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A 34 year old Persian woman, gravida 1, para 0, presented at 22 weeks of pregnancy with a two week history of left hip pain with no apparent precipitating event. Her past medical history included mild Multiple Sclerosis from which she was asymptomatic. She did not smoke or drink alcohol, had no history of corticosteroi...
A 60-year-old female who was previously healthy with no risk factors for stroke presented with sudden onset left-sided weakness and dysphasia. National Institutes of Health Stroke Scale score on admission was 20. Brain computer tomography did not reveal any established infarct, however a computer tomography cranial ang...
A 40-year-old man presented with fresh hemorrhagic stool. Colonoscopy and upper gastrointestinal endoscopy were performed, but the bleeding site was not clear in the visible range of the stomach, duodenum, and colon. On hospital day 2, capsule endoscopy was performed, and bleeding from the small intestine was detected....
Staged bilateral total hip arthroplasties were performed on a 55-year-old man with a neglected untreated history of DDH, who gradually developed severe bilateral hip joint arthritis. The chief complains included bilateral hips and knee joints pain on walking associated with a progressive limitation in the range of hip ...
The patient is a male in his 60s with a past medical history significant for pulmonary sarcoidosis. He was referred to neurology clinic for progressive, bilateral, lower extremity numbness which he noted first in his feet. The patient indicated the pain and tingling in his feet worsened with prolonged standing and walk...
A 54-year-old female, who was found to have incidental giant left ICA aneurysm on magnetic resonance imaging (MRI) scan, during the workup for headaches (). There was no history of thunderclap headache or any associated visual or neurologic symptoms to suggest aneurysm rupture. Initial angiogram for evaluation of aneur...
A 35-year-old white female who was an elite endurance athlete training for triathlons had a 3-year history of chronic left hip and groin pain which was subsequently investigated by MRI study. Her MRI of the hip and femur incidentally showed distention of the left common and external iliac veins with associated deep vei...
A 51-year-old hypertensive Pakistani male patient was admitted in the cardiac intensive care unit in King Fahd University Hospital on 30 July 2017 complaining of chest and back pain for two weeks prior to the presentation; he took nonsteroidal anti-inflammatory drugs but were not effective. Physical examination was don...
A 19-year-old male had a history of road traffic accident 18 months back with severe head injury and pelvic fracture. He remained in the referring hospital for three months. After discharge he remained reasonably well except for occasional episodes of anterior chest pain and dyspnea on moderate exertion.\nRecently he w...
An 86-year old woman presented at the emergency department suffering from severe acute upper abdominal pain. Her past medical history included hypertension, diabetes mellitus, coronary heart disease, atrial fibrillation, chronic obstructive pulmonary disease and twenty years before she had an omphalocele repair. The pa...
A 28-year-old male presented with a painless swelling in the volar aspect of right mid forearm of 10 years duration with complaints of increase in size of the swelling associated with pain for the past two years. He complained of pain and paresthesia in the median nerve distribution of the right hand. The swelling meas...
A 29 years old male patient was taken to our emergency department within one hour of following motor vehicle accident. He complained of severe chest and back pain. On examination he was alert, conscious with pulse rate of 134 per minute, blood pressure of 86/64 mm/Hg, the extremities were cold and clammy. On auscultati...
A 51-year-old hypertensive Pakistani male patient was admitted in the cardiac intensive care unit in King Fahd University Hospital on 30 July 2017 complaining of chest and back pain for two weeks prior to the presentation; he took nonsteroidal anti-inflammatory drugs but were not effective. Physical examination was don...
A 44-year-old Caucasian female referred to the ER with acute abdominal pain. Past medical history revealed no family history of colon cancer and no history of smoke. At the admission, physical examination revealed pain and tenderness in the right lower quadrant with no signs of bowel obstruction, mimicking an acute app...
A 51-year-old hypertensive Pakistani male patient was admitted in the cardiac intensive care unit in King Fahd University Hospital on 30 July 2017 complaining of chest and back pain for two weeks prior to the presentation; he took nonsteroidal anti-inflammatory drugs but were not effective. Physical examination was don...
A 17-year-old Malay girl was involved in a road traffic accident in which she sustained a closed right femur fracture. She was treated with intramedullary nailing of the right femur. She was well until two years after the initial trauma when she met with another road traffic accident. The patient fell off her motorcycl...
