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A 17-year-old Motswana boy of the Tswana ethnic group with a primary school education was brought to our psychiatric hospital with a 5-year history of tobacco smoking and delinquent behaviors. He is the first in a family of three children; both his parents are alive but separated. He lives with his mother who is of low... |
The patient is a 21-year-old African American man with a past psychiatric history of schizophrenia who was transferred from the psychiatry unit to the medical floor to rule out sepsis after the development of fever and tachycardia. The patient was reported to have decompensated on account of nonadherence with his home ... |
An obese 33-year-old male patient with no significant past medical history presented to the emergency room (ER) complaining of left-leg pain after a recent COVID-19 infection. He had tested positive nearly three weeks earlier and had remained asymptomatic, not requiring hospitalization. Repeat testing on admission via ... |
A 44-year-old African American man presented at an outside hospital with history of neck pain and left arm pain in a nondermatomal distribution associated with left hand numbness/tingling and left-sided weakness for a couple of months. Examination revealed presence of subtle left sided hemiparesis (4+/5 on Medical Rese... |
A 58-year-old man presented with productive cough and fever. His medical history was significant for hepatitis C and a maternal family history of colon cancer. The patient had no past history of cancer or surgery. He was an ex-smoker (40 pack/year), and worked as a screenwriter and photographer. He had no history of as... |
A 72-year-old female patient was admitted to our outpatient department complaining of back pain associated with severe neuropathic radicular pain to her both lower extremities, incomplete paraplegia at the levels of L5 and S1 and low back fistula with serous secretion since several weeks. The patient had extensive surg... |
A 54-year-old man came to the private dental clinic with complaint of difficulty in mastication and esthetical concern for his upper anterior teeth. He was a nonsmoker and was diagnosed with IgG-kappa type MM in November 2011. In the physical examination, he was diagnosed with MM. Bony metastasis was present at the tim... |
A 43-year-old man presented with a progressive deterioration of visual function for the previous seven years. The patient had no other ocular symptoms such as nystagmus or photophobia. His past history showed stable vision of 20 / 40 since trauma to his right eye when he was approximately 14 years of age. No other syst... |
An 81-year-old Japanese woman with a 2-week history of abdominal distension presented to our hospital for assessment. The patient did not have a past history of malignancy, with only a cesarean section as a relevant feature in her history. Endoscopic examination at a previous hospital revealed the presence of early car... |
A 25-year-old Japanese female presented to our emergency department with the chief complaints of dyspnea and palpitations on exertion, starting 1 month ago. Upon arrival, physical examination revealed systolic murmur. The bedside ultrasound examination demonstrated moderate tricuspid regurgitation and possible pulmonar... |
An 18-year-old male patient was hospitalized because of a 1-week history of cough, fever, and shortness of breath. Both past medical history and family history were unremarkable. He was diagnosed with pneumonia, but antibiotics did not improve his condition, and he needed oxygen inhalation for respiratory distress. One... |
In January 2018, a 79-year-old man was referred to our genitourinary medical oncology clinic for management of his prostate adenocarcinoma metastatic to multiple bones. His case was complicated by a concurrent diagnosis of melanoma metastatic to a distant skin site, for which he had started pembrolizumab immunotherapy ... |
A 17-year-old Pakistani girl presented to our hospital with the complaints of productive cough, vomiting and high grade fever for one week. A diagnosis of acute bronchopneumonia was made on the basis of physical examination (tachypnea, basilar pulmonary crackles, fever) and postero-anterior view (PA) chest X-ray (right... |
A 52-year-old Chinese man was admitted to the Department of Neurology at The First Hospital of Changsha on 1 August 2019. He had been continuously taking warfarin at a dosage of 3.125 mg/day since having undergone mechanical mitral valve replacement surgery 3 years previously. His most recent international normalized r... |
