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pmc-6076115-1
A 35-year-old male presented to our out-patient department with complaints of recurrent abdominal pain and general weakness for 1 week. No history of prior surgery, trauma, or any other comorbidity existed. He had no alcohol abuse habit or familial history of pancreatic disease. The initial computed tomography (CT) sca...
pmc-6076118-1
A 36-year-old man who denied previous systemic disease had a history of drug abuse with ketamine for 6 to 7 years (at a frequency of 2–3 times per week, by nasal inhalation, and hence the dosage could not be measured), and had then ceased use for approximately 4 years. He had suffered from dysuria, bladder pain, and a ...
pmc-6076147-1
We present the case of a female Caucasian patient, aged 22 years, which has fixed dental appliance for one year, who was admitted into the Infectious Diseases department for a feverish syndrome associated with migratory joint pain for the last 2 months, gait abnormality, weight loss. She was neurologically, rheumatolog...
pmc-6076191-1
The patient was a 36-year-old woman. A dry cough had persisted for approximately 2 months, and her physician had treated her with oral antibiotics, but her condition did not improve. She then visited our hospital. The results of acid-fast bacterium smear and PCR for M tuberculosis were both positive. Lesions with a ste...
pmc-6076191-2
The patient was an 81-year-old woman. She visited a physician for complaints of cough and fever persisting for several days. On radiography, pneumonia was suspected and treated; however, her symptoms did not improve. The smear and polymerase chain reaction (PCR) results for M tuberculosis were both positive; therefore,...
pmc-6076191-3
The patient was an 82-year-old woman. A dry cough had persisted for approximately 3 months and bloody sputum appeared. Therefore, she visited a physician. The results of acid-fast bacterium smear and PCR for M tuberculosis were both positive; therefore, she was transferred to our hospital. A lesion with a stenosis rate...
pmc-6076191-4
The patient was a 52-two-year-old woman. A wet cough had persisted for approximately 1 month and a physician treated her with antibiotics. However, her condition did not improve. Results of the acid-fast bacterium smear and PCR for M tuberculosis were both positive. She was referred to our hospital. Lesions with a sten...
pmc-6076200-1
A 70-year-old man was referred to our hospital by his primary doctor because of warmness, pain, and swelling in his left leg and a feeling of gait disturbance 2 days previously. The patient had a history of bronchial asthma, which was diagnosed at 50 years of age. Oral steroids had been prescribed from 61 years of age,...
pmc-6076878-1
A 42-year-old male patient presented at the clinic with a debonded restoration in tooth #22 (). A clinical examination revealed acceptable periodontal condition and no carious lesions. After analyzing the size of the restoration and the desire of the patient in solving the problem, rehabilitation with PCRV (Componeer -...
pmc-6076899-1
A previously healthy 56-year-old man suffering from abdominal pain and jaundice was admitted with an initial clinical diagnosis of acute cholecystitis. The patient underwent an endoscopic retrograde cholangiopancreatogram (ERCP) and cholecystectomy. His symptoms did not improve and repeat imaging study indicated common...
pmc-6076903-1
A 34-year-old mother of two children presented in 29th week of her third pregnancy with hypertension. She is a diagnosed patient with diabetes mellitus for 6 years. However her previous two pregnancies, which were two and seven years back, were not complicated with hypertension or diabetes mellitus. She was not detecte...
pmc-6076907-1
A 17-year-old man was involved in a road accident in which he suffered the open fractures of the right femur and tibia. At the arrival to the Emergency Dept (ED), he was alert and hemodynamically stable and the Glasgow Coma Scale (GCS) was 15; the initial alignment of the fractured ends was performed in the ED with a g...
pmc-6076910-1
This patient was a generally healthy 62-year-old male with a left lobe complex nodule within a nontoxic multinodular goiter that had been enlarging for approximately 3 years. In 2015, the patient had a FNAB reported as benign, BC II. Because of continued growth, he had a second FNA biopsy approximately six months later...
pmc-6076919-1
A 56-year-old Caucasian male with nonalcoholic steatohepatitis (NASH) experienced progression to cirrhosis and its complications including portal hypertension, esophageal varices, and ascites. He had no other significant past medical history. At the time of transplant in July 2015, the patient weighed 228 lbs (BMI 34)....
