... |
A 35-year-old female was admitted to our hospital complaining of an intermittent headache for 5 years, menopause for more than 2 months, and blurred vision and lactation for more than 1 month. Five years prior, the patient began suffering from intermittent and gradually deteriorating occipital and frontal headaches. On... |
A 36-year-old woman (height, 147 cm; weight, 50 kg) with CIPA was scheduled for revision of left total hip arthroplasty. She was diagnosed as having CIPA because of recurrent episodes of unexplained fever, anhidrosis, burns, and bone fractures after birth. She had previously undergone 7 operations for spinal deformity ... |
The patient was a 37-year-old married Japanese woman. She was referred to the Department of Psychiatry at the Toho University Omori Medical Center, Tokyo, to receive care for a severe postpartum depressed mood and intense suicidal ideations. The participants provided written informed consent prior to enrollment in this... |
A 31-year-old gravida 3 para 1 patient presented to antenatal clinic at 19 weeks and 3 days' gestation to discuss the results of her morphology scan which had demonstrated a grade 4 placenta previa covering the cervical os. She had a medical history significant for Arnold Chiari malformation requiring craniotomy in 200... |
A 64-year-old Japanese woman was admitted to our hospital seven years ago with a complaint of pain in her right hip joint. Radiographic analysis revealed an osteolytic tumor of her right pelvis and a tumor in her right lower lung field. The histological findings of a biopsy specimen obtained from the bone and pulmonary... |
A 55-year-old male presented with worsening shortness of breath and palpitations. He had been well until 1 week prior to presentation, when he started feeling short of breath initially on exertion, but later at rest. He also reported orthopnea. He had intermittent cough productive of white sputum and wheezing. He was a... |
A 55-year-old man, a social drinker and a technical officer by profession presented to the Teaching Hospital, Peradeniya (THP) in the Central Province of Sri Lanka with a history of headache, gradual alteration of level of consciousness (LOC) and behavioral changes of 3 weeks duration. He was apparently well 7 weeks ba... |
A 30-year-old gentleman with mild autism was admitted to hospital for a left supracondylar fracture following a fall. He was able to communicate and perform simple daily activities independently. He had a past medical history of epilepsy and allergic rhinitis. He was recently discharged from hospital about a week ago a... |
A 71-year-old Caucasian woman with symptomatic kyphoscoliosis and multilevel lumbar spinal stenosis had been followed up in our clinic for sagittal imbalance and fatigue with progressive low-back and leg pain as well as subjective weakness of the legs bilaterally (). Physical therapy and epidural steroid injections fai... |
A 16-year-old Hispanic male with a past medical history of bronchial asthma presented with his caretaker to our institution with complaints of intermittent abdominal pain, wet cough, and poor weight gain since infancy. The patient also had associated foul-smelling, floating stool with inability to gain weight despite a... |
A 72-year-old Caucasian woman was referred to our emergency ward with progressive loss of vision in her left eye. The patient also observed the appearance of a wide white spot in the center of the cornea from a few days (). About her clinical history, 6 months before she underwent tectonic penetrating keratoplasty in t... |
During medical examination on the occasion of a routine sonography, an asymptomatic tumor directly near the right kidney and with possible renal origin was detected in a 46-year-old Caucasian woman and Swiss citizen with a history of former smoking with 10 pack-years, irritable bowel syndrome with recurring mild abdomi... |
A 6-month-old girl was brought by an ambulance to our tertiary care hospital with difficulty in breathing and severe stridor. It was decided to perform airway assessment by ENT surgeon to determine the possible causes of stridor due to failure of improvement despite maximum medications given by pediatrician. Preoperati... |
A 68-year-old woman presented with a one-month history of masses in the breast and chest wall. The patient recalled having dysphagia for dry food, xerophthalmia, xerostomia, and weight loss for 2 years; however, she did not undergo any test to search the cause of these symptoms. Physical examination revealed two masses... |
We present the case of a 13-year-old female patient, known with severe visual field loss, who referred for another opinion regarding the ophthalmological diagnosis.\nAnamnesis at presentation revealed that at the age of 9 years and 3 months, on a routine ophthalmological examination, papillary calcification and retinal... |