An 81-year-old female patient presented to our emergency department with acute onset of hematemesis and melena. On admission, the patient appeared to have a poor general health condition and was hemodynamically compromised. Her initial laboratory exams revealed a hemoglobin concentration of 7.7 mg/dl without leukocytos... |
The patient is a 57-year-old female who underwent cardiac catheterization via the right common femoral artery two weeks prior to developing a large, symptomatic right common femoral artery pseudoaneurysm ().\nThe patient began complaining of groin pain two weeks after cardiac catheterization. She has a past medical his... |
Our patient is a 67-year-old Hispanic male who presented to our hospital for the chief complaint of progressive worsening of shortness of breath of 3 weeks duration and was admitted for acute respiratory distress due to interstitial lung disease of unknown etiology. His medical history includes coronary artery disease,... |
A 25-year-old man presented to our epilepsy center for evaluation of seizures. He was born at term without any developmental delays and had no risk factors for epilepsy including traumatic brain injury, brain surgery, febrile seizures, central nervous system infections, or family history of seizures and no significant ... |
The 71-year-old female was a healthy housewife with no record of medical interventions. She had a family history of cerebral cancer. August 4, 2018, marked the onset of a series of symptoms, including an altered state of consciousness, disorientation and sleepiness and no presence of fever. She first consulted a doctor... |
A 12-year-old female patient was referred by a private practitioner who detected a mass of soft tissue on the palatal aspect of tooth 11. The patient had a history of alveolar cleft repair done about 1 year back. Clinical examination revealed an extensive soft tissue mass in a palatal defect of tooth 11 []. Gentle expl... |
A 61-year-old woman was seen in a clinic complaining of fever and dyspnea lasting 2 weeks. She was diagnosed with left pneumonia by computed tomography (CT) and referred to our institution. At the time of presentation, she had dyspnea and a fever over 38 °C. Her Eastern Cooperative Oncology Group (ECOG) performance sta... |
A 4-year 7-month-old boy and his parents were referred to the Pediatric Dentistry Postgraduate Program Clinic in June 2016, requesting dental treatment due to multiple dental caries cavities, local infectious processes, and associated pain. Two years previously, the patient had been diagnosed with early infantile GS, c... |
A 10-year-old boy (height, 120 cm; weight, 20 kg) presented with an 8-year history of arteriovenous malformation (AVM) involving the right lower limb. He had been started on sclerotherapy 4 years earlier because of leg length discrepancy causing gait disturbance. However, this treatment was stopped because there was no... |
A 67-year-old Caucasian man presented to our hospital after an accident and emergency with a history of five hours of sudden-onset lower abdominal pain. Nine months previously he had been admitted to our hospital with a stroke due to vertebral artery dissection. He developed acute urinary retention at the time, with a ... |
A 29-year old female diagnosed with SLE for 4 years complicated with grade II lupus nephritis presented with status epilepticus. She denied a history of fever on admission, but was treated with cyclophosphamide 1 month prior for an episode of cerebral lupus. She had noticed a papule over the left deltoid region which p... |
This is a case of 77-year-old male patient who presented for lower limbs edema and abdominal pain with diarrhea of 1-month duration.\nThe patient was an ex-smoker and nonalcoholic. His past surgical history included cholecystectomy and prostatectomy. His medical history was significant for hypertension controlled on Bi... |
In May, 2015, a 61-year-old right-handed woman presented at our clinic complaining of dull right posterior pain and intermittent radiating pain from the shoulder to the anterior aspect of the upper extremity with a 3-year history. She often performed repetitive tasks in the overhead position as an orchard farmer. She c... |
This is a case of a 25 years old Malay girl with learning disability and no significant past medical history, who started noticing a sacral mass since August 2015. The mass was painless and gradually increasing in size. The family members of this patient brought her to a traditional healer. They did not seek any medica... |
