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pmc-6080063-1
A 33-year-old female patient visited the Faculty of Dentistry Clinic of the Pontifical Catholic University of Rio Grande do Sul, in Porto Alegre City, Brazil, because she was dissatisfied with the aesthetics of her smile and felt uncomfortable with the appearance of her two upper central incisors and two upper lateral ...
pmc-6080074-1
A 20-year-old Caucasian female, with a past medical history of hypothyroidism (currently on levothyroxine sodium 50 µg/day) and tobacco use (5 pack-year), presented in the ED of a university hospital in western Greece with acute dyspnea. One year before the current presentation, the patient underwent spirometry, bronch...
pmc-6080400-1
A thirty-year-old male presented with fever and non-productive cough for 2 weeks with exertional dyspnoea. He had hypertension and renal impairment due to mesangioproliferative glomerulonephritis, diagnosed 3 months prior to current presentation, and was on bisoprolol, prazosin and prednisolone (0.5 mg/kg/day). Renal b...
pmc-6080506-1
The grafts came from a 50-year-old man with a history of alcoholic cirrhosis, several episodes of spontaneous bacterial peritonitis requiring antimicrobial treatment, and a recent admission due to acute alcoholic hepatitis that was treated with high-dose corticosteroids. Fifteen days after discharge he was readmitted w...
pmc-6080552-1
We present the case of a 69-year-old man with type II diabetes mellitus with ocular end-organ dysfunction, on oral hypoglycaemic agents, and with hypertension. He was also affected by an end stage renal failure requiring haemodialysis three times a week. Furthermore, he had other co-morbidities: ischaemic cardiomyopath...
pmc-6080730-1
A 67-year-old male presented to our care on December 26, 2017, for shortness of breath on exertion and persistent cough for three weeks. Prior to these symptoms, he was completely asymptomatic. Symptoms progressed gradually up to the extent that he was not able to leave his house. Furthermore, the patient experienced s...
pmc-6080731-1
We describe the case of a 50-year-old woman who presented with adult hip dysplasia of high dislocation (Hartofilakidis Classification, type C) /Crowe grade IV. She is a known smoker and has hypertension. She had been tolerating mild pain for the past few years, but recently it had become debilitating. Additionally, the...
pmc-6080733-1
The patient was a 25-year-old male who had a history of thalassemia minor as well as tonic-clonic seizures following head trauma with identified cystic encephalomalacia in the left parietal lobe. He was diagnosed with seizure disorder three years ago when he experienced episodes of dizziness with lightheadedness and se...
pmc-6080734-1
A 75-year-old Caucasian female presented to our emergency department (ED) with a one-week history of progressive dizziness, weakness, early satiety, and chest heaviness. Symptoms started eight days after right knee arthroplasty. Review of systems was negative for abdominal pain, nausea, vomiting, hematochezia, melena, ...
pmc-6080736-1
A 32-year-old female with no previous medical history presented to the emergency department (ED) with weakness and fever, along with diarrhea and vomiting for one day. She had no complaints of chest pain, shortness of breath, chills, headaches, dizziness, or palpitations on arrival. Family history, social history, and ...
pmc-6080739-1
A 35-year-old gravida four para four female initially presented to urgent care with dysuria and was prescribed antibiotics for a presumed urinary tract infection. She had no significant medical history and was not immunocompromised in any way. Three days later, she was seen by her primary care provider for worsening dy...
pmc-6080740-1
A 35-year-old male with an unremarkable past medical history presented with a painful penile erection. He had woken up with a painful penile erection 48 hours ago which had persisted continuously since. He denied penile or perineal trauma, use of recreational drugs or medications, and personal or family history of sick...
pmc-6080742-1
A 79-year-old woman with a history of severe aortoiliac occlusive disease requiring a previous aorto-bi-iliac bypass graft presented in 2009 with a two-year history of chronic abdominal pain. Her abdominal pain was diffuse and postprandial in occurrence. She had associated symptoms of sitophobia (fear of food) and a we...
pmc-6081099-1
A 28-year-old male was transferred to our hospital in November 2006 because of a sudden onset of cramping and abdominal pain and intermittent melena for 4 days. Initially, he exhibited symptoms including generalized weakness, dizziness, and massive bloody stool passage. There was no significant past medical history of ...
