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pmc-6123965-1
A 30-year-old Brazilian male was brought to our ED from a local jail because of agitation. He had been arrested by Swiss authorities because of suspected internal concealment of drugs of abuse (body packing), which had been confirmed by abdominal CT scan in our hospital approximately 12 h before (Fig. ). During this fi...
pmc-6123975-1
We report the case of a retired Caucasic 84-year-old woman who required a VIV procedure due to the degeneration of a previously implanted aortic bioprosthesis. Her cardiologic history started in 2006 when she experienced syncope and was then diagnosed as having severe aortic stenosis (mean transvalvular gradient 44 mmH...
pmc-6124007-1
A 6-year-old boy presented with right-sided neck pain for 6 months was admitted in our institution on July 2007, with no history of recent trauma, fever or infection. The pain localized in the right side of neck, without radiating pain. The pain exacerbated for several days and not alleviated by using analgesics. Visua...
pmc-6124168-1
A 20-year-old woman with Noonan syndrome—a genetic disorder that presents with short stature, distinctive facial features, chest deformity, and congenital heart disease—was diagnosed with giant cell tumor of the bone (GCT) localized to the ramus regions of the jaw in 2002. The tumor was found on exam by an otolaryngolo...
pmc-6124168-2
A 34-year-old man in generally good health developed right lower jaw pain in February 2014. He had no history of calcium or other metabolic bone disorders, including Paget's disease, and was not on any chronic medications. He denied any history of radiation exposure. The patient was referred to our center by his oral s...
pmc-6124168-3
The third patient is a 14 year-old male with no significant personal or family history of metabolic bone disease who was found to have a mandibular jaw lesion on routine orthodontic exam. The patient denied any significant pain but did mention that he felt some “loosening of the teeth.” He had normal growth and develop...
pmc-6124168-4
A 31-year-old man with no personal or family history of metabolic bone disorders was referred to our institution for evaluation and treatment of a GCT of the jaw. He was diagnosed in 2015 when he presented to his orthodontist with a lower jaw lesion and difficulty chewing food. CT scan showed an expansile lesion measur...
pmc-6124168-5
A 15-year-old female with a history of presumed autosomal dominant cherubism (two sisters with a diagnosis of cherubism) and mandibular lesions since 6 years of age presented with loosening of her teeth and numbness to the lesion site. She had normal growth and development with menarche at 11 years of age. At the time ...
pmc-6124168-6
A 19-year-old female with a previous dental implant who presented to her orthodontist with related complications, and biopsy confirmed CGCG of the jaw. Patient is tolerating denosumab 120 mg monthly. Surveillance is ongoing, imaging and repeat biopsy are planned for the 1-year treatment mark.
pmc-6124168-7
A 12-year-old male with CGCG of the jaw post presented to our care after resection of a 2-cm lesion with recurrence. Treatment was initiated with denosumab 60 mg, which was determined based on shared-decision making with family, who had concerns that higher doses may affect growth and bone quality during formative pube...
pmc-6124177-1
A 62-year-old male patient diagnosed with chronic glomerulonephritis was maintained on hemodialysis for the previous 12 years, twice per week, with felodipine to control his hypertension. Three years ago, an abrupt surge in his blood serum intact parathyroid hormones (iPTH) levels was observed. One year later, the pati...
pmc-6124189-1
On 30 May 2018, a Greek male in his late 40s returned to Greece after spending 23 days in a forested area in Blagoevgrad province, south-western Bulgaria, where he was working in bridge construction. Three days earlier (27 May, day 1), while in Bulgaria, he developed fever, severe headache, myalgia (mainly in the lower...
pmc-6124378-1
A seven and half year-old boy visited the outpatient clinic of Pediatric Dentistry Department, Faculty of Dentistry, Cairo University in June 2015 with a chief complaint of pain on the lower right molar area. The patient’s mother stated that the pain was at times throbbing in nature, and child is not able to chew on th...
