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A 72-year-old female patient presented to the emergency department (ED) after a primary care physician referral for tachycardia, who saw her with complaints of epigastric discomfort, vomiting, and loss of appetite for the past 2 days. An electrocardiogram (ECG) at the clinic revealed a narrow complex tachycardia of 169... |
A 56-year-old woman presented to the emergency room with mild left leg numbness of sudden onset. The symptoms had a rapidly improving course over a period of one week. She had hypertension and diabetes mellitus as stroke risk factors. In addition, she had experienced hypertensive intracerebral hemorrhage in the left th... |
Our patient was an 18-year-old female, who presented with gradual thinning of both the upper limbs (Left>Right) and weakness of both the lower limbs (Left>Right), since one and half years in the form of difficulty in walking and two episodes of fall.\nOn examination, there was severe wasting of both the upper limbs lef... |
A 55-year-old woman with a history of multiple sclerosis (MS), gastric bypass, bipolar disorder and myoclonic jerks treated with topiramate presented to an outside hospital with complaints of generalised weakness. She was found to be markedly hypokalemic at <1.5 mEq/L. The patient had a history of MS flares with simila... |
We present a 60-year-old male with no significant medical history who presented to the emergency room with a rapidly growing lump in the right axilla for three weeks. Associated symptoms included jaw pain and swelling, bifrontal headache, weight-loss, and double vision for a one-week duration. Of note, he recently unde... |
A 52-year-old Chinese gentleman with a significant medical history of gout, hypertension, dyslipidaemia, asthma, ischaemic heart disease (IHD) and chronic kidney disease (CKD) with a baseline creatinine of 130 μmol/L presented to us with a swollen and painful left ankle of 2 days’ duration. The diagnosis of flare of go... |
A 44-year-old man presented to our hospital complaining of productive cough and fever for 5 consecutive days. He also reported suffering from chronic worsening dyspnoea, orthopnoea, and abdominal discomfort for ∼18 months. He underwent mitral valve replacement due to rheumatic valve disease (severe regurgitation and mi... |
An 84-year-old Japanese male patient with chest pain at rest and syncope 2 months ago who was admitted to the hospital for further evaluation. He had a history of smoking more than 50 years but quit smoking 5 years ago. Rosuvastatin calcium 2.5 mg was administered at a neighbourhood hospital due to dyslipidaemia. His b... |
An 18-year-old male presented with multiple swellings [first swelling appeared at the age of 5 years] involving the entire neck [] with history of dyspnea, change in voice, and 4 episodes of hemoptysis. The amount of blood was around 10 - 15 ml, and color was bright red. From the past 1 year, he had the complain of dys... |
A 33-year-old non-diabetic, normotensive male presented to us with a sudden onset, painless diminution of vision in his left eye. He denied any suggestive systemic history or recent onset of fever preceding his ocular symptoms. There was also no history of similar ocular complaints, such as redness, ocular pain or dimi... |
A 44-year-old woman was admitted to the hospital for evaluation of pulmonary nodule detected on computed tomography (CT). She had a history of total thyroidectomy for PTC, which was performed 8 years ago. The primary PTC measured 2.4×1.3 cm in dimension with invasion into adjacent muscle and had metastasized to several... |
A 42-year-old White female sought treatment at the Maxillofacial Trauma Clinic of the Hospital de Pronto Socorro de Maceió – Alagoas (AL – Brazil), complaining of a 10-day history of difficulty in opening her mouth, which prevented her from eating, as well as pus in her mouth, fever, and headache. The patient reported ... |
A 74-year-old man was admitted to the cardiology department of our institution with a history of chest pain and dyspnea on exertion. His functional capacity was class II according to the New York Heart Association (NYHA) classification. He had a history of stent implantation in the proximal left anterior descending cor... |
A 58-year-old female patient visited a private dental facility in Kuala Lumpur for replacement of missing teeth and other prosthodontic treatment. Medical history of the patient revealed that the patient was unremarkable. Patient had her teeth extracted because of caries. An extraoral examination of the head and neck r... |