A 22 year old male patient had sustained chest injury by a metal splinter under moderate velocity. He presented with an entry wound in the 9th intercostal space, anterior axillary line on the right side. He was hemodynamically stable and had no respiratory symptoms or signs and abdomen was normal. Two coordinates of X-...
A 32-year-old man sustained injury to his right leg in a road traffic accident five years ago. He had mangled leg which resulted in a below knee amputation done at a local hospital. The stump had healed with secondary intention owing to insufficient soft tissue cover and infection []. He was fitted with prosthesis and ...
A 51-year-old hypertensive Pakistani male patient was admitted in the cardiac intensive care unit in King Fahd University Hospital on 30 July 2017 complaining of chest and back pain for two weeks prior to the presentation; he took nonsteroidal anti-inflammatory drugs but were not effective. Physical examination was don...
A 12-year-old female was referred to the Oral and Maxillofacial Surgery Department by an orthodontist regarding an ectopic upper left canine and buccal alveolar expansion from the 22 and 24. On examination there was firm, bony expansion between these teeth with associated root displacement. The 22 and 24 were not mobil...
A 7-year-old boy was referred to the Clinic of Pediatric Dentistry of our University. His mother reported that yellowish coloration of his teeth made him ashamed of smiling and damaged his relationship with other children. A detailed dental, medical, and social history was obtained from the patient. His mother reported...
A 28-year-old male patient was sitting next to the driver seat in a sports utility vehicle which met with road traffic accident. The sudden deceleration injury caused both the knees of the patient to hit against the dash board. The patient was taken to a level 3 trauma center and later shifted to our level 1 trauma cen...
The third patient, a 23-year-old woman with recurrent severe depression (see under results Case 3) experienced a prolonged seizure, which was stopped by intravenous application of benzodiazepine. This event mirrored the AEs, which required medical action by a doctor as reported in Case 2.\nThe young lady was a patient ...
A 57-year-old male with stage IV metastatic esophageal adenocarcinoma who had completed a full course of chemotherapy and localized esophageal radiation about 6 months before, presented with complaints of left-sided facial pain for 3 months. The patient's pain had been progressively worsening and was significant during...
A 71 year old man with signs of syncope and haemorrhagic shock secondary to massive haemetemesis was referred for emergency treatment and investigation to the 1st Department of Surgery, University of Athens Medical School in 2009. Eight years earlier the same patient, who had a known history of gastric ulcers, presente...
A 60-year-old female, laborer by occupation, a diagnosed case of carcinoma lung with metastasis presented with chief complaints of dyspnea. The patient had massive pleural effusion []. There had been five previous episodes of pleural aspiration followed by thoracocentesis. The patient was offered thoracoscopy and talc ...
A 60-year-old male who had a history of liver cirrhosis was referred for evaluation of a pain, swelling, and erythematous changes of the anterolateral aspect of his left leg. His symptoms started a month ago without any specific trauma. He had a history of open reduction and internal fixation performed for a tibial pla...
A 55-year-old man with no significant past medical history presented to us with 1 month history of aimless wandering movements of his left hand. He said that he felt that his left hand was not under his control. It would act on its own will, in form of levitation of the arm, purposeless groping of objects in the surrou...
A 60-year-old woman presented to us with pain over medial aspect of right knee joint. The pain was non radiating. The pain was relieved by rest and was exacerbated by squatting and sitting cross legged. The patient had difficulty in climbing stairs. On physical examination there was tenderness along the medial aspect o...
A 54-year-old female patient presented to the emergency room with features of intestinal obstruction. She was constipated with evident weight loss over a period of 3 months. She was evaluated by an x-ray abdomen that revealed multiple air fluid levels and the CT – Scan of the abdomen revealed a circumferential growth i...
A male patient aged 17 years and two months presented with a severe thoracolumbar SK. He was otherwise healthy but markedly overweight with a body mass index (BMI) of 37. There was no history of spinal infections or injuries and no skeletal dysplasias. There were no associated medical co-morbidities. He had been previo...
An 18-year-old morbidly obese male with no reported past medical history presented to the emergency room after a high-speed motor vehicle collision (MVA). He had been positioned in the middle of the backseat and was ejected from the vehicle. The injury was reported to have occurred 1 hour prior to presentation at the h...
The patient was a man in his 80s with no remarkable medical or family history. He presented at our emergency department with swelling and pain in the right groin. The right groin showed a swelling of 10 × 10 cm. Vital signs and blood tests were normal at the visit. Abdominal contrast-enhanced CT showed prolapse of the ...