A 73-year-old female patient visited the hospital due to left-sided hemiparesis. She did not have a family history of stroke and had been taking antihypertensive medication for the past 10 years and angina medication for the past 6 years. She had a chronic headache for past few years. She had frequent headache with nau... |
A 17-year-old female patient visited the Department of Oral Medicine and Radiology with a complaint of swelling in the lower jaw that had begun 5-6 months earlier. The lesion had progressively increased in size and been painful beginning two months earlier. There was no anesthesia or paresthesia of the lower lip, chin,... |
A 14-year-old male presented to the emergency department with complaint of left lower extremity pain for 5 days. The pain was localized to the left thigh, worsening over time despite analgesic intake. Patient also complained of swelling of the thigh, difficulty in ambulation for 2 days, and numbness for 1 day. There wa... |
A 72-year-old female with a medical history of AS, diabetes mellitus type 2, chronic kidney disease stage 3, gout, colon cancer treated with resection and colostomy bag placement 18 years prior, hyperlipidemia, hypertension, and morbid obesity presented with GI bleeding evidenced by black tarry stool in her colostomy b... |
A 43-year old female (gravida 3, para 1) presented to an outside hospital with pelvic pain and vaginal bleeding in December 2012, for which she was admitted to the emergency room; following a physical examination and CT scan of the pelvis, a 20 × 10 × 15 cm pelvic mass was identified. The lesion was compressing the rec... |
The patient was a 42-year-old woman. She had suffered from migraine and tension-type headaches since her twenties. The migraine headache was described as pulsatile, bilateral, and on the forehead, persisting from a few hours to half a day. It occurred seven to eight times a month irrespective of menstruation and was ac... |
A 5-year-old previously healthy, VZV unvaccinated boy presented to our emergency department with typical varicella skin lesions which had developed 2 days prior. He had a history of fever and poor oral intake. Furthermore, he complained of pain around the left thigh and was reluctant to bear weight. The child was in a ... |
An 85-year-old Caucasian woman presented to our hospital with right flank pain 10 years ago. She had a past medical history of type 2 diabetes mellitus and essential hypertension. She denied any history of thyroid disease and neck irradiation. She had no family history of any cancer. She was a housewife and had no hist... |
A previously healthy 42 years old male presented to our institute with history of gradually progressive and painless swelling over left calf since two months. He was a non-smoker, laborer by occupation. The patient noticed a firm swelling in calf region of left leg 5 years ago. No history of trauma or infection prior t... |
A 73-year-old female of Asian origin with a long-standing history of UC presented with the most severe and persistent flare of her disease. She had received the initial diagnosis of UC in 1997 when she developed abdominal pain and rectal bleeding with loose mucous stools and underwent a diagnostic colonoscopy with a ga... |
A 63-year-old white man presented in January 2001 with prostatic adenocarcinoma on transurethral resection of the prostate (TURP). At the time of the TURP, the patient's PSA was 3.1 ng/mL. Pathology revealed Gleason 3 + 5 in 7 of 60 chips (approximately 10% of the specimen). At the time of consultation, he had abnormal... |
A 62-year-old female presented for evaluation of recurrent left lower extremity swelling. Her medical history was notable for prior deep vein thrombus in the right distal lower extremity while on hormone replacement therapy (HRT). She denied the active use of HRT and tobacco use during this admission. Venous Doppler ul... |
A 50 year old female patient previously healthy has undergone an abdominal ultrasound demanded by her primary care physician when her routine checkup blood test showed a slightly elevated level of liver enzymes with no other lab abnormalities. This ultrasound showed right adrenal lesion of 9 cm of diameter. An Abdomina... |
The patient was a 24-month-old Hispanic male who presented to our Endocrinology-Genetics Clinic for a follow-up evaluation due to his history of failure to thrive and short stature (Figs , ). He was the third child born to his parents and was delivered at 38 weeks of gestation to a 32-year-old mother via spontaneous va... |
A 63-year-old Japanese woman was referred to our department because of an abnormal shadow at the left side of her chest wall on computed tomography. She had undergone total hysterectomy and radiotherapy for cervical carcinoma 4 years prior. One year after the first surgery, three metastatic lung nodules appeared at the... |
