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A 36-year-old male with a medical history of HIV presented to our institution with behavioral changes characterized by decreased responsiveness. He had been diagnosed with HIV after routine screening 14 years prior. His HAART regimen consisted of abacavir-lamivudine, atazanavir, and ritonavir. At baseline, he was able ... |
A 42-year-old male was assaulted by four persons, and remembers that some of them jumped on his left knee. He was not sure about the exact mechanism of injury, as he stated that he was under the influence of alcohol. The patient presented with swelling of his thigh and inability to weight bear on the left leg. There wa... |
An 18-year-old female patient presented with fever and weakness in the upper limbs with right hand affection more than the left. Two years before presentation, she used to have fever in the evening and, gradually, she developed a persistent fever in the last 6 weeks without cough or weight loss.\nShe gave a past histor... |
We present the case of a 51-year-old woman with a history of Guillain-Barré syndrome as a teenager, probable neuroborreliosis in the 1980s, and a malignant melanoma in situ in the 1990s. She has given informed consent to this report. The patient had repeat rectal surgeries for sphincter damage after childbirth, and in ... |
A 158 cm, 93 kg (BMI 37.4), 52-year-old woman presented to a tertiary care center for evaluation of a Merkel cell tumor in her right forearm. Wide resection of this forearm tumor and an axillary lymph node dissection were successfully performed. During the course of her evaluation, however, a suspicious mass in her rig... |
We report a 35-year-old Saudi woman with the diagnosis of transposition of the great arteries, ventricular septal defect, severe pulmonary stenosis, a sub-aortic chamber, and a rudimentary right ventricle. She had been diagnosed with these conditions at three years of age and was under regular follow-up at our center. ... |
A 44-year-old Japanese woman with a 6-year history of insulin-dependent diabetes mellitus and an 11-year history of central diabetes insipidus presented with a pain in the genital area worsening over 2 weeks, general fatigue, and loss of appetite. Two months earlier, patient underwent a urinary catheter insertion as a ... |
The patient was 50 years old (1987) when he suffered from a 4 cm left renal mass with no evidence of metastasis for which left radical nephrectomy was performed. Histopathology revealed clear-cell renal cell carcinoma (cRCC), grade II, stage pT1a, with negative surgical margins. The patient was then followed up regular... |
A 43 year old male, Muslim Yoruba farmer residing in Osun State of Nigeria presented at the outpatient unit of Osun State Hospital, Asubiaro Osogbo, with complaints of toothache in the lower left jaw of 2 weeks duration as well as cough, dysphagia, left earache and swelling of the neck and face of 5 day duration. The P... |
A 59-year-old male retired carpenter received a kidney transplant in August 2014 for end stage renal disease resulting from autosomal dominant polycystic kidney disease and was on maintenance immunosuppression including prednisolone, tacrolimus and mycophenolate. His post-transplant course was complicated by several ep... |
A 33-year-old African American woman presented to the emergency medical services of our hospital complaining of a chest pain that began suddenly that morning while she was resting in bed. She described the chest pain as sharp and non-radiating in the peristernal area. Deep breaths and movement exacerbated her chest pai... |
We evaluated a 41-year-old male presented in September 2004 with an episode of acute gastrointestinal bleeding, which was associated with non-Hodgkin's lymphoma with a nonspecific subtype. The patient lived in a remote rural area in Northern Brazil and was promptly transferred to a larger center to receive chemotherapy... |
An eighty-two-year old female presented to the urology outpatient clinic with a short history of fecaluria, pneumaturia, and passage of urine per rectum. She had an indwelling urethral catheter inserted, because of the total urinary incontinence, for a period of over eight years. This catheter was last changed twelve w... |
A male, 52-year-old patient visited the Instituto Nacional de Cancerología (INC) in Bogotá, Colombia, because of the development of a mass in the back region. There had been progressive growth and multiple drainage attempts due to a suspected abscess at various referral sites without relief. He was given non-oncologica... |
A 65 year old female patient with a history of rare migraine attacks developed hyperacute severe global headache with accompanying symptoms of confusion and reduced short term memory. The headache was different from her previously known migraine, which had been asymptomatic for the last six years. The symptoms dissolve... |
A 4 year-old previously healthy girl was transferred to our PICU from an outside medical center ED for workup and management of generalized anasarca, manifesting as diffuse edema, pleural and pericardial effusions, and abdominal ascites.\nIn the four months prior to admission, her mother noted that she had increasing a... |
