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A a sixteen year-old girl, presented to our Outpatient department with the complaints of discomfort in the neck and lower back as well as restriction of body movements. She was not able to maintain an erect posture and would tend to fall on either side while standing up from a sitting position. She would keep her head ... |
This is the case of a 56-year-old man that was complaining of a dump pain on the right back and a swelling right in this place for several weeks. The patient was in good state and very active. There was not any health problem in the past except a thoracic trauma at work one year ago. In that time the patient was diagno... |
A 36-year old female patient visited our hospital with a chief complaint of pain and restricted range of motion (ROM) in the left hip joint persisting for two months. Physical examination of the patient revealed severe gait disturbance secondary to hip pain aggravated by hip joint flexion or rotation. The patient had n... |
A 49-year-old male presented with a complaint of pain in the left proximal forearm after a fall. The patient had a history of left elbow arthrodesis performed for posttraumatic arthritis at the age of 18. On physical examination he was tender at the proximal ulna. He had no active flexion or extension at his elbow, whi... |
A 47-year-old male patient was referred to the rheumatology clinic because of recurrent attacks of pain in both knees over 1 year.\nIn September 2016, the patient presented with severe pain over the medial aspect of the left knee for a two-week duration which prevented him from ambulation. The pain increased with weigh... |
A 24-year-old Yemeni female presented to the endocrinology clinic in April 2017 because of inability to walk and a long history of osteomalacia. She was unable to walk for the last 4 years with severe weakness and bone pain. She reported that for the last 2 years she was so weak that she could not turn over in bed and ... |
We report a 24-day-old female baby who presented with dyspnea and fever. Examination showed decreased air entry on the left side and a subsequent chest radiograph showed what looked like a consolidation of that lung and air-filled bowel loops inside the chest and a further ultrasound examination also identified intrath... |
A 16 years old female patient presented to us with inability to walk on both lower limbs since last 3 months. Earlier the patient was able to walk with a limp and would sway to either side while walking. Three months back patient experienced sudden onset pain in her right groin region while walking and the patient was ... |
We present a case of a seventy-three-year-old Saudi man who has started visiting the primary health care center in our institution twenty-five years ago. He has been concerned with having a cancer that would give him only few days to live. At the beginning, the patient was evaluated medically through detailed history a... |
A 23-year-old female patient was admitted to a plastic surgery clinic because of an esthetic problem caused by swelling on the scalp, which started 1 year previously and gradually worsened in the most recent 6 months. She underwent surgery under local anesthesia without guidance using an imaging method. Bleeding starte... |
A 32-year-old healthy female presented to a clinic (LS). The main complaint was severe pain in right temporomandibular joint (TMJ) region, right ear, mouth opening limitation, and asymmetrical of the face. The patient reported that she was born at full term by spontaneous vaginal delivery and no perinatal problems and ... |
A 64-year-old Caucasian man from Austria was referred to the urological department because of episodes of intermittent gross hematuria. The patient had a colorectal carcinoma treated by rectum and ileum segment resection, chemotherapy and radiotherapy four years before. After radiotherapy ureteric strictures developed ... |
The patient was a healthy 13-year-old female, who suddenly felt abdominal pain. She was taken to another hospital by ambulance, and the enhanced abdominal computed tomography (CT) revealed a 5 cm diameter cystic tumor in the pancreatic tail with fluid collection around it (). The CT results indicated her acute abdomina... |
A 60-year-old Kashmiri female presented to our department after having sustained a fracture of femur in the supracondylar region. After initial management, the fracture was fixed with a dynamic condylar screw assembly. After an uneventful postoperative period, the patient was discharged with advice to undergo supervise... |
A 47 year old gentleman presented to his general practitioner with acute onset lower back pain. The pain had commenced during coitus and radiated down the right leg. The initial diagnosis was of acute disc prolapse and he was referred for an urgent neurosurgical opinion. The neurosurgeon concurred that the pain may wel... |
A 68 year old male patient was admitted 48 hours after he suffered a severe hip injury when falling from a bridge. The initial Rx-ray at admission displayed a femoral neck fracture with dislocation of the femoral head into the pelvis (). The patient also presented macroscopic and laboratory confirmed hematuria. A CT sc... |
A 49 years old female presented with history of recurrent palpitations for last 10 years. During last year, she had 5 episodes of palpitations which required hospitalizations. The tachyardia was repeatedly terminated by intravenous adenosine and verapamil. She was nondiabetic and nonhypertensive. General physical and c... |
An 82-year-old female with 60 kg body weight and 156 cm height who was otherwise healthy underwent a right total knee arthroplasty for osteoarthrosis under epidural anesthesia at a hospital nearby. The insertion of the epidural catheter and operation were finished without any problems and the removal of the epidural ca... |
