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pmc-6136674-1
A 90-year-old male presented to the emergency department complaining of severe abdominal and back pain. The symptoms began 3 hours earlier. The patient was severely obese and under chronic pharmacological therapy for arterial hypertension and coronary artery disease (previous coronary artery bypass graft). The abdomina...
pmc-6136675-1
A 26-year-old healthy man without any medical history complained of dysphagia. Routine chest radiography showed enlargement of the upper mediastinum at the sternal angle, indicating the presence of an arch anomaly. A barium swallow revealed an indentation of the esophagus on its right aspect. Computed tomographic angio...
pmc-6136677-1
A 41-year-old man, working in a furniture confection plant, experienced severe “tearing” chest pain upon heavy lifting. On presentation in another health facility, a chest computed tomography (CT) scan, with incomplete imaging of the iliofemoral axis, revealed a type A aortic dissection (DeBakey type I). Following tran...
pmc-6136680-1
A 63-year-old male patient had initially undergone a mechanical aortic valve replacement 17 years earlier for bicuspid aortic valve stenosis. He was referred with increasing shortness of breath on exertion and 5.6 cm dilatation of the ascending aorta on computed tomography. Aortic dimensions on intraoperative transesop...
pmc-6136680-2
A 67-year-old female patient was referred with an extensive aneurysm of the thoracic aorta, severe aortic regurgitation, and exertional angina. Embarking on a staged repair, via median sternotomy, we undertook biological aortic root, ascending aorta, and arch replacement with a conventional elephant trunk procedure. Th...
pmc-6136886-1
A 52-year-old male with a 30-year history of chronic low back pain of unknown etiology presented to a rheumatology clinic. He noted low back pain associated with morning stiffness that worsened throughout the day. He also described increased difficulty with ambulation associated with bilateral paresthesia of the lower ...
pmc-6136888-1
A 27-year-old male with no medical history presented to our emergency department with four days of atypical chest pain. He endorsed flu-like symptoms two weeks prior that failed to resolve with over-the-counter medications and amoxicillin. He also reported watery diarrhea and intermittent hematochezia. A complete cardi...
pmc-6136889-1
Fifty-nine-year-old woman presented to a pulmonary outpatient department for management of recurrent pneumonias due to bronchiectasis diagnosed two years ago. She was found to have on an average of four to five episodes of lower respiratory tract infections (LRTI) per year during the same period. She was apparently wel...
pmc-6137173-1
A 6-year-old female child (114 cm, 17 kg) scheduled for adenotonsillectomy. Due to a traumatic fracture, she wore a plaster cast in the upper limb. She reported a history of sleep apneas. Notably, her past medical history did not include any reaction to drugs or food. Pre-operative physical examination was negative. On...
pmc-6137194-1
A 48-year-old woman visited out-patient clinic of neurology after 2 weeks of headache. The localization of headache was mainly on right side of head. It showed as intermittent dull pain, especially at night. Headache was relieved after taking pain reliever. However, headache occurred again when she stopped taking medic...
pmc-6137194-2
A 46-year-old woman visited out-patient clinic of neurology after 1 month of headache. The localization of headache was mainly on left forehead. It showed as persistent dull pain, especially at night. Patient had occasional dizziness. After taking medicine prescribed from community hospital, headache relieved, but coul...
pmc-6137194-3
A 66-year-old woman was admitted in the Neurology Department because of 2 month repeatedly headache, aggravating within 1 week. The localization of headache was mainly on left side of forehead, tempus, and cheek. It showed as intermittent pain, worse in the morning and tended to aggravate when she lowered her head. 1 w...
pmc-6137194-4
A 61-year-old woman visited out-patient clinic of neurology because of 1 year intermittent distending pain on the right occipital, aggravating within 10 days. She received treatment from the community hospital but without relief. There was no positive symptoms in nervous system. CT scan did not show any abnormal altera...
pmc-6137194-5
A 50-year-old woman visited out-patient clinic of neurology because of 1 year intermittent sharp pain on the left head and face, aggravating within 15 days. In the past 1 year, headache occurred every day and lasted for 3–4 h, symptom was worse at day time, particularly after bending. There was no nausea and vomiting. ...
pmc-6137194-6
A 59-year-old woman visited out-patient clinic of neurology because of 3 years intermittent sharp pain on left orbital. She was diagnosed as trigeminal neuralgia in the community hospital. Then, she was treated with Carbamazepine, Mecobalamin and acupuncture, but without significant relief. Our examination found tender...