A 71-year-old man was referred to our department complaining of dyspnea, hypoventilation and dysphonia, determined by swelling in the neck region and related to a considerable increase in size of the thyroid gland.\nOn clinical examination, the thyroid gland appeared firm during the acts of deglutition. The patient rep... |
A 44-year-old Asian male patient gradually developed a ventral mass on the penis 7 years before presentation. Initially, the lesion was ~1 cm in diameter and occasionally accompanied by paresthesias and bleeding after friction. He had normal urination and did not visit the hospital at first. When an ulcer developed, he... |
A 55-year-old, Caucasian woman was referred to our tertiary women’s heart center for persistent chest pain, palpitations, and dyspnea. Her medical history included hypertension, dyslipidemia, chronic anxiety, and bilateral non-obstructive carotid atherosclerosis. She had no prior history of diabetes mellitus, tobacco s... |
This is a case of a 25 years old Malay girl with learning disability and no significant past medical history, who started noticing a sacral mass since August 2015. The mass was painless and gradually increasing in size. The family members of this patient brought her to a traditional healer. They did not seek any medica... |
A 51-year-old woman was seen in consultation for right arm discomfort and edema (Fig. ). She had a past medical history of multiple bronchiectasis infections in context of congenital ectodermal dysplasia. Recurrent sepsis led to acute kidney injuries and eventually to anuric ESRD. She required hemodialysis 3 times a we... |
The present case report is about a 61-year-old woman who reported to us with a growth in the floor of mouth that gradually increased in size since last 3 years, without pain. On examination, a 3 cm × 2.5 cm ovoid swelling was palpated lingual to the edentulous alveolar ridge, extending from midline (lingual frenum) to ... |
The patient was a 61-year-old woman, gravida 0, para 0. She was referred to the Hiroshima University Hospital on October 19, 2011, with atypical genital bleeding in the last 4 months. She had been diagnosed in our hospital to have uterus didelphys with double vagina and uterus at the time of examination for infertility... |
A female patient aged 45 years with no known comorbidities came to our department at the university hospital Sahloul Sousse with the chief complaint of a right-sided swelling in the mandible. This swelling has caused slight asymmetry of the face since 6 months, which gradually enlarged up to the present size ().\nThe p... |
A 57-year-old male patient with no specific medical history was admitted to University Hospital for paraparesis and sensory disturbances in both lower extremities, caused by a fall 3 months prior to admission. He was diagnosed with CES, due to a L3 burst facture and spinal canal compression. Thus, posterior lumbar inte... |
An 18-year-old male presented to our institution in 2014 with headaches and vomiting for two weeks. A magnetic resonance image (MRI) of his brain showed a complex extra-axial dumbbell-shaped lesion with the epicenter in the left Meckel’s cave, extending anteriorly to the cavernous sinus and the cerebellopontine (CP) an... |
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 63-year-old man came to the clinical observation because of a rapid onset of dyspnea and dysphonia along with the development of a bulky node in the left side of the neck. He had been working as an interventional cardiologist in an angiographic room for 15 years at the local Hospital. Family history was negative with... |
A healthy, 29-year-old male commercial airline pilot without individual or family history of skin cancer or other malignancies noticed a symptom-free movable nodular mass over the dorsal proximal phalanx of his left middle finger, near the metacarpophalangeal joint. The tumor gradually enlarged to 2 cm in diameter in t... |
A 17-year-old girl presented with complaints of a progressively increasing swelling over the front of her left chest over the previous 5 months. The swelling was not painful, situated just adjacent to her left breast, with no associated shortness of breath. There was no history of trauma to the chest wall. She did not ... |
A 51-year-old female referred to our department with the complaint of pain and swelling in the left mandibular region since two years. During systemic history, patient revealed low back pain, hypertension and diabetic mellitus Type 2 since 10-11 years. She underwent surgery of the maxillary sinus region which as per he... |
A 28-year-old female patient with a chief complaint of swollen gums was referred to the Department of Periodontology, Navodaya Dental College and Hospital, Raichur (India) completing her orthodontic treatment at a private setup. On clinical examination, patient presented with abundance of calculus, with oral hygiene in... |
The patient is a 29-year-old previously healthy female, gravida 1 para 0, who presented for a scheduled induced abortion via dilation and evacuation at 22-weeks gestation, in the setting of a pregnancy complicated by a fetus with trisomy 22 confirmed on amniocentesis and multiple fetal anomalies. Workup prior to the pr... |
