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pmc-6017159-1
A 19-year-old healthy male with no significant medical history presented with complaints of palpitations for one day along with chest pain and shortness of breath. It started when he was working on a Christmas tree farm. The patient reported a history of similar episodes for last six years usually triggered with mild e...
pmc-6017160-1
A 69-year-old man presented with chief complaints of a growing mass on his nose, concomitant nasal airway obstruction, visual field impairment, and an inability to wear glasses. The patient also described the recent appearance of a glabellar lesion. Several weeks prior to our consultation, the patient sought the care o...
pmc-6017181-1
A 64-year-old African American female with a past medical history of insulin-dependent diabetes mellitus, hypertension, hyperlipidemia, prior history of stroke, hypothyroidism, and family history of coronary artery disease presented to the emergency department with complaints of typical chest pain. The patient's chest ...
pmc-6018091-1
A 13-year-old boy presented with a history of headache, nausea and vomiting with an acute onset 2 weeks earlier. Magnetic Resonance Imaging (MRI) of the brain and spinal cord revealed left cerebellar expansive lesion with no evidence of metastasis. Cerebrospinal fluid (CSF) examination revealed no evidence of dissemina...
pmc-6018093-1
A 10 year old male was referred to endocrinology clinic for evaluation of obesity, rapid weight gain, and growth deceleration. His mother noted he was previously one of the tallest children in his class, but now was one of the shortest. Review of previous growth charts revealed growth at the 90th percentile for height ...
pmc-6018135-1
A 20 years old woman was referred to Gazi University Department of Prosthodontics with a chief complaint of tooth discoloration, diastema, unsatisfactory esthetics and slight tooth sensitivity. The medical and dental history revealed that the patient’s family was not affected by AI. A renal ultrasound scan was normal, ...
pmc-6018178-1
In March of 2017, a 20-year-old virgin female with achronic pelvic pain was referred to our center. The patient complained of severe pelvic pain with verbal numerical rating scale (VNRS) of 9 during the menstrual cycle. This chronic pain had lasted for almost one year. The patient did not mention dyschezia, pain d...
pmc-6018244-1
A 50-year-old male with HIV, ESRD on PD, HTN, and recently diagnosed DLBCL presented to the Emergency Department with RUE pain and swelling ten days after receiving his first cycle of R-CHOP (cyclophosphamide dose reduced for PD) through a peripheral IV in the right hand. The patient reported that the swelling began in...
pmc-6018445-1
Brown-skinned patient, 20 years old, female, presented with good general health and excellent oral health. Her main complaint concerned the projection of the lower incisors out of the mouth. She presented a Class III skeletal pattern, aggravated by the lack of space for correct alignment of the lower arch, due to the p...
pmc-6018529-1
Case 1: A 53-year-old woman presented with a recurrent headache, blurred vision, and progressive memory loss. The headache first appeared 5 years earlier and worsened gradually. One and a half years ago, she developed blurred vision. Brain magnetic resonance imaging (MRI) at that time showed hydrocephalus. Repeated lum...
pmc-6018529-2
Case 2: A 57-year-old man presented with paroxysmal blurred vision for 2 months. When he was admitted 1 month ago, lumbar puncture revealed increased opening pressure, pleocytosis, elevated protein level, and reduced glucose level. CSF cytology showed lymphocytic inflammation. Cryptococcus antigen test and Mycobacteriu...
pmc-6018529-3
Case 3: A 58-year-old man presented with recurrent headache, transient loss of consciousness (LOC), and progressive memory loss. Eight years before admission, his symptoms began with recurrent headache and transient LOC. Lumbar puncture revealed increased opening pressure, pleocytosis, elevated protein level, and reduc...
pmc-6018529-4
Case 4: A 31-year-old man presented with progressive blurred vision for 3 weeks. On admission, brain MRI showed multiple cystic lesions in the suprasellar cistern (Figures ). Lumbar puncture revealed increased opening pressure, an elevated white blood cell count, elevated protein level, and reduced glucose level. CSF c...
pmc-6018596-1
A 46-year-old gentleman, morbidly obese (BMI 57.4 kg/m2), was referred to our institute 20 days after a laparoscopic sleeve gastrectomy, complicated by gastric leak. On presentation, he was septic and in distress, tachycardic, and tachypneic. He was febrile and complaining of abdominal pain. Examination revealed a dist...