A 2-year-old malnourished girl presented to our outpatient department with erythematous scaly plaque over left upper arm. She also had bony swellings over nose, fingers, left foot, and back for the past 1 year. The child was highly irritable and pale looking and as per the parents, suffered from intermittent low-grade ... |
A 61-year-old male patient presented to the emergency room (ER) on account of a 3-month history of hemoptysis as well as a 2-week history of right upper extremity weakness and numbness.\nHemoptysis was associated with pleuritic right-sided chest pain as well as orthopnea and had been previously treated with two courses... |
A 37-year-old female from Spain presented to our center in August of 2017 with complaints of chronic intractable pain in the coccyx. The patient suffered from this pain since 2009 when she sustained a coccyx fracture in a work-related slip and fall injury while working as an airline stewardess in Europe. At the time of... |
A 25-year-old male patient, a laborer by profession, reported to the outpatient department of Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, with the chief complaint of painless swelling on the left side of the face since one and a half years [].\nThe patient was apparently asymptomatic o... |
Twelve-year-old boy presented with very disruptive symptoms of rhinitis with significant nasal obstruction as well as sneezing, rhinorrhoea and very disturbing nasal and ocular pruritus. These symptoms developed every year during the summer months and were persistent and severe, affecting his ability to sleep and his p... |
An 80-year-old female underwent a Hartmann's procedure with intraoperative radiation therapy in 2008. A metastasectomy for liver metastasis was done before the Hartmann's procedure in a separate operation. Neoadjuvant therapy included radiation therapy with a dose of 5 × 5 Gy and chemotherapy with 6 cycles of capecitab... |
A 13 year old female living in a remote rural area came to our clinic with an 8 year history of deformities in the extremities which had gradually became worse till she was unable to walk. The patient over the years had developed recurrent fractures in her legs and arms after minor falls. The family was poor and lived ... |
An 80-year-old man was referred to our hospital for syncope caused by severe AS. Twelve years previously, he had undergone CABG that comprised bypass grafting of the left internal thoracic artery (LITA) to the left anterior descending coronary artery (LAD) and of the saphenous vein from the ascending aorta to circumfle... |
The patient was a 35-year-old male presented to the ER with right craniofacial trauma due to an occupational injury caused by falling of a plastic pipe on his head. He was awake and aware at the time of arrival. The initial assessment revealed a GCS level of 14. Signs of traumatic injuries in the right side of his face... |
A 55-year-old gentleman, ex-smoker, presented to our hospital complaining of mild epigastric pain, regurgitation, and heartburn. On top of that, he has a long-standing history of gastroesophageal reflux disease (GERD), which was managed by proton pump inhibitors. His past medical history was significant for hypertensio... |
A 21-year-old woman with a history of a biopsy-proven sporadic desmoid tumor within the posterior left thigh was referred for MRgFUS therapy. The patient had previously been treated with sulindac and celexocib therapy; however, she palpated interval enlargement and increased firmness of the mass while taking these medi... |
A 32-year-old male was hospitalized in the parent institution in November 2016, due to general symptoms of infection accompanied by pain in the left lumbal region, when duplex collecting system of the left kidney was diagnosed. CT urography, performed during the hospitalization indicated the existence of a duplex pyelo... |
A 3-year-old boy was admitted to a pediatric hospital with a presumptive diagnosis of sepsis, after a two-week history of malaise and poor appetite and a single episode of haemoptysis the previous day. His past medical history was remarkable for a severe staphylococcal pneumonia, for which the child had been intubated ... |
A 53-year-old woman with a more than 23-year history of chronic indigestion, reflux, abdominal pain and excessive diarrhea, and a more than 21-year history of CD presented to the clinic on December 11, 2017. The patient had no specific medical conditions within her family history. She had no prior history of alcohol co... |