Our patient was a 32-year-old gravida III para II Amhara woman who came from a rural area of North West Ethiopia. Her first delivery was an uncomplicated spontaneous vaginal delivery at home at the age of 22 years. Her second delivery was a spontaneous vaginal delivery in a health center 4 years later with early neonat...
The adverse reaction to clozapine occurred in a 57-year-old married Caucasian woman with a long history of treatment-resistant chronic schizophrenia (ICD10 F20) who has required continuing care in hospital for many years, due to the severity of her condition. She first developed schizophrenia at around the age of 18 an...
We report the case of a 73-year-old male with bilateral THAs performed simultaneously at a different institution in 1995 using Biomet Bi-Metric stem and Ringloc cup through a posterior approach. Preoperatively, the patient had debilitating bilateral hip pain (right worse than left), and the patient reported shortening ...
We report the case of a 41-year-old woman with a history of presumed spinocerebellar ataxia who presented with right heart failure from an invasive mediastinal mass with near complete occlusion of her pulmonary arteries.\nShe was in her usual state of health until first presenting to the emergency department in Februar...
A 64-year-old female presented to the office with the complaint of a back mass. When asked to identify the location of the mass, she pointed to her right scapular line just below the costal margin. The patient reported that she first noticed this mass approximately one year prior to that visit. While it had not noticea...
A 48-year-old African male was referred to our imaging department for a coronary computed tomography angiography (CCTA) due to a recent history of left side chest pain. Further evaluation of the patient revealed complaints of recurrent loss of consciousness for six years, convulsions for four years, a single episode of...
The 28-year-old male patient had trained for about 2 weeks after entering a marine training center. It was said that 2-week training at the Marine training center consisted of 2–3 h of swimming training a day and 2 h of basic physical strength reinforcement training. The swimming training consisted of repetitions 50 mi...
A 43 year old female district nurse presented to the accident and emergency department with a 6 hour history of initially generalized abdominal pain which was localizing to the right. This was associated with nausea and loss of appetite, made worse by movement and not relieved with intramuscular morphine injection. The...
A 60-year-old male who had a history of liver cirrhosis was referred for evaluation of a pain, swelling, and erythematous changes of the anterolateral aspect of his left leg. His symptoms started a month ago without any specific trauma. He had a history of open reduction and internal fixation performed for a tibial pla...
A 60-year-old male who had a history of liver cirrhosis was referred for evaluation of a pain, swelling, and erythematous changes of the anterolateral aspect of his left leg. His symptoms started a month ago without any specific trauma. He had a history of open reduction and internal fixation performed for a tibial pla...
RH, a 21 year old female presented to a chiropractic teaching clinic with a chief complaint of neck and thoracic spinal pain which had been present for approximately 4 years since commencing her university studies and was aggravated by studying. RH experienced this pain about once per week and it lasted for 'a couple o...
A 60-year-old male who had a history of liver cirrhosis was referred for evaluation of a pain, swelling, and erythematous changes of the anterolateral aspect of his left leg. His symptoms started a month ago without any specific trauma. He had a history of open reduction and internal fixation performed for a tibial pla...
An 87-year-old woman presented to the accident and emergency department after sustaining a fall while on holiday. She complained of pain and reduced range of movement in her left shoulder. Her past medical history included hypertension atrial fibrillation, for which she took aspirin 75 mg once a day. She had previously...
A 35-year old adult, high school educated, married male, tailor by occupation, of lower socio economic status presented to the psychiatry outpatient department of University College of Medical Sciences and Guru Teg Bahadur Hospital, a tertiary care center in the capital city of Delhi. He was referred from the medical d...
A 54-year-old male presented with masses on his left arm and axilla. The axillar mass was 12 × 7 cm and the mass in the proximal lateral humerus was 6 × 5 cm. His symptoms had started a number of years prior. Before the initiation of these symptoms, he denied having any significant medical problems. He had a history of...
A 60-year-old male who had a history of liver cirrhosis was referred for evaluation of a pain, swelling, and erythematous changes of the anterolateral aspect of his left leg. His symptoms started a month ago without any specific trauma. He had a history of open reduction and internal fixation performed for a tibial pla...
A 39-year-old female presented to the outpatient clinic with the complaints of recurrent painless swelling in the left thigh and had a history of surgery twice for its removal. She was apparently well until 2001 when she noticed a painless swelling over left mid-thigh. The swelling progressively increased in size and s...