pmc-6018767-1
This is a 50-year-old right-handed male, with 33-year history of T6 AIS A SCI from a gunshot wound complicated by chronic pain, left hip and knee heterotophic ossification, and a chronic dislocation of his right hip, who initially presented to the emergency room with a right shoulder mass in September 2014. While he in...
pmc-6018942-1
A 70-year-old woman was diagnosed with DLBCL (Ann Arbor Stage: IIIA) and received chemotherapy but relapsed. She was admitted to our hospital in 2017 to undergo auto-PBSCT after salvage chemotherapy. She suddenly developed grade 3 haematuria on the day of transplantation. We detected a BKV DNA load of 5.0 × 107 copies/...
pmc-6019205-1
A 6-month old exclusively breastfed, African boy presented to the emergency department (ED) with an out-of-hospital cardiac arrest. In the weeks prior to presentation, he had 3 brief episodes of peri-oral cyanosis and pallor and presented twice to ED with increased work of breathing. On initial assessment by paramedics...
pmc-6019205-2
A 6-month old, partially breastfed and previously well Somali boy presented to the ED following respiratory arrest and seizure. He was found pale, floppy and not breathing while held by his sibling. Following emergency telephone advice, his mother, a nurse, commenced Cardio-pulmonary resuscitation (CPR) at home. Two mi...
pmc-6019205-3
A five-month old British Pakistani girl presented to ED with cough, difficulty in breathing and poor feeding. She was born at 35 weeks with a birth weight of 1.75 Kg (9th centile) and required admission to the neonatal unit for 6 days to establish oral feeding. At presentation, she was found to be pale, irritable, tach...
pmc-6019218-1
A 45-year-old previously healthy Asian man presented with a history of intermittent fever with chills and rigors over 2 months’ duration. There were associated night sweats, loss of appetite, and loss of weight. There was a history of transient macular rash at the onset of the fever which spontaneously resolved without...
pmc-6019221-1
A 33-year-old nulliparous woman was referred to our institution from a private infertility clinic complaining of lower abdominal pain. She reported a history of 5 weeks and 4 days of amenorrhea and had undergone intrauterine insemination (IUI) 27 days previously. Ovarian hyperstimulation for IUI was started with Clomip...
pmc-6019233-1
A 25-year-old female with a two-year history of erythema, papules, nodules, and scales on her sole of left foot was presented to our outpatient center. She has no history of autoimmue disease and untreated with immunosuppressive therapy. Considering her pregnancy, she was not given treatments for 1 year. The left foot ...
pmc-6019244-1
This was a 69-year-old man diagnosed with metastatic colorectal adenocarcinoma to liver, lung, and skeletal. He underwent previous treatments with schemes based on fluoropyrimidine, platinum, antiangiogenics, and irinotecan and cetuximab, however, the patient's disease had progressed with all these therapies. Treatment...
pmc-6019244-2
This was a 73-year-old man diagnosed with melanoma on his right thigh. He underwent resection and clinical follow-up. After 8 years, he had untreatable metastatic lung melanoma without mutations. The patient was treated with dacarbazine followed by ipilimumab, but disease had progressed. After, we opted to begin pembro...
pmc-6019244-3
This was an 81-year-old man diagnosed with untreatable stage IIIA lung adenocarcinoma without mutation. He underwent surgery followed by radiotherapy and adjuvant chemotherapy with carboplatin and pemetrexed. After 4 months of follow-up, the patient evolved with local recurrence. The affected site was irradiated but no...
pmc-6019244-4
This was a 54-year-old man diagnosed with pulmonary large-cell neuroendocrine carcinoma located and resected that evolved for metastatic disease. Initially the patient was treated with carboplatin and paclitaxel followed by cisplatin and etoposide, and radiotherapy for controlling specific injuries. The disease progres...
pmc-6019244-5
This was a 70-year-old man with metastatic lung epidermoid carcinoma with multiple liver injuries. The first-line treatment adopted included nivolumab 3mg/kg every 2 weeks, even without these agents approval in Brazil and in the United States considering the patient's status because he had contraindication for platinum...
pmc-6019328-1
We present a case of a 49-year-old male with a lung metastasis from hepatocellular carcinoma in the upper lobe of the left lung. He received radiotherapy to the lung metastasis according to the method described hereinafter. The proposed workflow started with acquiring planning CT images under deep inspiration breath-ho...