pmc-6081151-1
A 44-year-old woman presented to our hospital with symptoms of a headache for 20 days and weakness in the right limbs for 1 day. She had a history of aplastic anemia (AA) and had been taking 150 mg oral cyclosporin A (twice a day) continuously for 18 months. Physical examination was performed and the following paramete...
pmc-6081152-1
A 70-year-old woman was admitted to the hospital because of fainting and general malaise for 5 years, worse in the prior 6 months. The symptoms were mainly triggered by flexing the neck and changing body position. There was no other discomfort and no significant past history. Her body mass index was 28.52, with blood p...
pmc-6081158-1
A 17-year-old male patient presented with a 10-year history of polyarthritis and 4-year history of progressive hip and knee pain and stiffness. His interphalangeal joints were first involved, and then the elbows, knees, and hips. He was misdiagnosed with developmental dysplasia of hips at the age of 9 in another hospit...
pmc-6081190-1
An 89-year-old Caucasian female with a medical history for AH, ischemic heart disease (coronary artery bypass surgery without prolonged ventilation), heart failure, chronic atrial fibrillation presented to emergency department with dyspnea, difficulty in speaking, hoarseness of voice, and edema of the neck was presente...
pmc-6081229-1
Our proband is a 39-year-old male who was first seen in our clinic at age 35. In his early medical history, he reports that he was hypermobile (Beighton score of 7/9), small in stature, and had a high-arched palate. He has had several joint dislocations involving the digits and patellae, the first of which occurred aro...
pmc-6081489-1
An 81-year-old man had been diagnosed with early gastric cancer and had undergone gastrectomy with Billroth I construction at 60 years of age. Currently, he underwent upper-gastrointestinal endoscopy for anemia that revealed an irregular lesion in the remnant stomach, for which he was referred to our hospital for furth...
pmc-6081512-1
A 17-year-old African American female with a negative past medical history except intermittent asthma presented to the emergency room complaining of cough and chest pain for the past two weeks in addition to rib pain, back pain, and weakness for about one month. The chest pain had been worsening upon deep inspiration o...
pmc-6081519-1
The procedure discussed in this case report was performed at the Department of Clinical Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Italy, and the procedure was approved by the University Ethics Committee (recorded March 2014). A 52-year-old woman, with a good health status (ASA score: 0), was en...
pmc-6081520-1
A 73-year-old woman was referred to our department with a complaint of asymptomatic gross hematuria. She had experienced a urinary tract infection and urolithiasis several years ago. On cystoscopy, we identified a gross hematuria from the right ureteral orifice. Noncontrast enhanced CT revealed a right renal stone and ...
pmc-6081525-1
A 60-year-old man with a history of alcohol abuse was found at home with impaired consciousness of unknown origin. The patient's room had numerous unlabeled cans of unknown contents. He was admitted to the hospital's intensive care unit (ICU). On arrival at the ICU, the patient had a Glasgow Coma Scale score of 3 (3–15...
pmc-6081529-1
A 48-year-old man with no apparent past medical history initially presented with abdominal pain associated with nausea and vomiting. Physical examination was unremarkable. Lab results were significant for anemia, with a hemoglobin level of 11.6 g/dL (14–18), hematocrit 32.2% (42–52), and lipase 164 U/L (13–60). His com...
pmc-6081541-1
Informed consent for publication was obtained from the patient. A 24-year-old right-handed man fell from the fifth floor balcony and was transported to an emergency hospital. Radiological examinations revealed that he had suffered right traumatic pneumothorax, right humeral shaft fracture, right olecranon fracture, rig...
pmc-6081547-1
A 91-year-old Caucasian female with a history of CLL diagnosed 14 years ago, hypothyroidism, glaucoma, and severe osteoarthritis of spine presented to ER, 24 hrs after receiving first chemotherapy for her CLL with chlorambucil in the setting of recent worsening of lymphocytosis, anemia, and exertional dyspnea, with com...
pmc-6081550-1
A 62-year-old immunocompetent man with no significant previous medical history was hospitalized for high-grade fever, intractable hiccup, and interscapular pain. On admission, his white blood cell count was 11 × 109/L (normal range 4.50–10.80 103 mmc), his C-reactive protein (CRP) was elevated at 4.30 mg/dl (normal ran...
pmc-6081550-2
A 72-year-old man with a history of bullous pemphigoid treated with a monoclonal antibody was admitted to another hospital due to a balance disorder. A neurological examination identified a left hemiplegia with no sensory deficits. An immediate CT brain scan showed a ring-enhancing cortical-subcortical lesion on the ri...