A 28-year-old female was diagnosed in Tunisia with stage IV synovial sarcoma originating from the soft tissue of the left trapezius with lung metastases, after complaining of shoulder swelling and pain back in July 2018. Written reports of the CT imaging obtained in Tunisia revealed that she had a 4 x 2 cm left paraver... |
Our patient is a 42-year-old African-American male with no significant past medical history who was admitted for increasing right knee pain over a period of three weeks. The patient had no history of trauma to the area but reported hitting it with a "pan" at work, as he works as a chef. The pain was not radiating and w... |
A 60-year old man was admitted to the hospital after falling off an electric scooter. He fell on outstretched hands and knees and did not sustain a head injury. He immediately noticed loss of sensation in all four limbs and the abdomen.\nOn admission to the emergency department, he did not have motor or sensory (light ... |
A 62-year-old female with a past medical history of hypertension, dyslipidemia, hypothyroidism, and 30 years of cigarette smoking presented with worsening shortness of breath and foreign body sensation over two days duration. Symptoms were typically worse at night and on laying flat. On exam, she had a faint stridor an... |
This case involves a 60-year-old male with a history significant for benign prostatic hyperplasia, hypertension, and insulin-dependent diabetes who presented in July 2017 with diabetic ketoacidosis and Fournier’s gangrene. The patient’s treatment course for Fournier’s gangrene subsequently consisted of multiple operati... |
A 69-year-old male patient presented to his local hospital with insidious onset of chest pain for the past 10 days. He was hemodynamically stable without features of cardiogenic shock. As initial investigations detected elevated D-dimer levels, computed tomographic pulmonary angiography was performed to rule out pulmon... |
A 64-year-old male, known to have type 2 DM for more than 6 years, presented to the emergency department with respiratory distress. He had a history of burning sensation in his feet in the past 1 year and gradual decrease in power of distal lower limb muscles (flopper coming out of his feet while walking), which progre... |
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... |
A 74-year-old man presented to our tertiary care hospital's emergency department with severe pain and swelling in his right lower extremity. The patient had a skin biopsy on the right leg about 2 weeks prior to presentation for a possible skin cancer. He had no immediate complications following the biopsy, and the path... |
A 64-year-old woman with a past medical history of Grave’s disease presented to the hospital complaining of sudden onset of facial and bilateral arm swelling, as well as "bruising" in her neck, abdomen, and arms, all of which she developed over a few days. Further, the patient reported fatigue, neck tightness, and dysp... |
A 73-year-old woman with past medical history of hypertension, hyperlipidemia, and hypothyroidism presented with chief complaint of worsening low right-sided back pain for one week. She had not had any trauma or injury to the area prior to onset of pain. She then developed right-sided leg weakness, right thigh numbness... |
A five-year-old typically developing female was referred by her primary care provider for evaluation of a rash reported to be sensitive to sunlight and had been reoccurring for the last 4 years. Cutaneous exam revealed fine scale on her trunk and extremities as well as small pink flat papules on lower left leg. She was... |
A 56-year-old woman presented to our hospital with acute congestive heart failure. She needed dobutamine support and bilevel positive airway pressure for NYHA class IV dyspnea. Chest radiography revealed congestive heart failure. Echocardiography revealed severe aortic stenosis with heavily calcific bicuspid valve; the... |
A 70-year-old male with history of amyotrophic lateral sclerosis (ALS), dysphagia status post gastrostomy tube placement, chronic respiratory failure status post tracheostomy, and gastroesophageal reflux disease presents with six-day duration of melanotic stools. The patient was mechanically ventilated with gastrostomy... |
Diana (a pseudonym) is a young woman of 25 years old that reached the Eating Disorders Centre, Division of Endocrine and Metabolic Diseases, San Luca Hospital in Milan, following a dramatic weight loss. Diana reached the Centre with a BMI of 16.06 kg/m2 reporting several disruptions in her eating patterns and several d... |