An 80-year-old woman was referred to our clinic with a history of chronic abdominal pain and weight loss of 10 kilograms in the past six months. The patient was postmenopausal for 30 years and had a free medical history. Physical examination revealed no tenderness, but a hard and mobile mass palpable in the right iliac...
An 18-year-old female patient reported to our department with the complaint of poor esthetic appearance due to missing upper and lower front teeth since 4 years and seeking prosthetic treatment. Patient gave no history of trauma and extractions in relation with the missing teeth. The patient reported that the teeth exf...
A 39-year-old female patient was referred to our Nephrology Department during late 2009. She was newly diagnosed with SLE after a spontaneous miscarriage during the second trimester of pregnancy. Due to significant proteinuria and microscopic hematuria a kidney biopsy was performed which revealed crescentic focal segme...
A 60-year-old male patient reported to the clinics with a chief complaint of vesicular eruptions on the left side of the face since 5 days. Past medical history was not contributing and the patient reported burning sensation in the affected area. The localization and distribution of the skin findings were distinctive a...
A 30 year old male presented at the Surgery OPD with chief complaint of discharging wound in the upper part of the abdomen for 1 month. The problem started 6 months back when he underwent an emergency exploratory laparotomy at another medical college for 3 days old abdominal pain. A small peptic perforation was detecte...
A 76 years-old woman with history of controlled hypertension (with losartan and amlodipine) presented to our hospital referring weight loss of 4 kg in two months, edema that progressed to anasarca and back lumbar pain. Besides the edema her physical examination was completely normal with no clinical signs suggestive of...
A 34-year-old woman who was working as an international migrant worker sustained a crush and degloving injury to the right elbow while operating a waste agitator at an industrial waste management site. On initial examination, the patient was found to have massive skin and soft tissue defects on the anterior aspect of t...
A 66-year-old male, with a BMI of approximately 28 kg/m2, presented to our surgery clinic for a symptomatic right lower quadrant trocar site hernia, following robotic assisted radical prostatectomy. In December of 2010 he underwent an uncomplicated robotic assisted radical prostatectomy. At the time of the operation a ...
A 65-year-old female was initially admitted with typical angina and impression of acute coronary syndrome in another center. She only had a medical history of hypertension. The electrocardiogram (ECG) had shown 2 mm T inversion in V1-V3 leads, biphasic t waves in I, aVL and QT prolongation (QTc: 0.520 seconds). In the ...
We report the case of a healthy 19-year old male with no significant past medical or surgical history who injured his right foot his right foot in a road traffic accident and reported to our hospital within two hours of the injury. On examination, there was significant swelling of the foot with a 1.5 cm x 1 cm wound on...
A 25-year-old Caucasian female presented to our care with a chronic history of regurgitation of previously ingested food. For the past 4 years, she regurgitated immediately in the postprandial period, occurring within 5 - 25 min after per oral (PO) intake and lasting up to 2 h. These acts of regurgitation were frequent...
The patient was a 47-year-old female with a history of rheumatoid arthritis who presented to our institution with dysphagia and neck pain after multiple previous cervical spine surgeries at an outside hospital. Her history began with an ACDF from C5 to C7 in 2009 for neck and arm pain. Following her index procedure, sh...
A 26-year-old man presented with melena and underwent upper gastrointestinal endoscopy and abdominal CT.\nEndoscopy showed a large submucosal tumor in the gastric body with concomitant bleeding from a large central ulceration containing fluid and residual contrast material from a previous barium study (). Endoscopic ul...
A 56-year-old male patient, whose plasmacytoma was enucleated 3 years ago from the medial side of the left mandible, was referred to our clinic due to his complaints of persistent orocutaneous fistula (Figures –). Past medical history revealed that the patient was operated three times to close the orocutaneous fistula ...
A 60-year-old male patient reported to the Department of Oral and Maxillofacial Surgery with a chief complaint of pain and discharge in the upper left back region of the jaw since one and half years. According to the patient one year prior to our consultation, he got the maxillary molars extracted from a local dentist ...
A 60-year-old Caucasian female patient presented with a painless swelling in the soft palate, breathing and swallowing difficulties, and suffocation feeling. Clinical examination revealed that the lesion was located mostly in the right side, extending from the limit between the hard and soft palate and continuing to th...
A 67 year old male patient was admitted to the emergency room with dizziness and gait ataxia that had suddenly developed two days previously. The patient was receiving pharmacological treatment for hypertension and diabetes and there was no relevant family history. Other than the dizziness and gait ataxia, the patient ...