pmc-6124770-1
On August 10, 2015 a 14-year-old boy was admitted to the psychiatric department of the Regional Hospital of Banfora for psychiatric disorders primarily characterised by logorrhea, hypersomnolence and a persistent fever. For at least five months before admission, the patient visited several peripheral health care facili...
pmc-6125262-1
A 31-year-old man was admitted to our hospital, complaining of hematochezia which had lasted for 1 month. His past history involved a high anterior resection of the rectum in our hospital due to intussusception caused by Peutz-Jeghers polyposis (Fig. ). He was hospitalized for 1 month after the procedure. Unfortunately...
pmc-6125373-1
A 65-year old Caucasian woman with mild diabetes since 4 years, migraine and family history negative for neuromuscular diseases (Figure ), had a few episodes of loss of consciousness and fall, sometimes associated with urinary incontinence. A CT scan showed cerebral atrophy and an EEG slowing in the theta frequency ran...
pmc-6125864-1
A 20-year-old Caucasian woman presented to our institution with decreased vision in the right eye (RE) with a 4-month evolution. The patient’s vital signs were within normal limits, and no abnormalities were noticed upon physical and neurological examination. Similarly, her past medical history was unremarkable. Her be...
pmc-6125870-1
A esophageal cancer patient who was diagnosed as S. haliotis pulmonary inflammation. A 68-year-old male patient was admitted to people’s hospital of Liaocheng city, China, on July 24, 2016, because of “hematemesis for 4 hours”. He had been diagnosed with the operation of esophageal cancer for more than 2 years. His adm...
pmc-6125870-2
A gastric cancer patient who was diagnosed as S. algae bacteremia. A 56-year-old man was admitted to people’s hospital of Liaocheng city, China, on 6, Oct. 2016, because of “discomfort of upper abdominal pain for 1 month”. His admitted physical examination included body temperature of 36.1 degrees, pulse rate of 72 bea...
pmc-6125953-1
A 14-year-old Chinese Malaysian boy presented to University Malaya Medical Centre, Kuala Lumpur in September 2013 with history of recurrent pneumonia, poor growth and steatorrhoea since childhood. He had finger clubbing and bronchiectasis. Later, he was diagnosed with CF and Pseudomonas aeruginosa was isolated from his...
pmc-6125993-1
We report a 77-year-old Caucasian female who had presented to nephrology clinic with a history of multiple sclerosis in remission who was noted to have progressive weakness for 2 months prior to presentation. Suspicion for a multiple sclerosis flare was low since her electrolytes were grossly abnormal with a serum calc...
pmc-6125994-1
A 61-year-old man presented with pain, redness, floaters and decreased vision in his right eye for two days. It was diagnosed as anterior uveitis at a local clinic and treated with prednisolone acetate eye drops combined with intravenous drip of dexamethasone and cephalosporin for seven days. Two weeks later, the patie...
pmc-6126002-1
A 55-year-old woman suddenly became aware of speech difficulty and left arm numbness at 11:00 pm while talking on the telephone with her daughter. She was taken to our hospital by ambulance. She was diagnosed with RA 6 months earlier, and she had been treated with methotrexate at a dose of 10 mg daily. She had a histor...
pmc-6126020-1
Our patient was a 47 year old female with a history of ulcerative colitis, Sjogren’s syndrome, migraines, and fibromyalgia who presented with a 6 month history of left lower extremity paresthesia followed by a 2 month history of progressive headaches, imbalance, ataxia, nausea, vomiting, and diplopia. Neurologic examin...
pmc-6126034-1
A 9-day-old Caucasian boy was referred to our department of ophthalmology for bilateral buphtalmia and corneal haze. He was born at term, by spontaneous delivery, of non-consanguineous parents, with no significant personal or family medical history, except a keratoconus in his older brother. Clinical examination showed...
