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The authors report a case of a 29-year-old Saudi woman who was G4T2P0A1L2 at 21 weeks of gestation. She was free from medical illness and she had had no previous surgical procedures. She is a housewife; she never smoked tobacco or drank alcohol, and she had no history of recent travel to endemic or pandemic areas. She ... |
A 44-year-old woman with no remarkable family history was admitted to our hospital with the following medical history: after undergoing modified radical mastectomy for cancer of the right breast (papillotubular carcinoma, T3N1M0) in March 2009 at another hospital, the patient received postoperative chemotherapy (4 cour... |
A 19-year-old male presented with a swollen left mandible and a palpable mass at the level of element 37. He had mild pain since a few weeks. The symptoms had been attributed to a dental problem by a local dentist, and root canal treatment had been performed, without any effect on the pain or swelling.\nAt the initial ... |
A 27-year-old male patient was referred to our pain clinic after having had orchidectomy for a left sided testicular cancer, 2 years earlier. He continued to have a persistent, severe pain in his right groin and scrotal area. The pain was continuous and dull with a heavy feeling. He reported the severity to be 8/10, on... |
A 66-year-old independently functioning woman presented to the emergency room with an episode of midepigastric and left sternal chest pain. Her medical history included hypertension, hyperlipidemia, glaucoma, and multiple previous episodes of chest pain similar to her current episode that necessitated three separate co... |
A 28-year-old man was admitted to our hospital because of a motorcycle trauma involving his right upper limb. Three years earlier, the patient had reported a type-1 floating elbow injury to the same limb from a motorcycle accident. The former lesion was treated at a different hospital by ORIF of both humerus and forear... |
A 31-year old female patient attended to rehabilitate her maxillary right canine site. Her temporary canine was lost recently; the site was edentulous because the deciduous canine was impacted. She was wearing a provisional appliance and wished a fixed solution. Radiographic examination showed that the impacted canine ... |
A 34-year-old G6P4024 initially presented with symptomatic abnormal uterine bleeding and severe dysmenorrhea of three years duration. Based on her evaluation, which included a detailed history, pelvic exam, and ultrasound, endometriosis and adenomyosis were suspected. She had attempted medical management with multiple ... |
A 48-year-old woman presented with a one-month history of cough. She had no complaints of sputum, chest pain, or dyspnea, but she had a suspicious history of hemoptysis. She had never smoked. She had a dog in her childhood and she also lived in the rural area. Her physical examination was normal. No abnormal signs were... |
A 57-year-old man underwent laparoscopic radiofrequency ablation of unresectable hepatocellular carcinoma under general anesthesia. He was on a waiting list for liver transplantation because of hepatitis-C-related end-stage liver failure. Signs of portal hypertension, malnutrition, and a severe restrictive pattern on s... |
Our patient is a 54-year-old Caucasian woman with congenital renal hypoplasia, who chose not to be transplanted and has been on dialysis for 37 years.\nHer dialysis treatment started on acetate dialysis, followed by bicarbonate dialysis, and hemodiafultration was performed in the last 25 years, with high surface, high ... |
A 29-year-old woman was referred to us with a progressive syndrome. There was no neurological disease in her family; however, there had been no contact with her biological father since his mid-thirties. She had been born at term with no perinatal insult, hypoglycaemia or jaundice. Her early developmental milestones had... |
A 67-year-old man who was a former tobacco smoker (100 pack-year history) presented to our oncology clinic following a diagnosis of Stage IIIa NSCLC. He had a past medical history significant for ulcerative colitis, which was well-controlled on balsalazide with no recent flares. He was initially noted to have a lung no... |
A 35-year-old female was diagnosed with type I DM at the age of 9 years. During childhood her DM was poorly controlled and the patient gained significant weight. At the age of 25 years her weight was 105 kg with a body mass index (BMI) of 40 kg/m2 and her renal function started to deteriorate with progression to requir... |
