_id
stringlengths
7
16
description
stringlengths
55
95.2k
pmc-6067805-1
A 48-year-old female from Honduras presented to the clinic with chief complaints of breast tenderness and galactorrhea for the past two to three weeks. She had a past medical history of hypertension, latent tuberculosis (TB) and sciatica. Her last menstrual period was three weeks prior to her presentation. Physical exa...
pmc-6067806-1
A 25-year-old female presented to the emergency room with a complaint of left-sided body weakness since 12 hours. On clinical examination, the power of the left upper and lower limbs was seen to be limited to just slight movement. Planter reflex was up going on the left side (Babinski positive). Clinical anemia was als...
pmc-6067807-1
A 16-year-old girl presented to us with complaints of progressively increasing pain in left thigh for two years. At the time of presentation, the pain was moderately severe in intensity, requiring analgesics on a regular basis. It used to worsen on ambulation, resulting in limitation of her activities of daily living. ...
pmc-6067809-1
A 19-year-old female presented to our hospital with complaints of vomiting for one week, along with generalized abdominal pain and weight loss for the last three months. Initial assessment found the patient to be alert and well-oriented, albeit pale, emaciated, and considerably uncomfortable due to the pain. Her heart ...
pmc-6067810-1
A 67-year-old woman presented to the surgical emergency department with complaints of diffuse, colicky abdominal pain, abdominal distension, obstipation, and multiple episodes of bilious vomiting for six days. Moreover, the patient had a history of recent weight loss and loss of appetite. There was no history of vagina...
pmc-6067835-1
History and physical examination A 67-year-old male presented to the emergency department with complaints of worsening low back pain and a progressive inability to ambulate as well as to maintain an upright posture. No complaints of fever or bowel and bladder dysfunction were noted. The patient’s past medical history w...
pmc-6068064-1
A 46-year-old Japanese female patient was referred to Kochi Medical School Hospital for the treatment of left breast cancer. Her height, body weight, and body mass index (BMI) were 151.2 cm, 55.0 kg, and 24.1, respectively. She had been experiencing vaginal delivery two times. She did not have any past history regardin...
pmc-6068367-1
A 50-yr-old man in the north of China went to Uganda to search for a work on Jul 14, 2016, and returned home on Jul 25. No obvious cause of fever with a temperature of 38.5 °C and occasional cough were found on Jul 30. After intravenous cephalosporin medication in local clinic for 3 d since the night of July 30, his bo...
pmc-6068370-1
A 40 year-old female patient applied to our polyclinic with swelling and pain on right axillary which had been continuing for about 2 months. During the breast examination of the patient who had no breast cancer cases in her family history, no features were detected on both breasts and left axillary. On right axillary,...
pmc-6068371-1
A 40-yr-old female patient was admitted to of Razi Hospital of Qaemshahr City in north of Iran in Nov 2015 with complaint of headache, blurring of vision, dysarthria and acute left-side hemiplegia and right-sided ptosis. Three weeks ago, she had gone to another hospital that after checking she was diagnosed with brain ...
pmc-6068650-1
A 37-year old homeless male, with a past medical history of peripheral vascular disease, type 1 diabetes mellitus, hypertension, and depression, presented to the emergency department with intermittent chest pain and progressive shortness of breath for a few weeks. The patient denied intravenous drug use, although admit...
pmc-6068752-1
A 49-year-old male patient presented with acute-onset progressive abdominal cramping pain that had started 1 day previously. He had a medical history of poorly controlled diabetes mellitus and hypertension, as well as renal stone formation after percutaneous nephrolithotomy with double J replacement. There was no histo...
pmc-6069027-1
Patient 1 is an 88-year-old white male, a retired pathologist, with a dual diagnosis of melanoma and squamous cell carcinoma of the left ear, neck, and forehead. A small flat patch had been observed since about 5 years. First diagnosed with a small retro-auricular melanotic growth, it grew rapidly and later examination...
pmc-6069027-2
Patient 2 is a 65-year-old white male with melanoma metastatic to the lungs, spine, abdomen, and coccyx. Prior treatment summary included resection of abdominal masses to relieve bowel obstruction, radiation to coccyx, and wedge resection of lung metastases in August 2014, since they were limited in number. Subsequentl...