pmc-6126040-1
A 48-year-old female patient underwent her first work-up for possible liver disease 30 years ago. Based on findings of chronic active hepatitis in liver biopsy, autoimmune hepatitis was suspected, and treatment with prednisolone and azathioprine initiated. Seven years later, an endoscopic retrograde cholangiopancreatog...
pmc-6126067-1
An 88-year-old man, BMI 24, presented to the clinic with complaints of pain and a cracking sensation in his right hip, nine years post primary right THA. His previous medical history was significant for coronary artery disease, myocardial infarction, hypertension, chronic kidney disease, and gastroesophageal reflux dis...
pmc-6126070-1
A 76-year-old man was electively admitted for intervention and management of severe symptomatic aortic stenosis resulting in worsening New York Heart Association Class III cardiac failure. His medical history included stage III chronic kidney disease, type 2 diabetes mellitus, hypertension, and prior coronary artery by...
pmc-6126075-1
A 49-year-old man sustained a tibial shaft spiral fracture (AO/OTA classification 42-A2) with a fibular fracture (). He had no previous medical history. The fracture was treated initially at another hospital with a reamed statically locked intramedullary nail (). He noted increased external rotation of the affected leg...
pmc-6126077-1
A 19-year-old young male patient presented to our clinic with sudden vision loss in his right eye 2 weeks after push-up and sit-up exercise. He was admitted to another centre before; he was told that he had haemorrhage in his eye and was advised only follow-up. He had no history of trauma, ocular, or systemic disease. ...
pmc-6126084-1
An 81-year-old male presented to the clinic with yellowish discoloration of skin and urine for 2 weeks. He denied any fever, abdominal pain, nausea, vomiting, melena, hematochezia, or acholic stools. Past medical history was significant for hypertension, hyperlipidemia, diabetes mellitus type II, coronary artery diseas...
pmc-6126086-1
A 56-year-old healthy man presented to the emergency department in the summer season with three days of fatigue and bilateral thigh pain. He was born in Puerto Rico but resided in the Northeast Region of the US, where he worked as a chef in a major metropolitan city. He had no sick contacts, recent travel, or alcohol o...
pmc-6126097-1
A 49-year-old male patient was referred to our clinic with a prediagnosis of retinal vascular occlusion. In his medical history, he reported developing low vision after a traffic accident in childhood, having laser treatment in both eyes at 12 years of age and again 1 month earlier, and undergoing bilateral laser-assis...
pmc-6126100-1
A 53-year-old woman presented with complaints of visual deterioration in the right eye. Her anamnesis revealed no ocular or systemic diseases except a mild influenza-like illness a week earlier. Her best corrected visual acuity (BCVA) was 0.5 in the right and 1.0 in the left eye. Anterior segment examination and intrao...
pmc-6126102-1
A 26-year-old female patient presented to our clinic with blurred vision in both eyes for 2 weeks. She reported no history of any major illness, but had complaints of fever, sweating, exhaustion, joint pain, and headache starting 2 months earlier. Upon presentation to another center for these complaints, chest x-ray re...
pmc-6126105-1
The blind and painful right eye of a 38-year-old man was eviscerated in September 2016. The patient stated that his right eye had been blind since early childhood due to a unilateral congenital anomaly complicated by secondary glaucoma. He received the diagnosis of SO in January 2017 after he experienced visual loss in...
pmc-6126108-1
A 27-month-old boy was referred for a second opinion regarding polyuria and polydipsia of sudden onset four months prior to presentation. He drank between 3 and 4 L of water per day and had frequent heavy wet diapers, decreased appetite, and a 1-pound weight loss. He had no prior episodes of dehydration or any precedin...
pmc-6126109-1
The case is of a 72-year-old female, chronic smoker patient with a 3 pack-years until 20 years ago, with a personal history of hypertension, obesity, dyslipidemia, breast nodules, and transverse myelitis with motor sequelae. She has been hospitalized 6 years ago for community-acquired pneumonia. She consulted for sever...
