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The 26-year-old Thai male was born to a family without a history of hereditary disease or short stature. He developed multiple draining sinuses from his oral cavity and lower jaw since age 18. The patient had been repeatedly treated with oral antibiotics and local wound care at his community hospital for 4 years. He ha...
A 68-year-old man who lived in Venezuela for the last four decades presented to our clinic with inexplicably incremental renal and hepatic failure with an obviously reduced general and nutritional condition for further diagnostic and therapy. Due to severely reduced creatinine-clearance (MDRD = 14 mL/min), he was sched...
Here we report a 48-year-old male case of EAML of the kidney which is a relatively newly described renal neoplasm and is closely related to the more common classic AML of the kidney and perivascular epithelioid cell neoplasm of extra-renal sites [].\nThe ethical committee of our institute gave us permission for the cur...
We present the case of a 30-year-old Nigerian male who was brought to the Surgical Emergency Department of the Lagos State University Teaching Hospital Ikeja 22 hours after he had inserted a constricting ring over his penis. He had developed a painful penile shaft swelling distal to the ring with suprapubic pain and sw...
An 86 year old Caucasian lady presented to the Emergency Department (ED) of a tertiary referral teaching hospital with sudden and persisting loss of vision in her right eye over eight hours. The ED team reported that a hyphaema was present with ‘bleeding through the pupil’. The patient described reduced vision after wa...
The patient was a 69 year-old caucasian male with recently diagnosed diabetes and a history of non-disabling stroke several years before. There was no record of hypertension, hypercholesterolemia, tobacco use or previously known coronary artery disease. Importantly, he was not taking any cardiovascular medication, incl...
A 49-year-old Japanese man whose gloved hand was caught between a gas cylinder and a concrete floor was taken to our hospital by ambulance. His right middle finger had been amputated in the distal interphalangeal (DIP) joint region, and his right ring finger was connected only by nerve and blood vessel bundles, showing...
A 45-year-old, deaf and dumb male patient of low socioeconomic strata was admitted with a history of easy fatigability and breathlessness on less than ordinary activities (New York Heart Association functional class-III/IV). He was a known case of chronic rheumatic heart disease; on further workup, he was found to have...
Three years before initial presentation, a 19 year-old female experienced the first of seven spontaneous pneumothorax events. By that time, three first trimester miscarriages had occurred (etiology unknown) and she had already undergone an uncomplicated term vaginal delivery of a healthy male infant. The patient did no...
A 65-year-old man presented to the emergency department (ED) after a computed tomography (CT) guided lung biopsy by interventional radiology with an acute cerebral air embolism. Prior to presentation, the patient had experienced progressive dyspnea for the prior few months and had an outpatient CT that revealed a lung ...
The patient is a 35-year-old man and a petroleum engineer. He was doing very well with no significant previous medical history of note. He had a history of contact with a COVID-19-positive campmate. There was no history of travel to tropical countries, no family history of heart block or sudden death, neither a previou...
A 42-year-old female patient reported with a chief complaint of pain in the right mandibular back tooth region for 3 days. Medical history of the patient was noncontributory. On clinical examination, the right mandibular first molar presented with mild attrition. Cervical abfraction was noticed for teeth 44, 45, and 46...
A 78-year-old male with multiple comorbidities, including hypertension, hyperlipidemia, and type II diabetes mellitus, presented to our emergency setting with complaints of recurrent bouts of abdominal pain and fluctuating fevers for the previous two weeks. The patient reported that the pain is a new manifestation of a...
Our patient is a 15-year-old girl born in Sweden after 40 weeks gestation as the third of four siblings from Assyrian consanguineous parents originating from Iraq. Contact with the national health system was sparse until the age of 5 years, when she presented with sensorineural hearing impairment and developmental dela...
A 40-year-old woman presented with a painless movement restriction of both shoulder joints, complicating activities in daily life such as personal hygiene and lifting her child.\nOne year ago, 5 days postpartum, respiratory insufficiency developed. She was admitted to the ICU and diagnosed with metastasized choriocarci...
A 26-year-old male without any significant past medical history initially presented to an outlying facility for being struck by lightning while storm chasing. According to bystanders, he was standing on a concrete pylon when the lightning struck, and he was thrown an unknown distance from the pylon. He was next seen at...
A 59-year-old paraplegic male presented to the emergency department with progressive prolapse of the bladder through his SPC site. He had a gunshot wound in 1990, which resulted in spinal cord injury and paralysis below T8, and in 2006, he underwent SPC to manage neurogenic bladder.\nOn presentation, physical examinati...
