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A 67-year-old male patient diagnosed with stage IV pulmonary adenocarcinoma was first treated with 6 cycles of carboplatin and pemetrexed followed by a maintenance regimen. Progression occurred within fourteen month after the start of the initial treatment. Consequently, second-line nivolumab was initiated at a dose of... |
A 19-year-old female patient reported with a history of frequent episodes of difficulty in closing the mouth after wide mouth opening, for the past 6 months. This was associated with joint sounds which were bilateral. Characteristically, the patient experienced severe pain, 5–10 min after forceful closing of mouth. Dur... |
The patient is a 51 year old male who was struck by an automobile at 35 miles per hour while riding a bicycle. There was loss of consciousness in the field and he arrived to our level II trauma center in full spine precautions, as a tier one trauma code. His primary survey was intact and his initial vital signs were; B... |
A 76-year-old woman with no prior significant medical or surgical problems was referred to the University of California San Diego Medical Center for evaluation of a 5-cm right solid renal mass diagnosed on computed tomography urogram (CTU) in the evaluation of new-onset gross painless hematuria. She denied any history ... |
A 15-year-old female patient was admitted to the department of oral & maxillofacial surgery, complaining of gradually increasing swelling on her left side of mandible, started one year ago with severe and unusual pain at the related region. The patient declined to history of any previous toothache and trauma to the aff... |
The case we present here is about a 10-year-old girl reported to the Department of Pedodontics in a Dental College in Kerala, India with the complaint of a missing upper left central incisor. She was a normal healthy child with a noncontributory medical history. However, she gave a dental history of trauma at the age o... |
The patient (XY) is a single 23-year-old man, working as computer scientist in a technological company, who was admitted to our outpatient psychiatric clinic reporting a problematic use of alcohol and benzodiazepines (BDZ). In his past psychiatric history, he reported experiencing bullying at the beginning of the secon... |
A 52-year-old male with a past medical history of schizophrenia presented to the emergency room with complaints of cough with green blood-streaked sputum, fever of 103.3 °F, dyspnea, and fatigue of three weeks duration. He had been recently hospitalized for community-acquired pneumonia and myocardial infarction (MI) si... |
A 63-year-old gentleman was found by his primary care physician to have a new right inguinal canal impulse bulge upon presentation for an unrelated symptom. The patient was referred to a general surgeon, to whom he reported a one year history of an asymptomatic groin mass and possible urinary changes. On physical exami... |
A 35-year-old woman presented to us after an accident in which her back was impacted by an 80-kg-heavy-giant rubber tire with metal wheel hub. When the tire fell down from about 10 m high, the patient was standing right under it and the middle thoracic back was hit by the tire from above. She felt pain in her back and ... |
A 69-year-old female was referred to our clinic for an incidental finding of a large Morgagni hernia found on a recent CT chest scan for lung cancer screening. Patient reported occasional shortness of breath after prolonged ambulation but denied chest pain. She did have remote history of acid reflux symptoms but nothin... |
A 63-year-old female with history of end stage renal disease secondary to IgA nephropathy, who underwent a living related kidney transplantation in 1995, presented to our hospital with generalized malaise, dyspnea on exertion, and cough which started 6 months prior. Her other past medical history included type 2 diabet... |
The patient was a 32-year old woman with a one-year history episodes of cholecystitis treated conservatively. She did not have any other disease history. After an abdominal magnetic resonance imaging that confirmed multiple gallbladder stones (Fig. a), an elective LC was performed without intra-operative complications.... |
In September 2014, an 18-year-old, non-smoking male was diagnosed with an open fracture of the right tibia, Gustilo’s classification grade IIIB [] following a traffic accident. The patient weighed 65 kg. Emergency debridement was performed at the local hospital following injury (Fig. a and b). The fracture and wound ha... |
A 63-year-old male with type 2 diabetes mellitus of 30 years duration, complicated by obstructive sleep apnea, hyperlipidemia, bilateral proliferative retinopathy, obesity, and prostate cancer presented to the emergency department with complaints of shortness of breath, weight gain of 20 lbs, and increased abdominal gi... |
The patient was a previously healthy 19-year-old Caucasian female college student who presented to the hospital with pain and swelling of the thighs bilaterally. Three nights prior to admission, she had attended a spinning class at a local gym for the first time. She stated that the session was intense and lasted 45 mi... |