A 78 year old Caucasian male presented to our casualty 6 weeks following admission elsewhere with a history of swelling of the right leg and a pulmonary embolus. He had undergone VQ scanning with a proven diagnosis of pulmonary embolus and was therefore anticoagulated with heparin and warfarin.\nOn admission he had swe... |
On the 24th April 2006 a 9 month old girl was brought to the Emergency Department of a hospital which routinely refers patients to us. She had sustained a dog bite to her face 30 minutes previously. She was seen by the emergency physicians and was found to have received multiple lacerations to her face over the right z... |
We present a 58 year old male with an unusual posterior thigh mass for more than a year. Patient had a past medical history significant for RCC, initially diagnosed at stage II, 11 years ago followed by left nephrectomy. Patient also had metastasis to tail of the pancreas and tip of spleen 6 years ago which was followe... |
Our patient is a 73-year-old Caucasian female with medical history of hypertension and type 2 diabetes. She had been treated for invasive ductal breast cancer 7 years ago with lumpectomy of the left breast and axillary lymph node dissection. Radiation therapy and seven cycles of adjuvant chemotherapy were administered ... |
A 50-year-old right-handed Latino man presented with worsening of previously stable chronic motor symptoms. He had initially developed sudden weakness and difficulty using his right upper extremity at the age of 16 years. He eventually had to learn to write using his left hand because of the severity of his weakness. H... |
A 74 year-old Caucasian woman with complete heart block had dual chamber pacemaker implanted in 1990. Her initial system included a Medtronic 4504 passive fixation atrial lead and a Medtronic 4004 passive fixation ventricular lead. She subsequently underwent replacement of her pulse generator in 1998 and insertion of a... |
We report the case of a 59-year-old man with hypertension and dyslipidemia, both of which were being treated by his primary physician. The patient suffered a traumatic lumbar fracture in 2013 owing to a fall and underwent surgery. Computed tomography (CT) scans performed at the time were focused on the lumbar spine, so... |
A 5-year-old female patient visited the Department of Oral Medicine and Radiology with a complaint of pain in the region of the right posterior teeth of the lower jaw. Her mother also reported that her daughter had shown an asymptomatic swelling on the right side of her face since birth. The patient had undergone exami... |
The 30-year-old, gravidity 3, parity 2 patient had no medical problems during her pregnancy follow-up visits, such as gestational diabetes, preeclampsia, intrauterine growth retardation, and premature delivery. The patient had given birth to a baby weighing 3500 grams via spontaneous vaginal delivery at 39 weeks of ges... |
Our patient, an eight-year-old girl, presented to our clinic, with severe swelling and facial asymmetry on the right mandibular molar region. We were informed that the patient developed the swelling as a result of an infection three months previously. The patient had been treated with antibiotics, but as that treatment... |
This 56 years old lady who has been known to the local mental health services for the past 20 years with symptoms of depression and anxiety was attending follow up appointments on and off. For her current episode she was in contact with the local team for the last few years and had presented with moderate to severe dep... |
A 42-year-old woman applied to the ophthalmology department with a complaint and history of a half-hour-long visual loss of her left eye one day ago. At clinical examination, both of her eyes were found to have full vision, and also microscopic fundus examinations revealed no pathological conditions. The patient gave a... |
A 39 year-old white female presented to The Arthur G. James Cancer Hospital with worsening pain of the left breast and left chest wall region and a recurrent palpable mass within the inferior aspect of her left breast. She reports having had three separate left breast biopsies in the past (seven years, four years, and ... |
A 66-year-old man presented to emergency department with an anterior shoulder dislocation () after a ski fall without loss of consciousness. At the initial management, the patient did not show any neurological dysfunction or pulse deficit. The first reduction attempts were unsuccessful and the patient was put under gen... |
A 26 year old male presented with increasing right knee pain and functional debility with a history of osteochondritis dissecans and having had multiple past surgical interventions. He was otherwise well, though was currently unable to perform any activities that involved prolonged weight bearing and found it increasin... |
Our patient, an eight-year-old girl, presented to our clinic, with severe swelling and facial asymmetry on the right mandibular molar region. We were informed that the patient developed the swelling as a result of an infection three months previously. The patient had been treated with antibiotics, but as that treatment... |
Our patient, an eight-year-old girl, presented to our clinic, with severe swelling and facial asymmetry on the right mandibular molar region. We were informed that the patient developed the swelling as a result of an infection three months previously. The patient had been treated with antibiotics, but as that treatment... |
