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pmc-6043705-1
A 61-year-old woman presented with a persistent headache for 6 days which started after she received an epidural steroid injection for chronic back pain. The patient had no history of any similar headaches in the past. The headache was described as severe and throbbing. The headache was worse with activity and upright ...
pmc-6043705-2
A 25-year-old woman underwent fluoroscopic-guided lumbar puncture for new-onset occipital headaches primarily on the right side occasionally radiating to the temporal region. The initial pressure was 10 mmHg by fluid-coupled measurements and 11 cm of H2O by fluid column method. A total of 18 cc of clear CSF was obtaine...
pmc-6043705-3
A 20-year-old woman had a progressively worsening headache since delivery and epidural anesthesia at lumbar 4 and 5 vertebral level 5 days ago. The headache was initially frontal but became diffuse and was associated with nausea and vomiting. The headache was described as 9/10 in severity and worse on standing position...
pmc-6043705-4
A 34-year-old woman with past medical history of complex regional pain syndrome developed a frontal headache which progressively worsened over a period of 7 days. She developed fever and nausea and underwent a lumbar puncture as part of the diagnostic evaluation. Multiple attempts were made to sitting position for perf...
pmc-6043705-5
A 28-year-old man underwent fluoroscopic-guided lumbar puncture as part of the evaluation of new-onset diffuse headaches for several weeks ago which developed after coitus. The initial pressure was 5 mmHg by fluid-coupled measurements and 11.5 cm of H2O by fluid column method. A total of 10 cc of clear CSF was removed....
pmc-6043705-6
A 34-year-old woman presented with severe episodic headaches that started after giving birth to a child 5 months ago which was rated 5/10 in severity. The headaches were associated with nausea, vomiting, and photophobia with no clear relationship to posture. The patient also reported visual scotomas in both the eyes. M...
pmc-6043957-1
A 15-year-old Japanese girl with a diagnosis of adolescent idiopathic scoliosis was admitted to our hospital to undergo posterior spinal fusion at T4–L3. She was a high school student and did not present any symptoms at admission. She did not take any medications prior to the surgery. Her past medical, social, environm...
pmc-6043999-1
A 12-year-old boy (height: 51 in.; weight; 44 lbs. 1.5 oz. [20.0 kg]; BMI: 11.93 kg/m2) with a history of Lesch-Nyhan syndrome presented to our office with a 1 ½ month history of dysuria, hematuria, and pain secondary to nephrolithiasis. He suffered from a non-verbal learning disorder associated with a developmental de...
pmc-6044070-1
A 45-year-old female presented with bilateral upper-quadrant abdominal pain. She is a non-smoker and had no known exposure to asbestos. Family history was significant for peritoneal mesothelioma in two family members—a sister who developed peritoneal mesothelioma at age 29, and a first degree male cousin who developed ...
pmc-6044379-1
A 58-year-old Caucasian woman with no personal history of thyroid disease presented herself to perform a thyroid ultrasound examination. Routine laboratory tests results were normal. BMI result was 33 kg/m2. A sister was previously diagnosed of papillary thyroid carcinoma. Bidimensional ultrasonography (DUS 2) using hi...
pmc-6044477-1
An 80-year-old male patient was admitted to the emergency ward with the complaints of abdominal distention, vomiting, and constipation for three days. On examination, the patient was dehydrated with stable vital signs. The abdomen was distended with generalised guarding and rigidity. The bowel sounds were not heard. On...
pmc-6044478-1
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...
pmc-6044483-1
The patient was a 41-year-old gentleman with a past medical history of hepatitis C, hemiplegic migraine, and diverticulitis. He was well until 2011 when he first developed a severe headache followed by right-hand weakness and numbness. He was taken to the hospital where a diagnosis of hemipalegic migraine was made. Mag...
pmc-6044484-1
A 44-year-old male with past medical history of hypertension, was in his usual state of health until the morning of admission, when he was awakened by a substernal pressure-like chest pain associated with shortness of breath. He had no prior history of tobacco use, alcohol use, illicit drug use or family history of pre...
pmc-6044485-1
A 44-year-old previously healthy Asian female reported to the neurology clinic with complaints of episodic, persistent, uncomfortable needle-like sensations in her genitalia extending to the anal area and the tip of the coccyx. She had been suffering from these symptoms for approximately 11 years. She had difficulty de...