A 50-year-old Caucasian female visited the regional dental office due to uncertain pain in the right mandibular region. No significant diseases were mentioned in the anamnesis. The patient was diagnosed with gingivitis, and treated with a non-steroid anti-inflammatory drug and oral rinsing with chlorhexidine. The condi... |
A 60-year-old man presented with sudden severe right shoulder and flank pain and numbness of the right hand. The patient had a history of working in his home garden every day. He had no subjective symptoms prior to the day of admission, and no past medical history other than hypertension, which was managed with medicat... |
An 81-year-old woman had a total hip arthroplasty for osteoarthritis of the hip joint at a different hospital. Her coagulation tests showed almost normal values. Activated partial thromboplastin time (APTT) was 37.7 sec, and prothrombin time international normalized ratio (PTINR) was 1.20. The implant was inserted usin... |
A 35-year-old female patient reported to the clinic complaining of deviation of mandible to the left when closing her mouth and inability to bite properly, following mandibular surgery 18 months ago. Preoperative history and examination revealed that the patient was diagnosed with a follicular ameloblastoma involving t... |
A 40-year-old female presented with chronic headache with infrequent exacerbations. She presents with worsening headache for three months with associated vertigo, nausea, and vomiting not responding to analgesics or vestibular sedatives. Her symptoms initially started twelve years ago as a diffused mild headache, which... |
A 56-year-old female patient from Tamil Nadu presented in October 2016 with generalized weakness, vomiting, and massive lymphedema of the left upper limb. She was in distress, unable to bear the weight of her arm, and was admitted in a cot with a specially designed contraption to rest her left upper limb weighing 31 kg... |
A 48-year-old male with a history of recurrent ulcers at the tip of his fingers for the past 3 years presented to his local ophthalmologist in North Bay, Ontario after noticing sudden onset vision loss in his right eye for 1 week. On exam, his visual acuity was recorded as 20/500 in the right eye and 20/20 in the left.... |
A 46-year-old male surgical pathologist presented to our clinic complaining of a 4-year history of increasing shortness of breath. He had been in good health until 20 years prior while in medical school, when he noted a pruritic, erythematous rash on the dorsal aspect of his hands whenever he wore latex gloves. He ofte... |
A 28-year-old Caucasian man living in London presented at a walk-in GP clinic reporting four episodes of hematospermia over 10 days. In the first three episodes, the patient reported the semen being brown in color. On the fourth episode, there were distinct streaks of red blood within the semen.\nThe man was heterosexu... |
A 53-year-old Hispanic man with past medical history significant for coronary artery disease, habitual intravenous heroin abuse, chronic untreated hepatitis C without cirrhosis, bipolar disorder, tobacco abuse of 80 pack-year, and degenerative disc disease presented from home to our hospital with chief complaint of lef... |
A 68-year-old, right-handed male presented to his primary care physician with several months of gradually progressive cognitive changes, gait disturbance, and headache. Magnetic resonance imaging (MRI) of the brain revealed a heterogenously enhancing lesion in the anteromesial right frontal lobe which was associated wi... |
A 76-year-old man with a past medical history of hypertension, coronary artery disease (focal stenosis of the first obtuse marginal branch, which was medically treated), and non-tuberculous mycobacterial left lung infection complicated by chronic severe left bronchiectasis necessitating a left pneumonectomy was referre... |
A 68-year-old man presented to us with complaints of a recurring cough and occasional blood-streaked sputum. The problem started after a dental procedure during which he had a choking episode and aspirated a dental drill, which was being used for a root canal treatment. He denied any fever, chest pain, or shortness of ... |
A 31-year-old gravida 4 para 0 African American woman at 22-weeks gestation presented with vaginal bleeding to an outside hospital. Her obstetric history was significant for 2 therapeutic abortions and 1 spontaneous abortion. During prenatal care, the fetus was noted to have a unilateral dysplastic kidney. The patient’... |
A 52-year-old female with a history of admission to the hospital 5 times in the last 5 years because of frequent hypoglycemic attacks was admitted to our hospital.\nAt the age of 36, her urine examination showed excessive glucose levels but she did not receive further medical treatment. The following year, she consulte... |
A 66-year-old woman with severe AD complicated by oral dyskinesia was referred for dental treatment by her neurologist. She was unable to eat any solid food because of limited mobility of her maxillary teeth as a result of severe periodontitis. Because of her oral condition and subsequent lack of food, her body weight ... |
A 68-year-old female patient presented to the emergency department with refractory neuroglycopenic symptoms. In the emergency room, her glucose level was noted to be <50 mg/dL on multiple occasions despite repeated administrations of IV dextrose and PO intake. She described a 3-week history of episodes characterized by... |