pmc-6019330-1
A 19-year-old female was admitted to the emergency department with complaints of pain and swelling on the lateral side of the ankle after sustaining an ankle sprain. The patient was unable to bear weight upon admission. On physical examination, there was prompt swelling over the lateral side of the ankle and the tip of...
pmc-6019331-1
The patient is a 16-year-old male without a significant past medical history who was transferred to our institution after a gunshot injury to the right lower extremity. On physical examination, two bullet entry points were evident at the right popliteal fossa and dorsal soft tissues of the distal right leg. Initial rad...
pmc-6019431-1
A previously healthy 3-year-old Moroccan boy was admitted with anemia and thrombocytopenia. He had been well until 3 weeks prior to presentation, when he developed a febrile erythematous rash. Fever recurred a week before admission, associated with lethargy, vomiting, and non-bloody diarrhea. Family history is negative...
pmc-6019439-1
A 57-year-old man presented with neutropenia, since May 2016 due to a myelodysplastic syndrome. The revised international prognostic scoring system was 0, and no specific treatment was undertaken. Other significant past medical history included well-controlled hypertension treated with quinapril and type 2 diabetes mel...
pmc-6019590-1
A 54 yr old man from Southwest of Iran (Yasuj) presented to the Emergency Ward with a 3-wk history of headache (continuous, throbbing, and general), fever, chills, weakness, anorexia, and weight loss. He also had a history of benign prostatic hyperplasia, gastroesophageal reflux disease, and hemorrhoid. Medications wer...
pmc-6019596-1
A 78 yr old man from a rural area at the western of Iran referred to Razi Hospital Dermatology Clinic, Tehran for multiple ulcerative and exudative lesions on mid face, dorsal aspect of hands and the posterior aspect of heels (, ). Informed consent was taken from the patient. Lesions initiated three years before with p...
pmc-6019650-1
A 24-year-old male presented with photophobia since birth. No family history for colour vision defects or retinal dystrophies was reported. Myopia with an refractive error of − 5.50 D (right eye) and − 6.50 D (left eye) and astigmatism were found in the patient (III:2) at the age of 8 months along with nystagmus but de...
pmc-6019664-1
A 52-year-old Japanese man with lower abdominal pain underwent lower endoscopy, revealing a type 2 lesion with the entire circumference raised in the rectosigmoid colon. He was diagnosed with rectosigmoid colon cancer and underwent endoscopic stent placement as a bridge to surgery for large bowel obstruction. He was fo...
pmc-6019666-1
A 69-year-old man developed a sudden epigastric pain. He was presented at this hospital as an emergency outpatient. Six years earlier, he underwent laryngoesophagopharyngectomy, bilateral lymph node dissection for hypopharyngeal cancer, and esophageal reconstruction with a free jejunum flap. On physical examination, th...
pmc-6019829-1
A 7-month-old male, neutered Maine Coon cat was presented to the Small Animal Teaching Hospital at the University of Bern with acute neurological signs consistent with unilateral otitis media/interna. Six weeks earlier an inflammatory aural polyp had been removed by traction and flushing of the ear canal. The cat had f...
pmc-6020089-1
A 70-year-old man underwent an endoscopic examination owing to epigastric pain and was diagnosed with esophageal cancer. The endoscopic examination revealed an irregular mucosa in the lower esophagus, and biopsies confirmed squamous cell carcinoma. Contrast-enhanced CT did not depict the esophageal lesion but showed en...
pmc-6020089-2
A 72-year-old woman with a past medical history of sarcoidosis underwent an endoscopic examination owing to dysphagia. The endoscopic examination revealed a circumferential tumor with ulceration in the cervical esophagus. Biopsies obtained during the endoscopy indicated squamous cell carcinoma. Contrast-enhanced CT sho...
pmc-6020090-1
A 75-year-old woman was admitted to our hospital complaining of itching around her anus. She had a history of sigmoidectomy for diverticulitis 6 years prior and a past history of Sjögren’s syndrome. She had noted a reddish skin lesion around her anus over the past several years. She reported no change in bowel habits, ...
pmc-6020092-1
A 67-year-old man was admitted to our hospital because of liver dysfunction during a screening examination. Enhanced abdominal computed tomography (CT) revealed a hypervascular mass of 35 mm in diameter in the descending portion of the duodenum (Fig. ), and the left three sections of the liver were occupied by multiple...
pmc-6020204-1
A 39-year-old Japanese man presented with a 3-month history of numbness on the left side of his face. His symptoms had gradually progressed and had become painful in the month before the initial visit. He also complained that sometimes he could not chew on the left side. An examination revealed decreased sensation over...