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 4-year-old boy on PD due to end-stage kidney disease resulting from bilateral hypoplastic kidneys, was admitted to our hospital with the complaints of fever, abdominal pain, and cloudy peritoneal effluent on PD, 1 day after biting and accidentally opening the PD catheter while in the bath. He was planned to receive l...
A 16-year-old female patient was admitted to the emergency unit complaining of a pulsatile, frontal headache over the last 12 hours accompanied by nausea with photo- and phonophobia. The symptoms evolved with diplopia, difficulty in performing adduction of the right eye, and dysarthria; imbalance started subtly about 1...
A 59-year-old female patient presented to a plastic surgery clinic with a lump on her right medial thigh. She noticed the lump eight months ago and it was gradually increasing in size. It was painless initially; however, the lump gradually became tender. The patient was otherwise fit and well with no co-existing morbid...
A 44-year-old man presented to his primary care provider for a right proximal clavicular mass and enlarging neck for six months that he attributed to an injury from Jujitsu. The patient endorsed mild pain in the area but denied dysphagia, dysphonia, choking, or shortness of breath. The patient reported 20 lbs of weight...
An 81-year-old man was admitted from a skilled nursing facility (SNF) due to severe generalized fatigue, elevated creatine kinase (CK) levels above 2000 U/L, and elevated creatinine of 1.6 mg/dL. His medical history was significant for coronary artery disease with cardiac stent placement two months before admission. Hi...
A 55-year-old gentleman, ex-smoker, presented to our hospital complaining of mild epigastric pain, regurgitation, and heartburn. On top of that, he has a long-standing history of gastroesophageal reflux disease (GERD), which was managed by proton pump inhibitors. His past medical history was significant for hypertensio...
This patient was a generally healthy 62-year-old male with a left lobe complex nodule within a nontoxic multinodular goiter that had been enlarging for approximately 3 years. In 2015, the patient had a FNAB reported as benign, BC II. Because of continued growth, he had a second FNA biopsy approximately six months later...
The patient is a 15-day-old dizygotic twin girl born via uncomplicated vaginal delivery. She was referred to our institution as a result of findings of ventriculomegaly noted on prenatal screening ultrasonography. The cause of the hydrocephalus was unknown at that time. On examination, the patient had a soft but full a...
A 26 year old Kenyan male presented with a 1-month history of fever. The fever was intermittent, often at night ranging from 38.3 to 40.2 °C, with accompanying prodromal chills and sweats. There was reported unintentional weight loss of 3 kg over a 3 month period. He reported a transient productive cough at the beginni...
We report a 7 year old boy who was referred to the Cardiac Center in Addis Ababa with dyspnea on moderate exertion and palpitations of about 2 years duration. The child was found to have a cardiac murmur at the age of about 2 years but was not subjected to echocardiography due to lack of skill and equipment in his loca...
The patient was a 2-year-old boy from Russian republic of Ingushetia. Both parents and younger sibling (female) were asymptomatic. Family history is not burdened. Parents may be related, as the mother of the child and the grandmother (father's line) are from neighboring villages of Malgobek region of Ingushetia.\nThe p...
We present a 57 year old gentleman with CKD 5 who had an autogenous brachiocephalic fistula 4 months prior to presentation to us. During their last surgical clinical visit, the fistula was noted to be poorly maturing and then referred to interventional radiology for fistulogram and possible endovascular intervention to...
A 37 years-old unmarried premenopausal female presented in the emergency of our hospital with complaints of bleeding from ulcerative lesion in the left breast for a couple of hours. The patient had history of ulcer in the left breast for past 2–3 weeks which developed over the underlying huge breast lump. The lump was ...
A 2-month-old boy who previously underwent surgical correction for intraventricular defect started to present frequent episodes of inconsolable crying, associated with neck extension, stiffening of the arms and trunk, sometimes followed by swallowing and vomiting.\nSymptoms were attributed to GERD, and therapy with PPI...
In May 2016, a 67-year-old woman came primarily to our hospital for a consultation about painless mass of the left lower gingiva. Intra-oral examination showed a 46 × 25-mm tumor with induration on the left lower gingiva (Fig. ). A submucosal mass, independent of the gingival tumor, was palpable in the left buccal regi...