pmc-6126179-1
The first case describes a 48-year-old female who had an established diagnosis of heterozygous FVL with a positive family history and was diagnosed with left breast cancer in October 2010. She presented to our institution in November 2013 with painful capsular contracture from prior implant-based reconstruction and a d...
pmc-6126179-2
The second case involved a 49-year-old female who was diagnosed with infiltrating ductal carcinoma in 2010. After initial lumpectomy and subsequent chemoradiation, she presented in 2016 expressing desire for mastectomy of the left breast with autologous breast reconstruction. Her history was significant for heterozygou...
pmc-6126703-1
A 42-year-old female with a history of morbid obesity and tricuspid valve endocarditis with mechanical TV replacement, who had stopped taking Coumadin for one week, presented with worsening dyspnea, facial cyanosis, marked lower extremity edema, and increased abdominal girth. Transthoracic echocardiography (TTE) and tr...
pmc-6126704-1
A 79-year-old Hispanic male with a history of hypertension, schizoaffective disorder, benign prostatic hypertrophy, and chronic renal insufficiency was admitted for evaluation of a wide complex tachycardia found on his outpatient 24-hour Holter monitor done to evaluate his complaint of frequent palpitations. The patien...
pmc-6126705-1
A 49-year-old woman presented to our neurology clinic with complaints of pain and weakness in her upper-right and lower-left extremities, lower back pain, and numbness in her lower extremities for many years. For the past couple of months, the pain in her lower back, left hip, and lower extremities (including feet) has...
pmc-6126779-1
A 50-year-old male who is an established patient of ours underwent preoperative evaluation in August 2013, which revealed an abnormality not present in the imaging taken in 2011. His chest X-ray revealed a prominence in right hilum and a density along the right pleura towards the right upper lobe. Later, the patient un...
pmc-6126787-1
A 75-year-old man presented for his semiannual total body skin evaluation. His past medical history was significant for diverticulitis of 27 years duration. Three months earlier, the treatment of his abdominal pain had necessitated a sigmoid resection—with a concurrent appendectomy—and an end colostomy with mucous fist...
pmc-6126788-1
A 48-year-old female patient visited the emergency room (ER) due to left buttock pain after she slipped down on her way to the bathroom. The accident occurred just before she visited the ER, while the left buttock pain started two weeks ago. The patient denied for any remarkable medical history except for being a hepat...
pmc-6127073-1
A 68-year-old man was referred to our hospital with diagnosis of rectal tumor. Medical history notably included diabetes mellitus, but family and social history were unremarkable. Colonoscopy identified a two-thirds circumferential type 2 tumor in the rectum, about 5 cm from the anal verge (Fig. a). Biopsy of the tumor...
pmc-6127469-1
A 24-year-old gravida-3-para-2 at 24 weeks’ gestation was referred to our department for TTTS. Her physical and gynecologic examinations were usual. Fetal examination revealed a diamniotic MC twin pregnancy. The recipient twin was diagnosed as having polyhydramnios and the donor twin had oligohydramnios. The diagnosis ...
pmc-6127469-2
A 25-year-old gravida-2-para-1 at 20 weeks’ gestation was referred to our department for TTTs. The patient reported abdominal bloating. The diagnosis of TTTs stage 2 was made on the basis of Quintero staging. The deepest vertical pocket was 154 mm for the recipient and 10 mm for the donor twin. The estimated foetal wei...
pmc-6127471-1
A 64-year-old woman, gravida 2, para 2, presented with pelvic pain, which she had had for approximately four months. She underwent a ventro-suspension 25 years ago for uterine prolapse. However, a re-operation for uterine prolapse consisting of laparoscopy-assisted vaginal hysterectomy was performed 3 years ago. During...
