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We present a case of a 28-year-old African American female without any comorbid conditions who presented to the emergency department with right-sided pleuritic chest pain, dyspnea, and menorrhagia. She had been having intermittent pleuritic pain since 5 years and had been to the hospital many times in the past but with... | 0 |
A 44-year-old man with acute lymphoblastic leukemia (ALL) underwent induction chemotherapy (IC) (day 0). An outline of the episodes is showed in . Bone marrow suppression with fever and septic shock occurred on day 10. Patient suffered serious infection, and empirical treatments were used with imipenem (IPI, 1 g, every... | 0 |
A 90-year-old male was found in his home slumped to his right side and unable to be awakened. Paramedics calculated an 8/15 Glasgow Coma Scale (GCS) score, which remained the same on admission. On presentation to the hospital, the patient had left facial droop, bilateral pinpoint pupils, and right-sided weakness. The N... | 0 |
A 56-year-old female, with a history of a repaired Tetralogy of Fallot and pulmonary embolism while on warfarin, presented with epigastric pain and melena. The patient has been living in transitional housing after experiencing homelessness, which has impacted her access to consistent medical care. She was febrile (101.... | 0 |
A 20-day-old girl was admitted to the neonatal intensive care unit with a chief complaint of poor oral intake through the emergency room. She was lethargic and did not suck well with swallowing only 10 to 20 mL of formula at a time in the last two days. However, the amount of urine did not decrease, and diapers were ch... | 0 |
The patient was an 81-year-old man with a history of left total hip replacement, open discectomy at the L4/5 level more than 10 years prior, percutaneous coronary intervention 3 years prior, and periodontitis detected 1 month before presentation. He suffered from severe back pain of 2-day duration. Plain lumbar spine r... | 0 |
A 27-year-old male patient was admitted to a high-complexity institution due to a five-day clinical picture consisting of additive, symmetrical polyarticular pain, located in the wrists, knees, and left shoulder without other associated symptoms. The joint pain was continuous, permanent, and of great intensity that cau... | 0 |
A 25-year-old female with gestational amenorrhea for 32 weeks presented to our outpatient department with complaints of a recurring headache along with pain and weakness in the legs for the past seven months. The headache was described as a bilateral, dull and persistent pain that fluctuated between mild to moderate in... | 0 |
A 58-year-old male, a chronic alcoholic, presented to us with mild-to-moderate abdominal pain in the epigastric region, with presence of fever for the previous 10 days, for which he was admitted in our institute for further evaluation and management. The patient is currently homeless and relies on friends and temporary... | 0 |
A 45-year-old male, with a right lumbago for 1 month, underwent B mode ultrasonography. Results revealed a lower echo mass in the lower pole of the right kidney. The tumor was with a size of 5.4 × 4.8 cm, had a regular shape, but showed no clear boundary, and the internal echo was uneven. Then he was admitted in the ho... | 0 |
A 62 years old male presented with recurrent SCC of the left nasal bulbar conjunctiva. The patient's previous medical history detailed multiple interventions at this site. Initially, the diagnosis of a left nasal pterygium (a wing-shaped growth that starts on the conjunctiva and can spread across the limbus to the corn... | 0 |
We describe the case of an 18-year-old boy presented with ASD associated with a mild intellectual disability (patient 5 in the tables). Informed consent was obtained from all subjects involved in the study. Regarding the familial load, the paternal uncle presents an anxiety disorder treated with a selective serotonin r... | 0 |
A 26-year-old Yemeni male patient from Taiz Province was referred to the restorative dental clinics at King Saud University, Saudi Arabia. His chief complaint was an unpleasant smile caused by generalized tooth discoloration. His medical history was irrelevant. The fluoride level in the water around Taiz Province is >3... | 0 |
An 85-year-old Ghanaian female patient presented to our emergency department referred from a district hospital in Ghana with a 1-day history of melena associated with epigastric pain following food ingestion, dyspepsia, dizziness, and palpitations. Given her health challenges, she has been relying on temporary shelters... | 0 |