pmc-6044487-1
A 48-year-old male presented with left foot pain which started “a couple of years ago” with no injury. The patient first noticed a “knot” on his foot between the second and third toes approximately one year ago. The patient was referred to the orthopaedics foot and ankle clinic for further evaluation. The patient repor...
pmc-6044488-1
We present a 43-year-old man with a past medical history only significant for a prior splenectomy who was admitted to the hospital due to right upper quadrant pain for two days. This was described as a dull “liver pain” in the right upper quadrant area. On physical exam, there was evidence of a midline scar, the abdome...
pmc-6044489-1
A 41-year-old female with no past medical history presented with acute onset of abdominal pain that was associated with weight loss and painless jaundice. She was stabilized in the emergency room and was admitted for further workup. The physical examination was unremarkable except scleral icterus. The lab workup showed...
pmc-6044491-1
A 55-year-old male patient reported with mild swelling and pain in the left zygomatic region. The history of present illness revealed that the patient had noticed the swelling in the last few weeks and it also had an associated intraoral ulcer. The patient was a known diabetic who was under medication. He had a habit o...
pmc-6044492-1
A 28-year-old Caucasian male with no known past medical history presented to the emergency department with a headache for six weeks. The pain was throbbing, changed locations, and was associated with mild nausea and intermittent generalized weakness, photophobia, and blurred vision. Vital signs and the physical examina...
pmc-6044494-1
A 62-year-old female presented to the emergency department with chest pain and shortness of breath. Her past medical history was significant for hyperlipidemia, hypertension, and type 2 diabetes mellitus. A family history of coronary artery disease was present. She had recent stressors at home. Her vitals were as follo...
pmc-6044604-1
A 64-year-old male, with a past medical history of gastroesophageal reflux disease, alcohol abuse, and hypothyroidism non-compliant with medications, presented after a syncopal episode and several days of hematemesis, melena, and abdominal distension. The patient began to develop multiple daily episodes of vomiting of ...
pmc-6044856-1
In this article, we report the case of a 9-year-old female patient with no previous medical history and no significant family history of osteosarcoma or any other bone tumor, who presented in our clinic on January 2016 with a 1 year history of pain in her low back and left lower limb. She was diagnosed with osteosarcom...
pmc-6044857-1
An 80-year-old lady suffered a comminuted intratrochanteric fracture following a mechanical fall, with an AO classification of 3.1A2.3. After we excluded all contraindications, drew up a series of preoperation plans, consist of measure medullary cavity diameter, anterior femoral arch angle and the optimal entry point a...
pmc-6045564-1
A 47-year-old woman was referred with a 6-month history of a right anterior chest mass. A physical examination showed a palpable firm mass with tenderness in the right anterior chest. Her routine laboratory investigations were within the biological reference range. Enhanced chest computed tomography (CT) showed a dumbb...
pmc-6045687-1
A 21 year old female presented to gynecology out patient department with complaints of inability to concieve for the last 5 years. Her menstrual history was within normal limits except for the last 5 months whe she developed irregular menstrual bleeding and dysmennorhea. There was no history of any chronic illness like...
pmc-6045817-1
A 10-year-old girl was referred to the Children’s Hospital of Fudan University because of polydipsia and polyuria. She was born to non-consanguineous healthy parents of Chinese Han ethnicity and good socioeconomic status. She was the only child of the family, and there was no family history of FS. Newborn hearing scree...
pmc-6045832-1
An 11-year-old female with no previous medical history presented with floater symptoms in her right eye. She had no medical or ophthalmological history that may contribute to the condition, such as hypertension and thrombocytopenia, which can cause bleeding. The patient had no trauma or medication history. Her BCVA (be...
pmc-6045832-2
A 16-year-old male presented with symptoms of blurry vision and black filamentous floaters for 1 day. He had no previous medical history, and no trauma or medication history. His BCVA was 20/20 in both eyes, with intraocular pressure of 15 mmHg in his right eye and 19 mmHg in his left eye. The patient had − 7.0 diopter...
pmc-6045852-1
In Mar 2013, a 33-year-old female came to the nephrology department because of 4 years of recurrent acute pyelonephritis. She had no other notable past medical history including polyuria, polydipsia, muscular cramps, carpopedal spasms or generalized seizures, and did not take any regular medication. Her parents, who ag...
