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pmc-6037825-1
A 70-year-old female patient was admitted with complaints of lower abdominal pain of 5 months duration. Pain was initially intermittent but steadily worsened to require management with narcotics. The patient reported constipation but denied rectal bleeding. At the time of presentation, she had urinary retention that le...
pmc-6038051-1
A 79-year-old woman with a medical history of type 2 diabetes mellitus, hyperlipidemia, and osteoporosis was referred to us with fever and leg edema. Her daily medications included glimepiride (1 mg), metformin (250 mg), olmesartan (10 mg), alfacalcidol (0.5 µg), and pitavastatin (2 mg). She had no medical history of s...
pmc-6038191-1
A 37-year-old male patient suffered from a sudden swelling in the submandibular region of the right side of the neck. The swelling started initially small and had gradually increased in size to reach 3–4 cm in 1 week, accompanied by pain and local fever. The patient’s history was unremarkable. On extraoral examination,...
pmc-6038235-1
A 66-year-old Asian woman presented to our hospital with a 2-week history of continuous high quotidian fever, pain to her right elbow and bilateral lower limbs, and erythematous rash. She was admitted for examination and treatment. Her temperature on admission was 39 °C, and it ranged from 39 to 40 °C daily. Her past m...
pmc-6038236-1
The patient was a 49-year-old woman who was diagnosed with hepatitis C virus (HCV) serotype 2 infection at the age of 29 years during pregnancy with her first child. She received interferon therapy, which afforded sustained virologic response. At the age of 41 years, she was diagnosed with macroglobulinemia based on a ...
pmc-6038319-1
RM is a 47-year-old woman who initially presented when she was 40 years old with 3 months of right knee pain in December 2010. At that time, a radiograph of the knee showed two lesions: a 3-cm circumscribed lytic lesion of the posterolateral distal femur thought possibly to be a nonossifying fibroma, as well as a 2-cm ...
pmc-6038337-1
A 56-year-old woman was referred to our hospital for surgical treatment of a T3N0M0 primary adenosquamous carcinoma measuring 35 × 28 mm in the anterior segment (segment 3) of the left upper lobe without mediastinal lymph node swelling in preoperative computed tomography. The ppo VC and ppo FEV1 were 2.68 L and 2.22 L,...
pmc-6038339-1
A 70-year-old male presented with dizziness for 2 days. He had a history of oral cavity cancer a year ago. Three cycles of induction chemotherapy with a combination of docetaxel 70 mg/m2/day, cisplatin 75 mg/m2/day, and 5-fluorouracil 1000 mg/m2/day (DCF) for 4 days at each cycle for 8 weeks and concurrent chemoradiati...
pmc-6038455-1
A 41-year-old Japanese female with no major history of past illness including surgery was diagnosed with uterine leiomyoma and underwent laparoscopic myomectomy. The operation itself was completed with no major trouble. However, the routine postsurgical abdominal X-ray test showed a cord-like material in the lower righ...
pmc-6038475-1
A 39-year-old female patient underwent surgery under local anesthesia following the diagnosis of concomitant exotropia. In the month following the surgery, the patient complained of a foreign body sensation. A conjunctival cyst was visualized at the middle nasal side of the right eye, with severe conjunctival congestio...
pmc-6038475-2
A 10-year-old male patient underwent strabismus surgery twice (in 2009 and 2015) under general anesthesia following the diagnosis of concomitant exotropia. At 2 weeks postoperatively in 2015, the patient complained of redness affecting the left eye (the second operated eye) and a conjunctival cyst was found at the nasa...
pmc-6038475-3
A 4-year-old male patient underwent surgery under general anesthesia following the diagnosis of concomitant exotropia. There weeks postoperatively, his mother found a hyaline cyst of the conjunctiva at the inferior temporal right eye next to the fornix, without evidence of congestion. The patient showed no obvious disc...