A 17-month-old boy was admitted to the Department of Neurosurgery, Children’s University Hospital in Cracow due to aggravating problems with balance. Starting a week earlier, the parents noticed that the boy had a tendency to tilt the head to the right and would choke when drinking. Neurologic examination found the fol... |
A 40-year-old female patient underwent liver transplantation in February 2016 for cirrhosis secondary to nonalcoholic steatohepatitis. The patient's additional comorbidities included hypertrophic cardiomyopathy managed by myomectomy in 2013, hypothyroidism on replacement, Type II diabetes mellitus (controlled, HbA1c 5.... |
This 80-year-old male had a past medical history of colon resection with chemotherapy in 2000 and a stroke in 2005. In 2006, he had L3, L4 and L5 lumbar decompression and instrumentation for lumbar stenosis. He did well until 2009 when he developed low back and bilateral leg pain, more on the right. He had a magnetic r... |
A 76-year-old Chinese male presented to the emergency department with a 12-hour history of acute central and lower abdominal pain which was constant and colicky in nature. He denied any nausea or vomiting; he had opened his bowels normally that morning and was still passing flatus. He was noted to be at postoperative d... |
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 75-year-old female patient presented to tertiary referral academic hospital, Harare Central Hospital, from a provincial hospital with a 2 week history of pain and darkening of all her fingers and toes. A month prior to visiting hospital she developed a constant rest pain in her hands and feet. The pain was exacerbate... |
A 40-year-old male who complained of pain in the right inguinal region underwent abdominal ultrasonography, which revealed a 6-cm sacciform tumor in the right lower abdomen. The patient had no medical history including surgery, trauma, or inflammatory disease, and he was referred to our hospital for further evaluation.... |
A 31-year-old woman with no significant past medical history presented to our emergency department complaining of a constant headache for the previous 4 days. The headache had begun approximately 6 h after receiving epidural anesthesia for labor. The documentation from the anesthesia service that day reported the use o... |
An 80-year-old man was referred to our hospital for syncope caused by severe AS. Twelve years previously, he had undergone CABG that comprised bypass grafting of the left internal thoracic artery (LITA) to the left anterior descending coronary artery (LAD) and of the saphenous vein from the ascending aorta to circumfle... |
A 60-year-old female smoker with a remote history of renal cell carcinoma (RCC) presented with an enlarged right paratracheal lymph node. The clinical differential was reactive lymphoid hyperplasia, granulomatous inflammation, or metastatic carcinoma from the lung or kidney. The DQ-stained smears from the EBUS FNA show... |
The index patient was a 34-year old female referred to the bariatric clinic by the general practitioner on her own request to treat her morbid obesity. She was born with a normal birth weight but large head circumference for which she never had a diagnostic analysis. At the age of five, her body weight was already sign... |
A 5-year-old girl presented to her pediatrician's office for a routine well-child visit. She was asymptomatic and developmentally normal. Parents reported that she participated in all activities but was not as active as her siblings. She was taking no medications. She had never been hospitalized or undergone surgery. H... |
A 23-year-old female with no significant past medical history presented with an acute onset of altered mental status and seizures. After stabilization, she began exhibiting hallucinations and bizarre thoughts which led to her eventual discharge to a mental health facility. She returned 72 h later with fever, tachycardi... |
A 37-year-old female Chinese farmer with no significant past medical history was admitted to our institution in February 2012, complaining of escape of fecal matter through several openings in her back for the past 20 years. She first developed painful soft-tissue swellings under the skin of her back in 1992 at the age... |
A 63-year-old Caucasian male presented with a 3-year history of ulcerating lesion involving the left cheek and parotid gland. Three years ago, he started to have slow-growing lesion arising from a nonhealing wound that occurred after a left cheek traumatic injury by a tree branch. The lesion was neglected until it star... |