pmc-6127896-1
A 55-year-old Malagasy man, a doctor, a non-smoker of tobacco, with no significant past medical history, presented with bullous and erosive skin lesions involving his trunk and scalp for the past 2 months. No toxic exposure was noted. He had a family history of cancer; his mother and sister presented breast cancer and ...
pmc-6127913-1
The patient is a 72-year-old man with histologically confirmed moderately differentiated intrahepatic cholangiocarcinoma (Fig. ). He was diagnosed in October 2015 with the following symptoms: moderate weight loss, pain in the right hypochondrium, loss of appetite and asthenia, with a Karnofsky scale index of 70%. MRI i...
pmc-6127953-1
A 7-day-old male Red Holstein–Friesian calf (No. 1) and a 28-day-old male Holstein–Friesian calf (No. 2) underwent respectively hot iron disbudding and sham disbudding in the context of a cross-controlled prospective clinical trial (ethical approval by Cantonal authority 2014_52_FR) investigating acute and chronic pain...
pmc-6128017-1
In a 71-year-old, female patient with GCA, MRI showed vasculitis of the abdominal aorta and both common iliac arteries. Response to methotrexate alone or combined with leflunomide, and cyclophosphamide was inadequate, upon which TCZ-IV was commenced. After two initial intravenous applications, TCZ was switched to TCZ-S...
pmc-6128017-2
In a 47-year-old, female patient with GCA and anterior ischemic optical neuropathy, MRI and CDU showed halo and increased wall thickness of both ACC. Steroid-sparing treatment with methotrexate, leflunomide, and azathioprine had to be stopped due to toxicity. Intravenous cyclophosphamide (cumulative dose: 8000 mg) was ...
pmc-6128017-3
In a 21-year-old, female patient with TAK, CDU showed vessel wall thickening of both ACC, occluding the right one, of both internal and external carotid arteries, the left subclavian artery with occlusion, and the left vertebral artery with occlusion. She relapsed after 2 months of treatment with methotrexate and predn...
pmc-6128371-1
A 78-year-old male with multiple comorbidities, including hypertension, hyperlipidemia, and type II diabetes mellitus, presented to our emergency setting with complaints of recurrent bouts of abdominal pain and fluctuating fevers for the previous two weeks. The patient reported that the pain is a new manifestation of a...
pmc-6128586-1
A previously healthy 24-year-old male presented to the emergency department with a head injury after falling 15 feet, and he was admitted with a diagnosis of a TBI to his right lateral frontal lobe. He was monitored for four days in the neurology intensive care unit and then discharged after improvement in symptoms. Th...
pmc-6128587-1
A woman in her late 30s, with a history of SLE characterized by positive anti-nuclear antibodies, anti-Smith antibodies (1:160), anti-double-stranded deoxyribonucleic acid (anti-dsDNA) antibodies (> 1:640), anti-ribonucleoprotein (anti-RNP) antibodies, lupus anticoagulant, immunoglobulin M (IgM) anti-cardiolipin antibo...
pmc-6128598-1
A 71-year-old female with the history of HTLV-1 infection for 20 years, congestive heart failure, coronary artery disease, hypertension, diabetes type-2, peripheral vascular disease, chronic neck and back pain, nonambulatory for a year admitted to the medical service as dehydration and acute kidney injury. Neurology wa...
pmc-6128601-1
A 31-year-old Asian American female with past medical history of chewing of betel leaf with betel nuts and non-smoker, who immigrated to the USA from Burma four years previously, was referred to the Digestive Health Center at the University of Virginia for evaluation of elevated transaminases discovered upon routine te...
pmc-6128602-1
A 59-year-old male with no significant past medical history presented to the emergency department (ED) with a sudden onset of chest pain and shortness of breath that had begun while he was eating dinner. The physical examination was unremarkable, including the chest examination, except that the patient remained quite a...
pmc-6128997-1
A 63-year-old Caucasian man, a dentist, was referred by another professional with an epiretinal membrane and cataract in his left eye. His medical history revealed he had hypertension for the past 6 years under treatment. He had no relevant history of eye problems. His visual acuity test was 20/30 in his left eye. An o...
