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A 27-year-old female (46,XX) patient with normal cognition visited the Endocrinology Clinic of 1st affiliated hospital of China Medical University (Shenyang) for amenorrhea with an unknown etiology. The patient had labial fusion when she was born and underwent plastic surgery afterward. During puberty, the patient unde... |
A 42-year-old man was admitted with a recurring vesicocutaneous fistula on the lateral surface of the left hip after two surgical repairs. Three years previously he had experienced a major pelvic trauma (closed left acetabular and left hip fracture) in a motor vehicle accident with immobilization being the only treatme... |
A 60-year-old man presented with sudden severe right shoulder and flank pain and numbness of the right hand. The patient had a history of working in his home garden every day. He had no subjective symptoms prior to the day of admission, and no past medical history other than hypertension, which was managed with medicat... |
Thirty-one-year-old Middle Eastern male presented at the prosthodontic clinic in a private office in Abha, Saudi Arabia, with a chief complaint“ I need to have a better smile.” The patient had no contributory past medical history except smoking a pack of cigarettes daily. Extraoral examination revealed no abnormality i... |
A 71 year-old man was admitted due to exertional dyspnea (New York Heart Association functional class III). He had a past medical history of pericardiectomy due to effusive-constrictive pericarditis 29 years ago and mitral valve replacement with tricuspid annuloplasty due to severe mitral and tricuspid regurgitation 11... |
A 35-year-old Caucasian male presented to an Emergency Room of a Portuguese tertiary care hospital with urinary retention and diminished strength in the lower limbs. He had returned a week before from Angola where he had been working as a construction worker for the past 10 months (Table ). He had been vaccinated for y... |
This was a 25-year-old male with known spina bifida who presented with a chronic infection of his left acetabulum. He had been previously managed for several years for a non-healing pressure ulcer of the left greater trochanter, having undergone a partial femoral head resection and prior flap placement with subsequent ... |
A 78-year old male patient with recent contralateral right below-the-knee amputation initially presented in July 2019 with ischaemic rest pain and dry gangrene involving his left heel and his first and second toes. His comorbidities included type II diabetes, hypertension, previous stroke and hypercholesterolaemia. Dup... |
We describe the case of a 7-year-old male who presented with a first episode of arterial ischemic stroke. The neurological evaluation revealed a left sided hemiparesis which was not involving the facial musculature. The initial CT scan revealed an area of hypointensity in the region of the right basal ganglia. More spe... |
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... |
A one-year-old Thai boy was referred to Phramongkutklao Hospital due to subacute fever, abdominal distension, mucous diarrhea, and failure to thrive. He was born at term with uneventful pregnancy, and he is the first child of nonconsanguineous parents. There was no history of autoimmune or primary immunodeficiency diso... |
A 58 year-old gentleman presented to the hospital with worsening bloating and a gradual increase in his abdominal girth. He had also noted a loss of weight of more than 10 kg over the last 2 years. The patient otherwise denied any abdominal pain or change in his bowel habit. He was known to have a history of well-contr... |
A 20 year old Sri Lankan male who was employed as a helper in a grocery, admitted to our unit with weakness of both hands of 1 month’s duration. He was treated for serologically confirmed (Dengue NS1 antigen positive) dengue fever approximately 5 weeks ago at the local hospital and had made an uneventful recovery. He h... |
A 64-year-old White female with history of stage I squamous cell carcinoma of the right middle lung, renal transplant secondary to membranous glomerulonephritis, history of previous VTE, hypertension, chronic obstructive pulmonary disease, and stage four chronic kidney disease presented to the emergency department (ED)... |
A 46-year-old male with no prior medical history presented to UC Irvine with a several month history of episodes of right and left hemiparesis, progressive bulbar weakness, paresthesia, dysarthria, and headache. He also reported a 30-pound unintentional weight loss. He was admitted to the neurology service and underwen... |
An 8 days old male neonate was born to an Asian mother through vaginal delivery at 37 weeks of gestation, weighed 2,380 g, and had APGAR scores of 9 and 10 at 1 and 5 min, respectively. He was admitted to our hospital with a 2 days history of fever of up to 39°C but did not have respiratory or gastrointestinal symptoms... |
A 62-year-old right-handed man presented to our clinic for advanced treatment options for WC. He had no previous injuries of the limb, no family history of dystonia or tremor. However, he did report repetitive use of the right hand with handwriting and shooting firearms. Initial symptoms occurred in his early 30’s and ... |
