_id
stringlengths
7
16
description
stringlengths
55
95.2k
pmc-6131739-1
In October 2014, a 53 year old male Caucasian administration officer was referred to a tertiary renal outpatient clinic for assessment of nephrotic range proteinuria. On review, he described occasional ankle oedema over the past year but otherwise felt well. His past medical history was significant for type 2 diabetes ...
pmc-6131756-1
A 60-year-old woman sought medical attention after a 2-month history of minor rectal bleeding and an anal nodule. On physical examination, a 3-cm mobile anterior ulcerative mass in the anal canal was palpable, beginning at 1 cm from the anal verge with no extension to the anorectal junction. No nodes were appreciated i...
pmc-6131799-1
The cell line was derived from a liver metastasis of colon cancer patient who was a 69-year-old woman in Jiangsu province hospital. 2014 the patient was carried out the surgery of colon cancer. In 2016 Dec, laboratory examination results showed CEA 64.4 ng/ml, CA199 24.4 U/ml, CA724 29.9 U/ml, NSE 32.4 ng/ml; Colonosco...
pmc-6131835-1
Baby G arrived at ITL in 2015 when he was one-day-old weighing 1.9 kg. His mother had concealed her pregnancy. The baby boy was fed with DHM from the day of arrival. He was switched to infant formula in November and December 2015, when supplies of DHM ran out; however, he did not tolerate the artificial substitute well...
pmc-6131839-1
A 75-year-old man from the South-West Region of Cameroon (an endemic zone for onchocerciasis) and of Bamileke ancestry presented to our clinic with skin lesions that had been evolving for over a year. The eruptions were first noticed a few hours after he took 12 mg of ivermectin (Mectizan) during mass drug administrati...
pmc-6131847-1
A 10-day-old male crossbred (Frisian x local indigenous) calf presented with a severely distended abdomen (Fig. ). Due to the distention the paralumbar fossa, especially on the left, was not visible. The calf was reluctant to suckle from the dam, unable to walk, exhibited rapid and shallow breathing, and had visibly co...
pmc-6131849-1
A 61-year-old woman with a past medical history of type II diabetes, breast cancer, and major depression presented to the emergency department after an intentional overdose with fluoxetine (139 tablets of 20 mg), risperidone (6 tablets of 1 mg), bromazepam (90 tablets of 3 mg), zolpidem (40 tablets of 10 mg), naproxen ...
pmc-6131859-1
In August 2010, a 57-year-old Chinese male presented with epistaxis and decreased hearing for 1 month. No additional symptoms, such as a neck mass, nasal obstruction, headache, diplopia or other cranial nerve palsies, were noted. The patient had no history of previous or synchronous tumours or any family history of can...
pmc-6131875-1
A 62-year-old man with coronary artery disease underwent four-vessel CABG including left internal thoracic artery (ITA) to left anterior descending artery. The patient was discharged on postoperative day (POD) 6 after an uneventful postoperative course with low chest tube output and trace pleural effusions. On POD 13, ...
pmc-6132087-1
The patient was a 2-year-old boy from Russian republic of Ingushetia. Both parents and younger sibling (female) were asymptomatic. Family history is not burdened. Parents may be related, as the mother of the child and the grandmother (father's line) are from neighboring villages of Malgobek region of Ingushetia. The pa...
pmc-6132088-1
A 42-year-old healthy man, with a previous episode of food impaction and increased number of eosinophils in esophageal biopsies taken during an index upper endoscopy 6 weeks earlier, underwent outpatient control gastroscopy after receiving proton pump inhibitor treatment. The upper endoscopy was performed under conscio...
pmc-6132093-1
A 48-year-old woman was diagnosed with acute myeloid leukemia (AML) in 2013,who fortunately achieved a complete remission of bone marrow after two courses of chemotherapy (IA regimen: idarubicin hydrochloride + cytarabine). Allogeneic HSCT deriving from her HLA-identical brother was performed in February 2014 after a r...
pmc-6132093-2
A 31-year-old woman was diagnosed with AML 20 months ago. A first complete remission of AML was achieved with two courses of chemotherapy (DA regimen: pirarubicin + cytarabine; cytarabine + methylprednisolone). Fifteen months ago, she received allo-HSCT after a reduced intensity conditioning regimen with IDA/Bu/Fu/Me-C...