pmc-6038475-4
A 14-year-old male patient underwent surgery under local anesthesia following the diagnosis of concomitant exotropia. Two weeks later, a conjunctival cyst was found at the left temporal side, with evidence of conjunctival congestion. Tobramycin and dexamethasone eye drops and ointment (Tobradex, SA Alcon-Couvreur NV, B...
pmc-6038475-5
A 15-year-old female patient underwent surgery under local anesthesia following the diagnosis of concomitant exotropia. Six months postoperatively, the patient complained of foreign body sensation, and a conjunctival cyst, 5 × 5 mm, was found at the right middle temporal side (). The cyst was surgically excised 2 years...
pmc-6038475-6
A 3-year, 8-month-old female patient underwent disinsertion of right inferior oblique and general anesthesia and following the diagnosis of “right superior oblique muscle paralysis.” During the first postoperative month, the patient's mother found her eye showed a restricted up-gaze and limited inferior turn (), and sw...
pmc-6038475-7
A 4-year-old female patient underwent surgery under general anesthesia following the diagnosis of concomitant exotropia. Ten days following the strabismus surgery, the patient showed subconjunctival cyst in the left eye, without evident symptoms (). Surgical exploration discovered thin purulent fluid in the subconjunct...
pmc-6038490-1
A 30-year-old female was referred to the urology clinic for severe lower urinary tract symptoms (LUTS) in addition to suspicion of a urethral mass. Her symptoms started two years earlier after the indwelling urethral catheter was removed following her Caesarian section. She noticed that a vestibular mass protruded at t...
pmc-6038581-1
A term female was born at 39 weeks of gestation to a 32-year-old G2P1 by spontaneous vaginal delivery. Apgar scores were 9 and 9 at 1 and 5 minutes, respectively. The pregnancy was uncomplicated. Physical examination revealed a weight of 3650 gm (70th centile), length of 51 cm (60th centile), and head circumference of ...
pmc-6038588-1
A previously well 87-year-old Caucasian woman living in a senior assisted care center presented to the neurology clinic with complaints of six months of slowly progressing left sided weakness. Initial difficulty in ambulating and using the stairs progressed to being wheelchair bound. Neurologic exam revealed diffuse 3/...
pmc-6038594-1
A 77-year-old woman presented to the Emergency Room with a three-day history of oral lesions and jaw tightness. She had presented to a different hospital four days prior due to nausea, vomiting, and dysphagia which were deemed secondary to gastroparesis. She received symptomatic treatment and, once stabilized, was disc...
pmc-6038650-1
A 61-year-old male patient presented to the emergency room (ER) on account of a 3-month history of hemoptysis as well as a 2-week history of right upper extremity weakness and numbness. Hemoptysis was associated with pleuritic right-sided chest pain as well as orthopnea and had been previously treated with two courses ...
pmc-6038654-1
Our patient is a 58-year-old Caucasian male referred initially to the pulmonary clinic for an abnormal high resolution computed tomography (HRCT) of the chest () showing ground glass opacities (GGOs), thickening of the interlobular septa primarily in the bases with minimal honeycombing, mediastinal adenopathies, and sm...
pmc-6038655-1
A 49-year-old male was referred for treatment acromegaly and hypogonadism secondary to a suspected GH and prolactin cosecreting pituitary adenoma. He endorsed symptoms of 4-year duration including fatigue, decreased libido, increased snoring, prognathism, increased ring, and shoe size and arthralgias. Physical exam dem...
pmc-6038659-1
A 53-year-old man was locally hospitalized for persistent aching pain in the abdomen and lower extremities for nearly 20 days. He was sent to our clinic because of acute and severe hair loss which occurred for 10 days. According to his self-reported history, he was healthy in the past and did not take any medications. ...
pmc-6038669-1
We report on a 55-year-old man who was diagnosed with CPPS by urology specialists from the university hospital and referred to us for pain treatment with local anesthetics (neural therapy). At his first consultation with us, the patient reported pain and other ailments that began 35 years prior, after a party in a damp...