pmc-6081566-1
A 64-year-old woman was brought to the emergency unit with chief complaints of headache and fever for one week in September 2017. She felt pain over her whole calvarium without a specific trigger point. Her body temperature was 38.7 degrees Celsius. There was no nausea, vomiting, blurred vision, or nuchal stiffness. Cr...
pmc-6081595-1
A 23-year-old man presented in 2014 with a white blood cell count of 34 × 109/L with 87% circulating blasts by manual differential count. Flow cytometric analysis on the peripheral blood (PB) revealed 89.6% blasts by CD45/SSC gating. The blasts expressed CD10, CD19, CD34, HLA-DR, and CD20 (dim); partially expressed CD1...
pmc-6081596-1
A 59-year-old female initially presented to the emergency department 10 months prior with right arm pain and swelling. A computed tomography of the neck with contrast at the time showed two confluent masses in the right axillary and right supraclavicular regions encasing the right subclavian and axillary vein, the inte...
pmc-6081600-1
A 35-year-old female was diagnosed with type I DM at the age of 9 years. During childhood her DM was poorly controlled and the patient gained significant weight. At the age of 25 years her weight was 105 kg with a body mass index (BMI) of 40 kg/m2 and her renal function started to deteriorate with progression to requir...
pmc-6081802-1
A previously healthy 32-year-old man, presented to the outpatient department of our institution with a 3-day history of high fever, sore throat, and mild diarrhea in early September 2016. His chief complaints were severe myalgia in both sides of his cervical and trunk muscles (around the pectoralis major, rectus abdomi...
pmc-6081819-1
We report a case of a 43-year-old Sri Lankan Sinhalese woman who presented to our Teaching Hospital, Peradeniya, in the morning with a history of fever, arthralgia, myalgia, and headache of 4 days’ duration. She had been previously diagnosed as having type 2 diabetes mellitus and dyslipidemia for which she received tre...
pmc-6081828-1
A 68-year-old man presented to our institution. He previously underwent laparoscopic intersphincteric resection of the rectum with diverting loop ileostomy for lower rectal cancer at the age of 56. The immediate postoperative course was uneventful. A pathological examination revealed that the patient had T1, N1a, M0, S...
pmc-6081829-1
A 72-year-old male visited Gangneung-Wonju Dental Hospital due to pain and induration of the left pre-auricular area. He had no specific medical history and discomfort and crepitus during mouth opening that had persisted for a couple of years. Recently, he suffered from pain upon palpation of the left pre-auricular are...
pmc-6081846-1
A 66 year-old woman presented with gas and FI for twenty years. She has one daughter, born in 1970 by cesarean section after a long labor without pelvic lesions or lacerations. She takes the following home therapy:Telmisartan 40 mg, 1 tablet at 12 h and 1 tablet at 20 h; Levotiroxine 75 mcg, 1 tablet at 8 h; Bromazepam...
pmc-6081948-1
In 2015, a 47-year old man presented with pain in the TMJ (temporomandibular joint) and whose aesthetic concern was having a chipped maxillary central incisor veneer, as seen in Fig. , and . After a clinical and radiographic analysis, as seen in Fig. , a loss of the vertical dimension and tooth ware, caused by bruxism,...
pmc-6081951-1
A 22-year-old man presented with a 70-day history of bilateral lower extremities weakness, followed by fever, productive cough and jaundice. On March 20th 2017, the patient suddenly developed lower limb weakness without any other notable symptoms. After the patient’s admission to the local hospital, brain computed tomo...
pmc-6081952-1
Our patient is a 60-year-old female with severe emphysema who underwent a double-lung transplant in 2008, donated from a 64-year-old female with a 25-pack-year smoking history, stopping in 1982. The explanted lungs showed signs of severe emphysema but no malignant features. Post-transplant imaging demonstrated a mild t...
pmc-6081983-1
A 73-year-old woman presented with dyspnea on exertion. Chest radiography showed an enlarged mediastinal silhouette. Preoperative computed tomography (CT) and echocardiography revealed a giant cyst (12 × 10 cm in diameter) occupying a large area around the left atrium and ventricle, and it was present behind the pulmon...
pmc-6081987-1
A 20-year-old African American woman with no other known prior medical history, presented to our institution January 2018 with fevers of 3 weeks’ duration. The fevers were predominantly in the late afternoon hours, associated with night sweats, frontal headache, tender cervical lymphadenopathy, anorexia and malaise. Tw...