pmc-6128997-2
A 38-year-old Caucasian man, a mechanic, presented at the Ophthalmology unit of Sanatorio Mapaci with a perforating wound in his right eye. He had no relevant past medical/family history or eye problems. Visual acuity was hand motion in his right eye. Slit lamp biomicroscopy showed a penetrating wound in the cornea bet...
pmc-6128997-3
A 52-year-old Caucasian man, a construction worker, was referred 15 days after suffering a blunt trauma to his right eye. His visual acuity was no light perception. An ophthalmologic examination revealed a clear cornea, traumatic mydriasis, aphakia, and Tyndall +++. The findings included: intraocular pressure (IOP), 40...
pmc-6128999-1
The proband was a preterm newborn boy, the first child of non-consanguineous parents, born at 31 weeks gestation to a 44-year old father and a 43-year old mother by cesarean section. At birth, the child weighed 1,480 g, measured 44 cm in crown-to-heel length, and exhibited multiple congenital anomalies. The newborn was...
pmc-6129296-1
A 76-year-old Korean man presented with upper back pain for 2 months and motor weakness in both lower extremities for 2 days. A chest radiograph and computed tomography (CT) performed at another institution showed a pleural mass in the upper lobe of his right lung. He was referred to our hospital for evaluation of the ...
pmc-6129320-1
Index patient is a 28-year-old gravida 1 para 0 at 12 weeks and 3 days gestational age by the last menstrual period who presented for routine first trimester aneuploidy screening. During nuchal translucency ultrasound, pregnancy noted to be located within the cervix, specifically, 8mm from the external cervical os (). ...
pmc-6129327-1
A 78-year-old woman with a long-standing history of anti-centromere antibody positive systemic sclerosis with limited skin involvement (CREST syndrome) initially presented to emergency room (ER) for a one-day history of hematemesis and mild abdominal pain. Her medical history was remarkable for peripheral artery diseas...
pmc-6129342-1
A 26-year-old African-American gentleman presents to the emergency department with pressure-like retrosternal chest pain that occurred one hour after he completed a workout. His pain subsided after ingestion of an antacid. He has no known medical history and takes no medications. He is a current smoker with a pack-year...
pmc-6129343-1
An 80-year-old woman was accompanied by her son at the emergency department (ED) of our hospital because of progressive altered mental status and persistent high fever in the previous 48 hours. The patient had medical history of depression in treatment with bromazepam and olanzapine. At the ED evaluation, patient was c...
pmc-6129347-1
A 20-year-old male with no past medical history presented with acute hypoxic respiratory failure requiring intubation. CT scans revealed a 9.1 × 7.3 cm mediastinal mass encasing the aortic arch with extension into the lower neck resulting in tracheal deviation. Laboratory evaluation demonstrated a white blood cell coun...
pmc-6129358-1
A previously healthy 3.5-year-old male was referred to our department because of a five-day history of weakness and pallor. Two weeks before, a three-day history of diarrhea was mentioned. The past medical history is unremarkable, and no family history of hematological problems or autoimmune disorders was reported. Phy...
pmc-6129367-1
We present the case of a twelve-year-old girl originally from the Faroe Islands with compound heterozygotic MKD (p.V377I/c.417insC), who first presented with symptomatic periodic fever attacks from the age of 3 months. These presented as recurrent episodes of fever (39–41°C) without infectious cause, occurring once or ...
pmc-6129369-1
A 29-year-old G0P0 South Asian female was brought into the ED via ambulance following an MVA at freeway speeds involving multiple vehicles. The crash resulted in the deployment of the airbags and a subsequent loss of consciousness in the patient lasting less than one hour. Blood pressure was 89/40 on scene and improved...