pmc-6038973-1
A 44-year-old male patient referred to our center for the parathyroid scan. The patient had a history of renal insufficiency since 1999. Despite renal transplantation, he re-experienced renal failure after 5 years. In addition to SHPT and CKD, the patient suffered from severe maxillary and mandibular deformities, denta...
pmc-6038974-1
A 37-year-old man who had a recent history of inguinal hernioraphy and surgery for varicocele referred for follow up. He had no history of previous major medical illness and had an uneventful previous surgery. A high resolution diagnostic Computed Tomography (HRCT) showed a large isodense mass in the left upper abdomen...
pmc-6038976-1
A 63-year-old female was admitted at our institution due to generalized body weakness and anorexia. She is a known hypertensive with chronic kidney disease. Upon further work-up, she was assessed to have severe hyponatremia (116 mmol/L), hypokalemia (2.8 mmol/L) and hypomagnesemia (1.2 mg/dL). Ionized calcium was 1.82 ...
pmc-6039156-1
A 36-year-old Caucasian female, 16 weeks into her pregnancy, presented with intractable nausea, non-bloody emesis, and poor oral intake for the prior two months. She initially presented to an outside facility for an evaluation of loss of consciousness (LOC) and mild abdominal pain. The LOC was found to be secondary to ...
pmc-6039213-1
The patient is a 36-year-old African American male who initially presented to the emergency department with a chief complaint of feeling confused for the past day. He also complained of depression, anxiety, and paranoia. The patient declined psychiatric evaluation and medical admission at that time and was discharged h...
pmc-6039215-1
An 81-years-old female presented in the emergency room of our hospital with clinical and electrocardiography signs of non-STEMI. A coronary angiogram was planned. Allen's test was performed and the TR approach was chosen. The radial artery was successfully accessed with a 6F radial sheath. A 5F Tiger catheter (Terumo C...
pmc-6039216-1
During a routine dissection in our Department of Anatomy and Surgical Anatomy, we encountered the presence of the AV on the left side of the vertebral column (Figure and Figure ]. The dissection was conducted on an 80-year-old formalin-fixed female cadaver, used for educational and research purposes, whose death was un...
pmc-6039219-1
A 51-year-old male was diagnosed with muscle-invasive urothelial cell carcinoma in May 2015. Standard neoadjuvant chemotherapy was given followed by radical cystoprostatectomy. Final pathology showed pT3 N0 M0, stage III disease. He remained disease free until April 2016, at which point he developed new exertional dysp...
pmc-6039220-1
The patient is a 60-year-old male who initially presented to the emergency room in 2016 with a long history of perceptual disturbances, mood symptoms, and religious preoccupation. He was brought to the emergency department due to extreme agitation aggravated by internal stimuli of women professing their love to him. Th...
pmc-6039222-1
A 76-year-old Caucasian female presented to the emergency department (ED) with an acute exacerbation of left-sided shoulder pain. Her history was significant for chronic degenerative joint disease of shoulder and hip joints. She denied prior autoimmune disorders including rheumatologic or inflammatory myopathies. Physi...
pmc-6039223-1
A 35-year-old male with a past medical record of interventricular communication presented with progressive dyspnea for one month. He was admitted to the emergency department with vomiting and fever for the past five days. At physical examination, the patient exhibited tachycardia (122 bpm), blood pressure of 110/70 mmH...
pmc-6039542-1
A 32-year-old female patient initially presented at the age of 16 with high fever and severe abdominal pain associated with anorexia, but not diarrhea and vomiting. Over the period of the next 4 years, she had multiple hospital admission with similar presentation, which was always accompanied with raised C-reactive pro...
pmc-6039581-1
On May 3, 2018, a 13-year-old boy presented to the general surgery outpatient department of our hospital with a history of intermittent right abdominal pain for one week. He had no history of fever or emesis. Physical examination revealed no abdominal distension or tenderness, and muscle tension was not palpated. Abdom...