pmc-6137611-1
A 57-year-old woman was treated by cholecystectomy for gallbladder lithiasis. Coelioscopic surgery was uneventful and the patient was discharged the next day, but she came back to the hospital three days after surgery, with bilious fluid extruding from the right surgical orifice. Abdominal computed tomography (CT) show...
pmc-6137720-1
A 56-year-old woman who had autosomal dominant RP with a heterozygous PRPH2 mutation (c.410G > A) complained of metamorphopsia in her left eye. Her best corrected visual acuity (BCVA) had declined from 1.0 (20/20) to 0.4 (20/50). Further examination revealed CNV with serous retinal detachment (Fig. ). She was treated w...
pmc-6137868-1
A 5-month-old boy presented with psychomotor developmental retardation and was admitted to the pediatric neurodevelopmental unit of Bayi Children’s Hospital. He could not control his head, was prone to hypsokinesis, was unable to turn over or grasp, and had high muscle tension. The parents of the patient denied heredit...
pmc-6137890-1
A 43-years-old male of Japanese Brazilian with hypesthesia from the right lower lip to the mental region consulted a hospital for the first visit. Computed tomography (CT) revealed a round radiolucent area in the right mandibular body, and biopsy was carried out, leading to a diagnosis of schwannoma. He was referred to...
pmc-6137938-1
A 23-year-old Caucasian woman presented to our emergency department with abdominal pain and recurrent nausea of 6 days’ duration, which had progressively worsened over the past few hours, but without vomiting. The pain, she described, was rather diffuse but more intense in the epigastric region. She denied reflux, diar...
pmc-6138077-1
The dogs, a three-year-old male castrated Pomeranian and two seven-year-old male castrated cross breeds, were presented to the Onderstepoort Veterinary Academic Hospital (OVAH) three days after ingestion of the paraquat. Acute vomiting of clear bright blue fluid with crumbly granules, corresponding with the colour of t...
pmc-6138098-1
In November 2008 a two-year-old wild female cheetah from a temporary holding facility developed seizures, a raised tail and arched back. She died despite treatment and was submitted to the National Zoological Gardens of South Africa for necropsy examination. The female cheetah was one of four young adults in a project ...
pmc-6138098-2
In April 2013 a seven-year-old male cheetah in a captive breeding centre became excited, started having seizures, became laterally recumbent and began to salivate excessively before dying under anaesthesia for examination. The cheetahs in this facility are kept for breeding purposes, housed in pairs in pens 0.4 ha – 1 ...
pmc-6138103-1
A 13-year-old adolescent girl was admitted to the Department of Child and Adolescent Psychiatry with complaints of lack of enjoyment of pleasurable activities, sleep disturbances, suicidal thoughts, binge eating episodes, self-induced vomiting episodes and excessive exercising, leading to significant weight loss last 1...
pmc-6138109-1
Permission to report on this case was granted by the Research Ethics Committee of the Faculty of Health Sciences of the University of Pretoria. A 26-year-old man was arrested for attempted burglary and because of what was described as abnormal behaviour while in custody was sent for psychiatric observation in terms of ...
pmc-6138118-1
A 13-year-old female Motswana student, who is the first born in a family of two children and being raised by a single unemployed mother, was referred to a psychiatric hospital by her local facility. She presented with a 1 week history of calling out for people who were not there as if she were conversing with them and ...
pmc-6138121-1
On 2 May 2012, a 29-year-old male farmer from Underberg was admitted to a hospital in Pietermaritzburg, KZN. The patient reported contact with a stray puppy some two months before the onset of symptoms. The patient provided shelter for the puppy, but after a few days the animal developed symptoms which in retrospect co...
pmc-6138121-2
On 28 August 2012, a 21-year-old male was admitted to a local hospital in KZN. Upon investigation, it was found that a dog (referred to as Dog VG) bit the patient on 19 July 2012 whilst he was visiting his girlfriend in the Tshelimnyama area. The owners of Dog VG mentioned that the dog was usually well behaved but sudd...
pmc-6138208-1
A 4-year-old intact female Jack Russel terrier was referred with complaints of severe neck pain and ataxia. The patient had an altercation with a porcupine 2 weeks previously, and at that time several quills were removed from her mouth and around the mandible by the referring veterinarian. Of these quills, one had pene...