pmc-6082045-1
A 51-year-old man presented in mid-May (early winter) 2006, eight days after onset of swollen groin lymph nodes followed three days later by fevers, rigors, headache, dry cough and subsequent non-pruritic rash. He had been hiking alone along a popular hiking trail, the Bibbulmun track, in the southwest of WA and had re...
pmc-6082045-2
A 36-year-old female spent four days during November (early summer) 2014 on a field trip to Salisbury Island, situated in the Recherche Archipelago approximately 150 km east of Esperance (), trapping black-flanked rock wallabies and carrying out botanical inventory work. On return to the mainland she discovered a tick,...
pmc-6082432-1
A 46 year old male was an alcohol-intoxicated restrained passenger in a head-on motor vehicle collision, suffering blunt force abdominal trauma. At the collision site EMS recorded a Glasgow Coma Score of 15 with stable vital signs. He was transferred to Cabell Huntington Hospital where he was intubated and found to be ...
pmc-6082433-1
A previously well 15 year old male presented to the Emergency department at 1600 h, 4 hours after a seemingly minor blunt abdominal injury during a weekend soccer match. Initially following the impact of another player's knee to the abdomen, the adolescent rested out of the game for half an hour before returning to pla...
pmc-6082499-1
A 16-year-old male unrestrained backseat passenger was brought to our trauma bay after a high-speed motor vehicle collision with a rollover. He suffered multiple injuries, including traumatic brain injury; complex pelvic fractures; spleen, liver, and renal injuries; and left diaphragmatic rupture. His initial chest X-r...
pmc-6082581-1
Patient is a 79 year-old man with history of hypertension and coronary artery disease initially presented for evaluation of a palpable right neck mass with associated symptoms of dyspnea on exertion and 36lb weight loss. Workup revealed stage 4 adenocarcinoma with negative anaplastic lymphoma kinase (ALK), c-ros oncoge...
pmc-6082582-1
We describe two siblings from a Pakistani consanguineous family, 18-year-old female (ABC) and 15-year-old male (XYZ) diagnosed as having IDDM since the age of eight years, with progressive flexion contracture of the small joints of both hands and feet for seven to eight years. One female child of the family expired at ...
pmc-6082584-1
A 60-year-old man was referred to our center in October 2015 due to ascites and increased liver enzymes ongoing since six months (Table ). He had no previous history of liver disease and he complained of fatigue and weight loss (16 Kg) over eight months. The patient referred alcohol consumption of about 50 g/day in the...
pmc-6082585-1
A 69-year-old African American female presented with complaints of epigastric pain and 10-pound unintentional weight loss over three months. Abdominal pain was dull, non-radiating, localized in epigastric region and was not associated with food intake. She also had associated occasional non-bloody, non-bilious vomiting...
pmc-6082586-1
A 55-year-old previously healthy man presented with a two-hour history of abrupt, severe pain and paresthesia of the right lower extremity (RLE) after playing basketball. This is the first time he had experienced this, but he had experienced intermittent episodes of dizziness and palpitations over the past two months. ...
pmc-6082587-1
A 31-year-old Guyanese female presented to the emergency department (ED) complaining of odynophagia and neck pain for few days. She also reported an increased appetite over the past few weeks. She was otherwise healthy in the weeks leading up to her visit to the ED. She denied any history of palpitation, heat intoleran...
pmc-6082661-1
Following an elective open pyeloplasty for pelvic ureteric junction obstruction, an 11-month-old female presented with low grade fever and irritability on the first postoperative (PO) day. The birth and developmental history were unremarkable, except for two episodes of pyelonephritis and a right pyeloureteral stenosis...
pmc-6082747-1
A 75-year-old man was admitted to our hospital because of left chest pain and dyspnea. A chest X-ray showed a left pneumothorax (Fig. ), and a previous chest computed tomography (CT) scan revealed a subpleural pulmonary nodule with cavitation in the left upper lobe (Fig. ). The patient had been on prednisolone and meth...
pmc-6082884-1
An 85-year-old Caucasian female presented to our institution complaining of a one-week history of progressive sharp right flank and scapular pain with mild shortness of breath, dry cough, and pleuritic chest pain exacerbated with deep inspiration. The patient denied constitutional symptoms, nausea, vomiting, diarrhea, ...