This case describes a 38-year-old G6P3114 at 23 weeks and five days GA with chronic abruptia and low-lying placenta who presented to the ED with vaginal bleeding. Her past medical history was significant for preterm pregnancy, preeclampsia, and three previous c-sections. Initial workup revealed placenta accreta and pos... | 0 |
The 72 year old male patient was referred to our clinic with the complaint of bilateral axillary masses and numbness in the right hand. In his medical history, he had hypertension for 4 years but no history of trauma. ...Because the patient was symptomatic and had a high risk of aneurysm rupture, endovascular closure w... | 0 |
A 57-year-old woman presented with vertigo. An MRI of the brain revealed a mass in the right posterior fossa (Figure ). The tumor was resected and an anatomopathological diagnosis of a medulloblastoma was made. A follow-up MRI obtained five months after surgery revealed a postoperative defect in the vermis immediately ... | 0 |
A 35-year-old man presented with the complaints of low back ache for 12 years, radiating to the right leg for 4 months and numbness extending to the lateral side of the sole of the right foot. On examination, there was a 30% sensory loss in the right S1 dermatome as compared with the contralateral limb, with no bladder... | 0 |
A nine-year-old male child, with a prior history of heart murmur at birth, was admitted to our hospital on July 2, 2017. He presented with minor symptoms, comprising low activity, frequent cold compared to normal children, minor cyanosis and tachypnea after exercise. At the time of presentation, the heart rate was 105 ... | 0 |
A 45-year-old female presented with skin rash for 8 days (). Rash was initially noticed on the right arm, which spread to the left arm and trunk. The patient complained of nonproductive cough, arthralgia, and weight loss. On examination, vesiculobullous, pruritic rashes with tenderness around the lesions were noticed. ... | 0 |
A 45-year-old woman was admitted to an emergency department with dyspnea and swelling on her hands and face for at least three days. She was nonsmoker and did not have any chronic disease. Her dyspnea and hypoxemia were getting worse and she was accepted to ICU. Noninvasive mechanical ventilation (MV) was used for init... | 0 |
We present a case of a 34-year-old male with no past medical history who presented to the emergency department (ED) with several hours of left-sided chest pain and headaches. The symptoms were preceded by one week of viral prodrome with rhinorrhea, sore throat, mild fevers, and poor oral intake. He appeared acutely dis... | 0 |
A 55-year-old gentleman with a history of diabetes mellitus, hypertension, cocaine, and marijuana use presented to the emergency department (ED) with complains of chest pain and dyspnea for past 6–8 months, as well as lower extremity edema and weight loss. On admission to the hospital, his vital signs were stable. Phys... | 0 |
A 69-year-old man fell from a ladder. At arrival to the hospital, his vital signs were stable and his consciousness was clear (BP 160/87 mmHg; HR 109 bpm; GCS E4V5M6). He complained of chest and back pain which moved from the shoulder to the chest and back. Enhanced CT was performed which revealed aortic dissection wit... | 0 |
A 67-year-old man from India, who was recently diagnosed with latent tuberculosis, presented to an outside hospital and was admitted for six days with generalized fatigue and hypotension. On presentation, he reported a 2-week history of generalized fatigue with systolic blood pressures in the 60s, as recorded at home. ... | 0 |
A 58-year-old Caucasian man did a video visit with his primary care physician, in which he complained of severe pain in the distribution of his herpes zoster that had occurred years before. No vesicles were visible. He was placed on nonsteroidal anti-inflammatory during the day and Tylenol with codeine at bedtime. Desp... | 0 |
A 62-year-old man presented to the emergency department with complaints of colicky abdominal pain and active rectorrhagy. Two days before, these symptoms had been preceded by the apparition of diffuse purpuric spots on the lower limbs and the forearms. One week before, the patient had experienced a viral episode of the... | 0 |
The first case concerns a 26-year-old prelingually Deaf male, with a prior history of Tourette's syndrome, bipolar disorder, and HIV, who was placed under a Baker Act at a local hospital for “acting erratic and psychotic.” A Baker Act is a 72-hour involuntary psychiatric hold within the state of Florida that can be ini... | 0 |
A 73 year-old male presented to our unit with a multifragmentary Pilon fracture and was treated with primary retrograde expandable Fixion® nail. Regular follow-up revealed good union at 22 weeks and the patient was able to walk without significant pain. Although we recommended the removal of the nail, the patient didn'... | 0 |