pmc-6076924-1
A 69-year-old male with past medical history of type 2 diabetes and hypertension presented to the emergency department in New York City in August complaining of headache and diplopia. His headache abruptly began one week ago, was localized to the right occipital region, and gradually moved to his right orbit. Five days...
pmc-6076933-1
A 45-year-old woman with severe right flank pain came to our outpatient clinic. Her past medical history included right ureteral calculi secondary to her right calyceal diverticulum. In addition to the past ureteral stone, there had also been a stone in the calyceal diverticulum. She had undergone URSL for a ureteral s...
pmc-6076934-1
An 81-year-old lady presented to the ENT department with increasing dysphagia, shortness of breath, and stridor. Her past medical history included radiotherapy to the mediastinum for Hodgkin's lymphoma 14 years prior to presentation and radiation induced interstitial pulmonary fibrosis. She was on long-term Azathioprin...
pmc-6076939-1
A 30-year-old gravida 1 para 1 female presented to our Emergency Department complaining of a vaginal mass present since the birth of her child 4 years earlier. At that time, she underwent an uncomplicated vacuum-assisted vaginal delivery and was unaware of significant lacerations or repairs. She felt that the mass had ...
pmc-6076956-1
Patient 1 is a 31-year-old Jordanian female with a history of a recurrent and itchy eruption involving the mid- to lower back, lateral chest wall, and the nape of the neck. This resolved with net-like pigmentation (Figures and ). The occurrence of the eruption was linked with fasting in Ramadan, in addition to travels ...
pmc-6076956-2
Patient 2 is a 16-year-old Jordanian female who presented with an itchy eruption of new onset. This appeared 3 weeks earlier and affected the upper to mid-back and the “V” of the neck (Figures and ). The occurrence of the eruption followed a 1-month period of strict dieting.
pmc-6076956-3
Patient 3 is a 45-year-old Jordanian female with an itchy eruption of 3 months' duration. This affected the nape of the neck and the upper back. No triggers were identified and the patient was otherwise healthy. The patients' demographics and their clinical features are outlined in . Clinically, all patients were noted...
pmc-6076969-1
A 53-year-old man of Puerto-Rican origin presented to the endocrinology clinic after undergoing bilateral adrenalectomy for multifocal pheochromocytomas. He had a prior history of morbid obesity, obstructive sleep apnea, diabetes, and hypertension. He was followed by his primary care physician for persistent hematuria ...
pmc-6076973-1
A 24-year-old male patient was admitted to the emergency room due to injuries to the left hemithorax as well as a transfixing laceration in the left arm caused by a shotgun of initially unknown calibre. On examination, the patient was found to be alert and fully orientated. He was hemodynamically stable. His physical e...
pmc-6077322-1
A 48-year-old man presented at the ophthalmologic out-patient department with a 3-day mild horizontal diplopia in the left direction followed by the onset of headache 17 days later. He denied nasal obstruction, epistaxis, nasal discharge, pain, hyposmia, and nasal swelling. There was no history of fever, weight loss, o...
pmc-6077324-1
A 56-year-old female was diagnosed with primary biliary cirrhosis after presenting with pruritus and fatigue. Prior to this diagnosis, she worked as a business executive functioning at a high cognitive baseline. Jaundice and refractory ascites developed in the month prior to admission. Cognitive decline evolving over o...
pmc-6077363-1
A previously healthy 17-year-old male presented with the complaint of mild hemoptysis after sustaining a blunt trauma to the chest. He fell off a 3-foot cliff while hiking and landed on the right side of his chest. On presentation, the patient's pain was tolerable and he was breathing comfortably. His vital signs showe...
pmc-6077457-1
A 21-year-old female presented to the dermatology clinic with severe facial acne with some scars. Severity of acne was graded as 4 on IGA scale (investigator global assessment of acne) which is accepted by American FDA []. She has used topical treatments including topical retinoids (Tretinoin and Adapalene creams) for ...
pmc-6077506-1
A 55-year-old woman (gravida 1, para 1) was referred to our hospital because of the progression of a lower abdominal tumor. At 45 years of age, she underwent a total abdominal hysterectomy (TAH) at another hospital for a leiomyoma, which persisted after the surgery. One year later, an attempt to reduce the progressing ...
pmc-6077506-2
A 46-year-old woman (gravida 2, para 2) was referred to our hospital complaining of a lower abdominal mass and pain. Her medical history was unremarkable. She was initially diagnosed with a uterine leiomyoma by transcervical needle biopsy. CT revealed a large heterogeneous tumor occupying the pelvic cavity and an intra...