A 33-year-old Nepalese man presented to our department of neurology in a university hospital for evaluation of an acute-onset flaccid paraplegia in the background of a 10-day history of headache and puffiness of the face.\nTen days prior to his presentation to our hospital, he had sudden onset, unilateral right-sided h... |
A 61-year-old male reported to the Department of Prosthodontics with chief complaints of difficulty in swallowing and impaired speech due to partial resection of the tongue. Three years back, the patient was diagnosed with squamous cell carcinoma involving the right lateral border of the tongue and just crossing midlin... |
A 22-year-old intelligent lady presented with complaints of severe bilateral hip joint pain, trouble in walking, and disfigurement in hands, elbow, and spine. Symptoms began first at 6 years of age with pain and stiffness of the fingers.\nShe was diagnosed as juvenile chronic arthritis outside and managed conservativel... |
A 67-year-old man from India, who was recently diagnosed with latent tuberculosis, presented to an outside hospital and was admitted for six days with generalized fatigue and hypotension. On presentation, he reported a 2-week history of generalized fatigue with systolic blood pressures in the 60s, as recorded at home. ... |
A 31-year-old Sri Lankan woman, who was a known patient with systemic lupus erythematosus (SLE), mild persistent bronchial asthma and a history of recurrent urinary tract infections, presented with left wrist pain.\nShe was diagnosed with SLE 5 years previously, when she presented with photosensitivity, malar rash, inf... |
A medically free 14-year-old male who was obese sustained an injury to his left knee after jumping from 3 stairs. The patient mentioned that he predominantly landed on his left lower limb with his left knee in full extension and in external rotation. The patient started complaining of left knee pain limiting his range ... |
A 2-month old Caucasian male was admitted to the hospital due to right perihilar pneumonia with hyperaeration and three months later was diagnosed with chicken pox. He also presented with global delays, dysmorphic features including craniofacial asymmetry, apparently secondary to postural position, with flattening of t... |
MA is a 49-year-old Caucasian female with a past medical history pertinent for ulcerative colitis who presented to the emergency department of our tertiary care, rural Level I trauma center for evaluation of periurethral pain and dysuria. She reported that her pain started 2 weeks prior to presentation while she was se... |
A 10-year-old boy presented to our outpatient department with complaints of multiple swellings in the back along with swellings in both the arms since last eight years. He was born out of a normal vaginal delivery at term and the perinatal period was uneventful. His parents noticed deformity in both great toes at birth... |
A 35-year-old Caucasian female presented with headaches and focal neurological symptoms, on a background of migraines with visual aura. Past medical history included depression and a motor vehicle accident aged 17. She had a normal body mass index, no history of recent overseas travel or hypertension.\nWhile at work, 1... |
A 69-year-old woman with a history of hypertension was identified to have an incidental renal tumor on computed tomography (CT). She denied hematuria, lower urinary tract symptoms, pain, fever, fatigue, or weight loss. Her medical history was significant for hypertension and obstructive sleep apnea. Family history and ... |
A 42 year old male presented to his primary care physician with a 20 pound unintentional weight loss over a 3 month period and new left axillary lymphadenopathy. A core biopsy of his axillary mass revealed metastatic malignant melanoma. He had no prior history of a primary melanoma. A staging PET/CT revealed abnormal F... |
A 20-year-old Danish woman was referred with constant pain in the right proximal thigh that had progressed for 8 years. She had no other known medical conditions. Menarche was at age 13. There was no family history of sclerosing bone diseases. The limb pain was aggravated at night and was moderately relieved during phy... |
A previously healthy 49-year-old male was the unrestrained, ejected driver of a single car rollover accident. He was found unresponsive but hemodynamically stable and was taken to the local rural hospital in a Philadelphia collar where he was initially awake and following commands and found to be neurologically intact.... |
A 78-year-old man was admitted to the pulmonary hypertension service at Stanford Hospital in December, 2010 with elevated pulmonary arterial pressures and progressive right-sided heart failure. He reported progressive shortness of breath over a period of two months, culminating in dyspnea at rest. This was associated w... |