pmc-6069027-3
Patient 3 is a 47-year-old white female with squamous cell cervical cancer that originally presented as FIGO (Federation of International of Gynecologists and Obstetrician) stage 1B and was treated with radiation therapy. She subsequently developed recurrence with metastases in the lungs, adrenal gland, and paraspinal ...
pmc-6069036-1
A 47-year-old African American male with stage III cutaneous T-cell lymphoma with large cell transformation presented to the hospital with shortness of breath, fatigue, and failure to thrive. The patient had progressed through multiple lines of chemotherapy including EPOCH (etoposide, prednisone, vincristine, cyclophos...
pmc-6069036-2
A 38-year-old African American female with refractory stage IV mycosis fungoides with large cell transformation was admitted to the hospital for initiation of ICE chemotherapy. Patient had extensive cutaneous and muscle involvement of the lymphoma and had failed multiple lines of chemotherapy regimens including romidep...
pmc-6069038-1
A 23-year-old male came to the emergency department with excessive salivation, difficulty in swallowing, and speech immediately after eating some Chinese food. It was associated with retching but no vomiting, abdominal pain, diarrhea, chest pain, cough, or difficulty in breathing. Rest of the review of symptoms was neg...
pmc-6069501-1
An 11-year-old Caucasian girl was referred to our hospital ward for the evaluation of right labium majus swelling. History of illness, systemic disease or trauma was denied. On admission, her vital parameters were normal. In her physical examination, there was no abnormality except for the right labium majus, which sho...
pmc-6069501-2
A 6-year-old Caucasian girl presented a post-traumatic painless mass of left labium majus swelling that progressively increased in volume (). A careful clinical examination was made, with no evidence of other alterations. As in Case 1, laboratory tests revealed no signs of a chronic or neoplastic condition and no endoc...
pmc-6069780-1
A retroperitoneal mass on the left side was found in a 65-year-old-man who was then referred to the Urology Department. He had been receiving methylprednisolone and cyclosporine as treatment for rheumatoid arthritis with vasculitis in the Rheumatology Department of the same hospital. He complained of exertional dyspnea...
pmc-6069820-1
A 31-year-old man with no medical history was presented to our emergency department (ED) with disturbance of consciousness and generalized seizure. After having a fever, he had been out of contact for 3 days and his colleague found him unresponsive in his apartment. Soon after arriving at the ED, he showed generalized ...
pmc-6069825-1
A 54-year-old male, with alcohol-related liver cirrhosis and a calculated Model for End- stage Liver Disease (MELD) score of 28, presented for deceased donor LT. ESLD was complicated by hepatic encephalopathy, ascites, spontaneous bacterial peritonitis (SBP), and esophageal varices. A preoperative transthoracic echocar...
pmc-6069825-2
A 47-year-old male, with alcohol-related liver cirrhosis and a calculated MELD score of 39, presented for deceased donor LT. His ESLD was complicated by esophageal varices, upper gastrointestinal bleeding, and SBP. This patient’s abnormal laboratory studies included a serum iron level of 144 mg/dl (normal range 49–181 ...
pmc-6069825-3
A 64-year-old male patient, with cryptogenic liver cirrhosis and hepatocellular carcinoma with calculated MELD score of 21, presented for a deceased donor LT. His ESLD was complicated by recurrent ascites, non-bleeding esophageal varices, portal hypertensive gastropathy, and hepatic hydrothorax. His other medical probl...
pmc-6069874-1
A 57-year-old female presented to the clinic with severe dyspnea at mild exertion (NYHA III) and a history of lymphocytic myocarditis. Her comorbidities included stage III chronic kidney disease (CKD), chronic gastritis and Hashimoto thyroiditis. Because of recurring episodes of sustained monomorphic ventricular tachyc...
pmc-6069874-2
A 74-year-old male with a history of dilated cardiomyopathy presented to the outpatient clinic with severe dyspnea at rest (NYHA IV). The patient’s comorbidities included arterial hypertension, dyslipidemia, GOLD stage II COPD, stage III CKD, type II-Diabetes, ulcerative colitis and Barrett’s esophagus. His cardiovascu...
pmc-6069874-3
A 53-year-old male presented to our outpatient clinic with severe dyspnea at rest (NYHA IV) and a history of idiopathic dilated cardiomyopathy. His cardiovascular history included the occurrence of paroxysmal atrial fibrillation and ventricular arrhythmias (non-sustained ventricular tachycardia) that were managed with ...