A 36-year-old pregnant gravida 4 parity 1 woman at 38 weeks of gestation presented to the obstetrics clinic with right upper quadrant pain, uterine cramps, and headache. Obstetric history revealed that she had no definite follow-up or antenatal visits regarding her pregnancy. She only reported a formal clinical examina... |
A 71-year-old Japanese woman complaining of epigastric pain came to Hyogo College of Medicine Hospital. Computed tomography showed an intramural cystic tumor having a maximum diameter of 70 mm in the antrum of the stomach (Fig. a). Upper gastrointestinal endoscopy showed an elevated lesion covered with normal mucosa in... |
We present the case of a 13-year-old female patient, known with severe visual field loss, who referred for another opinion regarding the ophthalmological diagnosis.\nAnamnesis at presentation revealed that at the age of 9 years and 3 months, on a routine ophthalmological examination, papillary calcification and retinal... |
A 48-year-old man presented with radiating pain to lower thoracic region for two years. A physical examination was unremarkable and he had no significant past medical history. Plain radiographs of the thoracic spine revealed a lobulated geographic osteolytic lesion with a partially sclerotic border involving the left s... |
A 38-year-old man with schizophrenia presented after his second suicide attempt through an overdose with 48 tablets of burotizolam, 42 tablets of haloxazolam and 14 tablets of levomepromazine. The patient's childhood and adolescent development was normal. He was a good student and an active soccer player in high school... |
An 81-year-old Japanese male visited our hospital with chief complaints of a palpable mass and dull pain in the left upper quadrant, loss of appetite, and weight loss of 5 kg within two months. He started noticing the mass in the left upper quadrant and the other symptoms in late July 2017. He was admitted to our hospi... |
A 72-year-old male patient with stomach cancer and S-phase colon cancer received ileostomy along with gastrectomy and proctocolectomy for cancer removal, followed by concentrated observation treatment in the intensive care unit, during which, dyspnea occurred suddenly. After intubation and artificial venting by a respi... |
In May 2011, a 34-year-old male was treated for an ACL rupture using a hamstring graft fixation associated with a partial internal meniscectomy. The hamstring grafts were fixated using a transfixation system in the femur and a biodegradable screw in the proximal tibia. The patient’s post-operative course was uneventful... |
A 21-year-old Ghanaian man presented initially with a 6-year history of progressively worsening pain and swelling in both knee and wrist joints, which moderately affected his activities of daily living. He reported episodes of fever and chills in the past, although these were absent at the time of presentation. He had ... |
A 46 years old man with end-stage hypertrophic cardiomyopathy and electrical storm underwent urgent orthotopic heart transplantation: the donor was a 54 years old woman, known for diabetes, nicotine consumption, morbid obesity, combined ventilation disorder with restriction due to obesity hypoventilation syndrome and s... |
A 26-year-old man presented with complaints of blurred vision in his right eye of 1-week duration following blunt ocular trauma. He gave a history of injury sustained to the right side of the face near the cheek and right forehead 10 days before presentation. He was a pillion rider in the motorcycle and due to sudden b... |
The patient was a 71-year-old male diagnosed with renal AL amyloid nephrotic syndrome in March of 2007 and underwent a stem cell transplant in December of 2007, obtained an organ response with urinary protein falling from 10.5 g/24 h to 1.5 g/24 h. The patient developed congestive heart failure in July of 2013 and unde... |
A 11-year-old boy presented with a three-month history of recurrent pain on the right knee with squatting, jumping and swimming breaststroke style. He did not report any trauma. In the last several years, he also complained about recurrent painless “clunks” on both knees especially during squatting. He used to practice... |
A previously healthy 35-year-old Hispanic man with a remote history of mild performance anxiety in late adolescence presented to our family medicine residency clinic to establish and seek care for acute onset of anxiety. The patient was a manager at a large manufacturing firm and had received a master’s degree. At the ... |
A 29-year-old Chinese male was admitted to our emergency room presenting with severe pain in the lower right limb, nausea, and vomiting. The patient had a medical history of poliomyelitis. No home medications were taken. Magnetic resonance imaging in local hospital was suggestive of pathological vertebral fracture of T... |