pmc-6039600-1
A 41-year-old man was accidently detected with a mass without tenderness on the right lobe of the thyroid. B-ultrasound showed that the morphology and echo of thyroid were abnormal though without nodules. Magnetic resonance imaging (MRI) showed significantly enlarged right lobe of the thyroid with a clear boundary and ...
pmc-6039602-1
A 50-year-old woman was admitted to our hospital on October 2016 complaining of sicca syndrome, slight pain, and bilateral enlargement of parotid glands for 18 months; afterwards, a progressive bilateral periorbital swelling began. Patient did not report fever, cough, or any respiratory symptom. In 2015, Sjogren syndro...
pmc-6039603-1
A 69-year-old male farmer presented to our hospital for evaluation of mild left lower abdominal pain. The onset of symptoms occurred ten months prior to his admission to our hospital. The patient was previously admitted to another provincial hospital and misdiagnosed with abdominal aortic dissection. His symptoms were ...
pmc-6039606-1
A 34-year-old man was referred with abdominal pain, abdominal distension, and loss of appetite for 6 months. At his first visit to the Department of Gastroenterology, he was evaluated by diagnostic electronic gastroscopy, which detected a mass in his throat. He had no history of dyspnea, dysphagia, odynophagia, foreign...
pmc-6039608-1
A 40-year-old female, with 3-month history of nasal obstruction and tinnitus was admitted in August 2012. Nasopharyngeal endoscopy and biopsy already had been performed in another hospital, showing nonkeratinizing undifferentiated NPC. This histopathologic diagnosis was confirmed in our center. Magnetic resonance imagi...
pmc-6039615-1
The donor, a 39-year-old male with a history of schizophrenia, fell from a fifth floor window and was taken to Tri-Service General Hospital, Taipei, Taiwan. Computed tomography scan revealed multiple rib fractures, pelvic fracture with active bleeding, and dissection of the descending aorta with intramural hematoma. Co...
pmc-6039618-1
A 55-year-old male farmer presented to the Outpatient Department with persistent left epigastric dull pain accompanied by chills and febrile (Tmax 39 °C). He did not report a clear cause of the abdominal pain. An abdominal exam revealed no distended abdomen, normoactive bowel sounds, no rebound tenderness, no tendernes...
pmc-6039626-1
On March 16, 2016, a 28-year-old woman (gravida 3, para 1) was admitted to our hospital because of amenorrhea for 48 days and vaginal bleeding for 3 days. She had a cesarean section 1 year ago. On admission, she complained of irregular vaginal bleeding and mild abdominal pain. A pelvic examination showed a closed exter...
pmc-6039648-1
In October 2010, a 70-year-old Japanese woman was diagnosed with ILD and CADM based on the findings of rash on the fingers of both hands, interstitial pneumonia, and a high titer of anti-MDA5 Ab (148 index). We administered 1000 mg of methyl-prednisolone (mPSL) pulse therapy and intravenous cyclophosphamide therapy (IV...
pmc-6039649-1
This is a 22-year-old female patient diagnosed with lower extremity CRPS type-I in the left ankle and foot based on the International Association of the Study of Pain (IASP) Budapest Criteria.[ The patient did not have any history of psychological disorder, seizure disorder or neurological abnormality. Physical examina...
pmc-6039649-2
This is a 40-year-old female patient diagnosed with lower extremity CRPS type-I in the right ankle and foot, based on the IASP Budapest Criteria.[ The patient did not have any history of psychological disorder, seizure disorder or neurological abnormality. Physical examination in the first presentation showed the prese...
pmc-6039681-1
A 9-month-old boy presented to Department of Otolaryngology for an hour of crying associated with having congee. He was suspected of foreign body aspiration. However, there were no suggestive symptoms, such as dyspnea, stridor, croupy cough, hoarseness, or vomiting. In physical examination, no foreign body was found in...