A 3-year-old British African girl of nonconsanguineous parents presented to her local hospital with 4 weeks history of a firm, nontender, enlarging swelling arising over the sternum. A few weeks later, there was an additional swelling noted in her left side of her chest (Fig. ). This was preceded by 2 months history of... |
A 28-year-old African black male was referred to a hospital in Tanzania for an intraoral radiography. His major complaint was an acute, diffuse-patterned oral pain in the left mandibular area. The patient had no significant previous medical history. A clinical examination confirmed satisfactory dental hygiene without a... |
A four-year-old Japanese girl with no remarkable medical history was referred to our orthopedic clinic for treatment of 2 cm of LLD. She had a two-year history of progressive LM in a wide range of the posteromedial aspect of the right thigh and the medial aspect of the right lower leg. At the first presentation, skin l... |
We report a case of a 37-year-old professional male athlete presenting with a seven-month history of worsening respiratory function. He was diagnosed with asthma and managed in the community. He was referred for further investigation following worsening of his symptoms and the onset of stridor. Flexible nasendoscopy re... |
A 4-month-old male was born at 32-week gestation as a result of premature rupture of membranes with a birth weight of 1782 g and APGAR scores of 3 and 8 at 1 and 5 min postdelivery, respectively. His newborn screen was reported as normal. His past medical history was significant for an omphalocele repaired at 2 days of... |
A 73-year-old male patient presented to the surgical ward with a general malaise and right-sided abdominal pain that had presented for 2 days. His past medical history included left nephrectomy due to nephrolithiasis at the age of 48, CKD of unknown etiology, and right hemicolectomy with adjuvant chemotherapy due to co... |
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... |
A 22-year-old man was referred to our hospital with complaints of left eye redness and swelling for more than a month. He had no history of nausea or vomiting, but he also complained of mild blurred vision, double vision and occasional headache for more than a week.\nOn further questioning, the patient revealed a histo... |
A 26-year-old man came to the Oral and Maxillofacial Surgery Department of Taipei Medical University Hospital (Taipei, Taiwan) in May 2011 due to swelling and pain in the jaw. The intraoral examination revealed a raised mass in the left mandibular buccal vestibular area extending to the labial area without secretory di... |
A healthy 35-year-old woman, gravida 3 para 1, was referred to our unit at 21 weeks and 5 days' gestation because of CMS. The course of the pregnancy had been uneventful until 16 weeks with no history of amniocentesis or abdominal trauma. The patient had two previous pregnancies. The first pregnancy had been uneventful... |
The patient in this case is a 70-year-old female diagnosed with multiple brain metastases from primary small-cell carcinoma of the lung. She reported a significant smoking history (100 packs per year) with COPD and later developed a small-cell carcinoma of the upper lobe of the left lung. Following her diagnosis, she u... |
An 11-year-old African-American male presented to our care in January 2011 because of excessive daytime sleepiness and episodes of losing muscle tone upon experiencing strong emotional stimuli. Before seen by us, the patient was evaluated by a psychiatrist in March 2010 at a request of his mother. Clinician records sug... |
A 62-year-old female presented for evaluation of recurrent left lower extremity swelling. Her medical history was notable for prior deep vein thrombus in the right distal lower extremity while on hormone replacement therapy (HRT). She denied the active use of HRT and tobacco use during this admission. Venous Doppler ul... |
A 42-year-old Mediterranean male presented complaining of inability to sustain good oral care at the posterior aspect of the lower right jaw. The main problems were food impaction in the area and the subsequent malodor. The patient reported remarkable medical history, and he was a non-smoker. Clinical examination revea... |
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 41-year-old-female had complained of headache and loss of olfactory function and underwent consultation at the Department of Otolaryngology of a general hospital. Endoscopic examination revealed a large mass involving the olfactory cleft of the left nasal cavity. Microscopic examination of a biopsy specimen indicated... |
A 31-year-old male patient was bought to psychiatry OPD by family members with acute onset, complaints of disturbed sleep, appetite, muttering to self, and gesturing in the air from the past 3 days. He had a history of alcohol consumption from the past 4 years in an on and off pattern. His recent pattern of drinking wa... |