pmc-6129370-1
Case 1. A 5-year-old boy (height: 108 cml weight: 16.5 kg) who had sandwich 4 hours ago was brought to the operating rooms for removal of a coin that he has ingested 3 hours prior to presentation. A gastroscopy was performed under general anesthesia and the foreign body was successfully retrieved. Interestingly, no foo...
pmc-6129370-2
Case 2. A 4-year-old girl (Height: 100.5 cm; weight: 15 kg) who had cereal 3 hours prior to presentation underwent a gastroscopy for the removal of a pebble that is the size of 1 euro coin that she has ingested 4 hours prior to presentation. After ingestion, the patient was directly admitted to the emergency room. The ...
pmc-6129370-3
Case 3. A 3.5-year-old girl (height: 105 cm; weight: 15.5 Kg) had a gastroscopy to remove a metal coin that she has ingested 4 hours prior to the procedure. The mother also reports that the girl had a cup of cereals an hour before ingesting the coin. Again, the girl was found to have only gastric secretions with no foo...
pmc-6129671-1
A 10 year-old girl presented with the complaint of palpitation to a cardiologist. She had normal physical examination and laboratory tests, except tachycardia (heart rate = 130 per minute) and low TSH levels (0.005) with normal T3 (9.46) and T4 (145). She was referred to endocrinologist for possible hyperthyroidism eva...
pmc-6129673-1
A 74-year-old obese male was presented to ED (Emergency Department) with abdominal pain, distension, vomiting and diarrhea for 5 days. His past medical history is significant for hypertension and CVA (Cerebrovascular accident) 3 years before admission. He had a Colonic polyp removed 5 years ago. In addition, He had a h...
pmc-6129795-1
A 68-year-old woman with past medical history of hypertension, chronic kidney disease stage 3, hyperlipidemia, and hereditary hemorrhagic telangiectasia (HHT) presented to the emergency department with sudden onset of shortness of breath. She also reported chest pain, orthopnea, and paroxysmal nocturnal dyspnea. Review...
pmc-6129844-1
A 23-year-old male presented to the emergency department with one-day history of right-sided pleuritic chest pain, haemoptysis, and fever. He had no history of a recent travel or contact with sick individuals. The patient had no significant medical background, and he was not taking any regular medication. On admission,...
pmc-6130057-1
A 46-year-old man with a recent diagnosis of hiatal hernia was admitted to the Respiratory Diseases Unit of the University Hospital of Modena, Italy for several dramatic episodes of hemoptysis during the previous 30 days, severe anemia (6,9 g/dl) and initial signs of hemodynamic instability (shock index = 1,4). The pas...
pmc-6130071-1
A 34-year-old woman (gravida 4, para 1, abort 3) presented to our clinic for pelvic pain and enlarged ovaries at PUMCH (Peking Union Medical College Hospital) with a 5-day history of left lower quadrant abdominal pain. The pain was atypical, without nausea, vomiting, dysuria, or diarrhea. Her last menstrual period was ...
pmc-6130082-1
A 35-year-old Thai man was diagnosed as having CML in the chronic phase in February 2016 during his annual checkup at a primary hospital; the diagnosis was confirmed with a cytogenetic study, which demonstrated 46,XY,t(9;22) [] and was positive for the BCR-ABL fusion gene. He was therefore referred to our hospital in J...
pmc-6130085-1
A 61-year-old female with medical history of hypertension, diabetes mellitus type 2, and chronic kidney disease stage V was transferred to our institution from an outside hospital for further evaluation and definitive management of a migrated intracardiac stent. She initially presented to the outside facility with prog...
pmc-6130086-1
Patient: A 76-year-old woman. Chief complaint: To improve asthma management before undergoing neck surgery. Past medical history: Diabetes, hypertension, pollen allergy. Tobacco use: No. Current medication (antiasthmatic drugs): Symbicort® Turbuhaler® (Symbicort), 2 inhalations twice daily up to a total of 8 inhalation...