pmc-6039684-1
An 11-year-old Taiwanese girl was admitted to our hospital with fever, dyspnea, and impending respiratory failure in May 2013. Physical examination revealed an enlarged nodular lesion over the right shoulder and several smaller nodular lesions on the abdomen. A complete blood count showed leukocytosis at 19.4 × 109 cel...
pmc-6040003-1
We report the case of a 28-year-old female patient who presented with a 4-year history of almost daily episodes of urticarial skin lesions. She reported to not yet be suffering from angioedemas. The patient suspected that the skin reactions were triggered by exposure to the sun. Furthermore, the intake of cetirizine ta...
pmc-6040024-1
A 43-year old woman was referred to our outpatient clinic due to gastrointestinal symptoms (i.e. abdominal pain and bloating, diarrhea, gastro-esophageal reflux) and extra-intestinal manifestations (weakness, headache, foggy mind and limb numbness, skin rash, fibromyalgia-like symptoms and anemia) triggered by gluten a...
pmc-6040032-1
A 41-year-old lady presented with several years history of abdominal pain and reflux. Her past medical history includes anti-TPO positive hypothyroidism treated with thyroxine, heavy menstrual bleeding and she had a BMI of 27kg/m2. In January 2013, two years prior to her clinic encounter, she developed sudden-onset abd...
pmc-6040056-1
A 44-year-old Guatemalan woman presented to our outpatient clinic with a chief complaint of left knee pain for the last 6 months. One month prior our patient had consulted with an outside physician, who prescribed her with 300 mg of carbamazepine, 5 mg of prednisone every 24 hours, and ibuprofen every 8 hours as needed...
pmc-6040079-1
A 10-year-old girl presented with reduced vision in the right eye. The vision had deteriorated from 20/17 1 year previously, to 20/60. She was otherwise well, with no history of trauma or inflammation of either eye and no other significant medical or drug history. Her grandfather, and grandfather’s brother had a histor...
pmc-6040207-1
We report a case of a 18-year-old female patient with previous history of recurrent myopericarditis in 2015 and 2016. In both episodes, troponin I was elevated (maximum value 3.1 ng/mL) and slowly declined. In the last episode she took ibuprofen 600 mg every 8h for 2 weeks and colchicine 0.5 mg twice a day for 6 months...
pmc-6040243-1
A 45-year-old female with a history of metastatic breast cancer presented with an erythematous rash in her bilateral lower extremities. She was diagnosed approximately four years previously with estrogen and progesterone receptor positive, HER-2-negative breast cancer with involvement of twelve axillary lymph nodes. At...
pmc-6040249-1
A 60-year-old Caucasian female with a history of ESRD secondary to hypertension and type 1 diabetes mellitus received a living related renal transplant from her HLA identical twin sister. At the time of transplant, monozygosity had yet to be determined. Therefore, she received a 3-day course of steroids, consisting of ...
pmc-6040249-2
A 71-year-old Caucasian female received a living related renal transplant from her identical twin sister. She developed ESRD due to chronic cystitis related to ureteral obstruction. Prior to transplantation, she made normal amounts of urine and had been on hemodialysis for 6 months. Her past surgical history included a...
pmc-6040262-1
A 29-year-old female with no medical history presented to the hospital for acute left-sided vision loss. Associated symptoms included photophobia, floaters, and bifrontal headache. On examination, she had left homonymous hemianopia, but no other neurologic deficits. Computed tomography revealed acute ischemia involving...
pmc-6040269-1
A 6-hour-old female neonate born from a 22-year-old Para 1 mother after term pregnancy. The newborn had protrusion of mass per vagina since birth; she also has a defect at the lower back with no discharge since the time of birth. Additionally the mother has noticed deformity on both legs and feet which barely move. The...
pmc-6040285-1
A 56 year-old female was transported to the emergency department by EMS after physically threatening her husband with a knife. According to the patient, she experienced altered sensorium for one week prior to presentation, primarily resulting in suicidal and homicidal command hallucinations instructing her to overdose ...