pmc-6020209-1
An 84-year old man with chronic hepatitis C and liver cirrhosis was referred to our outpatient clinic for the evaluation of HCC, previously treated with transarterial chemoembolization (TACE) and radiofrequency ablation (RFA). Following disease relapse, a wedge resection of two nodules in hepatic segments VI and VII wa...
pmc-6020209-2
A 66-year old man had multiple liver lesions involving approximately 70% of the right liver, multiple nodules in the left lobe, and a right portal thrombosis in the setting of non-alcoholic steatohepatitis (CT scan in August 2012, Fig. a, b). Positron emission tomography (PET) with 2-(fluorine-18)-fluoro-2-deoxy-d-gluc...
pmc-6020209-3
A 70-year-old man with hepatitis C virus cirrhosis was diagnosed with binodular HCC in Jul 2006 and treated with RFA and percutaneous ethanol injection (PEI). From March 2008 to March 2015, the patient experienced multiple tumour recurrences, which were managed using locoregional techniques (RFA, PEI, and one course of...
pmc-6020227-1
A 32-year-old male was referred to our hospital for elevated level of serum creatinine (Scr) (3.71 mg/dl) and proteinuria (3+) following a previous deceased cardiac donor-derived KT due to an unidentified cause of end-stage renal disease (ESRD). Laboratory workups and results of diagnostic procedures performed are summ...
pmc-6020266-1
Patient 1 was an 11-year old boy, the second child of non-consanguineous parents. There was no family history of bone fragility or autism. The pregnancy was normal, and the patient was delivered by caesarean section post term after failure of labour progression. He was treated in the Special Care Baby Unit for two days...
pmc-6020266-2
Patient 2 was an 11-year old boy, the second child to healthy, non-consanguineous parents. There is no family history of bone fragility and autism. He was born in the breech position spontaneously at 32-weeks gestation after the pregnancy was complicated by placental abruption, causing severe abdominal pain and heavy b...
pmc-6020266-3
Patient 3 was a 4-year old boy, the third child of healthy, non-consanguineous parents. There was no family history of bone fragility or autism. Bowing of the lower limbs observed on the anomaly scan raised antenatal suspicion of a campomelic dysplasia. The patient was born by normal vaginal delivery at term. He weighe...
pmc-6020266-4
Patient 4 was a 14-year old male, the only child born to non-consanguineous parents. His younger half-brother (through same mother) had learning difficulties but there was no other family history of autism. The pregnancy was normal with delivery by caesarean section at 39 weeks due to a breech presentation. He had a bi...
pmc-6020266-5
Patient 5 was a 13-year old male, the first child to healthy, non-consanguineous parents. There was a family history of osteoporosis in his maternal grandfather but no family history of autism. The pregnancy was not planned and was not detected until approximately 25 weeks. No scans were performed. He was born at term ...
pmc-6020266-6
Patient 6 was an eight year old boy, the second child of healthy, non-consanguineous parents. There was no family history of bone fragility or autism. Shortened long bones were identified on the 16-week scan and the child was delivered by caesarean section at 37-weeks. At birth, he needed ventilation with a bag and mas...
pmc-6020266-7
Patient 7 was a 6-year old boy, second child of healthy, non-consanguineous parents with no significant family history. His sister was said to have a seizure disorder of unknown aetiology but there was no family history of autism. Antenatally, there were concerns with short long bones and bowed femur and he was born at...
pmc-6020284-1
We describe the case of a female infant. She was the second child born to a 33-year-old, gravida 3, para 2 mother. The patient was born polyhydramnios by cesarean section at 37 + 4 weeks of gestation with a birth weight of 2440 g (− 1.1 S.D.), a length of 50 cm (+ 0.80 S.D.) and an occipitofrontal circumference of 36 c...
pmc-6020304-1
A 71-year-old Caucasian woman was treated in our Gamma Knife center for a meningioma of the sphenoid jugum. The treatment was performed with Leksell Gamma Knife Icon® (Elekta Instruments, Stockholm, Sweden) and was planned as a hypofractionated irradiation including five daily fractions of 5 Gy. The restraint method ch...
pmc-6020350-1
A 43-year old, asymptomatic woman was admitted to our hospital by her family doctor after receiving a chest-x-ray during routine clinical examination. The x-ray showed a mediastinal mass overlapping the aortic arch region (Fig. ). For verification a computed tomography (CT) was performed and revealed incidentally a typ...