A 59-year-old female with a past medical history of obesity (body mass index 51 kg/m2), autoimmune hepatitis, and osteoporosis presented to the emergency department (ED) complaining of right calf pain and swelling. She had no history of previous venous thromboembolic disease. The patient stated that the pain started af... |
A 65-year-old woman with gallbladder cancer was referred to our hospital for surgery. The laboratory examination revealed obstructive jaundice and cholangitis. Computed tomography (CT) showed gallbladder cancer involving the hepatic hilum, including the portal bifurcation. Preoperative cholangitis developed several tim... |
A 36-year-old woman with 21 weeks of pregnancy was admitted to our hospital for a left renal tumor, which was incidentally detected by ultrasonography in a routine pregnancy examination. Ultrasound showed a confounding echo mass in the middle part of the left kidney, 7.9 cm in size, uneven internal echo, and clear bloo... |
The patient is a 71-year old man of Swedish ethnicity without family history of thyroid related diseases. Previous medical conditions include paroxysmal atrial fibrillations, hypertension, a cerebrovascular lesion and malignant melanoma. In 2018, the patient was hospitalized for a minor trauma, and a CT scan of the tho... |
A previously healthy 60-year-old male was referred to the outpatient clinic due to atrial fibrillation. The patient reported pain in the lower left leg for 3 weeks followed by right-sided chest pain and dyspnea for 2 weeks. Transthoracic echocardiography (TTE) revealed a dilated right atrium (RA) with a large longitudi... |
A 52-year-old male was admitted to the outpatient clinic of the department of internal medicine with the complaints of progressively increasing dyspnea and swelling of the body during the last three months. The patient had variceal enlargements of the veins from the time of birth and his left leg was thicker than the r... |
An 8-year-old girl, studying in second grade was brought by parents with complaints of fear of vomiting and feeling nauseated since about seven and half months. Around 20 days before the starting of symptoms, child had episode of acute and severe abdominal pain, high grade fever with 3 bouts of vomiting with nausea for... |
The patient is a 63-year-old Caucasian man. He is 1.61 meters tall and weighs 66 kilograms. After working as a car mechanic for 36 years, he had been receiving disability benefits for 11 years. He was working part-time as a caretaker averaging 10 hours per week until two and a half years ago. At the age of 35, the pati... |
In January 2008, a 61-year-old man with a history notable for diabetes mellitus (DM), autonomic neuropathy, diffuse brain atrophy, optic nerve atrophy (OA), and profound amnesia was referred to us to establish neurologic care. The patient carried a diagnosis of multiple system atrophy- cerebellar type (MSAc), principal... |
A 59-year-old woman was admitted to the emergency room of a local hospital with the sudden onset of severe chest pain radiating to her back. She had a history of hypertension and a cerebrovascular accident. At the time of presentation, she had a drowsy mental status. The cardiac enzymes were elevated on baseline labora... |
A male patient aged 37 years visited the local hospital and planned to undergo botulinum toxin injection to relieve spasticity and dystonia of his left upper limb 3 years after subarachnoid hemorrhage. His past medical history revealed the fact that he had been affected by dystonia and spasticity in his left upper limb... |
A 57 year old man presented to the clinic with a chief complaint of vague left sided abdominal pain for two weeks. One year earlier he had been admitted on two separate occasions for left shoulder pain with significant tenderness over the bicipital groove, lateral border of the scapula, and sternocleidomastoid. The pat... |
A 73-year-old male presented to Urology Specialists of the Lehigh Valley in October 2010 with a right renal pelvis filling defect, potentially a urothelial carcinoma. The lesion was detected by CT scan (Figure A) performed for unrelated reasons and had not been visible on prior CT scans.\nThe patient had smoked for 20 ... |
An 11-year-old boy was referred to the maxillofacial unit of Sulaimany Teaching Hospital, Iraq with midline facial destruction. The patient stated that about 6 months prior he had fallen and suffered a nasal fracture and a septal hematoma, and then underwent surgery for reduction of the fractured nasal bone with hemato... |
