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pmc-6642750-1
A 73-year-old man with a diagnosis of invasive squamous cell carcinoma of the glottis (T4aN0M0) underwent total laryngectomy and right hemithyroidectomy. He had previously undergone laser excision of an early-stage right-sided vocal cord carcinoma five years earlier. No other treatment modalities were employed at the t...
pmc-6642751-1
A 31-year-old primigravida was referred to our Maternal Fetal Medicine practice after a routine first-trimester ultrasound at 11 weeks' gestation that revealed a nuchal translucency (NT) of 3.2 mm (). The crown rump length measured 11 weeks two days, which was consistent with the patient's last menstrual period which p...
pmc-6642778-1
We present the case of an 84-year-old male with past medical history of hypertension, benign prostatic hyperplasia, former alcohol and cocaine abuse, chronic kidney disease stage 3A, severe malnutrition, and frequent falls who presented from a nursing home for elective left heart catheterization. The patient had an NST...
pmc-6642783-1
This is a case of a 60-year-old female with stage IV T3N3M1 lung adenocarcinoma metastatic to adrenals and bone was found to have EGF, ROS, ALK WT, and KRAS mutation and lymphangitic disease. She initially received six cycles of carboplatin and pemetrexed and then switched to maintenance Alimta after three cycles. Howe...
pmc-6642787-1
A 28-year-old woman, gravida 4, para 0-0-3-0, called Emergency Medical Services at 15 4/7 weeks of pregnancy complaining of facial and lower extremity edema. In the ambulance, she reported one episode of sharp, substernal chest pain. She had a history of insulin-dependent type 2 diabetes mellitus, hypertension, hyperch...
pmc-6643167-1
A 63-year-old Chinese female presented to rheumatology clinic with positive antinuclear antibody 1:80 homogeneous pattern, severe fatigue, hair loss, joint pains for approximately last 3 years, unintentional weight loss of 24 pounds (20% of her ideal body weight) in last 8 months, and lymphadenopathy. Her joint pains a...
pmc-6643168-1
A 14-year-old boy with a recent diagnosis of osteosarcoma of the right tibia without any known metastasis presented to the ED with SE and AMS. Five days prior to his presentation the patient underwent his second course of HDMTX (12 000 mg/m2, single dose, based on the American Osteosarcoma Study Group 0331 [EURAMOS-1] ...
pmc-6643311-1
A 59-year-old man of Chinese ethnicity presented to our hematology unit with headache, lethargy, and exertional dyspnea for the past 1 month. He underwent an uneventful cadaveric renal transplant 20 years ago for chronic glomerulonephritis-induced end-stage renal disease. He had been on long-term immunosuppressants sin...
pmc-6643316-1
A 67-year-old woman presented with bilateral NPDR and treated hypertension. BCVA was 20/40–2 OU at the first visit in April 2014. Fundus photos showed multiple MAs, mild dot and blot retinal hemorrhages with some exudates in the right eye (OD) (Fig. a). She was instructed to take 3 capsules of Eyefolate™ daily with foo...
pmc-6643316-2
An 82-year-old woman presented with diet-controlled type 2 diabetes and medication controlled hypertension. In June 2014, the BCVA in OD was hand movement (HM) due to an old macular scar and the BCVA in OS was 20/20. Intra-retinal hemorrhages and 2 small MAs were found in the fundus photo OS (Fig. a). She began 3 capsu...
pmc-6643316-3
An 84-year-old woman presented with a seven-year history of type 2 diabetes and medically controlled hypertension. She had a history of amblyopia OD and a resolved branch retinal vein occlusion (BRVO) in the left eye. In October 2013, the BCVA was 20/150 OD and 20/25 OS. A large MA in the superior temporal region with ...
pmc-6643316-4
The fourth case was a 59-year-old man with an 11-year history of type 2 diabetes who had required insulin for the past 8 years. On his first visit in October 2014, the BCVA was 20/20 OU. Multiple small intra-retinal hemorrhages and MAs with exudates superotemporally were found OS as seen in the fundus image (Fig. a). H...