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 27-year-old man presented to the emergency room with a 12-hour history of pain, proptosis, and decreased vision in his left eye. The patient has a past medical history of hepatitis C and is an active intravenous heroin abuser who admitted to using heavily the prior evening. Upon returning home he and his family state... |
A 35-year-old female in the 32nd week of pregnancy had presented at another center because of backache and difficulty walking. A burst fracture of L1 associated with a vertebral hemangioma was identified with an L3 compression fracture secondary to osteoporosis. Surgery and early birth were recommended, but the patient... |
This girl was born at 39 weeks of gestation to a gravida I para I, 25-year-old healthy mother and 28-year-old healthy father, with no history of consanguinity and no remarkable family history. The mother was followed regularly during her pregnancy and had prenatal diagnosis of fetal hydrocephalus at 30 weeks of gestati... |
A 39 year old female patient presented to our institute with instability on the pubic symphysis. On examination there was a palpable gap in the region of symphysis pubis. Initial mechanism of trauma was a motorcycle accident three years ago before the last admission to hospital. Initial fracture was classified as a com... |
A 65-year-old male patient reported with a discharging ulcer, which was present over the lower part of the sternal region since 5 months previously. There was a history of pain and swelling in the lower sternal part of the chest in the preceding 6 months, which led to the formation of pus. The pain was dull and aching ... |
An 80-year-old man with known cervical canal stenosis due to ossification of the cervical posterior longitudinal ligament was transferred to an emergency room soon after a falling accident. The patient was alert and had complete tetraplegia, sensory deficits below the C4 cervical sensory level, and progressive restrict... |
The patient is a 68-year-old man who presents to the office following an injury to his right hand. He states that he was picking up a heavy suitcase when he felt a pop and a burning sensation in his right hand. He is right-hand dominant and this injury was severely impacting his activities of daily living.\nPhysical ex... |
A 72-year-old female patient was referred from a local hospital because of a sudden cardiac arrest. Cardiopulmonary resuscitation (CPR) was performed for 7 min, and the patient was resuscitated. After being transferred, she was monitored at the intensive care unit and evaluated to determine the cause of the sudden card... |
This report presents the case of a 49-year-old Caucasian female with a past medical and surgical history significant for acute cholecystitis, for which she underwent a laparoscopic cholecystectomy in 2009, and symptomatic uterine fibroids, for which she underwent a laparoscopic supracervical hysterectomy and bilateral ... |
A 12-year-old boy with progressive trunk deformity and a huge subcutaneous tumor was referred to our department. At the age of three, the subcutaneous tumor was found in the back, and biopsy of the tumor indicated a diagnosis of cavernous hemangioma. During that biopsy, a massive hemorrhage occurred, and the patient re... |
A two-month-old female patient, transferred from a tertiary healthcare center, was referred for autopsy with signs of developmental delay and respiratory failure. The patient had a medical history of being the fifth birth out of six overall pregnancies, with the parents being blood relatives (second cousins). The mothe... |
We herein report the case of a 76-year old menopaused multiparous female with a history of three normal vaginal deliveries, well-controlled hypertension and Type 2 diabetes mellitus, who presented to the emergency department for acute obstructive bilateral pyelonephritis having complained of sustained high-grade fever,... |
In the 1998 report on the treatment of B, he was 20 years old. B had been a child with a classical gender dysphoric development and fulfilled the current criteria for GnRH analog treatment eligibility. He was interviewed shortly after his legal gender change. This meant that he had had puberty suppression, cross-sex ho... |
A 27-year-old man underwent surgical intervention for right radial styloid fracture 6 years ago. Several months after the operation, the patient complained of intense and severe burning pain (visual analog scale: 8/10), edema, reduced strength, cold allodynia, and hyperalgesia in the right forearm. He was diagnosed wit... |
A 42-year-old lady presented to the emergency department with a three-day history of nausea, vomiting, fever, abdominal pain, and disturbed vision. She also complained of a three-week history of bilateral breast swelling and right-sided breast pain. On examination, she was apyrexial and had a pulse rate of 76 beats per... |
In October 2012, a 46-year-old woman was referred to our center for the presence of a large mass (50 × 70 mm) in the superior lobe of the left lung with homolateral pleural effusion. The patient was never smoker, without family history of cancer and without comorbidity. The cytological diagnosis was made using a CT-gui... |