pmc-6045933-1
A two months old Iranian girl born to consanguineous parents (cousin), presented in our center (Imam Reza Hospital, Mashhad, Iran) in October 2016 for evaluation of seizure and hypotonia in Pediatric Department. She had one sibling who died in 7 months old with similar symptoms and no more specific metabolic assessment...
pmc-6045940-1
A 1-month-old female with unilateral left facial palsy was referred to the Pediatric Clinic, Ali-bin-Abitaleb Hospital, Zahedan, eastern Iran in 2013. Left facial nerve palsy developed on the 13th day after birth that she could not close her eye associated with loss of tearing from the affected eye. She had low-grade f...
pmc-6045941-1
A 12 yr old boy complained of general malaise, drowsiness, appetite loss, nausea, abdominal discomfort and darkening of the urine of two days duration. He was admitted to the Clinic of Infectious Diseases, St. George University Hospital, Bulgaria with mildly jaundiced skin and conjunctivas. Upon admission, the child wa...
pmc-6045942-1
In October 2016, a 9-yr-old girl with chief complaint of nausea, vomiting, lethargy, and decreased level of consciousness referred to the Neurology Department of Namazi Hospital, Shiraz, southern Iran. The proband was the third offspring of healthy consanguineous parents (cousins). She had a healthy brother and sister....
pmc-6046094-1
Our patient is a 23-year-old Chinese woman with UCD who presented with seizures 2 years after the latest episode of metabolic decompensation. She was the second child of a non-consanguineous union. Her elder sister and parents were well and there was no history of early deaths in the family, especially male family memb...
pmc-6046101-1
Patient 1 is a 34-year-old Caucasian male with a past medical history of gastroesophageal reflux disease (GERD) and peptic ulcer disease (PUD) who presented to the emergency department of an outside hospital with sudden onset and worsening epigastric pain. A computed tomography (CT) scan of the abdomen showed mild asci...
pmc-6046101-2
Patient 2 is a 32-year-old male and a younger sibling of patient 1. Given the recently identified CDH1 mutation and HDGC diagnosis in his sibling, patient 2 had a 50% likelihood of being a CDH1 mutation carrier. Subsequent genetic screening at our institution confirmed that similarly to his older sibling, patient 2 had...
pmc-6046101-3
Patient 3 is a 23-year-old female and youngest sibling of the two aforementioned patients. Her past medical history was relevant for generalized anxiety disorder and gastritis, while family history was relevant for an offspring with cleft lip, another condition associated with CDH1 mutations. Her genetic screening reve...
pmc-6046142-1
A 23-year-old nulliparous woman was admitted to a state hospital in Ankara Hospital with regular uterine contractions at 40 weeks of her pregnancy. She had no known prenatal risk factor except a history of a splenectomy, which was performed because of trauma-related hemorrhage according to her statement. Cesarean secti...
pmc-6046143-1
A 73-year-old woman presented with pain, redness, and worsening vision in the right eye several months after uncomplicated cataract surgery. She had no medical history and her surgical history included Ex-PRESS glaucoma shunt of the right eye and radial keratotomy in both eyes. She was found to have postoperative cysto...
pmc-6046143-2
A 76-year-old man was referred to our service for progressive redness and pain in the right eye. Six months earlier, his disease had been diagnosed as conjunctivitis, episcleritis, and senile furrow degeneration and he had been unsuccessfully treated with topical tobramycin/dexamethasone. His ocular and medical history...
pmc-6046149-1
An 11-year-old female with Turner syndrome (45, X) presented to the eye clinic with strabismus and poor vision in the right eye. The patient was of short stature and had a webbed neck. Ophthalmic examination was remarkable for a visual acuity of counting fingers in the right eye and 20/20 in the left eye, 1+ right affe...
pmc-6046157-1
A 54-year-old previously healthy Caucasian female with otherwise unremarkable past medical history presented to emergency department with one-day history of hematochezia and abdominal pain. The patient described crampy left lower quadrant pain with no aggravating or relieving factors. She had a total of five bowel move...
pmc-6046159-1
The patient was a 65-year-old man with a prior history of repeated plastic surgery for scar contracture of the hands and fingers, ablation surgery for idiopathic ventricular tachycardia, and diabetes. There was no family history of no consanguineous marriage or EB. He had experienced recurrent blistering of the skin th...