pmc-6138217-1
A 9-year-old sterilised female domestic short-hair cat was referred with a history of intermittent vomiting and anorexia of 3 months duration. Initial investigations included a faecal floatation, urine analysis, serum biochemistry as well as a full-blood count that all yielded results within the normal range. Abdominal...
pmc-6138218-1
A hand-reared 5-month-old male intact steenbok weighing 5 kg was presented at the Onderstepoort Veterinary Academic Hospital (OVAH) for investigation of dysuria of approximately 7 days’ duration. The steenbok had been maintained on a diet of commercially available wildlife pellets (Antelope 16% pellets, EPOL, Worcester...
pmc-6138238-1
A 32 year-old woman with a history of hypothyroidism and pre-eclampsia initially presented to an outside hospital with acute onset dense left hemiplegia, right gaze preference, and left-sided neglect. Her initial National Institute of Health Stroke Scale (NIHSS) was 14 and she had an admission Glasgow Coma Scale (GCS) ...
pmc-6138458-1
A 39-year-old Caucasian male presented for a dermatological evaluation. His exam demonstrated an 8-millimeter flat, brown papule within a large tattoo covering most of the upper back (Figure ). The patient was uncertain regarding the lesion’s initial presentation, the pattern of its growth and appearance, how long the ...
pmc-6138459-1
A 62-year-old male with a history of gastroesophageal reflux and deep vein thrombosis/pulmonary embolism, developed sudden onset headache prior to his scheduled Nissen fundoplication. The patient presented to an outside hospital neurologically intact, but due to intractable symptoms, a non-contrasted head computed tomo...
pmc-6138538-1
A 28-year-old previously healthy woman, at 39 weeks and one day of gestation, was admitted to our hospital and underwent an emergency caesarean section because of premature rupture of membranes. On postoperative day (POD) 2, she developed a fever with right back pain. On physical examination, decreased breath sounds on...
pmc-6138539-1
A 64-year-old man presented with a fever and was diagnosed with pneumonia. He had a history of recurrent pneumonia. Chest computed tomography (CT) showed numerous cysts in the right lower lobe in addition to infiltrative shadows. Mycobacterium abscessus was identified in the sputum. Chest X-ray images showed infiltrati...
pmc-6138539-2
A 41-year-old man was diagnosed with pneumonia. His past medical history included recurrent pneumonia. Chest X-ray showed infiltrative shadows in the right lower lung field (Fig. A). Chest CT showed numerous cystic lesions and infiltrative shadows in the right lower lobe (Fig. B). An open right lower lobectomy was perf...
pmc-6138540-1
A 76-year-old man, former smoker (80 pack-years), with hypertension and hyperlipidaemia was referred to our hospital with a diagnosis of AE with IPF in 2013. After admission to our hospital, he was treated with steroid pulse therapy followed by systemic corticosteroid and cyclosporine therapy. His respiratory condition...
pmc-6138541-1
A 62-year old man with rheumatoid arthritis treated with tofacitinib and severe chronic obstructive pulmonary disease was admitted after developing an iatrogenic pneumothorax from a Computed Tomography-guided core biopsy of a left upper lobe lung nodule. He remained hemodynamically stable but had dyspnoea, oxygen desat...
pmc-6138542-1
A 78-year-old male with a history of early gastric cancer and meningioma of the brain underwent right middle lobectomy and lymphadenectomy for squamous cell lung carcinoma two years and four months ago. After the surgery, he received adjuvant chemotherapy with tegafur-uracil fortwo2 years. He underwent regular check-up...
pmc-6138913-1
A 63-year-old white man with no significant comorbidities was diagnosed as having mRCC affecting his right kidney with metastatic spread in the Th11 vertebra and multiple pulmonary sites (Figs. –, ). He underwent a cytoreductive nephrectomy in December 2015. A histological examination was consistent with clear cell car...
pmc-6139003-1
In 2010 a 75 year-old female patient presented at our clinic with a 2-year history of pain and recent emergence of a discharging sinus at her left upper leg. She had a history of bilateral gonarthrosis and underwent elective right and left knee total arthroplasty 5 years before. The procedures and the post-operative fo...
pmc-6139107-1
A 19-year-old male was referred to our hospital by a primary care physician for a history of intermittent cramping pain in the right flank persisting for several days. His abdomen was flat and soft; however, he complained of abdominal pain upon pressure in the right lower quadrant. Most laboratory test results revealed...