pmc-6130588-1
A 49-year-old female patient presented with complaints of worsening right knee pain since two years ago. The patient had pain when she walks, goes up the stairs, sits and gets up. The symptoms sustained even after three months of non-operative treatment. On physical examination, she had a full range of motion and had p...
pmc-6130589-1
A 59-year-old man had undergone prostate needle biopsy after a high prostate specific antigen (PSA) level (218.5 ng/mL) observed at the age of 54 years and he was diagnosed with adenocarcinoma of the prostate (Gleason score 4+5). He underwent pelvic magnetic resonance imaging (MRI) and bone scintigraphy at our hospital...
pmc-6130590-1
A 60-year-old female presented with three days of diarrhea and diffuse abdominal discomfort. She reported having five to six bowel movements for two days followed by an additional 15 bowel movements prior to admission. She described that her bowel movements were watery and yellow in appearance. The patient also complai...
pmc-6130742-1
Mr C was a single man in his 60s. He had served in the UK military police during the Northern Ireland peacekeeping operations in the 1960s. During his service he attended the aftermath of an explosion that had killed several civilians, including a child. Afterwards he experienced an intrusive fragmented image of the sc...
pmc-6130742-2
Mr P was a married man in his 40s with one child. He had served in the UK army and was deployed to the Bosnian conflict in the mid-1990s. During his deployment he was stationed at a morgue that had been set up to aid the identification of bodies recovered from a mass burial site. He described how the morgue contained a...
pmc-6131093-1
A 56-year-old male patient was presented to the emergency department, one day following a road traffic accident. Full history was obtained and thorough neurological examination was done, the patients Glasgow coma score was 13/15, he had right otorrhea, ecchymosis of both eyes, the right pupil was dilated fixed, and the...
pmc-6131193-1
A 17-year-old male with Marfan's syndrome and a family history of Marfan's and aortic dissection in one parent, was diagnosed with a dilated aortic root (sinuses of Valsalva 47 mm) with trivial aortic regurgitation. He took candesartan 8 mg every morning including the day of surgery. He underwent a valve-sparing aortic...
pmc-6131193-2
A 14-year-old male with Marfan's syndrome and progressive aortic root dilatation (sinuses of Valsalva 47 mm), moderate mitral regurgitation and significant pectus carinatum, underwent a valve sparing aortic root replacement, aortic valve repair, mitral valve repair and concomitant Ravitch procedure. He took candesartan...
pmc-6131512-1
A 57-year-old male patient, with no personal or family history of liver disease or alcohol addiction, was admitted for acute hepatitis with cholestasis and cytolysis. Three weeks before, he had started consuming an aqueous extract of “lian-sepent”, a traditional medicine corresponding to T. crispa according to local et...
pmc-6131554-1
A 76-year-old man with severe chronic obstructive pulmonary disease (COPD) presented with a feeling of fatigue, weight loss, and reduced physical activities. He was diagnosed with COPD at the age of 69 years and had retired from work the following year. His smoking history included 40 cigarettes per day between the age...
pmc-6131676-1
A 9-year-old boy presented to our hospital with a history of recurrent neck abscesses since 8 years of age. He had received antibiotics and had undergone drainage of the abscesses in other hospitals. He was admitted to our hospital after control of inflammation. Barium esophagography showed a PSF on the left side (Fig....
pmc-6131676-2
A 10-year-old girl presented to our hospital with a history of recurrent left-sided neck swelling since 6 years of age. After control of inflammation, barium esophagography was performed, and it showed a PSF on the left side. CT showed an air- and barium-containing fistula. MLS was performed as first-line treatment. Th...
pmc-6131731-1
A 17-year-old man with no known past medical history, presented with 6 months of blurry vision in both eyes. He had no other ocular, medical, or surgical history. Baseline visual acuity (VA) was 20/20 in the right eye (RE) and 20/63 in the left eye (LE). His intraocular pressure was normal (17/16 mmHg). Slit lamp exami...