A 50-year-old female presented with sudden abdominal pain. Abdominal computed tomography (CT) was performed and revealed a pancreatic cystic lesion. So, she was referred to our hospital for detail examination of pancreatic cystic lesion. On physical examination, there were tenderness and spontaneous pain on her entire ...
This is a report on a 32-year-old man with a history of two previous melanomas with concurrent plaque-type psoriasis. His history dates to June 2009, when he developed his first melanoma on the right occiput, Clark's level IV, tumor thickness 1.53 mm, nonulcerated, mitotic index 1/mm2. He was treated with wide local ex...
A 51-year-old black woman with an 18-pack-year smoking history presented to our institution with a 3-month history of a progressively productive cough unresponsive to antibiotics. In addition, she had dyspnea on exertion and a 25-pound weight loss. Her past medical history included a duodenal ulcer resulting in a perfo...
The proband is a 35-year-old male with a 10-year history of sprains and muscle ruptures. He reported six left knee sprains since the age of 17 and two ruptures of the right rectus femoris muscle at the age of 29 and 30, respectively. The patient did not mention any strenuous activity that could explain the ruptures. Gi...
A 56-year-old woman presented in February 2013 with a large breast mass that exhibited skin changes and had significantly increased in size over the past 4 months. Her past medical history was significant for hypertension, high cholesterol, and arthritis of the right knee. Her past surgical history revealed a hysterect...
A 32-year-old African American male presented to our hospital with a generalized skin rash for the past 3 days. He developed a productive cough, sore throat, and fever one week prior to developing this rash. He also noted rhinorrhea and pink eyes with visual blurring and was prescribed erythromycin eye ointment by a ph...
A 51-year-old Chinese male had undergone living-donor kidney transplantation for end-stage renal disease (ESRD) due to 8 years of nephrotic syndrome in 2011 at the age of 46 years. His immunosuppression regimen included a combination therapy with tacrolimus 2.5 mg/d, mycophenolate mofetil 1.5 g/d, and prednisolone 10 m...
The following is a description of the case of a 25-year-old woman with the initials S.K. in her second pregnancy who came to our antenatal consulting centre.\nThe first screening for blood count, blood group, biochemistry (ALAT, ASAT, creatine, urea, blood sugar) showed results within the reference range. Hbs Ag, HIV, ...
The present case report is about a 72-year-old male patient who reported with oral discomfort and difficulty in swallowing since past 5 months. He gave a history of soreness of the oral mucosa with burning sensation on eating spicy food since past 9 years, but his symptoms had exacerbated in the past 5 months. He now c...
A 12 years old female child reported to the Department of Periodontics, Government Dental College and Hospital, Nagpur complaining of gingival swelling, which caused severe compromise in her speech, mastication and aesthetics and led to considerable disfigurement of her facial profile, owing to the severity of gingival...
A 15-year-old female patient reported with a complaint of swelling on the left side of the lower face for 3 years. She noticed progressive increase in size of the swelling and reached the present size. She also noticed increasing asymmetry of the face. No pain was associated with it. Family and medical history were non...
A 54-year-old man presented to the emergency department complaining of a one-month history of non-specific abdominal pain in the left abdominal quadrant and a weight loss of about 10 kilograms in less than six months. Past medical history and physical examination were unremarkable. Laboratory tests were all within the ...
The patient was a 67-year-old African-American gentleman who presented to his local community hospital emergency department complaining of an abrupt onset of right arm weakness and dizziness which resulted in a fall with associated head injury. The patient denied specific loss of consciousness or seizure activity. A ch...
An 8-year-old girl was admitted to our general ward because of left lower extremity pain and ulceration. In outpatient visits she received analgesics as it was assumed that the pain was musculoskeletal. The chief complaint had begun 80 days prior to presentation. Left leg pain gradually increased from a simple sore foo...
This is a case report of a 41 year old male patient who suffered a knife inflicted injury to the face. He was referred to our department 20 months after the incidence complaining of persistent discomfort with downward gaze of the left eye. He reported being agitated and feared a possible sight-threatening condition aft...
A 9-year-old boy was brought by his father due to disturbed behaviour with attempts to run in front of traffic over the 2 days preceding the presentation. He was overactive and aggressive, hitting and biting others. His sleep was disturbed.\nHe has been well until 2 months ago, at which time he refused to go to school ...
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...
The patient is 50-year-old Caucasian female with a history of hypertrophic cardiomyopathy. She presented with complaints of worsening shortness of breath, dyspnea on exertion, and near syncope. Her other medical history includes hypertension, gastroesophageal reflux disease, and asthma. Preoperative TEE revealed subaor...