pmc-6020361-1
A 29-year-old Asian man who had undergone surgical debridement at another hospital for a perianal abscess 5 days earlier was referred to the emergency room of Xiamen Chang Gung Hospital. The patient presented with continuous severe perianal and scrotal pain, scrotal swelling, and high fever (39.2 °C) of 3 days’ duratio...
pmc-6020389-1
A 24-year-old Sri Lankan man developed fever, profuse vomiting and diarrhoea followed by reduced level of consciousness over a 12-h duration. He had myalgia, arthralgia and frontal headache. He did not have photophobia, phonophobia, skin rash, fits, cough or urinary symptoms. He did not have any bleeding manifestations...
pmc-6020456-1
A 26-year-old woman presented to a local dentist due to right mandible pain. She did not complain of any other manifestations, and she had no pertinent past medical history. She was diagnosed with periapical periodontitis, which is an infection of the dental pulp with an apical lesion, of the right lower first molar. S...
pmc-6020462-1
We present a 30-year-old female patient, who was admitted with low back pain and generalized body ache for 2 months prior to presentation; it was excruciating pain especially during nighttime and not much relieved by simple analgesics. The patient has a history of poor appetite with weight loss of about 4-5 kg in a spa...
pmc-6020476-1
A 51-year-old female had an injured left foot by falling down from home stairs. The next day, she was admitted to our hospital and was diagnosed with closed tongue-type calcaneal fracture (). Operation was performed using 2 pins of the Steinmann pin by the Westhues method (). A fixed cast and 2 pins were removed at the...
pmc-6020478-1
This 72-year-old gentleman presented with a 6-week history of haematuria and underwent a computed tomography (CT) scan that revealed a left renal tumour suggestive of RCC. His comorbidities included type 2 diabetes mellitus and hypertension. He had no family history of any malignancy. He was a life-long nonsmoker and h...
pmc-6020480-1
At the 30th gestational week, a 41-year-old (gravida 2, para 1 [normal vaginal delivery]) woman with no remarkable medical/family histories was referred to us because of fetal cardiomegaly detected on routine prenatal ultrasound. Fetal ultrasound revealed the absence of ductus venosus (DV) with the UV directly draining...
pmc-6020481-1
A 4-year-old boy was transferred to our pediatric intensive care unit from an outside hospital for further management of a persistent seizure disorder of unknown etiology. A right femoral triple lumen central venous line (CVL) had been placed prior to transfer. Five days after arrival, the patient began to exhibit incr...
pmc-6020486-1
40-year-old male patient was referred to our department with two-month history of ocular focusing deficit without any signs or symptoms suggestive of thyroid dysfunction. Past illness or family history did not reveal any presence of thyroid-related diseases. He has not been taking any medication but has consumed 20 cig...
pmc-6020493-1
A 40-year-old African American male presented with complaints of generalized weakness, unintentional weight loss (60 pounds over one-month period), cough, night sweats, and nonbloody, watery diarrhea of approximately four weeks' duration. The patient's medical history was additionally significant for hypertension and p...
pmc-6020495-1
This was a 13 days old baby boy, who was born via spontaneous vaginal delivery at term in our tertiary care hospital without any postnatal complications. He was discharged 24 hours after delivery. He was brought back to our ER with left eye purulent discharge, which was noticed since birth, and swelling of his left upp...
pmc-6020502-1
A 33-year-old male taxi driver with past medical history significant only for alcoholism, presented to his family physician's office with the chief complaint of left knee pain and swelling for nine months. He denied any specific injury, puncture wound, or any systemic symptoms. He denied contact with animals. Examinati...
pmc-6020505-1
A 32-year-old man was referred to the Lithuanian University of Health Sciences Kaunas Clinics Hospital with the symptoms of throat discomfort on the left side and dysphagia. The symptoms persisted for approximately 2 months. At arrival, the patient had no fever and there were no other signs of acute infection. Anamnest...
pmc-6020506-1
A 62-year-old Columbian female was diagnosed in 2008 with multiple myeloma (MM). Flow cytometry revealed an IgG kappa monotypic plasma cell population, expressing CD33, CD38, CD45, CD56, CD117, CD138, and kappa light chains. The plasma cells were CD19 negative. IgG was measured at 6390 mg/dL, and immunoglobulins of all...