A 44-year-old woman was admitted to our outpatient clinic presenting with dysuria and intermittent hematuria for 2 years. She had a medical history of insertion of an IUD inserted 9 years ago. Three months after the insertion of IUD, she fell pregnant unexpectedly. It was her third pregnancy when she was 35 years old a...
We present a case of a 42-year-old female who was found to have an incidental renal mass, which, on histological examination of the excised specimen, was revealed to be a clear cell papillary carcinoma, a relatively uncommon variant of renal cell carcinoma. The patient is a 42-year-old female who presented to her local...
A 45-year-old male with end stage renal disease due to chronic glomerulonephritis started automated PD in February 2015 and presented 7 months later with nausea and cloudy PD effluent. The peritoneal effluent white cell count was 996 cells/mL, with a polymorphonuclear cell fraction of 56%. The peritoneal fluid was sent...
A 70-year-old female was referred to breast re-implantation of the right side due to iatrogenic rupture and explantation during thoracic surgery. The patient had a medical history of cancer in the right breast in 1984 with subsequent treatment including unilateral mastectomy, radiochemotherapy and secondary reconstruct...
This is a healthy appearing 77 year old man with bladder cancer. He presented in April 2016 with an episode of gross hematuria. He lives in Central America and was seen by a urologist there.\nHis past medical history is uneventful. He has adult onset type 2 diabetes and takes metformin. He was never a cigarette smoker....
A 38-year-old Indian male was referred to the Oral and Maxillofacial Surgery Clinic, Boston University Goldman School of Dental Medicine for the evaluation and management of progressive trismus. Patient presented with main complaint of inability to chew food and limited mouth opening. He reported that this has been goi...
A 75-year-old female patient reported to our maxillofacial surgical services with the chief complaint of intra-oral painless growth since one and half year. She also had a complaint of difficulty in closing the mouth since past 2-3 months.\nThe patient was relatively asymptomatic one and half year back, then the patien...
A 6-month-old baby boy presented at the Vascular Surgery clinic with a 2-month history of swelling noticed by his parents on the hypothenar eminence of the left hand (). The swelling was gradually increasing in size. The parents gave no history of any unusual crying of the baby, which concludes that it was painless. On...
A 10 year old male patient presented with a severe head trauma after falling from a roof that required an immediate decompressive craniotomy (Fig. ). The patient was hospitalized in the ICU for 8 days, after which the cerebral oedema resolved, and he was then discharged. Three months later, he was referred to the Plast...
A 30 year old male presented at the Surgery OPD with chief complaint of discharging wound in the upper part of the abdomen for 1 month. The problem started 6 months back when he underwent an emergency exploratory laparotomy at another medical college for 3 days old abdominal pain. A small peptic perforation was detecte...
A 46-year-old man with diabetes mellitus presented to the emergency department at our hospital with symptoms of right foot pain and fever. The patient developed ASO in the right lower extremity as a complication of diabetes. Arterial occlusion started from 10 cm distal to the knee joint and involved the anterior tibial...
A 79 year old man presented with a discharging sinus in the epigastrium. He had undergone a mechanical aortic valve replacement for aortic stenosis 14 years ago which was followed 2 years later by repeat mechanical aortic valve replacement for streptococcal prosthetic valve endocarditis. His postoperative recovery foll...
The patient, a 36-year-old woman with a known case of exstrophy of the bladder had undergone repair of the defect 17 years previously. However, dehiscence of the repair had occurred and the patient continued to leak urine from the lower abdominal wall. Six months following this, an ileal conduit urinary diversion was d...
A 35-year-old educated young male is the main caregiver of his mother, who is a cancer survivor. He has two children of 3 years and 6 years old. He is the sole earning member of his family. The journey of his life has been filled with many challenges for the past 10 years.\nHis first complex caregiving episode dates ba...
A 52-year-old female who recently recovered from a myocardial infarction following a coronary angiography and stenting was not fortunate enough to be in good health thereafter. She developed symptoms such as pain upper abdomen, feeling of fullness even with small meals, and loss of appetite just 1 month after her stent...
A 48-year old Caucasian man presented to clinic for evaluation of his options for the treatment of brainstem fibrosarcoma. In 1977, 26 years prior to this presentation, the patient was diagnosed with a large pituitary adenoma based on a head computer tomography. Biopsy was not performed at the time. However, he receive...