pmc-6046164-1
A one-year-old male patient referred to the Gastroenterology Clinic due to an unusual chronic constipation, associated with abdominal distension, since six months of age. He was born full term, weight 3.2 kg and length 49 cm, presented meconium elimination within the first 24 hours of life, and neonatal screening was c...
pmc-6046166-1
A four-year-old girl presented to the emergency service with painful left hip and fever. There was no previous relevant medical history. There were no other local or systemic symptoms, except for a cervical adenopathy. On physical examination, she walked with a limp, and movements of the left hip were painful (mainly e...
pmc-6046172-1
Patient A presented as a mostly healthy 15-year-old Caucasian female with some developmental disabilities and ADHD, characterized by poor attention span, poor attention to details, poor organization, forgetfulness, excessive talking, impulsivity, and distractibility since age seven. Her father reported two severe brain...
pmc-6046173-1
A 13-year-old female patient was presented for consultation to the Department of Orthodontics and Dentofacial Orthopedics, School of Dentistry, Lebanese University. Her chief complaint was the crowding of her anterior teeth. Her medical and dental histories were noncontributory, and the patient did not mention any prev...
pmc-6046175-1
An 85-year-old woman presented to the emergency department with sudden onset of paraparesis, numbness of the legs, and inability to void. She reported having experienced diaphoresis before presentation. She was transferred to our hospital 4 h after onset. Her medical history was unremarkable apart from hypertension. He...
pmc-6046175-2
The patient was a 68-year-old man who presented to the emergency department after developing sudden complete paraplegia with mild neck pain. He was transferred to our hospital 11 h after onset. On examination, his blood pressure was 149/74 mmHg and his heart rate was regular at 70 bpm. Complete flaccid paralysis was no...
pmc-6046177-1
A 48-year-old male presented in surgery clinic with a clinical history of benign prostatic hyperplasia and a 6-year history of an enlarging right inguinal hernia, with associated increase in discomfort. On physical examination, a cystic mass was palpated on the superior right testicle, and a firm, solid mass was found ...
pmc-6046178-1
A 55-year-old Caucasian male was admitted to our hospital with a history of biventricular systolic heart failure due to ischemic cardiomyopathy and chronic stage IV kidney disease due to diabetic nephropathy; one month earlier, he had been approved for combined heart-kidney transplant. He recently had increased fatigue...
pmc-6046180-1
A young man in his early twenties with no prior history of medical treatment started experiencing stiffness in his left leg during physical activity when he did his mandatory military service. A few years later, after a short stay in hospital, he was diagnosed with a functional movement disorder. He had an older sister...
pmc-6046181-1
A 63-year-old female sought medical intervention for a painless, firm, mobile mass within her right cheek. For the previous year-and-a-half, she had experienced right facial nerve paralysis, which progressed to facial numbness and progressive hearing loss. A PET-CT scan showed an FDG-avid 2.2 x 2.0 cm mass centered alo...
pmc-6046184-1
A 63-year-old male presented to a private hospital complaining of asymptomatic gross hematuria. Computed tomography (CT) showed a hypervascular tumor affecting the right kidney. The tumor measured 10 cm in diameter with tumor thrombus toward the inferior vena cava (IVC) (). In addition, direct infiltration to the liver...
pmc-6047104-1
A 22-year-old man with a history of AU and moderately severe AD (Investigator's Global Assessment score of 3) presented to the clinic for treatment. The patient had a history of AD since childhood with more recent onset AU that progressed in the last 5 years. Physical examination at presentation demonstrated multiple e...
pmc-6047112-1
Case 1 involved a 6-year-old boy with bronchial asthma and delayed language development. He had experienced a total of three episodes of hypoglycaemia and convulsions during a common cold at 3 years of age. Acylcarnitine analysis of dried blood spots (DBSs) revealed an elevated tetradecenoylcarnitine concentration (C14...
pmc-6047112-2
Case 2 involved an 8-year-old boy, the elder brother of case 1. These siblings did not undergo expanded newborn screening. He exhibited developmental delay but no respiratory problems. No abnormalities were observed in the acylcarnitine analysis of DBSs (C14:1 0.28 μM, cut off < 0.4 μM) at 1 year of age. Although the p...