pmc-6139108-1
A 59-year-old Japanese man was referred to hospital with right upper quadrant pain. He underwent laparoscopic cholecystectomy on the diagnosis of cholelithiasis. However, because intraoperative pathological diagnosis revealed GBC, we performed an extended cholecystectomy that included resections of the gallbladder bed ...
pmc-6139109-1
A 70-year-old woman was admitted to our hospital because of upper abdominal pain. Her medical history included appendicitis at 20 years old. Upon physical examination, left hypochondriac pain and tenderness in the upper abdomen were noted. The laboratory examinations revealed elevated inflammatory markers (white blood ...
pmc-6139126-1
A 49-year-old Egyptian man presented to our emergency department with a 48-hour history of cough. The cough was productive of a small amount of sputum and caused abdominal discomfort. He denied a previous similar episode. He was fatigued but recalled no chest pain, emesis, fever, chills, night sweats, melena, constipat...
pmc-6139209-1
A 20-year-old man was referred to our institution from an oncological clinic where he was undergoing maintenance chemotherapy for metastatic alveolar rhabdomyosarcoma. In routine EKG, there was concerning new EKG abnormalities with a possible new AV block. Prior EKGs had been without abnormal findings (). Given the new...
pmc-6139221-1
A 41-year-old white man presented to Montefiore Medical Center on June 15, 2017 with one day of fever and confusion. His past medical history was significant for recently diagnosed mediastinal germ cell tumor being treated with etoposide, ifosfamide, and cisplatin therapy. His last dose of chemotherapy was administered...
pmc-6139222-1
We present a case of a 60-year-old overweight female with a past medical history of type 2 diabetes, hypothyroidism, hyperlipidemia, hypertension, and internal hemorrhoids presented to her primary care physician for a health maintenance exam. She does not drink alcohol, is a lifelong nonsmoker, and denies illicit drug ...
pmc-6139223-1
A 49-year-old male with a history of alcoholism, chronic pancreatitis with pancreatic duct stenting, and newly diagnosed diabetes mellitus type II was admitted to our hospital for abdominal pain, melena, nausea, and vomiting in the setting of necrotizing pancreatitis and blood loss anemia with a hemoglobin count of 6.6...
pmc-6139234-1
A 35-year-old man was referred to plastic surgical department with a progressive, ulcerating lesion near the angle of the mandible suspicious for skin carcinoma (). It had gradually grown to 20 mm in diameter over four months. Thirteen years previously, the patient was diagnosed with an undifferentiated nasopharyngeal ...
pmc-6139700-1
A 41-year-old female was diagnosed with infantile-onset HPP at the age of 5 months, presenting with recurrent pneumonia and rib fractures. She had additional fractures of the extremities, rickets, and short stature. In 1998, the patient was found to have bilateral subtrochanteric femoral shaft pseudofractures after a f...
pmc-6139700-2
A 61-year-old male presented with a fragility fracture of the right femur in May 2006, which required intramedullary rod placement in December 2008. He had persistent pain and a waddling gait. Serial radiographs demonstrated nonunion of the fracture 8 years later despite operative intervention. In 2014, he complained o...
pmc-6139905-1
The patient was a 23-year-old female (46, XY karyotype) diagnosed with hypertension (180/120 mmHg) since age 14 and a BMI of 20.8 kg/m2. There was no obvious masculinization, and her parents stated that there were no obvious abnormalities in vulva development at birth. Antihypertensive drug therapy (nifedipine sustaine...
pmc-6139907-1
We report a case of a 36-year-old woman of Yoruba ethnicity who presented with absence of menses. A physical examination revealed a woman with feminine appearance characterized by long plaited hair and well-developed breasts. As part of the investigations to unravel the sex status, she had a resting standard 12-lead EC...
pmc-6140099-1
A 74-year-old female patient with an acute non-ST-segment elevation myocardial infarction (NSTEMI) was referred for coronary angiography. Transradial access was established with a 10 cm 6F Introducer sheath (Glidesheath, Terumo Medical Corporation). Coronary angiography with a 6F Judkins right 4 diagnostic catheter rev...
pmc-6140128-1
A 71-year-old male presented to an outside institution in 2015 for evaluation of slowly enlarging bilateral cervical lymphadenopathy, parotid swelling, and night sweats. Medical history was significant for melanoma removed from the bridge of his nose in 2015, and active smoking for over 40 years. During his initial wor...