An 89-year-old male complaining of epigastric pain underwent upper gastrointestinal endoscopy. A shallow depressed lesion with redness was observed at the anterior wall of the upper gastric body, and IIc-type early gastric cancer was diagnosed. Biopsy revealed differentiated adenocarcinoma. There was no abnormality in ... |
A 59-year-old male with end-stage renal disease due to nephrosclerosis was evaluated for a living unrelated kidney transplantation. A first kidney transplantation had been performed in 1993 (HLA of the first donor ) and the kidney had functioned for 10 years. Graft failure was caused by chronic vascular rejection. The ... |
A 15-year-old boy came to the department of radiodiagnosis at our institute with the requisition for computed tomography (CT). The patient had history of lower abdominal swelling for the past one year, associated with a dull dragging pain. He had no history of fever or trauma. Ultrasound examination, performed elsewher... |
M.J. is a 59 year old woman who presented to the emergency room at a tertiary care center with a three day history of mental status changes. According to her accompanying spouse, three days prior she had eaten out and had one episode of diarrhea. Since then she had slowly become increasingly 'confused', as she describe... |
A 52-year-old female from a remote village in southern India, who is a known case of uncontrolled type 2 diabetes and hypothyroidism for the past 5 years, presented with a 1-year history of pain over her left shoulder and 2 months of increasing swelling of the same shoulder after a trivial fall. She had undergone an ar... |
A 60-year-old man underwent right apical and posterior segmentectomies via VATS for early-stage lung cancer. The bronchus and pulmonary parenchyma were divided by endoscopic staples (Echelon®; Ethicon Endo-Surgery). The resected tumour was 1.5 cm in the longest diameter and pathologically diagnosed as Stage IA adenocar... |
A 48-year-old white female patient was admitted for workup of chronic pericardial effusion, which was first detected during an episode of pneumonia 3 months earlier, but remained constant despite complete remission of pneumonia after antibiotic treatment. At the time of admission, the patient was in a stable haemodynam... |
An 82-year-old Caucasian man was admitted to our urology department for radical cystoprostatectomy because of prostate cancer.\nDuring the night of the fourth day post-surgery the patient suddenly developed painless severe tetraparesis (Medical Research Council grade 2/5 of proximal muscles on both arms and 0/5 of both... |
An 18-year-old female met with an accident while working on electric laundry machine. Patient was wearing a salwar kameez, with a dupatta hanging loosely around the neck with the two arms of dupatta in the front. While working on the electrically powered laundry machine, the dupatta got caught in the rotating parts of ... |
A 56-year-old Israeli Jewish woman was admitted to our surgical ward for a splenectomy due to a solitary splenic mass. Six years prior to her admission she had undergone a total abdominal hysterectomy with bilateral salpingo-oophorectomy due to carcinoma in the right ovary. The histology examination revealed an endomet... |
A 48-year-old, gravida 1, para 0 female was referred to the University of Minnesota Maternal-Fetal Medicine Center due to vaginal bleeding and uterine fibroids. Ultrasound findings revealed a viable gestation at 14 + 1 weeks' and an adjacent thickened, nonhomogeneous placenta with a diffuse multicystic appearance (see ... |
A 15-year-old male was brought to the emergency department after sustaining a gunshot wound to the head. Non-contrast computed tomography (CT) scan of the head demonstrated a trajectory entering the right inferior temporal bone, entering the anterior portion of the middle cranial fossa, traversing the anterior right te... |
A 21-year-old man presented to our institution with sudden onset pain in the left trapezius and shoulder.\nAt the time of symptom onset he was engaged at work driving heavy machinery, but denied any recent history of injury or trauma. He had not been recently unwell and denied any constitutional symptoms such as weight... |
A 23-year-old female presented with a six-month history of a progressively growing mass in the right anterior chest wall associated with slight pain. The mass was hard, fixed to the chest wall and moderately tender. It measured 6 × 5 cm in its largest dimensions. The overlying skin was normal. She had no pulmonary symp... |
A 66-year-old man with locally advanced pancreatic head adenocarcinoma diagnosed by fine-needle aspiration biopsy 6 mo ago was admitted to our institution. Tumor markers were measured, with CA 19-9 = 4801 IU/mL and CA 125 = 161 IU/mL. After diagnosis, a plastic stent was placed in ductus choledocus with ERCP. Immediate... |