pmc-6047121-1
Our patient was a 9-year-old Arab boy who had had SDNS since the age of 5 years. Because of several relapses over the previous 4 years, and in an effort to spare steroid use and its long-term use complications, the patient was treated with levamisole. His family history revealed that his parents are nonconsanguineous a...
pmc-6047589-1
A 3-year-old boy born to non-consanguineous parents of Chinese/Malaysian ethnicity presented at 2 months of age with acute respiratory distress requiring mechanical ventilation and an interstitial pneumonitis on X-ray (Figure A). Bronchoalveolar lavage identified Pneumocystis jirovecii by both PCR and immunofluorescenc...
pmc-6047674-1
A 53-year-old man with no medical history of arrhythmia, diabetes mellitus, coagulation disorder, or stroke consulted our hospital complaining of back pain. Contrast-enhanced computed tomography (CT) showed a 21-mm-diameter nodule in the lower left lung as well as multiple liver and bone metastases (Figure ), but no ab...
pmc-6047835-1
A 48-year-old, previously healthy male was admitted to the hospital with altered mental status of one day duration. The patient was confused and was not answering questions appropriately. Vital signs were remarkable for low-grade fever of 100.7 ºF and tachycardia. His physical exam was remarkable for a holosystolic mur...
pmc-6047836-1
Our first patient was a 76-year-old Caucasian female with skin color changes on her back which were noticed by her husband a few weeks prior to presentation. The patient had a history of generalized pain with no identifiable etiology and had been using an electrical heating pad for 12 months for pain alleviation. As sh...
pmc-6047836-2
Our second patient was a 52-year-old Caucasian female seen as an inpatient consult due to the presence of hyperpigmented lesions on her abdomen and upper thighs. She had been admitted to the hospital due to a brain abscess and had undergone a craniotomy for abscess drainage. The patient’s mental status was impaired and...
pmc-6047836-3
Our third patient was a 50-year-old Caucasian female seen in our clinic for a full body skin examination. Hyperpigmented reticulated patches on the lower back were noted incidentally during her physical examination (Figure ). The patient was not aware of the lesions but reported that she had used a heating pad weekly f...
pmc-6047837-1
A 38-year-old man presented to the emergency room with complaints of anterior neck pain. He was playing with a paintball gun when he tripped and fell, landing on the back of the paintball gun and impacting his anterior neck, leaving him with difficulty in breathing, swallowing, and with severe neck pain. On arrival to ...
pmc-6047838-1
A 71-year-old male patient, an ex-smoker, underwent a right-sided renal biopsy for an acute kidney injury and the derangement of renal function (creatinine: 8.1 mg/dL and blood urea nitrogen: 74 mg/dL). The derangement of renal function was believed to be secondary to vasculitis as his peripheral anti-neutrophil cytopl...
pmc-6047839-1
A 65-year-old African American male with past medical history of hypertension and chronic obstructive pulmonary disease (COPD) presented to the emergency department with the complaints of hemoptysis, hematuria, and mild midsternal chest pain for one week. He described his sputum as intermittent, mild/moderate in volume...
pmc-6047840-1
This case details the history of an 18-year-old Caucasian male, with a past psychiatric history of ASD, who initially presented to the psychiatric emergency service with complaints of depressed mood, and suicidal ideation with a plan to hang himself. The patient reported that he put a rope around his neck, and was abou...
pmc-6048239-1
A 36-year-old Italian woman, gravida 3 para 1, was admitted to the emergency department of the University Hospital “San Giovanni di Dio e Ruggi d'Aragona,” Salerno-Italy with a history of declared 5 weeks amenorrhea and lower abdominal pain. At the age of 32, she underwent conization for cervical intraepithelial neopla...
pmc-6048603-1
A 23-year-old African American female with no known past medical history presented to the emergency department with 3 days history of nonproductive cough and runny nose. Review of systems was otherwise negative denying chest pain, dizziness, palpitation, or syncope. The patient was not taking any medications. She had n...
pmc-6048751-1
A 42-year-old white man was referred to neurosurgery due to a non-functional pituitary macroadenoma with bitemporal hemianopsia associated. Pituitary magnetic resonance imaging showed a large sellar and suprasellar mass with invasion of cavernous sinuses bilaterally and with superior stretching and bulging of the optic...