A 40-year-old male presented to the outpatient clinic of the tertiary care hospital with complaints of cough, expectoration, hemoptysis, and fever off and on particularly in the evenings. He had been treated for pulmonary tuberculosis previously in the year 2009 and subsequently in the year 2012 following its remission... |
In June 2011, a 56-year-old male was referred to our department by head and neck surgeon in order to improve his upper denture retention and stability. The patient was diagnosed with a squamous cell carcinoma of the maxillary gingiva (T4N0M0) in May 2005 and underwent an extended left maxillectomy, an anterior and midd... |
A 54-year-old woman (gravida 0, para 0) was transferred to our department with an extensively distended abdominal wall and leg pain. Regular menstruation started at age 14, and she experienced menopause at age 48. She had no history of regular hospitalizations. Over the past few years, she had noticed a gradual progres... |
A one year and four months old male child presented with preaxial polydactyly of the right foot and dysplastic tibia associated with shortening and varus deformity in the right leg and foot. On examination the child was found to have normal mental and physical milestones. Obstetric history of the mother revealed no pre... |
A 21-year-old woman was consulted in February 2015 for bleeding gingival enlargement evolving for 12 months. She complained of esthetics, discomfort, and difficulties of plaque control. According to medical history, the patient had received a kidney transplantation 2 years earlier (2013). She has been administrating a ... |
A 60-year-old woman presented with severe headache and visual loss in the left eye for 2 days. Initially having the headache at the left temporal region and around the left eye, she had developed the visual loss in the left eye after a few hours. The patient denied having pain on eye movement, fever, jaw claudication, ... |
A 64-year-old right handed male with a university degree in arts presented to the neurology service with the chief medical complaint of behavioral changes slowly progressing over the course of the past seven years. Initially the patient experienced an insidious onset of decline in work productivity and gradually stoppe... |
A 22-year-old Caucasian female, nulligravida, presented to our institute (a tertiary referral center) complaining of a slowly growing painful mass at the right lateral neck. Past medical history included a resected desmoid tumor with free surgical margins from the same region six months ago in another center (). No oth... |
A 24-year-old male with HA was admitted to our department with pain in multiple joints on May 23, 2011. The patient had a medical history of hemophilia A since the age of 3 and was intermittently treated with factor VIII. During these years, he sequentially developed left knee, left elbow, left hip, and right knee join... |
A 21-year-old Hispanic male presented initially with increased pain in the middle back that radiated to both legs. A thorough neurologic exam was otherwise normal and a complete review of systems was negative. An magnetic resonance imaging (MRI) scan of the lumbar spine without contrast showed a well-defined lesion ext... |
A 4-month-old female infant presented to the Strabismus and Pediatric Ophthalmology Center in Tianjin Medical University Eye Hospital with sudden burst of a pink neoplasm in the right cornea and blepharospasm for one day. Previously, the patient had already been diagnosed with corneal dermoid in another hospital on pos... |
A 36-year-old woman (height, 147 cm; weight, 50 kg) with CIPA was scheduled for revision of left total hip arthroplasty. She was diagnosed as having CIPA because of recurrent episodes of unexplained fever, anhidrosis, burns, and bone fractures after birth. She had previously undergone 7 operations for spinal deformity ... |
In 2013, an 11-year-old Japanese boy was referred to our department for painless bone expansion in the right maxillary alveolus, delayed eruption of the permanent second molar teeth, and altered occlusion. He had no significant medical or family history. A panoramic X-ray showed a unilocular cystic lesion in the right ... |
A 32-year-old man visited the outpatient clinic for left knee pain and swelling that occurred after falling on the stairs. On physical examination, there was lateral joint line tenderness, and 40 cc of bloody discharge was aspirated by hemarthrosis. The patient was a courier driver, and he had no history of alcohol or ... |
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