A 56-year-old female was initially admitted to the neurosurgical department because of retroorbital pain and mild visual deterioration in both eyes. The ophthalmologic examination showed a bilateral constriction of the visual field and a slight reduction in the visual acuity on the right side. A magnetic resonance of t... |
A 63-year-old German man with a long past history of tumours was admitted to hospital. 20 years ago a malignant melanoma had been diagnosed on his right loin and radical excision performed. Due to lymph node metastasis in the left groin the patient had chemotherapy. After some time the patient developed haematuria wher... |
Our patient, an eight-year-old girl, presented to our clinic, with severe swelling and facial asymmetry on the right mandibular molar region. We were informed that the patient developed the swelling as a result of an infection three months previously. The patient had been treated with antibiotics, but as that treatment... |
Our patient, an eight-year-old girl, presented to our clinic, with severe swelling and facial asymmetry on the right mandibular molar region. We were informed that the patient developed the swelling as a result of an infection three months previously. The patient had been treated with antibiotics, but as that treatment... |
A male patient aged 60 years reported to the department with the complaint of a hole in upper jaw for 2 years. History revealed that he got his denture constructed 10 years back and wearing the suction cup denture [] entire day and night and removed them only for cleaning. On examination of the palate, there was a perf... |
A six year-old boy presented with a congenital anomaly of two upper limbs on the right side [Figures –]. Clinical examination revealed that the superior limb was articulating with the shoulder joint, and the inferior limb laterally attached to the chest wall. Both these limbs on the right side were hypoplastic compared... |
This case study is a product of serendipity. A 27 year old female runner was initially part of an experimental study documenting the muscle onset timing of the posterior leg and trunk muscles during the prone leg extension. At the time of the study the participant had no leg or spine injuries. The participant was part ... |
A 11 years old male was referred to the emergency department of Virgen de las Nieves University Hospital due to a slight periodontal bleeding of 5 days of evolution. An orthopantomography was performed to focus the diagnosis. The OPG evidenced a dubious periapical image compatible with a small cyst of dental origin. He... |
A 64-year-old gentleman with a post radiation recurrent squamous carcinoma of the left lower alveolus was posted for composite resection and reconstruction with fibula free flap by simultaneous two team approach. The left fibula was selected and after flap harvest, the left neck vessels (superior thyroid and facial) we... |
A 32-yr-old woman with no relevant or significant medical history presented with severe left calf pain that had persisted for the past 10 yr. The symptom was constant and worsened with menstruation, standing or walking for more than 30 min. The pain was relieved by elevating the leg in the sitting position or massaging... |
As home care doctors and general practitioners, we encountered a 37-year-old woman with ASD who lived with her parents in Japan. Her mother had end-stage breast cancer. We visited her house regularly to care for her mother. The woman with ASD was the main caregiver and a key person for her mother because her father was... |
An 88-year-old male presented in the outpatient surgical setting with a chief complaint of a right groin bulge that had been present for 6 weeks. He had sharp pain initially when he first developed the abnormality but had been asymptomatic ever since. He did not recall any inciting factors. He was concerned that a prev... |
A 50-year-old woman with left breast cancer was referred to the Plastic Surgery Department for immediate breast reconstruction. She had a history of subarachnoid hemorrhage and a lumbar peritoneal shunt tube had been implanted in her abdomen to treat hydrocephalus. She had no other obvious sequelae from the subarachnoi... |
A 55-year-old female admitted to us with complaints of 40% acute flame burns to the neck, chest anterior abdominal wall, and upper limbs. The patient had a history of multiple abdominal surgeries secondary to tuberculosis 10 years back. She had an exploratory laparotomy which ended up having a burst abdomen, for which ... |
As home care doctors and general practitioners, we encountered a 37-year-old woman with ASD who lived with her parents in Japan. Her mother had end-stage breast cancer. We visited her house regularly to care for her mother. The woman with ASD was the main caregiver and a key person for her mother because her father was... |
A male patient aged 62 years reported to our center with the chief complaint of dull gnawing pain and a growth in the mouth [] of 5 years duration associated with difficulty in eating and swallowing. The history revealed that the patient had met with a road traffic accident 5 years back which resulted in injuries to hi... |
A 21-year-old female patient presented with throbbing pain in relation to upper left canine tooth. The tooth had a history of occasional pain since 1 year and was related to have started following an orthognathic surgery done on upper maxilla. On examination she had pain on vertical and lateral percussions on that toot... |
Our case was a 20 year old female with road traffic accident. An informed consent was taken from her for publication purposes. Her left leg was crushed under a truck tyre and she presented with a grade IIIb compound fracture tibia with a 20cm by 8 cms wound over the anteromedial side of lower third of tibia, extending ... |
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