A 21-year-old female presented with complaints of seeing a black spot in front of the right eye associated with distortion of the central vision of one week duration. There was no history of trauma. Best-corrected visual acuity (BCVA) in both eyes was 20/20. Anterior segment examination was essentially normal in both e... | 0 |
A 55-year-old right-hand-dominant male with a history of acute inflammatory demyelinating process and a 3-month history of a left volar wrist and hypothenar soft tissue mass presented for evaluation. The patient was admitted to the hospital with generalized weakness, ataxia, and multiple sensory deficits, including com... | 0 |
In May 2021, a 19-year-old caucasian male patient was referred to the university hospital of Brandenburg owing to a severe decline of excretory kidney function. The serum creatinine concentration was 649 µmol/l (normal range 62–106 µmol/l) at the time of admission (Fig. ). The patient suffered from mild dyspnea, lack o... | 0 |
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... | 0 |
A 63-year-old woman visited a clinic for a palpable right axillary mass. US showed a 2.5-cm irregular hypoechoic mass in the right axilla, which was considered to be a malignant lymph node such as metastasis (Fig. ). Similar to physical examination and mammography, US revealed no remarkable findings in both the breasts... | 0 |
A 75-year-old Caucasian woman with a history of well-controlled hypertension and hypercholesterolemia presents to the ED with complaints of a new-onset headache. She describes her headache as constant and refractory to over-the-counter pain relievers. Her physical examination is unremarkable. She has no ocular complain... | 0 |
A 12-year-old girl presented to her general pediatrician complaining of asthenia and weight loss in the previous month. Her past medical and family history were unremarkable. Physical examination revealed a painless hepato-splenomegaly without additional clinical signs. Abdominal ultrasound revealed an inhomogeneous li... | 0 |
A 69-year-old man without relevant medical history presented with a small lump in the right testis. Ultrasound examination revealed a solitary intra-testicular hyperechoic 12 mm tumor with heterogeneous appearance and with multiple small cystic-like areas (Figure ). On colour-Doppler ultrasound, the tumor was hypervasc... | 0 |
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... | 0 |
A 42-year-old female was seen by a primary care physician, whose examination of the oral cavity revealed smooth bilaterally enlarged tonsils, with the right tonsil being slightly larger than the left. No surface abnormality was evident. She was prescribed two courses of amoxicillin but did not improve. She was then ref... | 0 |
A 19-year-old boy was sent in by the general practitioner with complaints of persisting tenderness and swelling just below the knee. Conventional radiography of the knee showed fragmentation of the tibial tuberositas pointing towards Osgood Schlatter Disease (Figure ).
Ultrasound examination of the knee with a high fre... | 0 |
Prior to this admission, a 27-year-old woman sought medical attention at a local hospital because of facial redness and edema caused by eating a mango. She was treated with dexamethasone (5 mg intravenously daily) for five days. The patient gradually developed a round face, acne, hirsutism, hypokalemia, and 5 kg of wei... | 0 |
The patient is a 25-year-old gentleman who presented with a one-day history of abdominal pain, nausea, and emesis. He has had two episodes of pancreatitis in the past secondary to hypertriglyceridemia, with the last episode occurring three years ago. He also has type II diabetes controlled with dapagliflozin (SGLT-2 in... | 0 |
A 43-year-old woman was treated in the emergency room for a painful ankle sprain with marked soft tissue swelling, confirmed by plain radiograph. After resolution of the soft tissue swelling, US examination was ordered for persistent pain and targeted to the periarticular ligaments revealed a partly thrombosed pseudoan... | 0 |
A 56-year-old Japanese male was referred to our hospital with dyspnea and hypotension. He had a history of Parkinson’s disease with psychosis. He complained of left-sided chest pain and productive cough in the 2 months before admission. He reported no risk factors for HIV infection, occasional alcohol consumption, and ... | 0 |
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... | 0 |
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... | 0 |
Case 1: An 18-year-old male sustained a single gunshot wound to the abdomen. Exploratory laparotomy demonstrated the following injuries. Liver laceration was found in segment five, it was controlled with two sutures on a blunt needle and hemostatic matrix. The colon was found to have avulsion of the mesentery with obvi... | 0 |
