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A 16-year-old female adolescent was referred to our hospital with severe hypertension (systolic pressure 178 mmHg), which was first detected 7 months prior to presentation during a routine annual physical examination. She complained of intermittent headache for about 1 year, and her previous blood pressure, measured 1 ... |
A 56-year-old man was admitted to the renal unit of the tertiary university hospital with symptoms of polyuria with nocturia, and polydipsia with severe thirst for the past 2 months. Initially, the patient visited a local clinic and was diagnosed as type 2 DM with a fasting blood sugar, 150mg/dL. Despite being controll... |
In 2008, a 59-year-old Japanese woman was admitted for evaluation of renal disease. RA had been diagnosed at another hospital in 1972 when she presented with bilateral arthropathy of the hands, knees, ankles, and feet. Treatment was started with a combination of a gold preparation and nonsteroidal anti-inflammatory dru... |
A 34-year-old man was admitted for evaluation of worsening pedal edema. He was apparently healthy until four years back, when he developed edema of both feet and nonpruritic macular skin rash involving both lower limbs. Subsequently, he was detected to have hypertension, proteinuria and mild renal failure (6 months ago... |
A 67-year-old Japanese woman underwent OWHTO to treat SPONK that had occurred in the left medial femoral condyle (Fig. ). The patient reported the following history of the present illness. Pain in the left knee joint initially occurred at 1 year and 4 months before admission, without any particular trigger. Her former ... |
This is a 61-year-old woman who presented with diabetic symptoms and was misclassified as having type 1 diabetes with negative autoimmune-related type 1 diabetes antibodies (Tyrosine Phosphatase antibodies and Glutamic acid Decarboxylase antibodies). She was referred to our center due to uncontrolled diabetes despite t... |
A 53-year old man (height, 175 cm; weight, 87 kg) was scheduled to undergo subtotal stomach-preserving pancreatoduodenectomy with portal vein reconstruction for pancreatic cancer after receiving neoadjuvant chemotherapy with gemcitabine and nab-paclitaxel. Laparoscopic left nephrectomy for renal cell carcinoma was perf... |
A 51-year-old lady presented to our emergency department because of generalized body ache and marked weakness in both lower extremities for two days duration. She had no history of vomiting, diarrhea, frequent urination, recent use of laxatives or diuretics, current or previous use of lithium, licorice ingestion, or ac... |
A 43-years-old Caucasian male (height 198 cm, weight 115 kg, tobacco smoker – 1 packet of cigarettes/day) was admitted to the intensive care unit (ICU) of a university hospital from a municipal hospital because of multiorgan dysfunction syndrome associated with infection and necrosis of the skin, subcutaneous tissue, a... |
A 65-year-old female consulted our office for naturopathic primary-care support for a myriad of conditions, which included diabetes with weight gain, chronic fatigue, depression with emotional lability, frequent colds, and recurrent urinary tract infections. The latter was attributed to a medullary sponge kidney as was... |
An 18-year-old adolescent female was evaluated at 15 weeks’ gestation for history of persistent emesis for four weeks, extreme fatigue and red colored urine for one day. There was no history of fever, diarrhea, abdominal pain, or urinary tract infection. Past medical history was unremarkable for diabetes mellitus, rheu... |
The patient is a 78-year-old male patient with renal disease from 9 years ago (March 2005). He has lived in Semnan, Iran. His medical records were reviewed in October 2014. Laboratory findings in the patient at first were as follows: BUN = 22, Cr = 1.3, weight: 60 kg, height: 166 cm, blood pressure 145/95 mmHg. The pat... |
A 23-year-old man presented to hospital with a 2-week history of oedema, frothy urine and lower abdominal pain. This is on a background of ulcerative colitis (UC) for which he was on sulfasalazine. He denied any other regular medications, over the counter medications or herbal supplements. His family history included h... |
An 11-year-old girl was admitted to our hospital with microscopic hematuria and nephrotic-range proteinuria detected by school urinary screening. The patient did not have any characteristic features of Fabry’s disease such as angiokeratoma or neuralgia. On admission, her physical examination was unremarkable (body weig... |
A 27-year-old female presented to the Gout Clinic of Peking Union Medical College Hospital with recurrent arthritis and infertility. Fourteen years before presentation, she noticed protrusion of her right ankle but did not undergo evaluation at a hospital. Eight years before presentation, at age 19, she experienced acu... |
A 31-year-old black Congolese female patient, P3G3, who had a pregnancy of 38 weeks and four days, was transferred from a district hospital to a tertiary facility in Kinshasa, Democratic Republic of Congo, for severe preeclampsia with acute on chronic fetal distress. Her past medical history was notable for eclampsia d... |