A 17-year-old woman was brought to Psychiatry OPD with complaints of episodes of decreased sleep, irritability, and occasional aggressive and violent behavior. She was already on sodium valproate 600 mg/day for generalized tonic-clonic seizures, since the last 2 years from a primary health centre of Uttarakhand state. ... |
A 1-year-old girl was presented to a hospital in the northeastern part of Ghana with a 1-week history of pustular rashes on her scalp and neck, which occasionally ruptured, along with discharge of yellowish purulent fluid. The child is of Mole-Dagbon ethnicity and hails from the northern part of Ghana. The patient had ... |
This is a case of a 68-year-old female presented to the clinic for a 2-month history of recurrent left ankle pain, associated with swelling and edema. The patient had a history of thyroid follicular adenocarcinoma which was treated surgically with total thyroidectomy and postoperative iodine treatment 25 years prior to... |
The patient was a man aged 43 years who had undergone a heart bypass surgery in 2009. He was reported to have developed initial symptoms of sore throat and cough on 27 January 2015. He consulted local city hospital 3 days later and Cefotaxime (3 g) was given intravenously at the Outpatient Department (OPD) of the hospi... |
The patient was a 71-year old male with history of diabetes mellitus, hypertension, end- stage of renal disease on hemodialysis. He underwent cadaveric renal transplantation to the right lower abdomen without complications. The early postoperative course was uneventful. The patient maintained the adequate urine output.... |
An 81-year-old Japanese man complained of hematemesis and visited a doctor. He was referred to our hospital with the diagnosis of gastric cancer. Since he had not been seen by a doctor before, there are no special notes in his medical history, including the presence or absence of H. pylori infection. Esophagogastroduod... |
A 26 year-old man was identified to donate marrow for his brother. His height was 178 cm and his weight was 79.2 kg (Body mass index 25.0). He had no bleeding history or other medical problem. Bone marrow harvesting was performed under spinal anesthesia []. The patient was put in the prone position, and the bony landma... |
A 40-year-old female patient reported with a complaint of pain and increased swelling on the right side of the face of 1-week duration. The swelling was first noticed by the patient on the right cheek region 4 years back and was not associated with any trauma or chronic irritation. The swelling had gradually increased ... |
A 42-year-old Caucasian woman was referred to our hospital for pain management by a neurologist specializing in the treatment of daily headaches. She had experienced daily intractable headaches since age 18 years. She also had chronic bilateral occipital neuralgia on the basis of the diagnostic criteria outlined in the... |
A 35-year-old male presented to a regional urban hospital two days following an assault-related blunt traumatic injury. The evening before arrival at the emergency department, he noticed swelling around his chest and neck. It was worse the next morning, precipitating his presentation to hospital. On initial assessment,... |
The patient was a female in her thirties who visited her local clinic complaining chiefly of pain in the left occipital to temporal regions of the head, rotational vertigo, and vomiting. Although she had a history of depression and floating dizziness, her symptoms had subsided in recent years and were not a hindrance t... |
We present a 57 year old gentleman with CKD 5 who had an autogenous brachiocephalic fistula 4 months prior to presentation to us. During their last surgical clinical visit, the fistula was noted to be poorly maturing and then referred to interventional radiology for fistulogram and possible endovascular intervention to... |
An 18-year-old girl hailing from Kozhikode, South India, with no past history of any illness, visited our hospital with complaints of fever of 1 week duration. She also had headache that was increasing in intensity and aggravated in the early morning. She also had two episodes of vomiting. She complained of double visi... |
We report a case of 93 year old British lady, moderately built, living in a residential home. She was admitted for a few times in the past with a diagnosis of Major Depressive episode, Severe with Psychotic symptoms. She had been treated and stabilized with Mirtazapine 30 mg per day. She never smoked or consumed alcoho... |
A 40-year-old female patient reported to our institution with a chief complaint of gradually enlarging, painless swelling of both the jaws of 1-year duration with difficulty in speech. The patient was apparently alright 1 year back when she noticed a swelling in the right mandibular region which was painless and caused... |
A 32-year-old female not on any medication was rushed to the emergency unit with severe dyspnea along with intense wheezing, pruritus, and swelling of face for ½ h following multiple bee-stings. She did not complain of any myalgia or muscle weakness of any part of the body or passage of dark colored urine. Examination ... |
A 62-year-old white female with a history of hypertension, which is well controlled, was found to have a new irregular density with microcalcifications on screening mammogram. Biopsy showed invasive mammary carcinoma of the ductal type. Tumor was grade 3, ER negative, PR negative, and HER2-neu negative by immunohistoch... |