pmc-6132095-1
A 22-year-old woman was admitted to our hospital with a two-day history of intermittent epigastric pain and nausea without any evidence of trauma. Her past medical history showed an episode of hypertriglyceridemia 2 years before admission. One of her cousins had a history of acute pancreatitis, but the details were unc...
pmc-6132096-1
This 32-year-old woman presented to Mutoyi Hospital (Burundi) outpatient clinic complaining of persistent abdominal pain and purulent PV discharge. She had undergone a cesarean section in another hospital 3 months before. To that date, the Pfannenstiel incision had been allegedly resutured twice. Unfortunately, as ofte...
pmc-6132107-1
A 65-year-old gentleman presented to the emergency department (ED) at night with a history of acute-onset atraumatic bilateral knee pain and swelling. His past medical history includes bicuspid aortic valve replacement and subsequent revision of his aortic valve replacement 4 weeks prior to the onset of knee pains. He ...
pmc-6132108-1
A four-month-old male infant was referred to an emergency department from his pediatrician's office with fever, irritability, and bullous skin lesions covering a third of the body surface area without mucosal involvement. In the emergency department, he decompensated acutely and developed cardiac arrest requiring cardi...
pmc-6132110-1
The patient is an 84-year-old woman with a long-standing history of mild leukopenia attributed to possible myelodysplastic syndrome, who presented with marked right leg swelling and hypercalcemia. Positron emission tomography (PET) scan showed FDG-avid extensive axillary, left hilar, pelvic and inguinal lymphadenopathy...
pmc-6132130-1
A 70-year-old man, with no previous medical history, was admitted to our hospital due to impaired consciousness. On arrival at our emergency department, his airway was patent and the respiratory rate was 30 times/min. His eyes were open but appearing horizontal nystagmus. The oculocephalic reflex was negative at both s...
pmc-6132133-1
An 84-year-old man with a previous history of cerebral infarction, dementia, and symptomatic epilepsy was admitted to our hospital's surgery department due to small bowel obstruction. Decompression via the nasogastric route was successful, but due to poor oral intake and recurrent aspiration pneumonia, he was transferr...
pmc-6132136-1
A 19-year-old male of Caucasian origin was admitted to our center as a polytrauma after a road traffic accident. He was previously fit and well, a nonsmoker with an alcohol intake of approximately 10 units per month. The accident, in which his motorcycle collided with an oncoming vehicle, caused him to sustain multiple...
pmc-6132141-1
A 64-year-old Caucasian woman with a history of acquired FX deficiency from Amyloid light-chain (AL) amyloidosis, PAF, metastatic lung adenocarcinoma on erlotinib, hypertrophic cardiomyopathy (HCM), hypertension, and type 2 diabetes mellitus was seen in the hematology clinic for routine follow-up. In 2013, she presente...
pmc-6132148-1
A 58-year-old nonsmoking male was referred with a 1-week history of cough. He had been on peritoneal dialysis since 3 years due to hypertensive nephrosclerosis. Despite having sustained an intracranial hemorrhage 8 years prior, he had no residual neurologic deficits. A chest radiograph revealed a radiopaque foreign bod...
pmc-6132149-1
A 22-year-old female patient reported to us with a vague pain on the left side of face which was throbbing in nature and radiating to the eye on the same side since 18 months. She was apparently in a good health and her medical history was unremarkable. She reported a transient diplopia in an upward gaze and epiphora o...
pmc-6132151-1
A 29-year old female diagnosed with SLE for 4 years complicated with grade II lupus nephritis presented with status epilepticus. She denied a history of fever on admission, but was treated with cyclophosphamide 1 month prior for an episode of cerebral lupus. She had noticed a papule over the left deltoid region which p...
pmc-6132153-1
We present a 67-year-old man with permanent atrial fibrillation and triple mechanical prosthetic valve replacements (All bileaflet mechanical valves, St Jude Medical Inc, St Paul, MN, USA) at the aortic, mitral, and tricuspid positions since 1999 for rheumatic valvular disease. He subsequently developed progressive non...
pmc-6132154-1
A 48-year-old male patient attended the clinic complaining of pain in the gum behind the lower second molar. The consent form was obtained from the patient to use clinical information and photographic material of the treatment. The patient did not report any significant medical history, except for a dental history of a...
pmc-6132158-1
A 40-year-old man presented with a four-month history of progressive lower limb weakness and sensory disturbance. He reported occasional fecal incontinence, with associated 8 kg weight loss, and occasional night sweats. He had a past history type 2 diabetes mellitus, but was otherwise well. Examination revealed proxima...
