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Personal history
No known drug allergies. Toxic habits: smoker of 1 pack/day. Intervened for pneumothorax more than 15 years ago. Admitted 11 days earlier to the Respiratory Department with the diagnosis of probable moderate COPD and respiratory infection treated with levofloxacin for 7 days with good evolution. Blood ... | [
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Anamnesis
A 65-year-old man was admitted to the Neurology Department for the study of dysaesthesia in the arms and legs. Personal history: arterial hypertension, ex-smoker for a year, with an accumulated rate of 100 pack-years, ischaemic heart disease of the acute myocardial infarction type with lateral location grade ... | [
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This clinical case corresponds to a 19 year old patient from the canton of La Libertad, in what is now the province of Santa Elena, who grew up in the south of the province of Manabí. He reports that 12 months ago nodular lesions began to appear on the nasal mucosa and the soft palate, which later, as they grew, ulcera... | [
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Male patient aged 43 years, with no drug allergies or personal or family history of interest. He denies taking any drugs. He consulted the emergency department for intense pruritus of one hour's duration together with the appearance of erythematous, papular, pruritic lesions on the forearms and abdomen after pruning a ... | [
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An 82 year old man came to the Emergency Department for: dyspnoea, increased expectoration and somnolence. Relevant personal history: hypertension, diabetes mellitus, paroxysmal atrial fibrillation, Guillen-Barré syndrome and oropharyngeal epidermoid carcinoma T3N0M0 with associated paraneoplastic syndrome of inadequat... | [
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Anamnesis
A 48-year-old male patient with a history of repeated renal colic (with expulsion of calcium oxalate lithiasis) treated on an outpatient basis, who came to the emergency department with colicky pain in the right renal fossa of 24 hours evolution, radiating to the genitals, nausea and vomiting, being treated w... | [
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REASON FOR CONSULTATION
53-year-old male with fever for the last 4 days up to 39oC associated with MEG.
PERSONAL HISTORY
- No AMR
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23-year-old woman from Capinota, Cochabamba, Bolivia. She has been in our country for four years.
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49 year old woman presenting to the emergency department for abdominal pain.
PERSONAL HISTORY: No AMR. No CVRF. Unstudied non-seasonal asthma. She works as a teacher. She lives with a bird. No toxic habits. No trips abroad. Usual treatment fluticasone/salmeterol 50/500 and intermittent PRD.
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Anamnesis
Male, 52 years old, no known drug allergies, computer scientist. Ex-smoker (IPA: 30). Personal history: bilateral tinnitus. No regular medication. Family history: mother diagnosed with colon neoplasia and glioblastoma multiforme.
Oncological history
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A 70-year-old man presented with fever of unknown origin and leg pain. He had metastatic rectal cancer and had started palliative QT 3 days earlier. A pelvic X-ray was performed and admission CK of 1600 mg/dl and CRP 20 mg/L were obtained, which was attributed to "post-QT rhabdomyolysis". After 12h, an extensive erythe... | [
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A case of mucosal lesion is presented in a 48-year-old male patient, married, a Venezuelan forestry engineer, living in the city of Mérida in western Venezuela. Due to his occupation, he reports frequent visits to forests in the Andean foothills of the states of Mérida, Trujillo, Táchira and Barinas, as well as the pla... | [
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"text": "insects",... | en |
HISTORY, CURRENT DISEASE AND PHYSICAL EXAMINATION
19-year-old female patient with a personal history of anorexia-bulimia for 2 years undergoing psychological treatment, with no toxic habits. Diagnosed in January 2016 with severe bone marrow aplasia, with no response to immunosuppressive treatment, on the waiting list f... | [
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To study hypersensitivity to potato in a 6-year-old boy who consulted for refusal to eat and subsequent episodes of food vomiting after eating potato, as well as urticaria after eating eggs, nuts and carrots.
Material and methods:
Skin tests to pneumoallergens and food, prick-prick to food, total IgE, specific IgE and... | [
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A 14-year-old male with a history of intrinsic asthma and atopic dermatitis, with no epidemiological history of interest. He came to the emergency department for progressive asthenia of 8 months and fever of up to 38oC for 7 days with intense night sweats. The anamnesis included retrosternal pain radiating to the right... | [
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A 59-year-old man with a history of psoriasis, on treatment with topical Betamethasone with no known drug allergies, smoker, who works as a farmer. The patient reports that he has been bitten by ticks on his legs on a few occasions. Ten years ago, in the context of a tick bite, he had an episode of fever and general ma... | [
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We describe the clinical case of a 9-year-old male schoolboy who attended the health centre of Santa Lucia, Municipality of Itamarandiba, in the Brazilian state of Minas Gerais, presenting with a clinical picture of 3 days' evolution characterised by the appearance of initially painful and pruritic lesions on the abdom... | [
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A 60-year-old male patient with a Björk-Shilley type mitral metal prosthesis and tricuspid annuloplasty 20 years earlier due to rheumatic valve disease, chronic atrial fibrillation (CAF), AHT, congestive heart failure (CHF) with a NYHA Functional Grade I/IV. He was receiving treatment with acenocoumarol. He was admitte... | [
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23-year-old woman, with no known drug allergies and no toxic habits. The patient had no personal or family medical history of interest and was not taking any medication on a regular basis. She consulted for three lesions on the dorsum of the left hand and one lesion on the border of the right hand. The lesions were cir... | [
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Anamnesis
A 15-year-old male patient with a personal history of Prune Belly syndrome with permeable urachus and renal transplant of 12 years of evolution, with no known drug allergies.