pmc-6140272-1
A 3-year-old girl, with no prior medical history, was admitted in our center with a three-week history of an abdominal mass discovered by her mother. On physical examination, a firm, painless mass in the left flank was palpable. Complete examination showed no other abnormality. In particular, no neurological deficit wa...
pmc-6140355-1
A 13-year-old boy was referred to our tertiary young adult hip service by a Paediatric Orthopaedic Surgeon for evaluation of left groin pain and a decreased range of movement in the left hip. He was a keen rugby player and had experienced an avulsion fracture of the AIIS during a rugby game which was played without a w...
pmc-6140401-1
Patient A.III.1 is a 30-year-old female, who presented with antibody deficiency at age 15 and the diagnosis of CTLA-4 insufficiency was made at the age of 27 years. Additional complicating features included CNS involvement, psoriatic skin irritation, arthralgia, and a recurrent enteropathy, treated by steroids and immu...
pmc-6140401-2
Patient B.II.3 is a 54-year-old male, in whom CTLA-4 insufficiency was revealed by family screening at the age of 49 (). Fever, night sweats, and fatigue occurred just a few months later, EBV viral load began to rise, and a generalized lymphadenopathy was detected. In addition, pancytopenia developed in the context of ...
pmc-6140401-3
Patient B.II.4 is a 47-year old female, who had manifested with antibody deficiency, recurrent hypokalaemic periods due to severe diarrhea, and chronic renal failure most likely due to lymphocytic renal infiltrations during her early forties. Her CTLA4 mutation was found at the age of 43 years by screening of 71 unrela...
pmc-6141051-1
A 21-year-old Caucasian female with a past medical history of fibromyalgia and a family history of hypertension (both grandparents) was admitted with a three-day history of headache and blurring of vision in her left eye. Her BP was 210/150 and physical examination was essentially normal, apart from the visual acuity o...
pmc-6141052-1
An 84-year-old right-handed female was diagnosed with PD at the age of 75. Her initial symptoms included bradykinesia, rigidity, and resting tremor of the right hand. The patient was initially started on levodopa/carbidopa 250/25 mg twice daily, which resulted in a significant improvement of her symptoms. Levodopa dosa...
pmc-6141053-1
A 77-year-old man with no history of skin cancer presented to the outpatient dermatology clinic for a scalp lesion of three weeks duration. He reported rapid lesion growth, but no change in the overall appearance nor any associated symptoms. Examination revealed a mobile, round, exophytic nodule with overlying ulcerati...
pmc-6141057-1
A 64-year-old woman with multinodular goiter and depressive disorder with no other associated comorbidities presented to the internal medicine department with facial swelling, dyspnea of moderate exertion, and a feeling of pressure on the face and chest for one month. She presented with no skin lesions or fever. The ph...
pmc-6141060-1
A 46-year-old male with stage IVB nodular sclerosis Hodgkin lymphoma received treatment with six cycles of ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) and then autologous stem cell transplant. Despite these treatments, he had progression of his disease. The positron emission tomography (PET) showed hypermet...
pmc-6141216-1
A 15-year-old girl presented to our hospital’s emergency department with episodes of generalized tonic-clonic seizures (GTCS) for the previous two days. She had seven to eight episodes per day, each lasting for approximately two minutes with associated frothing, tongue biting, urinary and fecal incontinence, and rollin...
pmc-6141217-1
A 35-year-old pregnant patient at 16 weeks presented to our emergency department with symptoms of vomiting, loose motions, confusion, fever, slurred speech, and blurring of vision for four days. The patient was treated with intravenous fluids for hyperemesis gravidarum in another hospital without much improvement durin...
pmc-6141219-1
A 61-year-old woman with a history of treated pulmonary tuberculosis in childhood, bronchiectasis, hypertension, hypothyroidism, polymyalgia rheumatica, and hyperlipidemia presented to our clinic with two months of shortness of breath on exertion associated with worsening lower extremity edema, vomiting, subjective fev...
pmc-6141260-1
This 38-year-old military man was referred for the evaluation of radicular pain over the posterior aspect of his right leg and numbness at the planter aspect of his right foot for 3 weeks of duration. The patient had a history of being injured by several missile fragments 11 years before admission. With probable diagno...
pmc-6141408-1
A 40-year-old woman known for type 1 diabetes presented to the emergency room with back pain, diffuse myalgia, asthenia, and fever (38.5 °C). She had been taking nonsteroidal anti-inflammatory medication for 5 days following a trauma of the left ankle. Physical examination showed hypotension with arterial blood pressur...