pmc-6077511-1
A 35-year-old male presented to the emergency department after a tonic-clonic seizure. There was no significant past medical or surgical history. His physical examination was unremarkable, with no fever or focal neurological signs. In the previous 6 months, he reported anorexia and unintentional weight loss of 8 kg, wi...
pmc-6077527-1
A 32-year-old male patient presented to our department due to gynecomastia and breast pain he had been suffering from for 2 years. The patient had already been seen by physicians from three different specialties before, including a urologist. More than one year earlier, a gynecologist had performed breast ultrasound an...
pmc-6077531-1
We report the case of a 65-year-old man known for hypertension, cholelithiasis, and panic disorder with no personal or family history of pheochromocytoma, paraganglioma, Multiple Endocrine Neoplasia Type 2 syndrome, Von Hippel Lindau syndrome, Neurofibromatosis Type 1, or Succinyl Dehydrogenase mutations. He is a past ...
pmc-6077533-1
A 62-year-old male patient presented with progressive worsening of mental function, dysphasia, and ataxic gait in the last six months. Five years prior to presentation (in August 2012), he was diagnosed with communicating hydrocephalus possibly caused by tuberculous meningoencephalitis because of mental confusion and g...
pmc-6077536-1
Miss A. L., a 17-year-old girl, with no pathological history and no notion of contact with dogs, reported since 3 months right thoracic pain, stage III of mMRC dyspnea, chest tightness, and some episodes of hemoptysis of low abundance evolving in a context of apyrexia, and conservation of the general state. The clinica...
pmc-6077536-2
Mr. SF, a 26-year-old man, without any notable pathological history, have a notion of contact with dogs in childhood, asymptomatic on the respiratory plane. The posteroanterior chest roentgenogram was performed for him as a preemployment checkup. It objectified a homogeneous oval opacity, well limited, left hilar, and ...
pmc-6077542-1
A 50-year-old lady presented to the Pondicherry Institute of Medical Sciences Hospital at Puducherry, India, with a complaint of acute abdominal pain. Contrast enhanced computed tomography (CECT) demonstrated the presence of bilateral ovarian mature cystic teratomas. Contrast enhancement within the right ovarian cyst s...
pmc-6077569-1
An 8-year-old East Indian boy with Fitzpatrick skin type IV phototype complexion presented with numerous blue-gray macules and patches over the back, anterior trunk, arms, and legs of 8 months' duration. The lesions first appeared on the back and then spread to the anterior trunk, arms, and legs. Some of the lesions we...
pmc-6077573-1
A 48-year-old male with past medical history of hyperlipidemia, HIV, and latent secondary syphilis presented for evaluation of loss of libido and erectile dysfunction for 2 months' duration. He had no other complaints. On examination, the patient was hemodynamically stable and did not show any signs of adrenal insuffic...
pmc-6077576-1
A 21-year-old gravida 1 para 0 patient presented at 20 weeks for a routine anatomy scan that revealed normal anatomy survey including two umbilical arteries (). She had an unremarkable past medical history. The estimated fetal weight was 874 grams (27th percentile) at 26 weeks and 1306 grams (26th percentile) at 29 wee...
pmc-6077586-1
A 54-year-old Caucasian male with past medical history of profound intellectual disability, schizophrenia, posttraumatic stress disorder, Parkinson's disease, gastroesophageal reflux disease, and seizure disorder initially presented to the emergency department (ED) from an assisted living facility with fever, tachycard...
pmc-6077595-1
A 46-year-old, brown-skinned woman with regular menstrual cycles and one child presented at the gynecology department of a philanthropic hospital in Vitória, Espírito Santo, Brazil, reporting a 6-month history of intense vaginal bleeding associated with abdominal pain. She had suffered vaginal discomfort over the previ...
pmc-6077596-1
A 69-year-old man presented with dyspnoea, relapsing dizziness, falls, and systemic inflammatory response syndrome in our institution. Notable lab values were a white blood count of 17.7 /μl (normal range 4.0-10.0 /μl), an elevated C-reactive protein of 9.6 ng/ml (normal < 0.5 ng/ml), a haemoglobin level of 13.5 g/dl (...