We present a 6-month-old African American male child with poor interval growth. His mother has noticed that though he is thought to be breastfeeding appropriately, as defined by feeding 4 ounces of pumped breast milk every 2-3 hours, and has been meeting developmental milestones, his weight and height are not as expect... |
In November 2018, a 30-year-old woman presented to the Department of Oral and Maxillofacial Surgery of Chonbuk National University Hospital with a complaint of pain and swelling in the left mandible that had appeared 10 days earlier. Eleven years ago, she was diagnosed with CFD (Fig. a, b) and had received bone contour... |
A 13-year-old male patient reported to the orthodontic clinic with the chief complaint of irregularly placed teeth in upper and lower jaw. His medical and dental history was noncontributory. On examination, he had an asymmetrical face with straight profile and competent lips. Chin was deviated toward the right side in ... |
A 52-year-old man presented to the emergency department with LBP. The patient fell from approximately 2 m-container box to the ground 2 hours previously. He complained of no pain and no numbness in either leg. A neurological examination revealed grade 5/5 muscle strength and no sensory changes in the lower extremity. N... |
A 55-year-old Vietnamese male with no significant past medical history presents to a local community hospital emergency department because of abdominal pain and distention of two-week duration. The abdominal pain was generalized, described as cramping, present throughout the day, had no association with meals, and was ... |
A 64-year-old Hispanic male presented to an outpatient surgical setting at an inner-city community hospital complaining of a newly discovered right axillary mass. The patient had no past medical or surgical history other than a left inguinal hernia repair performed 6 years prior for a reducible, asymptomatic, left ingu... |
A 48-year-old, para 5, postmenopausal black African woman who was human immunodeficiency virus (HIV)-negative presented to our casualty department with a 5-year history of progressive abdominal swelling. Five years prior to presenting, which was 1 year before she reached menopause, she had noticed that her abdomen was ... |
A 23-year-old French man of African origin, an elite football player, sustained a midshaft anterior cortex tibial stress fracture 2.5 years ago. Initially, he was treated with cast immobilization, no weight bearing for 3 months, ultrasound stimulation, and electromagnetic field therapy. The fracture did not heal; he ha... |
A 19-year-old woman presented to a headache specialty clinic complaining of a daily headache for 3 months. She awoke one morning with the headache and it had been continuous since that time. She denied any triggering event surrounding headache onset including no flu-like illness, stressful-life event or surgical proced... |
A 59-year-old woman presented for evaluation of scalp alopecia. Her past medical history was significant for PT1cN1mi estrogen receptor (ER)+, progesterone receptor (PR)+, human epidermal growth factor receptor (HER)2+ g3 invasive ductal carcinoma of the right breast diagnosed 15 months earlier. She had been treated wi... |
A 53-year-old man noticed some swelling of his face. A chest x-ray showed a large mass projecting over the right lung field (fig ). A CT scan of the chest showed an enormous anterior mediastinal mass contiguous with the posterior aspect of the sternum and the right ribs, occluding the superior vena cava and compressing... |
This paper presents the case of a 50-year-old male German academic who developed neurocognitive deficits, affective symptoms, and predominant delusions for over one and a half years. The patient, as well as his family, have given their signed written informed consent for this case report, including the presented images... |
A 14-month old boy presented with respiratory distress, wheeze and hypoxia. This was preceded by 24 h of coryza, fever and reduced feeding. He was admitted directly to intensive care, where he was diagnosed with pneumonia. Treatment was started with empirical antibiotics. He was intubated and ventilated for 4 days, aft... |
The patient is a 54-year-old white male with a past medical history significant for bipolar I disorder with psychotic features and posttraumatic stress disorder admitted from the emergency department to the acute psychiatric floor with symptoms of mania and psychosis. Prior to admission, the patient had been taking var... |
A 50-year-old caucasian woman was referred to our clinic with a 12 months history of severe, recurrent pain episodes in her right knee. She was a non-smoker, with no other notable family or medical history for any pathological condition. Systemic diseases such as gout, systemic sclerosis, dermatomyositis, and sarcoidos... |
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 40-year old male laborer applied to our clinic with a complaint of sustained pain on his right shoulder and an inability to move his right shoulder after being injured in an in-vehicle car accident. According to his anamnesis, he was diagnosed with second and third rib fractures and pneumothorax that were initially t... |