pmc-6040287-1
A 20-year-old female fell and was kicked several times by the horse on the thoracoabdominal area. The patient was transferred to the emergency room (ER). Vital signs included blood pressure: 122/82 mmHg; heart rate: 72 beats per minute (bpm); body temperature: 36.3°C; respiratory rate: 18/min; and SpO2: 100% (ambient a...
pmc-6040287-2
A 60-year-old female fell and was trampled on the left side of the chest by the horse. The patient was transferred to the ER. Vital signs included blood pressure: 156/116 mmHg; heart rate: 113 bpm; body temperature: 36.5°C; respiratory rate: 30/min; and SpO2: 96% (ambient air). An abrasion on the left chest without fla...
pmc-6040287-3
A 30-year-old female fell and was injured in the lumbar area. The patient was transferred to the ER. Vital signs included blood pressure: 159/91 mmHg; heart rate: 77 bpm; body temperature: 36.5°C; respiratory rate: 12/min; and SpO2: 100% (ambient air). The patient complained of lumbago. Roentgenography and CT showed a ...
pmc-6040287-4
A 50-year-old male fell and was bitten on the crotch by the horse. The patient was transferred to the ER. Vital signs included blood pressure: 161/118 mmHg; heart rate: 71 bpm; and body temperature: 36.3°C. There was a 5-cm laceration on the right scrotum (AIS: 1; RTS: 7.8408; Ps: 0.99700). The tunica vaginalis of the ...
pmc-6040289-1
A 34-year-old female who has no previous clinical illness presented in 2000 with a large irregular mass, estimated clinically to be around 5 × 6 cm by physical examination, involving the right breast while she was lactating. There were no other signs or symptoms. FNA was done to rule out breast cancer, and the specimen...
pmc-6040295-1
A 29-year-old female was referred by the neurosurgical team as she complained of hearing music for one-week duration. She was admitted with the complaints of severe headache of sudden onset and was found to have intraventricular and intracranial haemorrhages. Following the surgical evacuation of the haemorrhages she ma...
pmc-6040295-2
An 86-year-old lady complained of being persecuted by her neighbours for 3-month duration. She reported that 2 males are living inside her body controlling her activities. She heard persistent voices chanting “pirith” (a form of religious sermon) for a duration of 2 years. The sounds were slow and rhythmic in nature. S...
pmc-6040299-1
A 60-year-old woman came to the endocrinology clinic with a complaint of rapidly progressive signs and symptoms of hyperandrogenism over 6 months. She mentioned hirsutism noticed especially in the face and chin, hair loss that took a male-pattern baldness in all over the head, deepening voice, and increased libido. She...
pmc-6040299-2
A 39-year-old woman came to endocrinology clinic with a complaint of hirsutism started 4 years ago, alongside with oligomenorrhea followed by amenorrhea two years ago. There was no temporal baldness or deepening voice. The patient was treated for a period of 3 months with combined oral contraceptive pills COCP and cypr...
pmc-6040606-1
A 55-year-old woman without relevant medical history was referred to our burn center with 35% total body surface area full thickness thermal burns (third degree) from flames on her lower limbs, hands and face (UBS 110, ABSI 9) (Fig. ). The burns on her right ankle and foot and left knee seemed to be deeper (fourth degr...
pmc-6041124-1
An 89-year-old man with dementia was hospitalized in our department with severe pneumonia. Chest computed tomography (CT) showed left lower lobe consolidation and a small high-density lesion suspected to be a foreign body in the left main bronchus. We performed bronchoscopy one week after initiation of antibiotic treat...
pmc-6041125-1
Our patient is a 65-year-old male who presented with a two-year history of productive cough and progressive dyspnoea. He had no prior medical history and was a smoker of 40 pack-years. On physical exam, he had mild fine bibasilar crackles on lung exam without wheezing. His laboratory values were all normal, with the ex...