pmc-6083208-1
A 37-year-old Caucasian male patient was referred to our Department from the National Organ Procurement and Transplant Network waiting list for KT. The recipient was an unmarried office worker with hypertension under pharmacological treatment, no previous abdominal surgery and ESRD due to ADPKD currently not requiring ...
pmc-6083471-1
A 10-month-old girl was referred to our endocrine unit for evaluation of excessive and rapid weight gain. She was born at full term by normal vaginal delivery and weighed 3.0 kg [-0.52 standard deviation score (SDS)] at birth. She is the second child of healthy, non-obese parents with third degree consanguinity. There ...
pmc-6083476-1
A 13-month old girl was admitted to our department due to failure to thrive. She was the second child of healthy, unrelated parents, whose heights were 190 cm (father) and 175 cm (mother). An ethical review board approval and informed consent from both parents of the proband presented here were obtained, in accordance ...
pmc-6083477-1
We present a 9-year-old girl with newly diagnosed DM1, DKA, brain edema, multifocal vasogenic brain lesions and lower limb paresis. The patient was reported to have polyuria and polydipsia over the past week and a weight loss of 3 kg over the previous month. The patient was admitted to the district hospital in a seriou...
pmc-6083480-1
A 70-year-old male patient presented in our department with a painful swelling over the left lateral malleolus, which rapidly emerged over the past 3 months. The patient had no history of trauma. His medical history was completely negative regarding any comorbidities, especially no rheumatic disease, psoriasis, or gout...
pmc-6083481-1
The patient is a 65 year-old male with a past medical history significant for coronary artery disease (status post a drug-eluting stent to his right coronary artery in 2011, with occluded left circumflex), paroxysmal atrial fibrillation (status post ablation in 2015, rhythm controlled, on apixaban), abdominal aortic an...
pmc-6083489-1
We present a 79-year-old male with history of polymyalgia rheumatica on chronic prednisone who presented with a two-week history of progressively worsening dyspnea, cough, and a 10 pound weight loss. He initially presented to an urgent care and had been prescribed antibiotics without improvement in his symptoms. He ret...
pmc-6083508-1
A 58-year-old woman presented with a 2-year history of a non-productive cough and progressive shortness of breath. She had a history of renal insufficiency and persistent proteinuria, without any extra-renal involvement. She was diagnosed with IgA nephropathy for 15 years and had received immunosuppressive therapy for ...
pmc-6083511-1
An 86-year-old multiparous Japanese woman with an unremarkable medical history was transferred to our hospital after a traffic accident (Table ). She was hit by a car while walking at a crosswalk. On presentation to our emergency department, she complained of pain in her buttock. Her Glasgow Coma Scale score was 15/15....
pmc-6083513-1
A 53-year-old female presented with an asymptomatic gastric tumor found incidentally during screening upper gastrointestinal endoscopy. The lesion appeared as a flat protrusion in the lesser curvature of the lower third of the stomach (Fig. ). Endoscopic ultrasound (EUS) showed a 23 × 12-mm, hypovascular, heterogeneous...
pmc-6083529-1
A 57-year-old female with no previous history of liver disease presented with abdominal pain and vomiting for one day. The abdominal pain was described as 7/10 in severity, nonradiating, and diffuse, but most intense in the right upper quadrant. She denied previously experiencing any similar pain. She denied fever or c...
pmc-6083534-1
A 41-year-old HIV-1-infected male farmer presented with a five-day history of right hypochondriac abdominal pain associated with decreased appetite, nausea, vomiting, and two days of yellowish discolouration of sclera, with no history of fever, diarrhoea, blurring of vision, and odynophagia or dysphagia. He presented t...
pmc-6083539-1
A 58-year-old Thai previously healthy male farmer, living in Roi Et Province (Northeast Thailand), was referred to our hospital, King Chulalongkorn Memorial Hospital, due to problems with total ophthalmoparesis and productive cough for 2 months. Two months prior to admission (PTA), he developed productive cough and low...
pmc-6083543-1
A 14-year-old female presented to an outpatient psychiatrist with severe depression and suicidal ideation. She was admitted to the pediatric psychiatric unit for evaluation and treatment. Her medical history was significant for anxiety, depression with multiple suicide attempts, postconcussive syndrome, chronic migrain...
pmc-6083553-1
A 63-year-old woman visited our outpatient clinic because of general malaise that lasted 6 days. She developed RA at the age of 60 years and had been treated with 400 mg monthly intravenous tocilizumab for the past 10 months and 3 mg/day prednisolone. She had no history of blood transfusion, alcohol use, travel abroad,...