pmc-6643316-5
A 76-year-old nondiabetic man was examined with a 10 year history of medication controlled hypertension and dry age-related macular degeneration (AMD) (drusen) OU. In June 2014, multiple small MAs with exudates and one cotton wool spot was found OD as seen in the fundus photo (Fig. a) inferotemporal to small drusen. Th...
pmc-6643316-6
The sixth case was a 56-year-old man with a 15-year history of NPDR OU. He had a remote history of pan-retinal photocoagulation and Avastin injections for the severe proliferative disease. In June 2015, his BCVA OD was 20/30, his BCVA OS was HM. He had bilateral intra-retinal hemorrhages and MAs with old retinal scarri...
pmc-6643316-7
The seventh case was a 64-year-old man with a 10 year history of medication controlled hypertension and newly diagnosed type 2 diabetes. In August 2018, a diabetic intra-retinal hemorrhage was found OS (Fig. a) and he then began to take Eyefolate™. By December 2018, the intra-retinal hemorrhage was resolved (Fig. b).
pmc-6643316-8
The eighth case was a 68-year-old man with NPDR OS. Initially, he was diagnosed with mild NPDR OS (October 2017). The BCVA was 20/20 OU. A MA was apparent in the superonasal quadrant OS in 2017 (Fig. ). He participated in a clinical trial of Ocufolin™ at the Bascom Palmer Eye Institute, University of Miami and was inst...
pmc-6644218-1
A 25-year-old African American woman presented to the emergency department with a chief complaint of generalized nonpruritic maculopapular rash. The rash was initially confined to the right antecubital fossa but spread diffusely across the entire body over the course of 2 days. The patient had no other complaints and w...
pmc-6644219-1
A 6-month-old girl, the youngest of two siblings, vaccinated, with no particular pathological history, was admitted to the pediatric department for early postprandial vomiting three days ago, and at admission, she presented a generalized tonic-clonic convulsions and disorders of consciousness without refusal of feeding...
pmc-6644233-1
A 58-year-old healthy male was admitted to the internal medicine department due to weakness, fever, and night sweats for two months. On physical examination, a systolic heart murmur 3/6 was heard over the left sternal border. Abnormal laboratory findings included leukocytosis of 14,000 per microliter, hemoglobin of 9.9...
pmc-6644234-1
An 81-year-old man presenting with an acute chest pain was referred to the pulmonology department. He had no smoking history but recurrent respiratory infections. The physical examination revealed that the patient was in good general health, with tachypnea at rest. The examination of patient's chest revealed the presen...
pmc-6644245-1
A healthy nondiabetic 24-year-old 18 weeks postpartum woman presented to the emergency department with severe nausea, vomiting, and several episodes of diarrhea of 9-hour duration. While in the emergency department, she developed abdominal pain, low back cramps, and malaise. The patient reported adhering to a strict ke...
pmc-6644265-1
A 65-year-old Sinhalese man from Kandy district in the central hill region of Sri Lanka presented to us on day 4 of the illness with high fever, headache, arthralgia, myalgia, nausea, dry cough, chest pain, sore throat, and passing of watery stools and dark urine. Upon examination, he was dehydrated, temperature was 38...
pmc-6644266-1
The patient was a 40-year-old woman who presented with a chief complaint of weight gain. She had a family history of type 2 diabetes in both parents. The patient was diagnosed with PWS at the age of 1.5 years based on genetic testing performed at a pediatric hospital. After the diagnosis, the patient attended regular h...
pmc-6644275-1
A 50-year-old male Level I Trauma patient presented following severe blunt trauma in a high-speed motorcycle accident. The patient was initially hemodynamically stable on presentation, with blood pressure of 126/95 and heart rate of 88. He complained of lower abdominal and pelvic pain. Primary survey revealed an unstab...