In 2017, an 83-year-old Japanese woman presented to our department with a chief complaint of a mass in her right maxillary premolar region. She had initially noticed a painless mass in her right maxillary premolar region in 2002. After she had first noticed of the mass, it grew gradually in size, but she sought no trea... | 0 |
Case 2: a 24-year-old woman presented with progressive pain in the right hip region that had existed for 1 year. X-ray images showed an osteolytic tumor in the metadiaphysis of the right distal femur with cortical bone destruction on the dorsolateral side. The central part of the tumor had no matrix calcification. On M... | 0 |
A 65-year-old man with continuous irritable cough over 15 days was admitted to our department for a mass lesion in the right hilum. He presented with no face swelling and superficial varicose veins. He was a former smoker, and medical history included hypertension and diabetes mellitus. The patient has been experiencin... | 0 |
A 25-year-old female was admitted because of petechiae, hematuria, and menorrhagia. Blood tests showed hemolytic anemia and thrombopenia. ADAMTS13 activity was reduced (59 ng/mL) and an inhibitor was detectable (0.75 BU/mL, reference: <0.2 BU/mL). The patient made a quick and complete recovery with steroids, three PEs ... | 0 |
A 32-year-old male presented to the emergency department with 20 mins of cramping retrosternal chest pain radiating to his left shoulder accompanied by sweating and shortness of breath. He did not have a history of any cardiovascular risk factors, such as a history of smoking, diabetes, or hypertension. He did not have... | 0 |
The subject is a 39-year-old Caucasian man residing in Calgary, Canada. He has a history of hiking, camping and other outdoor activities in Alberta and Manitoba, Canada, but no known tick bites or EM rash. He complains of joint pain, low back pain and headaches, and he has been treated for sciatica, depression, insomni... | 0 |
Herein, we describe the case of a 73 year-old man in good health, who developed widely disseminated sebaceous carcinoma including metastases to brain, visceral organs, lymph nodes, and bone. The patient has experienced significant challenges in securing stable housing throughout his treatment, often relying on friends ... | 0 |
A 62-year-old male presented with refractory sacral coccygeal pain. The patient had past medical history of type 2 diabetes mellitus (treated with linagliptin/metformin), nontreated high blood pressure, right-sided hemiparesis following meningitis in childhood, nephrolithiasis, and smoking history. The pelvic computed ... | 0 |
A 32-year-old Caucasian male with a known history of depression presented to the emergency department accompanied by police after a violent outburst following prolonged DFE abuse during a suicide attempt. On admission, he was emotionally labile and had contusions on his left shoulder and upper extremities due to a phys... | 0 |
A 34-year-old gentleman was first referred to orthopaedic services with a history of persistent knee pain, located over the right femoral condyle near the origin of the lateral collateral ligament. Eleven years prior to presentation, the patient was involved in a road traffic accident where he sustained a fracture of t... | 0 |
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... | 0 |
A 49-year-old trans man who had been on testosterone therapy for 10 years presented to the emergency department with central chest pain. The patient is currently experiencing homelessness and has been relying on temporary shelters for support while navigating his health concerns. His high-sensitivity cardiac troponin w... | 0 |
A 29-year-old, non-lactating, and non-gravid woman presented with a complaint of a lump in her right breast. The patient also complained of low-grade fever and unilateral pain in breast tissue. The general physical examination showed a one-centimeter erythematous and tender mass in the right breast tissue. There was no... | 0 |
A 60-year-old woman was admitted with a continuously enlarged neck mass for 1 year and hoarseness for 1 week. In addition, she presented with dyspnea for 5 months. The patient had no family history of parathyroid diseases or hyperparathyroidism-jaw tumor syndrome. The patient is currently homeless and has been relying ... | 0 |
A 47-year-old female presented with skin rash for 17 days (). Initially the vesicular rash involved both forearms, which subsequently spread to the neck and both legs. The rash was notable for pruritic erythema around vesicular lesions. The patient has been relying on temporary shelters for housing due to her recent lo... | 0 |
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