pmc-6069878-1
A 68-year-old male was diagnosed with severe HEMA in early childhood, with less than 0.001% factor VIII activity. The brother of the proband also suffered from severe HEMA, thus the mother must have been carrier of the causative mutation. The children of the proband were male, and consequently, in this part of the fami...
pmc-6069891-1
A 45-year-old woman presented to our hospital with multiple lung nodules. She had a history of poorly differentiated thyroid carcinoma, diagnosed 7 months prior to admission, at an outside hospital. The patient was healthy otherwise and reported no radiation exposure or any family history of thyroid cancer. The initial...
pmc-6069949-1
A 24-year-old woman with Asian eyelid underwent bilateral upper lid blepharoplasty and levator tucking with skin approach for double lid formation 7 years ago. After the first surgery for cosmetic purpose, her eyelid level in the right eye was over-corrected, and thus she underwent several surgeries performed by anothe...
pmc-6069954-1
A fifty-five-year-old man with hypertension and who used regular medications for anxiety came to the Emergency Room in Malmö, Sweden, complaining of dyspnea in 2009. He had arrived to Sweden by plane from Sri Lanka five days prior, where he resides a large part of the year. Upon exiting Sri Lanka, he was put into custo...
pmc-6069986-1
A 34 year old male patient, a worker in the salt mines, presented to us complaining of diminished vision in both eyes since the past 10 years. He also complained of diminished night vision which was stationary and non-progressive. His vital parameters and general physical examination was noted to be within normal limit...
pmc-6070054-1
A 48-year-old, African-American female patient presented for treatment of acne vulgaris and was incidentally found to have 40 - 60 hyperpigmented, fibrotic, depressed, round, 5 to 15 mm papules and plaques on the forearms and lower legs (Figures -). The patient revealed that these lesions were sites where she had injec...
pmc-6070057-1
A 26-year-old man with no history of genital dermatoses developed new penile lesions; he was evaluated on several occasions by his primary care physician. The clinical impressions of his lesions included both condyloma acuminata and molluscum contagiosum. On separate occasions, he was treated with either topical imiqui...
pmc-6070067-1
Our patient is a 43-year-old ambidextrous male with a 20-year history of intractable seizures. His seizure semiology typically included a hot flash and other sensory auras with evolution into focal motor activity predominately on the right. Workup for seizure etiology included magnetic resonance imaging (MRI) revealing...
pmc-6070280-1
This case involved a 59-year-old male patient with OAD that started 6 years ago. The patient also showed DISH and OPLL with tendency of diffuse ligament ossification. Conservative treatments were unsuccessful, and surgical treatment was recommended. Preoperative VFSS revealed obstruction at the C5/6 osteophyte level. P...
pmc-6070448-1
A 33-year-old man was diagnosed as having Crohn’s disease 15 years previously and had undergone a left semi-colectomy and colostomy surgery 2 years later because of an anastomotic stenosis. Unfortunately, an abdominal wall abscess caused by multiple colonic fistulas formed around his stoma several years after the surge...
pmc-6070452-1
A 62-year-old woman was admitted to Onomichi General Hospital in 2017 with a suspected pancreatic tumor. Her medical history included hilar cholangiocarcinoma (poorly differentiated adenocarcinoma, intermediate type, INFß, pat Bp, ly1, v0, pn0, hinf2, hm0, dm0, em2, 3 cm × 2 cm × 2 cm, T3N0M0 stage IIA, UICC version 6)...
pmc-6070557-1
A 17-year-old male from Misiones, Argentina who was born to healthy, non-consanguineous parents. After an uneventful pregnancy, he was referred for genetic testing after being diagnosed with ALS as an infant; he presented with a normal karyotype and CGH array test results. After years of being misdiagnosed, a genetic c...
pmc-6070557-2
A 7-year-old male from Lobos in Buenos Aires, Argentina who was born to healthy, non-consanguineous parents. The relevant clinical features included a severe intellectual disability (ID), severe speech delay, and convulsive seizures. The patient presented with earlobe features that are characteristic of MWS. There was ...
pmc-6071094-1
28 years old Caucasian male, single and unemployed, living alone, with a positive forensic history and a diagnosis of Paranoid Schizophrenia. The patient had a 4 years’ history of psychosis with frequent relapses (5 admissions in 4 years). He was transferred to an acute treatment ward from a psychiatric intensive care ...