pmc-6644278-1
A 60-year-old female presented to the Emergency Department (ED) with a complaint of left abdominal pain for the preceding two months. She stated that the pain was moderate in intensity and radiated to the midline with no aggravating or alleviating factors. She also complained of vaginal bleeding, intermittent dysuria, ...
pmc-6644300-1
A 43-year-old Saudi male patient reported to the oral surgery outpatient clinic at the College of Dentistry and Dental University Hospital, King Saud University, with a complaint of painless swelling in the left mandibular premolar region. Although the history revealed a presence of the swelling for more than one year ...
pmc-6644311-1
A 17-year-old girl presented with globus sensation in the pharynx and deaf ear on the right side. Clinical examination revealed gag reflex impairment on the right, indicating paralysis of the glossopharyngeal nerve. Otoscopy showed an expansive process of the right middle ear. The function of the facial nerve and other...
pmc-6644311-2
A 33-year-old woman was referred to our department due to recurrent LGFMS of the lateral skull base. She was first diagnosed with LGFMS in 2001 when the patient underwent partial tumour resection using the transtemporal approach with blind-sac closure of the external auditory canal without rerouting of the facial nerve...
pmc-6645253-1
Case 01 – A 60-year old male patient presented to the dentist complaining of “swelling of the gums” in the upper anterior region, with 4 months of evolution. The extraoral examination revealed an effacement of the nasolabial fold and lifting of right nasal alar region. On intraoral examination, an asymptomatic 1cm subm...
pmc-6645253-2
Case 02 – A 33-year old male patient attended our service complaining of “facial lesion”. Extraoral examination revealed a discrete facial asymmetry on the left side. On intraoral examination, the patient presented an asymptomatic submucosal nodule in the posterior buccal mucosa (Fig. A). The lesion was movable and pre...
pmc-6645260-1
A 10-years-old boy was referred by his dentist for median mandibular swelling with lip and chin hypoesthesia in the last 4 months. The intra oral examination showed a soft tumor filling the vestibule with no dental mobility. The panoramic radiograph (OPG) and the CT scan showed a large cystic and well-defined radioluce...
pmc-6645260-2
A 40 years old man complains about a major painful mandibular swelling, following a minor trauma of his mandibula. The OPG and CT scan showed a mandibular fracture of the right angle through a cyst including a molar and extending to the ramus, and another fracture of the left mandibular branch. This cyst was a parakera...
pmc-6645260-3
A 32 years old man presented a lateral mandibular swelling in the past 10 months. The CT scan showed an osteolytic and heterogenous process of the ramus. The treatment consists of the marsupialization with biopsy (concluding on an ameloblastoma) and secondary enucleation after the decreasing the size of the lesion (aft...
pmc-6645261-1
A 28-year-old female patient was referred to the department of Endodontics of the Alfonso X el Sabio University, for diagnosis and management of a chronic apical abscess on a previously treated tooth, secondary to a traumatism on left upper lateral incisor () (Fig. A). A CBCT (WhiteFox, Acteón Médico-Dental Ibérica S.A...
pmc-6645264-1
A 16-year old female patient came at the university clinic, reporting bilateral swelling of the cheeks, especially on the right side. The patient had noticed that the swelling had started two years ago with no signs of pain, slowly growing and causing asymmetry of the face. The general medical history of the patient do...
pmc-6645265-1
27-year-old male patient with no underlying systemic diseases who sought medical attention because of a three-month medical case of facial asymmetry from increased volume of the left chin area (Fig. a), with no other associated symptoms. The patient claimed he had been subject to facial trauma in the same area two year...
pmc-6645906-1
A 65-year-old male presented to the emergency department after the acute onset of paraplegia associated with severe interscapular pain and hypertensive crisis. The patient had previously undergone open surgical repair of an infrarenal abdominal aortic aneurysm with aorto-aortic reconstruction sutured proximally approxi...