In the current episode, the patient came to the emergency department for recurrent pain of colic characteristics in the left hemiabdome... | [
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A 63-year-old man came to the emergency department with a 6-day history of high fever of up to 40oC, accompanied by intense dysuria and pollakiuria, for which he had been prescribed Ciprofloxacin 500mg every 12h 5 days earlier in primary care without improvement. His medical history included: doubtful allergy to propif... | [
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This is a 74-year-old male patient with a personal history of diabetes mellitus, ischaemic stroke in the middle cerebral artery, bilateral carotid occlusion, chronic cerebrovascular disease, Binswanger's encephalopathy. Dependent for all activities of daily living, double incontinent, permanent bladder cathet... | [
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This is a 62-year-old man with a history of smoking (20 cigarettes/day) with criteria of chronic bronchitis, ethylism that had required treatment for addiction, hypertension and anxious-depressive syndrome. In 1979 he suffered brucellar endocarditis associated with mesangiocapillary glomerulonephritis, which required p... | [
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36-year-old woman, active smoker of 5 pack-years, immigrant: exposed to the Chernobyl accident. Consulted in April 2017 for sudden dyspnoea and right pleuritic chest pain.
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On physical examination, an ECOG 1 stands out, and the rest with no other findings.
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A 45-year-old male patient came to the urology department referred from the emergency department, where he had been 48 hours earlier with a picture labelled as acute epididymitis.
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A 40-day-old male infant, who after receiving a bottle of formula milk, having been exclusively breastfed until then, presented with generalised urticaria.
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A 46-year-old woman was admitted to hospital in March 2005 for a painful mass in the outer third of the left upper eyelid of 6 months' duration, accompanied by a decrease in ipsilateral visual acuity (VA). The patient reported the development of a similar mass 15 years prior to her admission, which was successfully man... | [
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We describe the case of a 66-year-old woman with arterial hypertension, dyslipidaemia and trigeminal neuralgia who came to the emergency department with sudden, non-painful loss of vision in the left eye that had developed over several days. Ophthalmological examination revealed a hyperemic papilla in the left eye fund... | [
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The patient is a 58-year-old woman, with no toxic habits, with a personal history of allergic asthma and anxious syndrome being followed up by Psychiatry and being treated with bromazepam, paroxetine and escitalopram. Surgical history: appendectomy, saphenectomy.
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A 59-year-old male with a high fever (39o) of 2 days' evolution and an episode of convulsive crisis. He appears stuporous.
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... | en |
Anamnesis
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"Good compliance with treatment (olmesartan 20 mg 1c/d, hydrochlorothiazide 12.5 mg 1c/d,
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Anamnesis
A 28-year-old male, with a history of cryptorchidism surgery in childhood, with no toxic habits or other medical or surgical history of interest.
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... | en |
A 44-year-old African-American woman presented to the emergency department with fever, vomiting, cough, and lumbar fossa pain. She had acute kidney injury, with serum creatinine of 4.0 mg/dl, in addition to an already diagnosed chronic kidney disease. The initial urinalysis was positive for blood, with a spot protein/... | [
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A 39-year-old male patient was admitted for a 15-day course of symptoms characterised by progressive loss of strength in the right arm, accompanied by dysarthria, holocranial headache refractory to common analgesics and fever (38.5°C), without chills. No abnormal signs were found on semiological examination of the skin... | [
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{
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"start": 470,
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},
{
"text": "patient",
... | en |
Personal history
Male, 24 years old, from Morocco, resident in Spain for two years, with no subsequent trips to his country. Active smoker of twenty cigarettes/day, with no other history of interest.
Current illness
The patient had been admitted to hospital in September 2003 for a cough of two months' duration, with n... | [
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... | en |
A 13-year-old female patient was referred for consultation by her GP for presenting with fever of 37.5° C to 38°C, cough with scanty expectoration, weakness, asthenia and arthralgias of large joints, without effusion, which started 20 days after her arrival in Tucumán. During his evolution he developed erythema nodosum... | [
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A 33 year old woman under gynaecological examination for secondary amenorrhoea with a normal pituitary profile and previous episodes of pelvic inflammatory disease. Given that the hormonal profile was completely normal and she was not deprived by high-dose hormonal treatment, an endometrial origin of the amenorrhoea wa... | [
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{
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... | en |
We present the case of a 14-year-old adolescent who since 2015 has presented with episodes of RLE following stings by unidentified hymenoptera. On one occasion the reaction affected 2 contiguous joints. No associated systemic symptoms. She required emergency department attendance where she received treatment with corti... | [
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{
"text": "Polistes dominulus",
"label": "... | en |
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