A 14-year-old female with chronic rhinosinusitis and lung disease with bronchiectasis was referred for immunologic investigation in São Paulo, Brazil. She had a history of chronic cough with recurrent wheezing since birth with prolonged use of antimicrobials for lower and upper respiratory tract infections, oral candid... |
The patient was a 16-year-old male with a past medical history significant for severe factor VII deficiency who presented with a several months' history of iron deficiency anemia requiring multiple blood transfusions and positive Hemoccult stool tests. His history extends back to when he was around 10 years of age and ... |
We report the case of a 17-month-old female toddler who presented to the University of Florida pediatric ophthalmology clinic by way of second opinion for macular scars and poor vision. The patient was born at an outside facility at 37 weeks gestation via uncomplicated vaginal delivery at 4 pounds and 7 ounces. Prenata... |
The patient was a 2-year-old entire male European shorthair cat. At the time of presentation its body condition score was 4/9 and it weighed 4 kg. The owner reported an increase in volume of the mammary glands from about 10 days prior, with a progressive increase in size until the day of the visit. It was an indoor cat... |
A 44-year-old gentleman was transferred to our specialist liver unit from a peripheral hospital with ongoing melaena on a background of alcoholic cirrhosis with portal hypertension. He initially presented with generalised abdominal pain and nausea. His haemoglobin on admission to the peripheral hospital was found to be... |
A 40-year-old male patient chronically maintained on phenytoin to treat seizure disorder, was diagnosed to have pleomorphic adenoma of left submandibular salivary gland for the last 1 year. The patient presented to surgery outpatient department with a chief complaint of swelling on the left side of the neck. The patien... |
A 49-year-old man presented to the cognitive and memory disorder outpatient clinic for work up of rapid cognitive decline. Patient’s family reported that his symptoms started with confusion, memory, and language impairment (naming errors and comprehension difficulties) 5–6 months prior to presentation. Soon after devel... |
A 57-year-old female presented to her GP with a 3-month history of left-sided catarrh and epistaxis from her left nostril. Clinical examination was unremarkable and the patient was initially diagnosed with sinusitis. However, the symptoms did not resolve following treatment for sinusitis. On further examination, her de... |
A 31-year-old morbidly obese female initially presented to an outside hospital in February of 2014 with pulmonary embolism (PE) and iliofemoral deep venous thrombosis (DVT), which was presumably caused by her body habitus and oral contraceptive use. She subsequently underwent placement of a Cook Celect rIVCF (Bloomingt... |
In December of 2006, a 57-year-old man presented with severe right upper posterior chest and back pain. A chest X-ray revealed a mass in the right upper chest. A subsequent CT scan confirmed an 8 cm mass in the posterolateral right upper lobe (RUL) with destruction of the adjacent ribs and invasion into the chest wall.... |
A 50-year-old male who had a past medical history of HIV with unknown cluster of differentiation 4 (CD4) lymphocyte count and not compliant with his medications was brought in by emergency medical services (EMS) after he was found in his room covered in feces and looking disheveled. They brought him to Brookdale Univer... |
A 50-year-old man presented to the emergency department (ED) complaining of symptomatic large volume ascites. The patient and his ascites had been followed by his PCP, who had been adjusting diuretics. However, the patient was failing diuretic management and so was referred to our hospital for a therapeutic paracentesi... |
A 62-year-old woman complained of trismus and difficulty in mastication following bilateral mandibular fractures. Six months prior, she had lost consciousness in a bus and hit her head when she fell, which resulted in fractures of the jawbone and anterior part of the maxilla, among other injuries. Subsequently, she was... |
A 66-year-old man, who complained of upper abdominal pain, was found to have EGJ tumor by endoscopy (Fig. ). He was diagnosed as having Siewert type II adenocarcinoma (E=G, cT1b, cN0, cM0, cStage I) []. We planned to perform lower esophagectomy and proximal gastrectomy with double tract reconstruction.\nIn the computed... |