A 41-year-old male with a past medical history of intravenous drug abuse (IVDA) presented to our emergency department as a transfer following two days of medical management of rhabdomyolysis at an outside community hospital. He initially presented with weakness and numbness of the lower extremities. He had been using i... |
An eight-year-old female patient who suffered from tooth trauma half a year ago was treated in the local general hospital. Recently, she came to Department of Pediatric, School of Stomatology, the Fourth Military Medical University for treatment, with the chief complaint of recurrent swelling of the gum in the anterior... |
In November 2011, a 70-year-old Caucasian female with a background of essential hypertension, diverticulosis, and mild chronic obstructive pulmonary disease presented with an eight week history of significant weight loss (24 kilos), early satiety, postprandial dyspepsia, and nausea with intractable vomiting right after... |
A 51-year-old man was admitted due to a wound at the right hand and progressive subcutaneous nodules at the right arm for 1 month. Three months prior to the admission, he was bitten at the right hand by a stray kitten. The cat was sick and died 6 days after the bite due to unknown diseases. The patient felt pain after ... |
A 73-year old female patient 150 cm tall and weighing 50 kg visited our hospital presenting with the complaints of lower back pain and radiating pain to right lower extremity. The lower back pain started when the patient fell down nine years ago. At first, mild lower back pain had occurred from time to time, but severe... |
A 35-year-old African American man was initially sent to our emergency room to evaluate a possible head trauma after a witnessed fall. He complained of frequent falls and leg weakness for 3–4 months. The weakness appeared to be progressive and persistent without episodic worsening. He had to use a cane to compensate bu... |
A 10-year-old girl attended with her father after she was referred to Paediatric Dentistry Clinic for diagnosis and treatment. The main chief complaint was the discoloured front teeth. Furthermore, bullying at school was occurring due to her teeth appearance. In addition, general teeth sensitivity was affecting the upp... |
A 60-year-old gentleman who was previously diagnosed with type 2 diabetes mellitus, hypertension, and a cerebrovascular accident, which he suffered two years prior to presentation, which left him with residual right-sided upper and lower limbs weakness, for which he is undergoing physiotherapy with continuous improveme... |
A 38-year-old Brazilian man presented with a 4-day history of chest pain radiating to his abdomen and back. He was diagnosed with an extensive Stanford type B aortic dissection originating at the base of left subclavian artery extending into the iliac arteries. With the exception of the left renal artery, visceral bran... |
The patient was a 61-year-old man with multiple left rib fractures (1–6 ribs), left pneumothorax, left lung contusion, and left thoracic subcutaneous emphysema due to a fall injury. The examination showed a partial depression in the left front rib and abnormal breathing (see Fig. ).\nAdmission chest CT examination: 1–6... |
A 52-year-old man, with a known history of osteopetrosis and previous fractures in his bilateral femurs and right tibia, was referred for treatment of a right subtrochanteric femur fracture in January 2018. His medical history is summarized in Table , which shows that the patient suffered from chronic osteomyelitis of ... |
A 42-year-old female presenting with headaches was found to have a 5 mm laterally projecting right middle cerebral artery (MCA) bifurcation aneurysm and a 5 mm BX aneurysm []. Given the patient’s young age, surgical treatment was offered as an alternative to endovascular treatment. After discussion of the risks and ben... |
A 55-year-old man of Indian ethnicity, presented to the outpatient department of general surgery with lower abdominal distension for the past one and a half months and a continuous dull aching lower abdominal pain for past 15 days. Patient was a chronic smoker and gave no history of trauma, anorexia, weight loss, alter... |
A 46-year-old white female with a 15 pack-year smoking history initially presented 3 years ago with intense pain in the left side of the mouth that radiated to her left ear for 2 months. She was found to have a 2 cm exophytic lesion on the left lateral border of her tongue that was diffusely keratotic and extremely ten... |
A 45-year-old male motorcyclist with a history of hypertension, hyperlipidemia, and coronary artery disease was brought to the emergency department after being struck by another car on the highway at speeds of at least 40 miles per hour. Upon presentation, the patient was evaluated using Advanced Trauma Life Support (A... |
A 52-year-old male, chronic alcoholic and smoker presented to the emergency department with acute abdominal pain. The serum amylase level was elevated and a diagnosis of acute pancreatitis was made. The patient was managed conservatively and was satisfactorily discharged after a two week-stay in hospital. The patient d... |
A 20-year-old pregnant mother with a period of amenorrhea (POA) of 28 weeks was admitted to our tertiary care centre due to left-sided severe buttock pain, five days prior to admission. The pain was very severe and she could not even walk due to the pain. She has taken paracetamol as over-the counter-medication and had... |