pmc-6132159-1
A 32-year-old lady, gravida 5, para 4 (G5P4) was accepted as a referred case in the Department of Obstetrics and Gynecology due to abnormal placentation diagnosed during a routine ultrasound late in pregnancy at 29 weeks of gestation. She had a 3-year medical history of previous cesarean delivery due to placenta previa...
pmc-6132159-2
A healthy 35-year-old woman with a history of 2 elective cesarean sections and one miscarriage (G4 P2 A1) was accepted as a referred case to our hospital. The patient was admitted for the elective cesarean section at 37 weeks of gestation. She was referred from the rural primary care hospital where routine ultrasonogra...
pmc-6132159-3
A 38-year-old patient, gravida 4, para 2 (G4P2 +1) with two cesarean sections and a history of tubal pregnancy was admitted for the elective cesarean section at 36 + 2 weeks, ultrasound from an outside private hospital revealed full placenta previa and suspected placenta accreta (Figure ). PA was further diagnosed on M...
pmc-6132165-1
A 57-year-old man with smoking history and untreated hypertension developed sudden lower abdominal pain. Although abdominal pain disappeared half a day later, abdominal bloating and nausea appeared and got worse gradually. Physical examination showed epigastric tenderness and a pulsatile, fist-size mass under the umbil...
pmc-6132166-1
A 72-year-old Caucasian man was admitted to our department with a pain in the left posterior mandible and periodontal hyperplasia associated with the left mandibular second molar tooth. He also complained about the ongoing pain for 2 months and spontaneous hemorrhage within the lesion region. According to his medical h...
pmc-6132167-1
A 78-year-old man visited our emergency room with unconsciousness. According to his family, he was poisoned with pesticide (glyphosate) for self-injury purpose. Two years ago, he had a history of cerebral infarction, and he was taking aspirin and medication for hypertension. During gastric lavage in the local clinic em...
pmc-6132168-1
A 35-year-old male patient presented to the East Riyadh dental center in Riyadh city, Saudi Arabia. He was referred from a prosthodontic clinic to correct his previous treatment. The patient was in good health with no apparent systemic disease. On clinical examination, the teeth 26 and 27 were asymptomatic with large p...
pmc-6132171-1
A 71-year-old male presented to the ENT outpatient clinic with a 2-year history of mild inspiratory stridor at rest, worsened markedly by exertion but not limiting exercise tolerance. He did not report any voice change, swallowing difficulties, or weight loss. Full examination including flexible nasolaryngoscopy reveal...
pmc-6132340-1
A 28-year-old man presented at a traumatic surgery unit in an outlying hospital, where an external rotation of the left leg and a patellar dislocation were detected. Examination also revealed clinical signs of a neurofibromatosis-1 (Figure ). The patient had stumbled doing his work as a cook and had fallen on his flexe...
pmc-6132374-1
Mia is a 10-year-old African American female living with a family member in an urban area. Mia is diagnosed with PTSD due to abuse and neglect experienced while living with a foster family. Mia was born addicted to substances and consequently taken into custody by the Department of Children and Families (DCF) and place...
pmc-6132374-2
Kari is an 11-year-old Caucasian female who resides in an urban area with her adoptive parents and sibling. Kari has been diagnosed with PTSD, Reactive Attachment Disorder, and intellectual impairment. Prior to adoption, Kari lived with her biological mother and father during which time she was subjected to multiple fo...
pmc-6132374-3
Susan is a 12-year-old Latina female living with her adoptive mother and father in an urban community. Susan is diagnosed with PTSD and several learning disabilities. Susan’s biological mother is a non-biological relative of her adoptive mother. Susan was placed with her adoptive mother after being removed from her bio...
pmc-6132594-1
Here, we present a case of a 55-year-old Caucasian female with a history of substance use disorder and a comorbid bipolar disorder, who presented to the local general hospital with a history of the fragmentation of a single personality into different personalities under emotional stress and under the influence of a dru...
pmc-6132596-1
A 10-year-old boy presented to our outpatient department with complaints of multiple swellings in the back along with swellings in both the arms since last eight years. He was born out of a normal vaginal delivery at term and the perinatal period was uneventful. His parents noticed deformity in both great toes at birth...
pmc-6132678-1
A 63-year-old man presented with a 2 x 2 cm mass on the lateral side of his right elbow. Previously, he had visited a nearby doctor, and was then referred to us for a surgical consultation. After his surgical consultation, the patient underwent a marginal resection of the mass (Figure ). The histological analysis revea...