A 15-year-old boy was diagnosed to have mitral regurgitation with a floppy anterior mitral leaflet. He was also found to have retinitis pigmentosa and Marfan's syndrome. His exercise tolerance was adequate, and he did not have any symptoms suggestive of pulmonary hypertension or heart failure. No symptoms suggesting un... |
A 19 years old male presented with a rapidly progressing painless neck swelling of 3 months duration. There were no complaints of fever or weight loss or symptoms suggestive of compression of adjacent structures. The patient was afebrile and had a cystic, non-tender, non-translucent and smooth swelling occupying the wh... |
The patient is a 61-year-old male with a history significant for NF-1, hypertension, esophagitis and intermittent gastrointestinal bleeding, who initially presented to an outside institution for acute onset of bleeding per rectum. The patient noted bloody bowel movements with diarrhea for several days, which had increa... |
A 69-year-old woman with a history of hypertension was identified to have an incidental renal tumor on computed tomography (CT). She denied hematuria, lower urinary tract symptoms, pain, fever, fatigue, or weight loss. Her medical history was significant for hypertension and obstructive sleep apnea. Family history and ... |
A 32-year-old white man presented to a local emergency department with a noticeable puncture wound, progressive swelling, and erythema to the right leg. The injury was sustained when he fell against the metal pedal of his bicycle. After 3 days of hospitalization and multiple courses of antibiotic, a surgical team was c... |
A 52-year-old female presented with a 6-month history of ulceration to the dorsal aspect of the left foot. She related the wound first occurred due to an injury involving a fall from a doorstep 1 year prior and admitted to intermittent swelling and difficulty ambulating ever since. The patient underwent surgical debrid... |
A 69-year-old man with pain on urination visited a physician. The patient had no contributory illnesses except hypertension. Urethritis was diagnosed and treated with an antibiotic agent, but it recurred and swelling of the scrotum over the perineum developed. The patient was referred to our department and admitted for... |
A 71-year-old woman initially presented to an outside hospital in December 2015 with vague epigastric discomfort. A chest computed tomography (CT) was obtained to evaluate the possibility of a pulmonary embolism, and a calcified cyst was identified in the tail of the pancreas. Of note, laboratory tests were notable for... |
A 60-year-old right hand dominant male suffered a blast injury from a stick of dynamite. He was complaining of left hand, forearm, and elbow pain. Patient also endorsed significant numbness and tingling in the left hand. On physical exam, there was significant degloving of the palm and partial amputations of the second... |
A 22-year-old female, weighing 53 kg, with a height of 153 cm, data entry operator by profession, presented to the outpatient skin department in January. The patient reported with gangrene and black spots of multiple fingers and toes with severe pain since last one month. She was diagnosed with SLE and was started on p... |
A 24-year-old previously asymptomatic male presented to his primary care physician with a complaint of focal penile irritation related to sexual intercourse. The irritation originates from a lesion along the midline on the dorsum of his penile glans. He was referred to a urologist for further evaluation.\nThe patient r... |
A 24-year-old Caucasian man presented with a several month history of muscle pain, fatigue and insidious onset of pitting edema to his lower extremities. His symptoms progressed to include bilateral arm swelling, muscle pain to the thenar eminence of both hands, and paresthesias to his hands. He did not have a rash, jo... |
A 37 year old male and current smoker (1 pack per day) with a history of prostate rhabdomyosarcoma at age 2 treated with partial resection and high dose external beam radiation presented to the emergency department (ED) with fever, groin pain and abdominal distension. His history was notable for numerous complications ... |
A 17-year-old female patient was referred to the Infectious Diseases Ward from a district hospital because of prolonged fever lasting for 14 days. In the patient history, in the evening of the first day of the onset of symptoms the patient reported a temperature of 40°C, pain in the lower limbs and muscular pain. The n... |
A 41-year-old male with a past medical history of intravenous drug abuse (IVDA) presented to our emergency department as a transfer following two days of medical management of rhabdomyolysis at an outside community hospital. He initially presented with weakness and numbness of the lower extremities. He had been using i... |
A 29-year-old male was brought to the emergency department following a car accident. It was reported that the wheel of a 5-ton water tanker rolled over his lower body as he was stepping into a car. Workup revealed a Glasgow Coma Scale (GCS) score of 15 with a pulse rate of 80 beats per minute and blood pressure of 90/6... |
A 14-year-old boy referred to our department for a slowly growing, nonpainful swelling in the medial upper right arm that he had noticed for 8 months. He had undergone partial resection of an osteochondroma in the posterior aspect of the proximal humerus 3 years earlier. Follow-up was unremarkable. He recalled a blunt ... |