A 49-year old Caucasian male with no significant medical history and no prior complaints of chest pain (smoking was his only known cardiovascular risk factor) was referred to our cardiac emergency department with acute chest pain during exertion. The ambulance ECG showed extreme ST-segment elevation anterolateral (‘tom...
A 79-year-old Caucasian male, with a past medical history of atrial fibrillation on warfarin and metoprolol, and coronary artery disease on atorvastatin with previous coronary artery bypass grafting and placement of a dual-function pacemaker/ implantable cardioverter defibrillator (ICD), was on a motor boat in a remote...
In January 2016, a 72-year-old man with no notable medical history presented at our emergency center for tropical diseases a few days after returning from a 2-week vacation in Cuba. He described skin lesions without pruritus, fever and diffuse myalgia. Clinical examination revealed a diffuse papular rash on his arms, l...
The patient is a 50 year old male who received a LURT 8 years prior to presentation. He had previously undergone bilateral native nephrectomies 2 months prior to transplant for PKD. His early course was complicated by biopsy-proven acute cellular rejection, vascular type, 5 days after transplant, which was effectively ...
In April 2016, a 44-year-old premenopausal woman was admitted to the Breast Surgery Department, the Second Hospital of Dalian Medical University, with a 12-month history of a huge lump in the right breast. Initially, the patient just had a small fist-sized lump in the right breast, without any pain or discomfort. It gr...
A 24-year-old Caucasian man presented with a several month history of muscle pain, fatigue and insidious onset of pitting edema to his lower extremities. His symptoms progressed to include bilateral arm swelling, muscle pain to the thenar eminence of both hands, and paresthesias to his hands. He did not have a rash, jo...
A 52-year-old male patient presented to the emergency room of a local hospital due to sudden weakness in both lower limbs. The patient was taking medications for hypertension and had a 60 pack-year smoking history, but reported that he had no history of diabetes, hyperlipidemia or cardiac disease. He described that he ...
A 77-year-old female presented to our department with exacerbation of ptosis and local recurrence of thymoma. Five years earlier, she had been diagnosed with an anterior mediastinal tumor with a symptom of ptosis and underwent thymectomy for type B2 thymoma of Masaoka stage II disease. Following the operation, her ptos...
A 29-year-old female was under follow up observation at a local clinic for a mass in her left breast palpated 6 months prior to admission. Mass size increased due to pregnancy and showed inflammatory findings. She was thus transferred to our hospital for surgical treatment. Gestational age on admission was 8 weeks. In ...
A 56-year-old female presented to the Emergency Department after a fall. The patient reported that she had been having a fever for the last 2 days and there was associated dizziness which led to the fall. There was no loss of consciousness or head injury secondary to the fall. She also reported a non-productive cough, ...
A 39-year-old woman, gravida 1, para 0, was diagnosed with invasive squamous cell carcinoma of the cervix following conization. Pathological findings showed carcinoma consistent with FIGO stage IA1 with lymphovascular invasion. She was referred to Keio University Hospital. The patient and her husband were informed of t...
A 54-year-old Caucasian female with a history of lupus presented for elective left total knee arthroplasty following the development of osteoarthritis that had failed conservative measures. The patient had a history of previous left knee ACL reconstruction approximately 25 years ago using the Arthrotek bone mulch screw...
A 23-year-old man (weight 65 kg, height 175 cm, and BSA 1.8 m2) with a diagnosis of primitive right atrial enlargement from foetal age was referred to our Centre for cardiological evaluation. Cardiac examination showed increased heart size on percussion and a grade II/VI Levine systolic murmur. No significant pathologi...
Anette is an 18-year-old girl who lives with her mother. Her parents are divorced; her mother has experienced depressive symptoms; her father suffered from alcohol and gambling addiction, and he harassed them regularly. He had a strong aptitude for suicide and made two suicide attempts. Anette did not have a good relat...
We present a case of an 8-year-old boy with involuntary movements of his limbs and trunk. He had hypoxic encephalopathy because of cardiopulmonary arrest after choking on food at the age of 2. He lost consciousness for 18 min owing to the cardiopulmonary arrest and was treated with hypothermia and steroid pulse therapi...
A 23-year-old man (weight 65 kg, height 175 cm, and BSA 1.8 m2) with a diagnosis of primitive right atrial enlargement from foetal age was referred to our Centre for cardiological evaluation. Cardiac examination showed increased heart size on percussion and a grade II/VI Levine systolic murmur. No significant pathologi...