A 21-year-old primipara with 32 weeks pregnancy was referred to us from the gynecology department with upper abdominal pain and high-grade fever for 3 days associated with abdominal distension. On examination, the patient had a pulse of 124/minute and her blood pressure was 96/64 mmHg. Mild pallor was noted and there w... |
A 38-year-old previously healthy African-American female presented with an enlarging inner left cheek mass with overlying ulcer of 2 months duration. A computed tomography scan with contrast demonstrated a large irregularly outlined peripherally enhancing mass located between the anterior margin of the ramus of the lef... |
A 76-years-old lady with background history of cryptogenic Child's B liver cirrhosis presented with intermittent epigastric pain of 2 weeks duration associated with abdominal distension and nausea. On examination, vital signs were stable but marked pallor was noted in her conjunctiva. Physical examination was remarkabl... |
A 29-year-old man with a history of exercise-induced asthma (not requiring treatment for 10 years) and obesity (body mass index 39) presented to the emergency room in respiratory distress with evidence of systemic inflammatory response syndrome. His history was pertinent for heavy e-cigarette use for the previous 2 yea... |
A 47-year-old Iranian woman was referred to a psychiatric clinic complaining of distressing eyelid twitching called eyelid myokymia. She was taking TPM 50 mg HS for at least 16 months, to control her weight gain due to binge eating problem. She explained that the eyelid twitching started from lower right eyelid which w... |
A six-year-old female child presented with a three-week history of mild left flank pain and low-grade fever. Her medical history was unremarkable, with no history of previous urinary tract infections. A routine urinalysis was suggestive of UTI. She was transferred to our care after her symptoms failed to resolve with o... |
A 19-year-old girl was referred to our clinic complaining of progressive reduced vision in her left eye for the past several months. Her best corrected VA was 20/20 in the right eye and 20/400 for the left eye. Biomicroscopic examination of both eyes and fundus examination of right eye were completely normal. Fundoscop... |
A 53-year-old female was referred to our spine clinic with complaints of chronic neck pain and stiffness; the left arm pain which radiated down the radial aspect of her arm, forearm, and hand; fixed kyphotic posture of the neck; and difficulty swallowing. She reported sustaining a traumatic neck injury 6 years prior wh... |
A 67-year-old woman presented to Gangnam Severance Hospital with left buttock and leg pain and intermittent neurogenic claudication lasting less than 5 minutes for 12 months. The pain radiated to the left S1 dermatome. The patient had undergone 6 nerve blocks and continuous medical therapy for more than 6 months, but h... |
A 7-year-old male child presented with swelling and pain in the outer aspect of the right heel for past 1 month. Mother of the child correlated the swelling with a history of trivial trauma. The swelling was gradually progressing. A history of incision and drainage of swelling by a local practitioner after 5 days of on... |
A 63-year-old Caucasian male with no significant past medical history presented to the emergency department with complaints of bilateral lower-extremity muscle weakness and paresthesia. The patient first noticed a tingling sensation and bilateral lower-extremity myalgias approximately two weeks prior to presentation be... |
A 38-year-old man was admitted to the ED with stable vital signs and normal level of consciousness after he had been near the site of a high-pressure tank explosion at work. The patient was thought to have miniscule particles of cement and other materials impacted in his skin, especially in the face. Skin damage was ob... |
A 53-year-old male presented to emergency department with complaints of acute onset, generalized rigidity and tremors of all limbs, difficulty speaking and swallowing along with slowness of movements, masked facies, and decreased blinking. He was recently discharged from medical ICU after being managed for episodes of ... |
A 20-year-old smoker male experienced mild weakness and paresthesia of lower extremities for 3 days. There was no underlying diseases or history of trauma. He went to the clinic and took home some medicine. Three days later, the patient developed dyspnea, generalized seizures, and subsequent loss of consciousness. He w... |