pmc-6645908-1
A 29-year-old woman was admitted with fluctuating paresthesia of the right arm, hyposensitivity of the right cheek during 1 week, and an episode of blurred vision of the left eye. An RP was diagnosed 5 years earlier, mainly based on combined scleritis, arthritis, and chondritis of both ears and her nose. An asymptomati...
pmc-6645912-1
A 73-year-old lady presented with a fall down of 13 stairs at her home while intoxicated. Her past medical history was significant for chronic obstructive pulmonary disease and degenerative lumbar spinal disease. She was a lifelong smoker who was independent in her daily activities. She presented to her local hospital ...
pmc-6646477-1
A 73-year-old man had received definitive concurrent chemoradiotherapy (carboplatin/paclitaxel: 2 courses, 70 Gy) for left upper lobe squamous cell carcinoma suspected to have invaded the aorta (cT4N1M0 stage IIIA; Fig. a, b). Although the tumor shrunk significantly (partial response, ycT4N0M0 stage IIIA; Fig. c), radi...
pmc-6646736-1
A 69-year-old man was admitted to our hospital complaining of progressive and fluctuating proximal muscle weakness and dysarthria for 2 months. He presented with prominent fatigue and difficulty climbing stairs, as well as obvious weakness in holding his head up and chewing, but without ptosis. All the symptoms fluctua...
pmc-6647084-1
A healthy 39-year-old man was admitted to the intensive care unit (ICU) for a severe trauma brain injury and a moderate thoracic trauma caused by a motorcycle accident. After initial computed tomography (CT-scan), the patient had immediate craniectomy and hematoma evacuation surgery with an antibiotic prophylaxis by ce...
pmc-6647129-1
Here we report on a case of low plasmatic concentration of ARV drugs, with persistent detectable viral load despite regimen intensification, in a pregnant 26-year-old Brazilian woman with HIV-1 infection. The first diagnosis of HIV was made in August 2016; at diagnosis, her CD4 count was 60 cells/mm3 and plasmatic vira...
pmc-6647130-1
A 51-year-old Chinese woman presented with 16-month history of proteinuria and hypertension (160/90 mmHg) which was noticed during a routine examination. She was treated with Valsartan and blood pressure was controlled around 120/70 mmHg. Three months before admission, her urinary protein excretion was 2.12 g/d, serum ...
pmc-6647138-1
A 3-year-old 9.9 kg neutered male mixed-breed dog presented with a history of a dry cough and sudden deterioration. The referring veterinarian had suspected pneumonia based on thoracic radiographs, and the dog had been treated with antibiotics and a non-steroidal anti-inflammatory drug prior to referral. The veterinari...
pmc-6647138-2
A 1-year-old 27.5 kg intact male Vizsla presented with acute neurological signs characterized by ataxia and decreased awareness of its surroundings. The dog had been seen by its regular veterinarian the previous day due to depression and coughing, and the veterinarian had prescribed a combination of spot-on moxidectin ...
pmc-6647138-3
A 10-year old 28.7 kg male neutered mixed-breed dog presented for a follow-up visit after having been hospitalized for 24 h the previous week with severe hemorrhagic gastroenteritis and hypovolemic shock. Prior to this episode the dog had been on 0.35 mg/kg oral prednisolone daily for months due to dermatological probl...
pmc-6647138-4
An 8-year-old male 19.0 kg English Springer Spaniel presented with severe thrombocytopenia. Two months previously the dog had been diagnosed with a hepatopathy of unknown origin and a concurrent, possibly related, systemic inflammatory reaction. This had subsided on symptomatic treatment (antibiotics, antiemetics, and ...
pmc-6647155-1
A 60-year-old woman complained of blurred vision in her left eye for one week. On presentation, the best corrected visual acuity (BCVA) was 0.6 in the right eye, and hand motion in the left eye. Slit lamp examination revealed normal anterior segment in both eyes. Direct ophthalmoscopy revealed slight macular epiretinal...