A 13-year-old boy with no significant past medical history presented to our outpatient clinic due to back pain with fever. He had been well until approximately 4 months before admission, when he occasionally had high fever. He started to complain of the lower back pain during 3 months before admission, but he thought i... |
A six-month-old female infant was referred to cardiology due to progressively increasing oxygen requirements and cardiomegaly on chest X-ray. She was born at 25 weeks of gestation and had multiple medical problems in the early neonatal period including retinopathy of prematurity, hyaline membrane disease, gastroesophag... |
A 53-year-old man was referred to our interventional radiology unit for claudication on the right leg, after walking 300 m. His symptoms had started three months before admission. He did not experience thigh or buttock pain while walking. Physical examination revealed a weak pulse in the right groin and ankle and a nor... |
A 76-year-old Korean woman with a chief complaint of low back and left buttock pain prolonged for several years visited our clinic. She was diagnosed with L4-5 and L5-S1 spinal stenosis at the orthopedics department and was referred for lumbar spinal epidural steroid injection. She was taking 75 mg of clopidogrel and 8... |
We describe the case of a 45-year-old Hispanic man who presented to the psychiatric emergency room on account of depressed mood and forgetfulness. He was found by his niece sitting in the bathroom batting away imaginary flies and crying, stating that he could not remember anything which prompted his niece to call emerg... |
A 69-year-old man was brought to the emergency room due to shortness of breath. The patient had diabetes and a history of cerebral infarction 10 years ago. The sequelae of cerebral infarction included slight motor weakness of the left leg that did not interfere with activities of daily life. He had received conservativ... |
A 29-year old female diagnosed with SLE for 4 years complicated with grade II lupus nephritis presented with status epilepticus. She denied a history of fever on admission, but was treated with cyclophosphamide 1 month prior for an episode of cerebral lupus. She had noticed a papule over the left deltoid region which p... |
A 62-year-old woman presented acutely with severe sudden onset left-sided abdominal pain and several episodes of diarrhea with blood mixed in with stool. Her past medical history included coeliac disease and hypertension that was well controlled with ramipril 10 mg daily. On admission, observations were: temperature 36... |
A 20-month-old female patient and her parents visited our Department of Pediatrics for severe ataxia and developmental delay. The patient was born at 40 weeks of gestation by normal vaginal delivery with a birth weight of 2 980 g. No specific perinatal history or family history of neurological disease or developmental ... |
A previously healthy 14-year-old woman of Jewish descent presented to hospital in April 2010 with sudden bilateral vision loss. She had an uneventful family history, no siblings and no evidence of consanguinity. She was a lifetime non-smoker and denied use of alcohol and drugs. Her past medical history included an unre... |
A 65-year-old male, presented with crescendo angina on minimal exertion and was diagnosed with a non-ST elevation myocardial infarction. He had a background history of type 2 diabetes mellitus (T2DM), ischaemic heart disease with a previous myocardial infarction 11 years prior, hypercholesterolaemia, hypertension and a... |
A 62-year-old woman (Figure , II-3) was admitted to the hospital for recurrent partial headache with weakness of one side and aphasia for about 45 years. In her first attack, the patient suddenly experienced an aura with visual disturbances which she described as increasing scotomata in the bilateral visual field. Afte... |
A 30 year old nulliparous Nigerian woman of the Igbo tribe presented for antenatal care at 24 weeks gestational age. She had two visits to the hospital before she presented to the hospital as an emergency. After a review by the obstetrician, she was admitted to the antenatal ward and a consult sent to the neurologist f... |
A 28-year-old male visited our clinic with a chief complaint of poor esthetics in the maxillary anterior region. The patient was in good general health, and his medical and dental history indicated no contraindications to dental treatment.\nThe right maxillary central incisor had previously been restored with a porcela... |