A 74-year-old lady with no medical comorbidities presented with reduced visual acuity. Vitreous cultures prior to antibiotic administration grew multisensitive Staphylococcus aureus. Three sets of blood cultures were taken prior to commencement of antibiotics and were negative. She received treatment with intravenous f... |
This eighty-year-old gentleman presented to accident and emergency with right arm weakness. The patient reported a sudden onset of right neck pain at rest radiating to his right shoulder and back, leading to immediate numbness and tingling down his right arm and associated heaviness. There was no report of any precedin... |
A 44 year old afro-Trinidadian female presented with a two week history of abdominal distension, weight loss, decreased appetite and low grade fever. She had a normal white cell count, a haemoglobin of 9.02 g/dL and a CA125 level of 909 U/ml. Ultrasound scan showed moderate ascites with a septated cystic left adnexal m... |
A 74-year-old male, living alone in a rural area, with no particular history is brought back by his neighbors for headaches associated with impaired general condition and fluctuation of consciousness.\nA laborious anamnesis found an episode of head injury without loss of consciousness following a fall of his own height... |
The first case involved a 31-year-old pregnant illegal immigrant from Mali with a history of a caesarean birth due to preeclampsia. At 20 weeks of gestation, she was admitted to our department for fever of 38.8°C of unknown origin. The pathology was initially attributed to a nonspecific viral illness. The genetic sonog... |
A 73-year-old male was referred to our hospital for gradually progressing right lower abdominal pain. His past history included prostate carcinoma with bone metastasis at 60 years of age, and type 2 diabetes mellitus diagnosed at 62 years of age with poor control of the hemoglobin A1c (HbA1c) level measuring 8.0%. Fami... |
A 3-month-old girl was admitted to hospital for assessment and management of faltering growth. The child was born at 39 weeks' gestation by emergency caesarean section due to foetal distress following induction of labour for intrauterine growth restriction. There were no problems in the immediate postnatal period, and ... |
A 50 years old white man was sent to our outpatient clinic. He started to feel sick a month before with headache, muscle pain, appetite loss, yellow skin complexion and fatigue. His medical history was unremarkable except for two gout attacks years ago for which reason he was taking allopurinol for more than 5 years. H... |
A 52-year-old man was diagnosed in March 2010 with multiple sclerosis (MS) when he presented to a neurologist with episodes of fatigue, lower extremity paresthesias, and bowel and bladder incontinence. The diagnosis of MS was made based upon the McDonald criteria with multiple clinical events associated with characteri... |
A 35-year-old, otherwise healthy female was assessed in June of 2017 for her isolated right olecranon injury. She described being bucked off a horse with a direct blow to her right elbow. Her physical exam revealed a closed injury, soft compartments, and intact neurovascular status. Initial X-rays demonstrated a simple... |
A 51-year-old female patient received a kidney from her sister after a double nephrectomy owing to renal tuberculosis 12 years previously. At that time, the transplanted ureter was anastomosed to the ileum in the left lower abdomen with an ileal conduit on the opposite side. Ureteroileal anastomosis was performed by us... |
We report the case of a 3-month-old male infant with bilateral corneal opacity since birth who was transferred from the pediatric unit for further ophthalmic care. Written informed consent was obtained from the patient’s parents to publish this report. Prenatal and natal history were unremarkable apart from the fact th... |
A 39-year-old male patient was admitted to the Neurology Department with the complaint of dysphasia with a sudden onset 2 years ago and sudden right limb weakness for 4 months, who had the habit of playing badminton and golf.\nTwo years ago, the patient experienced intermittent episodes of difficulty in speaking and la... |
A 40-year-old Caucasian male, a past medical history of smoking, complaining from 5 years of occasional abdominal discomfort started having an acute, stinging pain in the right upper abdomen. A blood sample was taken that showed a smoldering increase of the transaminases and C-reactive protein of 22 mg/L. He was invest... |