A 33-year-old female presented to the clinic complaining of a polyp on top of a red plaque in the left side mons pubis for 1 year. It was a kind of round flaky red bulge lesion in the skin of mons pubis. On top of this, it is shown sarcomatoid hyperplasia covering with the yellow-green crust, and the surrounding skin h... |
A 56-year-old female was referred to our department from another facility in the patient’s area for a rapidly progressing tumor in the gallbladder and liver area. The patient reported several-month right upper quadrant pain and 4-kg weight loss over the past year. There was no laboratory sign of obstructive jaundice at... |
A 24-year-old Caucasian man presented with a several month history of muscle pain, fatigue and insidious onset of pitting edema to his lower extremities. His symptoms progressed to include bilateral arm swelling, muscle pain to the thenar eminence of both hands, and paresthesias to his hands. He did not have a rash, jo... |
A 52-year-old Australian Caucasian male with cystic fibrosis was admitted to our hospital with an exacerbation of pulmonary sepsis accompanied by a vague abdominal pain. Abdominal X-ray revealed faecal loading in his caecum and ascending colon with proximal small bowel dilatation consistent with meconium ileus equivale... |
An 18-year-old man referred for ASD repair to our hospital. He was moderately cyanotic but reported no chest discomfort, dyspnea, or hemoptysis. He was in New York Heart Association functional class I. On physical examination, the patient had no dysmorphic features but had moderate central and peripheral cyanosis, stag... |
A 47-year-old male was admitted to our institution with a history of intellectual disability for more than 30 years and behavioral abnormalities for the past 3 mo. He had a poor academic performance, having dropped out after completing elementary school. The patient could talk with others in daily life, but he was unab... |
The patient is a 60-year-old male with a history of metastatic lung cancer to the lung, liver, and brain. The patient presented to an outside hospital's ER due to rapidly progressive right foot pain, swelling, and a black area on right lower extremity. About a week earlier, he had scratched the anterolateral part of hi... |
A thirteen-year-old female patient who presented with respiratory distress and cyanosis was admitted to the emergency department of a different medical center one week ago. The patient’s condition was reported to deteriorate with development of pneumonia and respiratory failure and she was referred to our hospital beca... |
A 10-month-old female presented with an oedema in the left zygomatic and retroauricular region without other inflammation sites. She was afebrile and in good clinical condition with otoscopic findings, characteristic of acute otitis media and concomitant oedema in the external auditory meatus of the left ear. Due to ot... |
A 73-year-old Asian woman with an underlying anxiety disorder, functional headache, and hypertension was prescribed escitalopram and lorazepam when she presented with progressively worsening headaches to her primary care doctor. Her symptoms did not improve with the medications, and she was unable to eat well and requi... |
A 25-year-old unmarried male educated up to higher secondary with no premorbid mal-adaptive traits was brought to Psychiatry emergency with a history of unmanageable aggression toward family members. Review of history revealed that he had unreasonable suspiciousness toward his mother that she used to poison his food, a... |
A 37-year-old man reported exercise/activity-related muscle pain and fatigue from early childhood. His symptoms were labelled as “growing pains” by different medical professionals, and he was often called “a lazy child”. He had difficulties to keep up with his friends and family when walking. He reported physical educa... |
The patient was a female aged 48 years old, who had a lumbar mass on her right lower back for 4 years, and was admitted to hospital more than a year after noticing the enlargement of the mass. The mass on the right lower back was unintentionally discovered 4 years earlier and was approximately 2 × 2 cm in size. The pat... |
A 29-year-old male patient was admitted to the emergency department with a bleeding pulsatile mass of the right groin and pain in the right lower abdominal quadrant and hypogastrium. Upon admission, the patient was confused, disorientated, and febrile. Past history included hepatitis C and heroin abuse over the last 10... |
This 29-year-old woman was previously healthy until she awoke with a severe left frontal headache associated with nausea and vomiting. A few days later, she had a similar episode, prompting medical attention. A head MRI scan demonstrated a large, partially enhancing, left frontal lesion with some mass effect including ... |
An 8-year-old male patient who complained of deformity, pain, and limited range of motion in his right elbow for the past 2 years was hospitalized in our department in January 2018. The patient had a normal full-term delivery and did not report a traumatic or family history of malformation. Upon physical examination, t... |
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