A 56-year-old male patient, whose plasmacytoma was enucleated 3 years ago from the medial side of the left mandible, was referred to our clinic due to his complaints of persistent orocutaneous fistula (Figures –). Past medical history revealed that the patient was operated three times to close the orocutaneous fistula ...
Mrs. S, a 36-year-old patient underwent IVF for tubal factor infertility in January 2007, with beta human chorionic gonadotropin (hCG) being positive on 20 Jan 2007. Early ultrasound showed a twin pregnancy, each containing a yolk sac and a live embryo. One sac was placed low towards the cervical canal while the other ...
An 18-year-old male reported to our emergency department with a history of pain in the right shoulder and inability to move it without significant discomfort. He reported that he had been assaulted 4 weeks before the presentation and had sustained head injuries. He had been admitted elsewhere for the management of thos...
A 60 years old male presented in June 2010, to our department with complaints of severe pain and swelling in left hip and upper thigh region since last 2 days, following a history of trauma. He was unable to walk and bear weight on the left lower limb following the trauma. Pain was present on the anterior and lateral a...
A 56-year-old male patient, whose plasmacytoma was enucleated 3 years ago from the medial side of the left mandible, was referred to our clinic due to his complaints of persistent orocutaneous fistula (Figures –). Past medical history revealed that the patient was operated three times to close the orocutaneous fistula ...
A 38-year-old Caucasian Greek man presented to our emergency department complaining of a three-month history of intermittent abdominal pain and frequent episodes of diarrhea. He had a history of a previous admission in another surgical department four months earlier for BAT after a road traffic accident. At that time h...
A 50-year-old female presented with history of sudden onset weakness of right upper and lower limb for 1 day with deviation of angle of mouth to the left side. There was no history of headache, vomiting, seizures, or previous history of stroke or transient ischemic attacks. Also there was no history of chest pain, palp...
A 56 year old man had transient loss of consciousness while driving. His wife pulled over and, in A& E, he was found to have a large superior mediastinal shadow, extending into neck, on chest X-ray (Figure ). CT scan revealed a 7 cm × 11 cm saccular aneurysm arising from the distal aortic arch between the origins of th...
A 50-year-old woman with an extensive medical history including spina bifida and hydrocephalus with placement of VA shunt and subsequent VP shunt due to VA shunt failure, both in her early 20s, presented with worsening shortness of breath for several years. An echocardiogram revealed normal left and right ventricular s...
A 43 year old female with chronic back pain developed depression and attempted suicide with an overdose of diazepam and methadone after an argument with her husband in the evening. She intentionally consumed approximately 40 to 50 tablets of diazepam at 5 mg strength as well as an unknown quantity of methadone tablets ...
A 42-year-old right-handed man was referred to our neurosurgery department for generalized epileptic seizures, muscular weakness of both upper and lower limbs, gait instability and headache. The patient was suffering from recurrent seizures since his childhood and was under anticonvulsant treatment with phenobarbital a...
A 56-year-old male patient, whose plasmacytoma was enucleated 3 years ago from the medial side of the left mandible, was referred to our clinic due to his complaints of persistent orocutaneous fistula (Figures –). Past medical history revealed that the patient was operated three times to close the orocutaneous fistula ...
A 22-year-old intoxicated male without any medical comorbidity was involved in a motor vehicle accident when he lost control of his automobile in a residential area and ultimately collided into a house. The patient was unrestrained and did not lose consciousness in the accident. Emergency medical personnel at the scene...
The 55 years old male patient received a locking distal tibial plate along with distal fibular plate 3years back from UAE. Now patient came with complaint of non healing ulcer over medial aspect of lower 1/3rd of right leg from past 1 year. Patient was also type 2 diabetic diagnosed 5 years back. Non operative manageme...
We report a rare malposition of a PA catheter secondary to kinking in a 63-year-old male who was scheduled for an off-pump coronary artery by-pass graft. The patient had a history of diabetes mellitus with neuropathy, early stage nephropathy and retinopathy. The pre-operative echocardiogram was significant for diffuse ...
A 55-year-old male reported with complaints of a gradually enlarging lump in the left side of the abdomen over a period of 5 months associated with dull aching pain and occasional vomiting. On examination there was a huge mass of around 25 × 20 cm spanning the whole abdomen with an irregular surface and variable soft t...
A 30 year old male presented at the Surgery OPD with chief complaint of discharging wound in the upper part of the abdomen for 1 month. The problem started 6 months back when he underwent an emergency exploratory laparotomy at another medical college for 3 days old abdominal pain. A small peptic perforation was detecte...

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