A 59-year-old female with Sicca syndrome and rheumatoid arthritis presented to our department with blurred vision of the right eye for 5 days. She has been diagnosed with retinal vascular occlusion in the left eye 2 months ago. Her best-corrected visual acuity (BCVA) was 0.03 in the right eye and 0.2 in the left eye. I... |
A 61-year-old male with no previous medical history, presented with right upper quadrant pain and mild elevation of total bilirubin to 2.9 and Ca 19-9 was elevated at 559 u/mL. All other laboratory values were within normal limits. Evaluation included a right upper quadrant ultrasound (U/S) and computed tomography (CT)... |
SM, a 55-year-old female, in established renal failure secondary to adult polycystic kidney disease, received a living unrelated renal transplant through an exchange donor program. The kidney was implanted in the left iliac fossa. Her past medical history included a mechanical aortic valve replacement, cerebrovascular ... |
A nonsmoking, healthy, 35-year-old man complained of nasal stuffiness, crusting, and bleeding due to a nasal septal perforation. This had been caused by nasal insufflation of cocaine for one year ten years previously. He initially used only one dose (25 mg) weekly but this dose was taken five times the last week before... |
This 27-year-old pregnant woman, presented initially at 19 weeks gestation with intermittent headaches, nausea, and vomiting for two months duration. She was admitted to an outside hospital and was diagnosed with a prolactin secreting pituitary adenoma. At that time, the patient was noted to have normal visual acuity i... |
A 49-year-old Caucasian male with a history of recurrent pancreatitis complicated by a large peripancreatic fluid collection, presented with acute abdominal pain for one day. It was described as 8 out of 10, constant in the epigastrium and left upper quadrant, non-radiating, worse with movement, and partially relieved ... |
A 38-year-old female patient with no cardiovascular morbidities presented to the emergency department with chief complaint of acute central chest pain that started 3 hours earlier and worsened in the last hour before coming to hospital. Patient had normal vital signs and unremarkable physical examination. Her 12-lead e... |
A 20-year-old male patient came to Department of Oral Medicine and Radiology, Rajah Muthiah Dental College and Hospital with a complaint of swelling in the left lower jaw, since 6 months. Patient revealed that the swelling gradually increased in size to attain the present status. It has become symptomatic for the past ... |
A 56-year-old woman, who works as a store seller, first experienced symptom onset 16 years previously in a first attack that altered tactile sensation in her legs. She was diagnosed with MS and treated accordingly at the Mexican Institute of Social Security and at the INR ().\nThe case was studied in the CAPD laborator... |
A 63-year-old nonsmoking woman with metastatic colorectal cancer to the lungs and liver, diagnosed four years previously and treated at that time with surgery and 12 cycles of FOLFOX, presented to our clinic with oligoprogression of right paratracheal metastatic lymphadenopathy. We initially recommended optimization of... |
A 29-year-old, right-handed white female was admitted to the epilepsy monitoring unit for video electroencephalography monitoring and medication adjustment in a large urban academic medical center. Her medical history was significant for medically refractory frontal lobe epilepsy with complex focal seizures with or wit... |
A 40-year-old male presented with complaints of bloody diarrhea of 3 months' duration. Five days after the onset of blood in stools, he noticed small vesicular lesions over the dorsum of the right foot, followed by the appearance of similar lesions on the left foot, buttocks, and hands. These lesions subsequently forme... |
Chief complaints: The recipient presented with an advanced liver cirrhosis and suffered from the typical symptoms, including ascites, renal impairment and feeling chronically tired and cold.\nHistory of present illness: The donor liver was offered from a 71-year-old male donor with brain death due to intracranial haemo... |
We present the case of a 70-year-old man who underwent dipyridamole Rb-82 positron emitting tomography (PET) 3 days following percutaneous coronary intervention with right coronary artery (RCA) stenting []. There was complete occlusion of the proximal RCA, as well as multiple borderline lesions in the left anterior des... |