Mr. AA, a 33-year-old right-handed, Asian male, a software engineer by profession, was apparently well before May 1998 (at the age of 18 years), when he had first episode of neurodeficit in the form of abrupt onset blurring of vision involving right eye associated with binocular diplopia on looking towards the right. A... |
The patient was a 67-year-old man with hypertension who had undergone pancreatoduodenectomy for pancreatic cancer 7 years ago. He also had noncirrhotic recurrent hepatic encephalopathy after shunting from the superior mesenteric vein to the inferior vena cava for a jejunal varicose vein for 3 years and dialysis for chr... |
A 3.5 years old female child was brought to department of oral medicine and radiology with a complaint of mobility of right lower back tooth of 1 week duration. There was no history of toothache, trauma or associated symptoms. Extraoral examination revealed an irregular lobulated, nontender bony hard swelling of size 3... |
A 90-year-old woman was referred for management of CIED pocket infection. She had a history of complete heart block with pacemaker implantation in 2000 and cardiac resynchronization therapy defibrillator upgrade in 2014, end stage renal disease, hypertension, cerebrovascular accident, rheumatoid arthritis, diabetes mel... |
The patient is a 24-year-old female who was referred to our eye center in Mediclinic Dubai Mall, Dubai, United Arab Emirates, because of recent bilateral IOP elevation with a severe drop in vision. She had been hospitalized elsewhere 1 week earlier because of severe bilateral frontal headache, nausea, and vomiting. Ini... |
A 71-year-old otherwise healthy man presented to the emergency department with a bulge on his right hip at an area of surgical scar from a total hip arthroplasty performed in October 2018 (2 years before presentation). He first noticed a bulge around the surgical scar 6 weeks before arrival and had undergone an ultraso... |
An 11-month-old female infant presented to our Paediatric Emergency Department (PED) with a 10-day history of metallic cough and intermittent fever. These symptoms were complicated by progressive dysphagia and episodes of mucus regurgitation accompanied by choking and dyspnoea in the last few days before admission. The... |
A 48-year-old Indian woman was referred to the department of periodontology, with the chief complaint of swollen gums. She felt discomfort with the disfigurement of gums which appeared un esthetic due to its more severity and there was bleeding and difficulty while chewing food.\nPast medical history revealed that she ... |
A 36-year-old Caucasian male presented to the emergency room complaining of a one-day history of abdominal pain. His main symptoms were that of nausea and vomiting, but he also reported periods of diarrhea. In the emergency room, his initial evaluation was significant for lab studies demonstrating a mild metabolic acid... |
A 7-year-old Syrian boy with war-related burn injury was referred to our hospital for reconstructive surgery for burn scars and contractures on his face, neck, and body. A consultation with anesthesia department was held by plastic and reconstructive surgery clinic for the preanesthesia evaluation. Patient was consciou... |
A 6 month old Sudanese female infant with a clinical diagnosis of Crigler Najjar Syndrome Type 1 (CN1) was referred for consideration of liver transplant. She was born to second degree consanguineous parents. The pregnancy was uncomplicated and she was delivered at term by lower segment caesarean section weighing 2.5 K... |
A 24-year-old woman from a Middle Eastern country presented to the Jefferson Pancreas, Biliary and Related Cancer Center for evaluation of a recurrent pancreatic mass. She complained of right upper quadrant fullness, and physical examination revealed a remote right subcostal incision. At the age of 12 years, she had fi... |
A 26 year-old man was identified to donate marrow for his brother. His height was 178 cm and his weight was 79.2 kg (Body mass index 25.0). He had no bleeding history or other medical problem. Bone marrow harvesting was performed under spinal anesthesia []. The patient was put in the prone position, and the bony landma... |
We described the clinical course of a 64-year-old Chinese man who was admitted to the hospital with septicemia and necrotic soft tissue inflammation of the right lower limb.\nFourteen days prior, a 64-year-old man, whose only known comorbidity was diabetes mellitus history, sought medical attention at another instituti... |
A 37-year-old Caucasian male with a known history of aplastic anemia (AA), presented to a rural hospital after a ground level fall. AA was diagnosed 10 months earlier after he was investigated for pancytopenia. A bone marrow biopsy showed cellularity of only 10% and the presence of a small paroxysmal nocturnal hemoglob... |
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... |
We present the case of a 43-year-old man who attended the outpatient service of a Psychiatric Hospital in Mexico, with a nine-month evolution of complex visual and auditory hallucinosis. He presents with bilateral amaurosis, which began insidiously 4 years prior, with no associated triggers and no previous studies to i... |