pmc-6071094-2
32 years old Caucasian woman, single and unemployed, living alone, with no forensic history and a diagnosis of Schizoaffective Disorder and poly-substance misuse (mainly crack cocaine and heroin). Ms T was stabilized on a combination of Aripiprazole 30 mg, daily + Lithium carbonate 800 mg, at night. The PANSS score was...
pmc-6071094-3
20 years old Black-Caribbean male, single and unemployed, living with friends and with no forensic history, was quickly re-admitted to a treatment ward following the sudden onset of bizarre behaviour after an earlier discharge from another ward. The diagnosis was First Psychotic Episode in the context of poly-substance...
pmc-6071094-4
39 year old Asian British man, married and unemployed, living with his family and with a long forensic history. Mr G had a long-standing history of Bipolar Disorder since the age of 28. He had a history of numerous admissions, was non-compliant with his medications, and engaged poorly with his community team. He presen...
pmc-6071335-1
A 33-year-old male patient presented to a tertiary care hospital with intermittent abdominal pain, nausea, vomiting, constipation and numbness of bilateral lower limb extremities, of 3 days duration. He was conservatively managed in a surgical unit as partial intestinal obstruction and was awaiting diagnostic laparosco...
pmc-6071372-1
A 36-year-old man presented with urinary frequency for 6 months. He had no significant urologic abnormality and no palpable abdominal mass on physical examination. He denied abdominal pain, vomiting, anorexia, or bowel disturbances. There were no specific laboratory abnormalities. The abdomen and pelvis computed tomogr...
pmc-6071436-1
A 50-year-old Chinese man with no prior illnesses presented with a history of one month of fever, headache, and vomiting. Magnetic resonance imaging (MRI) of the brain showed multiple varying sizes of ring-enhancing lesions scattered in both cerebral and cerebellar hemispheres. An initial diagnosis of metastatic brain ...
pmc-6071571-1
Here we describe a newborn female who was delivered via vaginal delivery at 40 wks 5 d gestational age to a 29-yr-old mother after an uncomplicated pregnancy. The physical exam at birth was unremarkable, and all growth parameters were proportionate and appropriate for her gestational age. She was enrolled in the well-b...
pmc-6071948-1
On May 23, 2013, a 55-year-old female was admitted to Mudanjiang Forestry Central Hospital, a sentinel hospital for tick-borne diseases located in Heilongjiang Province, Northeast China, with a chief complaint of dizziness, gait disturbance, and headache. Two weeks before admission, an engorged adult tick was removed f...
pmc-6072312-1
A 49-year-old male presented with a sudden onset of severe, left-sided abdominal pain radiating to the groin for one day. He is a nonsmoker with a nonsignificant past medical and surgical history. His family history is contributory for factor V Leiden mutation in his brother and factor XII deficiency in his half-sister...
pmc-6072448-1
A 12-year-old girl presented seeking treatment for unerupted permanent right maxillary central incisor. She reported very low self-esteem as she was constantly bullied due to her unesthetic smile. The patient was otherwise physically healthy and had no history of any medical illness. Neither the parents nor the patient...
pmc-6072454-1
A 21-year-old Hispanic male reported to the orthodontist office with the primary complaint of not feeling comfortable with the bite and chin projection (). A subsequent clinical examination showed that the profile had worsened since a previous orthodontic treatment. Systemically, he referred controlled Diabetes Mellitu...
pmc-6073078-1
A 35-year-old male Ugandan presented to Mbarara University Referral Hospital Eye Centre (MURHEC) in June 2017 with a 10-day history of a painful, red left eye. There was no history of trauma, contact lens or TEM use. He was not aware of his HIV status at the time of presentation, but thought that he was HIV negative. H...
pmc-6073164-1
This 18-year-old male patient presented at the Oral and Craniomaxillofacial Surgery Clinic to consider surgical treatment options for reducing an enlarged tumor of the back. The patient had more than six café au lait spots on the trunk and extremities, axial and inguinal freckling and several cutaneous tumors that were...
pmc-6073424-1
A 50-year-old male patient with a history of nightly lower abdominal pain for three months was transferred to the emergency room at Erlangen University Hospital. First routine examinations revealed that heart, spine, liver and kidney showed no pathological changes. The patient had no diarrhea, no fever and no apparent ...