An 8-month-old baby boy weighing 5700 g presented with a history of absent anal opening and continuous dribbling of urine from the lower abdomen since birth. He underwent high sigmoid loop colostomy at day 3 of life for ARM. On presentation, his abdomen was not distended and a superior vesical fissure was seen in the l... |
A 40-year-old man with a swelling in the right palatal region was referred to the department of oral pathology for evaluation and diagnosis. The painless mass was noticed 4 months ago by the patient.\nIntraoral examination exhibited a firm, exophytic, oval mass with an intact overlying mucosa in the region of the right... |
A 64-year-old man (height 169 cm, weight 70 kg) was presented for laminoplasty C3-7 due to incomplete cervical spinal cord injury. He started taking antihypertensive medication daily a year ago. Except that, the patient was in good health until he fell from a three-meter-high cliff. Four weeks ago, he had an emergency ... |
A 68-year-old man had undergone low anterior resection and regional lymph node dissection for rectal cancer (Fig. ). The pathological examination showed the tumor to be a moderately differentiated adenocarcinoma with invasion to the subserosa (T3) and regional lymph node metastasis (N1). No distant metastases were foun... |
Here, we present the case of a 44-year-old woman with a medical history of coronary disease with myocardial infarction and stent placement at 29 years old. The patient smoked for 10 years until 39 years old and she did not have a family history of heart or breast diseases. She presented with a 2-week history of left br... |
A 76-year-old man with longstanding dyspepsia, indigestion, tiredness, and rapid weight loss was referred for gastrointestinal evaluation. Blood tests showed macrocytic anemia with low concentrations of folate and vitamin B-12. The patient's hemoglobin concentration was 7.9 g/dL, albumin 32 g/L, and transglutaminase 21... |
A 40-year-old female presented with suspicious increasing micro-calcifications in the right breast. A stereotactic biopsy of the most worrisome area in the right upper inner quadrant demonstrated ductal carcinoma in-situ with microinvasion. Because of the diffuse extent of the malignant appearing calcifications, a mast... |
A 48-year-old Caucasian man with past medical history of asthma, diverticulitis, benign prostatic hyperplasia, presbyopia, and obesity presented with a tender palpable left forearm mass. The pain started five years after the patient sustained a deep knife wound in this area that required stitches. Initially, without si... |
A 55-year-old female with no significant past medical history, except for anxiety, presented to the emergency room (ER) with chest pain. Initial workup in the ER indicated an abnormal electrocardiogram (EKG). The EKG displayed ST wave depressions in leads V3 and V4 (Figure ). As a part of chest pain workup, a computed ... |
A 54-year-old female presented with a history suggestive of recurrent episodes of small-bowel obstruction over 2 months. She had undergone a Wertheim's hysterectomy followed by radiotherapy for carcinoma cervix 2 years prior. This was followed by the development of a lymphocele that had required repeated tapping and a ... |
A 58-year-old female with a history of chronic rheumatic heart disease and atrial fibrillation was admitted for cranioplasty. She previously underwent a decompressive craniectomy for the management of her massive right middle and anterior cerebral artery infarction 6 months before. The ischemic stroke rendered the pati... |
A 50 year old male patient reported at the Department of Oral Pathology, Government Dental College, Calicut, with a painless slow growing swelling on left side of mandible at the angle – ramus region of 4 years duration. He gave a history of a similar swelling at the same location 12 years ago, which was diagnosed as d... |
A 36-year-old married female [], resident of Pune, housewife by occupation referred by Department of Dermatology, Command Hospital Pune for the gingival lesion to division of Periodontics, Department of dental surgery, AFMC, Pune, with chief complaint of burning sensation of the oral cavity for the last 3 months. The p... |
An 84-year-old female presented with progressive dysphagia to both solids and liquids and failure to thrive over several months. Her other medical problems included gastroesophageal reflux disease, hypertension, deep vein thrombosis, severe osteoarthritis of both hips, lower extremities contracture, and chronic low bac... |
A 12-year-old male child got admitted in our hospital with severe headache and projectile vomiting for 15 days. He did not have any history of fever, altered sensorium, suggestive history of focal neurological deficit or cranial nerve involvement. He did not have any significant past and family history. General physica... |