We report a case of a 67-year-old aboriginal woman who was admitted to the rehabilitation ward. In March 2007, the patient underwent right femoral popliteal artery bypass surgery for occlusive peripheral vascular disease. Four months later, intermittent claudication recurred; she also complained of right leg pain at re... |
We present a case report of a 28-year old male who presented to our clinic for evaluation and treatment for a segmental bone defect secondary to a right femur fracture with non-union after infection. The patient had been in a motor vehicle collision in his home country of Uganda approximately two years prior to present... |
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 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... |
This 16-year-old male presented to the emergency department with new onset headache and visual changes of 2 days duration. The headache was described as sudden in onset, constant in nature, and bitemporal in location. This was associated with development of vision loss 1 day characterized by darkening of his vision, pr... |
A 33-year-old pregnant woman in her 33rd week of gestation was admitted to our hospital’s emergency department in a dyspneic condition with perioral cyanosis accompanied by diaphoresis and sinus tachycardia. She had rheumatic mitral valvular stenosis and had undergone MVR with a mechanical prosthesis 11 years previousl... |
A 59-year-old white woman presented to the emergency department with acute right-sided weakness and memory loss. Six hours before the onset of her weakness, she went to sleep, and upon waking in the morning, she felt weakness in the right upper and lower extremities associated with tingling and numbness in her right fo... |
A 22-year-old female was admitted to the Jilin Cancer Hospital (Changchun, China) in May 2013. In January 2009, a 2.0×3.0 cm painless mass was surgically removed from the left parotid gland of the patient. Postoperative pathology characterized the mass as a lymphocytic hyperplasia; however, parotid duct cells were also... |
A 71-year-old man with a history of FXI deficiency presented to the orthopedic clinic with complaints of progressively worsening pain in his right hip. Of note, the patient had previously undergone cephalomedullary nail fixation of a right proximal femur fracture 3 years prior by another local orthopedic surgeon. The p... |
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 69-year-old woman was referred to our institute for further evaluation of a tongue mass. She had a 5-year history of pain involving the right lateral tongue edge, and the lesion had been diagnosed as lichen planus by incisional biopsy performed by her dentist. The disease was stable for a long time; however, the tong... |
A 65-year-old male positive for hepatitis C virus antibody had been treated for HCCs in the liver segments 5, 6, 7, 8 in our hospital since October 2014. The patient was initially treated for the ruptured HCC in the segment 5 with TACE, while subsequent examinations detected other HCCs in segments 6, 7 and 8 which were... |
An 11-year-old male patient presented to our institution after sustaining trauma to his left lower extremity. On the day of presentation, there had been high winds in the vicinity resulting in the corrugated iron roof of a garage he had been walking nearby blowing off and landing on his left leg. The patient was trappe... |
Mrs A is a 43 year old female with a diagnosis of schizoaffective disorder. She was transferred to the National Psychosis Unit, a tertiary referral in-patient service which specialises in the management of treatment resistant psychotic illness. On admission she presented as dishevelled, agitated, thought disordered and... |
A 68-year-old man presented to our institution. He previously underwent laparoscopic intersphincteric resection of the rectum with diverting loop ileostomy for lower rectal cancer at the age of 56. The immediate postoperative course was uneventful. A pathological examination revealed that the patient had T1, N1a, M0, S... |
A 2-year-old male with a known history of genetically confirmed Alagille syndrome presented to the hospital with tachypnea, respiratory distress, and a fever of 104°F. He had multiple hospitalizations in the preceding 3 months for similar symptoms and had been diagnosed with pneumonia 3 times and cholangitis once. He h... |
A 56-year-old woman presented to our hospital with acute congestive heart failure. She needed dobutamine support and bilevel positive airway pressure for NYHA class IV dyspnea. Chest radiography revealed congestive heart failure. Echocardiography revealed severe aortic stenosis with heavily calcific bicuspid valve; the... |