A 62-year-old man underwent a regular health check-up examination, which detected thoracic aortic aneurysm (TAA). So, he was admitted in the Department of Cardiothoracic Surgery. According to the patient's medical history, he had undergone a car accident 10 years ago and a motor cycle accident 18 years ago. The patient... |
A 22-year old woman presented to our clinic with a palpable mass for 6 months. The mass was painless. Her medical history was not remarkable for any disorder. On physical examination she had a palpable mass filling the left upper quadrant and epigastrium. On laboratory examination she had normal levels of total protein... |
A 9-year-old female with no significant past medical or family history presented with a complaint of intermittent irregular sudden jerky movements in all the four limbs and head of 6-month duration. This abnormal movement started in the right lower limb which over the next 1 month progressed to the right upper limb, he... |
A 68-year-old male, ex-serviceman, presented with a history of open prostatectomy (Millins). The procedure was operated elsewhere and presented with a complaint of a bulge in the abdomen along a previous scar site. He did not have any complaints of altered bowel and bladder habits. He did not have any other specific co... |
A 65-year-old male was presented with his persistent back pain and daily pyrexia. He had suffered from chronic dyspnea on effort as a symptom of the chronic obstructive pulmonary disease and used home oxygen therapy of 2 l/min on occasional use. He had been followed up for non-small-cell lung cancer (NSCLC) of the left... |
A female patient, 39 years old, is complaining of diffuse abdominal pain, more prominent in the flank and left hypochondrium, initially bearable and with response to simple analgesics, but with progressive and significant worsening in the last 24 h. The patient reported bilious vomiting and denied fever or other simila... |
We report the case of a 61-year-old woman who was suffering from lower abdominal bulge formation, chronic constipation, as well as a feeling of permanent abdominal constriction and pain. These symptoms appeared eight months after bilateral breast reconstruction, which was performed following subcutaneous mastectomy tha... |
A 58-year-old Hispanic Caucasian man with diabetes mellitus presented to the Emergency Center with a 1-year history of progressive bilateral upper extremity weakness and episodes of orthostatic lightheadedness. He initially noticed weakness in his right-hand grip that gradually progressed over the next 6 to 8 months to... |
A 38-year-old woman was admitted to the emergency room for a clinical picture characterized by the episodes (duration 5–10 min) of atypical chest pain irradiating to the upper left limb. The patient reported previous cocaine and heroin abuse and current smoking of about 20 cigarettes per day. Body mass index of 31 was ... |
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... |
The patient was a 34-year-old woman, G4 L2 Ab1 who had married her cousin 7 years ago. She had a history of two normal vaginal deliveries and one abortion in the 1st trimester. The first pregnancy in the age of 28 had terminated with a normal vaginal delivery (NVD) resulting in a term baby girl who weighed 3150 gr. The... |
A 35-year-old Caucasian female patient presented to her local emergency department in November 2016 with a chief complaint of neck pain. The patient had a past medical history significant for Hodgkin lymphoma diagnosed in 1998 following excision of a neck mass at age 16. She underwent chemotherapy and mantle field radi... |
A 66-year-old man with familial dilated cardiomyopathy and a CRT-D device (Resonate X4; Boston Scientific, Marlborough, MA) visited our outpatient clinic owing to transient faintness and palpitations. He had been diagnosed with juvenile sick sinus syndrome and was implanted with a permanent pacemaker at the age of 25. ... |
A 54-year-old man was referred to our institution, he complained pain on his left thigh for 2 years. The pain was felt in the midthigh region. There were no other symptoms from the anamnesis. Patient previously had pathological fracture 3 years ago on the left femoral shaft. It occurs after the patient was slipped on t... |
In November 2000, a 19-year-old Turkish female was referred by her dentist to the Department of Periodontology of the Faculty of Dentistry, Ataturk University, for evaluation and treatment of the gingival bleeding and overgrowth.\nAccording to the patient, she suffered from excessive gingival bleeding during meals that... |