A 5-year-old male child was brought to the casualty of our hospital with complaints of respiratory distress and endotracheal tube in situ; the child also had gangrene over the abdomen and upper and lower limbs.\nA previous history of the patient revealed that the child had a fever and swelling over the abdomen for 20 d... |
A 71-year-old man visited our pain clinic presenting with a 3-year history of abdominal pain. The nature of pain was constant, superficial throbbing and lancinating and sometimes diffusely radiated with visual analogue scale (VAS) score 70-80 of 100. The location of the tumor was on the right lower quadrant of abdomen.... |
An almost three-year old girl, was admitted to the pediatric ward of Serdang Hospital (Malaysia) with a history of two days cough, runny nose and shortness of breath. Prior to the hospitalisation, she was given one dose of Salbutamol nebulizer in a private clinic for her respiratory problem. Her symptoms partially reli... |
Our patient was a 66-year-old man of Mongolian race who had previously exhibited coronary arteriosclerosis, spinal canal stenosis, transverse colon cancer, and alcoholic encephalopathy. He was presented to our institute for the removal of wires used for the closure of his chest during a coronary artery bypass graft. Ho... |
A 17-year-old woman whose chief complaint was left wrist pain on the dorsal and ulnar side and anomalous appearance of the left wrist, presented at our institution. She was informed about deformity of her left forearm by a school physician when she was a junior high school student. However, she did not visit the hospit... |
A 50-year-old healthy female came with a complaint of gradual painless diminution of vision associated with a floater in her left eye from the last one month. On examination, her visual acuity was found to be CF 3/4M Vision in the Left Eye and CF — M in the left eye. Anterior segment examination was unremarkable with i... |
A 15-year-old female patient reported to the Oral Medicine unit with complaint of bilateral swelling of the face for the past three years. The swelling started initially as smaller in size at nine years of age, which gradually increased in size to the present size. The patient agreed to participate and was explained th... |
A 60-year-old male patient was referred to our outpatient clinic with an incidental mass in the right kidney, which was recently diagnosed during work-up of his microscopic hematuria. His previous medical history consisted of kidney stone lithotripsy, hypertension treated with a beta-blocker and diuretic, and two episo... |
A 75-year-old Chinese man who had been experiencing chest pain for 10 years presented at our institution. He was moderately active, doing odd jobs around the house, and accelerating angina over the past 2 years. The patient had been taking aspirin, nifedipine for high blood pressure and metformin for diabetes mellitus ... |
A 28-year-old male was admitted to the emergency department (ED) with a 5 cm stab wound (SW) under his left nipple. Pre-hospital treatment included insertion of a left chest drain due to dyspnoea, but this was clamped during transport because of massive hemorrhage. On admission, he was self-ventilating, with palpable c... |
An 82-year-old man (64.5 kg, 175 cm) diagnosed with falcine meningioma was admitted for craniotomy. The patient presented left-sided weakness. Comorbidities included atrial fibrillation and Parkinson's disease. He had undergone prostate surgery under spinal anesthesia 1 year previously. Preoperative thoracic radiograph... |
A 54 year-old man with no past medical history was brought to hospital with cardiac sounding chest pain and an electrocardiogram revealing ST elevation in leads II, III and aVF. He was taken for immediate primary coronary intervention for an inferior segment elevation (ST) elevation myocardial infarction via right radi... |
A 49-year-old woman visited the clinic due to a mass in her right thigh. The patient first noticed the mass four years prior to presentation. After needle biopsy was performed, she was referred to our hospital with a diagnosis of leiomyosarcoma.\nA physical examination confirmed the mass with a diameter of 4 cm on the ... |
A 31-year-old male with no significant past medical history who presented from an outlier hospital to our emergency department with an acute onset crushing substernal chest pressure and dyspnea with profuse sweating following 1-week-long febrile illness with malaise. He denied any intravenous drug use, and urine drug s... |
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