pmc-6048768-1
A 46-year-old female with a past medical history of SLE and associated Sjögren syndrome, usual interstitial pneumonia and migraine, medicated with prednisolone 5 mg and hydroxicloroquine 400 mg, with a recently worsened asymptomatic hypogammaglobulinemia (IgG of 297 mg/dL and IgA < 8 mg/dL) secondary to rituximab (take...
pmc-6048798-1
A 4-year-old boy was referred to our hospital because of respiratory tract infection, splenomegaly, and thrombocytopenia. The mother was 26-year-old, and the father was 31-year-old; both were of Chinese origin, non-consanguineous and healthy. The patient had two healthy sisters. The prenatal history was unremarkable, a...
pmc-6048844-1
This 42-year-old male patient was a HBV carrier with regular follow-up. He had no symptoms, but abdominal sonography in a routine examination revealed a liver tumor. His blood pressure was 123/86 mmHg, and heart rate (HR) 84 bpm. Laboratory data revealed AST/ALT = 58/58 U/L, total bilirubin = 1.2 mg/dL, albumin = 4.3 g...
pmc-6048891-1
A 14-year-old Thai girl was born via cesarean section due to premature rupture of the membrane with a birth weight of 2500 g. She is the first child of a consanguineous (second-degree relatives) couple. Both parents are healthy and have never had fractures. During her first year of life, she had delayed motor developme...
pmc-6048909-1
A 35-year-old woman was evaluated in clinic with progressive fatigue, pre-syncope, upper respiratory symptoms, pallor, and low-grade fevers over the preceding week. She had been diagnosed with locally advanced malignant melanoma of her left upper extremity 10 months prior, in March 2016. The patient had undergone a com...
pmc-6050164-1
The patient was a 70-year-old man who presented with exertional dyspnea, which had persisted for one week and aggravated dyspnea, which had persisted for two weeks. He had been diagnosed with asthma two years previously and had regularly used inhaled corticosteroids since then. He had a 48 pack-year smoking history. On...
pmc-6050165-1
A 59-year-old man with a history of non-melanoma skin cancer was followed by his dermatologist every six months for skin checks. His prior skin lesions included a basal cell carcinoma on the back, squamous cell carcinomas on the cheek and antihelix, and multiple actinic keratoses. Benign lesions included lipomas on his...
pmc-6050167-1
We report a case of a 21-year-old male with a history of WPW syndrome who had undergone a prior electrophysiology study in 2010 at an outlying facility, documenting an anteroseptal accessory pathway near the His bundle along with an unsuccessful attempt at radiofrequency ablation at that time. No supraventricular tachy...
pmc-6050547-1
A 67-year-old man was transferred to our hospital, a large academic medical center, for work-up of persistent gross hematuria. The patient first presented to his local hospital eight days prior with the complaint of gross hematuria and left flank pain. A computed tomography (CT) scan was obtained, revealing an obstruct...
pmc-6050556-1
A 73-year-old man with progressive lower urinary tract symptoms for five months was referred to our service for evaluation of prostatic enlargement. During this period, he was using indwelling bladder catheter. He denied any known epidemiological history or respiratory symptoms. PSA levels were 6.54ng/mL and digital re...
pmc-6050558-1
Intraoperative consultation was requested by proctology. During left colectomy for adenocarcinoma, the left uppper-mid ureter of a 69-year old man was resected, leaving a 12cm gap. To spare the patient of another enteroenterostomy, antiperistaltic ureteroappendicoureterostomy was performed over a double-J stent (, uppe...
pmc-6050648-1
A 35-year-old male presented with constant blurry vision in his left eye for 6 weeks. His past medical history was significant for CF complicated by chronic pancreatic insufficiency leading to insulin dependent diabetes mellitus, chronic sinusitis, hypertension, iron deficiency anemia, and obstructive sleep apnea. His ...
pmc-6050669-1
A Hispanic male infant was born large for gestational age (LGA) (birth weight 4.11 kg, above 100th percentile and length 51 cm, 98.6th percentile) at 34 weeks to a 17-year-old mother with uncontrolled gestational diabetes and pre-eclampsia. No family history iof hypoglycemia was reported. He was born by emergency C-sec...
pmc-6050669-2
A male infant was born small for gestational age (SGA) [birth weight 1.45 kg (4.7th percentile), and birth length, 40 cm (3.5th percentile)] at 33 weeks of gestational age to a 35-year-old mother with gestational diabetes and pregnancy-induced hypertension (PIH) at a local medical center. His mother managed her gestati...