pmc-6073498-1
The child described here was first seen at the Paediatric Unit of the Santa Maria Hospital, Terni, Italy, when he was 3 years old. The hospital admission was required by parents for further evaluation of an already diagnosed EIEE. The child was born from eutocic delivery after a 39-week regular gestation. Neurological ...
pmc-6073672-1
A 58-year old lady was diagnosed with OS kappa light chain (KLC) myeloma in June 2014 after a history of worsening back pain over the preceding four months. At admission, a CT scan showed multi-level crush fractures at T8, T9, L1 and L2; (a sestamibi scan later confirmed avid uptake in the axial skeleton). She was hype...
pmc-6073990-1
A 39-year-old Ethiopian man, temporarily in Italy for professional reasons, with a recent diagnosis of human immunodeficiency virus (HIV) infection, on antiretroviral therapy (cART) with emtricitabine–tenofovir disoproxil fumarate and lopinavir/ritonavir, presented to the emergency department of our hospital with a mon...
pmc-6074057-1
We report the case of a 6-month-old male infant admitted to our clinic for persistent fever and a generalized polymorphous rash. The onset of the disease, with fever, rhinorrhea, and cough was ~7 days before the admission. Therefore, he was admitted to a regional hospital where he benefited from antibiotics and antipyr...
pmc-6075479-1
An 18-year-old male presented to the emergency department (ED) with a complaint of severe abdominal pain for three days along with painful urination, vomiting, diarrhea and subjective fever and chills. The patient reported brief, severe, colicky episodes of mid and left upper quadrant (LUQ) abdominal pain that radiated...
pmc-6075480-1
An 11-year-old male presented to the emergency department (ED) with abdominal pain of one night duration causing difficulty with sleeping and ambulation. Of note, the patient denied loss of appetite, vomiting, and fever. Past surgical history was significant for appendectomy 19 months prior after presenting with simila...
pmc-6075480-2
An 11-year-old female patient with a past medical history significant for appendicitis treated with laparoscopic appendectomy two months prior presented to a local ED with a one-day history of epigastric and right-sided abdominal pain, poor oral intake, and emesis. Prior to transfer to the university hospital, contrast...
pmc-6075482-1
A 34-year-old female was brought to the emergency department (ED) by family with a chief complaint of severe epigastric pain. Her symptoms, which had begun five days earlier, consisted of general malaise, self-reported low-grade fevers, and a non-productive cough in addition to her epigastric pain. She had taken off wo...
pmc-6075483-1
A 38-year-old female presented with right foot, ankle, and calf pain. Her past history was remarkable for a 55-pound weight gain in the prior six months due to being sedentary, and she had a history of meralgia paresthetica of her right lower extremity after a motor vehicle collision. The patient stated that she had co...
pmc-6075485-1
A 26-year-old female presented to a Level I trauma center after a motorcycle crash in which she was the unhelmeted passenger thrown from the vehicle. The patient did lose consciousness and was noted to be briefly confused on scene. Her right shoulder had a palpable deformity and she had difficulty moving the right uppe...
pmc-6075486-1
An 80-year-old woman with a history of hypertension presented to the emergency department (ED) with blunt facial trauma including a four-centimeter laceration of the right upper eyelid sustained during a ground-level mechanical fall. Upon arrival to the ED, she was confused, repetitive, and amnesic to events surroundin...
pmc-6075487-1
A nine-year-old Hispanic female with a past medical history of autism and global developmental delay presented to our emergency department (ED) complaining of a one-year history of pain in her extremities. The pain initially started in the right leg causing her to limp, trip, and fall. She was evaluated by her primary ...
pmc-6075488-1
We present a 31-year-old male who sustained an isolated stellate corneal laceration associated with an open globe injury. The patient presented with mild, right eye pain one hour after glass was sustained to the face during a motor vehicle collision. Visual acuity was 20/100 (baseline 20/20), but no obvious facial or o...
pmc-6075489-1
A previously healthy 55-year-old female was evaluated in urgent care for easy bruising for three weeks’ duration. After she was found to have abnormal laboratory results, she was directed to a community ED for further treatment and care. The patient presented to a community ED the following day. She denied trauma, feve...
pmc-6075490-1
We present the case of a 56-year-old female with history of syncope due to third degree atrioventricular heart block presenting initially with onset of stroke symptoms six days after pacemaker placement and two days after hospital discharge. At 5 PM she developed abrupt onset of left facial droop along with left upper ...