pmc-6647250-1
A 66-year-old man was diagnosed with castration-resistant prostate cancer (CRPC) and treated with enzalutamide followed by six cycles of docetaxel chemotherapy. However, his serum prostate specific antigen level increased to 899 ng/mL, so he was diagnosed as docetaxel resistant CRPC. Figure shows bone metastases. The p...
pmc-6647267-1
A 25-year-old woman, gravida 1 para 0, was referred to our hospital at 23 weeks of gestation because of ultrasound abnormality of the fetus that abnormal curvature of spine. Pregnant denied history of immune system disease, exposure to alcohol or drugs such as warfarin and phenytoin. Ultrasound examination with 5-7 M H...
pmc-6647282-1
A previously healthy and fully immunised six-year-old girl was admitted to our hospital with right otalgia, progressive trismus and right neck pain for the previous 3 days. She had been on oral antibiotic treatment for right AOM with amoxicillin-clavulanate (80 mg/kg/day) for 2 days without improvement. There was no hi...
pmc-6647308-1
An 80-year-old man presented with a progressive decrease in hearing on the right side accompanied by dizziness and disturbance of balance 10 months prior to admission. The neurological examination revealed right hypoglossal nerve palsy. Audiometry documented complete sensorineural hearing loss on the right side. Skull ...
pmc-6647311-1
A 54-year-old woman was referred to our center due to right ventricular enlargement which was incidentally detected on pre-operative echocardiography for ankle surgery at a local clinic. The patient was asymptomatic and in normal sinus rhythm. A transthoracic echocardiography (TTE) showed a large secundum ASD with a di...
pmc-6647480-1
The proband was a 27-years-old Chinese pregnant woman who attended to our department at 20th gestational week for prenatal diagnosis because of the possible maternal ID. She also had severe esotropia, involuntary rotation of the head, and significant motor delay and language retardation (Fig. a), which appeared and got...
pmc-6647757-1
A 45-year-old woman was diagnosed with T1DM in 2013, and since then, she has been on multiple daily injection (MDI) insulin therapy. Besides her diabetes, she is not suffering from any other diseases or diabetes complications.
pmc-6647822-1
In December 2016, a 55-year-old male was referred for volatile IOP with a history of myopic LASIK bilaterally and photorefractive keratectomy (PRK) enhancement OS. Seven years ago, the patient first noted episodes of blurred vision and halos lasting up to 2 hours, OD > OS, following sexual excitation. Best corrected vi...
pmc-6647823-1
A 67 years-old Caucasian male, bilaterally pseudophakic, followed in the glaucoma clinic of the Hospital de Santa Maria due to bilateral open-angle glaucoma secondary to pseudoexfoliation, presented with visual field deterioration in his right eye (OD). His IOP was above target (24mmHg) despite maximum medical treatmen...
pmc-6647879-1
This 35-year-old female patient was the proband. At age 28, she developed an abnormal right leg posture when walking. At age 29, she displayed right leg spasms, weakness of the right arm and slurred speech. At age 30, the patient’s condition continued to worsen. She experienced stiffness in all four limbs and required ...
pmc-6647879-2
This patient was a 27-year-old female and the youngest sister of patient III-1. The patient was first hospitalised at age 25 with a 1-year history of gradual progression of a gait disorder, which resulted in an increased likelihood falling. On examination, her Mini-Mental State Examination (MMSE) score was 25/30. On ne...
pmc-6648213-1
A 59-year-old female with a history of papillary thyroid cancer (treated with radioactive iodine) was being followed with serial imaging for benign renal and hepatic cysts. At the time of her surveillance, magnetic resonance image (MRI), a simple 1.6 cm pancreatic cyst was noted in the pancreatic head, thought to be co...
pmc-6648213-2
A 60-year-old female with a medical history significant for type 2 diabetes mellitus, hypertension, and hypothyroidism presented to her gastroenterologist after noting the gradual onset of epigastric abdominal pain radiating to her back. This was associated with a 30 lbs weight loss over a period of a few months. At th...