A 32-year-old male patient was admitted to the outpatient clinic with complaints of weight gain, dry mouth, and fatigue. In 2002, some eruptions appeared on the skull. Two (2) years later, skin eruptions spread all over his body. At that time, he was diagnosed with psoriasis and prescribed topical clobetasol propionate... |
The patient is a 28-year-old Hispanic female with a past medical history of hypertension, high serum cholesterol, and gastritis who presented to the emergency room for the evaluation of abdominal pain of 2 days duration. Six months prior, she had similar pain. An upper gastrointestinal (GI) endoscopy at that time showe... |
A 73-yr-old woman with atrial fibrillation presented to the emergency room complaining of chest discomfort, dyspnea, and agitation. The patient had suffered from atrial fibrillation for the last 2 yr. Her medications for the previous 2 yr included diltiazem 90 mg, metoprorol 25 mg, and aspirin 100 mg twice a day. In ad... |
We are presenting a case with acute abdomen, i.e. ileoileal intusussception, caused by Burkitt lymphoma. A sixteen-year-old Caucasian Kosovar boy, presented in the surgical emergency clinic as acute abdomen, with abdominal pain, nausea, vomiting, and problems with defecation and flatulence. The symptoms started three d... |
A 70-year-old man comes to the emergency room for worsening leg pain and a rash consistent with wet gangrene. He has no history of skin infections but has type 2 diabetes mellitus and has smoked 2 packs of cigarettes daily for 20 years. Three days after admission, he becomes increasingly hypoxic and tachypneic. He is e... |
A 35-year-old man diagnosed with type 2 diabetes (T2D) eight years ago and treated with intermittent metformin administration visited our clinic. He had a history of a spontaneously healed ureteral stones ten years ago. He was 169.3 cm tall, weighed 51.6 kg, and his body mass index (BMI) was 18 kg/m2. None of his famil... |
A 58-year-old patient comes to the physician because of progressive pain and swelling of his left calf for the past 2 days. He has no personal or family history of serious illness. He does not smoke or drink alcohol. His last digital rectal examination and colonoscopy at the age of 50 years were normal. His vital signs... |
A 43-year old male presented with a history of proteinuria discovered on a routine medical examination in 1985 when he was 22 years old. His medical history was acute pancreatitis at age 17 and hypertension at age 40, and the family history indicated that his nephew had IgA nephropathy. The patient occasionally consume... |
A 45-year-old woman comes to the physician because of fatigue and irregular menstrual cycles for the past year. She also complains of recurrent sinus infections. During the past 6 months, she has had increased urinary frequency and swelling of her feet. She has also had difficulty lifting her 3-year-old niece for the p... |
A 57-year-old-male patient 165 cm tall, and weighing 68 kg in the ASA 1 risk group because of numbness of his left wrist. The biochemical parameters of the patient who was scheduled for operation under regional anesthesia with the diagnosis of carpal tunnel syndrome were as follows; Hb:14.0 mg/dL, Htc:43.0%, Plt:229000... |
A 51-year-old gentleman, recently diagnosed to have type 2 diabetes mellitus and systemic hypertension, presented to the cardiology outpatient clinic on 28th July 2016 with history of pricking chest pain and shortness of breath for the past 7 years and recurrent attacks of syncope since the previous year. He weighed 49... |
A 12-year-old boy, average student of class VII, presented with 1 year history of generalized tonic clinic seizures which lasted for 2-3 min. In the initial 2-3 days of his illness, he had 2-3 seizures daily for which he received carbamazepine 200 mg twice daily. Seizure though was controlled, but he started having car... |
A 26-year-old man with progressive chest pain and respiratory distress was transported as an emergency case to our hospital from the local airport. He had just returned to Japan from traveling in southeastern Asia for 1 week. He had no relevant past medical history and was not on medication. He had developed pain in th... |
A 66-year-old man (body height, 168 cm; body weight, 88.5 kg) experienced dyspnea, a sensation of chest tightness, and back pain for a few days before he was brought to our hospital on an emergency basis. His symptoms became aggravated suddenly as he was about to get off a taxi on his way home from work. He presented w... |
A 26-year-old man arrived at the emergency department with a seven-day history of hematemesis and melena. He had no previous medical history and did not drink alcohol or used any illicit drug or medication. Physical examination on admission showed blood pressure of 100/60 mmHg, a temperature of 36°C (96.8°F), a pulse r... |
A 21-year-old Japanese woman was admitted to our hospital because of proteinuria and hematuria. She had been diagnosed at birth with persistent cloaca and congenital esophageal atresia, and underwent enterostomy, cystostomy, and radical esophageal surgery, followed by repair of persistent cloaca and colostomy closure 2... |
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