pmc-6141414-1
During a routine health check-up of a 73-year-old woman, abdominal ultrasonography incidentally revealed a retroperitoneal tumor with a maximum diameter of approximately 80 mm at the upper pole of her right kidney. She was admitted to our institution for examination of the tumor. The patient had been taking medication ...
pmc-6141424-1
A 57-year-old housewife (mother of a family) suffering from weakness and fatigue was admitted into our clinic. The results of cell blood count (CBC) showed Hb=5 normochromic normocytic anemia. The level of ferritin was 394 Nano grams per milliliter. The level of total bilirubin and direct bilirubin were 4.3 and 0.8 mil...
pmc-6141424-2
A 32-year-old married housewife, who was the fourth child of her family, complained that she had been suffering from fatigue and abdominal pain for the past 15 years. The spleen was palpable 3 cm below the costal margin. The following results were noted: WBC: 100,000, Hb: 10, and PLT: 800,000. The level of MCV, MCH and...
pmc-6141424-3
The fifth child was a 28-year-old married housewife suffering from fever and abdominal pain. She had splenomegaly without systematic lymphadenopathy. Findings of sonography showed two hypoechoic masses (10×8 and 29×27 millimeter). The results of abdominal and pelvic computed tomography (CT) with oral and intravenous co...
pmc-6141432-1
An 11-year-old boy was referred to the Dermatology outpatient clinic with a complaint of patchy hair loss on his scalp noticed by parents one month before. On examination, he had 3 x 2 cm patch of alopecia on the occiput, without scarring. A diagnosis of alopecia areata was considered and treated with topical steroids....
pmc-6141742-1
The proband (2.5 years old) was a male child from a non-consanguineous family with no immunodeficiency history. The mother reported two abortions prior to the birth of the child by cesarean section at 37 weeks. The patient was discharged from the hospital after 48 h without any clinical manifestations. The first clinic...
pmc-6142315-1
A 6-year-old Chinese girl presented to People’s hospital of Leshan, Department of Ophthalmology, in August 2017. The parents reported their child with a progressive loss of vision and bluish discoloration of sclera. Family history was negative for known conspicuous eye disorders, no infections or abnormalities in pregn...
pmc-6142321-1
An 11-month-old Palestinian baby boy presented with distended abdomen, hepatomegaly, and splenomegaly. On evaluation, his body weight was 8.2 kg (third percentile), height 76 cm, (75th percentile), and head circumference 45.8 cm (75th percentile). His parents are first-degree cousins; our patient has three female sibli...
pmc-6142325-1
We describe a case of disseminated extrapulmonary legionellosis in an immunocompromised 38-year-old Thai woman. The patient was diagnosed in 2002 with systemic lupus erythematosus (SLE) with fever, polyarthritis, oral ulcer, alopecia, and proteinuria. Since then, she has been treated with prednisolone with azathioprine...
pmc-6142338-1
A 6-year-old Han Chinese boy had a 5-year history of progressive muscle weakness. His family first noticed he experienced difficulty in walking at approximately 1 year of age. As time progressed, he began to experience difficulties when climbing stairs and lifting heavy objects. He exhibited shortness of breath after a...
pmc-6142345-1
An 86-year-old woman with back pain was referred to our hospital. At the time of presentation, she had no fever and no pain at rest. Roentgenography findings were relatively normal with slight narrowing at L1/2 (Fig. ). She had no known drug allergies. She was administered analgesics and was kept under observation. One...
pmc-6142365-1
The first donor was a 40-year-old man who suffered brain death due to intracranial hemorrhage after a traffic accident. His terminal serum creatinine level was 0.8 mg/dL and his Kidney Donor Profile Index score was 27%. The first recipient was a 45-year-old man with a 20-year history of hypertension and end-stage renal...
pmc-6142625-1
Here we report a 36-year-old female nurse, working full-time 12-h night shifts in a busy intensive care service, with generalized (MGFA IIb) auto-immune MG, symptomatic and dependent on cholinesterase inhibitors. Past medical history includes eczema in her teens, she is a carrier for sickle disease (sickle cell trait (...
pmc-6142628-1
Our patient was a 3-year-old Malay boy, who presented with fever of 2 days’ duration and an episode of generalized tonic-clonic seizure that lasted approximately 5 minutes. There was no up rolling of eye ball or drooling of saliva during the seizure. He had post-ictal drowsiness for 10 minutes. There were no other asso...