A 17-year-old biological male, currently studying in 11th standard was brought to our psychiatry outpatient department (OPD) with complaints of anger and irritability, decreased sleep and repeated threats of running away from home and harming himself for past 7–8 days. In addition to these complaints, the patient (refe...
A 61-year-old man presented to our clinic with complaints of cough with mucopurulent expectoration and blood streaking since 3 weeks and low grade intermittent fever for the past 1 week. He had no history of dyspnea, chest pain, or aspiration. He was not a diabetic and did not have any underlying lung disease or tuberc...
A 15-year-old East African boy was referred to our hospital with a diagnosis of recurrent TB. Upon review, the patient was found to have a history of productive cough and intermittent low-grade evening fevers for one year and shortness of breath for one week prior to presentation. One year and five months prior to his ...
The second patient (P2) was a 30-year old female with headache (TTH or migraine) several days a week. She was living with her boyfriend and working in primary care clinic. The patient had experienced headaches since she was a little girl and had migraine since she was 15 years old. She had tried lots of medication and ...
A 9-month-old Korean girl was referred to our clinic because of a progressive inability to move her right elbow on January 9, 2007. Approximately 3 weeks ago, the child was seen by a local orthopedic physician. The parents had noted that she was reluctant to move her right arm through complete ranges. Also, the patient...
A 25-year-old female patient reported to the Department of Periodontics, CSI College of dental Science, Madurai, with a chief complaint of the mobile upper front teeth. The patient also complains of spacing between upper and lower anteriors that keep increasing over a period of 6 months. All teeth were present with roo...
A 61-year-old man had been admitted to an intensive care unit due to severe blunt chest wall trauma from a motor vehicle accident. His injuries were right massive hemopneumothorax, a flail chest and intrahepatic hematoma. Two thoracic catheters were inserted into his right thorax, and computed tomography revealed activ...
A 47 year old extremely athletic male who competed in track events, which included pole vaulting, won numerous awards and all American status for his athletic prowess. Approximately 12 years ago, he noticed that when he would ingest certain foods containing sugar, he would develop a constellation of symptoms within min...
An 85-year-old Caucasian man was admitted to hospital following three collapse episodes with transient loss of consciousness at home. Each episode was short-lived lasting several minutes. Apart from mild abdominal generalized discomfort, there were no other symptoms. There was no history of recent trauma. He had no his...
The second patient was a 64-year-old man who presented similarly, with 2 weeks of intermittent pyrexia and profuse night sweats. He had a tissue aortic valve replacement for severe aortic stenosis 5 years prior to presentation. He underwent aortic root replacement 2 years later. There were no localizing symptoms. On ex...
A 52-year-old Caucasian woman with a past medical history of severe hypertension and non-insulin dependent diabetes mellitus presented with bilateral subacute visual loss which progressed over eight to 10 days to perceiving only light in the left eye and only hand movements in the right eye. The visual loss was precede...
The patient is a 67-year-old woman with no history of stroke, spinal cord injury, or other neurological disorders, who was subsequently admitted to an intensive care unit (ICU) due to dyspnea. The patient had been taking medicines to control hypertension, atrial fibrillation, and had a left hemithyroidectomy as diagnos...
A 80-year-old female with hypertension, diabetes mellitus, was referred to our hospital for fever, metrorrhagia and rest pain in right leg. Medical history reported uterine cancer and gallbladder cancer treated many years before with hysterectomy and cholecystectomy, . Five years before, a right superficial femoral art...
A 72 year-old male was diagnosed with subungual melanoma removed from the nail bed of his right thumb in 2007 with a depth of 1.0 mm at the site of prior melanoma in situ dating back to 1981. In 2009, he had a recurrence at the same site extending down his digit and necessitating amputation of the distal phalanx. Resec...
A 57-year-old Chinese female was referred to National University Hospital, Singapore in February 2016 for management of a hard swelling over her right TMJ. This patient suffered from chronic right TMJ pain for more than 5 years. She had consulted several physicians over the past few years, but could not obtain a defini...
A 62-year-old woman was referred to our neurosurgical outpatient service with abnormal sensation in her trunk, arms and legs. The patient had a past medical history of a gastric ulcer, a right ankle plating after fracture 20 years ago and a headlice infection 6 months before first presentation. She was a smoker, social...