pmc-6132802-1
A 75-year-old Iraqi male presented to the surgery clinic with chronic abdominal and right inguinal pain. He did not have a history of any surgery or trauma and was taking amlodipine 10 mg for hypertension. On examination, the patient’s blood pressure was 135/95 mm Hg, heart rate was 62 bpm, and body temperature was 36....
pmc-6132972-1
A 16 year old girl presented with severe headache and visual loss, upon further questioning she also had primary amenorrhoea and galactorrhoea. An MRI [Fig. ] identified an apoplectic suprasellar tumour with a prolactin of 10,919 miU/L. After a week of treatment with cabergoline her vision had not improved so endoscopi...
pmc-6132972-2
A 14 year old boy was admitted with headaches and weight gain. At presentation he had only perception of light in his left eye and hand movements in the right eye. His MRI showed a pituitary tumour extending suprasellarly to compress the chiasm with features of apoplexy. The initial prolactin was 10,626 miU/L. Given hi...
pmc-6132972-3
A 15 year old boy was admitted with severe headache, reduced visual acuity and a sixth nerve palsy. Following an MRI he was diagnosed with a large pituitary macroadenoma with features of apoplexy. His prolactin was raised at 47,173 miU/L and he was commenced on cabergoline. His acuity had some improvement, however his ...
pmc-6132972-4
A 15 year old boy initially presented with visual deterioration, galactorrhoea and weight gain to another neurosurgical unit. MRI showed a large pituitary tumour. He had a prolactin of 67,000 miU/L and was managed conservatively with cabergoline. His follow-up showed evidence of tumour reduction and prolactin reduced t...
pmc-6132972-5
A 13 year old girl presented with a 6 month history of headache and right temporal hemianopia. Her family were also concerned that this previously very studious girl was struggling at school. Her MRI showed a suprasellar apoplectic tumour with a prolactin of 30,824 miU/L. She was started on a dopamine agonist and monit...
pmc-6133044-1
A 3-year-old boy (body weight 17 kg) presented to a regional hospital with a 5-day history of cough and febrile illness. He was diagnosed with left-sided pneumonia and started on intravenous antibiotics (Ampicillin). The boy was previously healthy and up to date with his immunizations (including Streptococcus pneumonia...
pmc-6133394-1
A 48-year-old woman was found to have a solid mass in the right kidney, via ultrasonography during a regular physical examination. She did not complain about backache, abdominal pain, urinary irritation, hematuria, or dysuria. She had no history of tuberous sclerosis (TSC). The physical examination showed no eminence o...
pmc-6133394-2
A 62-year-old man presented with an untreated left backache of 1 year's duration. The regular physical examination revealed, on ultrasonography, a cystic lesion in the left kidney. A CT scan revealed a cystic solid tumor in the left kidney (Fig. B). The kidneys were not palpable under the rib; and no percussion pain or...
pmc-6133411-1
A 30-year-old woman without significant history underwent ultrasonography, which revealed 2 benign-appearing masses in the left breast. VAR of the masses was performed using an 8-G needle under ultrasonic guidance. Histology confirmed fibroadenomas. Three months later, the patient returned for a follow-up visit, compla...
pmc-6133429-1
A 19-year-old, previously healthy, female was accidentally crushed by truck resulting in left hip hemipelvectomy, left hip stump bleeding on April 27, 2013. She was treated with compression bandage in the emergency department of the local hospital and transferred immediately to our hospital, it took postaccidental 3 ho...
pmc-6133563-1
A 37-year-old woman physiatrist presented with 8-week history of persistent low back and left buttock pain with difficulty in walking and sitting. Symptoms had started at 34 weeks of pregnancy. She reported similar spontaneously resolving complaints during her previous pregnancy which were attributed to sciatica. Both ...
pmc-6133579-1
Informed consent was obtained from the individual participant in the study. A 40-year-old woman who worked as a peasant farmer in Shandong province, 300 miles from Beijing, China, was referred to a dermatology clinic within that province because she had 3 patchy rashes (Fig. A–C). One year earlier, she had 3 large patc...
pmc-6133587-1
We present the case of a man in his 60s who experienced atypical docetaxel-induced RRD. Although his medical history comprised a surgical intervention for a duodenum ulcer, he had no significant history of collagen vascular diseases. He was administered radiotherapy for high-risk prostate cancer after 1-year hormonal t...