A 71-year old, female patient with a previous history of non-Hodgkin lymphoma and transient ischemic attack came to the emergency room of our University Hospital for sudden onset of right hemifacial paraesthesia, edema of the lower lip (Fig. ) and accentuation of an already present tinnitus. The current presentation ha... |
A 44-year-old Caucasian man with a diagnosis of Alport's syndrome, established at another centre, and two previous kidney transplants was referred to our renal department in June 2009. Graft function was failing and he was approaching the need to start renal replacement therapy.\nIn 1973, he was investigated for heredi... |
This 16-year-old male presented to the emergency department with new onset headache and visual changes of 2 days duration. The headache was described as sudden in onset, constant in nature, and bitemporal in location. This was associated with development of vision loss 1 day characterized by darkening of his vision, pr... |
A 60-year-old Indian male relative of a patient visiting the dental outpatient department was noticed with a massive swelling on the right side of his face. Verbal consent was obtained from him for examination. History revealed a slowly growing painless swelling of the right mandible of 30 years duration that gradually... |
A 45-year-old woman was referred to the Vulvovaginal Disease Clinic with debilitating vulvar burning and itching over the right labium majus, also causing severely disturbed sleep. Vulvar pain had been persisting for 2 years and was considered intractable. Careful history taking revealed that she had two vaginal delive... |
A 28-year-old man presented to the outpatient department with complaints of chronic pain over the right preauricular region for the last 4 years. The pain was gradual in onset and progressive in nature. Pain was aching in nature with the sensation of heaviness over the right preauricular region. There was no history of... |
Our patient is a 54-year-old female with a past medical history of hypothyroidism and very severe obesity (BMI 48 kg/m2). She underwent laparoscopic gastric sleeve surgery in the year 2012. Results were non-satisfactory in terms of weight loss with a difference of 6 kg/m2 in BMI post-procedure. So after six years, she ... |
In June 2002, a 36-year-old woman presented to her primary health care doctor with a history of flushing, diarrhoea, night sweats, and a clinically detectable mass in her left medial supraclavicular fossa. Her past medical history consisted only of essential hypertension for which she did not require prescribed therapy... |
Case 1 was a 63-year-old man who presented with a 4-month history of productive cough and started to deteriorate after having a fever for a week. The patient had an 8-year history of cigarette smoking, and his father had been diagnosed with lung cancer. Repeated antibiotic treatment had been used since he started cough... |
Patient 3 was a 16 year old girl that first presented in our outpatient clinic at 12 years of age. She had been born preterm by emergency caesarean section due to pre-eclampsia. Respiratory support through CPAP (“continuous positive airway pressure”) was needed for 4 days as well as a nasogastric tube. After discharge,... |
A 30-year-old woman presented with gradually increasing weakness of both upper and lower limbs. She reported having had a similar episode twice previously, most recently 2 months ago; and at all of these occasions, she had documented hypokalemia and she was managed by a local physician with parenteral and oral administ... |
M.J., a 38-year-old man developed sudden severe abdominal pain, nausea, and vomiting after shoveling snow. Prior to this event, he denies having had any episodes of hypertension, tachycardia or diaphoresis, although several months prior he was diagnosed with essential hypertension and was started on lisinopril. In addi... |
This is a case of a 30 year-old gentleman with a history of Crohn's disease. He was on a regimen of infliximab, infused every 8 weeks and oral methotrexate daily. He had no other significant medical history. He was in his usual state of health until he developed a sore throat and fevers on day 0. His symptoms began whi... |
A 35-year-old gravida 6, para 5 mother who is 38-week pregnant from last normal menstrual period has presented to Tercha General Hospital (a rural hospital in Southern Ethiopia). The patient is referred from a health center 60 kms far from this hospital for suspected “big baby” in labor. The patient was an illiterate h... |
A 63-year-old woman was admitted to our hospital with serious headache and vomiting. Five months before admission, she had undergone surgery for a primary advanced gastric cancer at a local hospital. However, as the hospital went bankrupt, it was impossible for us to obtain details of her histopathological information.... |
A 50-year-old lady was admitted to hospital with multiple non-specific symptoms which included generalised weakness, numbness on both upper limbs associated with spasms and loss of appetite. She had a past medical history of cervical and lumbar spondylosis. She was not taking any prescribed or over the counter medicati... |