A 13-year 8-month-old female presented to our orthodontic clinic, with a chief complaint of “a labially positioned upper right canine”. The patient had a nonrelevant medical history, her dental history showed extraction of upper right first permanent molar and remaining roots of upper left first permanent molar.\nExtra... |
A 49 year old gentleman presented to cardiology with lower limb claudication pain and breathlessness of three years duration. Clinical examination revealed upper limb hypertension, with similar blood pressures in both arms (180/100 mm Hg). His past history included repair of coarctation of aorta about 30 years ago. The... |
A 59-year-old female presented to our outpatient clinic complaining of pain in the left knee, with decreased range of motion (ROM) for 1 year. When she visited our inpatient department on the next day, her ROM of the left knee was restricted from 0° to 15°. She had a history of left knee pain in the past 2 years with t... |
A 67-year-old man with a history of treated prostate cancer, alcohol abuse and alcoholic cirrhosis presented to an urban, academic hospital with new low back pain. The pain had started 2 weeks prior to his presentation, had gradually worsened, and then became associated with bilateral lower extremity shooting pain and ... |
There was a 68-year-old female with past medical history of being diagnosed with colon cancer in 2008. Present status was post colon resection with adjuvant chemotherapy. In 2008, the patient had a recurrence involving metastasis to the liver, which was then treated with metastectomy followed by a chemotherapy regimen.... |
A 38-year-old male patient who was a smoker (5 pack-years) and had a history of unknown arrhythmia without medical treatment was admitted to the emergency room due to right hemiplegia. During the initial examination, the patient was stuporous with a Glasgow Coma Scale score of 7. He was diagnosed with infarction of the... |
This case involves a 15-year-old male patient with no pertinent orthopaedic past medical or surgical history. He sustained an initial injury to his left hip six weeks prior to presentation following a direct lateral impact during a lacrosse match. The patient felt pain but was able to return to play. Two weeks later, h... |
Our patient is a 67-year-old white man, who works as a teacher in a small city. He does not smoke tobacco; he has a history of arterial hypertension grade I to II and coronary heart disease. His mother died from myocardial infarction due to occlusive coronary artery disease. He was diagnosed as having CML in 2006. The ... |
A 26-year-old Sri Lankan woman in early labor presented to the birthing unit at 40 weeks and 6 days of gestation with spontaneous onset of labor and rupture of membranes. She had experienced threatened premature labor at 22 weeks and 6 days of gestation, but the pregnancy was otherwise uncomplicated.\nThe woman progres... |
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... |
A 51-year-old male was admitted to our hospital on August 28, 2013 after a motorcycle accident. The patient complained of pain, swelling and bleeding in the left upper limb for 2 h.\nThe patient had a motorcycle accident on August 28, 2013. The left little finger landed first, then the left wrist flexed and landed and ... |
An 18-year-old Greek male student presented for screening test in order to get a health certificate. Physical examination revealed splenomegaly, although the patient was asymptomatic. No other clinical signs were detected. Ultrasonography and Magnetic resonance imaging (MRI) showed a hypoechogenic mass involving the sp... |
A 15-year-old female patient accompanied by her uncle was referred to the Department of Periodontics, ACPM Dental Collage and Hospital, Dhule, (Maharashtra) for the complaint of progressively enlarging gums. According to her, gums started growing about 1 year back beginning in the upper left back tooth region and gradu... |
A right-handed, 63-year-old Chinese woman, with 12 years of education, was admitted to our hospital in September 2018 at the request of her family members.\nIn 2016, the patient had developed psychotic symptoms, including delusions and auditory hallucination, without an apparent cause. She said someone wanted to harm h... |
An 86-year-old man on HD visited the emergency department (ED) of Okinawa Yaeyama Hospital with the complaint of worsening dyspnea. The symptom had started with mild shortness of breath on exertion several months ago and had gradually exacerbated. Given the frequency of dyspnea associated with volume overload and/or he... |
An 8-year-old boy with chronic encephalopathy secondary to hypoxic ischemic syndrome, with cerebral palsy and symptomatic epilepsy, was admitted to the emergency department of the children's hospital. He had been seizure-free for the past year with an enteric-coated delayed release formulation of VPA (375 mg every 8 ho... |
A 57-year-old Chinese woman presented to Tianjin Union Medicine Center, Tianjin, China, with rectal adenocarcinoma at Dukes’ stage C. Before presenting to the hospital, the patient was not taking any drugs and had a completely negative medical history. On 7 October 2008, the patient was treated by low anterior resectio... |