pmc-6083556-1
A Folliculotropic Mycosis Fungoides was diagnosed in a 58-year-old male patient in 1997 and treated with local chlormethine between 1998 and 2006. In 2006, MF progressed toward a tumoral form with infiltrating plaques and nodules all over his body, the most important being an exophytic one arising from the nasal region...
pmc-6083593-1
An 80-year-old man in good health was admitted to our hospital for severe pain in the left hip associated with functional impairment after a fall at home. X-rays and computed tomography (CT) of the painful hip showed a femoral trochanteric fracture with an Evans classification of 1c (). Two days after injury, the patie...
pmc-6083596-1
Patient n. 1 was a 66-year old male, suffering from diabetes type I, requiring insulin therapy since 2006. The patient also presented associated diabetic retinopathy, and a primary open angle glaucoma (POAG) had been diagnosed in January 2014. Values of IOP were successfully maintained within normal range with hypotens...
pmc-6083596-2
Patient n. 2 was a 60-year old female, diagnosed with suffering from POAG for ten years, under treatment with hypotensive drugs and regularly controlled IOP twice a year which appeared maintained within normal ranges. During a control visit in January 2016, the patient had reported irritating symptoms of eye discomfort...
pmc-6083606-1
A 51-year-old man with no past medical history presented to the emergency room with pressure-like chest pain of two-day duration. He had multiple episodes of pain, and each lasted for around 20 minutes. It was associated with palpitations and exacerbated by physical exertion. He was a former smoker and reportedly quit ...
pmc-6083641-1
A 41-year-old Hispanic male (BMI: 44.6) presented to the emergency department after seven days of severe, novel, left-sided rectal pain. The patient denied fever, nausea, vomiting, bowel changes, or signs of blood in his stool. Though a proper rectal exam could not be performed due to pain, a 6 mm mass with surrounding...
pmc-6083644-1
A 29-year-old secundigravida Caucasian woman at 19+5 weeks of gestation was referred to our Fetal Medicine Centre to perform a level II ultrasound scan because of positive serology for syphilis in the first trimester. No maternal clinical manifestations of disease was found on examination. She had had a history of a fe...
pmc-6083646-1
A 46-year-old nulliparous woman presented after having experienced pain in the right side of her groin and labia majora for four months, as well as a lump that was increasing in size. She had previously undergone three laparotomies for ovarian cystectomy at 20, 10, and 8 years prior to this visit due to her severe prog...
pmc-6083649-1
A 77-year-old female with hypertension, hyperlipidemia, and paroxysmal atrial fibrillation (AF) presented with palpitations. She has neither prior cardiovascular procedure nor cardiac surgery. AF was diagnosed 4 years ago, and she was started on oral anticoagulation with warfarin. She was active and independent. She wa...
pmc-6083738-1
A 74-year-old male patient visited the emergency department of our hospital for tenderness and swelling of the left knee. He had a past history of hypertension, spinal stenosis, benign prostate hypertrophy, and unruptured aneurysm of the right carotid artery. He also had visited an orthopedic surgery clinic due to an o...
pmc-6084490-1
Mr. BH, 39 years old, right-handed, presented with a Bennett fracture of the first right metacarpal following a work accident. The fracture was initially treated in another institution by reduction and percutaneous pinning using Iselin’s technique. Three weeks later, the patient developed an inflammatory reaction aroun...
pmc-6084498-1
Case 1: A 58-year-old right-hand dominant female underwent the first carpometacarpal arthrodesis using two cannulated compression headless screws. Postoperatively, strong pinch movement was prohibited for 4 weeks, and range of motion exercises were undertaken. There was persistent pain in the fixed joint from 6 weeks p...
pmc-6084498-2
Case 2: A 78-year-old right-hand dominant female had a 7-year history of left thumb pain at night. Physical examination and radiography revealed osteoarthritis of the TMC joint. Radiographs showed degenerative arthritis (Eaton classification stage III). Following failure of conservative treatment, the patient underwent...
pmc-6084507-1
A 76-year-old woman presented to our clinic due to fluctuating diplopia, worse at the end of the day while watching television, which gradually developed for 8 months prior to presentation. She complained about binocular vision in primary gaze position, in vertical and right lateral gaze directions. Her medical history...