A 57-year-old Asian man without relevant previous medical history was hospitalized following a fall from the 15th floor of a condominium. A witness said he had fallen from the condominium and had contacted electrical wires before hitting the ground. Prior to being transferred to the hospital, when the emergency medical... |
A 29-year-old man with a history of exercise-induced asthma (not requiring treatment for 10 years) and obesity (body mass index 39) presented to the emergency room in respiratory distress with evidence of systemic inflammatory response syndrome. His history was pertinent for heavy e-cigarette use for the previous 2 yea... |
We present the case of 32-year-old female patient who presented to the urologist with fever lasting for the previous two months, usually 37°C to 38°C, with occasional temperature leaps to 40°. Laboratory blood tests showed leukocytosis with cell counts up to 19,000. The patient did not complain of lumbar pain. Urinalys... |
We present the rare case of an otherwise healthy 56-year-old woman who was initially referred to our department due to incidentally found high levels of serum thyroglobulin (Tg) (2500 ng/ml, normal values: 1.4–78). The levels of the thyroid hormones (T3, T4), the thyroid-stimulating hormone (TSH), and the antithyroid a... |
The patient is a 47-year-old Caucasian female who presented to the Emergency Department of an academic tertiary-care hospital in the Midwestern United States with complaint of left-sided weakness of the upper and lower extremities and right gaze preference three weeks after a right pontomedullary infarct complicated by... |
A 24-year-old male presented with persistent, severe abdominal pain and gangrene of his toes for 6 months. His history dated back to 1999 when he was 8-year old and he had tender macular lesions over legs, abdominal pain, weight loss, testicular pain, persistent fever and right ulnar palsy. There was no past history of... |
A 65-year-old male was admitted to the emergency department with acute shortness of breath and chest discomfort. The symptoms were gradually progressive over the past few days. He had an episode of acute upper respiratory infection in the past week and was on decongestants for symptoms of cold and congestion. The patie... |
A 26-year-old right-dominant man sustained a complex injury to the palmar surface of his right hand in a rollover motor vehicle accident in April 13, 2015, and he was treated at an outlying hospital. The thenar musculature and its motor branch were crushed. The flexor digitorum superficialis to the index was avulsed. S... |
A 63-year-old African American male initially presented to the hospital with an elevated prostate-specific antigen (PSA) level of 9.41 ng/mL. The PSA from a year prior was normal at 0.80 ng/mL. The patient’s symptoms included occasional dysuria and infrequent nocturia. The patient denied any other lower urinary tract s... |
A 78-year-old man presented to an ophthalmology clinic complaining of a gritty sensation in both eyes for several months, with exacerbation in the left eye over the past 2 weeks. He had a history of diabetes mellitus treated with oral hypoglycemic drugs and chronic obstructive pulmonary disease. He was diagnosed with b... |
A 38-year-old African American female presented to the emergency department for chest pain. The patient's past medical history was significant for hypertension, for which she had not taken her lisinopril for about 2 years, and diabetes, controlled with diet. Additionally, the patient had a history of smoking for 20 yea... |
A 65-year-old man was diagnosed with pulmonary adenocarcinoma, then treated with chemotherapy. The cancer metastasized, and the patient was diagnosed with end-stage lung cancer. Cancer pain was treated with oral opioid therapy. Metastasis of the cancer caused obstructive jaundice and cholangitis, and the patient experi... |
A 40-year-old female presented to the emergency department (ED) with influenza. She was found to have hypokalemia with potassium of 3.3 mEq/L and moderate persistent asthma. Hypokalemia was managed with IV fluid hydration and 20-mL KCl. She received Tamiflu (Genentech, Inc., San Francisco, CA) 75 mg for five days, Tora... |
A 32-year-old man presented himself at the hospital with a complaint of numbness, causalgia, and paresthesia in the lateral region of his left ankle. Three years ago, his ankle was hit by a steel pipe, and the symptoms developed three months after open reduction and internal fixation of an ankle fracture. Based on the ... |
Our patient is 67-year-old Turkish man, a primary school graduate, and a forest ranger who lives in a rustic area. He was fully informed about the study and written consent was obtained from him prior to examination. In his medical examination he explained that his gums started bleeding at a very early age. At age 24, ... |
A 36-year-old female presented to the maxillofacial surgery clinic complaining of gradually developing asymmetry of the right side of the face for the past 15 years. The progressive asymmetry of the entire right side of the face was noticed by her family members. Mandibular deflection toward the healthy side and overgr... |
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... |
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