pmc-6041220-1
A 9-year-old boy (height: 133 cm, weight: 25.8 kg) with severe abdominal pain was transferred to our hospital. Twenty-one hours before admission, he had been kicked in the region of his left lateral abdomen. On admission, the patient’s face was pale, and his Glasgow coma scale was recorded at 13/15 (E: 3, V: 4, M: 6). ...
pmc-6041221-1
A 27-year-old female from the Peruvian Highlands presented to the emergency department in Lima with intermittent diffuse abdominal pain and jaundice. There was no reported history of hepatitis or change in stool color. Physical examination revealed scleral icterus and mild tenderness at the right upper quadrant. Given ...
pmc-6041387-1
An 80-year-old man (Patient 1) received a diagnosis of clear cell carcinoma of the right kidney after partial nephrectomy. One year later, computed tomography showed a right lumbar mass, and surgical specimens revealed clear cell carcinoma. The patient subsequently underwent afatinib treatment. However, therapy was dis...
pmc-6041406-1
An 11-year-old male neutered domestic shorthair cat was presented for investigation of acute vestibular signs. The owner reported a left sided head tilt and loss of balance observed a few hours prior to presentation. Physical examination was unremarkable while a left-sided head tilt, broad-based pelvic limb stance, and...
pmc-6041406-2
A 4-year-old female spayed domestic short hair cat was referred with a 24 h history of acute vestibular signs. Physical examination was unremarkable. Neurological examination revealed head tremors, left-sided head tilt and generalized vestibular ataxia with a tendency to fall to the left. Mild postural reactions defici...
pmc-6041406-3
An 8-year-old male neutered Persian cat was presented for neurological evaluation of acute onset vestibular ataxia and abnormal mentation. Physical examination revealed a grade II/VI systolic heart murmur but was otherwise unremarkable. Neurological examination revealed generalized vestibular ataxia with marked loss of...
pmc-6041423-1
A 38-year-old woman suffering from back, right arm, and ankle joint pain for several months, had consulted several orthopedic, neurological and pain clinics. She was indicated to have anemia and advised to visit an internal medicine clinic. Before visiting another clinic, she visited the emergency department of our hos...
pmc-6041511-1
A 25 years old unmarried female developed a painless, firm, round, mobile swelling in right breast since one year which was growing in size progressively. It was incised by a quack under local anesthesia three month back, which started growing with a great speed since that period. It was hanging from the chest, painles...
pmc-6041545-1
A thirty-seven-year-old female patient presented with abdominal pain and fever. Two weeks ago, she underwent LSG in a state hospital. Physical examination revealed minimal sensitivity by palpation localized to the left upper quadrant. Her body temperature was 39°C. White blood cell count was 11,600mm3/dL, and the C-rea...
pmc-6041548-1
A 10-year-old boy presented to Pediatric Surgery Department, Mayo Hospital in October 2017 with history of accidental ingestion of metallic nail and epigastric pain for 20 days. Parents consulted a private hospital and was advised observation. The nail did not pass spontaneously and patient started having colicky upper...
pmc-6042222-1
Patient was a 40-year-old male who sustained bilateral grade 3b tibia fractures (mechanism of injury: bark stripping machine at a sawmill) (Fig. ). He had no other injuries and no co-morbidities. Following initial surgical management, a temporary fixator was applied along with appropriate debridement (Hoffmann Express ...
pmc-6042236-1
A 23 year-old patient with Chronic Granulomatous Disease (CGD) gave birth to a normal healthy male. During pregnancy IFNγ was discontinued and through control visits acute phase reactants were evaluated with no increase. Diagnosis of CGD was established at 8 years old due to recurrent pneumonia, empyema, oral ulcers, s...
pmc-6042236-2
A 23 year-old patient with CVID whose diagnosis was done 7 years before pregnancy when she was 16 years old with clinical history of lower and upper recurrent respiratory tract infections and autoimmune thrombocytopenia. Genome analysis showed heterozygous missense variant in exon 3 of CDX1 gene. Blood tests at 5 weeks...