pmc-6133595-1
A 28-year-old man without any underlying diseases had suffered from left side weakness and clonic–tonic seizures for 12 days. Computed tomography (CT) of the patient's head revealed a hypodensed mass with the size of 3 × 3 × 2.4 cm of the right temporal lobe. He was then admitted, and the magnetic resonance imaging (MR...
pmc-6134320-1
In December 2015 a previously healthy 61-year-old woman started complaining of slowly progressing unsteadiness of gait due to left limb coordination impairment. In January 2016 she was referred to our Emergency Department for the subacute onset of unintentional sharp movements of left limbs, initially causing repeated ...
pmc-6134473-1
A 79-year-old woman had been seeing her family doctor for hypertension and had been diagnosed with liver dysfunction for about 10 years. She continued to attend follow-ups because of her drinking habit. Two months before her visiting our institution, further elevation of hepatobiliary enzymes was noted, and abdominal u...
pmc-6134480-1
A 91-year-old man was referred to our dermatology clinic for a 3 cm × 2 cm ulcerative nodule at his chin (). The lesion had been rapidly growing since approximately 2 months. Biopsy showed skin metastasis originating from a gastric adenocarcinoma. The patient had no fever and did not experience night sweat or weight lo...
pmc-6134491-1
A 73-year-old man with history of NVAF, hypertension, bradycardia requiring pacemaker implantation, and history of upper gastrointestinal bleed while on anticoagulation was deemed a good candidate for LAA occlusion device implantation. His CHA2DS2-VASc score was 3, for diastolic heart failure, age, and history of hyper...
pmc-6134501-1
We present a case of 2-year-old white girl with chronic crackles admitted to our Pediatric and Allergy Clinic. The pregnancy was unremarkable and after birth the child was healthy until the seventh month of life, when she developed RSV infection. From then on she had a LRTI every month treated with antibiotics, mainly ...
pmc-6134551-1
A 62-year-old man with a history significant for chronic hepatitis B initially presented with hematuria and urine cytology positive for malignant cells. A CT urogram revealed a large ill-defined mass of the left posterolateral aspect of the urinary bladder with extramural extension, likely involvement of the seminal ve...
pmc-6134575-1
A 41-year-old woman presented a month ago with epigastralgia referred to our facility. Physiological and laboratory assessments were unremarkable except for elevated serum CA19-9 and elastase-1 levels (CA19-9, 207 IU/L; elastase-1, 150 IU/L). Enhanced multi-detector CT revealed a hypovascular tumor in the uncinate proc...
pmc-6134579-1
Α 54 year old Caucasian woman of Greek ancestry presented to the Retina Service of our Department complaining of metamophopsia and reduced visual acuity in both eyes, gradually worsening over the past four months. Her past medical history revealed that she suffers from beta thalassemia intermedia for which she receives...
pmc-6134579-2
A 63 year old Caucasian woman of Greek ancestry presented to our Retina Service complaining of decreased central vision OU. She had a medical history of sickle beta thalassemia for which she was receiving regular blood transfusions. She was also receiving iron-chelation treatment with DFO (50 mg/kg 5 times a week by an...
pmc-6134588-1
The 50-year-old woman was admitted for a fever persisted for 20 days. Computed tomography (CT) scanning showed pulmonary infection. Cytopenia was observed in peripheral blood. White blood cells, red blood cells, and neutrophil graneulocytes were all decreased. Hemoglobin was only 74.0 g/L. Ferritin was increased to be ...
pmc-6134697-1
This case describes a 29-year-old woman who was first diagnosed with ameloblastoma as a child at 7 years old. The lesion originated in the ascending branch of the left mandible, and the first surgical procedure was performed in March 1997 followed by disease recurrence in April 1999. A second resection was performed in...
pmc-6134773-1
A 38-year-old female presented with a red left eye for one month. Physical examination revealed an inflammatory granuloma in the lateral canthus and a fistula with purulent secretion. Lateral conjunctival congestion and chemosis were observed (Fig. ). A computerized tomography scan detected swelling in the area of the ...
pmc-6134805-1
The case was a Swiss man, in his late 40s, who supposedly reached FG by land in April 2018 after a long trip in South America. For several weeks he lived in a forest dwelling near the river Comté (Roura municipality). He was reported to have worked on a trail development in the same area the week preceding symptom onse...