A 55-year-old Caucasian woman with a 5-month history of abdominal pain and vomiting was diagnosed as having a probable high-grade ovarian malignancy with a large volume of peritoneal disease. She had a prior ultrasound of her pelvis which demonstrated a 17 cm large irregular solid vascularized mass in her right ovary. ... |
An 80-year-old man was found to have early gastric cancer during his yearly check-up by gastrointestinal endoscopy. He was 158 cm in height and weighed 62 kg. Gastrointestinal endoscopy showed a depressed lesion that was diagnosed as early gastric cancer by pathological examination of biopsy specimens. He underwent LAD... |
This case study is a product of serendipity. A 27 year old female runner was initially part of an experimental study documenting the muscle onset timing of the posterior leg and trunk muscles during the prone leg extension. At the time of the study the participant had no leg or spine injuries. The participant was part ... |
A 6-year-old Japanese boy presented with pain in his bilateral knees. In addition to sports activities in his primary school, he had been practicing figure skating 5 days a week for 2 years. Although he did not complain that his knee pain caused a significant problem in his daily living activities, his sports activitie... |
A 39-year-old male with a past medical history of alcohol abuse of several years' duration presented to the Emergency Department with chief complaint of headache. At the time of presentation he denied any chest pain, weakness, or other neurologic symptoms. Basic labs including complete blood count and basic metabolic p... |
A 60-year-old female, weighing 57 Kg, ASA physical status Class II, scheduled to undergo open cholecystectomy presented for preanesthetic check-up in our tertiary care hospital. She had a history of an allergic reaction during anesthesia 4 months back in another hospital when she was posted for the same surgery. Brief ... |
A 23-year-old Asian man was referred to the ER of Xiamen Chang Gung Memorial Hospital with a 1-day history of right-sided chest pain that had been aggravated for 1 hour. He had no known medical illnesses and was well until the evening prior to presentation, at which time he developed obvious right-sided chest pain radi... |
A 50-year-old man, a known case of human immunodeficiency virus (HIV) for the past 1 year, was on antiretroviral therapy (ART) in the form of stavudine, lamivudine, and nevirapine (S +L+ N) since the time of detection. Three months prior to his reporting, the patient was given a course of tenofovir for a duration of 2 ... |
A seven-month-old baby girl from Myanmar who is the second child of consanguineous parents presented to our hospital with recurrent generalized tonic-clonic seizures since the age of three months.\nThe first seizure was reported to be fever-induced at the age of three months. At the time, she was treated at another cen... |
The patient is a 47-year-old man with severe opioid use disorder who presented to the Infectious Disease Elimination Act (IDEA) SSP at the University of Miami Miller School of Medicine with right arm swelling and pain progressing over 3 days. On this day, he was visiting the student-run walk-in wound care clinic, which... |
A 53-year-old Chinese lady, with a history of hypertension, diabetes mellitus and chronic depression, presented with an 8 month duration of severe medial right knee pain associated with varus knee deformity. Pain was exacerbated on walking and standing. She was initially treated conservatively with a course of non-ster... |
A healthy 51-year-old man presented to the emergency department with progressively worsening left shoulder pain of four-month duration that had been acutely exacerbated three days earlier by a ground-level fall. The patient reported that he first noticed a dull ache when playing golf. Radiographs obtained in the emerge... |
The patient was a 40-year-old, gravida 0 woman with a history of ureteral stones and was receiving treatment for Behcet's disease prior to entering our hospital. She expressed a desire to become pregnant to her primary physician and subsequently stopped receiving prednisone. A year prior, at 39 years old, the patient w... |
A 69-year-old male presented to dermatology clinic with stage T2b mycosis fungoides, diagnosed two years prior, which manifested as a persistent, chronic rash involving both feet, and, to a lesser extent, other sites of his body. The lesions on his feet were painful and pruritic, limiting his ability to wear shoes and ... |
A 68-year old woman presented with a 2-month history of a dry cough unresponsive to administered antibiotics and antimycotics. According to a referral letter from her general practitioner, she was treated only for rheumatoid arthritis (using methotrexate) for the last 5 years. Computed tomography (CT) of the chest reve... |
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