pmc-6075491-1
A 69-year-old male with no significant past medical history presented to the emergency department (ED) after accidental ingestion of hydrogen peroxide. He used concentrated hydrogen peroxide as a home remedy. Intending to drink water, he had accidentally grabbed the incorrect bottle and ingested “multiple gulps.” He so...
pmc-6075492-1
A 30-year-old male presented to the emergency department (ED) with sudden, painless, decreased vision in the left eye after an episode of severe vomiting. He noted a gray area in the center of his vision and was only able to distinguish objects’ outlines with the affected eye. His visual acuity was 20/200 in the left e...
pmc-6075493-1
A 57-year-old female presented to the emergency department (ED) with periumbilical and left upper quadrant abdominal pain. The pain began abruptly 12 hours prior to presentation and was worsening. Her pain increased with supine position and was associated with nausea and vomiting. Her past medical history was significa...
pmc-6075494-1
A previously healthy 35-month-old boy (weight, 12.5 kg) was brought to the emergency department (ED) immediately after he was found with partially chewed rivaroxaban tablets in his mouth. His mother reported missing 10 20-mg tablets (200 mg total; approximately 16 mg/kg). The patient had no known family history of blee...
pmc-6075495-1
A 35-year-old immunocompetent female with a history of intracranial fungal abscess with surgical resection 11 years prior presented with headache for four months. Her headache was located along frontal sinuses. Vital signs were normal. Head examination was significant for minimal left maxillary swelling with mild tende...
pmc-6075496-1
A 53-year-old male with a history of migraine headaches and sleep apnea was brought in by emergency medical services with the chief complaint of headache. He stated the headache had woken him from sleep approximately two hours prior to arrival, was in the occipital area, and was described as persistent, throbbing, shar...
pmc-6075497-1
A five-year-old male with reported history of poor weight gain and mild intermittent “asthma” presented to the pediatric ED in respiratory distress. He was tachypneic and tachycardic, with an oxygen saturation of 86% on room air. According to the patient’s mother, he had been seen by a pediatric pulmonologist approxima...
pmc-6075498-1
A 67-year-old male with past medical history only of hypertension was brought to the emergency department (ED) after a suspected self-inflicted gunshot wound to the head approximately 30 minutes prior to arrival. The patient was found supine and unresponsive by emergency medical services (EMS) with stridorous breath so...
pmc-6075499-1
A 49-year-old female presented to the ED with diffuse abdominal pain, fevers, myalgia and nausea. The patient had an unsuccessful cervical dilation and endometrial biopsy six days prior to presentation. She was seen in gynecology clinic on post-procedure day two and was started on oral metronidazole for suspected bacte...
pmc-6075500-1
A 65-year-old female was transported to the emergency department (ED) at approximately 2:00 AM following a witnessed cardiac arrest. According to the patient’s husband, she had been asleep in bed when she awoke suddenly, sat upright, and reached for her albuterol inhaler before “collapsing.” He found her to be pulseles...
pmc-6075501-1
A 94-year-old woman with chronic obstructive pulmonary disease, hypertension, and breast cancer presented to the ED in respiratory distress. She reported dyspnea starting the night prior to presentation with no history of trauma. She was normothermic, had a normal heart rate and blood pressure, but was tachypneic and h...
pmc-6075502-1
A 24-year-old woman presented to the emergency department by emergency medical services with severe respiratory distress and hypoxia. The patient complained of exertional chest pain and nonproductive cough. Her room air saturation was 65% with improvement to 95% with oxygen supplementation. Her vital signs were a pulse...
pmc-6075503-1
A 69-year-old woman with a history of osteopenia and left total hip arthroplasty three months prior presented from home to the emergency department with leg pain and inability to ambulate. She had fallen from standing onto a tile floor, making contact with her left hip. She was mildly hypertensive, with a blood pressur...
pmc-6075504-1
A 71-year-old, 86 kilogram male with a history of alcohol abuse, dementia, chronic kidney disease, and hypertension presented to the emergency department (ED) after the ingestion of approximately half of a retail lava lamp’s contents. On-scene vitals by emergency medical services (EMS) were notable for 90% oxygen satur...
pmc-6075505-1
An 18-year-old female who was 10 days post-vaginal delivery presented to the ED in status epilepticus for which she required endotracheal intubation. She had a blood pressure of 163/89 millimeters of mercury, a heart rate of 155 beats per minute, a temperature of 37.0°Celsius, a respiratory rate of 22 breaths per minut...