pmc-6135040-1
A 31-year-old woman with no significant past medical history presented to our emergency department complaining of a constant headache for the previous 4 days. The headache had begun approximately 6 h after receiving epidural anesthesia for labor. The documentation from the anesthesia service that day reported the use o...
pmc-6135297-1
A 45-year-old female patient with a past medical history of hypothyroidism and hyperlipidemia presented with recurrent night episodes of facial, lip, and tongue swelling. She did not have any rash during these episodes. The patient denied any allergic reaction in the past. She had not eaten anything unusual or traveled...
pmc-6135309-1
A 37-year-old man from the Himalayan region of Nepal presented with swelling of the right leg for ten days and sudden onset weakness of the left half of the body for two days. The swelling of the right leg had an insidious onset and was gradually progressive. The pain disabled the patient to move his right leg. Meanwhi...
pmc-6135310-1
A 32-year-old male on methadone for chronic back pain control presented for an outpatient follow-up appointment where he received an EKG for QTc monitoring, revealing an incidental new-onset atrial bigeminy (Figure ). He was sent to the emergency department for further evaluation. Telemetry and repeat EKG showed resolu...
pmc-6135561-1
A 9-year-old boy presented to our pediatric emergency department with abdominal pain. The pain was initially located at the periumbilical area and then migrated to the right lower abdomen. Fever for 2 days was reported. The patient had not experienced nausea or vomiting. His physical examination revealed abdominal tend...
pmc-6136219-1
A 68-year-old Japanese man, who had a history of total gastrectomy for gastric cancer and transcatheter arterial embolization for left adrenal gland aneurysm rupture, had been transported to our emergency department by ambulance several times. He had a history of repeated hypoglycemia after meals, leading to a diagnosi...
pmc-6136232-1
A 66 year old Caucasian woman, was admitted to hospital with malaise, macroscopic haematuria and a petechial rash on both thighs. Her past medical history included seronegative rheumatoid arthritis and hypertension. Her kidney function at that point was normal, with a creatinine of 73 μmol/l (eGFR > 60 mls/min/1.73m2, ...
pmc-6136232-2
A 70 year old previously healthy Caucasian woman presented with lethargy, anorexia, nausea, vomiting, and a two kilogram weight loss over the course of a fortnight. Investigations showed an elevated serum creatinine of 477 μmol/L (eGFR 9 ml/min, CKD-EPI formula), with a previous creatinine of 68 μmol/L (eGFR 91 ml/min)...
pmc-6136232-3
A 64 year old man presented to a local community hospital with a 5 week history of dry cough and fevers which has persisted despite 2 courses of oral antibiotics. There was a 10 year history of unclassified arthralgia. Presenting creatinine was 682 μmol/L Urinalysis: 3 + blood and protein. Urine microscopy revealed gra...
pmc-6136232-4
A 79 year old woman presented to a local hospital with a 2 week history of epistaxis, arthralgia, weight loss and anorexia. She gave a history of previous recurrent iritis, with the last episode occurring 2 year prior to her presentation. Physical examination was unremarkable apart from peripheral oedema. Presenting cr...
pmc-6136464-1
A 69-year-old woman with a history of hypertension was identified to have an incidental renal tumor on computed tomography (CT). She denied hematuria, lower urinary tract symptoms, pain, fever, fatigue, or weight loss. Her medical history was significant for hypertension and obstructive sleep apnea. Family history and ...
pmc-6136467-1
This is a case of a 68-year-old female presented to the clinic for a 2-month history of recurrent left ankle pain, associated with swelling and edema. The patient had a history of thyroid follicular adenocarcinoma which was treated surgically with total thyroidectomy and postoperative iodine treatment 25 years prior to...
pmc-6136468-1
A 5-year-old girl who had no previous medical history was admitted to our hospital with a right groin mass for 2 months and abdominal distension for 15 days. Her symptoms were accompanied by occasional umbilical pain, vomiting, and diarrhea. Physical examination showed acute facial features, malnutrition, abdominal swe...
pmc-6136481-1
A 20-year-old medically fit and healthy male presented for an assessment in preparation for orthognathic surgery. On examination, a 1.5 cm diameter exophytic midline tongue lesion () was noted. This lesion was smooth, regular, and soft to palpation. He reported that this had been present since birth with no change sinc...
pmc-6136482-1
A 60-year-old woman with arthralgia and back pain lasting for several months and recent metatarsophalangeal luxation of the left toe presented to the ambulatory unit of rehabilitation clinics. She was referred to the clinics as a patient with chronic pain syndrome. The patient had joint hypermobility since childhood, d...