pmc-6020510-1
A 25-year-old female with no prior medical history presented to the emergency department due to high fever (up to 39°C) since 3 days. She complained of left flank pain and gross hematuria. On physical examination, left costovertebral angle tenderness was noted. The urinalysis confirmed the hematuria (2055 red blood cel...
pmc-6020512-1
The body of an 84-year-old man was received under the Saint Louis University (SLU) Gift Body Program of the Center for Anatomical Science and Education (CASE) with an informed consent from the donor. Records indicate this man's cause of death was a gastric carcinoma. During routine dissection, a bifid penis was observe...
pmc-6020517-1
The patient is a 55-year-old man with past medical history significant for two-year history of umbilical hernia, diabetes mellitus type 2, hypertension, gout, chronic kidney disease with proteinuria, diverticulosis, obesity, and osteoarthritis. The patient presented to the clinic because of umbilical hernia pain, which...
pmc-6020537-1
A previously healthy 10-year-old Asian girl presented to the emergency department with headache, vomiting, and one week of mild nonproductive cough. Her headache started the evening prior to presentation, was gradual in onset and frontotemporal in location, and improved with acetaminophen but subsequently woke her from...
pmc-6020648-1
A 56-year-old man was admitted to our hospital after resection of a lymph node in his groin revealed adenocarcinoma. Contrast-enhanced computed tomography (CT) showed a 9-cm mass extending from the bladder to the umbilicus, along with intraperitoneal nodules suggesting peritoneal dissemination (Figures , , and ). Cysto...
pmc-6020766-1
A 5-year-old girl was referred to our hospital for the investigation of urinary incontinence. The patient had continuous low volume urine leakage requiring 4–5 daily pads. The parents could not specify whether there was any connection with standing, coughing, or effort and she had no urge to void. She was constantly we...
pmc-6021183-1
A 41-year-old man with a past surgical history of uncomplicated cholecystectomy two years ago (and no other significant medical history) presented to emergency department with worsening fatigue, shortness of breath, and chest pain. He reported a one-week history of flu-like symptoms i.e. subjective fevers, cough, rhino...
pmc-6021184-1
A 22-year-old male, known case of hepatitis B for one year, developed a low-grade intermittent fever (100°F-101°F) with chills and rigors, associated with nausea and vomiting related to food intake. A week of this predicament was followed by altered mentation, whereby the patient complained of drowsiness as well as a c...
pmc-6021184-2
A 44-year-old male presented to our outpatient department with complaints of a continuous fever (100°F-102°F), loss of appetite, undocumented weight loss and fatigue for two weeks. The fever was not associated with chills and responded to acetaminophen. He also complained of occasional gum bleeds. A review of systems w...
pmc-6021185-1
A 67-year-old Caucasian man with a significant history of recently diagnosed type 2 diabetes mellitus (T2DM) and essential hypertension presented to the hospital with chief concerns of diplopia with an extreme gaze, right eye pain, and sinus congestion for about two weeks. At the time of admission, the patient was afeb...
pmc-6021337-1
The patient is a 58-year-old non-smoking female with a history of recurrent papillary thyroid cancer first detected in the 1970s, who throughout her course underwent several surgical resections, repeated therapy with radioactive-iodine, and external beam radiation therapy (EBRT) (original history, cumulative radioiodin...
pmc-6022254-1
A 57-year-old Thai man from Sa Kaeo, a province in the Eastern region of Thailand referred to a University Teaching Hospital in Bangkok due to swelling and pain at the left side of the neck for one month. One week prior he was admitted to the local hospital due to low-grade fever, difficulty swallowing and hoarseness. ...
pmc-6022265-1
37-year-old woman presented to the emergency room with headache. Bilateral pelvic sensitivity and a mass painful to touch in a plastic texture that filled the Douglas' pouch were detected during the examination; the mass was evaluated in favor of leiomyoma. ß-hcg was negative, wbc was 9800/mm3, hgb was 12 g/dl, htc was...
pmc-6022268-1
A 75-year-old Caucasian woman, gravida 5, para 3 with past medical history of hypertension, rheumatoid arthritis, and chronic obstructive pulmonary disease arrived to the emergency department looking for relief from dental pain. Neither initial exam nor maxillary plain film showed evidence of cause for facial pain, and...