A 4-month-old female infant was referred to the genetic clinic for aniridia and an enlarged anterior fontanel during November 2019. She was the first child of non-consanguineous parents, both of whom are now 33 years old. The mother underwent surgical tumor removal due to mucinous cystadenoma of the right ovary at the ... |
A 61 year old man presented to emergency room with history of flank pain on right side, dysuria, urgency and frequency with occasional hematuria for 3 days associated with fever, chills and rigors. 3 weeks before this presentation he was admitted for renal colic and was found to have a new staghorn calculus in the kidn... |
We present the case of a 13-year-old boy admitted to our hospital in September 2018 for severe respiratory distress, a global motor deficit with the lower limbs more affected than the upper limbs, motor regression, axial hypotonia with poor control of the head, muscle strength of 2–3/5 on the Medical Research Council’s... |
A 65-year-old woman with a history of LSPAF (> 15 years) was referred for thoracoscopic left atrial posterior wall and pulmonary vein isolation combined with left atrial appendage resection. After being treated with amiodarone, digoxin, and beta-blockers for several years, her electrocardiogram remained abnormal. Elect... |
Patient GN is a 68-year-old right-handed woman without previous psychiatric or neurological episodes, and a normal seven-years education. She was admitted to our neurological clinic because of spontaneous complaints about mild episodic memory impairment and about a generalized and compelling feeling of familiarity and ... |
A 56-year-old female patient was transferred to our department of critical care medicine, Huashan hospital in Shanghai in June 2016 after she received treatment in a local hospital for productive cough, tachypnea and respiratory distress. She complained of recurrent fever and asymmetric edema of the lower extremities f... |
A 41-year-old woman presented with a mass on the left upper lip and difficulty in pronunciation. The mass developed after she bit the upper lip 5 years earlier. The volume of mass was not reduced; however, the patient complained of pain. One year after the development, she visited an otolaryngologist. The mass was diag... |
This 11-year-old girl presented with headache for 3 weeks, weakness of all the four limbs for 2 weeks, and rapidly progressive vision loss for 10 days. At 16 months of age (10 years back), she underwent fenestration of posterior fossa arachnoid cyst with ventriculoperitoneal (VP) shunt insertion when she had become let... |
A 4-year-old boy was referred to our unit in August 2017 from another hospital because he developed sudden left lumbar cruralgia after a moderate back injury that occurred 2 weeks prior during a recreational activity. The child also had a fever, which started almost simultaneously with the head injury. The past medical... |
A 37-year-old male patient presented at the emergency service of oral and maxillofacial surgery of a private hospital in Recife, Brazil, with complaints of a painful hard swelling in the submandibular region (). He had undergone extraction of the left third molar seven days before presentation (). He has noncontributor... |
A 13-year-old boy with SHFM was admitted to our department with his fourth episode of purulent meningitis. His family history was significant: he was born as the third child in the family; his sister is alive; his brother, who had a congenital heart malformation and Down’s syndrome, died as an infant. His two cousins h... |
A 41-year-old non-smoker obese female patient was examined at the Department of Neurology and the Center for rehabilitation. Relevant history of the patient is summarized on a timeline in Fig. . She showed an onset of neuromuscular disorders during early childhood with a delay in motor and written language development.... |
The patient is a 36-year-old male with bicuspid aortic valve and history of IV drug use (which he initially denied). He presented to another hospital approximately one week after developing a diffuse rash, generalized muscle aches, profound weakness, fevers, and chills. At that time, he was diagnosed with an upper resp... |
A 60-year-old man initially presented with rectal bleeding and discomfort. On physical exam, a rectal mass was initially identified as hemorrhoids. Hemorrhoidectomy was performed, and pathology showed an over 20 mm thick ulcerated mucosal melanoma extending to the margins with a high mitotic rate and the presence of ly... |
A 21 year-old female undergraduate student presented with a 2 year history of spinal, pelvic and distal thigh pains with an insidious onset. There were no reports of neurogenic-type pain or sensory changes. See Fig. for the body chart.\nThe patient reported a slight weakness negotiating a flight of stairs but she was u... |
We present a case of a 28-year-old G1P0 female at 39 weeks coming for a primary cesarean delivery due to breech presentation. The past medical history was significant for extensive substance use disorder. On initial pre-operative consultation, it was discovered that the patient had oscillated between extensive drug use... |