pmc-6649211-1
A 50-year-old Caucasian female driver was brought to the Emergency Department following a high-speed car accident. Vehicle extrication had to be performed on the scene (duration 35 minutes). No information about seat belt use was available. Her medical history included arterial hypertension and depression. Her drug reg...
pmc-6649227-1
The authors present the case of a 59-year-old female patient. She came to the Emergency Department in April 2017 with back pain, lower limb pain, dysesthesia and diminished strength on the lower limbs, which impaired orthostatism and gait. These complaints had been evolving for 5 days. The clinical examination confirme...
pmc-6649775-1
A 60-year-old man presented to the emergency room with jaundice and elevated hepatocellular and cholestatic liver enzymes in accordance with hypereosinophilia. The patient denied fever, abdominal pain, nausea, or vomiting. He described a pale stool and dark urine. He also denied consuming any drugs, herbal medicine pro...
pmc-6649847-1
A 49-year-old male heavy smoker known to have diabetes type 2 since a few years ago, erectile dysfunction s/p complicated penile prosthesis surgery presented with penile skin shaft sub-amputation, history goes back to a few years ago when the patient reported erectile dysfunction for 3 years when he tried medical treat...
pmc-6649871-1
Sociodemographics and medical history The patient was a 75-year-old Caucasian female, a retired seamstress and a widow with a previous history of smoking who lived alone and enjoyed gardening as a hobby. She had multiple chronic diseases including diabetes mellitus (DM), hypertension, chronic kidney disease (Stage III)...
pmc-6649873-1
The patient is a very active 80-year-old female who had a CoflexR (Paradigm Spine, New York, NY) interlaminar implant for neurogenic claudication one year previously. She had returned to full activities including driving and exercise classes. Three weeks prior to the evaluation, the patient tripped while walking outsid...
pmc-6649874-1
A 44-year-old female with a past medical history of stage IV breast cancer with metastasis to the bones, lungs, and ovaries. Her breast cancer was diagnosed three years before presentation. She was diagnosed with right invasive lobular carcinoma (ER-positive, PR-positive, and HER-2 negative), she had a right mastectomy...
pmc-6649875-1
A 20-year-old male presented with a rash for 15 days followed by hemoptysis, bleeding per rectum, and conjunctival hemorrhages for seven days, and jaundice for four days, after he took a medication (sulfamethoxazole-trimethoprim salt) for fever from his primary care physician. The rash erupted on his trunk about half a...
pmc-6649878-1
A 40-year-old Nepalese gentleman presented to the emergency department with complaints of fever, night sweats and abdominal pain for the past two weeks with associated anorexia and significant weight loss (lost 7 kg in one month). The patient denied any change in urinary or bowel habits, cough, sputum production, rash ...
pmc-6649879-1
History The child, in this case, was born to a 33-year-old G2P1A1 (Gravida 2, Para 1, Abortus 1) mother. Her serology was protective and blood group was O negative. Her past medical history was significant for congenital heart disease, gestational hypertension, and infertility requiring in vitro fertilization for both ...
pmc-6649882-1
A 74-year-old Caucasian female was diagnosed with primary cutaneous melanoma of the right plantar toe in 2014. She underwent surgery followed by an anti-PD-1 agent (Pembrolizumab) immunotherapy resulting in complete resolution. No evidence of metastatic disease at other locations was noted. Three years later, in Februa...
pmc-6649886-1
A 66-year-old male with history significant for coronary artery disease, presented with an erythematous rash on his back, myalgia, fever, and confusion. On presentation, his temperature was 38.5°C, but the rest of vitals signs were normal. Labs were notable for creatinine of 1.4 mg/dL, alanine aminotransferase of 153 I...