pmc-6142631-1
A 46-year-old man visited the emergency department of our institution due to left lower quadrant pain and a palpable mass in the left upper abdomen. He had no specific relevant past medical history or family history. Physical examination disclosed a large, tender mass in the left abdomen. All laboratory findings were w...
pmc-6142668-1
A 56-year-old female patient was referred to our hospital for a mass lesion in her forearm that had been growing slowly, and she had no history of trauma, infection, fever, or weight loss. During medical history taking, we found that a needle biopsy was performed 4 years ago in another hospital, and the result of the c...
pmc-6142679-1
A 33-month-old Caucasian boy presented with leukocoria right eye (OD). Fundus examination OD revealed a solid white predominantly endophytic retinal tumor filling most of the nasal aspect of the fundus (Fig. & ) and extensive vitreous seeding (Fig. ). The tumor extended to the posterior surface of the lens and exhibite...
pmc-6142721-1
A 17-year-old male noticed swelling of his abdomen from six months previously. He reported pain at the left side of the umbilicus. Body weight increased by 5 kg in one year. Computed tomography (CT) was performed at another hospital. A larger abdominal tumor was detected, so he was referred to our hospital for examinat...
pmc-6142722-1
A 60-year-old African-American male presented with worsening abdominal pain and weight loss of 30 pounds in one month. Physical examination revealed scleral icterus with mild abdominal tenderness. Laboratory results showed anemia (hemoglobin of 5.7 gm/dL and hematocrit 16.6%), renal failure (creatinine of 20.89 mg/dL),...
pmc-6142723-1
A 41-year-old Japanese woman (gravid: 0; para: 0; height: 154 cm; weight: 52.2 kg; body mass index: 22.0 kg/m2) visited our department due to severe vomiting. Although hyperglycemia and hypertension had been identified upon screening at her workplace, she neglected these findings. She underwent medical examination for ...
pmc-6142732-1
A 57-year-old male presented to an outpatient orthopedic clinic with a two-month history of pain and swelling in his right elbow. His past medical history was notable for hypertension and gout, which was controlled with colchicine, febuxostat, and indomethacin. He had undergone right olecranon bursectomy and tenotomy a...
pmc-6142734-1
A 61-year-old female with past medical history significant for type 2 diabetes mellitus, hypertension, and dyslipidemia and family history of breast cancer in her brother and maternal aunt presented to the emergency room for recurrent chest pain. She also reported fatigue for the past few months and was being evaluated...
pmc-6142740-1
A 26-year-old white male presented to the emergency department complaining of one month of persistent hematochezia, lower abdominal pain, and nonbloody emesis. He noted intermittent rectal bleeding for years but never continuously for 1 month. He denied any fevers, weight changes, sick contacts, antibiotic use, or prev...
pmc-6142750-1
A 13-year-old male was transferred to our Pediatric Hematology/Oncology Clinic for evaluation of a large liver mass detected by an abdominal computed tomography (CT) scan in an outside hospital. He presented with increasing abdominal distension of several months' duration and denied fever, abdominal pain, nausea, vomit...
pmc-6142755-1
A 61-year-old male from northern Sri Lanka presented with high-grade fever, neck pain, odynophagia, and dysphagia for three days duration with the background of uncontrolled diabetes mellitus. His last HbA1c was 9.1% one month ago. His symptoms significantly interfered with his oral intake. He did not complain of cough...
pmc-6142756-1
A 12-year-old girl with a previous diagnosis of MFS was admitted in our Pediatric Surgery Unit with sudden onset of chest pain and shortness of breath after sneezing. Her past medical history revealed two previous left spontaneous pneumothorax (two and three months prior to this hospital admission), managed with conser...
pmc-6142760-1
A 43-year-old Caucasian male with a past medical history significant for depression which was well controlled with Prozac presented to the Emergency Department with nausea, vomiting, myalgias, and dark colored urine. He admitted to recent travel to Virginia Beach but denied any history of travel outside of the United S...
pmc-6142763-1
A 26-year-old woman, Gravida 3, Para 1, Abortus 1, presented at 19 weeks and 4 days of gestation for evaluation of a short cervix and placenta previa. The patient was asymptomatic, denying pain, vaginal bleeding, leakage of fluid, cramping, or uterine contractions. Ultrasound examination suggested a total placenta prev...