pmc-6077600-1
A 59-year-old male was scheduled for elective open retropubic prostatectomy for a benign enlarged prostate weighing approximately 65 grams. The patient's weight was 89 kg, ASA physical status II, diagnosed with essential hypertension two years ago, and controlled with ACE-I, Ramipril 10 mg once daily. No other morbidit...
pmc-6077606-1
We present a case involving a 40-year-old female who was found to have a McSwain Type 5 inverted appendix on a computed tomography (CT) urogram for hematuria and flank pain. A review of her past imaging included a computed tomography (CT) aorta and abdomen/pelvis which also revealed this anatomic variant and appeared u...
pmc-6077606-2
A 35-year-old male presented to the emergency department with nonspecific abdominal pain. The patient was afebrile with normal laboratory values to include normal lactate. The patient did not have any history of malignancy or other chronic medical conditions. Contrast enhanced computed tomography was performed, which d...
pmc-6077649-1
A 50-years-old African female with medical history of hypertension, Diabetes Mellitus Type-2, and Major Depression Disorders presented with intractable vomiting and altered sensorium. About eight–ten hours prior to presentation, patient started to experience multiple episodes of nonbloody & nonbilious vomiting along wi...
pmc-6077655-1
A 12-year-old male with a history of chronic myeloid leukemia presented to our dermatology clinic with new-onset hypopigmented patches that are slowly progressive and of varying sizes of six months' duration on his upper limbs, upper chest, and both knees (). Also, two depigmented macules were noted on his upper chest ...
pmc-6077660-1
A 44-year-old female was found to have an incidental FDG-avid right thyroid lesion following staging PET for colorectal carcinoma. She was asymptomatic from the thyroid lesion and biochemically euthyroid. There was no personal or family history of thyroid disease and no prior history of radiation exposure to the head a...
pmc-6077661-1
A 12.3-year-old male patient was referred to our pediatric endocrinology clinic for evaluation of short stature. He has been using levothyroxine (LT4) for hypothyroidism for more than 2 years. In medical history, he was born at term weighing 3500 g with uneventful gestation and delivery. His parents were first degree c...
pmc-6077878-1
A 69-year-old African American male with a formidable medical history of paroxysmal atrial fibrillation (on amiodarone and warfarin), end-stage renal disease status post deceased-donor kidney transplant 2 months ago (on immunosuppressive therapy with mycophenolate, prednisone, and tacrolimus), hypertension, transient i...
pmc-6078126-1
A 55-year-old woman reported a 24-hour history of unusual pain in her left carotid area irradiating to the ear. Colour Doppler ultrasound revealed an eccentric hypoechoic thickening (black arrows on Figure ) of the proximal bulbar internal carotid but also partially of the carotid bifurcation itself. A thin hyperechoic...
pmc-6078366-1
A 26-year-old male, with a history of long-standing heart failure had multiple hospital admissions in the past year despite optimal medical management. The diagnosis of end-stage heart failure due to Chagas cardiomyopathy was confirmed by serology a while ago, and an implantable cardioverter defibrillator was used for ...
pmc-6078644-1
A 65-year-old female came to our hospital in 2011 with history of intermittent pruritus in the perianal region for 1 year. The patient had neither genitourinary nor gastrointestinal symptoms, such as rectal bleeding, change in the bowel function, hematuria, dysuria, urinary frequency, or weight loss. Her family history...
pmc-6078649-1
A 30-year-old, asymptomatic female presented to our hospital for a physical examination. The patient had a history of diabetes mellitus and no history of cigarette smoking, hepatitis, tuberculosis, hypertensive disease, or coronary disease. Written informed consent was obtained from the patient for the publication of t...
pmc-6078662-1
A 53-year-old female is reported, having been admitted in our Department of Gynecology for postcoital vaginal bleeding and diagnosed with cervical adenocarcinoma based on the pathological biopsy, with an International Federation of Gynecology and Obstetrics stage of IIB. She also has had the diabetes and hypertension f...
pmc-6078673-1
A 29-year-old woman who had been bit by an insect on the left calf was admitted to our hospital with a chief complaint of continuous painful swelling of the bit area for 3 days. After scratched, the bite area became red and inflamed. The injury was not considered severe by the patient initially and the swelling of the ...
pmc-6078682-1
The patient was a 39-year-old man and an illicit abuser of heroin and amphetamine. He injected 0.5 mL of 24% paraquat directly into his right cephalic vein due to hallucination. The patient was brought to our emergency department for management 4 hours after injection. He was fully conscious and had normal vital signs ...