pmc-6084563-1
A 56-year-old non-smoker male, engineer for a gas company, presented in early January 2017 with right chest pain and a 1.56 L (29.4%) loss in forced vital capacity (FVC) over the previous 3 years. The anamnestic investigation for professional exposure including asbestos resulted negative. The physical examination revea...
pmc-6084687-1
A 73-year-old male with a past medical history of diabetes, hypertension, and dyslipidemia presented with a chief complaint of visual change for one day in his left eye. The patient reported that he was at home the previous night when he suddenly experienced loss of vision in the left eye. The patient also reported sha...
pmc-6084690-1
The patient is a 33-year-old Caucasian female, who was brought to the local emergency room by the police. The police were repeatedly called by the patient about rapes and shootings in her community. On the day she was brought to the hospital, the patient called the police under a fake name and complained that her husba...
pmc-6084697-1
A 20-year-old male patient, with type 1 diabetes mellitus of 15 years duration, on twice daily premixed insulin and poor glycemic control (glycated hemoglobin of 10.8%), presented to us with evidence of advanced microvascular disease. He had bilateral proliferative diabetic retinopathy (PDR), distal symmetrical sensori...
pmc-6085214-1
A 65-year-old woman presented with abdominal pain and hypophagia for 2 weeks. She had a medical history of alcoholic pancreatitis. A computed tomography (CT) scan of her abdomen and pelvis revealed thickening of the transverse colon wall. Colonoscopy showed an ulcerated tumor in the transverse colon, and histological a...
pmc-6085532-1
A 36-year-old woman, gravida 1, para 1, with a history of laparoscopic fulguration of pelvic endometriosis 3 years previously was referred to our institution because of dysmenorrhea and monthly right-sided shoulder pain associated with menses. She was using oral contraceptive pills (OCP) without pain relief. Deep pelvi...
pmc-6085532-2
A 42-year-old nulliparous woman with a history of infertility and recurrent catamenial pneumothorax (2 previous episodes, the last one 6 months earlier) was referred to our emergency department due to right-sided chest pain and mild dyspnea, which started within 48 hours of onset of menses. She had no previous history ...
pmc-6085532-3
A nulliparous, 26-year-old woman, with a known diagnosis of pelvic endometriosis and medical treatment with continuous OCP for 9 years was referred to our institution due to recurrent pelvic pain, severe dysmenorrhea, and dyspareunia. Moreover, she presented with chronic right shoulder pain, which was exacerbated durin...
pmc-6085532-4
A 35-year-old nulliparous woman, was referred to our unit with a long history of infertility and chronic pelvic pain. She also had severe dysmenorrhea and dyspareunia, but reported no thoracic symptoms. She underwent gynecologic laparoscopy, and deep pelvic endometriosis in the uterosacral ligaments was resected; sever...
pmc-6085532-5
A 40-year-old nulliparous woman, with history of four previous surgeries for endometriosis, persistent dysmenorrhea, and infertility was evaluated in our emergency department due to epigastric and left flank pain, dyspepsia, and nausea. Abdominopelvic CT revealed a left diaphragmatic hernia, with the splenic flexure of...
pmc-6085604-1
A 51-year-old male was referred to the Department of Periodontics, College of Dentistry, Qassim University (Buraydah, Saudi Arabia) to extract the non-restorable tooth #45 and to evaluate the site #45 and #46 for the placement of implants. The patient had hypercholesterolemia and was taking 20 mg Lipitor (atorvastatin)...
pmc-6085645-1
The patient is a 69-year-old woman who presented to her primary care physician with worsening cough and pain wrapping around her chest to her back. The chest pain was initially thought to be pleuritic in nature and related to an exacerbation of her chronic obstructive pulmonary disease (COPD). When there was no improve...
pmc-6085650-1
A 39-month-old Sri Lankan Sinhalese boy from a poor socio-economic background presented to the pediatric ward with circulatory collapse. He did not have fever, history of infection, or other identifiable focus of sepsis. He was born to non-consanguineous parents at 38 weeks of gestation with a birth weight of 2.5 kg an...
pmc-6085819-1
A 24-year-old man (height: 169 cm, weight: 44 kg, blood pressure: 168/75 mmHg) presented with paroxysmal disturbance of consciousness accompanied by muscle spasms. He was diagnosed with cerebral haemorrhage. He had experienced two previous cerebral haemorrhages between the ages of 23 and 24 years. He was an only child,...