pmc-6042236-3
A 29 year-old woman, a case of CVID who was unrecognized till age 22. She had autoimmune hepatitis (AST=) with false negative markers due to immunodeficiency. Biopsy from duodenum showed celiac-like disease. She was on immunosuppressant drugs before her definite diagnosis. Her genetic result revealed NF-κB2 frameshift ...
pmc-6042236-4
A 26 year-old woman is recently known for CVID. She was referred to our clinic for extensive bilateral bronchiectasis. Her laboratory results showed hypogammaglobulinemia (IgM = 0.0.14 g/L normal: 0.4–2.6, IgG = 4.1 g/L normal: 6.5–18, IgA = 0.05 g/L normal: 0.7–3.6). She is getting IVIg now but she became pregnant 2 y...
pmc-6042257-1
The manuscript was approved by the Ethics Committees of Guangdong Women and Children Hosptial and the participant provided written informed consent. The patient was a 23-year old pregnant woman under healthy condition, and vaginally delivered one healthy girl with term birth as the first pregnancy. Delivery was smooth,...
pmc-6042331-1
A five-year-old male patient with recurrent infections and persistent anemia was admitted at the National Cancer Institute, Rio de Janeiro, Brazil. Physical examination showed a small stature (<P2); hyperpigmentation around the eyes; enophthalmia; multiple cafe-au-lait spots; hypoplasia of the thenar eminence accompani...
pmc-6042377-1
A 45-year-old woman with metastatic squamous cell carcinoma of the cervix refractory to standard of care chemotherapy was referred to the National Institutes of Health (NIH) for enrollment in a Phase I clinical trial (NCT02484404) of combination therapy with daily cediranib, a VEGFR tyrosine kinase inhibitor, and once ...
pmc-6042392-1
In December 2010, a 54-year-old German man presented to our hospital with suspected cerebral toxoplasmosis. HIV infection had been diagnosed in 1995. He had received a triple-combination highly active antiretroviral therapy (HAART) of lopinavir, lamivudine, and tenofovir, which was stopped in 2009 due to intolerable si...
pmc-6042427-1
A 6-year-old neutered female Persian cat presented to the “Cztery Łapy i Ty” veterinary clinic, Poland due to strong psychomotor agitation turning into aggression. The owner described the animal as “absent-minded”, disoriented, not reacting when called and behaving “strangely”. The cat walked around aimlessly, tried ju...
pmc-6042469-1
A 55-year-old male patient, who was admitted to the local medical facility due to the sudden onset of severe headache and loss of consciousness, had a cerebellar hematoma on CT scan. He underwent an emergency placement of an external ventricular drain (EVD) on October 7, 2017. The patient was transferred to our hospita...
pmc-6043242-1
A 15-year-old male sustained a grade IV liver laceration ( ) during an all-terrain vehicle accident. He was hemodynamically stable and treated nonoperatively with intensive care unit (ICU) observation for 24 hours and bed rest for a total of 5 days. On hospital day 6, he developed abdominal distension and a high-grade ...
pmc-6043242-2
A 12-year-old female pedestrian suffered multisystem blunt trauma on the right side of her abdomen after being struck by a sports utility vehicle. The patient suffered a closed head injury, bilateral pulmonary contusions, and grade IV liver laceration. Because the patient was vitally stable, she was observed in the ICU...
pmc-6043242-3
A 10-year-old boy sustained a handlebar injury while riding a snowmobile. He suffered a grade IV liver laceration with a vascular injury to segment 4 that necessitated emergency angiogram and embolization. Postembolization he developed respiratory distress secondary to increasing abdominal distention. On postinjury day...
pmc-6043464-1
A 76-year-old man originally underwent medial sectionectomy for HCC in 2009. When repeated intrahepatic recurrence occurred, he underwent RFA and transcatheter arterial chemoembolization (TACE) for recurrent HCC twice at segment III and once at segment IV. A 1.5-cm-diameter tumor at segment III was ablated by RFA needl...