pmc-6649890-1
An 85-year-old male presented to the emergency department of our hospital with progressive dyspnea for one week along with dry cough and progressive bilateral leg swelling. He was noted to be confused at the time of the presentation, unable to answer to place and time. The patient had a known history of ischemic cardio...
pmc-6649892-1
A 61-year-old Caucasian male with a past medical history significant for attention-deficit/hyperactivity disorder, anxiety, pulmonary embolism, hypertension, protein C deficiency, Hashimoto’s thyroiditis and prior syncopal episodes presented to the emergency department (ED) with a chief complaint of multiple falls. He ...
pmc-6649892-2
A 63-year-old Caucasian male with past medical history significant for refractory myasthenia gravis (MG), epilepsy and essential tremor, presented with chief complaints of various neurological issues. For the past 14 years, the patient had complaints of weakness, difficulty breathing, eye weakness, foot drop, weight lo...
pmc-6649893-1
A 56-year-old Caucasian man presented to the hospital with a three-day history of a red, painful rash to the first and second digits on the right foot, suggestive of ischemia. The patient stated that three days prior to the development of the rash, he was experiencing numbness and tingling at the site of the eventual l...
pmc-6649918-1
A 63-year-old Hispanic female, with a past medical history of chronic obstructive pulmonary disease (COPD) and a 60 pack-year smoking history, presented to the emergency department (ED) complaining of new-onset generalized weakness for the past three days with associated frontal headaches. The remaining review of syste...
pmc-6649919-1
A 27-year-old previously healthy male presented to the ED with a new onset of difficulty speaking and facial droop. The patient was last seen normal eight hours prior to the presentation when he went to sleep. On waking up, his brother noticed a slurred speech along with a right facial droop and called the emergency me...
pmc-6649926-1
A 53-year-old gentleman presented in early 2015 with sudden onset of left-sided hearing loss. MRI brain revealed a 1.5-cm cerebellar lesion (Figure ). He underwent a suboccipital craniotomy and gross total resection. Histopathology was consistent with pilocytic astrocytoma, grade I/IV (Figure -). Chromosomal microarray...
pmc-6650171-1
A 67-year-old Caucasian female with a past history of breast cancer status post lumpectomy, radiation, and hormonal therapy, presented with jaundice and an exophytic mass at the base of the tongue. Laboratory data revealed alkaline phosphatase 953 U/L, total bilirubin 7.7 mg/dL, direct bilirubin 6.4 mg/dL, gamma-glutam...
pmc-6650172-1
A 35-year-old Pakistani woman presented to our outpatient clinic with painful swollen ankle joints which had started three days ago. This was preceded by a painful, erythematous rash consisting of five nodules located on the anterior aspect of her right tibia, and four nodules on her left tibia, two months prior to the...
pmc-6650173-1
A 62-year-old female presented with a three-month history of bilateral flank pain associated with unintentional weight loss of 25 pounds. Physical examination revealed flank tenderness bilaterally without guarding or rigidity and temporal muscle wasting. Computed tomography (CT) scan of the abdomen showed a 3-centimete...
pmc-6650174-1
Herein we present a case of 62-year-old male who presented to our institution with a painful lump in his left breast with chronic sinus formation and pus discharge. According to the patient, the lump had been noticed for one month. The patient had loss of appetite and weight loss. The patient had a history of a common ...
pmc-6650176-1
Case 1: OHSS due to a partial molar pregnancy A 19-year-old gravida 2 para 1 female, approximately 10 weeks pregnant dated by her last menstrual period, with a history of one prior spontaneous abortion, presented to the emergency department with sharp lower abdominal pain, nausea, emesis, and a racing heart. She had be...
pmc-6650176-2
Case 2: OHSS due to fertility treatment A 30-year-old gravida 1 para 1 female with a two-year history of unexplained infertility was undergoing IVF treatment. She had a baseline ultrasound performed 12 days before fertility drugs were initiated, and this ultrasound demonstrated a normal uterus and normal-sized ovaries....