pmc-6136483-1
A 17-year-old male professional motocross athlete with a history of left tibial spine avulsion fracture and resultant chronic knee flexion contracture presented to the emergency department (ED) status-post motocross injury with isolated left thigh pain. The patient had been wearing a hard-shell, hinged, knee brace meas...
pmc-6136483-2
A 17-year-old male professional motocross athlete with a history of pediatric left tibial shaft fractures (treated nonoperatively and complicated by painless varus malunion) presented to the ED after crashing his dirt bike. He had been wearing a hard-shell, hinged, knee brace measuring approximately 42 cm in length whe...
pmc-6136487-1
A 23-year-old female was referred to our medicine dental department in UHC Sahloul, Sousse, for treatment of tooth #46. She suffered from major coronal destruction and needed to have her first molar restored. The medical history was noncontributory. Radiographic and clinical examinations were performed initially, and a...
pmc-6136504-1
A 73-year-old woman was admitted to our hospital after a gastric tumor was identified by gastroscopy following medical examination. Gastroscopy revealed a 10-mm diameter, superficial elevated lesion with a slight central depression (type 0-IIa+IIc; ) at anterior wall of lower gastric body. Biopsy findings indicated a d...
pmc-6136509-1
An 8-year-old boy with chronic encephalopathy secondary to hypoxic ischemic syndrome, with cerebral palsy and symptomatic epilepsy, was admitted to the emergency department of the children's hospital. He had been seizure-free for the past year with an enteric-coated delayed release formulation of VPA (375 mg every 8 ho...
pmc-6136510-1
We report the case of a previously healthy 38-year-old man, Afro-Brazilian, with no previous medical records. He presented to our emergency department with an acute onset of abdominal pain, jaundice, fever, nausea, weakness, and malaise. His arterial blood pressure was 90/50mmHg, heart rate was 90 bpm, axillary tempera...
pmc-6136512-1
A 57-year-old Caucasian male presented at the emergency department with acute chest pain and uncontrolled hypertension of 180/100 mmHg. Past medical history included ongoing smoking, high body mass index (BMI > 30), arterial hypertension (150/95 mmHg at rest), hyperlipidemia (serum LDL levels > 230 mg/dL), and a failed...
pmc-6136515-1
We report the case of a 59-years-old diabetic patient, without particular medical history, experiencing urgency, frequency, hesitancy, intermittency, straining, and slow stream and for three weeks. He presented a recent onset of fever, myalgia, chill, and an episode of gross hematuria for which he was seen in a local h...
pmc-6136544-1
A 72-year-old male was admitted with anorexia, shaking chills, diaphoresis, hematuria, productive cough, and fever up to 103°F. Ten months prior to his presentation, the patient had been diagnosed with high-grade papillary noninvasive urothelial carcinoma of the bladder with no invasion of the lamina propria or muscula...
pmc-6136560-1
A 57-year-old female without past medical history presented to the Emergency Department (ED) at the end of May with altered mental status, nausea, and vomiting. She had felt unwell for the past week with symptoms of mild cough and intermittent fevers peaking at 39.4° Celsius (C). She had been seen by her primary care p...
pmc-6136583-1
A 71-year-old man with progressive angina was found to have severe stenosis in the circumflex artery and complex CTO of the left anterior descending artery (, Supplementary ). Coronary artery bypass surgery was offered to the patient but declined. He underwent uncomplicated stenting of the circumflex artery, followed b...
pmc-6136621-1
We describe the case of a 20-year-old Filipino male who presented to our Australian metropolitan hospital with a history of fever and diarrhoea. He had no significant past medical history and was not on any regular medications. He was born in the Philippines and migrated to Australia in 2008, where he was working as a ...
pmc-6136672-1
A 70-year-old woman presented in our vascular clinic due to an asymptomatic juxtarenal 10 cm AAA identified as an incidental finding in a recent computed tomography (CT) scan ( ). Her medical history included mild hypertension under drug medication. At physical examination of the abdomen, a large pulsating mass was pre...
pmc-6136673-1
A 75-year-old man presented at our ED 2 hours after sudden onset of severe central chest pain that followed a straining effort; the pain was described as sharp, radiated between the scapulae, and was associated with palpitations and dyspnea. The only relevant past medical history was a spontaneous superficial thromboph...