pmc-6022271-1
A 61-year-old female presented to hospital with a 2-week history of profound diarrhea and vomiting. The patient also complained of dull abdominal pain that temporarily resolved with bowel movements. She denied fevers, weight loss, exposure to sick contacts, external food sources, and a travel history. There were no ext...
pmc-6022295-1
A 56-year-old man was admitted to the hospital with abdominal distension and diarrhea for several days. Physical examination revealed no abnormality. Routine laboratory examinations, bacterial and parasitic stool examinations and viral serology were negative. Chest and abdomen X-ray showed no obvious abnormality. Howev...
pmc-6022295-2
A 48-year-old woman complained of constipation for 5 days, and then turned into diarrhea with discontinuous abdominal distension. She was hospitalized because of severe diarrhea (7 times/ d) with muco-bloody stools for one week. The stool frequency was five times a day. Her previous medical history revealed exposure to...
pmc-6022295-3
A 66-year-old woman was admitted to the gastroenterology ward because of alternate constipation and diarrhea with muco-bloody stools. She had a history of undifferentiated connective tissue disease (UCTD) for 20 years and aplastic anemia (AA) for 1 year. In the past, she was mainly treated with glucocorticoid, and subs...
pmc-6022295-4
A 72-year-old woman complained of constipation for several days, and then turned to diarrhea for one month. She was hospitalized for muco-bloody stools and severe abdominal distension. She had a history of diabetes for 10 years and was mainly treated with acarbose and insulin. Physical examination at admission revealed...
pmc-6022295-5
A 64-year-old man was admitted to the hospital with wheezes and exertional dyspnea, which he had suffered from for several months, but without abdominal symptoms. He was diagnosed with emphysema pulmonum 1 years ago. Physical examination revealed double diffuse rales. Serological markers for autoimmunity and viral sero...
pmc-6022295-6
A 27-year-old woman was hospitalized because of ascites and abdominal pain for 3 months. She was diagnosed as Budd-Chiari syndrome (BCS) before admission. Physical examination at admission revealed pronounced abdominal tenderness and abdominal mass. Routine laboratory examinations, bacterial and parasitic stool examina...
pmc-6022300-1
The patient was a 70-year-old female whose past medical history was significant for arthritis and a right total hip arthroplasty approximately 9 years ago. A laparoscopic cholecystectomy (LC) for acute cholecystitis was performed approximately at another hospital approximately two months prior to presentation. She deve...
pmc-6022304-1
A 50-year-old female patient presented with a one-week history of decreased vision in her left eye. She had a 15-year history of seropositive RA treated with methotrexate and deflazacort. Because of an unsatisfactory response to those regimens, she was initiated on 25 mg per week of etanercept 8 months prior to present...
pmc-6022308-1
A 20-year-old African American man was admitted to a psychiatric facility for psychosis. On initial presentation, the patient had an antalgic gait, which he attributed to his history of dopa-responsive dystonia. His mood was depressed and his affect was restricted. He had disorganized thought process and was slow to re...
pmc-6022317-1
An 82-year-old Caucasian male was admitted to our hospital in December 2016 with dyspnea, hemoptysis, and impaired general condition. He also presented with pseudoparalysis of his left shoulder due to severe pain. The medical record included ischemic heart disease (coronary artery bypass grafting in 1994), atrial fibri...
pmc-6022326-1
A 34-year-old male was admitted to the hospital with recurrent episodes of retrosternal chest pain, fatigue, and shortness of breath with an elevated troponin T. He had suffered an acute episode of myocarditis four years previously requiring hospital admission. He had no other relevant medical history and no family his...
pmc-6022338-1
A 36-year-old woman with a history of obesity, hypertension, anxiety, and recurrent urinary tract infections (UTI) was admitted to the hospital with history of dyspnea, fever, cough, and abdominal pain for 4 days. Prior to this admission, the patient presented to urology with recurrent UTIs and was determined to have a...
pmc-6022339-1
A healthy 39-year-old Japanese man presented to a local clinic with a 1-month history of a painless mass in his left neck. A needle biopsy was performed, and the results indicated the possibility of an atypical lipomatous tumor. Subsequently, he was referred to our hospital. Physical examination revealed a hard and mob...
pmc-6022350-1
A 20 year old gravida 1, para 0, female of Salvadoran descent was referred to nephrology for deteriorating kidney function and the nephrotic syndrome at 22 weeks gestational age (GA). Past medical history included a diagnosis of juvenile rheumatoid arthritis at age 12 treated with nonsteroidal anti-inflammatory drugs (...