pmc-6050682-1
In June 2013, a 19-year-old male patient underwent SMILE for myopia in both eyes. He had a history of eye rubbing and allergic conjunctivitis, and before SMILE he had no history of pellucid marginal corneal degeneration and no family history of keratoconus or high myopia. Preoperative characteristics and parameters are...
pmc-6050690-1
This is a case of a 37-year-old, right-hand dominant, Malay man who presented to our Emergency Department 6 hours after he had fallen approximately 6 meters from a rambutan tree where his left arm hit the tree trunk on his way down to the ground. Post trauma, he complained of pain and swelling over his left antecubital...
pmc-6050796-1
A 78-year-old female was referred to our clinic for evaluation of anemia and thrombocytopenia. She complained of fatigue, early satiety, and had an unintentional weight loss of 80 pounds over the past 2 years. She denied fevers, night sweats, nausea, vomiting, or abdominal pain. Physical examination revealed massive sp...
pmc-6051074-1
A 52-year-old female with no known past medical history was evaluated for a 3-year history of abdominal pain. Pain was sharp, primarily located in the lower chest and subcostal region left more than right, waxing and waning, nonradiating, and aggravates with certain nonspecific movements including forward lean. She was...
pmc-6051076-1
A 42-year-old woman with history of hypertension and diabetes mellitus presented to the outpatient clinic with abdominal pain and diarrhea for two weeks. The patient was recently treated with clindamycin for sinusitis. On examination, the patient appeared comfortable, afebrile, and had normal vital signs. There was mil...
pmc-6051090-1
An 18-year-old female without significant past medical history initially presented to urgent care with complaints of a sore throat, swollen neck, fevers, and chills for 5 days. At the urgent care, the rapid strep test came back negative. She was then sent home on steroids and azithromycin. She presented to the emergenc...
pmc-6051095-1
A 29-year-old man with no significant past medical history presented to emergency department with 2 days of epistaxis and petechiae. The patient experienced upper respiratory infection symptoms 5 days prior to presentation. He was not taking any home medication. His family history was not significant. His vital signs w...
pmc-6051099-1
A 71-year-old female with multiple myeloma status after 5 cycles of ixazomib, lenalidomide, and dexamethasone, chronic kidney disease stage III, previous stroke, hypertension, gout, and peripheral arterial disease presented to the hospital with generalized weakness, vomiting, and diarrhea as well as acute on chronic ki...
pmc-6051101-1
A 67-year-old female with past medical history of congenital deafness presented to the emergency room with complaints of right-sided facial droop and right upper extremity weakness, tingling, and numbness. These symptoms were sudden in onset and lasted for a few minutes. Symptoms had completely resolved at the time of ...
pmc-6051109-1
A 76-year-old male with past medical history of grade 3 RCC on day 24 of pazopanib after a left radical nephrectomy, atrial fibrillation, coronary artery disease, hyperlipidemia, obesity, and obstructive sleep apnea presented with fatigue, dyspnea, hematuria, and confusion. He initially was diagnosed with RCC four mont...
pmc-6051112-1
A 76-year-old male was referred to the emergency department in May 2016 for significant unintentional weight loss of approximately 57 kg and associated chronic nonbloody watery diarrheal illness in the preceding 18 months. Medical history was notable for prostate cancer curatively treated in 2012, gout, a remote transi...
pmc-6051115-1
The patient was a 38-year-old nulliparous woman who suffered from infertility of unknown origin. She had been treated with assisted reproductive technologies including artificial insemination and in vitro fertilization for over four years. During her treatment for infertility, cytological review followed by colposcopic...
pmc-6051118-1
Our patient is a 24-year-old nulligravid female with uncertain last menstrual period who presented to the emergency department (ED) with 12 hours of diffuse abdominal pain, worse in the left lower quadrant. She had intermittent nausea with one episode of emesis. She denied fevers or chills. She noted intermittent vagin...
pmc-6051120-1
A 32-month-old Middle Eastern boy was born full term at a community hospital in Michigan with birth weight of 3135 g (15.0 percentile). He had normal prenatal ultrasounds. He passed meconium at birth and had no other complications including prolong neonatal jaundice or dehydration. His CF NBS showed serum IRT 139 ng/ml...