A 30-year-old male presented with a painless swelling on the left base of the tongue surface, first noted 3 months back. The mass was slowly progressing in size. There were no other associated symptoms. Clinical examination revealed a nontender swelling on the left posterior part of tongue. The mass was firm in consist...
GN was a 5-month-old female patient at the time of her initial presentation to our clinic. She was a product of a nonconsanguineous union and born at 44 weeks via vaginal delivery. She had two older deceased male siblings, and it is unknown if these two brothers shared the same father. The oldest brother passed away at...
A 55-year-old female with no significant past medical history initially presented in 2006 with vague abdominal pain. Her past social history was negative for alcoholism or smoking. Work up of the patient including physical examination and laboratory indices were all normal. A multi-detector CT of the abdomen and pelvis...
Patient 2: A 45-year-old male was found to have duodenal tumor by physical examination in Aug 2008. He was treated with partial duodenal resection together with tumor on Aug 19th, 2008 in a local hospital (Haining County People’s Hospital, Zhejiang Province). The tumor was 6 cm × 4 cm × 3 cm in size. Microscopical exam...
A 32-year-old woman in her first pregnancy presented at 37 weeks gestation to the obstetric review centre in the late evening with a two-hour history of new onset right-sided leg pain and numbness. She was able to mobilise short distances and was otherwise well. Initially her symptoms were most suggestive of sciatica, ...
In Case 1, a 79-year-old Korean female patient with Fitzpatrick skin type III visited our institution with a complaint of multiple, variable sized skin lesions with itching sensation on the face and the left hand. The lesions were located on bilateral posterior auricular areas, forehead, right cheek, left temple and le...
A 59-year-old white female with chronic hepatitis C presented to our endoscopy suite for a percutaneous liver biopsy. The patient had been diagnosed with hepatitis C virus genotype 1a 5 years prior and had initially been treated with a 48-week course of pegylated interferon alfa-2a (Pegasys; Genentech USA, Inc.) and ri...
A term female infant was delivered by a 39 year old woman in a peripheral hospital after an uncomplicated 3rd pregnancy with 41 week of gestational age. Delivery was assisted by vacuum extraction. Apgar score was 8/9/10 after 1/5/10 minutes respectively, and the infant had a birth weight of 2920 g (8th percentile), a l...
The patient is a nine-month-old Maine Coon male (7 kg) which fell from the 4th floor. This initial trauma ruptured the patellar tendon at the middistance between the patella and its tibial tuberosity. The cat first had a tendon suture without external fixation one week after the trauma. The suture finally loosened 2 we...
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...
We present the case of a 60-year-old woman with a history of dyslipidemia, irritable bowel syndrome, and an asymptomatic uterine leiomyoma managed with clinical surveillance by general gynecology consultations. She had no prior history of surgery, and, apart from an aunt with postmenopausal breast cancer, had no family...
A 75-year-old male patient was sent to our hospital suffering from left hip pain sustainedly after an accidental fall. Radiographic imaging revealed that this patient was affected by Crowe type IV DDH combined with an Evans type III intertrochanteric fracture of left femur (Fig. a). The patient reported a history of le...
A 59-year-old Tamil woman with a 10-year history of adequately controlled diabetes mellitus and hypertension presented with a gradually enlarging painless lump in the right inguinal region over a period of 8 months. It was not associated with constitutional symptoms such as fever, weight loss, or loss of appetite.\nOn ...
A 63-year-old Japanese woman was referred to our department because of an abnormal shadow at the left side of her chest wall on computed tomography. She had undergone total hysterectomy and radiotherapy for cervical carcinoma 4 years prior. One year after the first surgery, three metastatic lung nodules appeared at the...
A 15-year-old previously healthy South Asian, Sri Lankan female presented with three episodes of generalized tonic clonic seizures over a 24-h period, which progressed to status epilepticus within 2 h of admission. A targeted history from observer and family member revealed that she had developed an erythematous painle...
A 40-year-old male patient (obese, sedentary, dyslipidemic, and with type 2 diabetes mellitus) presented with plantar perforating disease on his right, which was not treated by a specialist. With the decompensation of the diabetes, the wound worsened with hyperemia in the instep, discharge of purulent secretion from th...
A 12 years and 8 months old female presented with a double structural thoracic and lumbar scoliosis associated with Arnold-Chiari 1 malformation and an extensive cervicothoracic syringomyelia. At age 11 years and 11 months she developed acute weakness affecting both hands and feet with associated pins and needles down ...