The patient was a 50-year old, right-handed woman who experienced a haemorrhagic stroke in 2010. The computed tomography scan performed immediately after the acute event revealed a right lenticular-capsular, lateral thalamic and intraparenchymal hematoma, with a midline shift toward the left side. Two days after the ac... |
An 11-year-1-month-old Japanese boy was referred to the Pediatric Dentistry Clinic of Osaka University Dental Hospital from the Pediatric Clinic of Osaka University Medical Hospital for consultation regarding oral management. Two mandibular primary incisors had spontaneously exfoliated at 1Y8M. Thereafter, the patient ... |
An 84-year-old female, nursing home resident, with a past medical history of type II diabetes mellitus, hypertension, cerebrovascular accident, anoxic brain injury with permanent percutaneous endoscopic gastrostomy (PEG) tube and tracheostomy to ventilator was noticed to have a high peak pressure on the ventilator on a... |
In August 2010, a 57-year-old Chinese male presented with epistaxis and decreased hearing for 1 month. No additional symptoms, such as a neck mass, nasal obstruction, headache, diplopia or other cranial nerve palsies, were noted. The patient had no history of previous or synchronous tumours or any family history of can... |
A 5-year-old Caucasian female attended the consultant clinic at Paediatric Dental Department of Leeds Dental Institute, following a referral by her general dental practitioner regarding malformed deciduous teeth. The child's chief complaint on presentation was pain from the teeth in upper right quadrant. The pain start... |
Case 3 presented the most complex clinical course. A 66-year-old female was referred to our hospital for SAH of WFNS grade I (E4V5M6) []. She underwent endovascular coiling for the aneurysm at left P2 segment of posterior cerebral artery []. However, on the 7th day after initial SAH, the patient revealed recurrent SAH ... |
A 42-year-old G7P1051 presented at 39 weeks estimated gestational age for a scheduled elective repeat low transverse cesarean section with bilateral tubal ligation. Two years earlier, she had undergone a low transverse cesarean section for arrest of descent. Following that delivery, she had an episode of moderate dyspn... |
A 47-year-old previously healthy Sinhala female's right foot was bitten by a snake near the back door of her home in the Kegalle district, Sri Lanka. Within seconds, she felt burning pain ascending along that limb, and there was heavy bleeding from the site of bite. Within a couple of minutes, she felt dizziness, nause... |
A 75-year-old man with a past medical history of diabetes mellitus was admitted to the Emergency Department of our University Hospital. He had a history of acute low back pain in the region of the lumbar spine in the last 4 days before his admission to the hospital. Two days before his admission he experienced lower le... |
The patient is a 33-year-old male with a known case of chronic relapsing ITP diagnosed in 2012. Additionally, he is diagnosed with temporal lobe epilepsy on anti-epileptic medications, Graves’ disease status post radiation of thyroid and on levothyroxine replacement, and valvular heart disease.\nThe patient presented a... |
About 4 months back, a 25-year-old young man had high-grade fever, headache and vomiting for 5 days and later developed altered sensorium. He was admitted in the intensive care unit of a nearby hospital for 10 days. Investigations revealed a positive dengue NS1 antigen test. He was treated symptomatically and over the ... |
An 84-year-old Greek man with an unremarkable medical history was admitted to our hospital with right upper quadrant pain, high fever, rigors, anorexia and weight loss over the preceding month. Clinical examination revealed tenderness in the right upper abdominal quadrant and a palpable gallbladder. Blood tests showed ... |
Patient 1 (P1), a 13-year old female with physician-diagnosed severe milk allergy began TCM in February 11, 2011 with the goal of preventing reactions while continuing on a dairy restricted diet.\nThis patient was diagnosed with milk allergy at 3 months of age after an ER visit due to anaphylaxis (widespread hives, vom... |
A 40-year-old man was admitted to the emergency department due to severe chest pain. He complained of persistent tightness in the left anterior chest. An emergent coronary angiogram (CAG) revealed total occlusion of the proximal left anterior descending coronary artery (LAD). Percutaneous coronary intervention with ste... |