pmc-6650181-1
A 54-year-old man presented for evaluation of a new dark lesion on his nose. The asymptomatic lesion had been present for more than a year and had progressively increased in size. Clinical examination of his face showed a 5 x 5-mm black patch on the nasal tip (Figure ). Complete evaluation of his entire body did not sh...
pmc-6650182-1
An 89-year-old male with a past medical history significant for atrial fibrillation and chronic obstructive pulmonary disease presented to the emergency department with difficulty swallowing. He had been having increasing dysphagia for solids over the past year and was now unable to swallow liquids. He admitted to an u...
pmc-6650183-1
In our first case, a 67-year-old female patient presented with aseptic loosening findings on both knees. The patient was operated on the right knee five years ago and on the left knee four years ago. The operation lasted about 160 minutes. One unit of erythrocyte suspension (ES) replacement was given in response to ble...
pmc-6650183-2
In our second case, a 65-year-old female patient was admitted to our service due to bilateral aseptic loosening. The patient was operated by simultaneous bilateral total knee arthroplasty six years ago. Regional anesthesia could not be performed due to implants placed in the spondylolisthesis operation 10 years ago. Su...
pmc-6650183-3
Our third case was a 59-year-old female patient who was operated on the right knee six and on the left knee four years ago. The patient had a history of needing intensive care unit support due to pneumonia after primary knee arthroplasty surgeries. It was taken into consideration that each operation poses a separate ri...
pmc-6650183-4
Our fourth case, a 68-year-old female patient was operated by simultaneous bilateral primer total knee arthroplasty 12 years ago. The patient had a two-stage revision knee arthroplasty due to septic relaxation in her right knee six years ago. The patient was admitted to our service due to bilateral aseptic loosening. T...
pmc-6650184-1
A 19-year-old man presented to the Emergency Department with a one-day history of rapidly enlarging, painless swelling to the left side of his neck. On presentation, this was his only symptom; however, he subsequently developed odynophagia during his hospital admission. He had no history of trauma, respiratory tract, o...
pmc-6650185-1
A 66-year-old man was admitted to the head and neck department of our hospital because of recurrent penetrating temporo-occipital headaches mostly located on the left side of the head. Headaches started five years ago which were relieved with paracetamol and/or nonsteroid anti-inflammatory medication per os. The patien...
pmc-6650187-1
A 65-year-old Caucasian lady with a past medical history of essential hypertension and poorly controlled type 2 diabetes mellitus was seen in the emergency room (ER) with acute onset retrosternal chest and left upper abdominal pain that woke her up from sleep. She described the abdominal pain as sharp, non-radiating, a...
pmc-6650190-1
A 64-year-old female patient from the Marshall Islands presented for a routine average-risk screening colonoscopy for colorectal cancer. She had no presenting symptoms or complaints and had no family history for gastrointestinal malignancy. Vital signs and labs were within normal limits. Colonoscopy demonstrated adequa...
pmc-6650191-1
A 28-year-old man presented to the emergency department after a motor vehicle accident. He was the restrained driver of an automobile traveling at 50 miles per hour when he was struck by another vehicle, rolled over, and was ejected from his car. He was assisted to the standing position by emergency services but was un...
pmc-6650512-1
A 40-year-old woman was referred to our hospital because of a cystic tumor in the tail of the pancreas found by medical examination. She had no symptoms. Laboratory tests were all within normal limits: carcinoembryonic antigen (CEA) 0.4 ng/mL, carbohydrate antigen (CA)19-9 11 U/mL, duke pancreatic monoclonal antigen ty...
pmc-6650512-2
A cystic tumor was found by medical examination in the pancreas of a woman in her sixties who presented without any symptoms. Laboratory tests were all within normal limits: CEA 1.3 ng/mL, CA19-9 9 U/mL, and DUPAN-II < 25 U/mL. CT showed a 1.5-cm cystic tumor in the tail and body of the pancreas and a septum in the cys...