pmc-6078722-1
A previously healthy 2 and a half years old girl was admitted to our hospital with a 3-day history of fever and vomiting, complicated by a sudden seizure of half a minute on the next day of admission. On admission, she had a temperature of 37.9°C, with neck resistance, but was negative of Kernig sign, Brudzinski sign, ...
pmc-6078727-1
In 2008, a 69-year-old man presented with increased white blood cell (WBC) (12.6 × 109 cells/L) during a physical examination, whereas the platelets (PLT) and hemoglobin (HB) values were normal. The patient had a fever, night sweats, and weight loss, without superficial lymphadenopathy and hepatosplenomegaly. The patie...
pmc-6078740-1
A 66-year-old man was hospitalized in April 2017 for a weight loss of 7 kg and a nocturnal low-grade fever evolving since January 2017. The patient reported clinical tuberculosis in childhood. His medical history included arterial hypertension, dyslipidemia, coronary artery disease, and tobacco smoking. A bladder cance...
pmc-6078753-1
A 43-year-old man was transferred to the emergency department from local community hospital because of accidental chlorine inhalation and rapidly progressive dyspnea. Six hours before, a severe chlorine gas leak occurred at a metal recycling facility. The patient tried to control the site and thus stayed in the worksho...
pmc-6079180-1
A 53-year-old man was referred to the Prosthodontics Department of Tehran University of Medical Sciences, one and a half years after surgical resection and radiotherapy of an adenoid cystic carcinoma (ACC) in the right side of the maxillary arch by a dose of 45 Grays (Gy). The patient was completely edentulous and diss...
pmc-6079185-1
A 10-year-and-8-month-old male patient who presented emergently with a history of falling while playing soccer in a playground was admitted to the Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences. His medical history was unremarkable. Intraoral examination revealed a compli...
pmc-6079216-1
The patient is a 30 year-old right-handed male with bilateral malformations of cortical development (MCD) in right frontal and bilateral inferior temporal periventricular nodules causing medically refractory localization-related epilepsy. He also suffered psychiatric comorbidities of anxiety, panic disorder, and major ...
pmc-6079308-1
A 31 yr-old woman with complaints of massive abdominal distention and respiratory distress was referred to the gynecology and oncology department of an academic hospital, Mashhad University of Medical Sciences in Aug 2017. In past medical history, she mentioned a secondary infertility for four yrs and had one child age...
pmc-6079310-1
An 18 year old virgin girl was referred to clinic of gynecology in a university tertiary hospital with constant low grade lower abdominal pain from 2 weeks ago. Dysmenorrhea, gastrointestinal, or urinary tract symptoms was negative. She had regular menstrual cycles and her body mass index was 26.6. Because of abdominal...
pmc-6079425-1
A 61-year-old female with a past medical history of hypertension, HIV, and hepatitis C presented to our hospital with a 1-week history of right groin tenderness and a palpable lump in her right groin. The patient stated that the lump had been growing in size since its sudden appearance approximately 1 week prior. The p...
pmc-6079430-1
A 72-year-old male patient presented to the emergency department (ED) complaining of neck pain, retrosternal oppressive chest pain, and progressive dyspnea, reporting also a change of the voice with rhinolalia. The patient's past medical history was significant for coronary heart disease. The patient was diagnosed with...
pmc-6079435-1
A 12-year-old boy, S. R., came to an evaluation in October 2015 in the Orthodontic Department of Sapienza University of Rome. His weight was 24 kg (<3 centile) and height was 1.20 m (<3 centile), born from cesarean delivery at 39 weeks to a mother affected by CCD. He presented open fontanels and patent sutures at birth...
pmc-6079439-1
An 83-year-old female with a past medical history of rheumatoid arthritis (on DMARD's), asthma, depression, gastroesophageal reflux disease (GERD), and lumbar spondylosis, as well as a past surgical history of right posterior total hip arthroplasty (1999), bilateral total knee arthroplasties (2003, 2012), and right sho...
pmc-6079448-1
An 11-year-old male Rwandan, a known patient of multiple hereditary exostoses (MHE), presented to our hospital with a 6-month history of unrelenting bone pain despite treatment with NSAIDs; he later developed (two weeks prior to admission) a dull persistent aching pain and swelling of his left lower thigh that was wors...