A 56-year-old man who developed ankylosing spondylitis at the age of 33 in 1986 complained of dyspnea and back pain for 10 days before his first admission to the pulmonology department of our hospital via the emergency room in 2009. At another hospital in 2002, he had been treated with internal fixation of the thoracic... |
An 81-year-old woman was transferred to our Neurocritical Care Unit at the University of Miami Hospital (from another hospital), for severe encephalopathy in the setting of a right frontal mass. Her past medical history was significant for coronary artery disease (status post stent placement 1 year prior to admission t... |
A 61-year-old African American woman with a past medical history of peripheral vascular disease (PVD), chronic venous insufficiency and pre-diabetes mellitus presented to our Emergency Department (ED) with worsening left lower extremity pain for the past 3 days. The pain was continuous, progressive and the patient deni... |
An 85 year-old Caucasian man, affected by chronic renal failure, had been undergoing hemodialysis treatments three times a week for the previous three years. His fluid intake was controlled and he was unable to eat independently. Due to a severe episode of macrohematuria (International Normalized Ratio, I.N.R. 6.1), he... |
In 1994, a 34-year-old woman suffered from a left arm caput humeri fracture that led to open reduction and internal fixation by a plate osteosynthesis. During the next 4 years, she developed a severe posttraumatic omarthrosis that necessitated the implantation of a total shoulder joint arthroplasty. Eight years later, ... |
The patient was a 21-year-old Caucasian female with a past medical history of uncomplicated laparoscopic appendectomy (1 month prior to the time of presentation), major depressive disorder, asthma, iron deficiency anemia, pelvic inflammatory disease secondary to sexually transmitted Chlamydia trachomatis infection, and... |
A 56-year-old female patient was transferred to our department of critical care medicine, Huashan hospital in Shanghai in June 2016 after she received treatment in a local hospital for productive cough, tachypnea and respiratory distress. She complained of recurrent fever and asymmetric edema of the lower extremities f... |
A 30-year-old male with no past medical history, except a diagnosis of schizophrenia, had a second psychiatric hospitalization for the treatment of worsening delusions and hallucinations. His first hospitalization occurred approximately 1 month prior, and discharge medication was olanzapine 20 mg at bedtime. Also, at t... |
A 6-year-old girl presented with complaint of a solitary, raised skin lesion of size 15 × 12 cm over the back of her left knee since five months. Initially, she developed an erythematous swelling of size 1 × 1 cm over the site; the swelling was insidious in onset and gradually progressive in nature. She subsequently de... |
A 17-year-old female patient reported to the Department of Periodontology and Oral Implantology with a chief complaint of severe mobility of her upper and lower front teeth. She had started noticing the mobility since the past two years and it was noticed that the mobility had increased progressively over the years. Th... |
A 63 year-old female with longstanding type-1 diabetes mellitus and hypertension developed chronic renal failure in 2002 and underwent a pre-emptive renal allograft transplant from her donor husband in 2004 without requiring prior dialysis. Both the donor and recipient were cytomegalovirus-negative. She received basili... |
A 55-year-old woman with sarcoidosis was admitted to the CTICU after receiving a bilateral OLT involving significant tracheal dissection. On postoperative day 1, sedation was weaned, and she was communicating appropriately while intubated and desired to have an epidural catheter placed for pain control prior to extubat... |
A 15-year-old right-handed boy, accompanied by his mother, arrived at the Pediatric Dentistry Department, Rural Dental College, Loni after seeking treatment without success in a private dental clinic. His chief complaint was pain in the upper front region of jaw associated with front teeth.\nDuring history taking, the ... |
A 34-year-old Chinese man presented to the rheumatology department of our hospital with a 1-week history of muscle weakness and pain. He was referred by the general practitioner in the company he worked in for further evaluation. The patient admitted a history of sudden onset weakness involving his upper and lower limb... |
A 57-year-old man presented in April 2017 with non-specific headaches and a short history of left facial numbness and pain. He had no other visual nor cranial nerve symptoms such as ophthalmoplegia nor paraesthesia. He had a longstanding history of stage 4 clear cell RCC. He underwent a left nephrectomy in 2008 with me... |
A 48-year-old female with a past medical history of low-risk JAK2 positive PV presented to the emergency department with a chief complaint of right eye pain for eight days. Her pain started after she had an accidental low-impact trauma inflicted by her child. She described non-pulsatile, dull pain with increasing inten... |
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