pmc-6075624-1
We present the case of a 76-year-old male with history of hypertension and deep vein thrombosis. He initially presented to the oncology clinic in June 2016 with a low white blood cell (WBC) (2,700 cells/microliter) and platelet counts (58,000 cells/microliter), which was found during routine blood work. Initial bone ma...
pmc-6075625-1
A 21-year-old female presented to the Case Western Reserve University School of Dental Medicine Clinic in Cleveland, Ohio. Her chief complaint was a slowly growing painless swelling involving the right side of the mandible that had started one year previously. Her past medical history revealed no previous surgeries or ...
pmc-6075628-1
A previously healthy 27-year-old man presented with complaints of left calf pain and erythema of four days duration, which was preceded by a petechial rash of the bilateral lower extremities and left foot pain. He also reported low-grade fever (100.7 F) with associated chills. He was initially seen at a Level 1 trauma ...
pmc-6075635-1
A 76-year-old female with history of remote tobacco use, hypertension, transient ischemic attack, and osteoarthritis presented after a fall for the first time due to syncope. Her home medications included aspirin 81 mg once daily, losartan 25 mg once daily and multivitamins. On examination, there were no focal neurolog...
pmc-6075637-1
A 62-year-old Caucasian male with a history of type 2 diabetes mellitus and hypertension presented to the emergency room with acute onset blurry vision and headache. The patient was in his usual state of health until a few hours prior to his presentation. He was working on a presentation in a poorly lit room when sympt...
pmc-6075640-1
A 16-year-old male, prior to his presentation at our clinical setting, was diagnosed with an osteosarcoma in his left fibula. At the time of the diagnosis, he presented with a painful and progressively enlarging mass over the left ankle which restricted any weight bearing on the affected leg. A contrast-enhanced magnet...
pmc-6075642-1
We present a 40-year-old male with a history of chronic back pain and a recent, acute progression of bilateral lower extremity paresthesias and weakness. Over a seven-day period prior to presentation, the patient experienced a sudden onset of bilateral leg numbness, with no history of trauma or another precipitating ev...
pmc-6075643-1
A sixteen-year-old male was admitted with complaints of shortness of breath and hemoptysis for three days. The patient also had complaints of palpitations, fever, and weight loss for two months. On physical examination; he was a malnourished and anemic male, with a blood pressure of 130/80 mm of Hg, a pulse of 103 beat...
pmc-6075644-1
A 70-year-old lady, belonging to a poor village in the province of Balochistan, presented to the cardiology clinics at Aga Khan University Hospital, Karachi, Pakistan with complaints of palpitations. She was married with six children, all born in her village via spontaneous vertex delivery with no complications. She ha...
pmc-6075646-1
A 26-year-old pregnant patient was referred from the outpatient Gynecology department to the outpatient Cardiology department with shortness of breath and fever for four weeks. Her shortness of breath was gradual in onset and progressive in nature. The patient reported having shortness of breath after walking three blo...
pmc-6076022-1
A 9-year-old boy presented to a local hospital with vomiting and occasional headache with a blood pressure of 210/170 mm Hg. No obvious diseases were observed on digestive endoscopy and abdominal computed tomography (CT) scan, and no remarkable improvement by medicine treatment. CT scan of the chest revealed a 7 × 5-cm...
pmc-6076098-1
A 74-year-old woman was admitted to the Gastroenterology Department of our hospital for an asymptomatic gastric mass. She had a schistosomiasis cirrhosis splenectomy at the age of 29 years. The patient was initially submitted to a computed tomography (CT) scan for pneumonia in other hospitals, which revealed pipe stem ...
pmc-6076109-1
A 60-year-old male was hospitalized with the primary complaint of diarrhea and abdominal pain for over 7 months. He mainly presented a pinching pain around the umbilicus and watery diarrhea. On physical examination, body mass index (BMI) was 20.1 kg/m2, and an approximately 3-cm-diameter, relatively hard, slightly mova...
pmc-6076109-2
A 43-year-old male who presented with abdominal pain and diarrhea lasting 1 year was admitted to our hospital. He started presenting with hematochezia and lower fever 1 month before admission. On physical examination, his BMI was 17.58 kg/m2, and no mass could be distinctly palpated on his scaphoid abdomen. Laboratory ...