pmc-6079489-1
A 65-year-old woman was admitted to our hospital because of low back pain and left posterior thigh and calf pain. When symptoms of sciatica began 2 months previously, she underwent radiography and magnetic resonance imaging (MRI) of the lumbar spine at another hospital. These showed a vertebral tumor in the lumbar spin...
pmc-6079490-1
We report the case of a 37-year-old gentleman who presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain postcolonoscopy. He had associated nausea and slightly reduced stoma output. Past medical history includes asthma and Crohn's disease which had settled at the tim...
pmc-6079493-1
A 57-year-old Caucasian male presented with a ten-year history of nonprogressive ring scotomas OU (). He denied other ocular- or nonocular-associated symptoms or any prior ocular trauma. Family history was negative for any retinal disease, uncorrectable vision loss, hemeralopia, or nystagmus. Best-corrected visual acui...
pmc-6079493-2
A 52-year-old African American female was referred for evaluation after three years of hydroxychloroquine treatment for rheumatoid arthritis. The medication dosage was never supratherapeutic, and she denied visual changes on the medication. Interestingly, her visual complaints predated the use of the medication by two ...
pmc-6079493-3
A 42-year-old Caucasian female who originally presented 22 years prior with perimacular pigmentary changes had been diagnosed with bilateral choroidal osteomas, although neither eye had an orange choroidal lesion nor hyperreflective plaque by B-scan ultrasonography on any prior testing. She denied progression of vision...
pmc-6079500-1
In May 2017, a 48-year-old male patient presented in our department with pain in his right knee. The complaints were progressive over the past years. The patient denied any history of trauma. The patient did not have any comorbidities. The physical examination showed a diffuse pain over the medial and lateral joint spa...
pmc-6079505-1
A 58-year-old woman with a history of current cigarette smoking, hypertension, and hyperlipidemia presented to the emergency room at our center reporting recurrent episodes of severe central chest pain over the preceding 24 hours. While her ECG showed no significant ST segment shifts, troponin I levels were slightly in...
pmc-6079508-1
A 38-year old male presented with a chief complaint of chronic and worsening left hip pain. The patient reported a lifelong history of pain and disability and described his current pain as sharp, aching, burning, severe, and constant, occurring daily. Relevant history included a diagnosis of hip dysplasia at age 1 year...
pmc-6079508-2
A 47-year old female presented with a chief complaint of severe right-sided hip pain that was chronic in nature. Relevant history included right hip surgery at 10 years of age to address symptoms of Legg-Calve-Perthes disease. She reported no relief from this procedure and in the interim, had sought relief through mult...
pmc-6079514-1
A 15-year-old female was returning for follow-up after a 1-month medroxyprogesterone acetate challenge test. The patient had been seen at the clinic prior to age 10 and returned at age 14, reporting menarche at age 14. The patient returned at age 15 and reported that menstruation had started and stopped twice. Free tes...
pmc-6079551-1
A 45-year-old male motorcyclist with a history of hypertension, hyperlipidemia, and coronary artery disease was brought to the emergency department after being struck by another car on the highway at speeds of at least 40 miles per hour. Upon presentation, the patient was evaluated using Advanced Trauma Life Support (A...
pmc-6079552-1
A 75-year-old man was admitted to our hospital due to exertional dyspnea that had been manifesting for several months. The patient had coronary risk factors, including hypertension, dyslipidemia, family history of coronary disease, and past history of smoking, and was taking medication prescribed by his regular physici...
pmc-6079558-1
In February 2018, we treated the patient, a 58-year-old male who developed erythematous skin with severe itching and flaking presented on the entire body surface. Detailed history suggested that the patient consulted a private physician for a toothache for which he was prescribed with methampyrone 500 mg orally. After ...
pmc-6079559-1
The patient is a 71-year-old white male who was found to have a 3.5 cm right kidney mass and had been followed by the urology team closely at VA Pittsburgh Healthcare System. Urine cytology was suspicious for malignant cells. He underwent a radical right nephrectomy on February 3, 2014. Pathology showed clear cell RCC....
pmc-6079566-1
A 62-year-old female patient who is heavy smoker presented with a burning sensation and discomfort in her left breast that has been recurring over a month prior to admission to the hospital. No fever, chills, or any other symptoms were described. She reported a past medical history of hypertension and a surgical histor...