A 36-year-old Chinese man presented with 26 months of progressive motor aphasia and cognitive decline. Fourteen months after the initial symptoms, he began complaining of mild right-sided weakness. He was admitted to our hospital for acute exacerbation of confusion and weakness of limbs lasting 3 days. Upon further que... |
We present a case of a 58-year-old female patient with a large recurrent ventral hernia. Six years before, the patient had been operated on for the umbilical hernia, with the simple repair without a mesh. The patient was an active smoker who suffered from morbid obesity with a body mass index of 43 kg/m2 and COPD as co... |
A 56-year-old woman with a history of breast cancer was referred to the Department of Investigational Cancer Therapeutics in January 2015. She had no pertinent medical history and was in good health until early 2005, when she felt a mass in her left breast. She was a non-smoker and had a family history of breast cancer... |
A 49-year-old previously healthy female got admitted to hospital with a progressively worsening skin rash involving lower limbs for two-week duration. The skin rash has begun as a painful small vesicle on the left foot which enlarged in size, with crops of new vesicles appearing on bilateral lower limbs. Some vesicles ... |
A 74-year-old Japanese man underwent an ultrasound examination for the evaluation of cervical atherosclerosis during which an incidental thyroid tumor was discovered. He had had a cerebral infarction eight years previously, which had been treated conservatively without major complication. There were no familial histori... |
A 42-year-old male has been oriented to our department, complaining of unilateral facial swelling with persistent pain, one year after extraction of the left mandibular premolars.\nAdditionally, he presented a gingiva swelling in the right maxilla related to a fixed bridge.\nThe clinical exam showed palpable lymph node... |
A 53-year-old man manual worker with a 13-year history of gout in his right hallux presented to his general practitioner with right knee pain, stiffness, and giving way with no history of trauma. He had been taking allopurinol for 11 years. He drank 10 to 12 units of alcohol per week and his body mass index was 24.4. O... |
In the present consanguineous Chinese family, the proband was a 42-year-old man who presented with Charcot neuroarthropathy. He was the fourth child of parents with normal pregnancy and childbirth (). Although his older brother had similar symptoms, we were unable to collect the data because he died from a severe accid... |
A 60-year-old female experienced an acute onset headache that was temporarily relieved with ibuprofen but presented to the emergency department 3 days later due to headache persistence. It was noted that she had a medical history of triple-negative breast cancer (TNBC) and ST-segment elevation myocardial infarction, as... |
As home care doctors and general practitioners, we encountered a 37-year-old woman with ASD who lived with her parents in Japan. Her mother had end-stage breast cancer. We visited her house regularly to care for her mother. The woman with ASD was the main caregiver and a key person for her mother because her father was... |
A 44-year-old man was admitted to our clinic because of left knee pain. He had pulmonary tuberculosis at 6 years old. He presented pus-forming arthritis, which was presumably tuberculous arthritis, in the left knee after 2 years, with spontaneous remission after closure of the draining sinuses. Thereafter, no recurrent... |
A 25-year-old young woman presented to the outpatient medicine department with the complaints of dry cough which was relentless for 1 month provisionally diagnosed as upper respiratory tract infection. On enquiry, the patient revealed that she had shortness of breath during cold seasons suggestive of bronchial asthma. ... |
A 14-year-old South Asian boy from rural Bengal (India), born of a second degree consanguineous marriage, with normal birth and development history, presented with abnormal brief jerky movements involving his trunk and limbs, with recurrent falls for 10 months. The jerks were neither stimulus sensitive nor present duri... |
A 46-year-old man presented to the Department of Prosthodontics at Tehran University, School of Dentistry. His chief complaint was deficiency in speech and mastication. His past medical history revealed that he has been under treatment for undifferentiated nasopharengeal carcinoma of neck (NPC). Surgery included a loca... |
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