pmc-6079567-1
Written informed consent for publication was obtained by the patient's parents. Our patient is an 8-year-old girl, with a positive family history for both skeletal malformations and bipolar disorders (BD). Her pre-perinatal history was uneventful. She was referred to our Unit because of learning difficulties and behavi...
pmc-6079576-1
A 70-year-old male with myelodysplastic syndrome treated with double cord allogeneic blood stem cell transplant 34 months ago complicated with chronic GVHD-related glomerular nephropathy, adrenal insufficiency, and end-stage renal disease on hemodialysis presented to clinic after 2 weeks of joint pain. Physical exam re...
pmc-6079582-1
A 15-year-old boy was brought to the emergency department, presenting pain in his left hip after a bike accident during a BMX race. Physical examination showed an external rotation of the lower limb and an irreducible hip flexum. The patient was not able to move the hip nor bear weight. Additional examination showed no...
pmc-6079597-1
A 53-year-old female was admitted for evaluation of flank pain radiating to the left lower quadrant of her abdomen. Relevant past medical history includes previous left renal calculi requiring ureteral stenting and nonischemic cardiomyopathy with reduced ejection fraction. Laboratory studies were remarkable for leukocy...
pmc-6079598-1
A 60-year-old woman presented with 1-year history of low back pain with lateral aspect of left leg pain and severe neurogenic claudication. There was no neurological deficit. Plain films showed narrowing of L4-L5 disc space and degenerative spondylolisthesis of L4-L5. MRI of L4-L5 showed a degenerative change of interv...
pmc-6079599-1
A 74-year-old female with no past medical history presented to the emergency department following sudden loss of consciousness while sitting on the couch witnessed by her husband. The patient was unresponsive for one minute and regained consciousness spontaneously. Postsyncopal symptoms included weakness and dyspnea, b...
pmc-6079603-1
A 64-year-old male patient, resident of Vadodara city, Gujarat state located in the western India, who is a known case of diabetes mellitus II, hypothyroidism, and ocular myasthenia gravis since 3 years presented to our tertiary care hospital named Sheth VS General hospital located in Ahmedabad city (Gujarat state) wit...
pmc-6079606-1
A 39-year-old male presented with a one-week history of a progressive, painful right paraspinal mass. He reported a history of subcutaneous abscesses which were typically treated with oral antibiotics. His current mass progressed in size and became exquisitely painful despite a recent trial of outpatient Bactrim (sulfa...
pmc-6079608-1
An 88-year-old male presented to a large community teaching hospital with a primary complaint of an irritating, generalized skin rash. The patient was afebrile. He reported recently receiving vancomycin and piperacillin-tazobactam at another area hospital for lower extremity cellulitis. Due to the extensive nature of t...
pmc-6079609-1
A 22-year-old Hispanic female with history of deep vein thrombosis (DVT) and pulmonary embolism (PE) at the age of 16, followed by diagnosis of SLE, acquired protein S deficiency and secondary APS, failed anticoagulation with Coumadin and enoxaparin due to noncompliance, status post inferior vena cava (IVC) filter plac...
pmc-6079612-1
We present a clinical case of a 31-year-old man diagnosed with HIV-1 infection, with CD4 T cell count of 35 cells/mm3 (4%) and HIV RNA 305349 copies/mL (log10 5.48) having initiated ART with abacavir/lamivudine and nevirapine. Around two weeks after starting ART, the patient is admitted due to a sudden cognitive impair...
pmc-6079617-1
A 51-year-old Japanese man was referred to our hospital for abnormal ultrasound findings during a medical examination. He had no complaints or relevant family history. His past history included diabetes, hypertension, dyslipidemia, and fatty liver. Physical examination showed nothing of note. Laboratory findings, inclu...
pmc-6079622-1
Our patient is a 37-year-old male who was previously diagnosed as a case of juvenile nasopharyngeal angiofibroma. He was diagnosed with the condition at 30 years of age during which he underwent his first surgery by the lateral rhinotomy approach. Tumour was seen to involve the nasopharynx and sphenoid sinus, eroding t...
pmc-6079623-1
A 71-year-old Qatari male patient was diagnosed with oral cavity HNSCC with stage cT4 N0 M0 in 1997 and underwent radiotherapy in London, UK. He developed post-radiation necrosis and neck fistula, which was treated with a skin flap. After initial chemo-radiation in 2016, a recurring HNSCC involving the supraglottic reg...